Form990


Department of the TreasuryInternal 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)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 07-01-2024 , and ending 06-30-2025
BCheck if applicable:
CName of organization
HOLY FAMILY MEMORIAL INC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2300 WESTERN AVENUE PO BOX 1450
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MANITOWOC, WI542211450
D Employer identification number

39-0806395
E Telephone number

G Gross receipts $ 86,686,186
F Name and address of principal officer:
BRIAN GRAF
2300 WESTERN AVENUE PO BOX 1450
MANITOWOC,WI542211450
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
WWW.HFMHEALTH.ORG
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  
K Form of organization:  
L Year of formation: 1899
M State of legal domicile: WI
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: HOLY FAMILY MEMORIAL PROFESSIONALS PRIMARILY SERVE RESIDENTS OF MANITOWOC COUNTY. ROOTED IN THE HEALING MINISTRY OF JESUS CHRIST, WE HELP INDIVIDUALS TO ACHIEVE HEALTHIER LIVES.
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 11
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 6
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 167
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 65,948
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 126,170 71,575
9 Program service revenue (Part VIII, line 2g) ......... 83,374,235 81,646,151
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 175,127 46,173
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 4,647,086 4,880,619
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 88,322,618 86,644,518
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 70,257 96,789
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) 46,874,543 47,139,054
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) 0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 64,768,016 68,398,539
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 111,712,816 115,634,382
19 Revenue less expenses. Subtract line 18 from line 12....... -23,390,198 -28,989,864
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 36,902,936 32,955,354
21 Total liabilities (Part X, line 26)............. 24,077,077 51,344,402
22 Net assets or fund balances. Subtract line 21 from line 20..... 12,825,859 -18,389,048
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
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



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 (2024)
Form 990 (2024)
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: HOLY FAMILY MEMORIAL IS A NETWORK OF HEALTH PROFESSIONALS WHO, ROOTED IN THE HEALING MINISTRY OF JESUS CHRIST, PROVIDE SERVICES TO HELP INDIVIDUALS AND OUR COMMUNITIES ACHIEVE HEALTHIER LIVES.
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 $ 38,835,703 including grants of $   ) (Revenue $ 36,274,783 )
SEE SCHEDULE O - OUTPATIENT SERVICES
4b (Code:   ) (Expenses $ 27,955,807 including grants of $   ) (Revenue $ 26,112,334 )
SEE SCHEDULE O - EMERGENCY SERVICES
4c (Code:   ) (Expenses $ 20,548,076 including grants of $   ) (Revenue $ 19,193,086 )
SEE SCHEDULE O - INPATIENT SERVICES
(Code:   ) (Expenses $ 5,114,543 including grants of $ 96,789 ) (Revenue $ 4,777,278 )
INTERCOMPANY REVENUE: REVENUE THAT COMES FROM RELATED FROEDTERT COMPANIES OR ACTIVITIES DUE TO ACTIVITY RESTRUCTURING MOVES; ALLOCATED REVENUE: REVENUE DERIVED FROM A RELATED COMPANY TO OFFSET EXPENSE OF SHARED ACTIVITIES; CAFETERIA: CAFETERIA RECEIPTS AND GUEST TRAYS; ALL OTHER REVENUE: CONTAINS MISCELLANEOUS SERVICE FEES.
4d Other program services (Describe in Schedule O.)
(Expenses $ 5,114,543 including grants of $ 96,789 ) (Revenue $ 4,777,278 )
4e Total program service expenses92,454,129
Form 990 (2024)
Form 990 (2024)
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
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
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 Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
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 I.........................
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 II....
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..............
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 IV..............
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
List of Attached Documents:
// Content
......
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
List of Attached Documents:
// Content
...................
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 VII.......
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 VIII.......
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
List of Attached Documents:
// Content
............
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
......................
12a
 
No
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
List of Attached Documents:
// Content
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............ Click to see attachment
List of Attached Documents:
// Content
18
Yes
 
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
20b
Yes
 
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.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
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........Click to see attachment
List of Attached Documents:
// Content
22
Yes
 
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
List of Attached Documents:
// Content
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
 
 
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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) 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 the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? 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..Click to see attachment
List of Attached Documents:
// Content
29
Yes
 
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............
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
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
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 ...
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.............
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 VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
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
0
b
Enter the number of Forms W-2G included on 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
 
 
Form 990 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
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
Yes
 
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:
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
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
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
 
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
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
 
 
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
 
 
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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
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
11
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
6
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
 
No
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
 
No
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 on 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 on 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 on 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
 
No
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
 
No
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
WI
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 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:
DAVID DIRKSMEYERN74 W12501 LEATHERWOOD CT   MENOMONEE FALLS,WI53051 (414) 805-3000
Form 990 (2024)
Form 990 (2024)
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 the 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, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(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) Brian Graf......................................................................
Director & Interim President (eff 3/1/25)
50.0
.................
0.0
X   X       0 175,602 49,025
(2) Charles Krueger......................................................................
Director & BOD V Chair
1.0
.................
0
X   X       0 0 0
(3) Genevieve Shields......................................................................
Director & BOD Chair
1.0
.................
0
X   X       0 0 0
(4) Ryan Neville......................................................................
Director & President (term 2/28/25)
50.0
.................
0.0
X   X       0 515,780 82,229
(5) Sister Nancy Kinate......................................................................
Director & BOD Secretary (term 12/4/24)
1.0
.................
0
X   X       0 0 0
(6) Allen Ericson......................................................................
Director & FWBH President (term 10/31/24)
1.0
.................
49.0
X           0 1,114,216 180,192
(7) Arlene Guzman......................................................................
Director (term 11/30/24)
1.0
.................
0
X           0 0 0
(8) Brandon Bartow......................................................................
Director
1.0
.................
0
X           0 0 0
(9) Candice Giesen......................................................................
Director
1.0
.................
0
X           0 0 0
(10) Dale Gisi......................................................................
Director & Sr VP North Region (eff 11/1/24)
1.0
.................
49.0
X           0 954,900 168,718
(11) Frank Soltys......................................................................
Director
1.0
.................
0
X           0 0 0
(12) Margaret Klatt MD......................................................................
Director & Doctor (term 9/30/24)
50.0
.................
0.0
X           0 538,840 20,641
(13) Matt Wille......................................................................
Director & COO, North Region (eff 11/1/24; term 5/1/25)
1.0
.................
49.0
X           0 724,907 195,657
(14) Milan Jordan MD......................................................................
Director & Doctor (eff 10/1/24)
50.0
.................
0.0
X           0 476,692 51,413
(15) Paul Carlsen PhD......................................................................
Director
1.0
.................
0
X           0 0 0
(16) Sister Mary Frances Maher......................................................................
Director
1.0
.................
0
X           0 0 0
(17) Thomas Veeser......................................................................
Director & CNO
50.0
.................
0.0
X           0 464,513 48,846
Form 990 (2024)
Form 990 (2024)
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(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) Adam Smith........................................................................
Treasurer (term 12/4/24)
1.0
.......................49.0
    X       0 485,262 76,811
(19) Will Flett........................................................................
Treasurer (eff 12/4/24)
1.0
.......................49.0
    X       0 623,899 178,131






















1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 0 6,074,611 1,051,663
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 0
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
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 24,750
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 46,825
g Noncash contributions included in lines 1a - 1f:$ 1g 29,436
h Total. Add lines 1a-1f....... 71,575
 Program Service RevenueAmt Business Code
2a OUTPATIENT REVENUE 900099 36,274,783 36,274,783    
b EMERGENCY/TRAUMA REVENUE 900999 26,112,334 26,112,334    
c INPATIENT REVENUE 900099 19,193,086 19,193,086    
d LAB REFERRAL 621500 65,948   65,948  
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f ..... 81,646,151
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 43,720 0 0 43,720
4 Income from investment of tax-exempt bond proceeds        
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a 95,282  
b Less: rental expenses 6b    
c Rental income or (loss) 6c 95,282 0
d Net rental income or (loss)....... 95,282 0   95,282
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a 43,615  
b Less: cost or other basis and sales expenses 7b 41,162  
c Gain or (loss) 7c 2,453 0
d Net gain or (loss)......... 2,453     2,453
8a Gross income from fundraising events (not including $ 24,750of contributions reported on line 1c). See Part IV, line 18 ....
8a 8,565
b Less: direct expenses ... 8b 506
c Net income or (loss) from fundraising events.. 8,059 0 8,059
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..        
 OtherRevenueMiscAmt
Business Code
11a INTERCOMPANY REVENUE 900099 3,193,040 3,193,040    
b ALLOCATED REVENUE 900099 1,272,876 1,272,876    
c CAFETERIA 722514 322,670 322,670    
d All other revenue .... -11,308 -11,308 0 0
e Total. Add lines 11a–11d ...... 4,777,278
12 Total revenue. See instructions..... 86,644,518 86,357,481 65,948 149,514
Form 990 (2024)
Form 990 (2024)
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 .... 70,800 70,800
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 25,989 25,989
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ...........        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 34,377,597 28,849,683 5,527,914 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits ....... 10,539,653 2,102,112 8,437,541 0
10 Payroll taxes ........... 2,221,804 2,040,227 181,577 0
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 12,102 3,807 8,295  
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 10,428,699 7,701,100 2,727,599 0
12 Advertising and promotion .... 24,750 24,750 0 0
13 Office expenses ....... 407,751 391,475 16,276 0
14 Information technology ...... 55,004 63,299 -8,295 0
15 Royalties ..        
16 Occupancy ........... 2,068,084 715,546 1,352,538 0
17 Travel ............ 106,406 104,245 2,161 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 40,594 11,128 29,466 0
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 3,227,914 1,634,620 1,593,294 0
23 Insurance ...        
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 AFFIL SUPP COMM PHYSICIANS 24,060,113 24,060,113 0 0
b SUPPLIES 22,319,687 22,207,463 112,224 0
c CORPORATE ALLOCATIONS 3,559,677 609,421 2,950,256 0
d STATE ASSESSMENT 1,656,480 1,656,480 0 0
e All other expenses 431,278 181,871 249,407 0
25 Total functional expenses. Add lines 1 through 24e 115,634,382 92,454,129 23,180,253 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2024)
Form 990 (2024)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 2,121,195 1 0
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 4,632,521 4 3,452,526
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 0 7 0
8 Inventories for sale or use ............ 1,280,526 8 2,177,363
9 Prepaid expenses and deferred charges ...... 264,913 9 254,702
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 37,607,958
b Less: accumulated depreciation 10b 15,748,283 20,755,857 10c 21,859,675
11 Investments—publicly traded securities . 23,839 11 0
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 7,824,085 15 5,211,088
16 Total assets. Add lines 1 through 15 (must equal line 33)... 36,902,936 16 32,955,354
Liabilities 17 Accounts payable and accrued expenses ..... 1,673,447 17 1,951,428
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 66,839 19 75,290
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
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 22,336,791 25 49,317,684
26 Total liabilities. Add lines 17 through 25.. 24,077,077 26 51,344,402
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 8,595,885 27 -22,715,960
28 Net assets with donor restrictions ........... 4,229,974 28 4,326,912
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds ..... 0 29 0
30 Paid-in or capital surplus, or land, building or equipment fund ... 0 30 0
31 Retained earnings, endowment, accumulated income, or other funds 0 31 0
32 Total net assets or fund balances ........... 12,825,859 32 -18,389,048
33 Total liabilities and net assets/fund balances ........ 36,902,936 33 32,955,354
Form 990 (2024)
Form 990 (2024)
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
86,644,518
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
115,634,382
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-28,989,864
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
12,825,859
5
Net unrealized gains (losses) on investments ...............
5
69,095
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
-2,294,138
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
-18,389,048
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 on
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 Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
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 (2024)
Form 990 (2024)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
Name of the organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number

39-0806395
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
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- 10 above (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 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
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 failed 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) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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 5 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
33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
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) 2024

Schedule A (Form 990) 2024
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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 on 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
First 5 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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% 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 on line 7? If “Yes,” complete Part I 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 on line 9a) 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 on line 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
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 on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2024

