Form990
Click to see list of attachments
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 07-01-2014 , and ending 06-30-2015
BCheck if applicable:
CName of organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
9200 W WISCONSIN AVENUE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MILWAUKEE, WI53226
D Employer identification number

39-6105970
E Telephone number

G Gross receipts $ 1,352,977,180
F Name and address of principal officer:
Jacobson Catherine A
9200 W WISCONSIN AVENUE
Milwaukee,WI53226
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.froedtert.com
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1980
M State of legal domicile: WI
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: Froedtert Memorial Lutheran Hospital, Inc. advances the health of the communities it serves by providing exceptional healthcare enhanced by innovation and discovery.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 6,311
6 Total number of volunteers (estimate if necessary) ............. 6 352
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  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 4,633,295 3,809,826
9 Program service revenue (Part VIII, line 2g) ......... 1,114,456,327 1,301,899,564
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,354,680 1,232,488
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 43,354,664 45,866,500
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,164,798,966 1,352,808,378
Expenses; 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) 292,797,317 304,769,921
16a Professional fundraising fees (Part IX, column (A), line 11e).....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 779,614,281 925,535,605
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,072,411,598 1,230,305,526
19 Revenue less expenses. Subtract line 18 from line 12....... 92,387,368 122,502,852
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 750,311,379 792,758,769
21 Total liabilities (Part X, line 26)............. 96,728,587 90,396,463
22 Net assets or fund balances. Subtract line 21 from line 20..... 653,582,792 702,362,306
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: Froedtert Memorial Lutheran Hospital, Inc. advances the health of the communities it serves by providing exceptional healthcare enhanced by innovation and discovery.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 450,208,826 including grants of $   ) (Revenue $ 630,930,011 )
Outpatient Services:Froedtert Memorial Lutheran Hospital had 762,977 outpatient visits in the twelve months ended June 30, 2015. Froedtert Memorial Lutheran Hospital offers a wide variety of outpatient clinical services including but not limited to the following:- Anticoagulation- Audiology- Brain injury and stroke therapy- Breast Care- Cardiothoracic surgery- Cardiovascular medicine- Cancer care- Dermatology- Diabetes- Diagnostic radiology- Electrophysiology- Emergency medicine- Endocrinology / Metabolism- Eye institute- Family medicine- Gastroenterology- General internal medicine- General surgery- Geriatric / Gerontology- Hematology / Oncology- Hand therapy- Hypertension- Infectious diseases- Infusion- Internal medicine- Interventional radiology- Mammography- Maternal fetal care- Minimally invasive surgery- Neurology- Neurosurgery- Nuclear medicine- Nutritional counseling- Obstetrics / Gynecology- Occupational health- Ophthalmology- Oral Maxillofacial surgery- Orthopedic surgery- Otolaryngology- Pancreatobiliary / Endocrine surgery- Physical medicine / Rehabilitation- Plastic / Reconstructive surgery- Preventive / Occupational medicine- Psychiatry- Pulmonary / Critical Care medicine- Radiology- Radiation oncology- Rehabilitation services- Reproductive medicine- Rheumatology- Sickle Cell Disease- Skin Cancer Center- Sleep lab- Speech/communications disorders- Spine care- Spinal Cord Injury program- Sports medicine- Surgical oncology- Transplant - bone marrow- Transplant - solid organ- Transplant surgery- Trauma / Critical Care surgery- Urology- Vascular surgery- Wound healing
4b (Code:   ) (Expenses $ 445,059,684 including grants of $   ) (Revenue $ 601,602,014 )
Inpatient: Froedtert Memorial Lutheran Hospital (Froedtert Hospital), together with the Medical College of Wisconsin, form the only academic medical center in eastern Wisconsin and one of only 120 nationwide. Staffed by faculty of the Medical College, Froedtert Hospital serves as a regional referral center for advanced medical care in 37 specialties and sub-specialties, and operates eastern Wisconsin's only adult Level I Trauma Center. It is a major training and research facility with more than 1,000 medical, nursing and health technical students in training and participates in over 2,000 active clinical trials each year. Froedtert Hospital is approved for 655 beds of which 516 are staffed with 27,176 patient admissions and 144,134 patient days of care related to medical, surgical, intensive care, obstetrics, rehabilitation and other specialty care for the twelve months ended June 30, 2015.Most of the services provided by Froedtert Hospital are tertiary or quaternary care services and include the following:Neurosciences Center. The Center at Froedtert Hospital is a world-class resource for individuals with complex neurological disorders. Combining specialty expertise, state-of-the-science technology and consistent research leadership, the center provides comprehensive services for movement disorders, stroke, brain injury, spine care, and epilepsy. We offer the only dedicated Neuro-Intensive Care Unit in Wisconsin, staffed by full time fellowship-trained neuro-intensivists, an eICU, and a 6 bed long-term monitoring unit for patients with epilepsy. STROKE: Froedtert Hospital was the first in the state and among the first in the nation to receive certification as a Primary Stroke Center by the Joint Commission. We consistently exceed national standards of care for stroke established by the Joint Commission and the University Health System consortium and consistently achieve the highest level of recognition from the American Stroke Association on an annual basis. As a regional leader, we offer the most comprehensive and advanced care by the 24 hour a day Acute Stroke Team.SPINECARE: Our SpineCare program offers multi-disciplinary, operative and non-operative care for patients with spinal trauma, degenerative diseases of the spine, spinal tumors, and back pain. We have a team of back and neck experts working together in each location. The team is made up of some of the area's leading neurological and orthopaedic surgeons. Our staff includes well-regarded physical medicine and rehabilitation specialist, neurologists, chiropractic physicians, pain psychologist, spine--trained nurse practitioners and physician assistants as well as outstanding physical and occupational therapists.EPILEPSY: The Comprehensive Epilepsy Program is one of only a few programs in the country providing comprehensive, individualized care for people with Epilepsy. We are proud to be one of 4 programs in the country certified by the Joint Commission as a Center of Excellence for Epilepsy. It is a Level 4 Epilepsy Center, the highest ranking by the National Association of Epilepsy Centers. It serves as a regional or nation referral facility and offers: -Complete evaluation for epilepsy-More complex forms of intensive neurodiagnostic monitoring-More extensive medical, neuropsychological and psychosocial treatment-Broad range of surgical procedures, including intracranial electrodes and responsive neuromodulationThe comprehensive Epilepsy Program is the first and only in the area to offer a new epilepsy treatment - the RNS System.PARKINSONS: Patients with Parkinson's disease or movement disorders receive comprehensive care through the Parkinson's and Movement Disorders Program. For the most complex to the most common movement disorders, our knowledgeable and experienced team offers the full range of leading-edge diagnostic and treatment choices, many found only at an academic medical center. We're one of the longest-standing providers in the area offering patients unique advantages such as:-Board-certified physicians who are specialist in Parkinson's disease and movement disorders- Innovative technology & treatment options. We are the only program in the region to offer deep brain stimulation (DBS)- Individualized, coordinated care with active involvement of the patient and family members in treatment planning- Dedication to enhancing the quality of lifeAMYOTROPHIC LATERAL SCLEROSIS (ALS): Patients with ALS receive care with the Neuromuscular Program. Although there is no cure for ALS, the program provides state-of-the-science diagnostic services and access to advanced drug therapies that may slow the progress of the disease's symptoms. The ALS Clinic is one of 26 clinics to be officially certified by the ALS Association in the United States.OTHER: Neurologists specialize in the diagnosis and treatment of peripheral nerve and muscle disorders, dementia, neuro-opthalmologic conditions, and demyelinating disorders. It offers multidisciplinary programs in Brain Injury, Spinal Cord Injury, and Neuro-oncology. The NeuroRehab program is an integral part of all Neurosciences programs. In addition to the core programs noted above, the Neurosciences Center also provides care for Alzheimer's, Autonomic Disorders, Headache, MS, Neuromuscular Disorders, Neuropyschology patients.Cancer Center. The Clinical Cancer Center offers comprehensive care for all types of cancer through 13 disease-specific, multidisciplinary cancer programs; support services ranging from laboratory and imaging to psychosocial and pastoral care; and research facilities and international cancer registries. Unique offerings in cancer center care include:- A Day Hospital which is open 365 days per year for outpatient chemotherapy infusion and supportive care- Outpatient Blood and Marrow Transplant (BMT)- Whole genome sequencing- Patient centered care model with advanced intake and coordination mechanisms- Renowned experts with specialty expertise- Academic medical center with wide range of clinical trials- Advanced technology- Single location for all cancer treatment needsFroedtert Hospital is a leading center for HIPEC (Hyperthermic Intraperitioneal Chemotherapy) in the Midwest and the nation. HIPEC is a state-of-the-art procedure for treating cancers that have spread to the abdomen. This procedure offers a new treatment option even for people who have been told they have no options.Accreditations:- Accredited by the American College of Surgeons Commission on Cancer as an Academic Comprehensive Cancer Program. Programs are recognized for providing postgraduate medical education, caring for more than 500 newly diagnosed cancer cases each year, participating in research and offering a full range of diagnostic and treatment services.- Since 2001, the Blood and Marrow Transplant Program has been accredited by the Foundation for Accreditation of Cellular Therapy (FACT). For patients, this measurement of quality and expertise provides the assurance that they are receiving high-quality transplant care and offers a way for them to compare different programs.- The Cancer Center is accredited by the American College of Radiology American Society for Radiation Oncology (ACR-ASTRO) representing the highest level of quality and patient safety for radiation treatment.- We are accredited by the Quality Oncology Practice Initiative (QOPI) of the American Society of Clinical Oncology (ASCO) which ensures adherence to national standards for the treatment of cancer patients with chemotherapeutic, immunologic and other agents.- The Breast Care Center is accredited by the National Accreditation Program for Breast Centers (NAPBC), which ensures the quality of services provided for breast health and the treatment of breast cancer.Froedtert had 4,270 cancer registry cases in FY2015.Other Achievements:2015-16 US News & World Reports Best Hospital list. They ranked Froedtert Hospital nationally in four specialties including endocrinology, otolaryngology, nephrology, and pulmonology . This places us among the top 50 US hospitals in these areas.2015-16 US News & World Report recognized Froedtert Hospital as high performing in six medical specialties: cancer, gastroenterology, geriatrics, neurology, orthopaedics, and urology.2015 University HealthSystem Consortium (UHC) listed Froedtert Hospital among top academic medical centers based on performance in quality and safety across a broad spectrum of patient care activities.2015 Truven Health Analytics named Froedtert Hospital as a major teaching hospital among the nations 100 Top Hospitals. The hospitals in the list were recognized by the studys authors for bringer higher value to their communities through better quality, higher efficiency, and high perceptions of care.2014-15 Consumer Choice Award for 10th straight year for most preferred hospital in southeastern Wisconsin by Nation Research Corporations 2014/2015 Consumer Choice Award.
4c (Code:   ) (Expenses $ 102,970,878 including grants of $   ) (Revenue $ 37,639,788 )
Medical Education: Froedtert Hospital is the major teaching affiliate of The Medical College of Wisconsin. The affiliation agreement between The Medical College and Froedtert Hospital provides for joint programs in health care education, health-related research, and health services. The Medical College places approximately 333 full-time equivalent residents at Froedtert Hospital.Substantially all patient encounters at Froedtert Hospital are teaching related. Froedtert Hospital is utilized in The Medical College's residency programs in anesthesiology, dermatology, diagnostic radiology, endocrinology/metabolism, general surgery, internal medicine, nephrology, neurological surgery, neurology, oral and maxillofacial surgery, otolaryngology, pathology, plastic and reconstructive surgery, pulmonary medicine, transplant surgery, urology and emergency medicine, allergy and immunology, cardiology, geriatrics, gastroenterology, hematology/oncology, infectious disease, nuclear medicine, obstetrics and gynecology, ophthalmology, orthopedic surgery, physical medicine and rehabilitation, psychiatry, radiation oncology, thoracic surgery, trauma surgery, and vascular surgery. Froedtert Hospital supports continuing medical education. All of the medical services provide continuing medical education for the staff, residents, and students. Scientific conferences are held on a weekly basis for most services. The Medical College faculty members, who comprise the majority of the Medical Staff of Froedtert Hospital, frequently serve as directors of continuing medical education programs for other hospitals within the State of Wisconsin and the surrounding region.In addition to the affiliation with The Medical College, Froedtert Hospital maintains educational affiliations with a number of other institutions, including Alverno College, Cardinal Stritch University, Carroll College, Marian University, Marquette University, Milwaukee Area Technical College, Milwaukee School of Engineering, Mount Mary College, University of Wisconsin System (UW Milwaukee and UW Oshkosh), and Waukesha County Technical College.
4d Other program services (Describe in Schedule O.)
(Expenses $ 31,400,868 including grants of $   ) (Revenue $ 78,543,960 )
4e Total program service expensesMediumBullet1,029,640,256
Form 990 (2014)
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
216
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
6,311
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
No
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
0
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
No
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
 
