2016-05-17T06:54:04-07:00 2015-06-30 KPMG LLP 191 W Nationwide Blvd Suite 500 Columbus OH 43215 990 2014-07-01 396105970 FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC FROE 4147770960 9200 W WISCONSIN AVENUE MILWAUKEE WI 53226 Scott R Hawig CFO 2016-05-17 true 6142492300 2014 2016-08-17 19:52:53Z Jacobson Catherine A 9200 W WISCONSIN AVENUE Milwaukee WI 53226 1352977180 false false X www.froedtert.com X 1980 WI Froedtert Memorial Lutheran Hospital, Inc. advances the health of the communities it serves by providing exceptional healthcare enhanced by innovation and discovery. 15 12 6311 352 0 4633295 3809826 1114456327 1301899564 2354680 1232488 43354664 45866500 1164798966 1352808378 0 0 292797317 304769921 0 0 779614281 925535605 1072411598 1230305526 92387368 122502852 750311379 792758769 96728587 90396463 653582792 702362306 X Froedtert Memorial Lutheran Hospital, Inc. advances the health of the communities it serves by providing exceptional healthcare enhanced by innovation and discovery. false false 450208826 630930011 Outpatient Services:Froedtert Memorial Lutheran Hospital had 762,977 outpatient visits in the twelve months ended June 30, 2015. Froedtert Memorial Lutheran Hospital offers a wide variety of outpatient clinical services including but not limited to the following:- Anticoagulation- Audiology- Brain injury and stroke therapy- Breast Care- Cardiothoracic surgery- Cardiovascular medicine- Cancer care- Dermatology- Diabetes- Diagnostic radiology- Electrophysiology- Emergency medicine- Endocrinology / Metabolism- Eye institute- Family medicine- Gastroenterology- General internal medicine- General surgery- Geriatric / Gerontology- Hematology / Oncology- Hand therapy- Hypertension- Infectious diseases- Infusion- Internal medicine- Interventional radiology- Mammography- Maternal fetal care- Minimally invasive surgery- Neurology- Neurosurgery- Nuclear medicine- Nutritional counseling- Obstetrics / Gynecology- Occupational health- Ophthalmology- Oral Maxillofacial surgery- Orthopedic surgery- Otolaryngology- Pancreatobiliary / Endocrine surgery- Physical medicine / Rehabilitation- Plastic / Reconstructive surgery- Preventive / Occupational medicine- Psychiatry- Pulmonary / Critical Care medicine- Radiology- Radiation oncology- Rehabilitation services- Reproductive medicine- Rheumatology- Sickle Cell Disease- Skin Cancer Center- Sleep lab- Speech/communications disorders- Spine care- Spinal Cord Injury program- Sports medicine- Surgical oncology- Transplant - bone marrow- Transplant - solid organ- Transplant surgery- Trauma / Critical Care surgery- Urology- Vascular surgery- Wound healing 445059684 601602014 Inpatient: Froedtert Memorial Lutheran Hospital (Froedtert Hospital), together with the Medical College of Wisconsin, form the only academic medical center in eastern Wisconsin and one of only 120 nationwide. Staffed by faculty of the Medical College, Froedtert Hospital serves as a regional referral center for advanced medical care in 37 specialties and sub-specialties, and operates eastern Wisconsin's only adult Level I Trauma Center. It is a major training and research facility with more than 1,000 medical, nursing and health technical students in training and participates in over 2,000 active clinical trials each year. Froedtert Hospital is approved for 655 beds of which 516 are staffed with 27,176 patient admissions and 144,134 patient days of care related to medical, surgical, intensive care, obstetrics, rehabilitation and other specialty care for the twelve months ended June 30, 2015.Most of the services provided by Froedtert Hospital are tertiary or quaternary care services and include the following:Neurosciences Center. The Center at Froedtert Hospital is a world-class resource for individuals with complex neurological disorders. Combining specialty expertise, state-of-the-science technology and consistent research leadership, the center provides comprehensive services for movement disorders, stroke, brain injury, spine care, and epilepsy. We offer the only dedicated Neuro-Intensive Care Unit in Wisconsin, staffed by full time fellowship-trained neuro-intensivists, an eICU, and a 6 bed long-term monitoring unit for patients with epilepsy. STROKE: Froedtert Hospital was the first in the state and among the first in the nation to receive certification as a Primary Stroke Center by the Joint Commission. We consistently exceed national standards of care for stroke established by the Joint Commission and the University Health System consortium and consistently achieve the highest level of recognition from the American Stroke Association on an annual basis. As a regional leader, we offer the most comprehensive and advanced care by the 24 hour a day Acute Stroke Team.SPINECARE: Our SpineCare program offers multi-disciplinary, operative and non-operative care for patients with spinal trauma, degenerative diseases of the spine, spinal tumors, and back pain. We have a team of back and neck experts working together in each location. The team is made up of some of the area's leading neurological and orthopaedic surgeons. Our staff includes well-regarded physical medicine and rehabilitation specialist, neurologists, chiropractic physicians, pain psychologist, spine--trained nurse practitioners and physician assistants as well as outstanding physical and occupational therapists.EPILEPSY: The Comprehensive Epilepsy Program is one of only a few programs in the country providing comprehensive, individualized care for people with Epilepsy. We are proud to be one of 4 programs in the country certified by the Joint Commission as a Center of Excellence for Epilepsy. It is a Level 4 Epilepsy Center, the highest ranking by the National Association of Epilepsy Centers. It serves as a regional or nation referral facility and offers: -Complete evaluation for epilepsy-More complex forms of intensive neurodiagnostic monitoring-More extensive medical, neuropsychological and psychosocial treatment-Broad range of surgical procedures, including intracranial electrodes and responsive neuromodulationThe comprehensive Epilepsy Program is the first and only in the area to offer a new epilepsy treatment - the RNS System.PARKINSONS: Patients with Parkinson's disease or movement disorders receive comprehensive care through the Parkinson's and Movement Disorders Program. For the most complex to the most common movement disorders, our knowledgeable and experienced team offers the full range of leading-edge diagnostic and treatment choices, many found only at an academic medical center. We're one of the longest-standing providers in the area offering patients unique advantages such as:-Board-certified physicians who are specialist in Parkinson's disease and movement disorders- Innovative technology & treatment options. We are the only program in the region to offer deep brain stimulation (DBS)- Individualized, coordinated care with active involvement of the patient and family members in treatment planning- Dedication to enhancing the quality of lifeAMYOTROPHIC LATERAL SCLEROSIS (ALS): Patients with ALS receive care with the Neuromuscular Program. Although there is no cure for ALS, the program provides state-of-the-science diagnostic services and access to advanced drug therapies that may slow the progress of the disease's symptoms. The ALS Clinic is one of 26 clinics to be officially certified by the ALS Association in the United States.OTHER: Neurologists specialize in the diagnosis and treatment of peripheral nerve and muscle disorders, dementia, neuro-opthalmologic conditions, and demyelinating disorders. It offers multidisciplinary programs in Brain Injury, Spinal Cord Injury, and Neuro-oncology. The NeuroRehab program is an integral part of all Neurosciences programs. In addition to the core programs noted above, the Neurosciences Center also provides care for Alzheimer's, Autonomic Disorders, Headache, MS, Neuromuscular Disorders, Neuropyschology patients.Cancer Center. The Clinical Cancer Center offers comprehensive care for all types of cancer through 13 disease-specific, multidisciplinary cancer programs; support services ranging from laboratory and imaging to psychosocial and pastoral care; and research facilities and international cancer registries. Unique offerings in cancer center care include:- A Day Hospital which is open 365 days per year for outpatient chemotherapy infusion and supportive care- Outpatient Blood and Marrow Transplant (BMT)- Whole genome sequencing- Patient centered care model with advanced intake and coordination mechanisms- Renowned experts with specialty expertise- Academic medical center with wide range of clinical trials- Advanced technology- Single location for all cancer treatment needsFroedtert Hospital is a leading center for HIPEC (Hyperthermic Intraperitioneal Chemotherapy) in the Midwest and the nation. HIPEC is a state-of-the-art procedure for treating cancers that have spread to the abdomen. This procedure offers a new treatment option even for people who have been told they have no options.Accreditations:- Accredited by the American College of Surgeons Commission on Cancer as an Academic Comprehensive Cancer Program. Programs are recognized for providing postgraduate medical education, caring for more than 500 newly diagnosed cancer cases each year, participating in research and offering a full range of diagnostic and treatment services.