Schedule A (Form 990) 2024
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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 0.015 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 0.035 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
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2024 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2024
(iii)
Distributable
Amount for 2024
1 Distributable amount for 2024 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2024:
a From 2019.......  
b From 2020.......  
c From 2021.......  
d From 2022.......  
e From 2023.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2024 distributable amount  
i Carryover from 2019 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2024 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2024 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2024, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2024. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2025. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2020.....  
b Excess from 2021.....  
c Excess from 2022.....  
d Excess from 2023.....  
e Excess from 2024.....  
Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024
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) 2024


Additional Data


Software ID: 24020961
Software Version: 2024v5.1
Schedule B
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

right arrow Attach to Form 990, 990-EZ, or 990-PF.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
Name of the organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number

39-0806395
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ
501(c)( ) (enter number) organization

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

527 political organization


Form 990-PF
501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.  
Note:  Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025) Page 2
Name of organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number
39-0806395
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) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 3
Name of organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number

39-0806395
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) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 4
Name of organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number

39-0806395
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.) $  
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) (Rev. 1-2025)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number

39-0806395
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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" on 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 July 25, 2006, 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 right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
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, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB 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 FASB 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 on Form 990, Part VIII, line 1 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
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" on 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" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 4,229,974 3,803,500 3,499,233 3,974,887 3,888,220
b Contributions ... 26,634 72,505 26,642 70,890 14,813
c Net investment earnings, gains, and losses 422,913 384,345 313,151 -487,031 111,690
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
352,237 30,355 35,517 59,513 39,836
f Administrative expenses .... 372 21 9    
g End of year balance ...... 4,326,912 4,229,974 3,803,500 3,499,233 3,974,887
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow89.7 %
b
Permanent endowment right arrow8 %
c
Term endowment right arrow2.3 %
The percentages on 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" on 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" on 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 .....   7,420,931 7,420,931
b Buildings ....   5,208,737 832,330 4,376,407
c Leasehold improvements   253,254 32,735 220,519
d Equipment ....   21,004,330 14,458,195 6,546,135
e Other .....   3,720,706 425,023 3,295,683
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 21,859,675
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on 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........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)ASSETS WHOSE USE IS LIMITED 4,995,783
(2)MISCELLANEOUS A/R 215,305
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow 5,211,088
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
Federal Income Taxes  
DUE TO AFFILIATES 49,317,684







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 49,317,684
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) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
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 0
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1.................. 3 0
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 0
c Add lines 4a and 4b.................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 0
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
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 0
e Add lines 2a through 2d.................... 2e 0
3 Subtract line 2e from line 1................... 3 0
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 0
c Add lines 4a and 4b..................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 0
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
Schedule D, Part V, Line 4 Intended uses of endowment funds FROEDTERT HOLY FAMILY MEMORIAL'S ENDOWMENT FUNDS WERE ESTABLISHED TO PROVIDE FINANCIAL SUPPORT ON AN ONGOING BASIS TO MEET THE CURRENT AND FUTURE NEEDS OF FROEDTERT HOLY FAMILY MEMORIAL AND THE PEOPLE IT SERVES. FUNDS ARE USED FOR CAPITAL EQUIPMENT, MAJOR BUILDING IMPROVEMENTS, PROGRAM DEVELOPMENT, AND OPERATIONS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM APPLIES ASC TOPIC 740, INCOME TAXES. ASC TOPIC 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 TOPIC 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, 2025 AND 2024, THE SYSTEM DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS.
Schedule D (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1




SCHEDULE G (Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number

39-0806395
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) (Rev. 1-2025)
Schedule G (Form 990) (Rev. 1-2025)
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.




VerticalRevenue
(a) Event #1

LOVE LIGHTS
(event type)
(b) Event #2

 
(event type)
(c) Other events

 
(total number)
(d) Total events
(add col. (a) through col. (c))

1

Gross receipts . . . . .

33,315

 

 

33,315

2

Less: Contributions . . . .

24,750

 

 

24,750
3 Gross income (line 1 minus
line 2) . . . . . .

8,565

0

0

8,565



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . .        
7 Food and beverages . . .        
8 Entertainment . . . .        
9 Other direct expenses . . . 506     506
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 506
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 8,059
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1

Gross revenue . . . . .

 

 

 

 
VerticalDirectExpenses

2

Cash prizes . . . . .

 

 

 

 

3

Noncash prizes . . . .

 

 

 

 

4

Rent/facility costs . . . .

 

 

 

 

5

Other direct expenses . . .

 

 

 

 


6


Volunteer labor . . . .
%
%
%


7

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

 

8

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
YesNo
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
YesNo
b
If "Yes," explain:
 
Schedule G (Form 990) (Rev. 1-2025)
Schedule G (Form 990) (Rev. 1-2025)
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
YesNo
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
YesNo
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990) (Rev. 1-2025)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number

39-0806395
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

 

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

5a

 

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
 
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
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
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) . . .
    905,248   905,248 0.783 %
b Medicaid (from Worksheet 3, column a) . . . . .     11,512,024 3,162,036 8,349,988 7.221 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 12,417,272 3,162,036 9,255,236 8.004 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 18 3,517 1,366,377 0 1,366,377 1.182 %
f Health professions education (from Worksheet 5) . . . 2 193 831,649 0 831,649 0.719 %
g Subsidized health services (from Worksheet 6) . . . . 0 0 0 0 0 0 %
h Research (from Worksheet 7) . 0 0 0 0 0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 10 2,148 383,278 0 383,278 0.331 %
j Total. Other Benefits . . 30 5,858 2,581,304 0 2,581,304 2.232 %
k Total. Add lines 7d and 7j . 30 5,858 14,998,576 3,162,036 11,836,540 10.236 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
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 0 0 0 0 0 0 %
2 Economic development 1 0 53,526 0 53,526 0.046 %
3 Community support 0 0 0 0 0 0 %
4 Environmental improvements 0 0 0 0 0 0 %
5 Leadership development and
training for community members
0 0 0 0 0 0 %
6 Coalition building 1 0 27,564 0 27,564 0.024 %
7 Community health improvement advocacy 0 0 0 0 0 0 %
8 Workforce development 2 468 41,397 0 41,397 0.036 %
9 Other 0 0 0 0 0 0 %
10 Total 4 468 122,487 0 122,487 0.106 %
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 Healthcare 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
4,519,987
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
14,694,514
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
25,758,252
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-11,063,738
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 %
1NONE
 
