2014-05-08T09:13:19-07:00 2013-06-30 KPMG LLP 191 W Nationwide Blvd Suite 500 Columbus OH 43215 990 2012-07-01 390806302 St Josephs Community Hospital of West Bend Inc STJO 2623345533 3200 Pleasant Valley Road West Bend WI 53095 Scott R Hawig 2014-05-08 false 2012 2015-11-30 17:44:51Z Jacobson Catherine 3200 Pleasant Valley Road West Bend WI 53095 121465201 false false X www.froedtert.com X 1930 WI St. Joseph's Community Hospital of West Bend, Inc is a health care organization serving residents of West Bend and Washington County. Our mission is to advance the health of communities we serve through exceptional care enhanced by innovation and discovery. 13 8 651 169 0 14202 0 84875970 92990948 987125 1140406 3659257 4319228 89536554 98450582 0 0 29341296 29584404 0 0 56577617 62337118 85918913 91921522 3617641 6529060 126472402 132974592 67008680 68762606 59463722 64211986 St. Joseph's Community Hospital of West Bend, Inc is a health care organization serving residents of West Bend and Washington County. Our mission is to advance the health of communities we serve through exceptional care enhanced by innovation and discovery. false false 39119120 52085389 In addition to being a 70-bed hospital, St. Joseph's Hospital offers a wide variety of outpatient services to the community, including cancer care services, various diagnostic and therapeutic treatments, outpatient and ambulatory surgeries, and rehab treatments.In 2010, St. Joseph's Hospital's Alyce and Elmore Kraemer Cancer Care Center joined the Froedtert & The Medical College Cancer Network, bringing more cancer expertise to the community. The new St. Joseph's Hospital's 16,000-square-foot Kraemer Cancer Center opened July 9, 2012. Care is conveniently provided close to home, with Medical College specialists working with community physicians to provide advanced, coordinated care, and if needed, access to specialized treatment at Froedtert & The Medical College Clinical Cancer Center in Milwaukee. Cancer network physicians in West Bend include specialists in radiation oncology, urologic oncology, gynecologic oncology and plastic and reconstructive surgery. During the fiscal year, radiation oncology and medical oncology visits totaled 5,736 and 4,987, respectively.Recently, more medical specialties became locally available as the Froedtert & The Medical College Specialty Clinics at St. Joseph's Hospital expanded to include urology, urogynecology, infectious diseases, electrophysiology and cardiology, in addition to the cancer specialties, all of which provide access to leading-edge care to the residents of West Bend and Washington County. In addition to the specialty clinics and cancer care services, St. Joseph's Hospital provided a variety of outpatient treatments and procedures during the fiscal year including:Operations: 2,359CT Scans: 5,006MRIs: 1,956Radiological Diagnostic Exams: 10,534Ultrasounds: 3,484Laboratory Tests: 156,293Nuclear Medicine Scans: 1,768Rehabilitation Treatments: 12,257Ambulatory Surgery Visits: 4,191GI Visits: 695 26992420 35939221 St. Joseph's Hospital is a health care organization dedicated to improving the health status of residents of West Bend and neighboring communities regardless of ability to pay. The hospital has been serving residents of Washington County for more than 80 years and today offers a wide range of inpatient services. In 2005 St. Joseph's opened a new 70-bed hospital that earned national recognition for a design emphasizing patient safety and quality. The 143-acre hospital campus also includes the Kathy Hospice, Froedtert Health West Bend Clinic-South and the Froedtert & The Medical College of Wisconsin Specialty Clinics.St. Joseph's Hospital is an acute care general hospital with 70 licensed and staffed beds, providing a wide range of inpatient services, including general and orthopedic surgery, general medicine, intensive care services, obstetrics and maternity care, and inpatient hospice care.The New Life Center at St. Joseph's Hospital is Washington County's leading birth center, with 723 deliveries and 1,883 patient days during fiscal year 2013. Convenient and comfortable, the center offers experienced nurses, tastefully appointed labor, delivery, recovery and postpartum rooms, a special care nursery and a dedicated C-section suite. The inpatient hospice care unit, the Kathy Hospice, is a separate 8-bed building located on the campus of St. Joseph's Hospital, and provides a peaceful and comfortable environment for individuals in need of end-of-life care. The home-like hospice was the first of its kind in Washington County, and experienced 151 admissions and 2,482 patient days during the fiscal year.In addition to the newborn and hospice services, St. Joseph's Hospital had 2,738 admissions and 10,871 patient days related