FROEDTERT HOSPITAL FOUNDATION INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- FROEDTERT HOSPITAL FOUNDATION INC (EIN 39-1431192)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-09
- IRS object ID
- 201211309349302171
- Schema version
- 2010v3.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-09T14:40:31-07:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 W Nationwide Blvd Suite 500 | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391431192 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Froedtert Hospital Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FROE | NameControl |
| Phone | 4147770929 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9200 West Wisconsin Ave | AddressLine1 |
| City | Milwaukee | City |
| State | WI | State |
| ZIP Code | 53226 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey Van De Kreeke | Name |
| Title | Sr VP Finance & CFO | Title |
| Date Signed | 2012-05-09 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Petasnick William D | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9200 W Wisconsin Ave | AddressLine1 |
| City | Milwaukee | City |
| State | WI | State |
| ZIP Code | 53226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 15876313 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.friendsoffroedtert.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | To develop and grow philanthropic resources to optimize the initiatives of Froedtert Hospital to improve patient outcomes. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 24 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 23 | NbrIndependentVotingMembers |
| Total Nbr Employees | 6 | TotalNbrEmployees |
| Total Nbr Volunteers | 23 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 3046202 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4306344 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 413062 | InvestmentIncomePriorYear |
| Investment Income Current Year | 678428 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -19063 | OtherRevenuePriorYear |
| Other Revenue Current Year | -150908 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3440201 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4833864 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 854104 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1452580 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 716815 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 876348 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 888507 | OtherExpensePriorYear |
| Other Expenses Current Year | 283519 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1742611 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2452914 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1697590 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2380950 | RevenuesLessExpensesCY |
| Total Assets BOY | 14859800 | TotalAssetsBOY |
| Total Assets EOY | 19165731 | TotalAssetsEOY |
| Total Liabilities BOY | 99685 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 250865 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 14760115 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 18914866 | NetAssetsOrFundBalancesEOY |
| Mission Description | To develop and grow philanthropic resources to optimize the initiatives of Froedtert Hospital to improve patient outcomes, with specific support for clinical research, clinical centers of excellence, patient care, and related capital, health and community health education programs. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1452580 | Expense |
| Grants | 1452580 | Grants |
| Revenue | 527520 | Revenue |
| Description | The Froedtert Hospital Foundation raises revenue to support various activities such as research and education relating to Froedtert Memorial Lutheran Hospital. | Description |
| Total Program Service Expense | 1452580 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 16 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 6 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | true | NonDeductibleContributions |
| Non Deductible Disclosure | true | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 24 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 23 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | David Dirksmeyer | NamePerson |
| Telephone Number | 4147770960 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | N74 W12501 Leatherwood Ct | AddressLine1 |
| City | Menomonee Falls | City |
| State | WI | State |
| ZIP Code | 53051 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| Trimble Betsy | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Smallwood Thomas L | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Sendik John B | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Scoville Randy L | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Schroeder Michael J | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Sale Nora | ||||||
| Dir & President | 50.00 | X | 0 | 201684 | 28611 | X |
| Rosenberg John S | ||||||
| Director&Chair | 1.00 | X | 0 | 0 | 0 | X |
| Ritchie Kip | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Petasnick William D | ||||||
| Director | 1.00 | X | 0 | 1302731 | 726685 | |
| Peirce Roger D | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| O'Connell Blaine J | ||||||
| Dir & FH CFO | 1.00 | X | 0 | 598091 | 32708 | X |
| Neuburg Marcy MD | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Metz Jeffrey | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Marcus David | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Lennon Jan | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | X |
| Lawlis-Schulz Joanne | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Johnson Geneva B | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Jacobson Catherine | ||||||