  0 % 0 % 0 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
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?1Name, 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 and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 HOLY FAMILY MEMORIAL INC
2300 WESTERN AVENUE PO BOX 1450
MANITOWOC,WI542211450
WWW.HFMHEALTH.ORG
7
X X         X      
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
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)
HOLY FAMILY MEMORIAL INC
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 24
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  
6 a 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 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HOLY FAMILY MEMORIAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
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 Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.0%
and FPG family income limit for eligibility for discounted care of 400.0%
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 Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized 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
HTTPS://WWW.FROEDTERT.COM/FINANCIAL-SERVICES
b
HTTPS://WWW.FROEDTERT.COM/FINANCIAL-SERVICES
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
HOLY FAMILY MEMORIAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HOLY FAMILY MEMORIAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2024
Schedule H (Form 990) 2024
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - HOLY FAMILY MEMORIAL, INC.. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): IN 2024, A CHNA WAS CONDUCTED TO 1) DETERMINE CURRENT COMMUNITY HEALTH NEEDS IN MANITOWOC COUNTY, 2) GATHER INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY AND IDENTIFY COMMUNITY ASSETS, 3) IDENTIFY AND PRIORITIZE SIGNIFICANT HEALTH NEEDS, AND 4) DEVELOP IMPLEMENTATION STRATEGIES TO ADDRESS THE PRIORITIZED HEALTH NEEDS. FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL ASSESSED THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A COMPREHENSIVE DATA COLLECTION PROCESS FROM A NUMBER OF KEY SOURCES. DATA AND RESEARCH INCLUDED INFORMATION FROM COMMUNITY MEMBERS, PUBLIC HEALTH OFFICIALS, COMMUNITY LEADERS/EXPERTS, AND NON-PROFIT ORGANIZATIONS REPRESENTING VULNERABLE POPULATIONS IN OUR SERVICE AREA. THE FOLLOWING INFORMATION/DATA SOURCES WERE COLLECTED AND TAKEN INTO CONSIDERATION FOR ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS. THESE INCLUDED A COMMUNITY HEALTH SURVEY, KEY STAKEHOLDER INTERVIEWS, SECONDARY DATA ANALYSIS, AND INTERNAL HOSPITAL DATA ANALYSIS: FOR THE TAX YEAR ENDED JUNE 30, 2025, THIS INCLUDES THE TIME PERIOD REPORTED IN THIS FORM 990, FROEDTERT HOLY FAMILY MEMORIAL ADDRESSED THE SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN ITS 2022 CHNA AND IN WHICH THE IMPLEMENTATION STRATEGY WAS ADOPTED FOR FISCAL YEARS 2023, 2024 AND 2025. IN 2022, A CHNA WAS CONDUCTED TO 1) DETERMINE CURRENT COMMUNITY HEALTH NEEDS IN MANITOWOC COUNTY, 2) GATHER INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY AND IDENTIFY COMMUNITY ASSETS, 3) IDENTIFY AND PRIORITIZE SIGNIFICANT HEALTH NEEDS, AND 4) DEVELOP IMPLEMENTATION STRATEGIES TO ADDRESS THE PRIORITIZED HEALTH NEEDS. FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL ASSESSED THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A COMPREHENSIVE DATA COLLECTION PROCESS FROM A NUMBER OF KEY SOURCES. DATA AND RESEARCH INCLUDED INFORMATION FROM COMMUNITY MEMBERS, PUBLIC HEALTH OFFICIALS, COMMUNITY LEADERS/EXPERTS, AND NON-PROFIT ORGANIZATIONS REPRESENTING VULNERABLE POPULATIONS IN OUR SERVICE AREA. THE FOLLOWING INFORMATION/DATA SOURCES WERE COLLECTED AND TAKEN INTO CONSIDERATION FOR ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS: COMMUNITY HEALTH SURVEY: A PHONE AND ONLINE SURVEY OF 1,358 RESIDENTS WAS CONDUCTED BY FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL IN COLLABORATION WITH COMMUNITY PARTNERS. THE FULL REPORT OF THESE SURVEYS CAN BE FOUND AT HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. KEY STAKEHOLDER INTERVIEWS: FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL COMMUNITY ENGAGEMENT TEAM AND LEADERS CONDUCTED 32 PHONE INTERVIEWS WITH COMMUNITY LEADERS OF VARIOUS SCHOOL DISTRICTS, NON-PROFIT ORGANIZATIONS, HEALTH & HUMAN SERVICE DEPARTMENT AND BUSINESS LEADERS. A LIST OF ORGANIZATIONS CAN BE FOUND IN APPENDIX H OF THE CHNA. THE FULL KEY STAKEHOLDER INTERVIEW RESULTS CAN BE FOUND AT HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. SECONDARY DATA REPORT: UTILIZING MULTIPLE COUNTY AND COMMUNITY-BASED PUBLICLY AVAILABLE REPORTS, INFORMATION WAS GATHERED REGARDING: MORTALITY/MORBIDITY DATA, INJURY HOSPITALIZATIONS, FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL INPATIENT AND OUTPATIENT DATA, MANITOWOC COUNTY HEALTH RANKINGS, PUBLIC SAFETY/CRIME REPORTS, AND SOCIO-ECONOMIC/SOCIAL DRIVER DATA. A FULL SUMMARY OF SECONDARY DATA CAN BE FOUND AT HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. INTERNAL HOSPITAL DATA: INTERNAL DATA WAS GATHERED FROM FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL'S SERVICE AREA TO GAIN A BETTER UNDERSTANDING OF SPECIFIC HEALTH NEEDS IMPACTING THE HOSPITAL'S PATIENT POPULATION. FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL IS COMMITTED TO ADDRESSING COMMUNITY HEALTH NEEDS COLLABORATIVELY WITH LOCAL PARTNERS. FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL USED THE FOLLOWING METHODS TO GAIN COMMUNITY INPUT FROM JANUARY TO APRIL 2022 ON THE SIGNIFICANT HEALTH NEEDS OF THE FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL'S COMMUNITY. THESE METHODS PROVIDED ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL'S COMMUNITY. INPUT FROM COMMUNITY MEMBERS: KEY STAKEHOLDER INTERVIEWS: KEY ORGANIZATIONS WITH SPECIFIC KNOWLEDGE AND INFORMATION RELEVANT TO THE SCOPE OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS ("INFORMANTS") IN FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL'S COMMUNITY, INCLUDING MANITOWOC COUNTY, WERE IDENTIFIED BY ORGANIZATIONS AND PROFESSIONALS THAT REPRESENT THE BROAD NEEDS OF THE COMMUNITY AS WELL AS ORGANIZATIONS THAT SERVE LOW-INCOME AND UNDERSERVED POPULATIONS. A LIST OF KEY STAKEHOLDERS CAN BE FOUND IN APPENDIX H OF THE CHNA. THESE LOCAL PARTNERING ORGANIZATIONS ALSO INVITED THE STAKEHOLDERS TO PARTICIPATE IN AND CONDUCT THE INTERVIEWS. THE INTERVIEWERS USED A STANDARD INTERVIEW SCRIPT THAT INCLUDED THE FOLLOWING ELEMENTS: ** QUESTIONS RELATED TO THE COVID-19 PANDEMIC: - WHAT NEEDS OR GAPS HAVE DEVELOPED FROM THE COVID-19 PANDEMIC THAT HAVE AFFECTED THE COMMUNITY YOUR ORGANIZATION SERVES, INCLUDING ANY SPECIAL POPULATIONS OR GROUPS? - WHAT ARE THE EXISTING STRATEGIES TO ADDRESS THE GAPS? WHAT IS WORKING WELL? - WHAT ADDITIONAL STRATEGIES ARE NEEDED TO ADDRESS THE GAPS? WHICH COMMUNITY STAKEHOLDERS ARE NEEDED FOR THE STRATEGIES TO BE SUCCESSFUL? - HOW WOULD YOU SUGGEST ORGANIZATIONS REACH OUT TO COMMUNITY MEMBERS TO IMPLEMENT HEALTH INITIATIVES? - WHAT IS ONE KEY LEARNING THAT YOU (OR YOUR ORGANIZATION) HAVE HAD FROM THE COVID-19 PANDEMIC? ** RANKING OF TWO SOCIAL DETERMINANTS OF HEALTH ISSUE AREAS - FOR THOSE TWO SOCIAL DETERMINANTS OF HEALTH, IDENTIFICATION OF: * THE POPULATIONS MOST AFFECTED AND HOW THEY ARE AFFECTED * ONE MAJOR EFFORT THE COMMUNITY COULD RALLY BEHIND TO IMPROVE THE ISSUE * THE COMMUNITY STAKEHOLDERS THAT ARE CRITICAL TO ADDRESSING THE ISSUE ** RANKING OF TWO HEALTH CONDITIONS AND BEHAVIORS THAT ARE THE MOST IMPORTANT ISSUES FOR THE COUNTY - FOR THOSE TWO HEALTH ISSUES, IDENTIFICATION OF: * THE POPULATIONS MOST AFFECTED AND HOW THEY ARE AFFECTED * EXISTING STRATEGIES TO ADDRESS THE ISSUE * ADDITIONAL STRATEGIES NEEDED AND BARRIERS TO ADDRESSING THE ISSUE * THE COMMUNITY STAKEHOLDERS THAT ARE CRITICAL TO ADDRESSING THE ISSUE * ONE MAJOR EFFORT THE COMMUNITY COULD RALLY BEHIND TO IMPROVE THE ISSUE * ONE THING THE ORGANIZATION NEEDS TO ADDRESS THIS ISSUE * HOW SOCIAL DETERMINANTS OF HEALTH IMPACT THIS ISSUE UNDERSERVED POPULATION INPUT: FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL IS DEDICATED TO REDUCING HEALTH DISPARITIES. INPUT FROM COMMUNITY MEMBERS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND/OR ORGANIZATIONS THAT REPRESENT THOSE POPULATIONS ARE IMPORTANT IN ADDRESSING COMMUNITY HEALTH NEEDS. WITH THAT IN MIND, FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL TOOK THE FOLLOWING STEPS TO GAIN INPUT: - COMMUNITY HEALTH SURVEY: WHEN APPROPRIATE, DATA WAS STRATIFIED BY GENDER, AGE, EDUCATION, HOUSEHOLD INCOME LEVEL, AND MARITAL STATUS. - KEY STAKEHOLDER INTERVIEWS: THE KEY STAKEHOLDER INTERVIEWS INCLUDED INPUT FROM MEMBERS OF ORGANIZATIONS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SUMMARY OF COMMUNITY MEMBER INPUT THE TOP FIVE MANITOWOC COUNTY HEALTH ISSUES/BEHAVIORS AND SOCIAL NEEDS RANKED MOST CONSISTENTLY OR MOST OFTEN CITED IN THE COMMUNITY HEALTH SURVEY AND BY KEY STAKEHOLDERS WERE: ** COMMUNITY HEALTH SURVEY (HEALTH ISSUES/BEHAVIORS): - ALCOHOL AND SUBSTANCE USE - MENTAL HEALTH, MENTAL CONDITIONS AND SUICIDE - NUTRITION, PHYSICAL ACTIVITY AND OBESITY - COMMUNICABLE DISEASES OR COVID-19 - CHRONIC DISEASES ** COMMUNITY HEALTH SURVEY (SOCIAL NEEDS): - ECONOMIC STABILITY AND EMPLOYMENT - EDUCATION ACCESS AND QUALITY - SAFE AND AFFORDABLE HOUSING - ACCESSIBLE AND AFFORDABLE HEALTH CARE - RACISM AND DISCRIMINATION ** KEY STAKEHOLDER INTERVIEWS (HEALTH ISSUES/BEHAVIORS): - MENTAL HEALTH, MENTAL CONDITIONS AND SUICIDE - ALCOHOL AND SUBSTANCE USE - NUTRITION, PHYSICAL ACTIVITY AND OBESITY - INTIMATE PARTNER/DOMESTIC VIOLENCE - ORAL HEALTH ** KEY STAKEHOLDER INTERVIEWS (SOCIAL NEEDS): - SAFE AND AFFORDABLE HOUSING - AFFORDABLE CHILDCARE - ECONOMIC STABILITY AND EMPLOYMENT - FAMILY SUPPORT - SOCIAL CONNECTEDNESS AND BELONGING AFTER ADOPTION OF THE CHNA REPORT AND IMPLEMENTATION STRATEGY, FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL PUBLICLY SHARES BOTH DOCUMENTS WITH COMMUNITY PARTNERS, KEY STAKEHOLDERS, HOSPITAL BOARD MEMBERS, PUBLIC SCHOOLS, NON-PROFITS, HOSPITAL COALITION MEMBERS, MANITOWOC COUNTY PUBLIC HEALTH DEPARTMENT, AND THE GENERAL PUBLIC. DOCUMENTS ARE MADE AVAILABLE VIA EMAIL; HARD COPIES ARE MADE AVAILABLE AT APPLICABLE MEETINGS; AND ELECTRONIC COPIES ARE MADE AVAILABLE BY PDF FOR DOWNLOAD ON HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT.
Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - HOLY FAMILY MEMORIAL, INC.. FEEDBACK AND PUBLIC COMMENTS ARE ALWAYS WELCOMED AND ENCOURAGED, AND CAN BE PROVIDED THROUGH THE CONTACT FORM ON THE FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN WEBSITE AT HTTPS://WWW.FROEDTERT.COM/CONTACT, OR CONTACTING FROEDTERT THEDACARE HEALTH, INC.'S COMMUNITY ENGAGEMENT LEADERSHIP/STAFF WITH QUESTIONS AND CONCERNS BY CALLING 414-777-3787. FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL RECEIVED NO COMMENTS OR ISSUES WITH THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY. MANITOWOC COUNTY KEY INFORMANT INTERVIEW ORGANIZATIONS: ADRC OF THE LAKESHORE - PROVIDES INFORMATION, ASSISTANCE, AND SUPPORTIVE SERVICES TO OLDER ADULTS IN THE COMMUNITY. ASCEND SERVICES, INC. - ASCEND PROVIDES SERVICES TO INDIVIDUALS WITH EXCEPTIONAL ABILITIES, PROMOTING INDIVIDUAL GROWTH THROUGH COMMUNITY EXPERIENCES, EDUCATION AND EMPLOYMENT OPPORTUNITIES. BIG BROTHERS BIG SISTERS WISCONSIN SHORELINE - NONPROFIT YOUTH SERVING AGENCY PROVIDING ACADEMIC AND RECREATIONAL PROGRAMMING. CORE TREATMENT SERVICES, INC. - PROVIDES TREATMENT SERVICES THROUGH RESIDENTIAL AND DAY TREATMENT, AND PROFESSIONAL RESOURCE CONNECTIONS FOR SUBSTANCE USE. FAMILY CONNECTIONS - CHILD CARE RESOURCE & REFERRAL AGENCY. PROVIDING EDUCATION TO CHILDCARE PROVIDERS, CONNECTING, AND SUPPORTING FAMILY'S CHILDCARE NEEDS. HOPE HOUSE OF MANITOWOC COUNTY - PROVIDES SHELTER AND SUPPORTIVE SERVICES TO INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. INCOURAGE - PROVIDES SHELTER, CRISIS INTERVENTION, AND SUPPORTIVE SERVICES FOR SURVIVORS OF DOMESTIC AND SEXUAL ABUSE AND THEIR FAMILIES. LAKESHORE CAP, INC. (COMMUNITY ACTION PROGRAM) - HELP INDIVIDUALS AND FAMILIES ACHIEVE ECONOMIC SELF-SUFFICIENCY AND WELL-BEING THROUGH RESULTS-BASED PROGRAMMING IN MANITOWOC, DOOR, SHEBOYGAN, AND KEWAUNEE COUNTIES. LAKESHORE COMMUNITY HEALTH CARE - PROVIDE PRIMARY AND PREVENTIVE MEDICAL, BEHAVIORAL (MENTAL) HEALTH, AND DENTAL CARE. LAKESHORE TECHNICAL COLLEGE - HIGHER EDUCATION INSTITUTE. LEAGUE OF WOMEN VOTERS OF MANITOWOC COUNTY - THE LEAGUE IS A WOMEN-LED POLITICAL GRASSROOTS NETWORK AND MEMBERSHIP ORGANIZATION THAT BELIEVES THE FREEDOM TO VOTE IS A NONPARTISAN ISSUE. RUTH (RESPONDING WITH UNDERSTANDING, TRUTH, AND HOPE) - THE MEMBERS OF RUTH, THE INTERFAITH JUSTICE GROUP IN MANITOWOC COUNTY, ARE COMMITTED TO BUILDING RELATIONSHIPS AND FORMING A COMMUNITY OF NEIGHBORS TO ADVOCATE TOGETHER FOR STRUCTURAL CHANGE IN THE CRITICAL JUSTICE ISSUES THAT FACE ALL OF WISCONSIN. LIGHTHOUSE RECOVERY COMMUNITY CENTER - PROVIDES SUBSTANCE USE TREATMENT SERVICES THROUGH RESOURCES, EDUCATION, AND RECOVERY SUPPORT SERVICES IN A SAFE AND SOCIAL ATMOSPHERE. MANITOWOC COUNTY HEALTH DEPARTMENT - GOVERNMENT DEPARTMENT THAT PREVENTS DISEASE AND PROMOTES HEALTH. MANITOWOC COUNTY HUMAN SERVICES DEPARTMENT - GOVERNMENT DEPARTMENT THAT PROVIDES BEHAVIORAL HEALTH SERVICES. MANITOWOC COUNTY SHERIFF'S OFFICE - EMERGENCY RESPONSE. MANITOWOC COUNTY VETERAN'S SERVICES OFFICE - PROVIDES INFORMATION, ASSISTANCE, AND SUPPORTIVE SERVICES TO VETERANS IN THE COMMUNITY. MANITOWOC PUBLIC LIBRARY - PROVIDES EDUCATION AND LEARNING OPPORTUNITIES IN THE COMMUNITY. MANITOWOC PUBLIC SCHOOL DISTRICT - PROVIDES PUBLIC EDUCATION FOR YOUTH. MANITOWOC-TWO RIVERS YMCA - PROVIDE YOUTH, ADULT, AND FAMILY PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND, AND BODY FOR ALL. PAINTING PATHWAYS CLUBHOUSE, INC. - EMPOWERS ADULTS WITH DIAGNOSED MENTAL ILLNESS BY BUILDING COMMUNITY, SUPPORTING RECOVERY, AND CHANGING LIVES. PFLAG-MANITOWOC COUNTY CHAPTER - CHAPTER-BASED ORGANIZATION SUPPORTING, EDUCATING, AND ADVOCATING FOR LGBTQ+ PEOPLE AND THEIR FAMILIES. PREVENT SUICIDE MANITOWOC COUNTY - EDUCATE, SUPPORT, AND ADVOCATE FOR THOSE AFFECTED BY SUICIDE AND MENTAL HEALTH ILLNES. REEDSVILLE SCHOOL DISTRICT - PROVIDES PUBLIC EDUATION FOR YOUTH. ST. THOMAS THE APOSTLE - FAITH-BASED ORGANIZATION. THE CHAMBER OF MANITOWOC COUNTY - ORGANIZATION OF LOCAL BUSINESSES THAT PROMOTES ECONOMIC DEVELOPMENT AND BUSINESS ACTIVITY. THE CROSSING OF MANITOWOC COUNTY - CHRISTIAN-BASED ORGANIZATION PROVIDING EMOTIONAL, EDUCATIONAL, MATERIAL, AND SPIRITUAL SUPPORT TO FAMILIES. THE HAVEN OF MANITOWOC COUNTY, INC. - PROVIDES SHELTER, HOUSING SERVICES, AND RESOURCES FOR HOMELESS MALE INDIVIDUALS. THE SALVATION ARMY OF MANITOWOC COUNTY - ORGANIZATION THAT PROVIDES SUPPORT TO FAMILIES IN NEED AND CRISIS. TRINITY HMONG LUTHERAN CHURCH - FAITH-BASED ORGANIZATION. UNITED WAY OF MANITOWOC COUNTY - MOBILIZES THE CARING POWER OF COMMUNITIES TO ADVANCE THE COMMON GOOD. HELPING COMMUNITIES TACKLE TOUGH CHALLENGES AND WORK WITH PRIVATE, PUBLIC, AND NONPROFIT PARTNERS TO BOOST EDUCATION, ECONOMIC MOBILITY, AND HEALTH RESOURCES.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - HOLY FAMILY MEMORIAL, INC.. FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL COLLABORATES WITH THE OTHER HOSPITAL SYSTEMS AND ORGANIZATIONS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A COMPREHENSIVE DATA COLLECTION PROCESS FROM A NUMBER OF KEY SOURCES. THIS SHARED CHNA SERVES AS THE FOUNDATION FOR FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL AND IS THE BASIS FOR CREATION OF AN IMPLEMENTATION STRATEGY TO IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES IN MANITOWOC COUNTY AND THE HOSPITAL'S PRIMARY SERVICE AREA. MANITOWOC COUNTY COLLABORATIVE PARTNERS: FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL IN AFFILIATION WITH FROEDTERT THEDACARE HEALTH & THE MEDICAL COLLEGE OF WISCONSIN; AURORA HEALTH CARE. AFTER COMPLETION OF THE SHARED CHNA, THE DATA WAS TAKEN INTO CONSIDERATION IN ORDER FOR FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL TO CREATE AN INDEPENDENT CHNA AND IMPLEMENTATION STRATEGY SPECIFIC TO THE HOSPITAL'S SERVICE AREA AND COMMUNITY HEALTH NEEDS.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - HOLY FAMILY MEMORIAL, INC.. FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL COLLABORATES WITH THE OTHER HOSPITAL SYSTEMS AND ORGANIZATIONS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A COMPREHENSIVE DATA COLLECTION PROCESS FROM A NUMBER OF KEY SOURCES. THIS SHARED CHNA SERVES AS THE FOUNDATION FOR FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL AND IS THE BASIS FOR CREATION OF AN IMPLEMENTATION STRATEGY TO IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES IN MANITOWOC COUNTY AND THE HOSPITAL'S PRIMARY SERVICE AREA. MANITOWOC COUNTY ORGANIZATIONS: LAKESHORE COMMUNITY ACTION PROGRAM (CAP), LAKESHORE COMMUNITY HEALTH CENTER, UNITED WAY OF MANITOWOC COUNTY, MANITOWOC COUNTY HEALTH DEPARTMENT, AND JKV RESEARCH. AFTER COMPLETION OF THE SHARED CHNA, THE DATA WAS TAKEN INTO CONSIDERATION IN ORDER FOR FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL TO CREATE AN INDEPENDENT CHNA AND IMPLEMENTATION STRATEGY SPECIFIC TO THE HOSPITAL'S SERVICE AREA AND COMMUNITY HEALTH NEEDS.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - HOLY FAMILY MEMORIAL, INC.. COMMUNITY HEALTH IMPROVEMENT PLAN FOR FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL IS AVAILABLE ONLINE AT: HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. FOR THE TAX YEAR ENDED JUNE 30, 2025, THIS INCLUDES THE TIME PERIOD REPORTED IN THIS FORM 990, FROEDTERT HOLY FAMILY MEMORIAL ADDRESSED THE SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN ITS 2022 CHNA AND IN WHICH THE IMPLEMENTATION STRATEGY WAS ADOPTED FOR FISCAL YEARS 2023, 2024 AND 2025. THE 2024 CHNA WILL BE EFFECTIVE FOR FISCAL YEARS 2026, 2027, AND 2028 AND THE IMPLEMENTATION STRATEGY WILL BE ADOPTED BY 08/27/2025. THE FISCAL YEAR 2023 - 2025 IMPLEMENTATION STRATEGY/COMMUNITY HEALTH IMPROVEMENT PLAN WAS REVIEWED AND ADOPTED BY THE FROEDTERT HOLY FAMILY MEMORIAL BOARD OF DIRECTORS ON 11/30/2022. TO IDENTIFY THE STRATEGIES, FROEDTERT HOLY FAMILY MEMORIAL STAFF REVIEWED THE COMMUNITY NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND SELECTED THREE WHERE FROEDTERT HOLY FAMILY MEMORIAL COULD MAKE THE MOST IMPACT AND WHICH THE ORGANIZATION HAD THE ABILITY TO EXECUTE. THE SELECTION WAS REVIEWED AND APPROVED BY FROEDTERT HOLY FAMILY MEMORIAL EXECUTIVE LEADERSHIP, FROEDTERT HOLY FAMILY MEMORIAL'S COMMUNITY ENGAGEMENT COMMITTEE, AND FINALLY THE FROEDTERT HOLY FAMILY MEMORIAL BOARD OF DIRECTORS. THESE THREE OVERARCHING THEMES WERE IDENTIFIED AS PRIORITIES FOR FROEDTERT HOLY FAMILY MEMORIAL'S FISCAL YEARS 2023 - 2025: - MENTAL HEALTH - CHRONIC DISEASE; AND - WORKFORCE DEVELOPMENT SIGNIFICANT HEALTH NEEDS NOT ADDRESSED: - ALCOHOL USE: FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL COLLABORATES WITH THE LOCAL HEALTH DEPARTMENT AND HEALTHIEST MANITOWOC COUNTY COALITION TO ADDRESS ALCOHOL USE. - TOBACCO USE: FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL COLLABORATES WITH THE LOCAL HEALTH DEPARTMENT AND HEALTHIEST MANITOWOC COUNTY COALITION TO ADDRESS TOBACCO USE. - OTHER DRUG USE: FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL COLLABORATES WITH THE LOCAL HEALTH DEPARTMENT, HEALTHIEST MANITOWOC COUNTY COALITION, AND CORE TREATMENT SERVICES TO ADDRESS OTHER DRUG USE. THE HOSPITAL WILL CONTINUE TO IMPLEMENT INITIATIVES TO COLLECT UNUSED PRESCRIPTION MEDICATIONS. - OBESITY: OBESITY WAS NOT IDENTIFIED AS A STAND-ALONE SIGNIFICANT HEALTH NEED BUT THIS ISSUE WILL BE INCLUDED UNDER CHRONIC DISEASE PREVENTION. - SAFE AND AFFORDABLE HOUSING: FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL SUPPORTS SAFE AND AFFORDABLE HOUSING BY PARTNERING WITH THE HAVEN AND HOPE HOUSE OF MANITOWOC COUNTY TO SUPPORT HOMELESS INDIVIDUALS. - AFFORDABLE CHILDCARE: FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL SUPPORTS AFFORDABLE CHILDCARE BY PARTNERING WITH LAKESHORE CAP AND THE EARLY CHILDHOOD CARE & EDUCATION CONSORTIUM OF MANITOWOC COUNTY TO ADDRESS THE EARLY CHILDHOOD CARE CRISIS THROUGH FORWARD-THINKING, SUSTAINABLE AND COLLABORATIVE COMMUNITY SOLUTIONS. - ECONOMIC STABILITY & EMPLOYMENT: FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL SUPPORTS ECONOMIC STABILITY AND EMPLOYMENT BY PARTNERING WITH NORTHEASTERN WISCONSIN AREA HEALTH EDUCATION CENTER, LAKESHORE TECHNICAL COLLEGE, AND THE CHAMBER OF MANITOWOC COUNTY. - EQUITABLE ACCESS TO HEALTH SERVICES: EQUITABLE ACCESS TO HEALTH SERVICES WAS NOT SELECTED AS A STAND-ALONE HEALTH NEED BUT THIS ISSUE WILL BE INCLUDED UNDER ALL OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ENSURE EQUITABLE ACCESS TO MENTAL HEALTH SERVICES, CHRONIC DISEASE SERVICES AND IMPROVING ACCESS TO HEALTHCARE PROVIDERS. FROEDTERT HOLY FAMILY MEMORIAL SUMMARY OF IMPLEMENTATION STRATEGY: FROEDTERT HOLY FAMILY MEMORIAL HAS COMPLETED AN IMPLEMENTATION STRATEGY THAT ADDRESSES THE HOSPITAL'S IMPLEMENTATION STRATEGY TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THIS CHNA. THE FOLLOWING IS A SUMMARY OF THAT SEPARATE, MORE COMPREHENSIVE IMPLEMENTATION STRATEGY REPORT. THE KEY PROGRAMS, STRATEGIES AND DEDICATED HOSPITAL RESOURCES INTENDED TO ADDRESS IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS ARE ADDRESSED BELOW. COMMUNITY ENGAGEMENT AND FROEDTERT HOLY FAMILY MEMORIAL HAVE DEDICATED EMPLOYEES AND BUDGETED FUNDS TOWARD SERVING THE NEEDS OF THE FROEDTERT HOLY FAMILY MEMORIAL COMMUNITIES. TO ACCESS A COPY OF THE FULL IMPLEMENTATION STRATEGY, PLEASE GO TO HTTPS:// WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. PROGRAMS: SCREENING; MEDICATION DISPOSAL; TRAININGS; SCHOOL BASED MENTAL HEALTH SERVICES; SCREENING; AND COMMUNITY PARTNERSHIPS. CHNA SIGNIFICANT HEALTH NEED: MENTAL HEALTH. GOAL: SUPPORT MENTAL HEALTH OUTREACH, EDUCATION, AND PREVENTION PROGRAMS, AND IMPROVE ACCESS TO SERVICES AND COMMUNITY RESOURCES. OBJECTIVES: 1. INCREASE ACCESS TO MENTAL HEALTH SERVICES TARGETED AT PRIORITY POPULATIONS THROUGH HOSPITAL AND COMMUNITY-BASED PARTNERSHIPS. 2. SUPPORT AND ENHANCE COLLABORATION WITH COMMUNITY ORGANIZATIONS TO INCREASE MENTAL HEALTH OUTREACH, EDUCATION AND AWARENESS WITHIN HOSPITAL AND COMMUNITY-BASED SETTINGS. FROEDTERT HOLY FAMILY MEMORIAL AVAILABLE RESOURCES: - COMMUNITY ENGAGEMENT LEADERSHIP/STAFF - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL BEHAVIORAL HEALTH - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL PRIMARY CARE - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL MISSION AND PASTORAL CARE FROEDTERT HOLY FAMILY MEMORIAL COLLABORATIVE PARTNERS: - LAKESHORE COMMUNITY HEALTH CENTER, FEDERALLY QUALIFIED HEALTH CENTERS - SUPPORT MENTAL HEALTH CARE SERVICES. - MENTAL HEALTH AMERICA & NATIONAL ASSOCIATION OF MENTAL ILLNESS (NAMI) - PARTNER TO SUPPORT COALITIONS AND PROGRAMMING. - PREVENT SUICIDE MANITOWOC COUNTY - PARTNER TO EDUCATE AND ADDRESS MENTAL HEALTH ISSUES. - ST FRANCIS OF ASSISI PARISH - PARTNER TO EDUCATE AND ADDRESS MENTAL HEALTH ISSUES. - HEALTHIEST MANITOWOC COUNTY, BEHAVIORAL HEALTH COALITION - PARTNER TO ADDRESS MENTAL HEALTH ISSUES. - MANITOWOC COUNTY HEALTH DEPARTMENT - PARTNER TO ADDRESS MENTAL HEALTH ISSUES. - AGING AND DISABILITY RESOURCE CENTER (ADRC) AND TWO RIVERS SENIOR CENTER - PARTNER TO PROMOTE SERVICES TO THE AGING POPULATION. - FAITH-BASED ORGANIZATIONS - SUPPORT EDUCATION AND OUTREACH TO COMMUNITY POPULATIONS. - MANITOWOC AREA SCHOOLS - PARTNER TO PROMOTE SERVICES AND OUTREACH EDUCATION. - MANITOWOC COUNTY EMERGENCY RESPONDERS (LAW ENFORCEMENT, FIRE, EMS) - SUPPORT COLLABORATION AND EMERGENCY RESPONSE EFFORTS IN MANITOWOC COUNTY. - MEDICAL COLLEGE OF WISCONSIN - SUPPORT EFFORTS AND OUTREACH TO DIVERSE POPULATIONS. - IMPACT 2-1-1 - PARTNER TO PROMOTE AND NAVIGATE TO SERVICES. - HEALTHIEST MANITOWOC COUNTY, MANITOWOC COUNTY RECYCLING CENTER, MANITOWOC COUNTY SHERIFF'S DEPARTMENT, MANITOWOC METRO DRUG UNIT, MANITOWOC POLICE DEPARTMENT - PARTNER TO HOST AND SUPPORT SAFE MEDICATION DISPOSAL FOR DRUG TAKE BACK DAY. MENTAL HEALTH SCREENING PRACTICES FY 2025 OUTCOMES/PROGRESS: - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL PROVIDES BEHAVIORAL HEALTH SCREENINGS FOR DEPRESSION AT PRIMARY CARE AND OB/GYN VISITS. SCREENINGS OCCUR ON ALL NEW PATIENTS AGES 12 AND OLDER USING THE PHQ9 ASSESSMENT AND RECORDED IN EPIC. ST. FRANCIS OF ASSISI PARISH PARTNERSHIP FY 2025 OUTCOMES/PROGRESS: - THROUGH THE WORK OF THE FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL HISPANIC COMMUNITY OUTREACH COMMITTEE, ST FRANCIS OF ASSISI BEGAN FREE WEEKLY ADVOCACY SESSIONS, OFFERING REFERRALS TO COMMUNITY RESOURCES FOR HOUSING, EMPLOYMENT, IMMIGRATION, FOOD SECURITY, ETC. ADDITIONALLY, CATHOLIC CHARITIES CREATED PHYSICAL SPACE IN ADDITION TO THEIR VIRTUAL SESSIONS AT ST FRANCIS OF ASSISI FOR GROUP EDUCATION SESSIONS AND INDIVIDUAL INTAKE FOR SERVICES. DRUG COLLECTION FY 2025 OUTCOMES/PROGRESS: - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL IN PARTNERSHIP WITH HEALTHIEST MANITOWOC COUNTIES, MANITOWOC SHERIFF, MANITOWOC POLICE DEPARTMENT, AND MANITOWOC RECYCLE CENTER HOSTED A DRUG TAKE BACK DAY ON APRIL 26. 195 POUNDS OF MEDICATION WERE COLLECTED FROM 152 CARS. SCHOOL BASED MENTAL HEALTH FY 2025 OUTCOMES/PROGRESS: - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL BEHAVIORAL HEALTH STAFF PROVIDED 58 INDIVIDUAL YOUTH THERAPEUTIC SERVICES ON-SITE AT THEIR SCHOOL, AVERAGING 52 SESSIONS EACH MONTH. HEALTHIEST MANITOWOC COUNTY FY 2025 OUTCOMES/PROGRESS: - FROEDTERT HOLY FAMILY MEMORIAL PARTNERED WITH HEALTHIEST MANITOWOC COUNTY FOR THE FIRST COMMUNITY NARCAN VENDING MACHINE. ON APRIL 16, HEALTHIEST MANITOWOC COUNTY, IN PARTNERSHIP WITH THE NORTHEASTERN WISCONSIN AREA HEALTH EDUCATION CENTER (NEWAHEC), UNVEILED THE REGION'S FIRST NARCAN VENDING MACHINE. AVAILABLE 24/7, THE MACHINE IS STOCKED WITH LIFE-SAVING RESOURCES INCLUDING NARCAN AND FENTANYL TESTING STRIPS, AS PART OF A BROADER EFFORT TO COMBAT OVERDOSE DEATHS AND PROMOTE HARM REDUCTION. IN SUPPORT OF THE PROJECT, FROEDTERT HEALTH CONTRIBUTED ADDITIONAL CARE SUPPLIES SUCH AS HYGIENE KITS, FIRST AID KITS, PONCHOS, AND BLANKETS TO ADDRESS BROADER HEALTH AND SAFETY NEEDS.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - HOLY FAMILY MEMORIAL, INC.. HEALTHIEST MANITOWOC COUNTY, ACCESS AND NAVIGATION TEAM, HOSTED THEIR FIRST BREAKING BARRIERS PANEL; NAVIGATING SUBSTANCE USE SERVICES. 41 DIRECT PROVIDERS ATTENDED, PARTICIPATING IN NETWORKING OPPORTUNITIES TO IMPROVE ACCESS TO SERVICES AFTER HEARING FROM A PANEL OF EXPERTS WHO SHARED PERSONAL EXPERIENCE AND RESOURCES. MENTAL HEALTH TRAININGS FY 2025 OUTCOMES/PROGRESS: - FROEDTERT HOLY FAMILY MEMORIAL AT THE INVITATION OF NAMI PARTICIPATED IN THEIR MH RESOURCE FAIR. ANN, NURSE PRACTITIONER, CONNECTED WITH OVER 100 INDIVIDUALS. - FROEDTERT HOLY FAMILY MEMORIAL PROVIDED EDUCATION TO THE SENIOR CENTER OF MANITOWOC, WHERE 21 SENIORS ATTENDED. IN-KIND AND FINANCIAL SUPPORT FY 2025 OUTCOMES/PROGRESS: - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL SPONSORSHIP DOLLARS PROVIDED $25,900 TO LOCAL ORGANIZATIONS IN SUPPORT OF THEIR MISSIONS. 18% OF THE FUNDS WERE ALLOCATED TO ORGANIZATIONS PROVIDING DIRECT SERVICES AND SUPPORTING MENTAL WELLNESS INCLUDING INCOURAGE, PINK HEALS, THE CROSSING, AND GUMBY'S. - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL ESTABLISHED A COMMUNITY GRANT PROGRAM IN FY25 AWARDING $55,000 TO PROGRAMS AND PROJECTS FOR 10 ORGANIZATIONS THAT WILL POSITIVELY IMPACT THE HEALTH AND WELL-BEING OF THOSE LIVING AND WORKING IN MANITOWOC COUNTY. PROGRAMS: CHRONIC DISEASE SCREENING AND MANAGEMENT; PREVENTION; AND COMMUNITY COLLABORATION. CHNA SIGNIFICANT HEALTH NEED: CHRONIC DISEASE PREVENTION GOAL: TO REDUCE THE BURDEN OF CHRONIC DISEASES IN MANITOWOC COUNTY SPECIFICALLY AMONG PRIORITY POPULATIONS. OBJECTIVES: 1. INCREASE SCREENING, NAVIGATION TO RESOURCES AND TREATMENT OF CHRONIC DISEASES TARGETED AT PRIORITY POPULATIONS. 