to medical, surgical and intensive care inpatient services. In conjunction with inpatient stays, the hospital provided a variety of inpatient ancillary treatments and procedures during the fiscal year including, but not limited, to:Operations: 808CT Scans: 1,653MRIs: 233Radiological Diagnostic Exams: 7,243Ultrasounds: 1,302Laboratory Tests: 127,291Nuclear Medicine Scans: 234Rehabilitation Treatments: 24,480 3730005 4966338 The Emergency Care Center at St. Joseph's Hospital provides high-quality care for all types of emergencies, 24 hours a day, augmented by its close ties to Froedtert & the Medical College Level I Trauma Center. Staffed by board-certified emergency medicine physicians and emergency certified RNs, the center served more than 16,500 patients in FY 2013. Its designation as a Level III Trauma Center means prompt availability of surgeons and on-call physicians in multiple specialties. 69841545 true false false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false false false false true true false false false true 139 0 true 651 true false false false false false false false false 0 false false false false false false false false false false X 13 8 false false true false true true true true true false false true true true true true true true true false WI X X David Dirksmeyer 4147770960 N74 W12501 Leatherwood Ct Menomonee Falls WI 53051 Zwygart Christopher 1.00 1.00 X X 0 0 0 Olson David 1.00 52.00 X X 0 360928 66767 Komas Ron 1.00 1.00 X X 0 0 0 Ericson Allen 45.00 6.00 X X 109703 0 8147 Wolter Brian MD 1.00 41.00 X 0 441516 33717 O'Meara Charles 1.00 0.00 X 0 0 0 Neitzke Ted 1.00 0.00 X 0 0 0 Martin Mary 1.00 40.00 X 0 143414 9909 Lux Theresa M 1.00 50.00 X 0 247668 39985 Leitheiser Richard 1.00 1.00 X 0 0 0 Johnston Brenda 1.00 0.00 X 0 0 0 Jacobson Catherine 1.00 50.00 X 0 1001826 179860 Herdrich Gary MD 1.00 61.00 X 0 625523 34295 Gardner Patrick MD 1.00 0.00 X 0 0 0 Bloedorn Michael 1.00 0.00 X 0 0 0 Bast Ronald 1.00 2.00 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 Bangalore Nitish S 40.00 0.00 X 136037 0 10340 Herdeman Charles 40.00 0.00 X 144560 0 25790 Juech Thomas 40.00 0.00 X 136617 0 17251 Laird Michael 40.00 0.00 X 281200 0 13475 Less Timothy 40.00 0.00 X 191889 0 28897 Malzewski Michael 0.00 0.00 X 0 243040 39534 Lauenstein Debra 0.00 0.00 X 0 154245 18073 1000006 4028843 657009 12 true true false Pearson Engineering LLC 14 Ellis Potter Ct Madison WI 53711 Engineering services 107897 Medical Solutions Incorporated 9101 Western Avenue Suite 101 Omaha NE 68114 Staffing services 111324 Medical College of WI 8701 Watertown Plank Rd Milwaukee WI 53226 Physician Services 3070468 C&A Industries PO Box 3037 Omaha NE 681370037 Staffing services 105884 Advanced HRO Solutions Inc 10 E College Avenue Suite 300 Appleton WI 549115759 Staffing services 143456 5 0 Outpatient Revenue 621400 52085389 52085389 Inpatient Revenue 621990 35939221 35939221 Emergency Dept Revenue 621990 4966338 4966338 92990948 712809 712809 0 0 0 23402516 39700 22972647 41972 429869 -2272 427597 427597 0 0 0 Medical Office Building 621110 819431 819431 Corporate Allocated Rev 900099 702002 702002 Clinic Revenue 621110 1650421 1650421 1147374 1147374 4319228 98450582 97310176 1140406 X 0 0 0 0 321594 321594 0 27212601 25459439 1753162 67765 67765 0 1982444 1845062 137382 0 90416 90416 0 0 0 0 9663460 8797610 865850 6832 6832 338170 224242 113928 67112 65444 1668 0 2146162 1246276 899886 66115 38736 27379 0 51348 29914 21434 2855464 1658168 1197296 0 5445631 3535062 1910569 6752 6752 State Hospital Assessment 2103276 2103276 Loss on Refinancing 3514453 3514453 Medical Supplies 16973076 16936184 36892 Corporate Allocated Expense 18063706 7659536 10404170 945145 242596 702549 91921522 69841545 22079977 0 2019 1920 5237304 9909805 0 9398418 12244108 0 0 250000 0 1873009 2008435 1386522 682113 131561417 52361126 77327798 79200291 30780247 27426934 0 0 0 217085 1500986 126472402 132974592 6476931 8532063 115000 115000 55822923 58426605 4593826 1688938 67008680 68762606 X 59315827 64068318 147895 143668 59463722 64211986 126472402 132974592 X 6529060 1059987 -2840783 X false true X true false X 4814698 4814698 59117315 9681877 49435438 3204201 1649144 1555057 61162222 40560227 20601995 3262981 469878 2793103 79200291 Due to Affiliates 1688938 1688938 X Part X Part X : FIN48 Footnote Froedtert Health, Inc. 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 recogniton, derecogniton, 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, Froedtert Health does not have an asset or liability recorded for unrecognized tax positions. true true X true X true X true true true false true true 1481964 1481964 0.01610 8724465 10766471 -2042006 10206429 10766471 -560042 0.01610 20 6120 141190 141190 0.00150 3 277 252091 252091 0.00270 4 6 124974 124974 0.00140 27 6403 518255 518255 0.00560 27 6403 10724684 10766471 -41787 0.02170 1 9097 9097 0.00010 2 8454 8454 0.00010 1 1338 1338 4 18889 18889 0.00020 false 6117499 27760790 34281587 -6520797 X true true 1 1 St Josephs Comm Hospital

3200 Pleasant valley Road West Bend WI 530953868

X X X St Josephs Comm Hospital 1 true X X X X X X X X X 12 true true true 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 Part VI - States Where Community Benefit Report FiledCommunity Benefit Data is reported annually to the Wisconsin Hospital Association. Part V - Explanation of Number of Facility Type St. Joseph's Community Hospital of West Bend 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 Promotion of Community HealthThe Board of Directors at St. Josephs Hospital is made up of medical and business professionals, all of whom reside in the hospitals primary service area. They are dedicated to leveraging the benefits of our community through our hospitals mission. They value the unique character and needs of the patients and communities we serve and the physicians who provide specialty care. St. Josephs Hospitals community board demonstrates our commitment to quality and service. Annually, the board reviews and approves the hospitals Community Health Improvement Plan.Additionally, SJH supports the Healthy Community Fund, administered through St. Josephs Community Foundation, was created in 2008 to support community programs or projects throughout Washington County that positively affect the health and wellness of those living and working within the area. The fund awarded $220,000 in grants to nine area non-profit organizations in fiscal year 2013.SJH has an open Medical Staff with the exception of some departments having contracted exclusivity services. As a hospital, SJH does not search outside of our system, however, if a physician comes to us wishing to have privileges they are put through the credentialing process.As a not-for-profit health system, Froedtert Health reinvests its surplus funds back to the community through programs to serve the poor and uninsured, teach future healthcare professionals, develop new medical therapies, manage chronic conditions like diabetes, provide health education and promotion initiatives, and participating 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 Hospital 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:St. Josephs Hospital develops and executes community outreach programming and activities based on identified community health needs. Every needs assessment cycle, SJH Community Outreach staff along with the hospitals community partners and other leaders 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. SJH 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 annually to the SJH Board of Directors, Physician Advisory Council, Leadership Council, Foundation and Healthy Community Fund Boards. 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- Obesity and Physical ActivityFor 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.Affiliated Health Care SystemFroedtert & the Medical College of Wisconsin St. Josephs Hospital, founded in 1930 by local doctors, community leaders and the Sisters of the Divine Savior, is a full-service hospital serving residents of West Bend and Washington County. St. Josephs Hospital, specializing in birthing services, cancer care, emergency care, orthopaedics, surgical services and womens health, is part of the Froedtert & The Medical College of Wisconsin health care network, which also includes Froedtert Memorial Lutheran Hospital, Milwaukee; Community Memorial Hospital, Menomonee Falls; and more than 30 primary and specialty care health centers and clinics.For more information about Froedtert Health, visit www.froedtert.com. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose St. Josephs Hospital provides healthy community initiatives that support the community. These initiatives include but not limited to, community education classes, complimentary fitness classes, community volunteering, speakers bureau opportunities and community health fairs.Community Health Education ProgramsSt. Josephs Hospital regularly schedules educational classes for the community. The services offered are readily accessible to the general public and are free of charge. These programs provide information on a wide variety of health concerns including chronic disease prevention / management. In addition, St. Josephs Hospital offers a speakers bureau that is a free service to the community. Our knowledgeable health professionals provide credible, up-to-date information on a variety of healthcare topics for groups and organizations. 