FURP.ORG / PUBLIC DATA EXPLORER

FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC (EIN 27-2042610)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-08
IRS object ID
201411289349301901
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-08T11:31:35-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1191 W Nationwide Blvd Suite 500AddressLine1
CityColumbusCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN272042610EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Froedtert Physician PartnersBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFROENameControl
Phone4147777966Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1N74 W12501 Leatherwood CtAddressLine1
CityMenomonee FallsCity
StateWIState
ZIP Code53051ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameScott R HawigName
TitleCFOTitle
Date Signed2014-05-08DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJacobson CatherineNameOfPrincipalOfficerPerson
Gross Receipts57768165GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.froedtert.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2010YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionFroedtert Health will advance the missions of its members, including Froedtert Physician Partners, and in collaboration with physicians and others, will enhance the well being of the individuals and communities it serves.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees466TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year49237726ProgramServiceRevenuePriorYear
Program Service Revenue CY51226509ProgramServiceRevenueCY
Investment Income Prior Year-21397InvestmentIncomePriorYear
Investment Income Current Year69338InvestmentIncomeCurrentYear
Other Revenue Prior Year1978485OtherRevenuePriorYear
Other Revenue Current Year6467118OtherRevenueCurrentYear
Total Revenue Prior Year51194814TotalRevenuePriorYear
Total Revenue Current Year57762965TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year37186174SalariesEtcPriorYear
Salaries Etc Current Year37391587SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year26562648OtherExpensePriorYear
Other Expenses Current Year42562947OtherExpensesCurrentYear
Total Expenses Prior Year63748822TotalExpensesPriorYear
Total Expenses Current Year79954534TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-12554008RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-22191569RevenuesLessExpensesCY
Total Assets BOY13980071TotalAssetsBOY
Total Assets EOY17085316TotalAssetsEOY
Total Liabilities BOY11265842TotalLiabilitiesBOY
Total Liabilities EOY10251083TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2714229NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6834233NetAssetsOrFundBalancesEOY
Mission DescriptionFroedtert Health will advance the missions of its members, including Froedtert Physician Partners, and in collaboration with physicians and others, will enhance the well being of the individuals and communities it serves.Innovative community-academic partnerships;Excellence in care and service;Progressive medical research and education; andRelationships that respect and respond to the unique needs of others.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense28140628Expense
Revenue23092910Revenue
DescriptionFroedtert Physician Partner's specialty departments saw over 80,000 patient visits in FY13. Froedtert Physician Partners has over 25 specialty providers who provide services including areas such as Surgery, Behavioral Health, Cardiology, and several others.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense26122088Expense
Revenue21438294Revenue
DescriptionFroedtert Physician Partner's primary care departments saw over 135,000 patient visits in FY13. Froedtert Physician Partners has over 40 primary care providers who provide services in the areas of Family Medicine, Internal Medicine, OB/GYN, Pediatrics, and Walk-In Clinic.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8157402Expense
Revenue6695305Revenue
DescriptionFroedtert Physician Partner's ancillary departments saw over 115,000 patient visits in FY13. Froedtert Physician Partners provides ancillary services in the areas of Laboratory, Radiology, and Rehabilitation Services.Description
FieldValueIRS element (for citing)
Total Program Service Expense62420118TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees466NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDavid DirksmeyerNamePerson
Telephone Number4147770960TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1N74 W12501 Leatherwood CtAddressLine1
CityMenomonee FallsCity
StateWIState
ZIP Code530514490ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Todd Paul MD
Dir&Chair&Doct40.000.00XX732063041875
Timm Mark MD
Dir&Secr&Doctor65.000.00XX776650047691
Jacobson Catherine A
Dir&Treas1.0050.00XX01001826179860
Wolter Brian MD
Dir & Doctor1.0041.00X044151633717
Urlakis Kenneth MD
Dir & Doctor40.000.00X373454038996
Pruessing Peter
Director1.0042.00X054885935499
Olson David
Director1.0052.00X036092866767
Olafsson Eric MD
Dir & Doctor1.0070.00X071662540320
Marx Doug DO
Dir & Doctor50.000.00X507151038992
Kroener Susan DO
Dir & Doctor60.000.00X394062043129
Hoitink Chad MD
Dir & Doctor1.0050.00X072614038469
Herdrich Gary MD
Dir & Doctor1.0061.00X062552334295
Gvora Thomas MD
Dir & Doctor40.000.00X470941048907
Gibson Robert MD
Dir & Doctor1.0060.00X034195542049
Dozer David MD
Dir & Doctor1.0040.00X075656142967
Van De Kreeke Jeffrey
FH CFO1.0050.00X042872585514
Hawig Scott
FH CFO1.0050.00X022959710354
Hammer Todd MD
President1.0065.00X065790067259
Newman Randy
Administrator50.000.00275519064315X
Al-Wathiqui Mahmood
Doctor40.000.00725650040594X
Brodish Robert J
Doctor55.000.00739468047386X
Kashyap Kiran
Doctor40.000.00757097040156X
Mehdi Syed H
Doctor50.000.00886259041145X
Moss Kevin V
Doctor50.000.00493666041151X
Eastham Catherine
Former - Officer (Asst Secretary)0.0041.000394649107543X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7131980TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7230804TotalReportableCompFrmRltdOrgs
Total Other Compensation1318950TotalOtherCompensation
Number Individuals GT100 K68NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
West Bend Clinic Inc
1700 W Paradise DriveWest BendWI53095Orthopedic Services1291769
Milwaukee Urological SC
2350 N Lake Drive Ste 306MilwaukeeWI53211Urology Services481205
Medical College of WI
9200 W Wisconsin AveMilwaukeeWI53226Radiology Services5797400
Fleming Dermatopathology LLC
1661 N Water Street Ste 500MilwaukeeWI53202Medical Services208864
Amphion Medical Solutions LLC
8301 Escelsior Dr Ste 101MadisonWI53717Medical Servcies252902
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Specialty Care Services6219902309291023092910
Primary Services6211102143829421438294
Ancillary Services62199066953056695305
FieldValueIRS element (for citing)
Total Program Service Revenue51226509TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other74538Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other5200Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other69338Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column69338TotalRevenueColumn
Related Or Exempt Function Income69338RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Other operating income900099734321734321
Mgmt Fees90009912304191230419
Corporate Allocated Rev90009943242934324293