2. INCREASE PREVENTION EFFORTS THROUGH COLLABORATIONS WITH COMMUNITY ORGANIZATIONS. FROEDTERT HOLY FAMILY MEMORIAL AVAILABLE RESOURCES: - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL CASE MANAGEMENT - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL CANCER CENTER - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL WELLNESS CENTER - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL PRIMARY CARE - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL MISSION AND PASTORAL CARE - COMMUNITY ENGAGEMENT LEADERSHIP/STAFF FROEDTERT HOLY FAMILY MEMORIAL COLLABORATIVE PARTNERS: - AGING AND DISABILITY RESOURCE CENTER (ADRC) - PARTNER TO PROMOTE SERVICES TO AGING AND DISABLED POPULATIONS. - LAKESHORE COMMUNITY HEALTH CENTER, FEDERALLY QUALIFIED HEALTH CENTERS - SUPPORT CHRONIC DISEASE-RELATED SERVICES. - HISPANIC MINISTRY OUTREACH - PARTNER TO ADDRESS CHRONIC DISEASE-RELATED ISSUES TARGETED AT THE LATINX COMMUNITY. - LAKESIDE FOODS - PARTNER TO ADDRESS CHRONIC DISEASE-RELATED ISSUES TARGETED AT THE LATINX COMMUNITY. - ST. FRANCIS OF ASSISI PARISH - PARTNER TO ADDRESS CHRONIC DISEASE-RELATED ISSUES TARGETED AT THE LATINX COMMUNITY. - HEALTHIEST MANITOWOC COUNTY, BEHAVIORAL HEALTH COALITION - PARTNER TO ADDRESS CHRONIC DISEASE-RELATED ISSUES. - MANITOWOC COUNTY HEALTH DEPARTMENT - COLLABORATE TO ADDRESS HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH. - MANITOWOC COUNTY PARKS SYSTEM (FIT IN THE PARKS) - SUPPORT EFFORTS TO ENCOURAGE PHYSICAL ACTIVITY AND OUTREACH TO DIVERSE POPULATIONS. - MANITOWOC SENIOR CENTER - SUPPORT EFFORTS TO SCREEN AND EDUCATE ELDERLY POPULATION. - TWO RIVERS SENIOR CENTER - SUPPORT EFFORTS TO SCREEN AND EDUCATE ELDERLY POPULATION. - FAITH-BASED ORGANIZATIONS - PARTNER ON OUTREACH AND EDUCATION TO COMMUNITIES. - MEDICAL COLLEGE OF WISCONSIN - SUPPORT EFFORTS AND OUTREACH TO DIVERSE POPULATIONS. - WISCONSIN WELL WOMEN PROGRAM - PARTNER TO PROMOTE CANCER PREVENTION EDUCATION AND REDUCE CANCER CARE DISPARITIES. COMMUNITY SCREENINGS FY 2025 OUTCOMES/PROGRESS: - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL PARTICIPATED AT THE TWO RIVERS & THE MANITOWOC SENIOR CENTER HEALTH FAIRS. RESOURCES AT THE HEALTH FAIRS INCLUDED HOME HEALTH, PHARMACY, DIABETES PREVENTION AND MANAGEMENT, PASTORAL CARE, AND THE WELLNESS CENTER. 450 ATTENDEES WERE PROVIDED EDUCATION AND SCREENINGS RELATED TO THESE RESOURCES. - FROEDTERT HOLY FAMILY MEMORIAL CANCER CENTER HELD A FREE PROSTATE SCREENING FOCUSING ON MEN AGES 40-75. SEVEN INDIVIDUALS RECEIVED A SCREENING. - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL AT THE INVITATION OF THE MANITOWOC SENIOR CENTER BEGAN PROVIDING MONTHLY BLOOD PRESSURE SCREENINGS IN APRIL OF FY25. A TOTAL OF 11 WERE SCREENED IN THE FINAL QUARTER. LAKESIDE FOODS AND ST. FRANCIS OF ASSISI PARISH FY 2025 OUTCOMES/PROGRESS: - FROEDTERT HOLY FAMILY MEMORIAL CONTINUES TO LEAD THE HISPANIC OUTREACH COMMITTEE AND IN PARTNERSHIP WITH MANY COMMUNITY ORGANIZATIONS, THE TEAM'S LONG-TERM GOAL REMAINS THE ESTABLISHMENT OF THE HISPANIC RESOURCE CENTER. POPULATION HEALTH & HEALTH EQUITY FY 2025 OUTCOMES/PROGRESS: - OVERALL COMPOSITE CURRENT PERFORMANCE: 87.3% (GOAL: 85.88%). - BREAST CANCER SCREENING COMPOSITE MEASURE: 77.9% (TARGET: 75.6%). - COLORECTAL CANCER SCREENING COMPOSITE MEASURE: 69.7% (TARGET: 64.2%). - PNEUMOCOCCAL VACCINATION COMPOSITE MEASURE: 86.2% (TARGET: 85.7%). - CONTROLLING HIGH BLOOD PRESSURE COMPOSITE MEASURE: 67.2% (TARGET: 66.5%). - HBA1C POOR CONTROL COMPOSITE MEASURE: 72.7% (TARGET: 73.5%). - 30-DAY READMISSIONS COMPOSITE MEASURE: 15.1% (TARGET: 14.9%). SOCIAL DETERMINANTS OF HEALTH SCREENING AND REFERRAL PLATFORM FY 2025 OUTCOMES/PROGRESS: - 2,641 PATIENTS WERE SCREENED FOR SOCIAL DETERMINANTS OF HEALTH. TWO PATIENTS WERE REFERRED FOR ADDITIONAL SERVICES TO COMMUNITY ORGANIZATIONS IN MANITOWOC COUNTY. - OF THOSE SCREENED AT FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL, 1,027 WERE IDENTIFIED AS UNDERSERVED PATIENTS WITH 14 REFERRALS. HEALTHIEST MANITOWOC COUNTY FY 2025 OUTCOMES/PROGRESS: - HEALTHIEST MANITOWOC COUNTY, SAFE OPPORTUNITY FOR ACTIVITY AND RECREATION - CONTINUED THE ANNUAL BIKE ROLL WALK TO SCHOOL INITIATIVE WITH 165 INDIVIDUALS PARTICIPATING FROM 6 SCHOOLS. - HEALTHIEST MANITOWOC COUNTY REMAINED AN ACTIVE PARTNER IN THE ANNUAL FROEDTERT HOLY FAMILY MEMORIAL FIT IN THE PARK PROGRAM. COMMUNITY OUTREACH FY 2025 OUTCOMES/PROGRESS: - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL CONTINUED THE SUMMER FIT IN THE PARK SERIES IN PARTNERSHIP WITH HEALTHIEST MANITOWOC COUNTIES AND MANITOWOC PARKS AND REC DEPARTMENT. WELLNESS CENTER STAFF FACILITATED THE PHYSICAL ACTIVITY SESSION (YOGA, HIKE, MOVE YOUR BODY) WHILE SERVICE LINES (CARDIOLOGY SERVICES & PRIMARY CARE) OFFERED EDUCATION DURING THE CLASS COOL DOWN. 57 INDIVIDUALS ATTENDED THE FIRST TWO SESSION OF THE SUMMER. - FROEDTERT HOLY FAMILY MEMORIAL OFFERED A 5-WEEK SERIES AT THE TWO RIVERS SENIOR CENTER. MENTALLY SHARP, FOOTCARE, EATING RIGHT & FOOD SAFETY, AND ADVANCE DIRECTIVE END OF LIFE DECISIONS WERE THE TOPICS PROVIDED. 21 SENIOR CENTER MEMBERS ATTENDED THE SERIES. - IN PARTNERSHIP WITH THE WARMING SHELTER, FROEDTERT HOLY FAMILY MEMORIAL ORGANIZED A FLU CLINIC FOR ALL INDIVIDUALS UTILIZING THE EMERGENCY SHELTER OR MEAL PROGRAMS. SEVEN INDIVIDUALS RECEIVED THE VACCINE. - FROEDTERT HOLY FAMILY MEMORIAL CARDIAC CATH LAB - DAN DOWNEY RN, CCRN, RCIS, CARDIAC CATH LAB PROVIDED EDUCATION ON HEART HEALTH AT ASCEND SERVICES SHARING INSIGHTFUL TIPS ON MAINTAINING A HEALTHY HEART. DAN ENGAGED WITH 12 CLIENTS AND THE DEDICATED STAFF. DIABETES AND CANCER SUPPORT GROUP FY 2025 OUTCOMES/PROGRESS: - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL, MISSION AND PASTORAL CARE, OFFERS SUPPORT GROUPS TO HELP INDIVIDUALS CONNECT WITH OTHER PEOPLE WHO ARE FACING A SIMILAR CONDITION OR EXPERIENCE. 219 INDIVIDUALS RECEIVED SUPPORT IN FY25, ATTENDING DIABETES SUPPORT, CANCER SUPPORT, OR CAREGIVER SUPPORT GROUPS PROGRAMS: COMMUNITY COLLABORATION; SCHOLARSHIP PROGRAM; PROMOTION; AND INVESTMENT. CHNA SIGNIFICANT HEALTH NEED: WORKFORCE DEVELOPMENT GOAL: INCREASE STUDENT'S EXPOSURE TO HEALTH CARE CAREERS. OBJECTIVE: 1. INCREASE OPPORTUNITIES FOR STUDENTS TO GAIN EXPOSURE TO ALL HEALTH CARE CAREERS INCLUDING MEDICAL, DENTAL AND BEHAVIORAL HEALTH. FROEDTERT HOLY FAMILY MEMORIAL AVAILABLE RESOURCES: - COMMUNITY ENGAGEMENT LEADERSHIP/STAFF. - WORKFORCE DEVELOPMENT. FROEDTERT HOLY FAMILY MEMORIAL COLLABORATIVE PARTNERS: - LAKESHORE TECHNICAL COLLEGE - PARTNER ON CAREER DEVELOPMENT. - FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES - PARTNER ON OUTREACH AND EDUCATION TO PROMOTE HEALTH CARE CAREERS. - NORTHEASTERN AREA HEALTH EDUCATION CENTER - PARTNER ON OUTREACH AND EDUCATION, AND SUPPORT OF HEALTH CARE CAREER TRACK. - LAKESHORE CAP - PARTNER ON OUTREACH AND EDUCATION, AND SUPPORT OF HEALTH CARE CAREER TRACK. - FAITH-BASED ORGANIZATIONS - PARTNER ON OUTREACH AND EDUCATION TO COMMUNITIES. - MANITOWOC COUNTY AREA SCHOOL DISTRICT - PARTNER TO PROMOTE SERVICES AND OUTREACH EDUCATION. - THE CHAMBER OF MANITOWOC COUNTY - PARTNER TO PROMOTE HEALTH CARE CAREERS.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - HOLY FAMILY MEMORIAL, INC.. - MANITOWOC COUNTY HIGHER EDUCATION - PARTNER TO PROMOTE SERVICES AND OUTREACH EDUCATION. LAKESHORE TECHNICAL COLLEGE INVESTMENT FY 2025 OUTCOMES/PROGRESS: - NO INVESTMENT MADE IN FY25. THIS WAS A THREE-YEAR COMMITMENT WITH FY24 AS THE LAST YEAR. NORTHEASTERN AREA HEALTH EDUCATION CENTER (NEWAHEC) FY 2025 OUTCOMES/PROGRESS: - FROEDTERT HOLY FAMILY MEMORIAL PARTNERED WITH THE NORTHEASTERN WISCONSIN AREA HEALTH EDUCATION CENTER TO WELCOME 25 STUDENTS FROM MISHICOT HIGH SCHOOL, EAGER TO EXPLORE CAREERS IN HEALTH CARE. THE STUDENTS TOOK PART IN A PANEL DISCUSSION WITH OUR NURSING AND PHYSICAL THERAPY TEAM MEMBERS, WHO SHARED THEIR CAREER JOURNEYS, SUCCESSES AND CHALLENGES. - IN CONNECTION WITH NEWAHEC THE YOUTH APPRENTICE PROGRAM CONTINUES TO GROW AT FROEDTERT HOLY FAMILY MEMORIAL WITH MANY DEPARTMENTS PARTICIPATING AND PROVIDING AN EXPOSURE TO A VARIETY OF HEALTHCARE CAREER OPPORTUNITIES. SCHOLARSHIP PROGRAM FY 2025 OUTCOMES/PROGRESS: - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL DEFERRED SCHOLARSHIP OPPORTUNITIES. COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOCUS WAS INCLUDED EACH MONTH WITH SPONSORSHIP DETERMINATIONS. HEALTH CARE CAREER EXPLORATION, OUTREACH, AND EDUCATION FY 2025 OUTCOMES/PROGRESS: - HEALTHCARE BUS TOUR CONTINUED WITH GREAT SUCCESS OFFERING AN OPPORTUNITY TO PARTICIPATE IN THE FALL AND SPRING. 