2018-04-23T08:41:01-05:00 2017-06-30 390758449 Wipfli LLP PO Box 12237 Green Bay WI 543072237 990 2016-07-01 390816845 Froedtert South Inc FROE 2625778113 6308 8th Avenue Kenosha WI 531435082 Thomas J Kelley VP & CFO 2625778113 2018-04-03 1 Terri Rexrode CPA MST P00096513 9206620016 2018-04-02 74.87.127.216 2018-04-03 09:36:37 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A43ECD1EE6AF4781A69F6BFA161A98BDE8FA2C07 2016 2021-01-29 14:40:06Z Thomas J Kelley 6308 8th Avenue Kenosha WI 531435082 573446829 0 X www.froedtertsouth.com X 1910 WI FROEDTERT SOUTH, INC. (formerly known as United Hospital System, Inc.) IS COMMITTED TO LIVING OUT THE HEALING MINISTRIES OF THE JUDEO-CHRISTIAN FAITHS BY PROVIDING EXCEPTIONAL AND COMPASSIONATE HEALTHCARE SERVICES THAT PROMOTES THE DIGNITY AND WELL-BEING OF THE PEOPLE WE SERVE. THIS IS OUR MISSION AND OUR REASON FOR BEING. WE STRIVE TO RECRUIT AND RETAIN THE BEST PHYSICIANS AND STAFF AND PURCHASE THE BEST DIAGNOSTIC AND CURATIVE MEDICAL EQUIPMENT THAT OUR FINANCIAL RESOURCES WILL PERMIT. WE ALSO STRIVE TO BE ACCESSIBLE TO ALL MEMBERS OF OUR COMMUNITY WITH EMERGENT AND URGENT HEALTHCARE NEEDS, IRRESPECTIVE OF THEIR ABILITY TO PAY. THIS IS OUR COMMITTMENT TO THE QUALITY, ACCESSIBILITY AND AFFORDABILITY FUNDAMENTALS AFFECTING THE DELIVERY OF HEALTHCARE. 14 9 2706 100 195028 0 232988 105738792 324436848 322695312 1340154 3819714 -71125 -52904 325938865 432200914 7050 9300 0 0 161389439 168809315 0 0 0 140200932 144724241 301597421 313542856 24341444 118658058 392516348 455964800 134378118 114441695 258138230 341523105 X FROEDTERT SOUTH, INC. IS A COMPREHENSIVE REGIONAL HEALTHCARE SYSTEM THAT HAS SERVED SOUTHEASTERN WISCONSIN AND NORTHERN ILLINOIS COMMUNITIES FOR MORE THAN 100 YEARS. FROEDTERT SOUTH PROVIDES SERVICES PRIMARILY THROUGH THE KENOSHA MEDICAL CENTER CAMPUS AND THE ST. CATHERINE'S MEDICAL CENTER CAMPUS AND SEVERAL OTHER CLINIC LOCATIONS.WE, AT FROEDTERT SOUTH, ARE COMMITTED TO LIVING OUT THE HEALING MINISTRIES OF THE JUDEO-CHRISTIAN FAITHS BY PROVIDING EXCEPTIONAL AND COMPASSIONATE HEALTHCARE SERVICES THAT PROMOTES THE DIGNITY AND WELL BEING OF THE PEOPLE WE SERVE. THIS IS OUR MISSION AND OUR REASON FOR BEING. 0 0 258787460 9300 322500284 ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO ITS COMMUNITY. 258787460 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 88 0 2706 1 1 1 0 0 0 0 1 1 0 0 0 0 X 14 9 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 WI X Jens Emerson 2625778113 6308 8TH AVENUE Kenosha WI 531435082 Thomas Ambro MD Director/Physician 2.00 X 415366 0 51888 Todd Battle Director 2.00 X 0 0 0 A James Cicchini Director 2.00 X 0 0 0 Edward C Emma Director 2.00 X X 0 0 0 Mario Garretto MD Director/Physician 2.00 X 698188 0 95085 Don E Kaelber Director 2.00 X 0 0 0 Robert Lee Jr Director 2.00 X X 0 0 0 Thomas P Mahoney Director 2.00 X 0 0 0 Harold W Mayer Director 2.00 X X 0 0 0 David R Riley Director 2.00 X 0 0 0 Gary Zaid MD Director/Physician 2.00 X 0 0 0 Dr F Gregory Campbell Chairman 2.00 X X 0 0 0 Robert A Cornog Vice-Chairman/Secretary/Treasurer 2.00 X X 0 0 0 Richard O Schmidt Jr President/CEO/Director 45.00 X X 1264083 0 157420 Thomas Kelley Asst Treasurer/VP-CFO 45.00 X 511772 0 76678 Linda Wohlgemuth Asst Secretary/SVP-COO 45.00 X 543151 0 64527 Susan Ventura SVP/COO 45.00 X 547130 0 64362 Ashwani Sethi MD Physician 40.00 X 750842 0 44849 Neil Shepler MD Physician 40.00 X 1110223 0 893793 W Harley Sobin MD Physician 40.00 X 748324 0 51888 Michael Zeihen MD Physician 40.00 X 925694 0 45085 Mitchell Ziarko MD Physician 40.00 X 708246 0 39572 8223019 0 1585147 168 0 1 0 Riley Construction 5301 99th Avenue Kenosha WI 53144 Building 2574359 Allscripts Healthcare LLC 24630 Network Place Chicago IL 60673 IS Services 2506548 Aerotek Commercial Staffing PO Box 198531 Atlanta GA 30384 Environmental Services Staffing 1941827 Infinity Healthcare Physician SC 111 E Wisconsin Avenue