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, St. Josephs Hospital collaborates with the Washington County Injury Prevention Coalition 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 2006, 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. United Way Employee CampaignSt. Josephs Hospital collaborates with the United Way of Washington County to address community needs in the areas of health, education and quality of life. St. Josephs Hospital hosts an annual workplace giving campaign to support United Way and its affiliated organizations. Over 200 hours were spent coordinating the FY13 campaign. In addition to an employee campaign, St. Josephs Hospital matches donations up to $8,000.Healthy People Project of Washington CountySt. Josephs Hospital, through leadership representation on the Healthy People Project of Washington County and the committees dedication, are successfully impacting the health of many in our community. These efforts are being done through collaborative partners, such as Washington County Planning and Parks, Washington County Injury Prevention Coalition, and various local municipalities. The Healthy People Project of Washington County is one of only 118 communities throughout the country (and one of five in Wisconsin) selected as a Pioneering Healthier Communities coalition. Albrecht Free ClinicThe Albrecht Free Clinic provides free medical care to uninsured and underinsured residents of Washington County. Through the support of St. Josephs Hospital, the clinic is able to serve patients for chronic illness and acute care issues. Services provided by St. Josephs Hospital at no cost to the patient would be: x-rays, labs, MRI and CT Scans. On an average, over 3,300 patients seek medical services per year. In addition to services related to the patients direct care, St. Josephs Hospital provides assistance in providing medical supplies, IT services, and rental space at a cost of $93,009 (4,896 sq ft). Sexual Assault Nurse Examiner (SANE) Available 24 Hours a Day When emergencies take on the even more traumatic element of sexual assault, the specially trained SANE program staff has created a safe haven at St. Josephs for comprehensive, compassionate care SANE staff are registered nurses with advanced training in medical-forensic examination and in the psychological and emotional trauma patients experience. They care for victims of all ages, races and populations to provide timely:- Emotional support - Physical examination and wellness check - Collection of medical-forensic evidence - Assistance with reporting the crime to police, when requested (mandatory reporting for children) - Assistance with concerns about sexually transmitted infection and pregnancy - Assistance with safety planning - Development of a medical follow-up plan SANE nurses are available to speak to groups and organizations. They are also able to serve as expert witnesses if called to testify at a trial.In Fiscal Year 2013, St. Josephs Hospital SANE program served 15 people. Subsidized Transportation Program:The Subsidized Medical Transportation Program at St. Josephs 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, St. Josephs provided over 900 subsidized rides to 500 people who needed transportation to receive their health care. Leadership Quality Indicator:As an indication of the St. Joseph's executive teams commitment to the community, 15 hospital leaders provided more than 100 hours of support to local initiatives, not-for-profit organizations and community events. Job Shadow Program:St. Josephs Hospital recognizes the value of preparing tomorrows health care providers, giving dozens of aspiring care-givers the valuable opportunity to serve as job shadows or preceptors every year. In FY 2013, 40 students participated in the program at St. Joseph's Hospital.Project Lead the WayExperts from St. Josephs Hospital partnered with teachers at Hartford Union High School this year by sharing their knowledge and passion for their professions with high school students interested in biomedical sciences.This was the third year of an ongoing, innovative program called Project Lead the Way, a national STEM (science, technology, engineering and math) education curricular program that provides hands-on classroom experiences for students, who may earn college credit for their work.A total of 4 professionals delivered 4 classroom presentations to 125 students in the 2012-2013 school year. Presenters included an advanced practice nurse with a PHD, lab technician, cardiologist and infectious disease physician. Community Health ScreeningsSt. Josephs Hospital offered free blood pressure and skin cancer 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, St. Joseoh's Hospital conducted health screenings for 125 people.For more information on St. Joseph's Hospital Community Benefit programs, please visit www.froedtert.com or see the Community Benefit report. Part VI - Community Building Activities To promote the health of our communities, St. Joseph's Hospital participates in numerous community building activities that are recognized in the community, which are included elsewhere on Schedule H. These activities include:1. Physical Improvements and Housing: contributions toward neighborhood housing improvement for the underserved.2. Coalition Building: collaboration with county service agencies includes work with the Washington County Injury Prevention Coalition on the Every 15 Minutes anti-drunk driving program for teens. St. Joseph's Hospital's SANE (Sexual Assault Nurse Examiner Program) works closely with volunteers from the area Women's Shelter to care for victims of sexual assault and SANE nurses collaborate with a county coalition to promote awareness, education and prevention of sexual assaults. 3. Economic Development: Leadership participates in local chamber of commerce boards focusing on economic development.4. Diversity: training that recruits health professionals in our traditionally underserved community. 5. Other: Contributions to local organization of equipment, lease space and supplies. Part VI - Community Information St. Josephs Hospital has been dedicated to serving residents of West Bend and Washington County since 1930 when it was established through the efforts of visionary community leaders and volunteers. As an important part of the community fabric, the hospital continues to meet the changing health and wellness of people who live in and around Washington County. To better serve those needs in a modern, accessible, safe and efficient setting, the hospital built a new replacement facility on US 45 and Hwy PV in August 2005. The area served has a large population between the ages of 18 and 34 years old. 39% of the residents are a high school graduate or less and 34% are in the bottom 40 percent of the income bracket.Aurora Hartford Hospital is the only other hospital located in Washington county. There are no FQHC's located Washington County. Albrecht Free Clinic is a free clinic serving residents throughout Washington County. Part VI - Patient Education of Eligibility for Assistance St. Joseph's Community Hospital of West Bend 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 Hospital website contains information regarding pricing, how to understand your hospital bill, and how to apply for Financial Assistance. The 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 December, 2011 St. Josephs Hospital West Bend collaborated with JKV Research, LLC along with Aurora Health Care, Childrens Hospital of Wisconsin, Columbia St. Marys Health System and Washington County Health Department to conduct a Community Health Needs Assessment in Washington County. The research from the needs assessment provides valuable behavioral data, lifestyle habits, and the prevalence of risk factors and disease conditions of Washington County residents. CHNA Overview/Objectives: Gather data on behavioral and lifestyle habits of the adult population and household-level data. Gather data on the prevalence of risk factors and disease conditions of the adult population. Compare health data of residents to previous health studies. Compare health data to national and state measurements.CHNA Methodology: 18 minute telephone survey of area residents 400 completions from November 29 through December 19, 2011 Two-fold sampling1) RDD landline sample of listed & unlisted #s (n=300)- Respondents randomly selected based on number of adults in household - Weighting based on number of adults and number of residential phone numbers in HH 2) Cell phone only sample (n=100) Adult answering the phone designated as the respondent - All data post-stratified by age and gender of adult residents as of 2010 Census proportions. Margin of error: 5%In addition to the Washington County Community Health Needs Assessment, St. Josephs Hospital conducted key informant interviews with 26 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 Washington County. 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 Care- Obesity/Nutrition- Lack of Physical Exercise- Chronic Disease Management- AODAWashington County Health Department Community Health Improvement Plan 2012 2016St. Josephs Hospital is a partner with Washington County Public Health Departments Community Health Improvement Plan. The plan which was adopted by the county board in 2012 focuses on the following community health needs:- Improve Dietary Quality- Increase Breastfeeding- Increase Physical Activity- Obesity (Healthy People Project of Washington County)- Enhance state and community capacity to improve population level health.St. Josephs hospital is very active in the Healthy People Project of Washington Countys strategic plan with goals to improve access to fruit and vegetable consumption and increase physical activity as a means to decrease obesity. For more information on this initiative please go to www.getmovingwashingtoncounty.com. 