110 HIGH SCHOOL STUDENTS PARTICIPATED BY VISITING THE HOSPITAL OR HARBOR TOWN CAMPUS WHERE THEY EXPLORED CAREER PATHWAYS IN HEALTHCARE INCLUDING NURSING, CARDIAC SERVICES, DIAGNOSTIC IMAGING, PHYSICAL THERAPY AND PERSONAL TRAINING. - FROEDTERT HOLY FAMILY MEMORIAL ATTENDED A VARIETY OF HIGH SCHOOL CAREER FAIRS AND PANEL PRESENTATIONS THROUGHOUT SHEBOYGAN, MANITOWOC, AND FOND DU LAC COUNTIES OFFERING DETAILS ON CAREER PATHWAYS IN HEALTHCARE TO OVER 200 STUDENTS. - FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL WELCOMED 24 STUDENTS, ADULT LEARNERS AND RECENT HIGH SCHOOL GRADUATES WHO WERE ENROLLED AT LAKESHORE TECHNICAL COLLEGE (LTC) LEADERSHIP PROGRAM. THE PROGRAM FOCUSES ON IMPROVING LEADERSHIP SKILLS, EXPOSURE TO CAREER ENVIRONMENTS, AND BROADENING UNDERSTANDING OF THE MANITOWOC COUNTY. THE CARDIAC CATH LAB, IMAGING, AND LABORATORY DEPARTMENTS PARTICIPATED. - CHAMBER OF MANITOWOC COUNTY CAREER EXPO WELCOMED OVER 900 HIGH SCHOOL STUDENTS. STAFF FROM PASTORAL CARE, MEDICAL SURGERY, LABORATORY, IMAGING, REHABILITATION, AND WELLNESS ATTENDED THE EXPO AND SHARED THEIR CAREER JOURNEYS, GAVE INSIGHT INTO A TYPICAL DAY IN HEALTH CARE, AND DISCUSSED THE REWARDING BENEFITS OF WORKING IN THE FIELD. - IN PARTNERSHIP WITH THE CHAMBER OF MANITOWOC COUNTY LEADERSHIP CLASS, FROEDTERT HOLY FAMILY MEMORIAL WAS A HOST SITE OFFERING GUIDED INFORMATIVE TOURS WITH A BEHIND-THE-SCENES LOOK AT THE VITAL SERVICES PROVIDED AS WELL AS HOW LEADERSHIP PLAYS A CRITICAL ROLE IN EACH AREA. LEADERS FROM THE IMAGING DEPARTMENT, EMERGENCY DEPARTMENT, AND CANCER CENTER CONNECTED WITH 31 STUDENTS. OTHER ENGAGEMENT PROGRAMS AND INITIATIVES COMMUNITY ENGAGEMENT PROACTIVELY ADDRESSES THE SOCIAL, CULTURAL, AND ECONOMIC DETERMINANTS THAT UNDERPIN HEALTH AND SEEKS TO BUILD PARTNERSHIPS WITH OTHERS TO FIND SOLUTIONS. FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN ARE COMMITTED TO MAKING A POSITIVE, SUSTAINED DIFFERENCE IN OUR COMMUNITY. COMMUNITY ENGAGEMENT WILL STRENGTHEN THE ECONOMIC VITALITY AND QUALITY OF LIFE OF THOSE COMMUNITIES WE SERVE. FROEDTERT HOLY FAMILY MEMORIAL COMMUNITY ENGAGEMENT PROGRAMMING AND HEALTH IMPROVEMENT ACTIVITIES ARE SUPPORTED THROUGH STAFF RESOURCES, BUDGETED DOLLARS FOR PROGRAMMING, AND COMMUNITY PARTNERSHIPS. FROEDTERT HOLY FAMILY MEMORIAL COMMUNITY GRANT PROGRAM. IT IS THE GOAL OF THE FROEDTERT HOLY FAMILY MEMORIAL COMMUNITY GRANT PROGRAM TO HELP SUPPORT ORGANIZATIONS THAT ARE ADVANCING COMMUNITY HEALTH THROUGH COLLABORATIVE AND EVIDENCE-BASED PRACTICES TARGETING THE PRIORITY HEALTH NEEDS IN MANITOWOC COUNTY. FY 2025 OUTCOMES/PROGRESS: THE FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL (FHFMH) COMMUNITY GRANT PROGRAM HAS AWARDED $55,000 IN GRANTS TO TEN NON-PROFIT ORGANIZATIONS FOR PROGRAMS AND PROJECTS THAT WILL POSITIVELY IMPACT THE HEALTH AND WELL-BEING OF THOSE LIVING AND WORKING IN MANITOWOC COUNTY. ORGANIZATIONS THAT RECEIVED GRANTS WERE AS FOLLOWS: - CASA OF EAST CENTRAL WISCONSIN. - FIRST PRESBYTERIAN CHURCH, MANITOWOC. - HOPE HOUSE OF MANITOWOC COUNTY, INC. - UNITED WAY MANITOWOC COUNTY. - CATHOLIC CHARITIES OF THE DIOCESE OF GREEN BAY, INC. - THE HAVEN. - LAKESHORE COMMUNITY HEALTH CARE. - SALVATION ARMY. - LAKESHORE CAP. - GROW IT FORWARD. SEXUAL ASSAULT NURSE EXAMINER (SANE) AVAILABLE 24 HOURS A DAY (ACCESS TO CARE AND NAVIGATION). WHEN EMERGENCIES TAKE ON THE EVEN MORE TRAUMATIC ELEMENT OF SEXUAL ASSAULT, THE SPECIALLY TRAINED SANE PROGRAM STAFF HAS CREATED A SAFE HAVEN AT FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL FOR COMPREHENSIVE, COMPASSIONATE CARE. SANE STAFF ARE REGISTERED NURSES WITH ADVANCED TRAINING IN MEDICAL-FORENSIC EXAMINATION AND IN THE PSYCHOLOGICAL AND EMOTIONAL TRAUMA PATIENT'S EXPERIENCE. THEY CARE FOR VICTIMS OF ALL AGES, RACES AND POPULATIONS TO PROVIDE TIMELY EMOTIONAL SUPPORT. SANE NURSES ARE AVAILABLE TO SPEAK TO GROUPS AND ORGANIZATIONS. THEY ARE ALSO ABLE TO SERVE AS EXPERT WITNESSES IF CALLED TO TESTIFY AT A TRIAL. SERVICES PROVIDED INCLUDE: - PHYSICAL EXAMINATION AND WELLNESS CHECK. - COLLECTION OF MEDICAL-FORENSIC EVIDENCE. - ASSISTANCE WITH REPORTING THE CRIME TO POLICE, WHEN REQUESTED (MANDATORY REPORTING FOR CHILDREN). - ASSISTANCE WITH CONCERNS ABOUT SEXUALLY TRANSMITTED INFECTION AND PREGNANCY. - ASSISTANCE WITH SAFETY PLANNING. - DEVELOPMENT OF A MEDICAL FOLLOW-UP PLAN. FY 2025 OUTCOMES/PROGRESS: - NUMBER OF SANE CASES: 0 - THE SANE PROGRAM WAS NOT ACTIVE IN FY25 DUE TO A LACK OF SPECIALIZED NURSING STAFF. LEADERSHIP VOLUNTEERISM/COMMUNITY SUPPORT (FROEDTERT IN ACTION) (COMMUNITY BUILDING). FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL ENCOURAGES ITS LEADERS TO PARTICIPATE IN COMMUNITY ACTIVITIES SUPPORTING LOCAL NONPROFIT ORGANIZATIONS. LEADERS ARE ACTIVE WITH GROUPS SUCH AS HEALTHIEST MANITOWOC COUNTY, LOCAL CHURCHES, THE CHAMBER OF MANITOWOC COUNTY, PROGRESS LAKESHORE, LOCAL SCHOOLS, BIG BROTHERS BIG SISTERS, BOYS AND GIRLS CLUB, THE HAVEN HOMELESS SHELTER, VARIOUS FOOD PANTRIES AND MORE. ALL OF THESE ACTIVITIES ARE VOLUNTEER ACTIVITIES. FY 2025 OUTCOMES/PROGRESS: - HEALTHY SHELVES, FOOD AND HYGIENE DRIVE, AND THE HOLIDAY TOY DRIVE ARE SIGNIFICANT ANNUAL EVENTS WITH VOLUNTEERS PARTICIPATING IN FY25. - PARTNERSHIPS WITH UNITED WAY OFFER STAFF A VARIETY OF VOLUNTEER OPPORTUNITIES INCLUDING ANNUAL KIT PACKING (250 KITS MADE BY 18 VOLUNTEERS) AS WELL AS DAY OF ACTION WHERE INDIVIDUALS CAN CHOOSE WHICH NON-PROFIT TO SUPPORT THAT DAY WITH HANDS ON VOLUNTEERISM. - FROEDTERT HOLY FAMILY MEMORIAL PARTNERED WITH MANY ORGANIZATIONS THIS PAST YEAR. A FEW HIGHLIGHTS: THE WARMING SHELTER (8 MEMBERS OF LEADERSHIP CLEANED OUT AND ORGANIZED A NEW SHELTER SPACE); NATIONAL NIGHT OUT (150 COMMUNITY MEMBERS ATTENDED); INTERNATIONAL DAY OF THE GIRL (FOCUSING ON EMPOWERING YOUNG GIRLS AND WOMEN); BOYS AND GIRLS CLUB (OFFERING LUNCH AND READ - SERVED KIDS LUNCH AND HAD STORY TIME); ANGEL HUGS (CREATED GIFTS AND CARE PACKAGES FOR KIDS HEALING FROM CANCER); AND SLEEP IN HEAVENLY PEACE (BUILT AND DONATED 8 BEDS FOR CHILDREN IN NEED). UNITED WAY EMPLOYEE GIVING CAMPAIGN (COMMUNITY DEVELOPMENT). FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL COLLABORATES WITH UNITED WAY OF MANITOWOC TO ADDRESS COMMUNITY NEEDS IN THE AREAS OF MEETING BASIC NEEDS, DEVELOPING SELF-RELIANCE, STRENGTHENING COMMUNITIES AND COMMUNITY SUPPORT. FROEDTERT HOLY FAMILY MEMORIAL HOSTS AN ANNUAL WORKPLACE GIVING CAMPAIGN TO SUPPORT ALL LOCAL UNITED WAYS. FY 2025 OUTCOMES/PROGRESS: - $1,183,752.50 IN DIRECT EMPLOYEE DONATIONS THAT INCLUDES FTCH CORPORATE MATCH OF $7,171.46 THAT IS RESTRICTED FOR UNITED WAY OF MANITOWOC COUNTY.
Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - HOLY FAMILY MEMORIAL, INC.. ACA INSURANCE MARKETPLACE AND ENROLLMENT ASSISTANCE (ACCESS TO CARE AND NAVIGATION). FROEDTERT THEDACARE HEALTH (PARENT COMPANY OF FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL) RECOGNIZED THE NEED TO HELP INDIVIDUALS NAVIGATE THE NEW CHOICES AVAILABLE TO THEM THROUGH THE AFFORDABLE CARE ACT'S INSURANCE MARKETPLACE AND MEDICAID REFORMS. OUR OVERALL HEALTH NETWORK OF CERTIFIED APPLICATION COUNSELORS SCREEN AND ENROLL INDIVIDUALS IN PUBLIC ASSISTANCE AND MARKETPLACE INSURANCE PLANS. IN ADDITION, OUR CERTIFIED APPLICATION COUNSELORS ANSWERED THOUSANDS OF PHONE CALLS AND ASSISTED WITH QUESTIONS. FROEDTERT THEDACARE HEALTH ALSO 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, MANITOWOC, WASHINGTON AND WAUKESHA COUNTIES IN SECURING ADEQUATE AND AFFORDABLE HEALTH INSURANCE. FY 2025 OUTCOMES/PROGRESS: - OUR NETWORK OF CERTIFIED APPLICATION COUNSELORS ASSISTED A TOTAL OF 7,906 INDIVIDUALS WITH APPROXIMATELY 216 FOR FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL. DRIVES FY 2025 OUTCOMES/PROGRESS: - HOLIDAY DRIVE: 346 ITEMS COLLECTED BY FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL WITH 44 TOTAL VOLUNTEER HOURS. - HEALTHY SHELVES: FROEDTERT & MCW TEAM MEMBERS DONATED 4,189 POUNDS OF NON-PERISHABLE FOOD AND PERSONAL HYGIENE ITEMS DURING THE 2025 HEALTHY SHELVES DRIVE, WHICH WILL PROVIDE AN ESTIMATED 3,491 MEALS. FOR MORE INFORMATION ON FROEDTERT HOLY FAMILY MEMORIAL COMMUNITY BENEFIT PROGRAMS, PLEASE VISIT HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - HOLY FAMILY MEMORIAL, INC.. FROEDTERT THEDACARE HEALTH RESERVES THE RIGHT TO REVIEW EACH FINANCIAL ASSISTANCE APPLICATION ON ITS OWN MERITS AND TO CONSIDER OTHER EXTENUATING CIRCUMSTANCES IN THE DECISION TO APPROVE A PATIENT'S APPLICATION FOR FINANCIAL ASSISTANCE. THE APPLICANT'S GROSS FAMILY INCOME WILL BE DETERMINED USING MODIFIED ADJUSTED GROSS INCOME (MAGI). MODIFIED ADJUSTED GROSS INCOME INCLUDES BOTH EARNED INCOME AND PASSIVE INCOME RECEIVED. 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 HIS/HER ANNUAL GROSS INCOME ON ANY SINGLE ACCOUNT DURING THE APPROVED FINANCIAL ASSISTANCE ELIGIBILITY TIMEFRAME. PATIENTS WHO MEET THE REQUIREMENTS AND HAVE A GROSS INCOME EQUAL OR LESS THAN 250% OF THE FPL MAY QUALIFY FOR A 100% DISCOUNT. PATIENTS WHO MEET THE REQUIREMENTS AND HAVE A GROSS INCOME BETWEEN 250% AND 400% OF THE FPL MAY QUALIFY FOR A DISCOUNT ON A SLIDING SCALE. IN ADDITION TO INCOME, FROEDTERT THEDACARE HEALTH ALSO TAKES CERTAIN ASSETS INTO CONSIDERATION. ASSETS PROTECTED FROM FINANCIAL EVALUATION INCLUDE A HOUSEHOLD'S RETIREMENT ASSETS, HOME EQUITY, AND A PORTION OF CASH AND SAVINGS ASSETS.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - HOLY FAMILY MEMORIAL, INC.. OUT OF POCKET MAXIMUM DISCOUNT.
Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - HOLY FAMILY MEMORIAL, INC.. WE REQUEST ADDITIONAL DOCUMENTATION WHEN AN INDIVIDUAL HAS SUBMITTED AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 9
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?0
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 10
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
Schedule H, Part I, Line 3c IN ALIGNMENT WITH THE FTCH FINANCIAL ASSISTANCE POLICY FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL (FHFMH) 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 DETERMINED USING MODIFIED ADJUSTED GROSS INCOME (MAGI). MODIFIED ADJUSTED GROSS INCOME INCLUDES BOTH EARNED INCOME AND PASSIVE INCOME RECEIVED AND 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 250% OF THE FPL MAY QUALIFY FOR A 100% DISCOUNT. PATIENTS WHO MEET THE REQUIREMENTS AND HAVE A GROSS INCOME BETWEEN 250% AND 400% OF THE FPL MAY QUALIFY FOR A DISCOUNT ON A SLIDING SCALE. IN ADDITION TO INCOME, FHFMH ALSO TAKES CERTAIN ASSETS INTO CONSIDERATION. ASSETS PROTECTED FROM FINANCIAL EVALUATION INCLUDE A HOUSEHOLD'S RETIREMENT ASSETS, HOME EQUITY, AND A PORTION OF CASH AND SAVINGS ASSETS.