Suite 2100 Milwaukee WI 53202 Medical 1882081 Eppstein Uhen Architects 333 E Chicago Street Milwaukee WI 53202 Architecture 1296833 49 49089 105345462 344241 168172 105738792 net patient service revenue 623000 317727851 317727851 other operating revenue 623990 4683442 4488414 195028 Medical office rental 900099 284019 284019 322695312 2289723 2289723 142698687 141154780 13916 1543907 -13916 1529991 1529991 24315 49089 77219 -52904 -52904 432200914 322500284 195028 3766810 9300 9300 3207047 2690172 516875 126379385 106011001 20368384 9458576 7934151 1524425 22192665 5878190 16314475 7571642 6272075 1299567 12922 12922 108500 108500 20117380 14560291 5557089 483678 97148 386530 57665857 54944152 2721705 6437204 6437204 5876141 5741799 134342 657879 260442 397437 22046895 19842205 2204690 757755 192555 565200 BAD DEBTS 14375487 14375487 State Hospital Assessme 7301283 7301283 REPAIRS 2525404 1561829 963575 Small Equipment 1127007 959428 167579 5230849 3718748 1512101 313542856 258787460 54755396 0 103673409 34951441 55620666 50733443 3390814 5148459 3869886 3832630 428979378 241128849 90936409 187850529 128245220 161452712 6779944 11995586 392516348 455964800 32541323 25086339 0 20000000 101836795 69355356 134378118 114441695 X 255969420 339226692 652743 777823 1516067 1518590 258138230 341523105 392516348 455964800 X 118658058 5547229 -40820412 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2168810 136903 9300 2296413 2050490 125683 7363 2168810 2037824 17291 4625 2050490 2030556 19058 11790 2037824 2039142 489 9075 2030556 0.00000 0.66130 0.33870 0 0 15374397 15374397 283757860 148952767 134805093 119894935 85402049 34492886 9952186 6774033 3178153 187850529 Fixed Income Funds 44012522 F Equity Mutual Funds 7876764 F Equity Securities 28370272 F Corporate bonds 37914257 F ETFs 15865740 F International Equities 16069043 F US Government & Agency Obligations 11344114 F 161452712 Deferred Compensation 14139163 Pension Liability 55216193 69355356 396918431 5547229 -40829712 -35282483 432200914 0 432200914 313542856 0 313542856 0 313542856 Part V, Line 4: Temporarily restricted net assets are restricted for education scholarship grants and various health care programs. Permanently restricted net assets are to be held in perpetuity, the income from which is expendable for hospital development. Part XI, Line 2d - Other Adjustments: Change in pension obligation other than pension expense 19,179,588. Contribution for interest in affiliate -60,000,000. Scholarships Included in Income -9,300. Golf Outing 73404 49089 24315 5563 46933 15336 9387 73404 49089 24315 5563 46933 15336 9387 77219 -52904 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 2623018 2623018 0.00880 54063242 23321471 30741771 0.10280 56686260 23321471 33364789 0.11160 5240 54235 485565 485565 0.00160 1 9 3047 3047 0.00000 56 550 372726 372726 0.00120 5297 54794 861338 861338 0.00280 5297 54794 57547598 23321471 34226127 0.11440 0 0 13047 0 13047 0.00000 4 623 92330 0 92330 0.00030 5 100 4024 0 4024 0.00000 5 0 1295 0 1295 0.00000 14 723 110696 110696 0.00030 1 4873290 0 47276845 68481747 -21204902 X 1 1 2 1 Kenosha Medical Center 6308 8th Avenue Kenosha WI 53143 www.unitedhospitalsystem.org 22 X X X 2 Saint Catherine's Medical Center 9555 76th Street Pleasant Prairie WI 53158 www.unitedhospitalsystem.org 305 X X X Kenosha Medical Center 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X http://www.froedtertsouth.com/About/Community-Benefits/ X 1 16 1 http://www.froedtertsouth.com/About/Community-Benefits/ 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X http://www.froedtertsouth.com/Patients-Visitors/Billing/ X http://www.froedtertsouth.com/Patients-Visitors/Billing/ X http://www.froedtertsouth.com/Patients-Visitors/Billing/ X X X X X X 1 X 0 X X X X 1 X 0 0 Saint Catherine's Medical Center 2 0 0 1 X X X X X X X X X 16 1 1 1 1 X http://www.froedtertsouth.com/About/Community-Benefits/ X 1 16 1 http://www.froedtertsouth.com/About/Community-Benefits/ 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X http://www.froedtertsouth.com/Patients-Visitors/Billing/ X http://www.froedtertsouth.com/Patients-Visitors/Billing/ X http://www.froedtertsouth.com/Patients-Visitors/Billing/ X X X X X X 1 X 0 X X X X 1 X 0 0 Kenosha Medical Center Part V, Section B, Line 5: As part of the CHNA process, 32 persons who represent the community served by Froedtert South provided valuable feedback regarding their views of the healthcare challenges facing our community. Thirty-two people participated representing the broad interests of the community including low-income, racial and ethnic minorities, the elderly, youth, veterans, faith communities, individuals with disabilities, rurual communities, survivors of domestic and sexual violence, and those living with mental illness and substance abuse. The information/feedback provided by these persons who represent the community served by Froedtert South was incorporated into the Community Health Needs Assessment, Identification, Prioritization and Implementation Planning Summary. Key informants ranked up to five public health issues and provided existing strategies to address these issues, along with barriers/challenges to addressing these issues and additional strategies needed. Saint Catherine's Medical Center Part V, Section B, Line 5: As part of the CHNA process, 32 persons who represent the community served by Froedtert South provided valuable feedback regarding their views of the healthcare challenges facing our community. Thirty-two people participated representing the broad interests of the community including low-income, racial and ethnic minorities, the elderly, youth, veterans, faith communities, individuals with disabilities, rurual communities, survivors of domestic and sexual violence, and those living with mental illness and substance abuse. The information/feedback provided by these persons who represent the community served by Froedtert South was incorporated into the Community Health Needs Assessment, Identification, Prioritization and Implementation Planning Summary. Key informants ranked up to five public health issues and provided existing strategies to address these issues, along with barriers/challenges to addressing these issues and additional strategies needed. Kenosha Medical Center Part V, Section B, Line 11: The Community Health Needs Assessment was conducted during the fiscal year ended 2016. As part of the Community Health Needs Assessment, a three (3) year Action Plan was developed in an effort to address the needs identified within the Community Health Needs Assessment. Froedtert South is actively working on the Action Items established for year one. Saint Catherine's Medical Center Part V, Section B, Line 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED DURING THE 2016 TAX YEAR. AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, A THREE (3) YEAR ACTION PLAN WAS DEVELOPED IN AN EFFORT TO ADDRESS THE NEEDS IDENTIFIED WITHIN THE COMMUNITY HEALTH NEEDS ASSESSMENT. FROEDTERT SOUTH IS ACTIVELY WORKING ON THE ACTION ITEMS ESTABLISHED FOR YEAR ONE. Kenosha Medical Center Campus: Part V, Section B, Line 22D: Patients eligible for financial assistance under this Policy will not be charged individually more for emergency or other medically necessary care than the amount generally billed to individuals who have insurance coverage for such care ("AGB"). Furthermore, charges for any emergency or other medically necessary care provided to individuals who are eligible for Financial Assistance under this Policy will be less than the gross charges for such services. The Organization calculates one or more AGB percentages using the "look-back method and including Medicare Fee-For-Service and all private health insurers that pay claims to the Organization, all inaccordance with 501(r). These calculations are made as follows:1. The Organization determines AGB by multiplying the gross charges for the applicable medical care by the AGB Percentage, which is determined annually by dividing (a) the sum of the amounts for all of its claims for emergency and other medically necessary care that have been allowed during the AGB Period by Medicare fee-for-service and all private health insurers as primary payors, together with any associated portions of these claims paid by Medicare beneficiaries or insured individuals in the form of co-pays, co-insurance or deductibles by (b) the sum of the associated gross charges for those claims.2. "Gross Charges" means the Organization's full, established price for medical care that the Organization consistently and uniformly charges patients before applying any contractual allowances, discounts, or deductions.3. The "AGB Period" means each prior 12-month period ending on December 31st.4. The Organization will begin to apply the annually determined AGB Percentage within 120 days following the end of the AGB Period that was used in calculation the AGB Percentage.5. Any capitalized terms not defined in this document will have the meaning assigned to such term in the Organization's Financial Assistance Policy.These limitations on charges for medical services shall not apply if an individual has not submitted a complete financial assistance application as of the time the charges are billed to such individual; provided, however, that adjustments will be made if amounts are charged in excess of these limitations and the individual is subsequently determined to be eligible for financial assistance. Saint Catherine's Medical Center Campus: Part V, Section B, Line 22D: Patients eligible for financial assistance under this Policy will not be charged individually more for emergency or other medically necessary care than the amount generally billed to individuals who have insurance coverage for such care ("AGB"). Furthermore, charges for any emergency or other medically necessary care provided to individuals who are eligible for Financial Assistance under this Policy will be less than the gross charges for such services. The Organization calculates one or more AGB percentages using the "look-back method and including Medicare Fee-For-Service and all private health insurers that pay claims to the Organization, all inaccordance with 501(r). These calculations are made as follows:1. The Organization determines AGB by multiplying the gross charges for the applicable medical care by the AGB Percentage, which is determined annually by dividing (a) the sum of the amounts for all of its claims for emergency and other medically necessary care that have been allowed during the AGB Period by Medicare fee-for-service and all private health insurers as primary payors, together with any associated portions of these claims paid by Medicare beneficiaries or insured individuals in the form of co-pays, co-insurance or deductibles by (b) the sum of the associated gross charges for those claims.2. "Gross Charges" means the Organization's full, established price for medical care that the Organization consistently and uniformly charges patients before applying any contractual allowances, discounts, or deductions.3. The "AGB Period" means each prior 12-month period ending on December 31st.4. The Organization will begin to apply the annually determined AGB Percentage within 120 days following the end of the AGB Period that was used in calculation the AGB Percentage.5. Any capitalized terms not defined in this document will have the meaning assigned to such term in the Organization's Financial Assistance Policy.These limitations on charges for medical services shall not apply if an individual has not submitted a complete financial assistance application as of the time the charges are billed to such individual; provided, however, that adjustments will be made if amounts are charged in excess of these limitations and the individual is subsequently determined to be eligible for financial assistance. 7 1 - Paddock Lake Family Medicine Clinic 7322 236th Avenue Salem WI 53168 Outpatient Physician Clinic 2 - Lake Villa Clinic 50 South Milwaukee Avenue Lake Villa IL 60046 Outpatient Physician Clinic 3 - LakeView RecPlex 9900 Terwall Terrace Pleasant Prairie WI 53158 Rehabilitation Clinic 4 - North Central Clinic 6127 Green Bay Road Suite 200 Kenosha WI 53142 Outpatient Physician Clinic 5 - SCMCC-MMB 9697 St Catherines Drive Pleasant Prairie WI 53158 Outpatient Physician Clinic 6 - RCW Administrative Building 5000 68th Ave Kenosha WI 53144 Administrative Building 7 - Somers Northside Clinic 3400 Market Lane Kenosha WI 53144 Outpatient Physician Clinic Part I, Line 7: The cost method used to calculate the cost of the community benefit programs was the cost-to-charge ratio. Worksheet 2 was used to calculte the ratio of patient care cost to charges. Part I, Ln 7 Col(f): The Bad debt expense included on form 990, part IX, Line 25, Column (A), But subtracted for purposes of calculating the percentage in this column is $14,375,487. Part II, Community Building Activities: Many staff members are utilized to promote the health of the community and the general well-being of the community we serve. Through our Emergency Preparedness Committee, staff are always planning and preparing to be ready to meet the needs of the community as events occur. Additionally, a variety of staff work with local schools and other organizations to give talks promoting health and careers in healthcare. A number of staff members are involved in mentoring programs within the local schools. Recognizing the importance of sustaining and growing our economy, we participate in our local Business Alliance. Part III, Line 2: The organizations utilized the HMFA #15 methodology for determining bad debt expense. Part III, Line 3: Since the organization utilizes HMFA #15, there is no portion of the bad debt that would be considered charity care. Part III, Line 4: Management provides for probable uncollectible amounts, primarily uninsured patients and amounts patients are personally responsible for, through a charge to operations and a credit to a valuation allowance based on its assessment of historical collection experience and the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to patient accounts receivable. Worksheet A in the instructions was used to determine the costing methodology. Part III, Line 8: Schedule H Part III Section B Line 6 reports "allowable costs of care" as taken from the most recently filed Medicare cost report available at the time the Community Benefit Report is published. The Medicare cost report calculates its allowable total costs based on applicable Medicare Regulations. Medicare and Medicaid cost is determined using individual cost center cost-to-charge ratios. This cost to charge ratio is determined using all payer cost and all payer charges. The cost to charge ratio is applied to the actual Medicare and Medicaid charges to determine the Medicare and Medicaid cost. This organization has adopted the cost and charge practices as recommended by the Catholic Health Association and the Wisconsin, Iowa, or Illinois Hospital Association as applicable, and therefore, does not count any Medicare shortfall numbers in its annual reporting of Community Benefit amounts. Part III, Line 9b: Our collection process is the same for all patients. If a patient expresses a need for financial assistance we offer the financial assistance application. We bill all insurances. Patient does not receive a copy of the bill until it is their balance. Our extended business office sends three statements and our required final request statement. From this point the outstanding balance is handled by the collection agency. The account does stay active on our financial system for one year. At that time the outstanding balance is moved over to a bad debt status. Part VI, Line 2: In an effort to understand and assist in addressing the needs of the community we serve, Froedtert South has involvement in a variety of community committees. Froedtert South has multiple staff, management and administrative level employees participate in committees that are set up to assess and address needs in the community such as a healthy lifestyle committee, mental health committee, injury prevention committee, suicide prevention committee, infant mortality committee. Through our participation in community committees we gain an understanding about the needs of the community as well as the opportunity to work together to address the needs. Part VI, Line 3: When statements are sent from our extended business office, there is a phone number for the patient to call for assistance with their balances. Patients call and they work with them to set up payment arrangements. If they express any concerns for financial needs they offer to send them a Community Care application. Part VI, Line 4: Kenosha County is a fast growing lakeshore coummunity in Southeastern Wisconsin. Located between Chicago and Milwaukee, Kenosha county boasts a diverse economy. Kenosha is the fourth largest city in the State of Wisconsin with 99,631 residents reported by the United States Census Bureau in the 2016 population estimates. Kenosha is now the eighth largest county in Wisconsin in terms of population with 168,183 residents. Froedtert South serves people in southeastern Wisconsin and northern Illinois through its two hospital campuses, St Catherine's Medical Center and Kenosha Medical Center. Aurora Medical Center also has a hospital campus in Kenosha. Part VI, Line 5: Froedtert South is committed to improving the health of our patients and neighbors. We offer a variety of community outreach programs to help the general public maintain good health. These include free community education seminars, health screenings, and various support groups. Part VI, Line 7, Reports Filed With States WI 1 Scholarships 9 9300 Part I, Line 2: The Manager of Community Relations evaluates applicants in accordance with scholarship program requirements. Recipients are then monitored to ensure compliance requirements are met, such as GPA. Traditional accounting records are maintained for any disbursements. X X 0 1 0 0 0 0 0 0 0 Thomas Ambro MD Director/Physician 414814 0 0 0 552 0 32277 0 19611 0 467254 0 0 0 Mario Garretto MD Director/Physician 517754 0 177386 0 3048 0 82277 0 12808 0 793273 0 0 0 Richard O Schmidt Jr President/CEO/Director 863304 0 380750 0 20029 0 132277 0 25143 0 1421503 0 0 0 Thomas Kelley Asst Treasurer/VP-CFO 447011 0 64275 0 486 0 57277 0 19401 0 588450 0 0 0 Linda Wohlgemuth Asst Secretary/SVP-COO 450312 0 89275 0 3564 0 57277 0 7250 0 607678 0 0 0 Susan Ventura SVP/COO 450997 0 89275 0 6858 0 57277 0 7085 0 611492 0 0 0 Ashwani Sethi MD Physician 446889 0 302921 0 1032 0 32277 0 12572 0 795691 0 0 0 Neil Shepler MD Physician 259695 0 848944 0 1584 0 881221 0 12572 0 2004016 0 0 0 W Harley Sobin MD Physician 257274 0 489466 0 1584 0 32277 0 19611 0 800212 0 0 0 Michael Zeihen MD Physician 245705 0 675045 0 4944 0 32277 0 12808 0 970779 0 0 0 Mitchell Ziarko MD Physician 235693 0 469505 0 3048 0 32277 0 7295 0 747818 0 0 0 Part I, Line 4b Individual eligible employees may participate in a 457f plan. The organization does not contribute to this plan. THe following individuals participate in the plan: Richard Schmidt, Mario Garretto, Linda Wohlgemuth, Thomas Kelley, Susan Ventura and Neil Shepler. Robert Lee Director 287117 Services provided by Lee Plumbing Mechanical Contractor, Inc. Robert Lee owns Lee Plumbing Mechanical Contractor, Inc. 0 David Riley Director 8054481 Services provided by