- Since 2001, the Blood and Marrow Transplant Program has been accredited by the Foundation for Accreditation of Cellular Therapy (FACT). For patients, this measurement of quality and expertise provides the assurance that they are receiving high-quality transplant care and offers a way for them to compare different programs.- The Cancer Center is accredited by the American College of Radiology American Society for Radiation Oncology (ACR-ASTRO) representing the highest level of quality and patient safety for radiation treatment.- We are accredited by the Quality Oncology Practice Initiative (QOPI) of the American Society of Clinical Oncology (ASCO) which ensures adherence to national standards for the treatment of cancer patients with chemotherapeutic, immunologic and other agents.- The Breast Care Center is accredited by the National Accreditation Program for Breast Centers (NAPBC), which ensures the quality of services provided for breast health and the treatment of breast cancer.Froedtert had 4,270 cancer registry cases in FY2015.Other Achievements:2015-16 US News & World Reports Best Hospital list. They ranked Froedtert Hospital nationally in four specialties including endocrinology, otolaryngology, nephrology, and pulmonology . This places us among the top 50 US hospitals in these areas.2015-16 US News & World Report recognized Froedtert Hospital as high performing in six medical specialties: cancer, gastroenterology, geriatrics, neurology, orthopaedics, and urology.2015 University HealthSystem Consortium (UHC) listed Froedtert Hospital among top academic medical centers based on performance in quality and safety across a broad spectrum of patient care activities.2015 Truven Health Analytics named Froedtert Hospital as a major teaching hospital among the nations 100 Top Hospitals. The hospitals in the list were recognized by the studys authors for bringer higher value to their communities through better quality, higher efficiency, and high perceptions of care.2014-15 Consumer Choice Award for 10th straight year for most preferred hospital in southeastern Wisconsin by Nation Research Corporations 2014/2015 Consumer Choice Award. 102970878 37639788 Medical Education: Froedtert Hospital is the major teaching affiliate of The Medical College of Wisconsin. The affiliation agreement between The Medical College and Froedtert Hospital provides for joint programs in health care education, health-related research, and health services. The Medical College places approximately 333 full-time equivalent residents at Froedtert Hospital.Substantially all patient encounters at Froedtert Hospital are teaching related. Froedtert Hospital is utilized in The Medical College's residency programs in anesthesiology, dermatology, diagnostic radiology, endocrinology/metabolism, general surgery, internal medicine, nephrology, neurological surgery, neurology, oral and maxillofacial surgery, otolaryngology, pathology, plastic and reconstructive surgery, pulmonary medicine, transplant surgery, urology and emergency medicine, allergy and immunology, cardiology, geriatrics, gastroenterology, hematology/oncology, infectious disease, nuclear medicine, obstetrics and gynecology, ophthalmology, orthopedic surgery, physical medicine and rehabilitation, psychiatry, radiation oncology, thoracic surgery, trauma surgery, and vascular surgery. Froedtert Hospital supports continuing medical education. All of the medical services provide continuing medical education for the staff, residents, and students. Scientific conferences are held on a weekly basis for most services. The Medical College faculty members, who comprise the majority of the Medical Staff of Froedtert Hospital, frequently serve as directors of continuing medical education programs for other hospitals within the State of Wisconsin and the surrounding region.In addition to the affiliation with The Medical College, Froedtert Hospital maintains educational affiliations with a number of other institutions, including Alverno College, Cardinal Stritch University, Carroll College, Marian University, Marquette University, Milwaukee Area Technical College, Milwaukee School of Engineering, Mount Mary College, University of Wisconsin System (UW Milwaukee and UW Oshkosh), and Waukesha County Technical College. 31400868 78543960 1029640256 true true false false false false false false false true true false false true true true true true false false false false false false false false true true false false true false false false false false false false false false false false false false false false 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50.00 1.00 X X 775375 0 218763 Larson David N Dir&BOD Chair 1.00 0.00 X X 0 0 0 Prince Joan M PhD Dir&BOD V.Chair 1.00 0.00 X X 0 0 0 Eastham Catherine Mode BOD Secretary 1.00 40.00 X 0 480465 173376 Hawig Scott CFO 1.00 48.00 X 0 788197 205753 McPike Linda BOD Secretary 1.00 40.00 X 0 232386 17617 Van De Kreeke Jeffrey Treasurer 1.00 46.00 X 0 407483 101051 Anderes Michael VP-Clin&Supp Svc 40.00 0.00 X 257506 0 79935 Fischer Lynn E VP-Service Lines 40.00 0.00 X 328419 0 71090 Gray D Allan VP Periop Svcs 50.00 0.00 X 340419 0 24389 Leevan Yakira CRNA-Anesthesia 40.00 0.00 X 313807 0 35154 Pierce Deborah Coor-Sur/Transplan 40.00 0.00 X 239904 0 29680 2610204 3416517 1447633 307 false true false United Dynacare 9200 W Wisconsin Ave Milwaukee WI 53226 Lab Services 42976495 Medical College of WI 8701 Watertown Plank Road Milwaukee WI 53226 Physician staffing 1193496 The Cannon Corporation 2170 Whitehaven Road Grand Island NY 14072 Archetect/design 875437 Hospital Billing & Collection Services 118 Lukens Drive New Castle DE 19720 Billing/Collection 5057646 High Voltage Maintenance 24865 Network Place Chicago IL 60673 Engineering Svcs 155984 5 1499826 2310000 20600 3809826 Hospital Inpatient 900099 601602014 601602014 Hospital Outpatient 900099 630930011 630930011 Medical Education 611600 37639788 37639788 Trauma 900099 31727751 31727751 1301899564 1193893 949709 244184 0 0 0 207397 168802 38595 38595 38595 0 0 0 Corporate Allocated Reven 561000 15364318 15364318 Other Department Revenue 561499 9151540 9151540 Sublease Revenue 561499 12134750 12134750 9215892 9215892 45866500 1352808378 1348715773 282779 X 0 0 0 0 1112671 1112671 0 283651402 269864176 13787226 0 57348 54347 3001 19948500 18904722 1043778 0 607643 6000 601643 0 0 0 0 129047286 115824383 13222903 59967 59967 4699811 3425610 1274201 470642 439438 31204 0 26000276 22572317 3427959 64270 60963 3307 0 775234 710266 64968 12914778 11212053 1702725 0 44229632 38398257 5831375 0 Medical Supplies 275157089 275073057 84032 Corporate Allocations 257263005 105100410 152162595 Medical Education 102970878 102970878 Hospital Tax Assessment 27254732 27254732 44020362 37708680 6311682 1230305526 1029640256 200665270 0 17350 18350 16639996 61394861 0 131270725 140379615 0 0 15000000 0 14677779 15176688 3264550 3197457 971354468 458689616 433473071 512664852 84364286 15167464 0 0 0 51603622 44759482 750311379 792758769 59958220 68751436 1117224 879655 632783 550235 35020360 20215137 96728587 90396463 X 628958375 674559851 24258167 27436205 366250 366250 653582792 702362306 750311379 792758769 X 122502852 -73723338 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11443996 785742 137282 286129 91022 -10973 12000842 9551972 1621971 785813 360702 144472 10586 11443996 7588611 1773000 596052 287531 114112 4048 9551972 8356002 503594 40083 266918 87926 956224 7588611 6990605 1560048 683375 221427 618708 37891 8356002 0.97000 0.03000 false true true 2313 2313 348536375 139440863 209095512 110056281 47574263 62482018 304866210 219975966 84890244 207893289 51698524 156194765 512664852 Due from Affiliates 11114427 Due from Employee 2075 Pension Receivable 5198269 Rounding 1 44759482 3rd Party Estimated Settlements 6613233 Due to Affiliates 4396159 Pension Liability Base 261619 Pension Liability URMS 5361377 Post Retirement Medical 3582749 20215137 X 1333942599 2661 2661 1333939938 18868440 18868440 1352808378 1214905999 3387 3387 1214902612 15402914 15402914 1230305526 Part V, Line 4: Intended uses of the endowment fund. The funds are held by Froedtert Hospital Foundation, Inc.(FHF), a related organization. FHF maintains several types of endowment funds. The board designated/quasi-endowment funds were created to support the financial needs of various departments and programs of Froedtert Memorial Lutheran Hospital, Inc. For permanently restricted endowment funds, the intent of the funds depends on the restriction that applies to that particular endowment, as prescribed by the donor. Depending on the particular endowment, the intended uses include fellowships, research, and educational resources for the community. Part X : FIN48 Footnote Froedtert Health, Inc., the parent entity into which Froedtert Memorial Lutheran Hospital's financial results are consolidated, applies ASC No. 740, Income Taxes, which clarifies the accounting for uncertainty in income taxes recognized in a company's financial statements. ASC No. 740 prescribes a more-likely than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under ASC No. 740, tax positions are evaluated for recognition, derecognition, and measurement using consistent criteria and provide more information about the uncertainty in income tax assets and liabilities. As of June 30, 2015 and 2014, Froedtert Memorial Lutheran Hospital does not have an asset or liability recorded for unrecognized tax positions. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Rounding $2661 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Corporate Allocated Revenue (507999) $15364318 Settlement $0 Capital Contributions $2000000 Contribution FHF $1465526 Asset Dispositions $38596 Part XII, Line 2d: Other expenses and losses per audited F/S Rounding $3387 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Corporate allocated revenue $15364318 Settlement $0 Asset Dispositions $38596 true true X true X true X true true true false true true 4608225 4608225 0.00370 202804871 127521300 75283571 0.06120 207413096 127521300 79891796 0.06490 32 20437 3282297 3282297 0.00270 6 1893 68778595 68778595 0.05590 1 13281 166725 166725 0.00010 1 5551099 5551099 0.00450 5 120 1273035 1273035 0.00100 45 35731 79051751 79051751 0.06420 45 35731 286464847 127521300 158943547 0.12910 1 28994 28994 3 221564 221564 0.00020 4 250558 250558 0.00020 false 20050245 236291049 254549971 -18258922 X true true 1 1 Froedtert Memorial Lutheran Ho 9200 W Wisconsin Avenue Milwaukee WI 53226 www.froedtert.com X X X X X Froedtert Memorial Lutheran Ho 1 false false true X X X X X X X X 13 true true true true X www.froedtert.com/community-engagement X true 15 true www.froedtert.com/community-engagement true false true X 200.0000 400.0000 X X X X X X true true X X X true X www.froedtert.com/financial-services X www.froedtert.com/financial-services X X X X true X false X X X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community Froedtert Memorial Lutheran Hospital is a member of the Milwaukee Health Care Partnership www.mkehcp.org, a public private consortium dedicated to improving care for under-served populations in Milwaukee County. Through the Partnership, Milwaukees five health systems and the Milwaukee Health Department aligned resources to complete a shared community health needs assessment (CHNA) in 2013. Supported by additional analysis from the Center for Urban Population Health, this community-wide CHNA includes findings from a community health survey of over 1,900 adults, significant key informant interviews and a secondary source data analysis. Key informants in Milwaukee County were identified by the Milwaukee Health Care Partnership in collaboration with the City of Milwaukee Health Department. The interviews were conducted by Partnership members and graduate students supervised by the City of Milwaukee Health Department. The interviewers used a standard interview script (schedule) that included the following elements: Ranking of up to five public health issues, based on the focus areas presented in Wisconsins State Health Plan, that are the most important issues for the County.All informants were made aware that participation was voluntary and that responses would be shared with the Center for Urban Population Health for analysis and reporting. The top issues were identified primarily through key informant rankings in combination with summaries of priority issues identified in the focus groups. Additionally, qualitative analysis of responses focused on relationships between issues, with emerging themes used to inform the final rankings. Lastly, representatives from each health system and the City of Milwaukee Health Department (all of whom had conducted interviews or supervised interviewers) participated in an analytic session to critique and validate findings. Forty-one individual key informant interviews were conducted in Milwaukee County. Of note, ten public health officers participated in the interviews as key informants. In addition, five group interviews were also conducted using the same interview schedule.Key Informant Interview organizations:United Way of Greater MilwaukeeCity of Milwaukee Health DepartmentNorth Shore Health DepartmentMilwaukee County Department of Health & Human ServicesChildrens Health Alliance of WisconsinNorth Shore Health DepartmentUnited Community CenterThe Faye McBeath FoundationAIDS Resource Center of WisconsinChildrens Hospital of WisconsinWisconsin Department of Public Health ServicesGreater Milwaukee FoundationMilwaukee Common CouncilWauwatosa Health DepartmentHelen Bader FoundationBlack Health Coalition of WisconsinMedical College of Wisconsin Institute for Health and SocietyWest Allis & West Milwaukee Health DepartmentSouth Milwaukee Health DepartmentUW-Milwaukee Joseph J. Zilber School of Public HealthYWCA MilwaukeeHales Corners Health DepartmentMedical Society of Milwaukee CountyNorth Shore Health DepartmentOak Creek Health DepartmentGreenfield Health DepartmentSt. Francis Health DepartmentGreendale Health DepartmentUNCOM (United Neighborhood Centers of Milwaukee)CORE/El CentroMilwaukee Oral Health Task ForceColumbia-St. MarysMilwaukee Health Care PartnershipLindsay Heights Health AllianceCommunity AdvocatesCudahy Health DepartmentFranklin Health DepartmentYMCA of Metro MilwaukeeLatino Health CoalitionGroup Interviews:United neighborhood Centers of Milwaukee Executive DirectorsBoys and Girls Club of Greater Milwaukee StaffHousing Authority of the City of Milwaukee Residents from Parklawn ( Family Housing)Housing Authority of the City of Milwaukee Residents from Highland Gardens (Senior and Disabled Housing)Medical Society of Milwaukee County Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment Froedtert Memorial Lutheran Hospital is a member of the Milwaukee Health Care Partnership www.mkehcp.org, a public-private consortium dedicated to improving care for under-served populations in Milwaukee County. Through the Partnership, Milwaukees five health systems and the Milwaukee Health Department aligned resources to complete a shared community health needs assessment (CHNA) in 2013. Supported by additional analysis from the Center for Urban Population Health, this community-wide CHNA includes findings from a community health survey of over 1,900 adults, significant key informant interviews and a secondary source data analysis. This shared CHNA serves as the foundation for Froedtert Hospitals implementation strategy to improve health outcomes and reduce disparities in Milwaukee County.Milwaukee County: Aurora Health SystemChildrens Hospital of WisconsinFroedtert & The Medical College of WisconsinWheaton Franciscan Health SystemColumbia-St. Marys Health SystemCenter for Urban Population HealthMilwaukee County Health DepartmentCity of Milwaukee Health DepartmentWauwatosa Health DepartmentJKV Research was hired by the participating Health Care Systems and Health Departments to lead the CHNA process for Milwaukee County. The total cost of each CHNA was shared by each of the participating health systems and health departments. Each health system and health department was assigned to conduct key informant interviews within their service area. Part V, Line 7d - Description of Making Needs Assessment Widely Available The CHNA summary and full reports can be found on the Froedtert Health website:http://www.froedtert.com/community-engagementAdditional Websites:http://mkehcp.org/publications/ Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why ORAL HEALTH SERVICES (Health Care Access): In Milwaukee County, 19% reported unmet dental needs. Explanation: Froedtert Hospital does not have the dedicated resources. There are other health systems and local organizations dedicated to improve access to dental care.BEHAVIORAL HEALTH SERVICES (Health Care Access): From 2003-2012, there was a statistical increase in those reporting considering suicide. Explanation: Froedtert Hospital is working with other private health system providers and Milwaukee County Behavioral Health Division to develop new systems of care for individuals with mental illness and substance abuse.TEEN PREGNANCY (Sexual Health): In Milwaukee County: 48.2 births per 1,000 teens age 15-19 vs. 26.2 births per 1,000 in Wisconsin. Explanation: The Aids Resource Center of Wisconsin and the City of Milwaukee Health Department are the lead agencies in reducing the incidence of sexually transmitted diseases in the community.HIGH STI RATES (Sexual Health): STI incidence rate is 1,469 per 100,000.Explanation: The Aids Resource Center of Wisconsin and the City of Milwaukee Health Department are the lead agencies in reducing the incidence of sexually transmitted diseases in the community.INFANT MORTALITY: Mortality rate in Milwaukee is 8.1 per 1,000 live births. For African Americans the rate is 13.9 and in Wisconsin is 5.7 per 1,000 births. Explanation: The United Way of Greater Milwaukee, the University of Wisconsin LifeCourse Initiative and the City of Milwaukee Health Department are actively involved in addressing this need.HEALTH LITERACY & NAVIGATION (Health Care Access): In Milwaukee County, 20% of adults reported poor health. 11% reported having unmet medical needs. Explanation: The Milwaukee Health Care Partnership, the United Way of Greater Milwaukee, Community Advocates, Milwaukee AHEC and a number of other community organizations are working to increase awareness of health services and health seeking behaviors among low income individuals. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Part V, Line 13b:In alignment with the Froedtert Health financial assistance policy Froedtert Memorial Lutheran Hospital reserves the right to review each application for financial assistance on its own merits and to consider other extenuating circumstances in the decision to approve or deny a patient's application for financial assistance. The applicant's gross family income will be compared to the annual Federal Poverty guidelines set forth by the U.S. Department of Health and Human Services. A patient who has an annual gross income equal to or less than 400% of the current year's poverty guidelines will not pay more than 15% of their annual gross income on any single account during the approved eligibility timeframe. Patients who meet the requirements and have a gross income equal or less than 200% of the FPL may qualify for a 100% discount. Patients who meet the requirements and have a gross income between 200% and 400% of the FPL may qualify for a discount on a sliding scale. In addition to income, Froedtert Memorial Lutheran Hospital also takes certain assets into consideration. Assets protected from financial evaluation include a portion of a household's retirement assets, cash, savings assets and home equity.Part V, Line 13h:Out of Pocket Maximum Discount Part V, Line 16i - Other Means Hospital Facility Publicized the Policy A summary of the Financial Assistance Policy is available on the Froedtert Memorial Lutheran Hospital website. Part V, Line 20e - Other Actions Took Before Any Collection Actions We request additional documentation when an individual has submitted an incomplete financial assistance application. Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) In alignment with the Froedtert Health, Inc. financial assistance policy Froedtert Memorial Lutheran Hospital reserves the right to review each application for financial assistance on its own merits and to consider other extenuating circumstances in the decision to approve or deny a patient's application for financial assistance. The applicant's gross family income will be compared to the annual Federal Poverty guidelines set forth by the U.S. Department of Health and Human Services. A patient who has an annual gross income equal to or less than 400% of the current year's poverty guidelines will not pay more than 15% of their annual gross income on any single account during the approved eligibility timeframe. Patients who meet the requirements and have a gross income equal or less than 200% of the FPL may qualify for a 100% discount. Patients who meet the requirements and have a gross income between 200% and 400% of the FPL may qualify for a discount on a sliding scale. In addition to income, Froedtert Hospital also takes certain assets into consideration. Assets protected from financial evaluation include a portion of a household's retirement assets, cash, savings assets and home equity. Part I, Line 6a - Related Organization Community Benefit Report Froedtert Memorial Lutheran Hospital (FMLH) produces an annual community benefit report highlighting community benefit programs, patient impact stories and investments in the communities we serve. The report will be mailed, as in years previous, to partners in our Community, FMLH Leaders, FMLH Board of Directors, elected officials, business leaders and other community members. A copy of the report can be found on our website at www.froedtert.com/community-engagement. Part I, Line 7 - Explanation of Costing Methodology Charity Care and certain other community benefits costs were determined by using internal information to reduce the various activities to cost. We present cost information consistently in the different venues that it appears.Froedtert Memorial Lutheran Hospital reports accounts receivable for services rendered at net realizable amounts from third-party payers, patients, and others. Froedtert Memorial Lutheran Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions and trends.The ratio of patient care cost to charges is applied to the bad debt attributable to patient accounts to calculate the estimated cost of bad debt attributable to patient accounts that is reported on line 2. Discounts and payments on patient accounts are recorded as an adjustment to revenue, not bad debt expense. As a not-for-profit, emergency medical care and other medically necessary care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies bad debts as a community benefit. Part I, Line 7, Column F - Explanation of Bad Debt Expense Our total expense from Form 990, Part IX, line 25, column (A) was $1,230,305,526. Bad debt expense is included in Form 990,Part VIII, lines 2a-2c as required by ASU 2011-07, Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities. Therefore bad debt expense is not included on Part IX, Statement of Functional Expenses, Line 25, column (A). Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Froedtert Memorial Lutheran Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions and trends. The ratio of patient care cost to charges is applied to the bad debt attributable to patient accounts to calculate the estimated cost of bad debt attributable to patient accounts that is reported on line 2. Discounts and payments on patient accounts are recorded as an adjustment to revenue, not bad debt expense. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit The financial assistance policy allows for accounts in bad debt to be approved for financial assistance if the patient meets the criteria. There are possible financial assistance accounts in bad debt, although the exact percentage is unknown as we do not have the appropriate tools to determine this percentage accurately. Part III, Line 4 - Bad Debt Expense Patients accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectability of patients accounts receivable, Froedtert Health, Inc. (FH) analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, FH analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), FH records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.FH recognizes patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, FH recognizes revenue on the basis of its standard rates for services provided (or on the basis of discounted rates, if negotiated or provided by policy). On the basis of historical experience, a significant portion of FHs uninsured patients will be unable or unwilling to pay for the services provided. Thus, FH records a significant provision for bad debts related to uninsured patients in the period the services are provided.See also page 28 and 29 of attached financial statements. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Froedtert Memorial Lutheran Hospital does not limit the care available to any patients, including those covered by Medicare. Froedtert Memorial Lutheran Hospital receives Medicare reimbursement intended to cover care for the medically indigent patients reflected in Part I. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients In alignment with the Froedtert Health, Inc. Financial Assistance policy and Credit and Collection policy regarding the billing, collection and support for patients with payment obligations, Froedtert Memorial Lutheran Hospital makes every effort to adhere to the policy and is committed to implementing and applying the policies for assisting those patients who may qualify for Financial Assistance in a professional and consistent manner. Staff members who work closely with patients such as Patient Financial Services Customer Service and Financial Counseling staff, as well as those involved in billing and collections are trained about these policies with an emphasis on treating all patients with dignity and respect regardless of their insurance or their ability to pay for services. Other staff who may have interactions with patients, such as Admitting staff are also aware of the policy, and able to provide patients a copy of an application upon request and also are committed to treating patients with dignity and respect regardless of their insurance or their ability to pay for services. Part VI - Needs Assessment In January, 2013 Froedtert Memorial Lutheran Hospital collaborated with JKV Research, LLC along with Aurora Health Care, Childrens Hospital of Wisconsin, Columbia St. Marys Health System, and Wheaton Franciscan Healthcare to conduct a Community Health Needs Assessment (CHNA) in Milwaukee County. The research from the needs assessment provides valuable behavioral data, lifestyle habits, and the prevalence of risk factors and disease conditions of Milwaukee County residents. CHNA Overview/Objectives Gather specific data on behavioral and lifestyle habits of the adult population. Gather data on the prevalence of risk factors and disease conditions existing within the adult population. Compare health data of residents to previous health studies. Compare, where appropriate and available, health data of residents to national and state measurements. CHNA Methodology: 1,970 telephone interviews completed between June 20 and November 7, 2012 Two-fold Sampling 1) A random-digit-dial landline sample of telephone numbers which included listed and unlisted numbers. The respondent within each household was randomly selected by computer based on the number of adults in the household (n=1,428). 