TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Larson David N........................................................................ Dir & Chair	1.00 .......................1.00	X	X		0	0	0
(2) Buck Catherine J........................................................................ Dir/President	50.00 .......................1.00	X	X		592,574	0	126,837
(3) Sevenich Jenni........................................................................ Director	1.00 .......................0.00	X			0	0	0
(4) Purtell Dennis J........................................................................ Director	1.00 .......................0.00	X			0	0	0
(5) Prince Joan M PhD........................................................................ Director	1.00 .......................0.00	X			0	0	0
(6) Lipchik Dr Randolph........................................................................ Director	1.00 .......................0.00	X			0	0	0
(7) Jacobson Catherine A........................................................................ Director	1.00 .......................50.00	X			0	1,001,826	179,860
(8) Cannon Mary C........................................................................ Director	1.00 .......................0.00	X			0	0	0
(9) Biblo Lee A MD........................................................................ Director	1.00 .......................0.00	X			0	0	0
(10) Bechtold Kurt D........................................................................ Director	1.00 .......................1.00	X			0	0	0
(11) Bechtel Kathleen........................................................................ Dir/VP Pat Care	40.00 .......................0.00	X			323,782	0	56,644
(12) Barrientos Norman........................................................................ Director	1.00 .......................1.00	X			0	0	0
(13) Van De Kreeke Jeffrey........................................................................ FH CFO/Treas	1.00 .......................50.00		X		0	428,725	85,514
(14) Hawig Scott........................................................................ FH CFO	1.00 .......................50.00		X		0	229,597	10,354
(15) Bagemihl Katherine M........................................................................ VP-Ambulatory Svcs	40.00 .......................0.00			X	251,450	0	49,975
(16) Colpaert Gary J........................................................................ VP-Perioper Svcs	40.00 .......................0.00			X	226,243	0	53,699
(17) Duszynski Susan........................................................................ CRNA Anesthesia	40.00 .......................0.00			X	211,561	0	36,822

(A) Name and business address	(B) Description of services	(C) Compensation
United Dynacare9200 W Wisconsin AveMilwaukeeWI53226	Lab Services	40,714,525
Medical College of WI8701 Watertown Plank RoadMilwaukeeWI53226	Physician staffing	66,424,232
James Construction1015 Carriage CtPalmyraWI53156	Labor/materials	1,022,205
Hospital Billing & Collection Services118 Lukens DriveNew CastleDE19720	Collection services	5,179,745
Critical Care SolutionsN74W12501 Leatherwood CtMenomonee FallsWI53051	Virtual ICU	2,068,483
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 18

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	1,089,695		1,089,695
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	263,621,724	252,108,540	11,513,184
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	341,746	325,632	16,114
10	Payroll taxes ...........	19,103,144	18,202,409	900,735
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	377,477		377,477
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	124,827,346	112,515,164	12,312,182
12	Advertising and promotion ....	56,062	49,025	7,037
13	Office expenses .......	6,084,785	3,036,454	3,048,331
14	Information technology ......	844,820	327,034	517,786
15	Royalties ..	0
16	Occupancy ...........	29,824,390	25,110,427	4,713,963
17	Travel ............	50,231	27,689	22,542
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	646,327	562,954	83,373
20	Interest ...........	12,314,247	10,367,890	1,946,357
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	32,926,232	27,722,000	5,204,232
23	Insurance ..............	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Hospital Tax Assessment	24,904,144	24,904,144
b	Medical Education	73,249,232	73,249,232
c	Corporate Allocations	170,405,860	72,089,438	98,316,422
d	Medical Supplies	203,543,417	203,388,782	154,635
e	All other expenses	18,136,348	17,254,362	881,986
25	Total functional expenses. Add lines 1 through 24e	982,347,227	841,241,176	141,106,051	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	15,800	1	16,100
2	Savings and temporary cash investments .........	39,668,202	2	44,523,075
3	Pledges and grants receivable, net ...........		3	0
4	Accounts receivable, net .............	148,345,468	4	141,152,691
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6	0
7	Notes and loans receivable, net .............	15,000,000	7	15,000,000
8	Inventories for sale or use ..............	12,662,444	8	14,648,963
9	Prepaid expenses and deferred charges ..........	4,805,818	9	5,701,689
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	739,639,662
b	Less: accumulated depreciation .....	10b	383,289,457	309,158,569	10c	356,350,205
11	Investments—publicly traded securities ..........	705,400,323	11	926,349,429
12	Investments—other securities. See Part IV, line 11 .....		12	0
13	Investments—program-related. See Part IV, line 11 .....		13	0
14	Intangible assets ...............		14	0
15	Other assets. See Part IV, line 11 ...........	267,466,637	15	269,202,521
16	Total assets. Add lines 1 through 15 (must equal line 34)......	1,502,523,261	16	1,772,944,673
	17	Accounts payable and accrued expenses .........	51,505,407	17	77,441,603
18	Grants payable .................		18
19	Deferred revenue ................	2,405,013	19	1,645,821
20	Tax-exempt bond liabilities .............	304,179,850	20	413,772,860
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	304,551,570	25	274,074,653
26	Total liabilities. Add lines 17 through 25.........	662,641,840	26	766,934,937
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	819,182,896	27	983,886,771
28	Temporarily restricted net assets ...........	20,332,275	28	21,756,715
29	Permanently restricted net assets ...........	366,250	29	366,250
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	839,881,421	33	1,006,009,736
34	Total liabilities and net assets/fund balances ........	1,502,523,261	34	1,772,944,673

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SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL

Employer identification number

39-6105970

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL

Employer identification number

39-6105970

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization FROEDTERT MEMORIAL LUTHERAN HOSPITAL

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization FROEDTERT MEMORIAL LUTHERAN HOSPITAL

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL

Employer identification number

39-6105970

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL

Employer identification number

39-6105970

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	7,588,611	8,356,002	6,990,605	6,098,390	6,862,944
b	Contributions ........	1,773,000	503,594	1,560,048	704,331	164,910
c	Net investment earnings, gains, and losses	596,052	40,083	683,375	482,007	-578,274
d	Grants or scholarships .....	287,531	266,918	221,427	246,545	293,449
e	Other expenditures for facilities and programs ........	114,112	87,926	618,708	37,602	52,079
f	Administrative expenses ....	4,048	956,224	37,891	9,976	5,662
g	End of year balance ......	8,498,711	7,588,611	8,356,002	6,990,605	6,098,390

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

96.000 %

Permanent endowment SchDMd Bullet

4.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	2,313		2,313
b	Buildings ................	314,812,590	119,702,405	195,110,185
c	Leasehold improvements ............	74,097,626	34,097,178	40,000,448
d	Equipment ................	251,998,410	181,705,968	70,292,442
e	Other .................	98,728,723	47,783,906	50,944,817
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				356,350,205

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Swap Collateral				81,375
(2) Senior Management Deferred Compensation				594,703
(3) Pension Receivable				11,633,586
(4) FH Executive Reitirement 457f				623,074
(5) Executive Deferred Comp				415,995
(6) Due from Employee				1,563
(7) Due from Affiliates				2,379,325
(8) Collateral held for securities loaned				229,379,984

Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				269,202,521

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
Rounding		1
Post Retirement Medical		3,203,954
Pension Liability URMS		11,616,479
Pension Liability Base		1,679,579
Payable under securities lending		229,379,984
Interest Rate Swap Mark to Market		21,490,744
Due to Affiliates		1,175,304
3rd Party Estimated Settlements		5,528,608

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		274,074,653
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	1,135,894,614
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	33,296,074
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	14,037,894
e	Add lines 2a through 2d .....................			2e	47,333,968
3	Subtract line 2e from line 1.....................			3	1,088,560,646
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	11,181,144
c	Add lines 4a and 4b.......................			4c	11,181,144
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,099,741,790

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........			1	971,166,083
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	-11,181,144
e	Add lines 2a through 2d......................			2e	-11,181,144
3	Subtract line 2e from line 1.....................			3	982,347,227
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................			4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	982,347,227

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Part XI, Line 4b	Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S	Corporate Allocated Revenue (507999) $11181144 Contribution $0
Part XI, Line 2d	Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990	Change in Fair Value Interest Rate Swaps $14045894 Rounding $-8000
Part X	Part X : FIN48 Footnote	Froedtert Health, Inc. 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, 2013 and 2012, Froedtert Health does not have an asset or liability recorded for unrecognized tax positions.
Part V, Line 4	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 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 uses include fellowships, research, and educational resources for the community.

Schedule D (Form 990) 2012

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL

Employer identification number

39-6105970

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..			13,984,327		13,984,327	1.420 %
b	Medicaid (from Worksheet 3, column a) ....			145,858,828	90,351,074	55,507,754	5.650 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .			159,843,155	90,351,074	69,492,081	7.070 %
Other Benefits		35	15,240	2,208,562		2,208,562	0.220 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	35	15,240	2,208,562		2,208,562	0.220 %
f	Health professions education (from Worksheet 5) ..	6	1,363	65,508,126		65,508,126	6.670 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)	1		2,716,121		2,716,121	0.280 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	7	7,499	1,279,893		1,279,893	0.130 %
j	Total. Other Benefits ..	49	24,102	71,712,702		71,712,702	7.300 %
k	Total. Add lines 7d and 7j .	49	24,102	231,555,857	90,351,074	141,204,783	14.370 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	1		87,244	87,244	0.010 %
2	Economic development
3	Community support	1		230,141	230,141	0.020 %
4	Environmental improvements
5	Leadership development and training for community members	1	1,468	5,112	5,112
6	Coalition building	2	6,490	1,828	1,828
7	Community health improvement advocacy	1		70,710	70,710	0.010 %
8	Workforce development	4		20,887	20,887
9	Other
10	Total	10	7,958	415,922	415,922	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

55,847,000

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

264,467,743

Enter Medicare allowable costs of care relating to payments on line 5.....

294,123,326

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-29,655,583

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1Prism Clinical Imaging	Brain Imaging Software	20.960 %	23.980 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, and primary website address
1	Froedtert Memorial Lutheran Ho 9200 W Wisconsin Avenue Milwaukee,WI53226	X	X	X	X	X

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)


Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.0000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.0000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
	Part VI - Additional Information	Part IV - Froedtert Hospital is the owner of the shares.
	Part V - Explanation of Number of Facility Type	Froedtert Hospital is the only facility listed under this reporting of the IRS Form 990, Schedule H.
	Part VI - States Where Community Benefit Report Filed	WI
	Part VI - Affilated Health Care System Roles and Promotion	Affiliated Health Care System:Froedtert is the major teaching affiliate of The Medical College of Wisconsin (Medical College). The other two significant teaching affiliates of The Medical College are the Clement J. Zablocki VA Medical Center and Children's Hospital of Wisconsin, which is located adjacent to Froedtert Hospital and The Medical College. 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 700 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 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 Medical College doctors while preserving important relationships with physicians in their own 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, Community Memorial and St. Josephs Hospitals made significant investments in the health of their communities. Patients who couldnt pay for their medical care received more than $80.1 million in uncompensated services. Beyond providing care for the poor, we contributed $74.9 million to improve access to care, teach future healthcare professionals, develop new medical therapies and participate in local partnerships aimed at reducing health disparities.Froedtert Health 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 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, visit www.froedtert.com.Promotion of Community Health:Community Advisory Council Froedtert Hospital convenes a Community Advisory Council (CAC), with members representing a variety of stakeholder groups, including racial, ethnic, immigrant/refugee, disabled, elderly and faith-based organizations. The council also includes key Froedtert and Medical College of Wisconsin departments, and all members have a strong commitment to community health improvement and reducing health disparities. The Community Advisory Council is a select group of community representatives and partners who:Serve as an advisory body to the community engagement department and other hospital departments to assure that our services are accessible and culturally appropriate.Provide input on strategic opportunities for health improvement, health education and other community benefit initiatives.Serve as a conduit for their constituent members, communities and neighborhoods about emerging health needs and issues.Organizations represented on the Community Advisory Council are: American Heart Association Health Equity CouncilCenter for Communication Hearing and DeafnessGoodwill IndustriesHmong American Friendship AssociationIndependence FirstInterfaith Older Adults ProgramJewish Family ServicesLa CausaMilwaukee Achiever Literacy ServicesMilwaukee Area Health Education CenterMilwaukee Center for IndependenceMilwaukee Health DepartmentMilwaukee Health ServicesNational Alliance on Mental IllnessPan-African Community AssociationProgressive Community Health CentersSocial Development Commission Washington Park PartnersWord of Hope MinistriesCommunity 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:VP Clinical ServicesCollaborative Urban Clinical ProgramsExecutive Director Milwaukee Bicycle WorksWashington Park Partners Wellness CommitteeMCW Institute for Health & SocietyCity of Wauwatosa Health Officer & Director of Wauwatosa Health DepartmentMCW Director, Health Equity and Urban Clinical Care PartnershipsF&MCW Nurse Manager Urban Health ProgramsThe responsibilities of the Community Health Improvement Advisory Committee include:Review needs assessment findingsAdvise on and provide direction for Health Improvement PrioritiesReview existing and vet new programsAdvise on program designMonitor and evaluate program implementation and outcomes 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 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 - Explanation Of How Organization Furthers Its Exempt Purpose	Froedtert Hospitals Community Benefit programming and health improvement activities are supported though staff resources, budgeted dollars for programming and community partnerships. Community Health Education ProgramsFroedtert 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 & The Medical College of Wisconsin offers a speakers bureau that is a free service to the community. Community Health ScreeningsFroedtert Hospital offers free blood pressure and diabetes screenings, free or low-cost screenings for breast, prostate, skin and colorectal cancers as well as a variety of other health assessments. In fiscal year 2013, Froedtert & The Medical College of Wisconsin conducted community education programs and health screenings for more than 3,800 people. Forever ChangedAs a response to both local and national community health needs, the staff of the Level I Trauma Center at Froedtert & The Medical College of Wisconsin 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 2013, Forever Changed was conducted at five different high schools within Milwaukee and Waukesha counties presenting to approximately 3,400 students.ENCAREsThe Emergency Nurses Cancel Alcohol Related Events (ENCAREs) program provides classroom education about the consequences of underage alcohol use, drinking and driving, noncompliance with seatbelt use and risk-taking behavior that can cause medical and emotional injury. Froedtert Hospitals emergency nurses share their personal experiences in caring for injured patients and their families, as part of an injury prevention strategy. In fiscal year 2013, 35 classes were conducted at high schools in Milwaukee and Waukesha counties reaching approximately 1,400 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 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 Hospital is an active member of the Milwaukee Health Care Partnership, a public private consortium dedicated to improving care for underserved 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. 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 2013 over 6,000 health home referrals were secured through Froedterts Emergency Department program with over 1,700 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 Hospital received 408 referrals to our specialists for a complete continuum of care. Physician RetentionIn fiscal year 2013, Froedtert Hospital provided more than $65 million to support medical education and training for future healthcare professionals. In partnership with the Medical College of Wisconsin, Froedtert Hospital provides medical resident opportunities for more than 700 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 & The Medical College of Wisconsin provides internship and preceptor program guidance and training to over 1,300 students in the following areas: Spinal Care Injury, Stroke, and Cardiac preceptor training. Allied Health, Pharmacy, Nuclear Medicine and nursing provide preceptor programs and internships. Froedtert & The Medical College of Wisconsin also has its own School of Radiology, a two-year program. In fiscal year 2013, 35 radiology technicians continued their education through this program. Medical Transportation Program:The Medical Transportation Program at Froedtert 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 2013, Froedtert Hospital provided 1,020 rides to people who needed transportation to receive their health care. Froedtert Hospital Social Services department provided approximately 350 vouchers monthly (4,200 annually) for Ambulance, Cab and Bus transportation services in fiscal year 2013
	Part VI - Community Building Activities	To promote the health of our communities, Froedtert 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, high school apprenticeships 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 - Community Information	Since 1980 Froedtert & The Medical College of Wisconsin 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, F&MCWs primary service area is comprised of five counties: Ozaukee, Milwaukee, Waukesha, Washington and Racine. Community Memorial and St. Josephs hospital, part of the Froedtert Health System, are able to care for patients within the Waukesha and Washington County areas relying on Froedtert Hospital for higher acuity care. Froedtert 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 & The Medical College 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 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.
	Part VI - Patient Education of Eligibility for Assistance	Froedtert 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 website contains information regarding pricing, how to understand your hospital bill, and how to apply for Financial Assistance. Froedtert 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 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 - Needs Assessment	In January, 2013 Froedtert 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/ObjectivesGather 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, 2012Two-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 HealthAccess to Health Care ServicesPhysical Activity/Overweight and Obesity/NutritionHealth Insurance coverageInfant Mortality.In April 2013, Froedtert 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 Froedterts 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 2016.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
Number of Hospital Faciltiy - 1	Part V, Line 12h - Other Factors Used in Determing Amounts Charged Patients	Out of Pocket Maximum Discount
Number of Hospital Faciltiy - 1	Part V, Line 7 - 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.
Number of Hospital Faciltiy - 1	Part V, Line 6i - Describe Other Needs Identified	OverviewThis Implementation Strategy serves as the community health improvement component of Froedtert Hospital's community benefit strategy, focusing on Access to Primary, Specialty & Preventative Care, Chronic Disease Management, Violence & Injury Prevention, and Physical Activity & Nutrition. Froedtert Hospital's community benefit framework is to improve the quality of life in the communities we serve through health care programs and services that are measurable, accessible, and culturally appropriate.Implementation Strategy 20131. Program: Emergency Department to Medical Home ProgramHealth Need:Access to primary care at community clinics for low income individuals without a primary care provider and/or insurance.Internal Resources: Emergency Department Case Management and Stakeholder participation in MHCP Steering CommitteeCommunity Partner: Milwaukee HealthCare Partnership (MHCP), Progressive Community Health Centers, AIDS Resource Center of Wisconsin, and Outreach Community Health Centers Objectives: Reduce avoidable Emergency Department visits & admissions for the low income and uninsured.Outcomes: Increase number of patients with an established Primary Care Medical Home measured by appointments scheduled, show and stick rates.2. Program: Specialty Access to the Uninsured Program (SAUP)Health Need: Access to specialty care for uninsured individuals served at safety net clinics.Internal Resources: Froedtert Patient Financial Services, Medical College of Wisconsin Physicians, and stakeholder participation in MHCP Steering CommitteeCommunity Partner:Milwaukee HealthCare Partnership (MHCP), Progressive Community Health Centers, AIDS Resource Center of Wisconsin and Outreach Community Health CentersObjectives: Increase access to specialty care for low income, uninsured individuals and reduce avoidable Emergency Department utilization.Outcomes: Increase number of patients served per safety net clinic as measured by total utilization and cost of care for SAUP enrollees by clinic, health system.3. Program: School Health ProgramHealth Need: Access to preventative health services for low income youth: vision,immunization and dental. Also, access to physical activity and wellness programsInternal Resources: School Health NurseCommunity Partner: Milwaukee Public Schools, Westside Academies School, Progressive Community Health Centers, Smart Smiles Dental Program, City of Milwaukee Health Department, DanceWorks, FreeStyle Dance, and Childrens Hospital Of WisconsinObjectives: Improve the educational performance and well-being of school aged children and promote awareness of and access to simple physical activity.Outcome: Increase in return to class rates & decrease number of students going home, increase number of students that are immunization compliant, increase the number of students receiving dental sealants as measured by participation in Smart Smiles program, promote awareness of and access to simple physical activity, and increase participation in wellness and physical activity programs.4. Program: Breast Cancer Prevention ProgramHealth Need: Preventative services: Breast Cancer screeningMilwaukee County Rankings: 69% screened Internal Resources: Breast Cancer Center, National Breast Cancer Foundation grant, and Froedtert Hospital FoundationCommunity Partner: Progressive Community Health Centers and Well Woman ProgramObjectives: Prevention of breast cancerOutcome: Increase breast cancer screening rates in the uninsured population by reducing cost and access barriers.5. Program: Chronic Disease ManagementHealth Need: Adults in Milwaukee County with chronic disease: 29% with high blood pressure 19% with high cholesterol 10% with diabetesInternal Resources: Community Education department, Froedtert & Medical College of Wisconsin trained facilitators, and Wellness WorksCommunity Partners: Milwaukee County Department of AgingObjective: Increase patient engagement in self-management of chronic disease and decrease in ED utilization for chronic disease managementOutcome: Increase in self-management as measured by pre and post survey.6. Program: Violence & Injury PreventionHealth need: Motor vehicle crashes are the leading cause of death for 15-20 year olds related to inattention. Internal Resources: Froedtert and The Medical College of Wisconsin Trauma NursesCommunity Partners:Milwaukee Public Schools, Milwaukee & Washington County Schools, local Fire and Police Departments, Flight For Life, and County Medical ExaminerObjectives: Increase awareness of dangers related to distracted driving.Outcomes: Increase awareness of distractions related to inattentive driving as measured by post survey.7. Program: Physical Activity & NutritionHealth need: Adults in Milwaukee: 64% obese/overweight 24% participate in moderate and/or vigorous activityInternal resources: Community Benefit, Marketing and Wellness Works departments, and the Medical College of Wisconsin PhysiciansCommunity partners: Washington Park Partners, Progressive Community Health Centers, Milwaukee County Parks, and Urban Ecology CenterObjectives: Promote awareness of simple physical activity, promote awareness/education of healthy nutrition, and provide access to physical activity.Outcomes: Increase number of individuals reporting an increase in physical activity as measured by post survey.
Number of Hospital Faciltiy - 1	Part V, Line 5c - 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/pdf/communitybenefit/milwaukee-county-chna-community-health-survey.pdfhttp://www.froedtert.com/pdf/communitybenefit/milwaukee-county-chna-executive-summary.pdfhttp://www.froedtert.com/pdf/communitybenefit/milwaukee-county-chna-key-informant-interview-report.pdfhttp://www.froedtert.com/pdf/communitybenefit/milwaukee-county-chna-secondary-data-report.pdfAdditional Websites:http://mkehcp.org/publications/
Number of Hospital Faciltiy - 1	Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	Froedtert & The Medical College of Wisconsin is a member of the Milwaukee Health Care Partnership www.mkehcp.org, a public private consortium dedicated to improving care for underserved 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). 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.
Number of Hospital Faciltiy - 1	Part V, Line 3 - Account Input from Person Who Represent the Community	Froedtert & The Medical College of Wisconsin is a member of the Milwaukee Health Care Partnership (www.mkehcp.org), a public private consortium dedicated to improving care for underserved 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). 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 III, Line 9b - Provisions On Collection Practices For Qualified Patients	In alignment with the Froedtert Health financial assistance policy regarding the billing, collection and support for patients with payment obligations, Froedtert Hospital makes every effort to adhere to the policy and is committed to implementing and applying the policy for assisting patients with limited means in a professional, consistent manner. Staff members who work closely with patients (including those working in patient registration and admitting, financial assistance, customer service, billing and collections) are trained regularly 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.
	Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Froedtert Hospital does not limit the care available to any patients, including those covered by Medicare. Medicare costs exceeds the reimbursement by $29,655,000. Froedtert Hospital does receive Medicare reimbursement intended to cover care for the medically indigent patients reflected in Part I. The costing methodology used to determine the Medicare allowable costs is based on a calculation developed by the American Hospital Association in which the data is derived from the annual filed Medicare cost report.
	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 25 and 26 of attached financial statements.
	Part I, Line 7, Column F - Explanation of Bad Debt Expense	Our total expense from Form 990, Part IX, line 25, column (A) was $982,347,227. 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 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 Hospital reports accounts receivable for services rendered at net realizable amounts from third-party payers, patients, and others. Froedtert 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, patient 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 6a - Related Organization Community Benefit Report	Beginning for fiscal year 2013, Froedtert Hospital is now producing 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 members of our Community Advisory Committee, FMLH Leaders, FMLH Board of Directors, elected officials, business leaders and other community members. A copy of the report will be available at Froedtert.com Prior to fiscal year 2013, the Community Benefit Department produced a yearly fact sheet that provided a high level of investments in the communities we serve and includes the Financial Assistance Policy. This fact sheet was shared with the Community Advisory Committee, elected officials, business leaders and community organizations. The 2012 Fact Sheet can be found at the following website:http://www.froedtert.com/pdf/communitybenefit/communitybenefitfactsheet2010.pdf
	Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)	In alignment with the Froedtert Health financial assistance policy Froedtert 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.

Schedule H (Form 990) 2012

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL

Employer identification number

39-6105970

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)Van De Kreeke JeffreyFH CFO/Treas	(i) (ii)	291,459	110,009	27,257	73,475	12,039	514,239
(2)Runge Charles WFormer - Key Employee	(i) (ii)	222,568	83,023	21,716	68,925	3,814	400,046
(3)Petasnick William DFormer - Officer (FH CEO)	(i) (ii)	320,933	560,820	51,296	15,925	9,195	958,169
(4)Norton Andrew JChief Med Officer	(i) (ii)	258,559		2,348	14,700		275,607
(5)Leevan YakiraCRNA-Anesthesia	(i) (ii)	322,506		607	16,203	27,371	366,687
(6)Jacobson Catherine ADirector	(i) (ii)	698,373	298,671	4,782	150,975	28,885	1,181,686
(7)Hawig ScottFH CFO	(i) (ii)	214,150	9,601	5,846		10,354	239,951
(8)Duszynski SusanCRNA Anesthesia	(i) (ii)	210,978		583	21,215	15,607	248,383
(9)Colpaert Gary JVP-Perioper Svcs	(i) (ii)	174,053	46,584	5,606	28,037	25,662	279,942
(10)Buck Catherine JDir/President	(i) (ii)	377,476	174,270	40,828	98,495	28,342	719,411
(11)Bechtel KathleenDir/VP Pat Care	(i) (ii)	246,973	68,709	8,100	38,315	18,329	380,426
(12)Bagemihl Katherine MVP-Ambulatory Svcs	(i) (ii)	175,745	52,651	23,054	31,035	18,940	301,425

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Sch J, Part III, Additional Information	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 for the purchase of benefits.
Sch J, Part I, Line 1a	Part 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. Dining Club memberships for Executives are for business purposes only, with all expenses substantiated by receipts and approvals. All amounts included in taxable compensation as required.

Schedule J (Form 990) 2012

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL

Employer identification number

39-6105970

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) WI Renal Care Group LLC	See Part V	1,725,125	Dialysis services		No
(2) Milw Ctr for Diagnostic I	See Part V	21,129,151	Mgmt fees	Yes
(3) Fitness Development Assoc	See Part V	706,662	Rent		No
(4) UnitedDynacare LLC	See Part V	1,362,928	Laboratory services		No

Part V

Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
		United/Dynacare, LLC - Scott Hawig, Officer, is member of management committee of interested person.Fitness Development Associates - Jeffrey Van De Kreeke, Officer, is on board of directors of interested person.Milw Center for Diagnostic Imaging - Jeffrey Van De Kreeke, Officer, is on management committee of interested person.WI Renal Care Group, LLC - Catherine Buck, is on management committee of interested person.

Schedule L (Form 990 or 990-EZ) 2012

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL

Employer identification number

39-6105970

Identifier	Return Reference	Explanation
	Part VII Section A 1a Columns C-F	Individuals listed as 'former' but receiving compensation during the year is due to the fact the individual is still employed by the organization, but is no longer in the role of director, officer, key employee, etc. in the current year, but was reported as such on the organization's 990 in the previous five years.
	Part IX 24a Corporate Allocations	Froedtert Health allocates its revenues and expenses to Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls, St. Joseph's Community Hospital, Froedtert Physician Partners and West Bend Clinic. The allocation is calculated by applying an allocation metric to each accounting unit at Froedtert Health, including a flat percentage, percentage of gross revenue to total, percentage of supply expense to total, etc. Each entity then receives its portion of the Froedtert Health allocation on a monthly basis.
	Part IV, Line 24	Even though the liability is on the books of Froedtert Memorial Lutheran Hospital, this question was answered no, as Schedule K will be completed on the Form 990 of the parent corporation, Froedtert Health, Inc.
	Part III 4a (continued)	Heart and Vascular Institute. The Heart and Vascular Institute offers a complete range of cardiovascular services from diagnostic imaging, minimally invasive interventions and rehabilitation to critical care nursing, surgery and heart transplant. Innovative programs include a dedicated Valvular Heart Disease, Aortic Disease, Arrhythmia Management/Treatment, Advance Heart Failure Treatment/Heart Transplant,Vascular Disease, Structural Heart disease, 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 Institute is staffed by Cardiologists, Cardiac Surgeons, Vascular Surgeons and Interventional Radiologists. It was recognized in the 2013-14 US News & World Report Best Regional Hospital - Cardiology & Heart Surgery.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 2,071 births during the twelve months ended June 30, 2013.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 4 intensive care units with 69 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 8,724 inpatient surgeries during the twelve months ended June 30, 2013.Transplant Surgery. Froedtert Health, Medical College of Wisconsin, Blood Center of Wisconsin and Children's Hospital of Wisconsin comprise the Organ Transplantation Institute nationally recognized for excellent outcomes in transplantation. The Organ Transplantation Institute offers a full range of transplant services, including kidney, living donor kidney, paired exchange, liver, introducing living donor liver, pancreas, heart, lung and bone marrow transplants. The Organ Transplantation Institute's multi disciplinary 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, 2013:Heart 2Lung 12Kidney 94Liver 22Pancreas 4Blood and marrow 222
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Decreases	Write off FHF Receivable = -$817110
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Decreases	Unrealized G/L on Debt = -$1218647
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfers to affiliates = -$4644708
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Rounding = $4
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Change in FHF Interest = $3555728
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in APB other than net periodic benefit = -$0
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Change in APB other than net periodic benefit costs = $4214604
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Capital Contributions = $301913
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Financial Information: Froedtert Health Inc's quarterly financial information is made available to the public 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 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	In 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 12c	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 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 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 Froedtert 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 once annually to the Froedtert Health Finance Committee of the Board of Directors.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	Froedtert Health, Inc. accounting staff prepare Form 990 which is reviewed by the 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 7b	Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Froedtert Health Inc., as the sole member of Froedtert Hospital, has certain reserved powers and authorities with respect to the operations and management of Froedtert Hospital, as set forth in Froedtert Hospital's bylaws.
Form 990, Part VI, Line 7a	Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	Froedtert Health, Inc., as the member of Froedtert Memorial Lutheran Hospital, Inc. has the final approval of election of all board members.
Form 990, Part VI, Line 6	Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	Froedtert Health, Inc. is the sole member of Froedtert Memorial Lutheran Hospital, Inc.
Form 990, Part VI, Line 4	Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents	Articles of Incorporation and Bylaws were amended and restated to reflect termination of definitive agreement that created original health care system.
Form 990, Part VI, Line 2	Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Catherine Buck and Jeffrey Van De Kreeke business relationship
Form 990, Part III, Line 4d	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 329 full-time equivalent residents at Froedtert Hospital.Substantially all patient encounters at Froedtert Hospital are teaching related, and Froedtert Hospital provides extensive support for The Medical College's residency programs. 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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

FROEDTERT MEMORIAL LUTHERAN HOSPITAL

Employer identification number

39-6105970

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Community Memorial Foundation of MF Inc N180 N8085 Town Hall Road Menomonee Falls,WI53051 39-1635057	Health and welfare promotion	WI	501(c)(3)	Ln 11, Type 1	Community Memorial Hospital of MF Inc		No
(2) St Josephs Community Foundation Inc 3200 Pleasant Valley Road West Bend,WI530953868 39-2034296	Health and welfare promotion	WI	501(c)(3)	Ln 11, Type 1	St Josephs Comm Hosp of West Bend Inc		No
(3) Froedtert Physician Partners Inc 9200 W Wisconsin Avenue Milwaukee,WI53226 27-2042610	Health Care Services	WI	501(c)(3)	3	Froedtert Health Inc		No
(4) West Bend Clinic Inc 1700 W Paradise Drive West Bend,WI53095 39-2034294	Health care services	WI	501(c)(3)	3	Froedtert Health Inc		No
(5) St Josephs Community Hospital of West B 3200 Plesant Valley Road West Bend,WI53095 39-0806302	Hospital	WI	501(c)(3)	3	Froedtert Health Inc		No
(6) Community Memorial Hospital of MF Inc W180 N8085 Town Hall Road Menomonee Falls,WI53051 39-0987025	Hospital	WI	501(c)(3)	3	Froedtert Health Inc		No
(7) Froedtert Hospital Foundation 9200 W Wisconsin Avenue Milwaukee,WI53226 39-1431192	Health, welfare, research and education promotion	WI	501(c)(3)	Ln 11, Type 1	Froedtert Memorial Lutheran Hospital	Yes
(8) Froedtert Health Inc 9200 W Wisconsin Avenune Milwaukee,WI53226 39-2014409	Management Services	WI	501 (c)(3)	Ln 11, Type 111	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Froedtert Surgery Center LLC 9200 W Wisconsin Ave Milwaukee,WI53226 20-1499345	Surgery center	WI	FMLH	Related	341,100	1,462,932		No			No	50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) Progressive Physician Network Inc 9200 West Wisconsin Avenue Milwaukee,WI53226 27-0367124	Management Services	WI	Froedtert Health Inc	C				No
(2) Froedtert Memorial Lutheran Hsptl Trust 777 E Wisconsin Ave Milwaukee,WI53202 39-6040438	Charitable Trust	WI	None	Trust				No

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation
Schedule R, Part V, Line 2		Any 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.

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

1	Briefly describe the organization’s mission or most significant activities: Froedtert Memorial Lutheran Hospital, in partnership with the Medical College of Wisconsin, advances the health of the communities we serve through exceptional medical care enhanced by innovation and discovery and teaches the next generation of health care professionals.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	5,772
6	Total number of volunteers (estimate if necessary) .............	6	325
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,285,000	10,672
9	Program service revenue (Part VIII, line 2g) .........	978,610,668	1,019,664,395
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	27,877,237	32,992,713
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	48,600,858	47,074,010
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,057,373,763	1,099,741,790
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	270,185,035	284,156,309
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	685,345,582	698,190,918
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	955,530,617	982,347,227
19	Revenue less expenses. Subtract line 18 from line 12.......	101,843,146	117,394,563
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,502,523,261	1,772,944,673
21	Total liabilities (Part X, line 26).............	662,641,840	766,934,937
22	Net assets or fund balances. Subtract line 21 from line 20.....	839,881,421	1,006,009,736

