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FROEDTERT THEDACARE HEALTH INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
FROEDTERT THEDACARE HEALTH INC (EIN 39-2014409)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-12
IRS object ID
201141329349301209
Schema version
2009v1.3
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-12T06:12:20-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1191 W Nationwide Blvd Suite 500AddressLine1
CityColumbusCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN392014409EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FROEDTERT & COMMUNITY HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFROENameControl
Phone4147770960Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line19200 W Wisconsin AvenueAddressLine1
CityMilwaukeeCity
StateWIState
ZIP Code53226ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJeff Van De KreekeName
TitleSenior VP of FinanceTitle
Date Signed2011-05-12DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPetasnick William DNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line19200 W Wisconsin AveAddressLine1
CityMilwaukeeCity
StateWIState
ZIP Code53226ZIPCode
FieldValueIRS element (for citing)
Gross Receipts174036531GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionAdvance the missions of Froedtert Hospital, Community Memorial Hospital, St. Joseph's Hospital and the West Bend Clinic and, in collaboration with physicians and others, will enhance the well being of the individuals and communities it serves.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees572TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year47843373ProgramServiceRevenuePriorYear
Program Service Revenue CY167030354ProgramServiceRevenueCY
Investment Income Prior Year61826InvestmentIncomePriorYear
Investment Income Current Year1054973InvestmentIncomeCurrentYear
Other Revenue Prior Year3090963OtherRevenuePriorYear
Other Revenue Current Year5060356OtherRevenueCurrentYear
Total Revenue Prior Year50996162TotalRevenuePriorYear
Total Revenue Current Year173145683TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17293112SalariesEtcPriorYear
Salaries Etc Current Year100874741SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year29976994OtherExpensePriorYear
Other Expenses Current Year65943498OtherExpensesCurrentYear
Total Expenses Prior Year47270106TotalExpensesPriorYear
Total Expenses Current Year166818239TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3726056RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6327444RevenuesLessExpensesCY
Total Assets BOY76289092TotalAssetsBOY
Total Assets EOY132465762TotalAssetsEOY
Total Liabilities BOY28898031TotalLiabilitiesBOY
Total Liabilities EOY73150881TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY47391061NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY59314881NetAssetsOrFundBalancesEOY
Mission DescriptionAdvance the missions of Froedtert Hospital, Community Memorial Hospital, St. Joseph's Hospital and the West Bend Clinic and, in collaboration with physicians and others, will enhance the well being of the individuals and communities it serves through: Innovative community-academic partnerships; Excellence in care and service; Progressive medical research and education; and relationships that respect and respond to the unique needs of others.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense66489516Expense
Revenue66489516Revenue
DescriptionHuman Resource/Staff Support to Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls, Inc., St. Joseph's Hospital and the West Bend Clinic.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense54066996Expense
Revenue60718383Revenue
DescriptionOther management services in support of Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls, Inc., St. Joseph's Hospital and the West Bend Clinic.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense39822455Expense
Revenue39822455Revenue
DescriptionInformation Technology support to Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls, Inc., St. Joseph's Hospital and the West Bend Clinic.Description
FieldValueIRS element (for citing)
Total Program Service Expense160378967TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096101NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees572NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDavid DirksmeyerNamePerson
Telephone Number4147770960TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19200 W Wisconsin AvenueAddressLine1
CityMilwaukeeCity
StateWIState
ZIP Code53226ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormerIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficer
Zorbini John
Sr VP Human Resour0.X361597035025
Wolbert Mary
Former - Key Employee0.211325028638X
Van Kampen Patricia L
Member1.00000X
Van De Kreeke Jeffrey
Sr. VP Finance40.00X320060030967
Steiner Kevin
Director1.00000X
Pruessing Peter S
Sr VP External Aff40.00X755258028875
Pollard Dennis M
COO45.00434855040951X
Pieters Robert B
Director1.00000X
Petasnick William D
President & CEO55.0029980080667247XX
Perlewitz Kathleen
Former - Key Employee0.181424052128X
O'Connell Blaine J
CFO45.001158647032759X
Mahoney Michael P
Director1.00000XX
Lubar David J
Director1.00000X
Leitheiser Richard L
Director1.00000X
Larson David N
Director1.00000X
Klauck James
Former - Key Employee0.229286041303X
Jordan Ellis
Member1.00000X
Eastham Catherine Mode
VP General Counsel40.00X374165031902
Dix Ronald H
Secretary1.00000XX
Bloedorn Michael F
Director1.00000X
Becker Richard C
Chair1.00000XX
Bast Ronald R
Director1.00000X
Balzer John A
VP Facilities40.00X408237037522
FieldValueIRS element (for citing)
Total Reportable Comp From Org7432862TotalReportableCompFromOrg
Total Other Compensation1027317TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NHMC LLC
1655 Barclay BlvdBuffalo GroveIL60089Property Management4251196
Moreland Partners LLC
1700 Research Drive Suite 1MilwaukeeWI53226Property Management925881
McKesson Information Solutions Corporation
5995 Windward ParkwayAlparettaGA30005IT Consulting1301422
Hospital Billing & Collection Service
118 Likens Dr Riveredge ParkNew CastleDE19720Collection Services690720
GE Medical Systems Info Technology
5517 Collections Center DrChicagoIL60693IT Consulting616427
FieldValueIRS element (for citing)
Number Of Contractors GT100 K26NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Other Management Support5419006071838360718383
Info Tech Support5182103982245539822455
Human Resources Support5613006648951666489516
FieldValueIRS element (for citing)
Total Program Service Revenue167030354TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column95821TotalRevenueColumn
Exclusion$95,821ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1850000Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities890848Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities959152Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column959152TotalRevenueColumn
Related Or Exempt Function Income959152RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionJoint Venture InvestmentsDescription
Business Code621500BusinessCode
Total Revenue Column5060356TotalRevenueColumn
Related Or Exempt Function Income5060356RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5060356TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column173145683TotalRevenueColumn
Related Or Exempt Function Income173049862RelatedOrExemptFunctionIncome
Exclusion$95,821ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total8008175Total
Program Services8008175ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total813106Total
Program Services813106ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28876491Total
Program Services28876491ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total16692796Total
Program Services16692796ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total43735661Total
Program Services43735661ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2748512Total
Program Services2748512ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1337137Total
Management And General1337137ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total316050Total
Management And General316050ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total6891318Total
Program Services6891318ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total835112Total
Program Services835112ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2989414Total
Program Services2989414ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2739666Total
Program Services2739666ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4031519Total
Program Services4031519ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total4974221Total
Program Services4974221ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Software Licenses & Training1335391813353918
Repair & Maintenance29908902990890
Rent Expense47363954736395
Purchased Outside Services1169702911697029
Consulting39076063907606

