2019-05-09T11:39:24-05:00 2018-06-30 KPMG LLP 191 West Nationwide Blvd Ste 500 Columbus OH 432152568 990 2017-07-01 392014409 FROEDTERT HEALTH INC % DAVID DIRKSMEYER FROE 4147770960 9200 W Wisconsin Avenue Milwaukee WI 53226 JOHN CEELEN SVP - FINANCE 2019-05-06 true MOLLIE P LONGHOUSE P00294881 6142492300 2019-05-08 167.68.102.5 31017320191295000000 2019-05-09 P 5CCA13542C2C1699CE9AE6CAA00C04C633EF1EF4 45A8568F3D6DD65DED9B8AFD68B75215B242B44C 2017 2019-02-21 02:37:17Z Jacobson Catherine A 9200 W Wisconsin Avenue Milwaukee WI 53226 1190801330 false X www.froedtert.com X 2001 WI Froedtert Health, Inc. advances the health of the communities we serve through exceptional care enhanced by innovation and discovery. 16 15 1839 13 6568399 -6816768 0 0 412225196 450418719 72758035 81486113 6275161 30497286 491258392 562402118 0 0 0 0 262271086 293200127 0 0 0 181285617 193845794 443556703 487045921 47701689 75356197 2284706913 2518396674 1323445480 1409969893 961261433 1108426781 X Froedtert Health, Inc. advances the health of the communities we serve through exceptional care enhanced by innovation and discovery. false false 203812946 201432117 Health care management services in support of Froedtert Memorial Lutheran Hospital,Inc., Community Memorial Hospital of Menomonee Falls, Inc., St. Joseph's Community Hospital of West Bend, Inc., and Froedtert & the medical college of Wisconsin Community Physicians. 166820861 166820861 Human Resource/Staff Support to Froedtert Memorial Lutheran Hospital, Inc., Community Memorial Hospital of Menomonee Falls, Inc., St. Joseph's Community Hospital of West Bend, Inc.,and Froedtert & The Medical College of Wisconsin Community Physicians. 82165741 82165741 Information Technology support to Froedtert Memorial Lutheran Hospital, Inc., Community Memorial Hospital of Menomonee falls, Inc., St. Joseph's Community Hospital of West Bend, Inc., and Froedtert & the Medical College of Wisconsin Community Physicians. 23928887 452799548 true false false false false false false false true false true false true true true true false true false true true false false false false false false false false true true false true false false false false false false false false false false false false true true true true false false true 781 0 true 1839 true true true true CJ false false false false false false false false X 16 15 true false true false false false false true true false false true true true true true true true true true true WI X X DAVID DIRKSMEYER 4147770960 N74WL2501 LEATHERWOOD CT Menomonee Falls WI 53051 Berkes Mary Beth Director 1.0 0.0 X 0 0 0 Block Bruce T DIRECTOR 1.0 0.0 X 0 0 0 Calaway Tonit DIRECTOR 1.0 0.0 X 0 0 0 Crosby Grady Director 1.0 0.0 X 0 0 0 Debbink Dirk DIRECTOR 1.0 0.0 X 0 0 0 Ford Deborah DIRECTOR 1.0 0.0 X 0 0 0 Fredrick Jacquelyn DIRECTOR 1.0 0.0 X 0 0 0 Gass Michelle Director 1.0 0.0 X 0 0 0 Lubar David J DIRECTOR 1.0 0.0 X 0 0 0 Mecklenburg Gary A DIRECTOR 1.0 0.0 X 0 0 0 Schlifske John E DIRECTOR 1.0 0.0 X 0 0 0 Snyder Judson Director 1.0 0.0 X 0 0 0 Steiner Kevin Director 1.0 0.0 X 0 0 0 Bechthold Kurt D Dir&BOD Chair 1.0 0.0 X X 0 0 0 Fernandez Andre Dir&BOD V.Chair 1.0 0.0 X X 0 0 0 Jacobson Catherine A Dir&Pres/CEO 45.0 2.0 X X 2692742 0 353875 Hawig Scott Treasurer&CFO 45.0 4.0 X 1234468 0 171331 Marquardt Amy Secretary 40.0 0.0 X 647511 0 143259 Balzer John A VP Facility Planning & Develop 40.0 0.0 X 409451 0 42242 Humphrey Eric Chief Human Resources Officer 40.0 0.0 X 415031 0 84929 Pollard Dennis M Chief Operating Officer 45.0 2.0 X 1143035 0 154233 Allen Robert Keith Chief