No
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
No
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
No
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
No
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
No
Form 990 (2014)
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
WI
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletDavid Dirksmeyer
N74 W12501 Leatherwood Ct
Menomonee Falls,WI53051 (414) 777-0960
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Barrientos Norman........................................................................
Director
1.00
.......................1.00
X           0 0 0
(2) Bechtel Kathleen........................................................................
Dir&VP Pt Care
40.00
.......................0.00
X           354,774 0 76,676
(3) Biblo Lee A MD........................................................................
Director
1.00
.......................0.00
X           0 0 0
(4) Callahan Margaret........................................................................
Director
1.00
.......................0.00
X           0 0 0
(5) Cannon Mary C........................................................................
Director
1.00
.......................0.00
X           0 0 0
(6) Fulkerson Jay........................................................................
Director
1.00
.......................0.00
X           0 0 0
(7) Gendelman Lori........................................................................
Director
1.00
.......................0.00
X           0 0 0
(8) Jacobson Catherine A........................................................................
Dir&FH Pres/CEO
1.00
.......................48.00
X           0 1,507,986 414,149
(9) Mason Michelle........................................................................
Director
1.00
.......................0.00
X           0 0 0
(10) Patterson Renee........................................................................
Director
1.00
.......................0.00
X           0 0 0
(11) Purtell Dennis J........................................................................
Director
1.00
.......................0.00
X           0 0 0
(12) Rilling William........................................................................
Director
1.00
.......................0.00
X           0 0 0
(13) Sevenich Jenni........................................................................
Director
1.00
.......................0.00
X           0 0 0
(14) Buck Catherine J........................................................................
Dir&Pres
50.00
.......................1.00
X   X       775,375 0 218,763
(15) Larson David N........................................................................
Dir&BOD Chair
1.00
.......................0.00
X   X       0 0 0
(16) Prince Joan M PhD........................................................................
Dir&BOD V.Chair
1.00
.......................0.00
X   X       0 0 0
(17) Eastham Catherine Mode........................................................................
BOD Secretary
1.00
.......................40.00
    X       0 480,465 173,376
Form 990 (2014)
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Hawig Scott........................................................................
CFO
1.00
.......................48.00
    X       0 788,197 205,753
(19) McPike Linda........................................................................
BOD Secretary
1.00
.......................40.00
    X       0 232,386 17,617
(20) Van De Kreeke Jeffrey........................................................................
Treasurer
1.00
.......................46.00
    X       0 407,483 101,051
(21) Anderes Michael........................................................................
VP-Clin&Supp Svc
40.00
.......................0.00
        X   257,506 0 79,935
(22) Fischer Lynn E........................................................................
VP-Service Lines
40.00
.......................0.00
        X   328,419 0 71,090
(23) Gray D Allan........................................................................
VP Periop Svcs
50.00
.......................0.00
        X   340,419 0 24,389
(24) Leevan Yakira........................................................................
CRNA-Anesthesia
40.00
.......................0.00
        X   313,807 0 35,154
(25) Pierce Deborah........................................................................
Coor-Sur/Transplan
40.00
.......................0.00
        X   239,904 0 29,680










1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,610,204 3,416,517 1,447,633
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet307
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
United Dynacare

9200 W Wisconsin Ave
Milwaukee,WI53226
Lab Services 42,976,495
Medical College of WI

8701 Watertown Plank Road
Milwaukee,WI53226
Physician staffing 1,193,496
The Cannon Corporation

2170 Whitehaven Road
Grand Island,NY14072
Archetect/design 875,437
Hospital Billing & Collection Services

118 Lukens Drive
New Castle,DE19720
Billing/Collection 5,057,646
High Voltage Maintenance

24865 Network Place
Chicago,IL60673
Engineering Svcs 155,984
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet5
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 1,499,826
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
2,310,000
g Noncash contributions included in lines
1a-1f:$
20,600
h Total. Add lines 1a-1f.......MediumBullet 3,809,826
 Program Service RevenueAmt Business Code
2a Hospital Inpatient 900099 601,602,014 601,602,014    
b Hospital Outpatient 900099 630,930,011 630,930,011    
c Medical Education 611600 37,639,788 37,639,788    
d Trauma 900099 31,727,751 31,727,751    
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,301,899,564
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 1,193,893 949,709   244,184
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet 0      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   207,397
b Less: cost or other basis and sales expenses   168,802
c Gain or (loss)   38,595
d Net gain or (loss)..........MediumBullet 38,595     38,595
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..MediumBullet 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...MediumBullet 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..MediumBullet 0      
Miscellaneous Revenue Business Code
11a Corporate Allocated Reven 561000 15,364,318 15,364,318    
b Other Department Revenue 561499 9,151,540 9,151,540    
c Sublease Revenue 561499 12,134,750 12,134,750    
d All other revenue .... 9,215,892 9,215,892    
e Total. Add lines 11a–11d ...... MediumBullet 45,866,500
12 Total revenue. See Instructions......MediumBullet 1,352,808,378 1,348,715,773   282,779
Form 990 (2014)
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 domestic organizations and domestic governments. See Part IV, line 21 .... 0  
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 .... 1,112,671   1,112,671  
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 .... 283,651,402 269,864,176 13,787,226  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 0      
9 Other employee benefits ....... 57,348 54,347 3,001  
10 Payroll taxes ........... 19,948,500 18,904,722 1,043,778  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 607,643 6,000 601,643  
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) .... 129,047,286 115,824,383 13,222,903  
12 Advertising and promotion .... 59,967 59,967    
13 Office expenses ....... 4,699,811 3,425,610 1,274,201  
14 Information technology ...... 470,642 439,438 31,204  
15 Royalties .. 0      
16 Occupancy ........... 26,000,276 22,572,317 3,427,959  
17 Travel ............ 64,270 60,963 3,307  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 775,234 710,266 64,968  
20 Interest ........... 12,914,778 11,212,053 1,702,725  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 44,229,632 38,398,257 5,831,375  
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 Medical Supplies 275,157,089 275,073,057 84,032  
b Corporate Allocations 257,263,005 105,100,410 152,162,595  
c Medical Education 102,970,878 102,970,878    
d Hospital Tax Assessment 27,254,732 27,254,732    
e All other expenses 44,020,362 37,708,680 6,311,682  
25 Total functional expenses. Add lines 1 through 24e 1,230,305,526 1,029,640,256 200,665,270 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 17,350 1 18,350
2 Savings and temporary cash investments ......... 16,639,996 2 61,394,861
3 Pledges and grants receivable, net ...........   3 0
4 Accounts receivable, net ............. 131,270,725 4 140,379,615
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 0
8 Inventories for sale or use .............. 14,677,779 8 15,176,688
9 Prepaid expenses and deferred charges .......... 3,264,550 9 3,197,457
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 971,354,468
b Less: accumulated depreciation ..... 10b 458,689,616 433,473,071 10c 512,664,852
11 Investments—publicly traded securities .......... 84,364,286 11 15,167,464
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 ........... 51,603,622 15 44,759,482
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 750,311,379 16 792,758,769
Liabilities 17 Accounts payable and accrued expenses ......... 59,958,220 17 68,751,436
18 Grants payable .................   18  
19 Deferred revenue ................ 1,117,224 19 879,655
20 Tax-exempt bond liabilities .............   20  
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 .... 632,783 24 550,235
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.................... 35,020,360 25 20,215,137
26 Total liabilities. Add lines 17 through 25......... 96,728,587 26 90,396,463
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 628,958,375 27 674,559,851
28 Temporarily restricted net assets ........... 24,258,167 28 27,436,205
29 Permanently restricted net assets ........... 366,250 29 366,250
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 653,582,792 33 702,362,306
34 Total liabilities and net assets/fund balances ........ 750,311,379 34 792,758,769
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,352,808,378
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,230,305,526
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
122,502,852
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
653,582,792
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-73,723,338
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
702,362,306
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? .................
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID: 14000265
Software Version: 2014v6.0
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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
 
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total    

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.)..            
11 Total support Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2014
(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)
 
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)
 
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
 
7 Excess distributions carryover to 2015. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID: 14000265
Software Version: 2014v6.0
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Name of the organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
 
Employer identification number

39-6105970
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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
Special Rules
......... 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 its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
 
Employer identification number

39-6105970
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


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
 
Employer identification number

39-6105970
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
 
Employer identification number

39-6105970
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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 (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2014)

Additional Data


Software ID: 14000265
Software Version: 2014v6.0
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
 
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 value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .......................................
9
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.
1a
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.
b
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)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
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:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
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 .... 11,443,996 9,551,972 7,588,611 8,356,002 6,990,605
b Contributions ........ 785,742 1,621,971 1,773,000 503,594 1,560,048
c Net investment earnings, gains, and losses 137,282 785,813 596,052 40,083 683,375
d Grants or scholarships ..... 286,129 360,702 287,531 266,918 221,427
e Other expenditures for facilities
and programs ........
91,022 144,472 114,112 87,926 618,708
f Administrative expenses .... -10,973 10,586 4,048 956,224 37,891
g End of year balance ...... 12,000,842 11,443,996 9,551,972 7,588,611 8,356,002
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet97.000 %
b
Permanent endowment SchDMd Bullet3.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   2,313 2,313
b Buildings ................   348,536,375 139,440,863 209,095,512
c Leasehold improvements ............   110,056,281 47,574,263 62,482,018
d Equipment ................   304,866,210 219,975,966 84,890,244
e Other .................   207,893,289 51,698,524 156,194,765
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 512,664,852
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (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.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Due from Affiliates 11,114,427
(2) Due from Employee 2,075
(3) Pension Receivable 5,198,269
(4) Rounding 1





Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 44,759,482
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
3rd Party Estimated Settlements 6,613,233
Due to Affiliates 4,396,159
Pension Liability Base 261,619
Pension Liability URMS 5,361,377
Post Retirement Medical 3,582,749




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 20,215,137
2. Liability for uncertain tax positions. 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) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 1,333,942,599
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 2,661
e Add lines 2a through 2d ..................... 2e 2,661
3 Subtract line 2e from line 1..................... 3 1,333,939,938
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 18,868,440
c Add lines 4a and 4b....................... 4c 18,868,440
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 1,352,808,378
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 1,214,905,999
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 3,387
e Add lines 2a through 2d...................... 2e 3,387
3 Subtract line 2e from line 1..................... 3 1,214,902,612
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 15,402,914
c Add lines 4a and 4b....................... 4c 15,402,914
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 1,230,305,526
Part XIII
Supplemental Information
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.
Return Reference Explanation
Part V, Line 4: Intended uses of the endowment fund. The funds are held by Froedtert Hospital Foundation, Inc.(FHF), a related organization. FHF maintains several types of endowment funds. The board designated/quasi-endowment funds were created to support the financial needs of various departments and programs of Froedtert Memorial Lutheran Hospital, Inc. For permanently restricted endowment funds, the intent of the funds depends on the restriction that applies to that particular endowment, as prescribed by the donor. Depending on the particular endowment, the intended uses include fellowships, research, and educational resources for the community.
Part X : FIN48 Footnote Froedtert Health, Inc., the parent entity into which Froedtert Memorial Lutheran Hospital's financial results are consolidated, applies ASC No. 740, Income Taxes, which clarifies the accounting for uncertainty in income taxes recognized in a company's financial statements. ASC No. 740 prescribes a more-likely than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under ASC No. 740, tax positions are evaluated for recognition, derecognition, and measurement using consistent criteria and provide more information about the uncertainty in income tax assets and liabilities. As of June 30, 2015 and 2014, Froedtert Memorial Lutheran Hospital does not have an asset or liability recorded for unrecognized tax positions.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Rounding $2661
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Corporate Allocated Revenue (507999) $15364318 Settlement $0 Capital Contributions $2000000 Contribution FHF $1465526 Asset Dispositions $38596
Part XII, Line 2d: Other expenses and losses per audited F/S Rounding $3387
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Corporate allocated revenue $15364318 Settlement $0 Asset Dispositions $38596
Schedule D (Form 990) 2014

Additional Data


Software ID: 14000265
Software Version: 2014v6.0




SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
 
Employer identification number

39-6105970
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.
4
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"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
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? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
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) ..
    4,608,225   4,608,225 0.370 %
b Medicaid (from Worksheet 3,
column a) ....
    202,804,871 127,521,300 75,283,571 6.120 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    207,413,096 127,521,300 79,891,796 6.490 %
Other Benefits
32 20,437 3,282,297   3,282,297 0.270 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
6 1,893 68,778,595   68,778,595 5.590 %
g Subsidized health services
(from Worksheet 6) ..
1 13,281 166,725   166,725 0.010 %
h Research (from Worksheet 7) 1   5,551,099   5,551,099 0.450 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
5 120 1,273,035   1,273,035 0.100 %
j Total. Other Benefits .. 45 35,731 79,051,751   79,051,751 6.420 %
k Total. Add lines 7d and 7j . 45 35,731 286,464,847 127,521,300 158,943,547 12.910 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building 1   28,994   28,994  
7 Community health improvement advocacy            
8 Workforce development 3   221,564   221,564 0.020 %
9 Other            
10 Total 4   250,558   250,558 0.020 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
20,050,245
3
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. ......
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
236,291,049
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
254,549,971
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-18,258,922
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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.......................

9b

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 %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Froedtert Memorial Lutheran Ho
9200 W Wisconsin Avenue
Milwaukee,WI53226
www.froedtert.com
X X   X   X X      
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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)
Froedtert Memorial Lutheran Ho
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): www.froedtert.com/community-engagement
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Froedtert Memorial Lutheran Ho
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Froedtert Memorial Lutheran Ho
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Part V, Line 5 - Account Input from Persons Who Represent the Community Froedtert Memorial Lutheran Hospital is a member of the Milwaukee Health Care Partnership www.mkehcp.org, a public private consortium dedicated to improving care for under-served populations in Milwaukee County. Through the Partnership, Milwaukees five health systems and the Milwaukee Health Department aligned resources to complete a shared community health needs assessment (CHNA) in 2013. Supported by additional analysis from the Center for Urban Population Health, this community-wide CHNA includes findings from a community health survey of over 1,900 adults, significant key informant interviews and a secondary source data analysis. Key informants in Milwaukee County were identified by the Milwaukee Health Care Partnership in collaboration with the City of Milwaukee Health Department. The interviews were conducted by Partnership members and graduate students supervised by the City of Milwaukee Health Department. The interviewers used a standard interview script (schedule) that included the following elements: Ranking of up to five public health issues, based on the focus areas presented in Wisconsins State Health Plan, that are the most important issues for the County.All informants were made aware that participation was voluntary and that responses would be shared with the Center for Urban Population Health for analysis and reporting. The top issues were identified primarily through key informant rankings in combination with summaries of priority issues identified in the focus groups. Additionally, qualitative analysis of responses focused on relationships between issues, with emerging themes used to inform the final rankings. Lastly, representatives from each health system and the City of Milwaukee Health Department (all of whom had conducted interviews or supervised interviewers) participated in an analytic session to critique and validate findings. Forty-one individual key informant interviews were conducted in Milwaukee County. Of note, ten public health officers participated in the interviews as key informants. In addition, five group interviews were also conducted using the same interview schedule.Key Informant Interview organizations:United Way of Greater MilwaukeeCity of Milwaukee Health DepartmentNorth Shore Health DepartmentMilwaukee County Department of Health & Human ServicesChildrens Health Alliance of WisconsinNorth Shore Health DepartmentUnited Community CenterThe Faye McBeath FoundationAIDS Resource Center of WisconsinChildrens Hospital of WisconsinWisconsin Department of Public Health ServicesGreater Milwaukee FoundationMilwaukee Common CouncilWauwatosa Health DepartmentHelen Bader FoundationBlack Health Coalition of WisconsinMedical College of Wisconsin Institute for Health and SocietyWest Allis & West Milwaukee Health DepartmentSouth Milwaukee Health DepartmentUW-Milwaukee Joseph J. Zilber School of Public HealthYWCA MilwaukeeHales Corners Health DepartmentMedical Society of Milwaukee CountyNorth Shore Health DepartmentOak Creek Health DepartmentGreenfield Health DepartmentSt. Francis Health DepartmentGreendale Health DepartmentUNCOM (United Neighborhood Centers of Milwaukee)CORE/El CentroMilwaukee Oral Health Task ForceColumbia-St. MarysMilwaukee Health Care PartnershipLindsay Heights Health AllianceCommunity AdvocatesCudahy Health DepartmentFranklin Health DepartmentYMCA of Metro MilwaukeeLatino Health CoalitionGroup Interviews:United neighborhood Centers of Milwaukee Executive DirectorsBoys and Girls Club of Greater Milwaukee StaffHousing Authority of the City of Milwaukee Residents from Parklawn ( Family Housing)Housing Authority of the City of Milwaukee Residents from Highland Gardens (Senior and Disabled Housing)Medical Society of Milwaukee County
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment Froedtert Memorial Lutheran Hospital is a member of the Milwaukee Health Care Partnership www.mkehcp.org, a public-private consortium dedicated to improving care for under-served populations in Milwaukee County. Through the Partnership, Milwaukees five health systems and the Milwaukee Health Department aligned resources to complete a shared community health needs assessment (CHNA) in 2013. Supported by additional analysis from the Center for Urban Population Health, this community-wide CHNA includes findings from a community health survey of over 1,900 adults, significant key informant interviews and a secondary source data analysis. This shared CHNA serves as the foundation for Froedtert Hospitals implementation strategy to improve health outcomes and reduce disparities in Milwaukee County.Milwaukee County: Aurora Health SystemChildrens Hospital of WisconsinFroedtert & The Medical College of WisconsinWheaton Franciscan Health SystemColumbia-St. Marys Health SystemCenter for Urban Population HealthMilwaukee County Health DepartmentCity of Milwaukee Health DepartmentWauwatosa Health DepartmentJKV Research was hired by the participating Health Care Systems and Health Departments to lead the CHNA process for Milwaukee County. The total cost of each CHNA was shared by each of the participating health systems and health departments. Each health system and health department was assigned to conduct key informant interviews within their service area.
Part V, Line 7d - Description of Making Needs Assessment Widely Available The CHNA summary and full reports can be found on the Froedtert Health website:http://www.froedtert.com/community-engagementAdditional Websites:http://mkehcp.org/publications/
Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why ORAL HEALTH SERVICES (Health Care Access): In Milwaukee County, 19% reported unmet dental needs. Explanation: Froedtert Hospital does not have the dedicated resources. There are other health systems and local organizations dedicated to improve access to dental care.BEHAVIORAL HEALTH SERVICES (Health Care Access): From 2003-2012, there was a statistical increase in those reporting considering suicide. Explanation: Froedtert Hospital is working with other private health system providers and Milwaukee County Behavioral Health Division to develop new systems of care for individuals with mental illness and substance abuse.TEEN PREGNANCY (Sexual Health): In Milwaukee County: 48.2 births per 1,000 teens age 15-19 vs. 26.2 births per 1,000 in Wisconsin. Explanation: The Aids Resource Center of Wisconsin and the City of Milwaukee Health Department are the lead agencies in reducing the incidence of sexually transmitted diseases in the community.HIGH STI RATES (Sexual Health): STI incidence rate is 1,469 per 100,000.Explanation: The Aids Resource Center of Wisconsin and the City of Milwaukee Health Department are the lead agencies in reducing the incidence of sexually transmitted diseases in the community.INFANT MORTALITY: Mortality rate in Milwaukee is 8.1 per 1,000 live births. For African Americans the rate is 13.9 and in Wisconsin is 5.7 per 1,000 births. Explanation: The United Way of Greater Milwaukee, the University of Wisconsin LifeCourse Initiative and the City of Milwaukee Health Department are actively involved in addressing this need.HEALTH LITERACY & NAVIGATION (Health Care Access): In Milwaukee County, 20% of adults reported poor health. 11% reported having unmet medical needs. Explanation: The Milwaukee Health Care Partnership, the United Way of Greater Milwaukee, Community Advocates, Milwaukee AHEC and a number of other community organizations are working to increase awareness of health services and health seeking behaviors among low income individuals.
Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Part V, Line 13b:In alignment with the Froedtert Health financial assistance policy Froedtert Memorial Lutheran Hospital reserves the right to review each application for financial assistance on its own merits and to consider other extenuating circumstances in the decision to approve or deny a patient's application for financial assistance. The applicant's gross family income will be compared to the annual Federal Poverty guidelines set forth by the U.S. Department of Health and Human Services. A patient who has an annual gross income equal to or less than 400% of the current year's poverty guidelines will not pay more than 15% of their annual gross income on any single account during the approved eligibility timeframe. Patients who meet the requirements and have a gross income equal or less than 200% of the FPL may qualify for a 100% discount. Patients who meet the requirements and have a gross income between 200% and 400% of the FPL may qualify for a discount on a sliding scale. In addition to income, Froedtert Memorial Lutheran Hospital also takes certain assets into consideration. Assets protected from financial evaluation include a portion of a household's retirement assets, cash, savings assets and home equity.Part V, Line 13h:Out of Pocket Maximum Discount
Part V, Line 16i - Other Means Hospital Facility Publicized the Policy A summary of the Financial Assistance Policy is available on the Froedtert Memorial Lutheran Hospital website.
Part V, Line 20e - Other Actions Took Before Any Collection Actions We request additional documentation when an individual has submitted an incomplete financial assistance application.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. 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) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) In alignment with the Froedtert Health, Inc. financial assistance policy Froedtert Memorial Lutheran Hospital reserves the right to review each application for financial assistance on its own merits and to consider other extenuating circumstances in the decision to approve or deny a patient's application for financial assistance. The applicant's gross family income will be compared to the annual Federal Poverty guidelines set forth by the U.S. Department of Health and Human Services. A patient who has an annual gross income equal to or less than 400% of the current year's poverty guidelines will not pay more than 15% of their annual gross income on any single account during the approved eligibility timeframe. Patients who meet the requirements and have a gross income equal or less than 200% of the FPL may qualify for a 100% discount. Patients who meet the requirements and have a gross income between 200% and 400% of the FPL may qualify for a discount on a sliding scale. In addition to income, Froedtert Hospital also takes certain assets into consideration. Assets protected from financial evaluation include a portion of a household's retirement assets, cash, savings assets and home equity.
Part I, Line 6a - Related Organization Community Benefit Report Froedtert Memorial Lutheran Hospital (FMLH) produces an annual community benefit report highlighting community benefit programs, patient impact stories and investments in the communities we serve. The report will be mailed, as in years previous, to partners in our Community, FMLH Leaders, FMLH Board of Directors, elected officials, business leaders and other community members. A copy of the report can be found on our website at www.froedtert.com/community-engagement.
Part I, Line 7 - Explanation of Costing Methodology Charity Care and certain other community benefits costs were determined by using internal information to reduce the various activities to cost. We present cost information consistently in the different venues that it appears.Froedtert Memorial Lutheran Hospital reports accounts receivable for services rendered at net realizable amounts from third-party payers, patients, and others. Froedtert Memorial Lutheran Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions and trends.The ratio of patient care cost to charges is applied to the bad debt attributable to patient accounts to calculate the estimated cost of bad debt attributable to patient accounts that is reported on line 2. Discounts and payments on patient accounts are recorded as an adjustment to revenue, not bad debt expense. As a not-for-profit, emergency medical care and other medically necessary care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies bad debts as a community benefit.
Part I, Line 7, Column F - Explanation of Bad Debt Expense Our total expense from Form 990, Part IX, line 25, column (A) was $1,230,305,526. Bad debt expense is included in Form 990,Part VIII, lines 2a-2c as required by ASU 2011-07, Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities. Therefore bad debt expense is not included on Part IX, Statement of Functional Expenses, Line 25, column (A).
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Froedtert Memorial Lutheran Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions and trends. The ratio of patient care cost to charges is applied to the bad debt attributable to patient accounts to calculate the estimated cost of bad debt attributable to patient accounts that is reported on line 2. Discounts and payments on patient accounts are recorded as an adjustment to revenue, not bad debt expense.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit The financial assistance policy allows for accounts in bad debt to be approved for financial assistance if the patient meets the criteria. There are possible financial assistance accounts in bad debt, although the exact percentage is unknown as we do not have the appropriate tools to determine this percentage accurately.
Part III, Line 4 - Bad Debt Expense Patients accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectability of patients accounts receivable, Froedtert Health, Inc. (FH) analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, FH analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), FH records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.FH recognizes patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, FH recognizes revenue on the basis of its standard rates for services provided (or on the basis of discounted rates, if negotiated or provided by policy). On the basis of historical experience, a significant portion of FHs uninsured patients will be unable or unwilling to pay for the services provided. Thus, FH records a significant provision for bad debts related to uninsured patients in the period the services are provided.See also page 28 and 29 of attached financial statements.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit Froedtert Memorial Lutheran Hospital does not limit the care available to any patients, including those covered by Medicare. Froedtert Memorial Lutheran Hospital receives Medicare reimbursement intended to cover care for the medically indigent patients reflected in Part I.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients In alignment with the Froedtert Health, Inc. Financial Assistance policy and Credit and Collection policy regarding the billing, collection and support for patients with payment obligations, Froedtert Memorial Lutheran Hospital makes every effort to adhere to the policy and is committed to implementing and applying the policies for assisting those patients who may qualify for Financial Assistance in a professional and consistent manner. Staff members who work closely with patients such as Patient Financial Services Customer Service and Financial Counseling staff, as well as those involved in billing and collections are trained about these policies with an emphasis on treating all patients with dignity and respect regardless of their insurance or their ability to pay for services. Other staff who may have interactions with patients, such as Admitting staff are also aware of the policy, and able to provide patients a copy of an application upon request and also are committed to treating patients with dignity and respect regardless of their insurance or their ability to pay for services.
Part VI - Needs Assessment In January, 2013 Froedtert Memorial Lutheran Hospital collaborated with JKV Research, LLC along with Aurora Health Care, Childrens Hospital of Wisconsin, Columbia St. Marys Health System, and Wheaton Franciscan Healthcare to conduct a Community Health Needs Assessment (CHNA) in Milwaukee County. The research from the needs assessment provides valuable behavioral data, lifestyle habits, and the prevalence of risk factors and disease conditions of Milwaukee County residents. CHNA Overview/Objectives Gather specific data on behavioral and lifestyle habits of the adult population. Gather data on the prevalence of risk factors and disease conditions existing within the adult population. Compare health data of residents to previous health studies. Compare, where appropriate and available, health data of residents to national and state measurements. CHNA Methodology: 1,970 telephone interviews completed between June 20 and November 7, 2012 Two-fold Sampling 1) A random-digit-dial landline sample of telephone numbers which included listed and unlisted numbers. The respondent within each household was randomly selected by computer based on the number of adults in the household (n=1,428). 2) A cell phone-only sample where the person answering the phone was selected as the respondent (n=542). At least 8 attempts were made to contact a respondent in both samples. Screener questions verifying location were included. All data post-stratified by age and gender of adult residents as of 2010 census proportions. Margin of error: 2%Forty-one individual key informant interviews were conducted in Milwaukee County. Of note, ten public health officers participated in the interviews as key informants. In addition, five group interviews were also conducted using the same interview schedule.Following extensive interviews with key community stakeholders, findings from the assessment were categorized into eight areas: Access to Health Care & Health Insurance Coverage, Oral Health Care Services, Behavioral Health Services, Infant Mortality, Sexual Health, Chronic Disease and Obesity, Nutrition and Physical Activity. Of those eight health needs categories, five were identified as the focus for community outreach activities in 2013 through 2016. The most critically documented health needs were identified: Behavioral Health Access to Health Care Services Physical Activity/Overweight and Obesity/Nutrition Health Insurance coverage Infant Mortality.In April 2013, Froedtert Memorial Lutheran Hospital convened the Community Health Improvement Advisory Committee. With particular expertise in public health, population health, wellness and process improvement, the members of this committee provide guidance to Froedtert Hospitals community benefit plan for the development and monitoring of the Implementation Strategy. The advisory committees role is to determine the top health priorities in the county and create an implementation plan to address community and health needs for Milwaukee County, beginning initiatives in Wauwatosa and Washington Park Neighborhoods due to its proximity to the hospital as well as Froedtert s long-standing investment in the Washington Park neighborhood a high needs zip code. This plan will be further expanded to other sections of the primary service area between 2013 and end of 2015.Through the work of the Community Health Improvement Advisory Committee, the following priorities have been determined:- Access to Care- Nutrition- Physical Activity- Health Insurance Coverage- Injury & Violence Prevention
Part VI - Patient Education of Eligibility for Assistance Froedtert Memorial Lutheran Hospital informs and educates patients regarding financial assistance and government program eligibility in a number of ways. Its communication efforts also address special needs of patients and their families, such as hearing or visual impairment or language interpretation.Information on hospital-based financial support policies and government programs are made available to patients during the pre-registration and registration processes through brochures, signage and direct contact with financial counselors, social workers / case managers and registration staff. Patient billing statements also inform patients that financial assistance is available. The Froedtert Health, Inc. website contains information regarding pricing, how to understand your hospital bill, and how to apply for Financial Assistance. Froedtert Memorial Lutheran Hospital has made financial assistance forms and information available in Spanish. Financial counselors screen uninsured patients for government program eligibility and social services staff are available to assist patients with enrollment processes. Patients who are uninsured, those covered by government programs and those with limited financial means may also be eligible for charity care or discounts through the Froedtert Memorial Lutheran Hospital's financial assistance program. Financial counselors make every effort to determine a patient's eligibility prior to or at the time of admission or service. However, determination for financial assistance can be made during any stage of the patient's stay after stabilization, or the collection cycle.
Part VI - Community Information Since 1980 Froedtert Memorial Lutheran Hospital has been part of a critical initiative to improve the health of our Community. As the regions Academic Medical Center and only Level I Trauma Center, Froedtert Memorial Lutheran Hospitalss primary service area is comprised of five counties: Ozaukee, Milwaukee, Waukesha, Washington and Racine. Community Memorial Hospital of Menomonee Falls and St. Josephs Community Hospital, part of the Froedtert Health System, are able to care for patients within the Waukesha and Washington County areas relying on Froedtert Memorial Lutheran Hospital for higher acuity care. Froedtert Memorial Lutheran Hospital focuses on urban, low income, uninsured and medically underserved populations, most of whom reside in Milwaukee County, which comprises the largest concentration of zip codes with the highest needs. As such, Froedtert Memorial Lutheran Hospital has made concerted efforts to begin focus on those neighborhoods in our back yard: Wauwatosa and Washington Park.In partnership with Progressive Community Health Centers, Froedtert Memorial Lutheran Hospital has invested a place-based health improvement strategy in this neighborhood for ten years. Part of the urban poverty corridor, this neighborhood is home to a large vulnerable population, as well as a number of valuable community assets to address the social determinants of health.Located in the City of Wauwatosa, Froedtert has a strong relationship with the local health department and other community organizations that are working to improve health and quality of life. Household Income Five-County Milwaukee High NeedsCY15 Service Area1 County Zip Codes2Under $25,000...........22.97%......29.60%......40.96%$25,000 - $49,999.......23.87%......26.68%......28.54%$50,000 - $99,999.......31.72%......29.21%......23.05%$100,000 and up.........21.44%......14.51%...... 7.45%Total Households.......715,270.....390,656.....150,648 Ethnicity CY15 White....................73.79%......59.84%.....30.13%African American.........16.04%......26.75%.....51.92%Asian/Hawaiian/Pacific Islander......... 3.04%...... 3.72%..... 3.82%Native American.......... 0.55%...... 0.75%..... 0.80%Two or more races........ 2.53%...... 3.20%..... 3.78%Other.................... 4.06%...... 5.74%..... 9.55%Total Population..... 1,789,814.... 960,227....419,294 Hispanic 3...............10.46%......14.28%.....21.02%Total Population......1,789,814.....960,227....419,294 Payer Source FY14 Commercial/Managed Care....................27.22%.......22.16%.....15.27%Medicare................50.32%.......48.87%.....40.92%Medicaid................16.87%.......22.58%.....35.64%Other Government........ 0.83%....... 0.66%..... 0.43%Other Self Pay.......... 4.76%....... 5.72%..... 7.74%
Part VI - Community Building Activities To promote the health of our communities, Froedtert Memorial Lutheran Hospital participates in numerous community building activities that are not included in Part I of Schedule H. There activities include:1. Community support: Participation in local emergency preparedness and contributions to public safety programs to increase safe neighborhoods.2. Coalition building: funding of the Milwaukee Healthcare Partnership, a public / private partnership working to expand coverage, access and care coordination for Milwaukees uninsured and underinsured populations.3. Workforce development: support for diversity recruitment as well as career development programs with local schools in order to train the next generation of medical and working professionals in our local area.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Froedtert Memorial Lutheran Hospitals Community Benefit programming and health improvement activities are supported through staff resources, budgeted dollars for programming and community partnerships. Community Health Education ProgramsFroedtert Memorial Lutheran Hospital regularly schedules educational classes, workshops and screenings for the community. The services offered are readily accessible to the general public and are free of charge. These programs provide information on a variety of health concerns including chronic disease prevention / management and updates on the newest medical technology and medical research. In addition, Froedtert Memorial Lutheran Hospital offers a speakers bureau that is a free service to the community. Community Health ScreeningsFroedtert Memorial Lutheran Hospital offers free blood pressure and diabetes screenings, free or low-cost screenings for breast, prostate, skin, head and neck and colorectal cancers as well as a variety of other health assessments. In fiscal year 2015, Froedtert Memorial Lutheran Hospital conducted community education programs and health screenings for more than 17,000 people. Forever ChangedAs a response to both local and national community health needs, the staff of the Level I Trauma Center at Froedtert Memorial Lutheran Hospital is committed to injury prevention throughout our community. In an effort to reduce traffic-related injuries and deaths among teens, the Trauma Program created Forever Changed, a program aimed at high school students. The program, features a mock car crash, takes a serious look at teenage drinking, driving and risk-taking behaviors. Coordinated by Trauma Program staff, Forever Changed also includes involvement from emergency response services in southeastern Wisconsin including Flight for Life, local police and fire departments and medical examiners. In 2015, Forever Changed was conducted at two different high schools within Milwaukee and Waukesha counties presenting to approximately 2800 students.Froedtert & The Medical College of Wisconsin Community Conference Center The Community Conference Center offers a community health education center that is available for community and support groups at no cost. Froedtert Memoiral Lutheran Hospital sponsors more than 40 support groups, and provides meeting space for a variety of community events. Its wide variety of programs, activities, equipment and services provide the tools needed for the health and wellness of families in our communities. Milwaukee Health Care PartnershipFroedtert Memorial Lutheran Hospital is an active member of the Milwaukee Health Care Partnership, a public private consortium dedicated to improving care for under-served populations in Milwaukee County. The Partnership includes the five Milwaukee-based health systems, four Federally Qualified Health Centers (FQHCs), the Medical College of Wisconsin; Milwaukees and the city, county and state health departments. Specialty Access for the Uninsured Program (SAUP) & ED to Medical home programsThe ED to Medical Home initiative, in collaboration with the Milwaukee Health Care Partnership, helps connect Emergency Department patients with primary care, medical homes. Intake coordinators in safety net clinics have been added to follow up with patient appointments scheduled in the ED and help establish those patients for ongoing primary care. The health systems have also enhanced the role of ED cast managers in transition care management for this patient population. In fiscal year 2015 over 1200 health home referrals were secured through Froedterts Emergency Department program with 63% of those patients presenting for those appointments.The Specialty Access for the Uninsured Program (SAUP) recognized the need for specialized care that may not be available for patients at a Community Clinic. Patients are referred from their FQHC, meeting financial requirements, and the cost of their specialty care is covered under the SAUP program HWPP grant through the Milwaukee Health Care Partnership. Froedtert Memorial Lutheran Hospital received 41 referrals to our specialists for a complete continuum of care. Due to the ACA reforms, SAUP referrals have decreased. Physician RetentionIn fiscal year 2015, Froedtert Memorial Lutheran Hospital provided more than $68 million to support medical education and training for future health care professionals. In partnership with the Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital provides medical resident opportunities for more than 750 physicians in residency and fellowship training programs where they can learn from expert faculty and have access to leading-edge resources. As the only Academic Medical Center in south eastern Wisconsin, Froedtert Memorial Lutheran Hospital provides internship and preceptor program guidance and training to over 1600 students in the following areas: Allied Health, Pharmacy, Nuclear Medicine, and Registered Nursing (including Advanced Practice). Froedtert Memorial Lutheran Hospital also has its own School of Radiology, a two-year program. In fiscal year 2015, 66 radiology technicians continued their education through this program. Medical Transportation Program:The Medical Transportation Program at Froedtert Memorial Lutheran Hospital is a direct line budgeted program which provides transportation to and from the outpatient locations for eligible persons (200% federal poverty level or below) who have difficulty arranging their own transportation and lack the financial resources to purchase transportation. In 2015, Froedtert Memorial Lutheran Hospital provided 1416 rides to people who needed transportation to receive their health care. Froedtert Memorial Lutheran Hospital Social Services department provided approximately $117,000 for Ambulance, Cab and Bus transportation services in fiscal year 2015. ACA Insurance Marketplace and Enrollment Assistance:Froedtert Health, Inc. (parent company of Froedtert Memorial Lutheran Hospital) recognized the need to help individuals navigate the new choices available to them through the Affordable Care Acts Insurance Marketplace and Medicaid reforms. Our network of certified application counselors assisted 797 individuals in enrollment in Medicaid and 29 individuals into a Marketplace Insurance Plan. In addition, our certified application counselors answered thousands of phone calls and assisted with questions. Additionally, Froedtert Memorial Lutheran Health partnered with the Milwaukee Enrollment Network which represented health systems, free clinics, health departments and other non-profit organizations to reach out to people throughout Milwaukee, Washington and Waukesha Counties in securing adequate and affordable health insurance. United Way Employee Giving CampaignFroedtert Memorial Lutheran Hospital collaborates with the United Way of Greater Milwaukee as well as the United Performing Arts Fund to address basic needs in the community, developing self-reliance, strengthening communities and its support. Froedtert Memorial Lutheran Hospital hosts an annual workplace giving campaign to support all the local United Ways. Close to 125 hours were spent coordinating the FY15 campaign. In addition to the employee campaign, Froedtert Memorial Lutheran Hospital matches donations up to $10,000.Victory Garden InitiativeFroedtert Health, Inc., the parent of Froedtert Memorial Lutheran Hospital, partnered this year with the Victory Garden Initiative (VGI) to create 29 raised bed gardens in and around the neighborhoods surrounding the hospital. In addition funding was provided to VGI to help install and build over 500 raised bed gardens and help over 2000 families learn about and grow their own food, which is a natural fit with the community health improvement initiative of nutrition and physical activity. Bradley Tech TernsThrough a unique two-year program called tech terns 18 students from Bradley Tech high School in Milwaukee finished learning about building design, construction and health care operation in the classroom and on-site of a major construction project at Froedtert hospital. The program leads believe this is a first such career pathway development program in the country. Experts in the field develop the curriculum for each quarters visit, coordinating classroom work with the progress of the building. School Nurse ProgramThe School nurse Initiative is collaboration between Froedtert Memorial Lutheran Hospital, Milwaukee Public School and Progressive Community Health Center, the FQHC in our neighborhood. Froedtert Memorial Lutheran Hospital provides a full-time school nurse for students at Westside Academy I&II, a K-8 Milwaukee Public School charter school, serving 500 students and their families offering care for chronic disease as well as case management during the school year. With the help of the school nurse program, Westside Academy ended the 2014-15 school year with 92% school attendance, 96% return to class rate
Part VI - Affilated Health Care System Roles and Promotion AFFILIATED HEALTH CARE SYSTEM: Froedtert Memorial Lutheran Hospital is the major teaching affiliate of The Medical College of Wisconsin(the Medical College). The other two significant teaching affiliates of The MedicalCollege are the Clement J. Zablocki VA Medical Center and Children's Hospital of Wisconsin, which is located adjacent to Froedtert Memorial Lutheran Hospital. The affiliation agreement between The Medical College and Froedtert provides for joint programs in health care education, health-related research, and health services. The Medical College places approximately 750 full-time equivalent residents and fellows at Froedtert. The benefits of this collaboration also extend to the partners of Froedtert Health, as Medical College physicians practice at Community Memorial and St. Josephs hospitals. Froedtert & The Medical College of Wisconsin Community Physicians, Inc. is built on the existing partnership between southeastern Wisconsins only academic medical center and our community clinics and hospitals. Our unique academic-community partnership allows us to provide the most appropriate and comprehensive care to all patients. Patients may prefer to receive care close to home therefore our integrated network of health care comprises more than 30 clinics and 250 physicians across seven counties. This partnership offers residents of southeastern Wisconsin greater access to the deep expertise of MedicalCollege doctors while preserving important relationships with physicians in theirown communities. With a profound commitment to medical education and research, the Medical College is a major national research center. Through collaborations with Medical College research scientists located on campus and colleagues at the nations other academic medical centers; our physicians are at the forefront of medical discovery. Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls, and St. Josephs Community Hospital made significant investments in the health of their communities. Patients who couldnt pay for their medical care received more than $95.8 million in uncompensated services. Beyond providing carefor the poor, we contributed $81.6 million to improve access to care, teach futurehealthcare professionals, develop new medical therapies and participate in localpartnerships aimed at reducing health disparities.Froedtert Health, Inc. members develop community benefit strategies and goals based on the unique needs of each of their communities. By conducting regular community needs assessments that monitor critical public health issues, and actively seeking community input, the hospitals have built important local relationships that provide meaningful outreach programs that link each hospital to their neighbors and patients. As a not-for-profit health system, Froedtert Health, Inc. reinvests its surplus funds back into the community through programs to serve the poor and uninsured, teach future healthcare professionals, develop new medical therapies, manage chronic conditions like diabetes, health education and promotion initiatives, and participate in local partnerships aimed at reducing health disparities. For more information about Froedtert Health, Inc., visitwww.froedtert.com.PROMOTION OF COMMUNITY HEALTH: Community Health Improvement Advisory CommitteeWith particular expertise in public health, population health, wellness and process improvement, the members of this committee provide guidance to Froedtert Hospitals community benefit plan for the development and monitoring of the Implementation Strategy. Members include:MCW Faculty, Progressive Community Health Center, Executive and VP leadership at Froedtert Memorial Lutheran Hospital, Wauwatosa Health Department, Outreach Community Health Center, Milwaukee Muslim Womens Coalition, Milwaukee County Department on Aging, Milwaukee Achiever Literacy Services, Core/El Centro, Christ the King Baptist Church, Milwaukee County Sheriffs Department, IndependenceFirst, American Heart AssociationThe responsibilities of the Community Health Improvement Advisory Committee include: Support the mission of Froedtert Memorial Lutheran Hospital and the health system. Be an advocate for community health improvement. Contribute talents and resources to reduce health disparities. Review the community health needs assessment. Provide feedback and input into the development of the implementation strategy and priorities. Serve as an advisory body to the Community Engagement Department and the hospital to assure that our services are accessible and culturally appropriate. Serve as a conduit for your constituent members, communities and neighborhoods about emerging health needs and concerns.Board of Directors:The Board of Directors is made up of medical and business professionals, all of whom reside in the hospital's primary service area. They are dedicated to leveraging the benefits of our community-academic mission and focus on research. They value the unique character and needs of the patients and communities we serve and the physicians who provide specialty care. Froedtert Memorial Lutheran Hospitals Board of Directors demonstrates our commitment to quality and service while managing costs. The Board of Directors will provide annual review, guidance and ultimately adopt the Implementation Plan and CHNA Strategy.
Part VI - States Where Community Benefit Report Filed WI
Part V - Explanation of Number of Facility Type Froedtert Memorial Lutheran Hospital is the only facility listed under this reporting of the IRS Form 990, Schedule H.
Schedule H (Form 990) 2014
Additional Data


Software ID: 14000265
Software Version: 2014v6.0
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, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
 
Employer identification number

39-6105970
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Anderes MichaelVP-Clin&Supp Svc (i)
(ii)
207,389
...............................
 
49,510
...............................
 
607
...............................
 
43,955
...............................
 
35,980
...............................
 
337,441
...............................
 
 
...............................
 
2Bechtel KathleenDir&VP Pt Care (i)
(ii)
288,278
...............................
 
63,549
...............................
 
2,947
...............................
 
56,532
...............................
 
20,144
...............................
 
431,450
...............................
 
 
...............................
 
3Buck Catherine JDir&Pres (i)
(ii)
551,660
...............................
 
200,343
...............................
 
23,372
...............................
 
186,629
...............................
 
32,134
...............................
 
994,138
...............................
 
 
...............................
 
4Eastham Catherine ModeBOD Secretary (i)
(ii)
 
...............................
353,183
 
...............................
101,315
 
...............................
25,967
 
...............................
128,246
 
...............................
45,130
 
...............................
653,841
 
...............................
 
5Fischer Lynn EVP-Service Lines (i)
(ii)
265,462
...............................
 
58,433
...............................
 
4,524
...............................
 
53,109
...............................
 
17,981
...............................
 
399,509
...............................
 
 
...............................
 
6Gray D AllanVP Periop Svcs (i)
(ii)
247,500
...............................
 
80,206
...............................
 
12,713
...............................
 
 
...............................
 
24,389
...............................
 
364,808
...............................
 
 
...............................
 
7Hawig ScottCFO (i)
(ii)
 
...............................
524,203
 
...............................
245,310
 
...............................
18,684
 
...............................
175,943
 
...............................
29,810
 
...............................
993,950
 
...............................
 
8Jacobson Catherine ADir&FH Pres/CEO (i)
(ii)
 
...............................
974,244
 
...............................
532,166
 
...............................
1,576
 
...............................
380,669
 
...............................
33,480
 
...............................
1,922,135
 
...............................
 
9Leevan YakiraCRNA-Anesthesia (i)
(ii)
170,478
...............................
 
142,538
...............................
 
791
...............................
 
7,313
...............................
 
27,841
...............................
 
348,961
...............................
 
 
...............................
 
10McPike LindaBOD Secretary (i)
(ii)
 
...............................
211,086
 
...............................
20,357
 
...............................
943
 
...............................
11,434
 
...............................
6,183
 
...............................
250,003
 
...............................
 
11Pierce DeborahCoor-Sur/Transplan (i)
(ii)
231,112
...............................
 
7,000
...............................
 
1,792
...............................
 
14,889
...............................
 
14,791
...............................
 
269,584
...............................
 
 
...............................
 
12Van De Kreeke JeffreyTreasurer (i)
(ii)
 
...............................
308,086
 
...............................
72,618
 
...............................
26,779
 
...............................
88,158
 
...............................
12,893
 
...............................
508,534
 
...............................
 
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
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.
Return Reference Explanation
Part I, Line 1a: Relevant information in regards to selections on 1a. Health club dues:Buck, Catherine - $120Leevan, Yakira - $120
Part III, Additional Information Part II, Column (B)(ii): Bonus and incentive compensation amounts include incentive compensation and amounts paid to individuals in lieu of participation in 457(f) deferred compensation plan.
Schedule J (Form 990) 2014

Additional Data


Software ID: 14000265
Software Version: 2014v6.0
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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
 
Employer identification number

39-6105970
Return Reference Explanation
Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Medical Education: Froedtert Hospital is the major teaching affiliate of The Medical College of Wisconsin. The affiliation agreement between The Medical College and Froedtert Hospital provides for joint programs in health care education, health-related research, and health services. The Medical College places approximately 333 full-time equivalent residents at Froedtert Hospital.Substantially all patient encounters at Froedtert Hospital are teaching related. Froedtert Hospital is utilized in The Medical College's residency programs in anesthesiology, dermatology, diagnostic radiology, endocrinology/metabolism, general surgery, internal medicine, nephrology, neurological surgery, neurology, oral and maxillofacial surgery, otolaryngology, pathology, plastic and reconstructive surgery, pulmonary medicine, transplant surgery, urology and emergency medicine, allergy and immunology, cardiology, geriatrics, gastroenterology, hematology/oncology, infectious disease, nuclear medicine, obstetrics and gynecology, ophthalmology, orthopedic surgery, physical medicine and rehabilitation, psychiatry, radiation oncology, thoracic surgery, trauma surgery, and vascular surgery. Froedtert Hospital supports continuing medical education. All of the medical services provide continuing medical education for the staff, residents, and students. Scientific conferences are held on a weekly basis for most services. The Medical College faculty members, who comprise the majority of the Medical Staff of Froedtert Hospital, frequently serve as directors of continuing medical education programs for other hospitals within the State of Wisconsin and the surrounding region.In addition to the affiliation with The Medical College, Froedtert Hospital maintains educational affiliations with a number of other institutions, including Alverno College, Cardinal Stritch University, Carroll College, Marian University, Marquette University, Milwaukee Area Technical College, Milwaukee School of Engineering, Mount Mary College, University of Wisconsin System (UW Milwaukee and UW Oshkosh), and Waukesha County Technical College.
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Catherine Buck, Catherine Jacobson, Jeffrey Van De Kreeke and Norman Barrientos business relationshipCatherine Eastham, Cathy Jacobson, & Scott Hawig - business relationship
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Froedtert Health, Inc. is the sole corporate member of Froedtert Memorial Lutheran Hospital, Inc.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Froedtert Health, Inc., as the sole corporat member of Froedtert Memorial Lutheran Hospital, Inc. has the final approval of election of all board members.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Frodtert Health, Inc., as the sole corporate member of Froedtert Memorial Lutheran Hospital, has certain reserved powers and authorities with respect to the operations and management of Froedtert Memorial Lutheran Hospital, as set forth in Froedtert Memorial Lutheran Hospital's bylaws.
Form 990, Part VI, Line 11b: Form 990 Review Process Froedtert Health, Inc. accounting staff prepare Form 990 which is reviewed by Froedtert Health, Inc.'s financial leaders and legal counsel. The 990 is then reviewed by KPMG, Froedtert Health Inc.'s outside accounting firm. Next, the 990 is provided to the Froedtert Health Inc. Finance Committee and Board of Directors. Finally, the 990 is filed as required.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts On an annual basis all officers, directors, trustees, key employees are required to complete a conflict of interest disclosure statement. The data is compiled, and the Froedtert Health, Inc. Vice President-Chief Compliance Officer (CCO), the Senior Vice-President-General Counsel and/or delegate will review all forms and notifications to determine if any conflicts of interest exist in the disclosure documents. If it is determined that a conflict of interest exists, then the person making the disclosure shall be relieved of his/her obligations on behalf of Froedtert Memorial Lutheran Hospital with respect to the transaction or arrangement that creates the conflict of interest. A report of all conflicts of interest will be made by the CCO at least annually to the Froedtert Health, Inc. Finance Committee of the Board of Directors.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation of Top Management is paid by a related organization but a review is performed. In establishing the compensation of the organization's Top Management, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, persons with a conflict of interest regarding the compensation arrangements at issue are not involved in the decision making process, and amounts are reviewed and approved by the Compensation Committee of the Froedtert Health, Inc. (the related organization) Board of Directors.In addition, there is contemporaneous documentation and recordkeeping for deliberations and decisions regarding the compensation arrangements.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Froedtert Health, Inc.'s quarterly financial information is made available to the public online through the Digital Assurance Corporation, Inc. website. Anyone can register to receive ongoing access to and notifications regarding financial statements at the online website.Additionally, Governing Documents and Conflict of Interest Policy are made available to the public through the corporate office upon request.
Other Changes In Net Assets Or Fund Balances - Other Decreases BASE Change in APB other than net periodic benefit = -$1164067
Other Changes In Net Assets Or Fund Balances - Other Decreases Capital Contributions = -$1208766
Other Changes In Net Assets Or Fund Balances - Other Increases Change in FHF Interest = $1178037
Other Changes In Net Assets Or Fund Balances - Other Increases PRM Change in APB other than net periodic benefit costs = $126407
Other Changes In Net Assets Or Fund Balances - Other Decreases Transfers to affiliates = -$73703968
Other Changes In Net Assets Or Fund Balances - Other Increases Unrealized Gain/Loss on Debt = $1400508
Other Changes In Net Assets Or Fund Balances - Other Decreases URMS Change in APB other than net periodic benefit = -$37162
Other Changes In Net Assets Or Fund Balances - Other Decreases Write off FHF Receivable = -$314327
Part III 4b (continued) Heart and Vascular Center. The Heart and Vascular Center provides a complete range of specialized programs to diagnose and treat heart disease and vascular disease from the common to the complex. They offer all types of treatments interventional procedures, minimally invasive surgery and heart surgery to treat a wide range of heart and vascular conditions. Our physicians are highly skilled and experienced in performing state-of-the act procedures for all types of heart and vascular problems, including complex cases. Many procedures can be performed using minimally invasive surgery, without opening the chest to reach the heart. Innovative programs include: Adult Congenital Heart Disease, Advanced Heart Failure & Cardiac Transplant, Aortic Disease, Arrhythmia & Atrial Fibrillation, Comprehensive Vein Clinic, Coronary Artery Disease, Hereditary Hemorrhagic Telangiectasia, Hypertrophic Cardiomyopathy, Preventive Cardiology & Lipid Therapy, Peripheral Arterial Disease, Pulmonary Hypertension, Valvular Disease, Venous & Vein Disease, Women & Heart Disease and Vascular and Cardiac Second Opinion Program. Care is provided in a number of outpatient areas and supported by inpatient care in the Cardiac "Step-Down" Nursing Unit and Cardiac Intensive Care Unit. The Center is staffed by Cardiologists, Cardiac Surgeons, Vascular Surgeons and Interventional Radiologists. We are the first health system in the nation to implement SMARTCare which is a program linking evidence-based tools and resources with electronic health records to help determine the most effective options for cardiac patients. The program enhances the shared-decision making process, reduces unnecessary diagnostic testing, and improves quality metrics. Some distinctions for our Heart and Vascular Center are as follows:- Froedtert Hospital is one of only three providers in the state that meets The Joint Commissions stringent volume and clinical quality requirements in order to be awarded the Gold Seal of Approval for their Adult Ventricular Assist Device (VAD) Destination Therapy Program.- The Heart and Vascular Centers at Froedtert Hospital is designated as a Blue Distinction Center for Cardiac Care by Blue Cross Blue Shield. Recognized centers meet overall quality measures for patient safety and outcomes, developed with input from the medical community.- The Froedtert & the Medical College of Wisconsin Hereditary Hemorrhagic Telangiectasia (HHT) Program at Froedtert Hospital is one of only 17 in the country designated by the HHT Foundation as a Center of Excellence. Centers meet guidelines established by the foundation and provide a coordinated team of experts to treat patients with HHT.- The echocardiography lab at Froedtert Hospital received triple accreditation from the Intersocietal Commission for the Accreditation of Echocardiography Laboratories. The certification means the lab meets standards for transthoracic echo, stress echo and transesophageal echo procedures.- The Pulmonary Hypertension Program is the only one in Wisconsin accredited as a Pulmonary Hypertension Care Center by the Pulmonary Hyerptension Association. Our exceptional, board-certified physicians and other team members are dedicated to improving the quality of life for individuals affected by pulmonary hypertension in all of its forms.Women's Health. Froedtert offers comprehensive programs to meet the needs of women of all ages. The span of services includes a Birth Center with easy access to the Children's Hospital of Wisconsin Neonatal Intensive Care Unit and a Maternal Fetal Center that provides specialized care for women experiencing all types of high risk pregnancies. In collaboration with Children's Hospital of Wisconsin, Froedtert offers the Fetal Concerns Program, the state's only program for fetal anomalies, such as birth defects and genetic disorders. Froedtert also offers reproductive medicine/fertility services and maintains a comprehensive Breast Care Program. Froedtert had 2,239 births during the twelve months ended June 30, 2015.Pulmonary and Critical Care Medicine. Physicians in this division evaluate and treat people with a range of disorders including: asthma, emphysema, infectious lung diseases, lung cancers, chronic obstructive lung disease, pulmonary hypertension and many others. Froedtert was among the first in the nation to use PET/CT imaging technology for early detection of cancerous lung tumors. Froedtert established a fully accredited adult cystic fibrosis center in 2003. A pulmonary function diagnostic laboratory provides complete services for evaluation, diagnostic and follow-up studies. Froedtert has 5 intensive care units with 79 beds.Surgery. Comprehensive surgical services are provided at Froedtert, including tertiary surgical services in cardiothoracic, minimally invasive/gastrointestinal (including bariatric), oral/maxillofacial, pancreatobiliary/endocrine, surgical oncology, transplant, trauma and critical care, and vascular surgery. The surgery program actively participates in ongoing research through its Clinical Research Initiative. Froedtert performed 8,738 inpatient surgeries and 11,744 outpatient surgeries during the twelve months ended June 30, 2015.Transplant Surgery. Our Transplant Center is a joint program with Childrens Hospital of Wisconsin. The center receives vital support for tissue typing and research initiatives from BloodCenter of Wisconsin. The Center offers a full range of transplant services for adult and pediatric patients, including kidney, living donor kidney, paired kidney exchange, liver, living donor liver, pancreas, heart, lung and bone marrow transplants. The Organ Transplantation Institute's multidisciplinary approach draws upon the broad range of resources and expertise available through a variety of specialties within our campus. As an academic medical center, we are at the forefront of new developments and information, and we can help patients explore all available treatment options. We offer education classes for potential transplant patients and their families as well as for medical personnel in the community and work closely with Wisconsin Donor Network, the federally designated organ procurement organization supporting the transplant community in eastern Wisconsin. Froedtert performed the following transplants during the twelve months ended June 30, 2015:Heart 11Lung 15Kidney 83Liver 36Pancreas 4 Blood and marrow 253
Part IX 24a Corporate Allocations Froedtert Health, Inc. allocates certain revenues and expenses to related organizations: Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls, St. Joseph's Community Hospital, and Froedtert & The Medical College of Wisconsin Community Physicians, Inc.. The allocation is calculated by applying an allocation metric to each accounting unit at Froedtert Health, Inc. Each entity then receives its portion of the Froedtert Health, Inc. allocation on a monthly basis.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


Software ID: 14000265
Software Version: 2014v6.0
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
 
Employer identification number

39-6105970
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on 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" on 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?
Yes No
(1) Froedtert Health Inc
9200 W Wisconsin Avenune

Milwaukee,WI53226
39-2014409
Management Services WI 501 (c)(3) Ln 11, Type 111 N/A
 
No
(2) 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
 
(3) 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
(4) 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
(5) St Josephs Community Foundation
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
(6) 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
(7) Community Outpatient Health Svc of MF I
W180 N8085 Town Hall Road

Menomonee Falls,WI53051
39-1743056
Outpatient Medical and Dental Services WI 501(c)(3) 3 Community Memorial Hospital of MF Inc
 
 
No
(8) QHS 1 Inc
9200 W Wisconsin Avenue

Milwaukee,WI53226
20-2636686
Healthcare Services WI 501(c)(3) Line 11, Type 1 Froedtert Health Inc
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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 V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) Froedtert Surgery Center LLC

9200 W Wisconsin Ave
Milwaukee,WI53226
20-1499345
Surgery center WI FMLH
 
  195,557 2,165,413   No     No 50.000 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on 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
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Froedtert Memorial Lutheran Hsptl Trust

777 E Wisconsin Ave
Milwaukee,WI53202
39-6040438
Charitable Trust WI N/A
Trust         No












Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on 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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
Yes
 
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
Yes
 
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Froedtert Hospital Foundation

p 1,455,787 FMV





Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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 V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


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Software Version: 2014v6.0