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5143223Total
Program Services357138ProgramServices
Management And General4786085ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total166818239Total
Program Services160378967ProgramServices
Management And General6439272ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9355691BOY
EOY3300494EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY735295BOY
EOY982496EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3021490BOY
EOY48692000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2486375BOY
EOY5855197EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis53546781LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7477478LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY41482297BOY
EOY46069303EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY1161787EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY19207944BOY
EOY18519814EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY7884671EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY76289092BOY
EOY132465762EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3353684BOY
EOY47380278EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25544347BOY
EOY25770603EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28898031BOY
EOY73150881EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY47391061BOY
EOY59314881EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY47391061BOY
EOY59314881EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY76289092BOY
EOY132465762EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
West Bend Clinic Inc
392034294Hospitaltruetruetrue$1,526,748
St Josephs Community Hospital In
390806302Hospitaltruetruetrue$6,190,672
Community Memorial Hospital
390987025Hospitaltruetruetrue$31,114,807
Froedtert Memorial Lutheran Hospita
396105970Hospitaltruetruetrue$118,668,694
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts157500921SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$360MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$5,957DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB6317TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5271090OtherCostOrOtherBasis
Depreciation1062616Depreciation
Book Value4208474BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17956733OtherCostOrOtherBasis
Depreciation3642139Depreciation
Book Value14314594BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis30318958OtherCostOrOtherBasis
Depreciation2772723Depreciation
Book Value27546235BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings46069303TotalOfBookValueLandBuildings
Total Of Book Value Program Related18519814TotalOfBookValueProgramRelated

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Rounding2
Executive/Senior Mngmnt Deferred Comp3349288
Executive Pension4235485
Due from Employees299896
FieldValueIRS element (for citing)
Total Book Value Other Assets7884671TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
North Hills Capital Lease$25,000,032
Fitness Center Guarantee$353,737
Due to Affiliates$416,834
FieldValueIRS element (for citing)
Total Of Amounts25770603TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationEffective January 1, 2007, the Hospital adopted Accounting Standards Codification (ASC) No. 740, Income Taxes (formerly FIN 48), 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 will be evaluated for recognition, derecognition, and measurement using consistent criteria and will provide more information about the uncertainty in income tax assets and liabilities. At the date of adoption and as of June 30, 2010 and 2009, the Hospital does not have an asset or liability recorded.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Zorbini John
2376571239401590619119396622105075
Wolbert Mary
16004151284138001483823996320278
Van De Kreeke Jeffrey
1968841231761265018317351027107155
Pruessing Peter S
3929003623581265016225784133360716
Pollard Dennis M
282703152152118752907647580682062
Petasnick William D
113144718665616100105723736652551846999
Perlewitz Kathleen
17055610868106684146023355210612
O'Connell Blaine J
39366076498713800189591191406746647
Klauck James
19095638330125962870727058938112
Eastham Catherine Mode
259595114570126501925240606797505
Balzer John A
1601042481331576521757445759231855

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
Wisconsin Health and Educational Facilities Authority
39133785597710BMG42009-10-22191503878See Schedule Ofalsefalse
Wisconsin Health and Educational Facilities Authority
39133785597710bGN62009-02-18188100000See Schedule Ofalsefalse
Wisconsin Health and Educational Facilities Authority
39133785597710VXU72005-05-26209223121See Schedule Ofalsefalse
Wisconsin Health and Educational Facilities Authority
39133785597710VJX72003-01-2348962406See Schedule O.falsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount DefeasedAmountDefeasedAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindYear Of Subst CompletionYearOfSubstCompletionAmount In Reserve FundAmountInReserveFund
1913634368549000035454477210248768316472truefalsefalsetrue
1881000261856104391854717truefalsetruetrue
21640065114215133294012665432465truetruetruetrue2008
5083241644500044482214falsefalsetruetrue20055905201