HR Officer Thru 6/30/17 40.0 0.0 X 1101823 0 72959 Eastham Catherine Mode Dep Gen Counsel 40.0 0.0 X 967743 0 89023 Janavitz Kurt CEO Int Hlth Ntwk 40.0 0.0 X 821302 0 36223 Olson David Chief Strategy Off 50.0 0.0 X 866461 0 140001 Truwit Jonathon Chief Med Off 40.0 0.0 X 1027981 0 161774 Thomas Dean Sr VP Svc Lines 40.0 0.0 X 662306 0 119397 Van De Kreeke Jeffrey Former-Officer (CFO) 45.0 1.0 X 511807 0 83586 Wolbert Mary Former- Key Employee (CCO) 40.0 0.0 X 364522 0 58712 12866183 0 1711544 274 true true false Medical College of WI 8701 Watertown Plank Road MILWAUKEE WI 53226 Professional Service 176766597 Milwaukee Regional Medical Center 9000 W Wisconsin Ave MILWAUKEE WI 53226 Professional Service 15097820 Hospital Billing Collection 118 Lukens Drive NEW CASTLE DE 19720 Professional Service 6006394 Ryan X LLC 756 N Milwaukee Street Suite 220 MILWAUKEE WI 53202 Rent Contractors 4875908 Wisconsin Diagnostic Lab LLC 9200 W Wisconsin Ave MILWAUKEE WI 53226 Lab Services 32373772 147 0 OTHER MANAGEMENT SUPPORT 541900 201432117 201432117 HUMAN RESOURCES SUPPORT 561300 166820861 166820861 INFO TECH SUPPORT 518210 82165741 82165741 450418719 36290925 36290925 0 0 0 0 0 673594400 628399212 45195188 45195188 45195188 0 0 0 0 0 0 0 0 0 JOINT VENTURE INVESTMENTS 621500 24101043 23928887 172156 EXCEEDENT REVENUE 524292 6396243 6396243 30497286 562402118 474347606 6568399 81486113 0 0 0 0 10121059 10121059 0 123657211 123657211 39140721 39140721 111815485 111815485 8465651 8465651 0 2499874 2499874 410146 410146 0 0 0 41049567 41049567 12898131 12898131 8840203 1228367 7611836 2710286 2710286 0 10838946 9514516 1324430 580133 426403 153730 0 1268068 1268068 6888321 6888321 0 30410780 30410780 6941201 6941201 SOFTWARE LICENSES & TRAINING 29853147 29853147 ADMINISTRATIVE EXPENSES 13261626 4724650 8536976 RECRUITING AND OTHER EXPENSES 6526530 0 6526530 PLAN EXPENSES EXCEEDENT 6066264 6066264 12802571 11685984 1116587 487045921 452799548 34246373 0 62 62 31779466 94285107 0 0 9519609 5831038 0 0 0 0 44793345 15367083 5763219 8043581 15097361 19683418 390026353 126878413 195142714 263147940 1461106813 1536947944 100015569 44224339 114352686 189799939 179000 0 306957069 341066223 2284706913 2518396674 167350182 180808868 0 0 0 0 700192956 689223822 2844721 1911544 0 0 0 0 0 0 453057621 538025659 1323445480 1409969893 X 961261433 1108426781 0 0 0 0 961261433 1108426781 2284706913 2518396674 X 75356197 7823069 63986082 X false true X true false X X 4 FROEDTERT MEMORIAL LUTHERAN HOSP 396105970 3 true 307743006 0 COMMUNITY MEMORIAL HOSPITAL OF MF 390987025 3 true 33993656 0 ST JOSEPH'S COMMUNITY HOSPITAL 390806302 3 true 17369532 0 F&MCW COMMUNITY PHYSICIANS 272042610 3 false 36342998 0 4 395449192 0 false false false false false false false false false false false false false false false true true true X true true Part IV, Section A, Line 1 Description Of How Supported Organizations Are Designated Froedtert Health, Inc. has four supported organizations. Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls and St. Joseph's Community Hospital are listed by name as supported organizations in Froedtert Health, Inc.'s bylaws. Froedtert Health, Inc. is a member of Froedtert & the Medical College of Wisconsin Community Physicians, Inc. (CP), a physician organization with which Froedtert Health, Inc. has had an historic and continuing relationship. This historic and continuing relationship is demonstrated by the fact that Froedtert Health, Inc. has supported CP by performing various functions for and on behalf of CP, furthering CP's exempt charitable health care activities. This close business relationship between Froedtert Health, Inc. and CP over the years has resulted in a substantial identity of interests between the two organizations. Part IV, Section D, Line 3 Role The Organization's Supported Orgs. Played The supported organizations of Froedtert Health, Inc. each have a significant voice in the investment policies of the organization and in the use of Froedtert Health's income and assets. The supported organizations have a commonality of management with Froedtert Health Inc. and therefore, Froedtert Health Inc. is responsive to the needs of the supported organizations. Part IV, Section E, Line 3a Organization Has Power to Appoint Or Elect Governing Persons Froedtert Health, Inc. has the power to appoint or elect a majority of officers, directors or trustees of its supported organizations. In the case of CP, Froedtert Health appoints 50% of the CP Board and Froedtert Health maintains a number of reserved powers with respect to the operations of CP. Part IV, Section E, Line 3b Role Played in Management of Policies, Programs, & Activities Froedtert Health, Inc. exercises a substantial degree of direction over the policies, programs, and activities of its supported organizations. Froedtert Health employees serve as members of the Boards of the supported organizations, and Froedtert Health also has a number of reserved powers over the supported organizations. With respect to Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Memononee Falls and St. Joseph's Community Hospital, Froedtert Health maintains the right to remove the president of each organization and approve the successor; approval rights regarding financial matters such as strategic plans, budgets, debt obligations; approval rights over changes to each organization's bylaws and articles of incorporation; and approval rights over decisions which materially impact the assets of each organization. Each of these reserved powers is in fact exercised by Froedtert Health. In regards to CP, Froedtert Health has a 50% membership interest in CP. Froedtert Health appoints 50% of CP's Board of Directors. One of Froedtert Health's appointed Board members serves as either the Chairman of the CP Board of Directors or the Vice Chairman of the Board of Directors. Froedtert Health has a number of reserved powers with respect to CP which include the right to approve financial matters such as strategic plans, operating and capital budgets (and material deviations therefrom) and debt obligations; the right to approve the engagement of auditors; and the right to negotiate and execute managed care contracts for and on behalf of CP. In addition to these specifically reserved authorities, Froedtert Health equally shares various other joint powers with the other 50% member which include the approval of governance related matters such as changes to CP's bylaws and articles of incorporation; approval of the mission and goals of CP along with the final metrics used in determining goal performance; approval of any merger, dissolution and capital acquisition; and approval of the appointment of CP's president. false true X 12324817 12324817 59838150 15077568 44760582 45483159 7809685 37673474 125680232 78033128 47647104 146699995 25958032 120741963 263147940 WISCONSIN RENAL CARE GROUP 5267423 C FITNESS DEVELOPMENT ASSOCIATES 376988 C MILWAUKEE CENTER FOR DIAGNOSTI 4048177 C UPPER MIDWEST CONS. SERVICE 200000 C REAL ESTATE VENTURES 5211475 C MIDWEST DIALYSIS, LLC 9828604 C FHHP KEWASKUM 34997 C RELICAN ANALYTICS, INC 238344 C HORIZON HOME CARE & HOSPICE 8358658 C NETWORK HEALTH, INC. 86700772 C NEW ENGLAND RE 100000 C AVIA HOLDINGS LLC 2700000 C XHEALTH 50000 C PATIENT WISDOM LLC 575000 C NX LEVEL SPORTS PERFORMANCE 12500 C F& MCW CIN 1563861 C FROEDTERT SOUTH 64223820 C WAUKESHA SURGERY CENTER 309320 C 189799939 COLLATERAL HELD FOR SECURITIES 310985134 EXECUTIVE DEFERRED COMP 30081089 341066223 0 CAPITAL LEASE OBLIGATIONS 129663570 DUE TO AFFILIATES 18015679 FV OF INTEREST RATE SWAP 21797784 OTHER LONG TERM LIABILITIES 57563490 PAYABLE UNDER SECURITIES 310985134 ROUNDING 2 538025659 X Part IV, Line 2b- Explanation of Escrow Account Liability Escrow account liability consists of funds separately deposited and maintained with Exceedent, LLC to be used in third party administration of health care claims. Part X - FIN 48 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 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. As of June 30, 2018 and 2017, Froedtert Health does not have an asset or liability recorded for unrecognized tax positions. Central America and the Caribbean 1 Investments 3697747 1 0 1 3697747 3697747 0 0 true false true false false false X X X true true X X X X X true true false false false false false true false Jacobson Catherine A Dir&Pres/CEO 1219514 0 1192370 0 280858 0 320506 0 33369 0 3046617 0 279340 0 Hawig Scott Treasurer&CFO 604376 0 485654 0 144438 0 140011 0 31320 0 1405799 0 125298 0 Marquardt Amy Secretary 499916 0 104933 0 42662 0 111253 0 32006 0 790770 0 0 0 Balzer John A VP Facility Planning & Develop 240178 0 115251 0 54022 0 20000 0 22242 0 451693 0 26719 0 Humphrey Eric Chief Human Resources Officer 319307 0 73442 0 22282 0 56552 0 28377 0 499960 0 0 0 Pollard Dennis M Chief Operating Officer 551674 0 443348 0 148013 0 127428 0 26805 0 1297268 0 120405 0 Allen Robert Keith Chief HR Officer Thru 6/30/17 199028 0 268294 0 634501 0 54584 0 18375 0 1174782 0 427468 0 Eastham Catherine Mode Dep Gen Counsel 232152 0 103042 0 632549 0 65397 0 23626 0 1056766 0 451588 0 Janavitz Kurt CEO Int Hlth Ntwk 127386 0 219761 0 474155 0 34223 0 2000 0 857525 0 207754 0 Olson David Chief Strategy Off 456356 0 304700 0 105405 0 106668 0 33333 0 1006462 0 100503 0 Truwit Jonathon Chief Med Off 584278 0 408905 0 34798 0 135899 0 25875 0 1189755 0 0 0 Van De Kreeke Jeffrey Former-Officer (CFO) 333669 0 88621 0 89517 0 68980 0 14606 0 595393 0 67190 0 Wolbert Mary Former- Key Employee (CCO) 265963 0 67707 0 30852 0 43963 0 14749 0 423234 0 26933 0 Thomas Dean Sr VP Svc Lines 374235 0 267449 0 20622 0 93971 0 25426 0 781703 0 0 0 Part 1, Line 1 a - Relevant Information Regarding Compensation Benefits Housing: Humphrey, Eric - $20,967 ($12,990 actual + $7,977 gross up) Marquardt, Amy - $21,824 ($14,299 actual + $7,525 gross up) Social club dues: Jacobson, Catherine - $4,385 Pollard, Dennis - $1,584 ($946 actual + $638 gross up) Part I, Line 4 Received Severance, Supplemental NQ Retirement, Equity-Based Compensation Severance: Allen, Robert Keith - $188,976 Eastham, Catherine Mode - $154,276 Janavitz, Kurt - $286,618 457(f) distributions: Allen, Robert Keith - $427,468 Eastham, Catherine Mode - $451,588 Hawig, Scott - $125,298 Jacobson, Catherine - $279,340 Janavitz, Kurt - $186,999 Olson, David - $100,503 Pollard, Dennis - $120,405 Van De Kreeke, Jeffrey - $67,190 Wolbert, Mary - $26,933 Non-qualified plan distributions: Balzer, John A - $26,719 457(f) plan participants: Allen, Robert Keith Eastham, Catherine Mode Hawig, Scott Humphrey, Eric Jacobson, Catherine Janavitz, Kurt Marquardt, Amy Olson, David Pollard, Dennis Truwit, Jonathon Van De Kreeke, Jeffrey Wolbert, Mary Non-qualified plan participants: Balzer, John A Part I, Line 7 Non-Fixed Payments Not Listed Bonus compensation is paid based upon attainment of specific goals related to the organization's service, quality, and financial strength. The amount of compensation is calculated using specified percentages of base salary for achievement of particular goal levels. However, the Board Committee which administers the bonus compensation program has discretion over whether to pay the bonus in any given year or to amend, change, or terminate the program at any time. 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. A Wisconsin Health and Educa 391337855 97710BMG4 2009-10-22 191503878 See Part VI. true false false B Wisconsin Health and Educa 391337855 97710B6D9 2012-10-11 167195354 See Part Vi. false false false C Wisconsin Health and Educa 391337855 2013-12-11 180095000 See Part VI. false false false D WICONSIN HEALTH AND EDUCA 391337855 97712DWA0 2017-04-20 272670229 SEE PART VI. false false false A 25500000 158765000 191795175 0 0 0 2228878 0 169354 103906943 85490000 0 2013 true false true true B 3600000 0 168720537 0 0 0 1689952 0 0 118390733 48639852 0 2016 true true true true C 103050000 0 180095000 0 0 0 250000 0 0 0 179845000 0 true false true true D 2935000 0 272786067 0 0 170556492 2053047 0 0 19116870 79910000 1149659 true true false true A false true false true false 0.00200 0.00200 false false false true B false true false true 0.00040 0.00040 false false false true C false true false true 0.00360 0.00360 false false false true D false true false true 0.00290 0.00290 false false false true A false false true false false 0 false 0 false true B false false true false false 0 false 0 false true C false false false true true Morgan Stanley 26.1 true false false 0 false true D false false false false false 0 false 0 false true A true B true C true D true Schedule K, Part I, Column F BOND A: 2009C - BOND ISSUE PROVIDED FUNDS TO REFUND PRIOR BOND ISSUES WITH ISSUE DATES OF MAY 26, 2005 AND DECEMBER 16, 2005 AND TO PAY FOR AND REIMBURSE COSTS ASSOCIATED WITH THE ACQUISITION, IMPROVEMENT AND EQUIPPING OF THE VARIOUS HOSPITALS, CLINICS AND RELATED FACILITIES OF FROEDTERT MEMORIAL LUTHERAN HOSPITAL, COMMUNITY MEMORIAL HOSPITAL, ST. JOSEPH'S HOSPITAL AND FROEDTERT PHYSICIAN PARTNERS. FROEDTERT MEMORIAL LUTHERAN HOSPITAL CONSTRUCTED A FOUR-FLOOR NORTH TOWER HOSPITAL ADDITION,PURCHASED A CANCER CENTER CONDOMINIUM UNIT AND BUILT OUT CERTAIN CLINICAL CANCER CENTER SPACE. ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND CONSTRUCTED THE NEW KRAEMER CANCER CENTER. COMMUNITY MEMORIAL HOSPITAL BUILT OUT TWO SHELLED-IN OPERATING ROOMS, EXPANDED RECOVERY, AMBULATORY SURGERY AND PATIENT HOLDING AREAS AND REPLACED A LINEAR ACCELERATOR. OTHER PROJECTS INCLUDED REPLACEMENT OF CERTAIN SURGICAL, IMAGING, MEDICAL AND INFORMATION TECHNOLOGY EQUIPMENT AND FROEDTERT PHYSICIAN PARTNERS RENOVATION AND REMODELING. BOND B: 2012A - BOND ISSUE PROVIDED FUNDS TO REFUND PRIOR BOND ISSUES WITH ISSUE DATES OF SEPTEMBER 15, 2001 & FEBRUARY 5, 2003 AND CONSTRUCTION OF THE FROEDTERT HOSPITAL CENTER FOR ADVANCED CARE. BOND C: 2013A AND 2013B - BOND ISSUE PROVIDED FUNDS TO REFUND A PRIOR BOND ISSUE WITH AN ISSUE DATE OF FEBRUARY 18, 2009 (2009AB). BOND D: 2017A BOND ISSUE PROVIDED FUNDS TO REFUND PRIOR BOND ISSUES WITH ISSUE DATES OF OCTOBER 22, 2009 (2009C) AND DECEMBER 11, 2013 (2013B) AND PAY OR REIMBURSE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN HOSPITAL FACILITIES INCLUDING BUT NOT LIMITED TO A NEW INTEGRATED PROCEDURAL