| Dir & FH CFO | 1.00 | X | 0 | 426832 | 5511 | X |
| Irgens Mark F | ||||||
| Dir & Secretary | 1.00 | X | 0 | 0 | 0 | X |
| Haag Andrew | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Goldstein Leonard J | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Gallagher Richard S | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Donovan Constance L | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Coleman William C | ||||||
| Dir. &Treasurer | 1.00 | X | 0 | 0 | 0 | X |
| Block Bruce T | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Benidt Glenn H | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Barrientos Norman | ||||||
| Dir & ViceChair | 1.00 | X | 0 | 0 | 0 | X |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp Frm Rltd Orgs | 2529338 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 793515 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Medical College of Wisconsin | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8701 Watertown Plank Rd | AddressLine1 |
| City | Milwaukee | City |
| State | WI | State |
| ZIP Code | 53226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Physician Services | DescriptionOfServices |
| Compensation | 439021 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Fundraising Events | 443285 | FundraisingEvents |
| All Other Contributions | 3863059 | AllOtherContributions |
| Noncash Contributions | 61026 | NoncashContributions |
| Total Contributions | 4306344 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 345329 | TotalRevenueColumn |
| Exclusion | $345,329 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11204900 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10871801 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 333099 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 333099 | TotalRevenueColumn |
| Exclusion | $333,099 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 19740 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 443285 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 170648 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -150908 | TotalRevenueColumn |
| Exclusion | -$150,908 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4833864 | TotalRevenueColumn |
| Exclusion | $527,520 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1452580 | Total |
| Program Services | 1452580 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 569103 | Total |
| Fundraising | 569103 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107108 | Total |
| Fundraising | 107108 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40604 | Total |
| Fundraising | 40604 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2276 | Total |
| Management And General | 2276 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38935 | Total |
| Management And General | 38935 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5921 | Total |
| Fundraising | 5921 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4082 | Total |
| Management And General | 4082 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12751 | Total |
| Management And General | 12751 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|
| Training & Education | 18603 | 18603 | |
| Printing and Publications | 50993 | 50993 | |
| Gift in Kind Revenue Offset | 61126 | 61126 | |
| employee reimb, memorials, | 25145 | 25145 | |
| Change in Allowance bad debt | 31053 | 31053 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32634 | Total |
| Management And General | 22194 | ManagementAndGeneral |
| Fundraising | 10440 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2452914 | Total |
| Program Services | 1452580 | ProgramServices |
| Management And General | 123986 | ManagementAndGeneral |
| Fundraising | 876348 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2338467 | BOY |
| EOY | 3752704 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 858239 | BOY |
| EOY | 2014288 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11663094 | BOY |
| EOY | 13398739 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14859800 | BOY |
| EOY | 19165731 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99684 | BOY |
| EOY | 250865 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99685 | BOY |
| EOY | 250865 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7769511 | BOY |
| EOY | 10558864 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5104354 | BOY |
| EOY | 7989752 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1886250 | BOY |
| EOY | 366250 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14760115 | BOY |
| EOY | 18914866 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14859800 | BOY |
| EOY | 19165731 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2380950 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1773801 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Written IRS Determination | X | WrittenIRSDetermination |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Froedtert Memorial Lutheran Hospita | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 396105970 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Amount | $1,452,580 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 1452580 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6990605 | BeginningOfYearBalance |
| Contributions | 1560048 | Contributions |
| Investment Earnings Or Losses | 683375 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 221427 | GrantsOrScholarships |
| Other Expenditures | 618708 | OtherExpenditures |
| Administrative Expenses | 37891 | AdministrativeExpenses |
| End Of Year Balance | 8356002 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6098390 | BeginningOfYearBalance |
| Contributions | 704331 | Contributions |
| Investment Earnings Or Losses | 482007 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 246545 | GrantsOrScholarships |
| Other Expenditures | 37602 | OtherExpenditures |
| Administrative Expenses | 9976 | AdministrativeExpenses |
| End Of Year Balance | 6990605 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6862944 | BeginningOfYearBalance |
| Contributions | 164910 | Contributions |
| Investment Earnings Or Losses | -578274 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 293449 | GrantsOrScholarships |
| Other Expenditures | 52079 | OtherExpenditures |
| Administrative Expenses | 5662 | AdministrativeExpenses |
| End Of Year Balance | 6098390 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.96000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.04000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X | Part X : FIN48 Footnote | Froedtert Health applies ASC No. 740, Income Taxes (formerly FIN 48), which clarifies the accounting for uncertainty in income taxes recognized in a company's financial statements. ASC No. 740 prescribes a more-likely than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under ASC No. 740, tax positions 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, 2011 and 2010, FH does not have an asset or liability recorded for unrecognized tax benefits. |
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | Operation Expenses written off by Froedtert Health $702376 |
| Part V, Line 4 | Part V, Line 4: Intended uses of the endowment fund. | The organization maintains several types of endowment funds. The board designated/quasi-endowment funds were created to support the financial needs of various departments and programs in 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 use includes fellowships, research and educational resources for the community. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agreement Ref Fundraising | false | AgreementRefFundraising |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Heritage &Hope | NameOfEvent1 |
| Gross Receipts Event1 | 334635 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 327565 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 7070 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 41715 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 88684 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Golf Event | NameOfEvent2 |
| Gross Receipts Event2 | 128390 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 115720 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 12670 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 4850 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 12670 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 9358 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 13371 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 463025 | GrossReceiptsTotal |
| Charitable Contributions Total | 443285 | CharitableContributionsTotal |
| Gross Revenue Total Events | 19740 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 4850 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 12670 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 51073 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 102055 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 170648 | DirectExpenseSummaryEvents |
| Net Income Summary | -150908 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Froedtert Memorial Lutheran Hospital | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9200 W Wisconsin Ave | AddressLine1 |
| City | Milwaukee | City |
| State | WI | State |
| ZIP Code | 53226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 396105970 | EINOfRecipient |
| Amount Of Cash Grant | 1444580 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 8000 | AmountOfNonCashAssistance |
| Method Of Valuation | Resale Value | MethodOfValuation |
| Description Of Non Cash Assistance | Electric Wheel Chair | DescriptionOfNonCashAssistance |
| Purpose Of Grant | Support of various activities such as research and education | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Grantmaker's Description of How Grants are Used | Identifier |
| Explanation | The Foundation maintains paper records/ files of all grant requests (approved and denied). Records are kept on expenditures from those grants and reviewed to make sure that they are in-line with the grant request.The Foundation does not have a process in place to provide formal reporting from the recipients as most grants are very small and for very specific uses (purchase something/ fund a conference). Larger grants (for clinical research, for example) are linked into Office of Clinical Research and Innovative Care Compliance (OCRICC) reviews and approvals and there is a requirement that the staff conducting the research reconnect with the foundation and donors for presentations on their efforts. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|
| Sale Nora | |||||
| 158674 | 42488 | 522 | 11190 | 17421 | 230295 |
| Petasnick William D | |||||
| 948461 | 334370 | 19900 | 675099 | 51586 | 2029416 |
| O'Connell Blaine J | |||||
| 454374 | 125145 | 18572 | 15925 | 16783 | 630799 |
| Jacobson Catherine | |||||
| 218832 | 208000 | 5511 | 432343 | ||
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 8000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Resale Value | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | Advertising | 1 | 25000 | Cost |