2) A cell phone-only sample where the person answering the phone was selected as the respondent (n=542). At least 8 attempts were made to contact a respondent in both samples. Screener questions verifying location were included. All data post-stratified by age and gender of adult residents as of 2010 census proportions. Margin of error: 2%Forty-one individual key informant interviews were conducted in Milwaukee County. Of note, ten public health officers participated in the interviews as key informants. In addition, five group interviews were also conducted using the same interview schedule.Following extensive interviews with key community stakeholders, findings from the assessment were categorized into eight areas: Access to Health Care & Health Insurance Coverage, Oral Health Care Services, Behavioral Health Services, Infant Mortality, Sexual Health, Chronic Disease and Obesity, Nutrition and Physical Activity. Of those eight health needs categories, five were identified as the focus for community outreach activities in 2013 through 2016. The most critically documented health needs were identified: Behavioral Health Access to Health Care Services Physical Activity/Overweight and Obesity/Nutrition Health Insurance coverage Infant Mortality.In April 2013, Froedtert Memorial Lutheran Hospital convened the Community Health Improvement Advisory Committee. With particular expertise in public health, population health, wellness and process improvement, the members of this committee provide guidance to Froedtert Hospitals community benefit plan for the development and monitoring of the Implementation Strategy. The advisory committees role is to determine the top health priorities in the county and create an implementation plan to address community and health needs for Milwaukee County, beginning initiatives in Wauwatosa and Washington Park Neighborhoods due to its proximity to the hospital as well as Froedtert s long-standing investment in the Washington Park neighborhood a high needs zip code. This plan will be further expanded to other sections of the primary service area between 2013 and end of 2015.Through the work of the Community Health Improvement Advisory Committee, the following priorities have been determined:- Access to Care- Nutrition- Physical Activity- Health Insurance Coverage- Injury & Violence Prevention Part VI - Patient Education of Eligibility for Assistance Froedtert Memorial Lutheran Hospital informs and educates patients regarding financial assistance and government program eligibility in a number of ways. Its communication efforts also address special needs of patients and their families, such as hearing or visual impairment or language interpretation.Information on hospital-based financial support policies and government programs are made available to patients during the pre-registration and registration processes through brochures, signage and direct contact with financial counselors, social workers / case managers and registration staff. Patient billing statements also inform patients that financial assistance is available. The Froedtert Health, Inc. website contains information regarding pricing, how to understand your hospital bill, and how to apply for Financial Assistance. Froedtert Memorial Lutheran Hospital has made financial assistance forms and information available in Spanish. Financial counselors screen uninsured patients for government program eligibility and social services staff are available to assist patients with enrollment processes. Patients who are uninsured, those covered by government programs and those with limited financial means may also be eligible for charity care or discounts through the Froedtert Memorial Lutheran Hospital's financial assistance program. Financial counselors make every effort to determine a patient's eligibility prior to or at the time of admission or service. However, determination for financial assistance can be made during any stage of the patient's stay after stabilization, or the collection cycle. Part VI - Community Information Since 1980 Froedtert Memorial Lutheran Hospital has been part of a critical initiative to improve the health of our Community. As the regions Academic Medical Center and only Level I Trauma Center, Froedtert Memorial Lutheran Hospitalss primary service area is comprised of five counties: Ozaukee, Milwaukee, Waukesha, Washington and Racine. Community Memorial Hospital of Menomonee Falls and St. Josephs Community Hospital, part of the Froedtert Health System, are able to care for patients within the Waukesha and Washington County areas relying on Froedtert Memorial Lutheran Hospital for higher acuity care. Froedtert Memorial Lutheran Hospital focuses on urban, low income, uninsured and medically underserved populations, most of whom reside in Milwaukee County, which comprises the largest concentration of zip codes with the highest needs. As such, Froedtert Memorial Lutheran Hospital has made concerted efforts to begin focus on those neighborhoods in our back yard: Wauwatosa and Washington Park.In partnership with Progressive Community Health Centers, Froedtert Memorial Lutheran Hospital has invested a place-based health improvement strategy in this neighborhood for ten years. Part of the urban poverty corridor, this neighborhood is home to a large vulnerable population, as well as a number of valuable community assets to address the social determinants of health.Located in the City of Wauwatosa, Froedtert has a strong relationship with the local health department and other community organizations that are working to improve health and quality of life. Household Income Five-County Milwaukee High NeedsCY15 Service Area1 County Zip Codes2Under $25,000...........22.97%......29.60%......40.96%$25,000 - $49,999.......23.87%......26.68%......28.54%$50,000 - $99,999.......31.72%......29.21%......23.05%$100,000 and up.........21.44%......14.51%...... 7.45%Total Households.......715,270.....390,656.....150,648 Ethnicity CY15 White....................73.79%......59.84%.....30.13%African American.........16.04%......26.75%.....51.92%Asian/Hawaiian/Pacific Islander......... 3.04%...... 3.72%..... 3.82%Native American.......... 0.55%...... 0.75%..... 0.80%Two or more races........ 2.53%...... 3.20%..... 3.78%Other.................... 4.06%...... 5.74%..... 9.55%Total Population..... 1,789,814.... 960,227....419,294 Hispanic 3...............10.46%......14.28%.....21.02%Total Population......1,789,814.....960,227....419,294 Payer Source FY14 Commercial/Managed Care....................27.22%.......22.16%.....15.27%Medicare................50.32%.......48.87%.....40.92%Medicaid................16.87%.......22.58%.....35.64%Other Government........ 0.83%....... 0.66%..... 0.43%Other Self Pay.......... 4.76%....... 5.72%..... 7.74% Part VI - Community Building Activities To promote the health of our communities, Froedtert Memorial Lutheran Hospital participates in numerous community building activities that are not included in Part I of Schedule H. There activities include:1. Community support: Participation in local emergency preparedness and contributions to public safety programs to increase safe neighborhoods.2. Coalition building: funding of the Milwaukee Healthcare Partnership, a public / private partnership working to expand coverage, access and care coordination for Milwaukees uninsured and underinsured populations.3. Workforce development: support for diversity recruitment as well as career development programs with local schools in order to train the next generation of medical and working professionals in our local area. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Froedtert Memorial Lutheran Hospitals Community Benefit programming and health improvement activities are supported through staff resources, budgeted dollars for programming and community partnerships. Community Health Education ProgramsFroedtert Memorial Lutheran Hospital regularly schedules educational classes, workshops and screenings for the community. The services offered are readily accessible to the general public and are free of charge. These programs provide information on a variety of health concerns including chronic disease prevention / management and updates on the newest medical technology and medical research. In addition, Froedtert Memorial Lutheran Hospital offers a speakers bureau that is a free service to the community. Community Health ScreeningsFroedtert Memorial Lutheran Hospital offers free blood pressure and diabetes screenings, free or low-cost screenings for breast, prostate, skin, head and neck and colorectal cancers as well as a variety of other health assessments. In fiscal year 2015, Froedtert Memorial Lutheran Hospital conducted community education programs and health screenings for more than 17,000 people. Forever ChangedAs a response to both local and national community health needs, the staff of the Level I Trauma Center at Froedtert Memorial Lutheran Hospital is committed to injury prevention throughout our community. In an effort to reduce traffic-related injuries and deaths among teens, the Trauma Program created Forever Changed, a program aimed at high school students. The program, features a mock car crash, takes a serious look at teenage drinking, driving and risk-taking behaviors. Coordinated by Trauma Program staff, Forever Changed also includes involvement from emergency response services in southeastern Wisconsin including Flight for Life, local police and fire departments and medical examiners. In 2015, Forever Changed was conducted at two different high schools within Milwaukee and Waukesha counties presenting to approximately 2800 students.Froedtert & The Medical College of Wisconsin Community Conference Center The Community Conference Center offers a community health education center that is available for community and support groups at no cost. Froedtert Memoiral Lutheran Hospital sponsors more than 40 support groups, and provides meeting space for a variety of community events. Its wide variety of programs, activities, equipment and services provide the tools needed for the health and wellness of families in our communities. Milwaukee Health Care PartnershipFroedtert Memorial Lutheran Hospital is an active member of the Milwaukee Health Care Partnership, a public private consortium dedicated to improving care for under-served populations in Milwaukee County. The Partnership includes the five Milwaukee-based health systems, four Federally Qualified Health Centers (FQHCs), the Medical College of Wisconsin; Milwaukees and the city, county and state health departments. Specialty Access for the Uninsured Program (SAUP) & ED to Medical home programsThe ED to Medical Home initiative, in collaboration with the Milwaukee Health Care Partnership, helps connect Emergency Department patients with primary care, medical homes. Intake coordinators in safety net clinics have been added to follow up with patient appointments scheduled in the ED and help establish those patients for ongoing primary care. The health systems have also enhanced the role of ED cast managers in transition care management for this patient population. In fiscal year 2015 over 1200 health home referrals were secured through Froedterts Emergency Department program with 63% of those patients presenting for those appointments.The Specialty Access for the Uninsured Program (SAUP) recognized the need for specialized care that may not be available for patients at a Community Clinic. Patients are referred from their FQHC, meeting financial requirements, and the cost of their specialty care is covered under the SAUP program HWPP grant through the Milwaukee Health Care Partnership. Froedtert Memorial Lutheran Hospital received 41 referrals to our specialists for a complete continuum of care. Due to the ACA reforms, SAUP referrals have decreased. Physician RetentionIn fiscal year 2015, Froedtert Memorial Lutheran Hospital provided more than $68 million to support medical education and training for future health care professionals. In partnership with the Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital provides medical resident opportunities for more than 750 physicians in residency and fellowship training programs where they can learn from expert faculty and have access to leading-edge resources. As the only Academic Medical Center in south eastern Wisconsin, Froedtert Memorial Lutheran Hospital provides internship and preceptor program guidance and training to over 1600 students in the following areas: Allied Health, Pharmacy, Nuclear Medicine, and Registered Nursing (including Advanced Practice). Froedtert Memorial Lutheran Hospital also has its own School of Radiology, a two-year program. In fiscal year 2015, 66 radiology technicians continued their education through this program. Medical Transportation Program:The Medical Transportation Program at Froedtert Memorial Lutheran Hospital is a direct line budgeted program which provides transportation to and from the outpatient locations for eligible persons (200% federal poverty level or below) who have difficulty arranging their own transportation and lack the financial resources to purchase transportation. In 2015, Froedtert Memorial Lutheran Hospital provided 1416 rides to people who needed transportation to receive their health care. Froedtert Memorial Lutheran Hospital Social Services department provided approximately $117,000 for Ambulance, Cab and Bus transportation services in fiscal year 2015. ACA Insurance Marketplace and Enrollment Assistance:Froedtert Health, Inc. (parent company of Froedtert Memorial Lutheran Hospital) recognized the need to help individuals navigate the new choices available to them through the Affordable Care Acts Insurance Marketplace and Medicaid reforms. Our network of certified application counselors assisted 797 individuals in enrollment in Medicaid and 29 individuals into a Marketplace Insurance Plan. In addition, our certified application counselors answered thousands of phone calls and assisted with questions. Additionally, Froedtert Memorial Lutheran Health partnered with the Milwaukee Enrollment Network which represented health systems, free clinics, health departments and other non-profit organizations to reach out to people throughout Milwaukee, Washington and Waukesha Counties in securing adequate and affordable health insurance. United Way Employee Giving CampaignFroedtert Memorial Lutheran Hospital collaborates with the United Way of Greater Milwaukee as well as the United Performing Arts Fund to address basic needs in the community, developing self-reliance, strengthening communities and its support. Froedtert Memorial Lutheran Hospital hosts an annual workplace giving campaign to support all the local United Ways. Close to 125 hours were spent coordinating the FY15 campaign. In addition to the employee campaign, Froedtert Memorial Lutheran Hospital matches donations up to $10,000.Victory Garden InitiativeFroedtert Health, Inc., the parent of Froedtert Memorial Lutheran Hospital, partnered this year with the Victory Garden Initiative (VGI) to create 29 raised bed gardens in and around the neighborhoods surrounding the hospital. In addition funding was provided to VGI to help install and build over 500 raised bed gardens and help over 2000 families learn about and grow their own food, which is a natural fit with the community health improvement initiative of nutrition and physical activity. Bradley Tech TernsThrough a unique two-year program called tech terns 18 students from Bradley Tech high School in Milwaukee finished learning about building design, construction and health care operation in the classroom and on-site of a major construction project at Froedtert hospital. The program leads believe this is a first such career pathway development program in the country. Experts in the field develop the curriculum for each quarters visit, coordinating classroom work with the progress of the building. School Nurse ProgramThe School nurse Initiative is collaboration between Froedtert Memorial Lutheran Hospital, Milwaukee Public School and Progressive Community Health Center, the FQHC in our neighborhood. Froedtert Memorial Lutheran Hospital provides a full-time school nurse for students at Westside Academy I&II, a K-8 Milwaukee Public School charter school, serving 500 students and their families offering care for chronic disease as well as case management during the school year. With the help of the school nurse program, Westside Academy ended the 2014-15 school year with 92% school attendance, 96% return to class rate Part VI - Affilated Health Care System Roles and Promotion AFFILIATED HEALTH CARE SYSTEM: Froedtert Memorial Lutheran Hospital is the major teaching affiliate of The Medical College of Wisconsin(the Medical College). The other two significant teaching affiliates of The MedicalCollege are the Clement J. Zablocki VA Medical Center and Children's Hospital of Wisconsin, which is located adjacent to Froedtert Memorial Lutheran Hospital. The affiliation agreement between The Medical College and Froedtert provides for joint programs in health care education, health-related research, and health services. The Medical College places approximately 750 full-time equivalent residents and fellows at Froedtert. The benefits of this collaboration also extend to the partners of Froedtert Health, as Medical College physicians practice at Community Memorial and St. Josephs hospitals. Froedtert & The Medical College of Wisconsin Community Physicians, Inc. is built on the existing partnership between southeastern Wisconsins only academic medical center and our community clinics and hospitals. Our unique academic-community partnership allows us to provide the most appropriate and comprehensive care to all patients. Patients may prefer to receive care close to home therefore our integrated network of health care comprises more than 30 clinics and 250 physicians across seven counties. This partnership offers residents of southeastern Wisconsin greater access to the deep expertise of MedicalCollege doctors while preserving important relationships with physicians in theirown communities. With a profound commitment to medical education and research, the Medical College is a major national research center. Through collaborations with Medical College research scientists located on campus and colleagues at the nations other academic medical centers; our physicians are at the forefront of medical discovery. Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls, and St. Josephs Community Hospital made significant investments in the health of their communities. Patients who couldnt pay for their medical care received more than $95.8 million in uncompensated services. Beyond providing carefor the poor, we contributed $81.6 million to improve access to care, teach futurehealthcare professionals, develop new medical therapies and participate in localpartnerships aimed at reducing health disparities.Froedtert Health, Inc. members develop community benefit strategies and goals based on the unique needs of each of their communities. By conducting regular community needs assessments that monitor critical public health issues, and actively seeking community input, the hospitals have built important local relationships that provide meaningful outreach programs that link each hospital to their neighbors and patients. As a not-for-profit health system, Froedtert Health, Inc. reinvests its surplus funds back into the community through programs to serve the poor and uninsured, teach future healthcare professionals, develop new medical therapies, manage chronic conditions like diabetes, health education and promotion initiatives, and participate in local partnerships aimed at reducing health disparities. For more information about Froedtert Health, Inc., visitwww.froedtert.com.PROMOTION OF COMMUNITY HEALTH: Community Health Improvement Advisory CommitteeWith particular expertise in public health, population health, wellness and process improvement, the members of this committee provide guidance to Froedtert Hospitals community benefit plan for the development and monitoring of the Implementation Strategy. Members include:MCW Faculty, Progressive Community Health Center, Executive and VP leadership at Froedtert Memorial Lutheran Hospital, Wauwatosa Health Department, Outreach Community Health Center, Milwaukee Muslim Womens Coalition, Milwaukee County Department on Aging, Milwaukee Achiever Literacy Services, Core/El Centro, Christ the King Baptist Church, Milwaukee County Sheriffs Department, IndependenceFirst, American Heart AssociationThe responsibilities of the Community Health Improvement Advisory Committee include: Support the mission of Froedtert Memorial Lutheran Hospital and the health system. Be an advocate for community health improvement. Contribute talents and resources to reduce health disparities. Review the community health needs assessment. Provide feedback and input into the development of the implementation strategy and priorities. Serve as an advisory body to the Community Engagement Department and the hospital to assure that our services are accessible and culturally appropriate. Serve as a conduit for your constituent members, communities and neighborhoods about emerging health needs and concerns.Board of Directors:The Board of Directors is made up of medical and business professionals, all of whom reside in the hospital's primary service area. They are dedicated to leveraging the benefits of our community-academic mission and focus on research. They value the unique character and needs of the patients and communities we serve and the physicians who provide specialty care. Froedtert Memorial Lutheran Hospitals Board of Directors demonstrates our commitment to quality and service while managing costs. The Board of Directors will provide annual review, guidance and ultimately adopt the Implementation Plan and CHNA Strategy. Part VI - States Where Community Benefit Report Filed WI Part V - Explanation of Number of Facility Type Froedtert Memorial Lutheran Hospital is the only facility listed under this reporting of the IRS Form 990, Schedule H. X true true X X X X X false true false false false false false false false false Anderes Michael VP-Clin&Supp Svc 207389 49510 607 43955 35980 337441 Bechtel Kathleen Dir&VP Pt Care 288278 63549 2947 56532 20144 431450 Buck Catherine J Dir&Pres 551660 200343 23372 186629 32134 994138 Eastham Catherine Mode BOD Secretary 353183 101315 25967 128246 45130 653841 Fischer Lynn E VP-Service Lines 265462 58433 4524 53109 17981 399509 Gray D Allan VP Periop Svcs 247500 80206 12713 24389 364808 Hawig Scott CFO 524203 245310 18684 175943 29810 993950 Jacobson Catherine A Dir&FH Pres/CEO 974244 532166 1576 380669 33480 1922135 Leevan Yakira CRNA-Anesthesia 170478 142538 791 7313 27841 348961 McPike Linda BOD Secretary 211086 20357 943 11434 6183 250003 Pierce Deborah Coor-Sur/Transplan 231112 7000 1792 14889 14791 269584 Van De Kreeke Jeffrey Treasurer 308086 72618 26779 88158 12893 508534 Part I, Line 1a: Relevant information in regards to selections on 1a. Health club dues:Buck, Catherine - $120Leevan, Yakira - $120 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. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Medical Education: Froedtert Hospital is the major teaching affiliate of The Medical College of Wisconsin. The affiliation agreement between The Medical College and Froedtert Hospital provides for joint programs in health care education, health-related research, and health services. The Medical College places approximately 333 full-time equivalent residents at Froedtert Hospital.Substantially all patient encounters at Froedtert Hospital are teaching related. Froedtert Hospital is utilized in The Medical College's residency programs in anesthesiology, dermatology, diagnostic radiology, endocrinology/metabolism, general surgery, internal medicine, nephrology, neurological surgery, neurology, oral and maxillofacial surgery, otolaryngology, pathology, plastic and reconstructive surgery, pulmonary medicine, transplant surgery, urology and emergency medicine, allergy and immunology, cardiology, geriatrics, gastroenterology, hematology/oncology, infectious disease, nuclear medicine, obstetrics and gynecology, ophthalmology, orthopedic surgery, physical medicine and rehabilitation, psychiatry, radiation oncology, thoracic surgery, trauma surgery, and vascular surgery. Froedtert Hospital supports continuing medical education. All of the medical services provide continuing medical education for the staff, residents, and students. Scientific conferences are held on a weekly basis for most services. The Medical College faculty members, who comprise the majority of the Medical Staff of Froedtert Hospital, frequently serve as directors of continuing medical education programs for other hospitals within the State of Wisconsin and the surrounding region.In addition to the affiliation with The Medical College, Froedtert Hospital maintains educational affiliations with a number of other institutions, including Alverno College, Cardinal Stritch University, Carroll College, Marian University, Marquette University, Milwaukee Area Technical College, Milwaukee School of Engineering, Mount Mary College, University of Wisconsin System (UW Milwaukee and UW Oshkosh), and Waukesha County Technical College. Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Catherine Buck, Catherine Jacobson, Jeffrey Van De Kreeke and Norman Barrientos business relationshipCatherine Eastham, Cathy Jacobson, & Scott Hawig - business relationship Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Froedtert Health, Inc. is the sole corporate member of Froedtert Memorial Lutheran Hospital, Inc. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Froedtert Health, Inc., as the sole corporat member of Froedtert Memorial Lutheran Hospital, Inc. has the final approval of election of all board members. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Frodtert Health, Inc., as the sole corporate member of Froedtert Memorial Lutheran Hospital, has certain reserved powers and authorities with respect to the operations and management of Froedtert Memorial Lutheran Hospital, as set forth in Froedtert Memorial Lutheran Hospital's bylaws. Form 990, Part VI, Line 11b: Form 990 Review Process Froedtert Health, Inc. accounting staff prepare Form 990 which is reviewed by Froedtert Health, Inc.'s financial leaders and legal counsel. 