PLATFORM AT FROEDTERT MEMORIAL LUTHERAN HOSPITAL. Schedule K, Part II, Line 3 EXPLANATION OF DIFFERENCES BETWEEN PART I, COLUMN (E) ISSUE PRICE AND PART II, LINE 3 TOTAL PROCEEDS OF ISSUE. BOND A: INVESTMENT EARNINGS OF $291,297 BOND B: INVESTMENT EARNINGS OF $1,525,183 BOND D: INVESTMENT EARNINGS OF $115,838 SCHEDULE K, PART II, LINE 11 COLUMNS A, B, C, & D: THE OTHER SPENT PROCEEDS RELATE TO THE REFUNDING PROCEEDS OF THE ISSUES NO LONGER IN ESCROW. SCHEDULE K, PART III, LINE 3D COLUMNS A, B, C, D & COLUMN A (2ND SCHEDULE K): ALL CONTRACTS ARE ROUTINELY REVIEWED BY IN HOUSE COUNSEL. SCHEDULE K, PART IV, LINE 2C COLUMNS A AND B: COLUMN A: A REBATE CALCULATION WAS PERFORMED ON 10/1/2014. COLUMN B: A REBATE CALCULATION WAS PERFORMED ON 10/1/2017. SCHEDULE K, PART IV, LINE 4E, COLUMN C THE INTEREST RATE SWAP ASSOCIATED WITH THE 2013B PRIOR BOND ISSUE (WITH ISSUE DATE OF DECEMBER 11, 2013) WAS NOVATED TO THE 2017B BOND ISSUE (WITH ISSUE DATE OF APRIL 27, 2017). SCHEDULE K, PART I, COLUMN F (2ND SCHEDULE K) BONE A: 2017B ISSUE PROVIDED FUNDS TO PAY OR REIBURSE COSTS OF THE ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF CERTAIN HOSPITAL FACILITIES INCLUDING BUT NOT LIMITED TO THE CONSTRUCTION OF A FOUR-FLOOR VERTICAL EXPANSION OF THE CENTER FOR ADVANCED CARE AND A NEW INTEGRATED PROCEDURAL PLATFORM AT FROEDTERT MEMORAL LUTHERAN HOSPIAL. SCHEDULE K, PART II, LINE 3, COLUMN A (2ND SCHEDULE K) THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS OF THE ISSUE IS INVESTMENT INCOME OF $444,507. Centrally Managed Corporate Accounting Policy Effective July 1, 2013, Froedtert Health, Inc. adopted an internal accounting policy for certain balance sheet and income statement matters that are centrally managed by Froedtert Health as the parent corporation. The policy states that assets and liabilities related to centrally managed programs will be accounted for on the parent corporation's consolidated balance sheet and will not be allocated to any of the affiliate balance sheets. As a result of this new policy, Froedtert Health Inc.'s balance sheet now includes Long Term Investments, Long Term Debt and the related Swap Liability for all the consolidated affiliates. Form 990, Part III, Line 4d Other Program Services Description Joint Venture Investments - revenue derived from investments in affiliates Form 990,Part VI,Line 2 Business or Family Relationship of Officers, Directors, Etc. David Lubar and Kurt Bechtold - Business Relationship Bruce Block and David Lubar - Business Relationship Judson Snyder and David Lubar - Business Relationship Form 990, Part VI, Line 4 Significant Changes to Organizational Documents The Bylaws were amended to specify that the Past Chairperson of the Board of Directors shall serve as an officer of the corporation; and to specify that the Past Chairperson of the Board of Directors is eligble to serve a fourth three-year term on the Board of Directors as an ex-officio, voting member of the Board of Directors. Form 990, Part VI, Line 11 b Form 990 Review Process Froedtert Health, Inc. accounting staff prepare Form 990 which is reviewed by the Froedtert Health, Inc. financial leaders. The 990 is then reviewed by KPMG, Froedtert Health, Inc.'s outside accounting firm. Next, the 990 is provided to the Froedtert Health, Inc. Finance Committee and Board of Directors. Finally, the 990 is filed as required. Form 990, Part VI, Line 12c Explanation of Monitoring and Enforcement of Conflicts On an annual basis all officers, directors, trustees, and key employees are required to complete a conflict of interest disclosure statement. The data is compiled, and the Froedtert Health, Inc. Vice President-Chief Compliance Officer (CCO), the Senior Vice-President-General Counsel and/or delegate will review all forms and notifications to determine if any conflicts of interest exist in the disclosure documents. If it is determined that a conflict of interest exists, then the individual making the disclosure shall be relieved of his/her obligations on behalf of Froedtert Health, Inc. with respect to the transaction or arrangement that creates the conflict of interest. A report of all conflicts of interest will be made by the CCO at least annually to the Froedtert Health, Inc. Finance Committee of the Board of Directors. Form 990, Part VI, Line 15a Compensation Review & Approval Process - CEO & Top Management In establishing the compensation of the organization's CEO and Top Management, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, persons with a conflict of interest regarding the compensation arrangements at issue are not involved in the decision making process, and amounts are reviewed and approved by the Compensation Committee of the Board of Directors. In addition, there is contemporaneous documentation and record keeping for deliberations and decisions regarding the compensation arrangements. Form 990, Part VI, Line 15b Compensation Review & Approval Process - Officers & Key Employees In establishing the compensation of the organization's Officers & Key Employees, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, persons with a conflict of interest regarding the compensation arrangements at issue are not involved in the decision making process, and amounts are reviewed and approved by the Compensation Committee of the Board of Directors. In addition, there is contemporaneous documentation and record keeping for deliberations and decisions regarding the compensation arrangements. Form 990, Part VI, Line 19 Other Organization Documents Publicly Available Froedtert Health, Inc.'s quarterly financial information is made available to the public online through the Digital Assurance Corporation, Inc. website. Anyone can register to receive ongoing access to and notifications regarding financial statements at the online website. Additionally, Governing Documents and Conflict of Interest Policy are made available to the public through the corporate office upon request. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances Contributed Capital Hart's Mills insurance Company $(1,004,825) Transfer to Health System $61,193,999 Unrestricted Capital Contributions $(1,203,093) Unrestricted Contribution $(5,000,000) --------------- Total $63,986,081 Inception Health LLC 9200 W Wisconsin Ave Milwaukee WI 53226 202636740 Hlthcare SVCS WI 4713888 10612899 Frdtert Hlth Integrated Holdings LLC 9200 W Wisconsin Ave Milwaukee WI 53266 474146678 Invst Hold Co WI 9989 121964 Frdtert Hlth Exceedent LLC W129 N7055 Northfield Drive Menomonee Falls WI 53051 475622344 Hlthcre Admin WI 8070201 14291228 Frdtert Hlth Froedtert Memorial Lutheran Hospital 9200 W Wisconsin Ave Milwaukee WI 53226 396105970 Hospital WI 501(c)(3) 3 Frdtert Hlth true Community Memorial Hospital of MF W180 N8085 Town Hall Road Menomonee Falls WI 53051 390987025 Hospital WI 501(c)(3) 3 Frdtert Hlth true St Joseph's Community Hospital 3200 Pleasant Valley Road West Bend WI 53095 390806302 HOSP CARE SVS WI 501(c)(3) 3 Frdtert Hlth true St Joseph's Community Foundation 3200 Pleasant Valley Road West Bend WI 53095 392034296 Hlth/Welfare WI 501(c)(3) Ln 7 St Joseph's false Froedtert Hospital Foundation