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 St. Josephs Hospitals community health improvement initiatives are targeted for the broad community, especially vulnerable populations (uninsured/underinsured) in the hospitals primary and secondary service areas. St. Josephs Hospitals mission is to advance the health of the communities we serve through exceptional care enhanced by innovation and discovery. The hospitals Board of Directors and Community Engagement staff prioritized community health improvement programs, activities and services that reflect the hospitals mission and scope of care: Access to Primary and Specialty Care, AODA, Chronic Disease Management and Obesity/Physical Activity.The following needs are not being addressed by St. Joseph's 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 May 14, 2013, St. Josephs's Hospital adopted a Community Health Improvement Plan.OverviewThis Implementation Strategy serves as the community health improvement component of St. Josephs Hospital community benefit strategy, focusing on Access to Primary/Specialty Care, Chronic Disease Management, Alcohol and Other Drug Abuse and Obesity/Physical Activity. St. Josephs Hospital 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 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 Milwaukee Health Department aligned resources to complete a shared community health needs assessment (CHNA) in 2011 - 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 400 adults, significant key informant interviews and a secondary source data analysis. This shared CHNA serves as the foundation for St. Josephs Hospitals implementation strategy to improve health outcomes and reduce disparities in Washington County.The CHNA summary and full reports can be found on St. Josephs website.Identified Community Needs in Washington County:- 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- Transportation- Health Literacy and NavigationSt. Josephs Hospitals Implementation Strategy PrioritiesReflecting St. Josephs Hospital clinical strengths and community partnerships, the CHNA identified priorities of Access, AODA, Obesity and Physical Activity and Chronic Disease as focus areas for its Implementation Strategy. Implementation Strategy 20131. Program: Subsidized TransportationHealth Need: Affordable and Accessible TransportationInternal Resources: Community Outreach; Discharge Planning and Case Management; Nursing Administration; Emergency Department Community Resources: Washington County Shared Ride TaxiObjective: Provide affordable and accessible medical transportation to SJH patients at or below 200% Federal Poverty Level2. Program: Albrecht Free ClinicHealth Need: 8% of Washington County Residents Uninsured; Unmet Medical Care; Routine Procedures; Access to Specialty Care Internal Resources: F&MCW Community Physicians; SJH Leadership and Physician Involvement on AFC Board; SJH & CP Lab and Radiology Depts; SJH Case Managers; SJH Emergency Dept Community Resources: Albrecht Free Clinic; Washington County Healthy Community Fund; Washington County Public Health DepartmentObjective: Referral process for uninsured populations from SJH Emergency Department to Albrecht Free Clinic; Provide vouchers for ancillary services for AFC patients; Provide vouchers for specialty care to clinic patients; Recruitment and support F&MCW Community physicians that donate time to AFC3. Program: Prostate Screening ProgramHealth Need: Decrease in percentage of men having prostate cancer screenings in Washington County the past two years. Internal Resources: Kraemer Cancer Center; F&MCW Community Physicians; Community Outreach; SJH Community Foundation; Marketing Community Resources: ZERO; Albrecht Free Clinic; Washington County Public Health Dept; American Cancer Society; Casa GuadalupeObjective: Increase the amount of men having PSA and Digital Exam every two years4. Program: Colorectal Screening ProgramHealth Need: Decrease in blood stool test in past year; 69% of population age 50 and older had a colonoscopy in the past 10 yearsInternal Resources: Kraemer Cancer Center; F&MCW Community Physicians; Community Outreach; SJH Community Foundation; MarketingCommunity Resources: American Cancer Society; Albrecht Free Clinic; Casa Guadalupe; Bobbie Nick Voss Charitable FundsObjective: Increase the number of populations reporting having a colonoscopy age 50 and above; Provide care navigation and facilitate access for vulnerable populations through health education and colonoscopy screenings 5. Program: Sexual Assault Nurse Examiner Program (SANE)Health Need: 4% of population reported being afraid for their safetyInternal Resources: Emergency Department; Trained SANE Nurse; St. Joesph's Community Foundation; SJH PartnersCommunity Resources: Friends of Abused Families; Washington County EMS/Police DepartmentsObjective: Provide forensic evaluations, assessments and emotional support to victims; Track and facilitate referrals to medical and other non-profit agencies6. Program: Every 15 Minutes ProgramHealth Need: Increase in binge drinking - higher than state and national average; 3% of population reported driving while under the influence or was a passengerInternal Resources: Emergency Department; Community Outreach; Emergency Preparedness Coordinator; Marketing; Nursing StaffCommunity Resources: West Bend School District; Kewaskum School District; Washington County Sheriffs Department; West Bend Fire/EMS; Flight for LifeObjective: Reduce youth underage drinking and driving; Reduce traffic related impairment accidents and deaths; Program runs approximately every three years7. Program: Health People Project of Washington CountyHealth Need: Increase in populations reporting they are overweight- higher than the national average; Decrease in the number of populations reported getting recommended moderate and vigorous physical activity; Decrease in recommended fruit and vegetable intakeInternal Resources: Community Outreach; MarketingCommunity Resources: Washington County Healthy Community Fund; Full Shelf Food Pantry; Albrecht Free Clinic; Aurora Health Care; Kettle Moraine YMCA; UW-Extension Washington County; Washington County Public Health DeptObjective: Increase the number of individuals reporting moderate to vigorous physical activity; Increase the daily amount of fruit and vegetable intake; Decrease the number of individuals reporting being overweight or obese 8. Program: Living Well with Chronic ConditionsHealth Need: Adults in Washington County with Chronic disease: 28% with high blood pressure; 21% with high cholesterol; 9% with diabetesInternal Resources: Community Education Dept; F&MCW trained facilitators; Wellness Works; Community Outreach; F&MCW Community PhysiciansCommunity Resources: Wisconsin Institute for Health Aging; Washington County ADRC; Albrecht Free Clinic; Kettle Moraine YMCA; Casa GuadalupeObjective: Increase patient engagement in self-management of chronic disease; Decrease ED utilization for chronic disease management; Increase in self-management as measured by pre and post survey 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 - http://www.froedterthealth.org/upload/docs/community-memorial/community-giving/Benefit/washington-county-community-health-survey-report.pdfAdditional Websites:Washington County Public Health Department - http://www.co.washington.wi.us/uploads/docs/washington-county-community-health-survey-report-march-2012.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 St. Josephs HospitalAurora Health CareColumbia St. Marys Health SystemChildrens Hospital of WisconsinWashington County Public Health DepartmentJKV Research was hired by the participating Health Care Systems and Washington County Public Health Department to lead the CHNA process for Washington County. The total cost of the 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, St. Josephs Hospital Community Outreach Staff conducted key informant interviews with the following non-profit health and human service agencies:Albrecht Free Clinic Hartford Jt 1 School DistrictHartford Parks and Recreation DepartmentInterfaith Caregivers of Washington CountyUniversity of Wisconsin Extension Washington CountyWashington County Mental Health DepartmentWashington County Public Health DepartmentThe Council on AODAVolunteer Center of Washington CountyEconomic Development of Washington CountySt. Gabriel ChurchSt. Marys Catholic Parish Holy HillWashington County WICKettle Moraine YMCAAging and Disability Resource CenterFriends of Abused FamiliesCasa Guadalupe Education CenterHabitat for Humanity Washington CountyWest Bend Police DepartmentWashington County Sheriffs DepartmentWest Bend Chamber of CommerceHartford Area Chamber of Commerce Part III, Line 9b - Provisions On Collection Practices For Qualified Patients In alignment with the Froedtert Health, Inc. financial assistance policy regarding the billing, collection and support for patients with payment obligations, St. Joseph's Community Hospital of West Bend 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 St. Joseph's Community Hospital of West Bend believes that all of the $6,520,797 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 $91,921,522. 