Riley Construction Company, Inc. David Riley owns Riley Construction Company, Inc. 0 Robert Lee Director 648231 Services provided by Lee Electrical, Inc. Robert Lee owns Lee Electrical, Inc. 0 X 1 168172 Selling price 0 0 0 1 Part I, Line 32b: A law firm and title company was used to sell donated real estate. Form 990, Part VI, Section A, line 4 THE ORGANIZATION MADE THE FOLLOWING CHANGES TO ITS Articles of Incorporation and BYLAWS DURING THE FISCAL YEAR: - THE NAME OF THE ORGANIZATION SHALL BE FROEDTERT SOUTH, INC. - AMEND MEMBERS TO THE FOLLOWING: A) THE FIRST MEMBER SHALL CONSIST OF INDIVIDUALS REPRESENTATIVE OF THE KENOSHA COMMUNITY, WHO SHALL ACT COLLECTIVELY AS A SINGLE MEMBER, B) THE SECOND MEMBER SHALL BE FROEDTERT HEALTH, INC. A WISCONSIN NONSTOCK CORPORATION. -AMEND DISTRIBUTION ON DISSOLUTION SO THAT REMAINING ASSETS OF THE ORGANIZATION SHALL BE DISTRIBUTED TO EXEMPT ORGNAIZATIONS UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. - AMEND PROVISIONS SO THAT MEMBERS MAY ALTER, AMEND, REPEAL OR RESTATE THE BYLAWS AND ARTICLES OF INCORPORATION FROM TIME TO TIME AS SET FORTH IN THE AFFILIATION AGREEMENT. Form 990, Part VI, Section B, line 11b Form 990 is reviewed by the Organization's CFO and Controller prior to filing. A copy of the 990 is provided to the governing board prior to filing. Form 990, Part VI, Section B, line 12c Froedtert South's written conflict of interest policy for the board is reviewed annually by each board member, and any potential conflicts of interest are disclosed at that time. The written conflict of interest policy for employees is reviewed during orientation and periodically at organization meetings, and is incorporated into the performance standards of their annual evaluations. If a conflict arises, depending upon the nature of the financial interest and work done by the board, several actions may be considered: the board member with a financial interest would need to voluntarily excuse him or herself from the deliberations or voting on such a matter; or, if necessary, the board would determine that the subject's financial interest was an actual conflict of interest, in which case the board member would be informed by the board Chairperson that he or she would not be allowed to vote in any such matters due to this real or perceived conflict of interest. Minutes of the board meeting would document this decision process, and reflect whatever action(s) are ultimately taken. Form 990, Part VI, Section B, line 15 The compensation for the President, CEO and General Counsel and the compensation for the vice presidents reporting directly to the President, CEO and General Counsel are determined by the Board Executive Committee which serves as the Board Compensation Committee. The Board Compensation Committee contracts with the healthcare compensation firm named The Groves Group, LLC, and has utilized the President of the Groves Group, LLC as the compensation consultant since 2005. The compensation consultant utilizes a methodology that evaluates internal and external equity after evaluating the responsibilities of each position and makes a recommendation to the Board Compensation Committee. The Board Compensation Committee has followed the detailed recommendations of the compensation consultant annually since 2005 and the compensation consultant has been retained through 2017. Form 990, Part VI, Section C, line 19 These documents are made available upon request. Form 990, Part XI, line 9: CHANGE IN MINIMUM PENSION OBLIGATION 19,179,588. Contribution for interest in Saint Catherine's Hospital -60,000,000. Saint Catherine's Hospital Inc 6308 8th Avenue Kenosha WI 53143 390855075 Healthcare WI 501(c)(3) Line 12B. II N/A 1 FSINC Inc 6308 8th Avenue Kenosha WI 53143 391956749 Healthcare WI 501(c)(3) Line 12A N/A 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 Saint Catherine's Hospital Inc C 105345462 Book Value