Inc 9200 West Wisconsin Avenue Milwaukee WI 53226 391431192 Hlth/Welfare WI 501(c)(3) Ln 10 Frdtert Hlth false Community Memorial Foundation of MF W180 N8085 Town Hall Road Menomonee Falls WI 53051 391635057 Hlth/Welfare WI 501(c)(3) Ln 10 Comm Mem Hos false Community Outpatient Health Services W180 N8085 Town Hall Road Menomonee Falls WI 53051 391743056 Med/Dent SVCS WI 501(c)(3) 3 Comm Mem Hos false QHS 1 Inc 9200 W Wisconsin Ave Milwaukee WI 53226 Hlthcare Svc WI 501(c)(3) Ln 12a Frdtert Hlth false FHHP LLC 9200 W Wisconsin Milwaukee WI 53226 452221564 Healthcare Svcs WI NA Related -39561 729151 false false 0.60000 Froedtert Surger 9200 W Wisconsin Milwaukee WI 53226 201499345 Surgery Center WI Frdtert Mem Hos Related 0 0 false false FMLH MCW Real estate 9200 W Wisconsin Milwaukee WI 53226 260629591 Real Estate WI NA Related 278026 11342567 false true 0.50000 Wisconsin Diagnostics 9200 W Wisconsin Milwaukee WI 53226 Laboratory Srvcs WI NA Related 7522743 43614536 false false 0.96000 D1 Sports Training 9200 W Wisconsin A Milwaukee WI 53226 473322294 Sports Medicine WI Froedtert Related 0 0 false false 0.51000 Waukesha Surgery Center 2400 Golf road Pewaukee WI 53226 Health Care WI Froedtert Related -571260 2346502 false false 0.75000 Drexel Town Square 7901 S 6th Street Oak Creek WI 53154 814904300 Surgery WI Froedtert Related -1177329 -1000198 false false 0.51000 Menomonee Falls Am W180 N8045 Town Ha Menomonee Falls WI 53051 391745697 Surgery WI NA Related -417694 8860772 false true 0.99000 THP-Froedtert Heal 1415 Louisana Stre Houston TX 77002 Health Care TX NA Related 0 0 false false 0.51000 F&MCW Network LLC 9200 W Wisconsin A Milwaukee WI 53226 814382585 Health care WI NA Related 1547922 1563861 false false 0.50000 Hart's Mills Insurance Company 62 Forum Lane 3rd Floor Grand Cayman CJ 981311808 Self-Insurance CJ Froedtert Healt C Corp -112619 13757324 1.00000 false true true true true false false false false false true false false false true true true true true true Froedtert Memorial Lutheran Hospital Inc C 58982418 FMV Froedtert Memorial Lutheran Hospital Inc O 2512220 FMV Froedtert Memorial Lutheran Hospital Inc q 307743006 FMV Froedtert Memorial Lutheran Hospital Inc s 1171243304 FMV Community Memorial Hospital of MF Inc q 33993656 FMV Community Memorial Hospital of MF Inc r 24032710 FMV Community Memorial Hospital of MF Inc s 237792814 FMV St Joseph's Community Hospital of WBInc c 17813727 FMV St Joseph's Community Hospital of WBInc q 17369532 FMV St Joseph's Community Hospital of WBInc s 93586883 FMV Waukesha SurgerY Center LLC a 407153 FMV Waukesha SurgerY Center LLC d 2441691 FMV Hart's Mills Insurance ComPanv SPC b 1004825 FMV Part III - Partnership Full Name, Address, FEIN FHHP, LLC. 45-2221564 9200 W. Wisconsin Ave. Milwaukee, WI 53226 Froedtert Surgery Center, LLC 20-1499345 9200 W. Wisconsin Ave. Milwaukee, WI 53226 FMLH MCW Real Estate Ventures, LLC 26-0629591 9200 W. Wisconsin Ave. Milwaukee, WI 53226 Wisconsin Diagnostic Laboratories, LLC 39-1896819 9200 W. Wisconsin Ave.Milwaukee, WI 53226 D1 Sports Training of Milwaukee, LLC 47-3322294 9200 W Wisconsin Ave Milwaukee, WI 53226 Waukesha Surgery Center, LLC 81-1166201 2400 Golf Road Pewaukee, WI 53072 Drexel Town Square Surgery Center LLC 81-4904300 7901 S 6th Street, Second Floor Oak Creek, WI 53145 Menomonee Falls Ambulatory Surgery Ctr 39-1745697 W180 N8045 Town Hall Road Menomonee Falls, WI 53051 THP-Froedtert Health Venture LLC 82-3559342 1415 Louisana Street Houston,TX 77002 F&MCW Network LLC 81-4382585 9200 W Wisconsin Avenue Milwaukee, WI 53226