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruetruetrue0.00540true
falsefalsetruetruetrue0.00511true
falsefalsefalsefalsetrue0.00036true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedge
na
falsefalsefalsefalsenafalsefalse
Morgan Stanley Capital
falsetruetruefalsenafalsefalse26.1000
Morgan Stanley Capital
falsetruetruefalsenafalsefalse26.5000
NA
falsefalsefalsefalseNAfalsefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableFinancial information: The Health System's quarterly financial information is made available to the public through Digital Assurance Corporation, Inc. website.Governing Documents and COI Policy: Documents are available to the public through the corporate office upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesIn establishing the compensation of the organizations CEO/Directors/Top Management, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, and amounts are reviewed and approved by the Compensation Committee of the Board of Directors.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOn an annual basis all officers, directors, trustees, key employees are required to complete a conflict of interest disclosure document. The data is compiled, and the Vice President - Chief Compliance Officer (CCO), the 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 an F&CH affiliate 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 Finance Committee of the Board of Directors.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessFroedtert & Community Health accounting staff prepare form 990 which is reviewed by the Corporation's financial leaders and legal counsel. The 990 is then reviewed by KPMG, the Corporation's outside accounting firm. Next, the 990 is reviewed by the Corporation's Board of Directors. Finally, the 990 is filed as required.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtRichard Becker, Richard Leitheiser and David Lubar -- Business Relationship

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Horizon Ventures Limited LLC
W180 N8085 Town Hall RoadMenomonee FallsWI53051391855822Lessor of Medical Office BuildingWICommunity Memorial Hospital Inc
West Bend Surgery Center LLC
1710 Vogt DriveWest BendWI53095391954169Surgical ServicesWIWest Bend Clinic Inc
F&CH Heart Institute LLC
9200 West Wisconsin AveMilwaukeeWI532263596InactiveWINA

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Legal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Froedtert Physician Partners Inc
9200 W Wisconsin AveMilwaukeeWI53226272042610Health Care Services501 (c)(3)3NA
Community Outpatient Health ServicesInc
W180 N8085 Town Hall RoadMenomonee FallsWI53051391743056Outpatient Medical and Dental Services501 (c)(3)3Community Memorial Hospital IncWI
Community Memorial Foundaion Inc
W180 N8085 Town Hall RoadMenomonee FallsWI53051391635057Health and Welfare Promotion501 (c)(3)Ln 11, Type 1Community Memorial Hospital IncWI
Quality Health Solutions Inc
N74 W12501 Leatherwood CourtMenomonee FallsWI530514480202636686Health Care Services501 (c)(3)Ln 11, Type 1NAWI
Froedtert Hospital Foundation Inc
9200 West Wisconsin AvenueMilwaukeeWI532263596391431192Health, Welfare, Research and Education promotion.501 (c)(3)Ln 11, Type 1Froedtert Memorial Lutheran HospitalWI
West Bend Clinic Inc
1700 W Paradise DriveWest BendWI53095392034294Health Care Services501 (c)(3)3NAWI
St Josephs Community Foundation Inc
3200 Pleasant Valley RoadWest BendWI530953686392034296Health and Welfare Promotion501 (c)(3)Ln 11, Type 1St Josephs Community Hospital IncWI
St Josephs Community Hospital Inc
3200 Pleasant Valley RoadWest BendWI530953868390806302Hospital Care Services501(c)(3)3NAWI
Community Memorial Hospital of MF Inc
W180 N8085 Town Hall RoadMenomonee FallsWI53051390987025Hospital501(c)(3)3WIN/A
Froedtert Memorial Lutheran HospitalInc
9200 W Wisconsin AveMilwaukeeWI53226396105970Hospital501(c)(3)3WIN/A

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Fitness Development Associates LLC
9200 W Wisconsin AveMilwaukeeWI53226391936497Real EstateWINARelated19574636086falsetrue
Milwaukee Center for Diagnostic Imaging
5775 Wayzata BoulevardSt Louis ParkMN55416411748361Health CareWINARelated2217403751373falsetrue
FMLH MCW Real Estate Ventures LLC
9200 W Wisconsin AveMilwaukeeWI53226260629591Real EstateWINARelated-11379914444559falsetrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnership
Progressive Physician Network Inc
9200 W Wisconsin AveMilwaukeeWI53226270367127Management ServciesWIFroedtert & Community Health Incc1.00000
Community Ventures of Menomonee Falls
W180 N8085 Town Hall RoadMenomonee FallsWI53051391635059InactiveWICommunity Memorial Hospital Incc
Kettle Moraine Anesthesiology Inc
PO Box 8031AppletonWI54912141842439Health CareWIWest Bend Clinicc
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg