Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(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. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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.).. | ||||||
| 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) | |||||
| 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) |
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| 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) |
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|
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. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 14000265 |
| Software Version: | 2014v6.0 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| 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. |
| Software ID: | 14000265 |
| Software Version: | 2014v6.0 |