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, 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 person making the disclosure shall be relieved of his/her obligations on behalf of Froedtert Memorial Lutheran Hospital with respect to the transaction or arrangement that creates the conflict of interest. A report of all conflicts of interest will be made by the CCO at least annually to the Froedtert Health, Inc. Finance Committee of the Board of Directors. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation of Top Management is paid by a related organization but a review is performed. In establishing the compensation of the organization's Top Management, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, persons with a conflict of interest regarding the compensation arrangements at issue are not involved in the decision making process, and amounts are reviewed and approved by the Compensation Committee of the Froedtert Health, Inc. (the related organization) Board of Directors.In addition, there is contemporaneous documentation and recordkeeping 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. Other Changes In Net Assets Or Fund Balances - Other Decreases BASE Change in APB other than net periodic benefit = -$1164067 Other Changes In Net Assets Or Fund Balances - Other Decreases Capital Contributions = -$1208766 Other Changes In Net Assets Or Fund Balances - Other Increases Change in FHF Interest = $1178037 Other Changes In Net Assets Or Fund Balances - Other Increases PRM Change in APB other than net periodic benefit costs = $126407 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfers to affiliates = -$73703968 Other Changes In Net Assets Or Fund Balances - Other Increases Unrealized Gain/Loss on Debt = $1400508 Other Changes In Net Assets Or Fund Balances - Other Decreases URMS Change in APB other than net periodic benefit = -$37162 Other Changes In Net Assets Or Fund Balances - Other Decreases Write off FHF Receivable = -$314327 Part III 4b (continued) Heart and Vascular Center. The Heart and Vascular Center provides a complete range of specialized programs to diagnose and treat heart disease and vascular disease from the common to the complex. They offer all types of treatments interventional procedures, minimally invasive surgery and heart surgery to treat a wide range of heart and vascular conditions. Our physicians are highly skilled and experienced in performing state-of-the act procedures for all types of heart and vascular problems, including complex cases. Many procedures can be performed using minimally invasive surgery, without opening the chest to reach the heart. Innovative programs include: Adult Congenital Heart Disease, Advanced Heart Failure & Cardiac Transplant, Aortic Disease, Arrhythmia & Atrial Fibrillation, Comprehensive Vein Clinic, Coronary Artery Disease, Hereditary Hemorrhagic Telangiectasia, Hypertrophic Cardiomyopathy, Preventive Cardiology & Lipid Therapy, Peripheral Arterial Disease, Pulmonary Hypertension, Valvular Disease, Venous & Vein Disease, Women & Heart Disease and Vascular and Cardiac Second Opinion Program. Care is provided in a number of outpatient areas and supported by inpatient care in the Cardiac "Step-Down" Nursing Unit and Cardiac Intensive Care Unit. The Center is staffed by Cardiologists, Cardiac Surgeons, Vascular Surgeons and Interventional Radiologists. We are the first health system in the nation to implement SMARTCare which is a program linking evidence-based tools and resources with electronic health records to help determine the most effective options for cardiac patients. The program enhances the shared-decision making process, reduces unnecessary diagnostic testing, and improves quality metrics. Some distinctions for our Heart and Vascular Center are as follows:- Froedtert Hospital is one of only three providers in the state that meets The Joint Commissions stringent volume and clinical quality requirements in order to be awarded the Gold Seal of Approval for their Adult Ventricular Assist Device (VAD) Destination Therapy Program.- The Heart and Vascular Centers at Froedtert Hospital is designated as a Blue Distinction Center for Cardiac Care by Blue Cross Blue Shield. Recognized centers meet overall quality measures for patient safety and outcomes, developed with input from the medical community.- The Froedtert & the Medical College of Wisconsin Hereditary Hemorrhagic Telangiectasia (HHT) Program at Froedtert Hospital is one of only 17 in the country designated by the HHT Foundation as a Center of Excellence. Centers meet guidelines established by the foundation and provide a coordinated team of experts to treat patients with HHT.- The echocardiography lab at Froedtert Hospital received triple accreditation from the Intersocietal Commission for the Accreditation of Echocardiography Laboratories. The certification means the lab meets standards for transthoracic echo, stress echo and transesophageal echo procedures.- The Pulmonary Hypertension Program is the only one in Wisconsin accredited as a Pulmonary Hypertension Care Center by the Pulmonary Hyerptension Association. Our exceptional, board-certified physicians and other team members are dedicated to improving the quality of life for individuals affected by pulmonary hypertension in all of its forms.Women's Health. Froedtert offers comprehensive programs to meet the needs of women of all ages. The span of services includes a Birth Center with easy access to the Children's Hospital of Wisconsin Neonatal Intensive Care Unit and a Maternal Fetal Center that provides specialized care for women experiencing all types of high risk pregnancies. In collaboration with Children's Hospital of Wisconsin, Froedtert offers the Fetal Concerns Program, the state's only program for fetal anomalies, such as birth defects and genetic disorders. Froedtert also offers reproductive medicine/fertility services and maintains a comprehensive Breast Care Program. Froedtert had 2,239 births during the twelve months ended June 30, 2015.Pulmonary and Critical Care Medicine. Physicians in this division evaluate and treat people with a range of disorders including: asthma, emphysema, infectious lung diseases, lung cancers, chronic obstructive lung disease, pulmonary hypertension and many others. Froedtert was among the first in the nation to use PET/CT imaging technology for early detection of cancerous lung tumors. Froedtert established a fully accredited adult cystic fibrosis center in 2003. A pulmonary function diagnostic laboratory provides complete services for evaluation, diagnostic and follow-up studies. Froedtert has 5 intensive care units with 79 beds.Surgery. Comprehensive surgical services are provided at Froedtert, including tertiary surgical services in cardiothoracic, minimally invasive/gastrointestinal (including bariatric), oral/maxillofacial, pancreatobiliary/endocrine, surgical oncology, transplant, trauma and critical care, and vascular surgery. The surgery program actively participates in ongoing research through its Clinical Research Initiative. Froedtert performed 8,738 inpatient surgeries and 11,744 outpatient surgeries during the twelve months ended June 30, 2015.Transplant Surgery. Our Transplant Center is a joint program with Childrens Hospital of Wisconsin. The center receives vital support for tissue typing and research initiatives from BloodCenter of Wisconsin. The Center offers a full range of transplant services for adult and pediatric patients, including kidney, living donor kidney, paired kidney exchange, liver, living donor liver, pancreas, heart, lung and bone marrow transplants. The Organ Transplantation Institute's multidisciplinary approach draws upon the broad range of resources and expertise available through a variety of specialties within our campus. As an academic medical center, we are at the forefront of new developments and information, and we can help patients explore all available treatment options. We offer education classes for potential transplant patients and their families as well as for medical personnel in the community and work closely with Wisconsin Donor Network, the federally designated organ procurement organization supporting the transplant community in eastern Wisconsin. Froedtert performed the following transplants during the twelve months ended June 30, 2015:Heart 11Lung 15Kidney 83Liver 36Pancreas 4 Blood and marrow 253 Part IX 24a Corporate Allocations Froedtert Health, Inc. allocates certain revenues and expenses to related organizations: Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls, St. Joseph's Community Hospital, and Froedtert & The Medical College of Wisconsin Community Physicians, Inc.. The allocation is calculated by applying an allocation metric to each accounting unit at Froedtert Health, Inc. Each entity then receives its portion of the Froedtert Health, Inc. allocation on a monthly basis. 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