| X | Misc Items | 30 | 28026 | Resale Value |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part VII - Section A 1a, Column B | Approximate hours per week spent working on related entities:Petasnick - 55 hoursSale - 1 hourJacobson - 55 hoursO'Connell - 55 hoursJohnson - 1 hourPeirce - 1 hourBarrientos - 1 hour | |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Financial information: The Health System's quarterly financial information is made available to the public through Digital Assurance Corporation, Inc. website.Governing Documents and Conflict of Interest Policy: Documents are available to the public through the corporate office upon request. | Form 990, Part VI, Line 19 |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | In establishing the compensation of the organizations CEO/Directors/Top Management, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, and amounts are reviewed and approved by the Compensation Committee of the Board of Directors. | Form 990, Part VI, Line 15b |
| 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 document. The data is compiled, and the Vice President - Chief Compliance Officer (CCO), the Vice President - General Counsel and/or delegate will review all forms and notifications to determine if any conflicts of interests exist in the disclosure documents. If it is determined that a conflict of interest exists, then the person making the disclosure shall be relieved of his/her obligations on behalf of an FH affiliate with respect to the transaction or arrangement that creates the conflict of interest. A report of all conflicts of interest will be made by the CCO at least once annually to the Finance Committee of the Board of Directors. | Form 990, Part VI, Line 12c |
| Form 990, Part VI, Line 11: Form 990 Review Process | Froedtert Health accounting staff prepare Form 990 which is reviewed by the Corporation's financial leaders and legal counsel. The 990 is then reviewed by KPMG, the Corporation's outside accounting firm. Next, the 990 is provided to the Corporation's Finance Committee and Board of Directors. Finally, the 990 is filed as required. | Form 990, Part VI, Line 11 |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | 7a - Froedtert Memorial Lutheran Hospital, as the member of Froedtert Hospital Foundation, has the final approval of election of all board members. | Form 990, Part VI, Line 7a |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| Horizon Ventures Limited LLC | |||||||
| W180 N8085 Town Hall Road | Menomonee Falls | WI | 53051 | 391855822 | Lessor of Medical Office Building | WI | Community Memorial Hospital Inc |
| West Bend Surgery Center LLC | |||||||
| 1710 Vogt Drive | West Bend | WI | 53095 | 391954169 | Surgical Services | WI | West Bend Clinic Inc |
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Froedtert Physician Partners Inc | |||||||||||
| 9200 W Wisconsin Ave | Milwaukee | WI | 53226 | 272042610 | Health Care Services | WI | 501(c)(3) | 3 | Froedtert Health Inc | false | |
| Community Outpatient Health Services Inc | |||||||||||
| W180 N8085 Town Hall Road | Menomonee Falls | WI | 53051 | 391743056 | Outpatient Medical and Dental Services | WI | 501(c)(3) | 3 | Community Memorial Hospital Inc | false | |
| Community Memorial Foundation Inc | |||||||||||
| W180 N8085 Town Hall Road | Menomonee Falls | WI | 53051 | 391635057 | Health and Welfare Promotion | WI | 501(c)(3) | Ln 11, Type 1 | Community Memorial Hospital Inc | false | |
| QHS 1 Inc fka Quality Health Soluti | |||||||||||
| N74 W12501 Leatherwood Court | Menomonee Falls | WI | 530514480 | 202636686 | Health Care Services | WI | 501(c)(3) | Ln 11, Type 1 | Froedtert Health Inc | false | |
| West Bend Clinic Inc | |||||||||||
| 1700 W Paradise Drive | West Bend | WI | 53095 | 392034294 | Health Care Services | WI | 501(c)(3) | 3 | Froedtert Health Inc | false | |
| St Josephs Community Foundation Inc | |||||||||||
| 3200 Pleasant Valley Road | West Bend | WI | 530953686 | 392034296 | Health and Welfare Promotion | WI | 501(c)(3) | Ln 11, Type 1 | St Josephs Community Hospital Inc | false | |
| Community Memorial Hospital of MF Inc | |||||||||||
| W180 N8085 Town Hall Road | Menomonee Falls | WI | 53051 | 390987025 | Hospital | WI | 501(c)(3) | 3 | Froedtert Health Inc | false | |
| St Josephs Community Hospital Inc | |||||||||||
| 3200 Pleasant Valley Road | West Bend | WI | 530953868 | 390806302 | Hospital Care Services | WI | 501(c)(3) | 3 | Froedtert Health Inc | false | |
| Froedtert Memorial Lutheran Hospital Inc | |||||||||||
| 9200 W Wisconsin Ave | Milwaukee | WI | 532263522 | 396105970 | Hospital | WI | 501 (c)(3) | 3 | Froedtert Health Inc | false | |
| Froedtert Health Inc | |||||||||||
| 9200 W Wisconsin Ave | Milwaukee | WI | 532263596 | 392014409 | Management Services | WI | 501 (c)(3) | 11, type I | false | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| FHHP LLC | ||||||||||
| 9200 W Wisconsin Ave | Milwaukee | WI | 53226 | 452221564 | Health Care | WI | NA | N/A | false | false |
| Fitness Development Associates LLC | ||||||||||
| 9200 W Wisconsin Ave | Milwaukee | WI | 53226 | 391936497 | Real Estate | WI | NA | N/A | false | false |
| Milwaukee Center for Diagnostic Imaging | ||||||||||
| 5775 Wayzata Boulevard | St Louis Park | MN | 55416 | 411748361 | Health Care | WI | NA | N/A | false | false |
| FMLH MCW Real Estate Ventures LLC | ||||||||||
| 9200 W Wisconsin Ave | Milwaukee | WI | 53226 | 260629591 | Real Estate | WI | NA | N/A | false | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Progressive Physician Network Inc | ||||||||
| 9200 West Wisconsin Avenue | Milwaukee | WI | 53226 | 270367127 | Management Services | WI | Froedtert Health Inc | C |
| Community Ventures of Menomonee Falls | ||||||||
| W180 N8085 Town Hall Road | Menomonee Falls | WI | 53051 | 391635059 | Inactive | WI | Community Memorial Hospital | C |
| Kettle Moraine Anesthesiology Inc | ||||||||
| PO Box 8031 | Appleton | WI | 54912 | 141842439 | Health Care | WI | West Bend | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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