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 380,734,426 including grants of $ ) (Revenue $ 510,884,392 )
	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 500 are staffed with 26,118 patient admissions and 143,805 patient days of care related to medical, surgical, intensive care, obstetrics, rehabilitation and other specialty care for the twelve months ended June 30, 2013.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 to receive certification as a Primary Stroke Center and recently received Comprehensive Stroke Center certifcation from 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 fastest, most comprehensive and advanced care by the 24hr a day Acute Stroke Team.SPINECARE: Its 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. EPILEPSY: The Comprehensive Epilepsy Program is 1 of only 4 programs in the country accredited by the Joint Commission as a Center of Excellence. It is a Level 4 Epilepsy Center, the highest ranking by the National Association of Epilepsy Centers. PARKINSONS: Patients with Parkinson's disease or movement disorders receive comprehensive care through the Parkinson's and Movement Disorders Program. We are the only program in the region to offer surgical deep brain stimulation (DBS). 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 ALS, Alzheimers, 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 chemotherapy infusion and supportive care- Outpatient Bone 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 needs- ACOS accreditation with Commendation and Outstanding Achievement Award, ACR, FACT, NAPBC accreditation.Froedtert had 3,876 cancer registry cases in FY2013.Other Achievements:- 2013-14 US News & World Report ranked Froedtert Hospital in the "Best Hospitals" list in 12 specialty areas.- 2013-14 Consumer Choice Award for 9th straight year for most preferred hospital in southeastern Wisconsin by Nation Research Corporations. - 2013 Gold Well Workplace national award from the Wellness Councils of American in recognition of the systems commitment to the health & well being of its staff members.

4b	(Code: ) (Expenses $ 364,298,034 including grants of $ ) (Revenue $ 449,768,797 )
	Outpatient Services:Froedtert Hospital had 777,254 outpatient visits in the twelve months ended June 30, 2013. Froedtert 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

4c	(Code: ) (Expenses $ 72,629,048 including grants of $ ) (Revenue $ 35,433,460 )
	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 329 full-time equivalent residents at Froedtert Hospital.Substantially all patient encounters at Froedtert Hospital are teaching related, and Froedtert Hospital provides extensive support for The Medical College's residency programs. 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.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 23,579,668 including grants of $ ) (Revenue $ 23,577,747 )
4e	Total program service expenses841,241,176

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Leevan Yakira........................................................................ CRNA-Anesthesia	40.00 .......................0.00	X		323,113	0	43,574
(19) Norton Andrew J........................................................................ Chief Med Officer	50.00 .......................0.00	X		260,907	0	14,700
(20) Runge Charles W........................................................................ Former - Key Employee	0.00 .......................40.00		X	0	327,307	72,739
(21) Petasnick William D........................................................................ Former - Officer (FH CEO)	0.00 .......................50.00		X	0	933,049	25,120

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,189,630	2,920,504	755,838

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		10,672
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			10,672
			Business Code
2a	Trauma		900099	22,113,210	22,113,210
b	Medical Education		611600	35,433,460	35,433,460
c	Hospital Outpatient		900099	451,233,334	451,233,334
d	Hospital Inpatient		900099	510,884,391	510,884,391
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,019,664,395
3	Investment income (including dividends, interest, and other similar amounts).......			21,224,167	1,312,485		19,911,682
4	Income from investment of tax-exempt bond proceeds..			32,728			32,728
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	382,973,144	199,120
b	Less: cost or other basis and sales expenses	371,009,575	426,871
c	Gain or (loss)	11,963,569	-227,751
d	Net gain or (loss)..........			11,735,818			11,735,818
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	Sublease Revenue		561499	12,230,833	12,230,833
b	Other Department Revenue		561499	14,651,969	14,651,969
c	Corporate Allocated Reven		561000	11,181,144	11,181,144
d	All other revenue ....			9,010,064	3,480,302		5,529,762
e	Total. Add lines 11a–11d ......			47,074,010
12	Total revenue. See Instructions......			1,099,741,790	1,062,521,128		37,209,990


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			15,800	1	16,100
2	Savings and temporary cash investments .........			39,668,202	2	44,523,075
3	Pledges and grants receivable, net ...........				3	0
4	Accounts receivable, net .............			148,345,468	4	141,152,691
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6	0
7	Notes and loans receivable, net .............			15,000,000	7	15,000,000
8	Inventories for sale or use ..............			12,662,444	8	14,648,963
9	Prepaid expenses and deferred charges ..........			4,805,818	9	5,701,689
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	739,639,662
b	Less: accumulated depreciation .....	10b	383,289,457	309,158,569	10c	356,350,205
11	Investments—publicly traded securities ..........			705,400,323	11	926,349,429
12	Investments—other securities. See Part IV, line 11 .....				12	0
13	Investments—program-related. See Part IV, line 11 .....				13	0
14	Intangible assets ...............				14	0
15	Other assets. See Part IV, line 11 ...........			267,466,637	15	269,202,521
16	Total assets. Add lines 1 through 15 (must equal line 34)......			1,502,523,261	16	1,772,944,673
17	Accounts payable and accrued expenses .........			51,505,407	17	77,441,603
18	Grants payable .................				18
19	Deferred revenue ................			2,405,013	19	1,645,821
20	Tax-exempt bond liabilities .............			304,179,850	20	413,772,860
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			304,551,570	25	274,074,653
26	Total liabilities. Add lines 17 through 25.........			662,641,840	26	766,934,937
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			819,182,896	27	983,886,771
28	Temporarily restricted net assets ...........			20,332,275	28	21,756,715
29	Permanently restricted net assets ...........			366,250	29	366,250
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			839,881,421	33	1,006,009,736
34	Total liabilities and net assets/fund balances ........			1,502,523,261	34	1,772,944,673