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column178085TotalRevenueColumn
Related Or Exempt Function Income178085RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6467118TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column57762965TotalRevenueColumn
Related Or Exempt Function Income57762965RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3991717Total
Management And General3991717ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total30824870Total
Program Services29655847ProgramServices
Management And General1169023ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total807148Total
Management And General807148ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1767852Total
Program Services1495508ProgramServices
Management And General272344ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total168698Total
Management And General168698ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10372939Total
Program Services9931270ProgramServices
Management And General441669ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total462633Total
Program Services178847ProgramServices
Management And General283786ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total37402Total
Program Services12912ProgramServices
Management And General24490ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7799800Total
Program Services7189774ProgramServices
Management And General610026ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total41371Total
Program Services25170ProgramServices
Management And General16201ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total190539Total
Program Services182742ProgramServices
Management And General7797ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1734202Total
Program Services1598569ProgramServices
Management And General135633ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total23945Total
Management And General23945ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Professional dues & licenses1175756405253523
Other Expenses209608-3942213550
Medical Supplies4761875474036521510
Corporate Allocations1662790373345769293327

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14457Total
Program Services14428ProgramServices
Management And General29ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total79954534Total
Program Services62420118ProgramServices
Management And General17534416ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2533303BOY
EOY614262EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4041103BOY
EOY4776768EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY60833BOY
EOY10250EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY55523EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY191969BOY
EOY39158EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12900850LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3578864LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5765127BOY
EOY9321986EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1387736BOY
EOY2267369EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13980071BOY
EOY17085316EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11265842BOY
EOY10251083EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11265842BOY
EOY10251083EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2714229BOY
EOY6834233EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2714229BOY
EOY6834233EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13980071BOY
EOY17085316EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-22191569ReconcilationRevenueExpenses
Reconcilation Other Changes26311573ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis351254OtherCostOrOtherBasis
Depreciation137578Depreciation
Book Value213676BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11189163OtherCostOrOtherBasis
Depreciation3441286Depreciation
Book Value7747877BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1360433OtherCostOrOtherBasis
Book Value1360433BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9321986TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Rounding2
457 (B) FMV adjustment2267367
FieldValueIRS element (for citing)
Total Book Value Other Assets2267369TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationFroedtert Health, Inc. (FH) 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, 2013 and 2012, FH does not have an asset or liability recorded for unrecognized tax positions.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Related OrgsBonusRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrg
Wolter Brian MD
Dir & Doctor43330282141347520242475233
Van De Kreeke Jeffrey
FH CFO291459272577347512039514239110009
Urlakis Kenneth MD
Dir & Doctor356126173281470024296412450
Todd Paul MD
Dir&Chair&Doct587476224071837523500773938122180
Timm Mark MD
Dir&Secr&Doctor758908177421592531766824341
Pruessing Peter
Director389157466411470020799584358113061
Olson David
Director2830652208373332943442769575655
Olafsson Eric MD
Dir & Doctor699070175551347526845756945
Newman Randy
Administrator20501310598387802553533983459908
Moss Kevin V
Doctor475424182421592525226534817
Mehdi Syed H
Doctor868017182421347527670927404
Marx Doug DO
Dir & Doctor490111170401470024292546143
Kroener Susan DO
Dir & Doctor376014180481592527204437191
Kashyap Kiran
Doctor739557175401347526681797253
Jacobson Catherine A
Dir&Treas6983734782150975288851181686298671
Hoitink Chad MD
Dir & Doctor708636175041347524994764609
Herdrich Gary MD
Dir & Doctor604933205901715017145659818
Hawig Scott
FH CFO2141505846103542399519601
Hammer Todd MD
President495826282174675020509725159133857
Gvora Thomas MD
Dir & Doctor453613173281592532982519848
Gibson Robert MD
Dir & Doctor33599959561715024899384004
Eastham Catherine
Former - Officer (Asst Secretary)28660624374735153402850219283669
Dozer David MD
Dir & Doctor738296182651347529492799528
Brodish Robert J
Doctor722140173281592531461786854
Al-Wathiqui Mahmood
Doctor706774188761592524669766244