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 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 the instructions from the IRS. X true true X X X X true true false false false false false false false false Wolter Brian MD 433302 8214 13475 20242 475233 Van De Kreeke Jeffrey 291459 110009 27257 73475 12039 514239 Olson David 283065 75655 2208 37333 29434 427695 Martin Mary 143032 382 6843 3066 153323 Malzewski Michael 240189 2851 12945 26589 282574 Lux Theresa M 180144 50225 17299 29901 10084 287653 Less Timothy 190997 892 10924 17973 220786 Lauenstein Debra 153521 724 8117 9956 172318 Laird Michael 281200 13475 294675 Knoll Thomas 151668 693 8310 26791 187462 Juech Thomas 135467 1150 9365 7886 153868 Jacobson Catherine 698373 298671 4782 150975 28885 1181686 Herdrich Gary MD 604933 20590 17150 17145 659818 Herdeman Charles 143961 599 9641 16149 170350 Hawig Scott 214150 9601 5846 10354 239951 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. Country 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 IV, Line 24a Even though the liability is on the books of St. Joseph's Community Hospital of West Bend, Inc.,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 Transfer to affiliates = -$2836555 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Released from restriction = -$8997 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions = $4769 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Froedtert Health, Inc.'s quarterly financial information, which includes St. Joseph's Community Hospital of West Bend, Inc., is made available to the public through the Digital Assurance Corporation, Inc. website. Anyone can register to receive ongoing access to and notifications regarding financial statements at the online website. St. Joseph's Community Hospital of West Bend, Inc. governing documents and conflict of interest policy is made available to the public through the corporate office upon request. Form 990, Part VI, Line 15a Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management In establishing the compensation of the organization's Top Management, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, persons with a conflict of interest regarding the compensation arrangements at issue are not involved in the decision making process, and amounts are reviewed and approved by the Compensation Committee of the Board of Directors of Froedtert Health, the parent organization.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, and key employees are required to complete a conflict of interest disclosure document. The data is compiled, and the Froedtert Health Vice President-Chief Compliance Officer (CCO), the Senior Vice President-General Counsel and/or delegate review all forms and notifications to determine if any conflicts of interest exists 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 St. Joseph's 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 once 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 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 St. Joseph's Community Hospital, has certain reserved powers and authorities with respect to the operations and management of St. Joseph's Hospital, as set forth in St. Joseph's bylaws. 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 St. Joseph's Community Hospital of West Bend, Inc. 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 St. Joseph's Community Hospital of West Bend, Inc. Form 990, Part VI, Line 4 Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Articles of Incorporation and Bylaws were amended and restated to reflect termination of definitive agreement that created original health care system. Community Memorial Foundation of MF Inc 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 Inc false Froedtert Hospital Foundation Inc 9200 West Wisconsin Avenue Milwaukee WI 532263596 391431192 Health, welfare, research & educ promo WI 501(c)(3) Ln 11, Type 1 Froedtert Memorial Lutheran Hospital Inc false Froedtert Physician Partners Inc 9200 W Wisconsin Ave Milwaukee WI 53226 272042610 Healthcare Services WI 501(c)(3) 3 Froedtert Health Inc false Froedtert Health Inc 9200 W Wisconsin Ave Milwaukee WI 53226 392014409 Management Services WI 501(c)(3) Ln 11, type 111 NA 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 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 Hospital true Community Memorial Hospital of MF Inc W180 N8085 Town Hall Road Menomonee Falls WI 53051 390987025 Hospital WI 501(c)(3) 3 Froedtert Health Inc false Froedtert Memorial Lutheran Hosp Inc 9200 W Wisconsin Ave Milwaukee WI 53226 396105970 Hospital WI 501(c)(3) 3 Froedtert Health Inc false Progressive Physician Network Inc 9200 West Wisconsin Avenue Milwaukee WI 53226 270367127 Management Services WI Froedtert Health Inc C false false true false false false false false false false true false true true true true true true true false 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.