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part III, Additional InformationPart III, Additional InformationPart II, Column (B)(ii): Bonus and incentive compensation amounts include incentive compensation and amounts paid to individuals in lieu of participation in 457(f) deferred compensation plan for the purchase of benefits.
Sch J, Part I, Line 1aPart I, Line 1a: Relevant information in regards to selections on 1a.Health club membership subsidy/discount is a benefits program applicable to all employees and is outlined in the benefit program documents. Country Club memberships for Executives are for business purposes only, with all expenses substantiated by receipts and approvals. All amounts are included in taxable compensation as required.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances - Other IncreasesTransfers from Affiliates = $28474225
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances - Other DecreasesCapital Contributions = -$2162652
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableFinancial Information: 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.Governing Documents and COI Policy: Documents are available to the public through the corporate office upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesIn establishing the compensation of the organizations CEO/Top Management, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, persons with a conflict of interest regarding the compensation arrangements at issue are not involved in the decision making process, and amounts are reviewed and approved by the Compensation Committee of the Board of Directors.In addition, there is contemporaneous documentation and recordkeeping for deliberations and decisions regarding the compensation arrangements.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOn an annual basis all officers, directors, trustees, key employees are required to complete a conflict of interest disclosure statement. The data is compiled, and the Froedtert Health 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 Physician Partners 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 Finance Committee of the Board of Directors.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessFroedtert Health, Inc. accounting staff prepare Form 990 which is reviewed by Froedtert Health financial leaders and legal counsel. The 990 is then reviewed by KPMG, Froedtert Health's outside accounting firm. Next, the 990 is provided to the Froedtert Health Finance Committee and Board of Directors. Finally, the 990 is filed as required.
Form 990, Part VI, Line 7bForm 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersFroedtert Health, Inc., as the sole member of Froedtert Physician Partners, Inc., retains certain reserved powers and authorities with respect to specific governance matters, and strategic and mission-related initiatives of Froedtert Physician Partners.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyFroedtert Health, Inc. (sole corporate member) elects 3 board members.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderFroedtert Health, Inc. is the sole member of Froedtert Physician Partners.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtTodd Hammer, Robert Gibson, Gary Herdrich, Chad Hoitink and Eric Olafsson - Business Relationship

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
St Josephs Community Foundation Inc
3200 Pleasant Valley RoadWest BendWI53095392034296Health and welfare promotionWI501(c)(3)Ln 11, Type 1St Josephs Community Hospital Incfalse
Community Memorial Foundation of MF Inc
W180 N8085 Town Hall RoadMenomonee FallsWI53051391635057Health and welfare promotionWI501(c)(3)Ln 11, Type 1Community Memorial Hospital of MF Incfalse
Froedtert Hospital Foundation Inc
9200 W Wisconsin AveMilwaukeeWI53226391431192Health, welfare, research & educ promoWI501(c)(3)Ln 11, Type 1Froedtert Memorial Lutheran Hospital Incfalse
West Bend Clinic Inc
1700 W Paradise DriveWest BendWI53095392034294Health care servicesWI501 (c)(3)3Froedtert Health Incfalse
Froedtert Health Inc
9200 W Wisconsin AveMilwaukeeWI53226392014409Managment ServicesWI501 (c)(3)Ln 11, Type 111nafalse
St Josephs Community Hospital
3200 Pleasant Valley RoadWest BendWI53095390806302HospitalWI501 (c)(3)3Froedtert Health Incfalse
Community Memorial Hospital of Men Falls
W180 N8085 Town Hall RadMenomonee FallsWI53051390987025HospitalWI501 (c)(3)3Froedtert Health Incfalse
Froedtert Memorial Lutheran Hospital Inc
9200 W Wisconsin AveMilwaukeeWI53226396105970HospitalWI501 (c)(3)3Froedtert Health Incfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Progressive Physician Network IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19200 West Wisconsin AvenueAddressLine1
CityMilwaukeeCity
StateWIState
ZIP Code53226ZIPCode
FieldValueIRS element (for citing)
EIN270367127EIN
Primary ActivityManagement ServicesPrimaryActivity
Legal Domicile StateWILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Froedtert Health IncBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSchedule R, Part V, Line 2Identifier
ExplanationAny transactions listed on Schedule R, Part V, Line 1 and not on Schedule R, Part V, Line 2 are between related 501(c)(3) organizations and therefore, are not reported in this section.Explanation