Schedule H, Part I, Line 6a EVERY YEAR, FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL PRODUCES AN ANNUAL REPORT TO THE COMMUNITY HIGHLIGHTING ALL OF THE HOSPITAL'S AND CLINIC'S EFFORTS IN COMMUNITY OUTREACH PROGRAMS, PATIENT IMPACT STORIES AND INVESTMENTS IN THE COMMUNITIES WE SERVE. THE REPORT IS POSTED ON THE FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL WEBSITE AND SOCIAL MEDIA PLATFORMS, AND IS PROVIDED TO FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL BOARD OF DIRECTORS, FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL LEADERS AND STAFF, GOVERNMENT OFFICIALS, BUSINESS LEADERS AND OTHER COMMUNITY MEMBERS. A COPY OF THE MOST RECENT REPORT CAN BE FOUND AT HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE CARE AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. FROEDTERT HOLY FAMILY MEMORIAL'S COMMUNITY BENEFIT PROGRAMS INCLUDE SERVICES FOR THOSE WHO CANNOT AFFORD HEALTH CARE AND INITIATIVES FOR IMPROVING HEALTH IN THE BROADER COMMUNITY. PROVIDING COMMUNITY BENEFITS DEMONSTRATES THAT ITS PREFERENTIAL TAX STATUS IS DESERVED. 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. THE AMOUNT FOR BAD DEBT EXPENSE IS LISTED IN SCHEDULE H PART III RATHER THAN IN PART I. EXPLANATION OF COSTING METHODOLOGY STAFF IN OUR COMMUNITY ENGAGEMENT DEPARTMENT USE THE CBISA SOFTWARE (COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY) TO GATHER, MEASURE, QUANTIFY, SUMMARIZE, AND CALCULATE THE COSTS DEVOTED TO MEASURING THE IMPACT OF THE ORGANIZATION ON THE COMMUNITY IT SERVES. THE COSTING METHODOLOGY USED IS AN INTEGRAL PART OF THE CBISA SOFTWARE.
Schedule H, Part II Community Building Activities TO PROMOTE THE HEALTH OF OUR COMMUNITIES, FROEDTERT HOLY FAMILY MEMORIAL PARTICIPATES IN NUMEROUS COMMUNITY-BUILDING ACTIVITIES, WHICH ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. THESE ACTIVITIES INCLUDE: 1. COALITION BUILDING: COLLABORATION WITH COUNTY SERVICE AGENCIES INCLUDES WORK WITH THE MANITOWOC COUNTY COMMUNITY COALITION TO ADDRESS SUBSTANCE USE AND ABUSE, OBESITY AND MENTAL HEALTH ISSUES. FROEDTERT HOLY FAMILY MEMORIAL'S SANE (SEXUAL ASSAULT NURSE EXAMINER PROGRAM) WORKS CLOSELY WITH VOLUNTEERS FROM THE INCOURAGE TO CARE FOR VICTIMS OF SEXUAL ASSAULT. 2. COMMUNITY SUPPORT: PARTICIPATION IN LOCAL EMERGENCY PREPAREDNESS AND YOUTH FOCUSED COALITIONS TO IMPROVE THE COMMUNITIES' ABILITY TO RESPOND TO AN EMERGENCY AND TO IMPROVE THE COMMUNITY ENVIRONMENT FOR YOUTH TO SET THEM UP FOR GREATER SUCCESS. 3. ECONOMIC DEVELOPMENT: LEADERSHIP PARTICIPATES IN LOCAL CHAMBER OF COMMERCE BOARDS FOCUSING ON ECONOMIC DEVELOPMENT. 4. DIVERSITY: TRAINING THAT RECRUITS HEALTH PROFESSIONALS IN OUR TRADITIONALLY UNDERSERVED COMMUNITY. 5. WORKFORCE DEVELOPMENT: DIVERSITY TRAINING AND MINORITY INTERNSHIP PROGRAMS THAT RECRUIT HEALTH PROFESSIONALS IN OUR TRADITIONALLY UNDERSERVED COMMUNITIES TO DIVERSIFY OUR WORKFORCE POPULATION TO BETTER SERVE OUR COMMUNITIES.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE 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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, FROEDTERT THEDACARE HEALTH, INC. (FTCH) 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, FTCH 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 AS WELL AS PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD PARTY COVERAGE EXISTS FOR PART OF THE BILL), FTCH 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. FTCH 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, FROEDTERT THEDACARE HEALTH 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 FTCH'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, FTCH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. SEE ALSO PAGES 29-31 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs HOLY FAMILY MEMORIAL BELIEVES THAT ALL OF THE SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE HOSPITAL PROVIDES EMERGENCY MEDICAL CARE OR OTHER MEDICALLY NECESSARY CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS IS BASED ON A CALCULATION DEVELOPED BY THE AMERICAN HOSPITAL ASSOCIATION IN WHICH THE DATA IS DERIVED FROM THE ANNUAL FILED MEDICARE COST REPORT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IN ALIGNMENT WITH THE FTCH FINANCIAL ASSISTANCE POLICY AND CREDIT AND COLLECTIONS POLICY REGARDING THE BILLING, COLLECTION, AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS, FHFM 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 ARE 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.
Schedule H, Part V, Section B, Line 16a FAP website - HOLY FAMILY MEMORIAL INC.: Line 16a URL: HTTPS://WWW.FROEDTERT.COM/FINANCIAL-SERVICES;
Schedule H, Part V, Section B, Line 16b FAP Application website - HOLY FAMILY MEMORIAL INC.: Line 16b URL: HTTPS://WWW.FROEDTERT.COM/FINANCIAL-SERVICES;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - HOLY FAMILY MEMORIAL INC.: Line 16c URL: HTTPS://WWW.FROEDTERT.COM/FINANCIAL-SERVICES;
Schedule H, Part VI, Line 2 Needs assessment IN 2022, A COMMUNUITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED TO 1) DETERMINE CURRENT COMMUNITY HEATH NEEDS IN MANITOWOC COUNTY; 2) GATHER INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY AND IDENTIFY COMMUNITY ASSETS; 3) IDENTIFY AND PRIORITIZE SIGNIFICANT HEALTH NEEDS; AND 4) DEVELOP IMPLEMENTATION STRATEGIES TO ADDRESS THE PRIORTIZED HEALTH NEEDS. FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL (FHFM) ASSESSED THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A COMPREHENSIVE DATA COLLECTION PROCESS FROM A NUMBER OF KEY SOURCES. DATA AND RESEARCH INCLUDED INFORMATION FROM COMMUNITY MEMBERS, PUBLIC HEALTH OFFICIALS, COMMUNITY LEADER/EXPERTS, AND NON-PROFIT ORGANIZATIONS REPRESENTING VULNERABLE POPULATIONS IN OUR SERVICE AREA. THE FOLLOWING INFORMATION/DATA SOURCES WERE COLLECTED AND TAKEN INTO CONSIDERATION FOR ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS: COMMUNITY HEALTH SURVEY: A PHONE AND ONLINE SURVEY OF 1,358 RESIDENTS WAS CONDUCTED BY FHFM IN COLLABORATION WITH COMMUNITY PARTNERS. THE FULL REPORT OF THESE SURVEYS CAN BE FOUND AT HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. KEY STAKEHOLDER INTERVIEWS: FHFM COMMUNITY ENGAGEMENT TEAM AND LEADERS CONDUCTED 32 PHONE INTERVIEWS WITH COMMUNITY LEADERS OF VARIOUS SCHOOL DISTRICTS, NON-PROFIT ORGANIZATIONS, HEALTH & HUMAN SERVICE DEPARTMENT, AND BUSINESS LEADERS. A LIST OF ORGANIZATIONS CAN BE FOUND IN APPENDIX H of the CHNA. THE FULL KEY STAKEHOLDER INTERVIEW RESULTS CAN BE FOUND AT HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. SECONDARY DATA REPORT: UTILIZING MULTIPLE COUNTY AND COMMUNITY-BASED PUBLICLY AVAILABLE REPORTS, INFORMATION WAS GATHERED REGARDING MORTALITY/MORBIDITY DATA, INJURY HOSPITALIZATIONS, FHFM INPATIENT AND OUTPATIENT DATA, MANITOWOC COUNTY HEALTH RANKINGS, PUBLIC SAFETY/CRIME REPORTS, AND SOCIO-ECONOMIC/SOCIAL DRIVER DATA. A FULL SUMMARY OF SECONDARY DATA CAN BE FOUND AT HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. INTERNAL HOSPITAL DATA: INTERNAL DATA WAS GATHERED FROM FHFM'S SERVICE AREA TO GAIN A BETTER UNDERSTANDING OF SPECIFIC HEALTH NEEDS IMPACTING THE HOSPITAL'S PATIENT POPULATION. FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL IS COMMITTED TO ADDRESSING COMMUNITY HEALTH NEEDS COLLABORATIVELY WITH LOCAL PARTNERS. FHFM USED THE FOLLOWING METHODS TO GAIN COMMUNITY INPUT FROM JANUARY TO APRIL 2022 FOR THE SIGNIFICANT HEALTH NEEDS OF THE FHFM HOSPITAL'S COMMUNITY, THESE METHODS PROVIDED ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING FHFM'S COMMUNITY. INPUT FROM COMMUNITY MEMBERS KEY STAKEHOLDER INTERVIEWS: KEY ORGANIZATIONS WITH SPECIFIC KNOWLEDGE AND INFORMATION RELEVANT TO THE SCOPE OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS ("INFORMANTS") IN FHFM'S COMMUNITY, INCLUDING MANITOWOC COUNTY, WERE IDENTIFIED BY ORGANIZATIONS AND PROFESSIONALS THAT REPRESENT THE BROAD NEED OF THE COMMUNITY AS WELL AS ORGANIZATIONS THAT SERVE LOW-INCOME AND UNDERSERVED POPULATIONS. A LIST OF KEY STAKEHOLDERS CAN BE FOUND IN APPENDIX H of the CHNA. THESE LOCAL PARTNERING ORGANIZATIONS ALSO INVITED THE STAKEHOLDER TO PARTICIPATE IN AND CONDUCT THE INTERVIEWS. THE INTERVIEWER USED A STANDARD INTERVIEW SCRIPT THAT INCLUDED THE FOLLOWING ELEMENTS: - QUESTIONS RELATED TO THE COVID-19 PANDEMIC: -- WHAT NEEDS OR GAPS HAVE DEVELOPED FROM THE COVID-19 PANDEMIC THAT HAVE AFFECTED THE COMMUNITY YOUR ORGANIZATION SERVICES, INCLUDING ANY SPECIAL POPULATIONS OR GROUPS? -- WHAT ARE THE EXISTING STRATEGIES TO ADDRESS THE GAPS? WHAT IS WORKING WELL? -- WHAT ADDITIONAL STRATEGIES ARE NEEDED TO ADDRESS THE GAPS? WHICH COMMUNITY STAKEHOLDERS ARE NEEDED FOR THE STRATEGIES TO BE SUCCESSFUL? -- HOW WOULD YOU SUGGEST ORGANIZATIONS REACH OUT TO COMMUNITY MEMBERS TO IMPLEMENT HEALTH INITIATIVES? -- WHAT IS ONE KEY LEARNING THAT YOU (OR YOUR ORGANIZATION) HAVE HAD FROM THE COVID-19 PANDEMIC? - RANKING OF TWO SOCIAL DETERMINANTS OF HEALTH ISSUE AREAS. FOR THOSE TWO SOCIAL DETERMINANTS OF HEALTH, IDENTIFICATION OF: -- THE POPULATIONS MOST AFFECTED AND HOW THEY ARE AFFECTED -- ONE MAJOR EFFORT THE COMMUNITY COULD RALLY BEHIND TO IMPROVE THE ISSUE -- THE COMMUNITY STAKEHOLDERS THAT ARE CRITICAL TO ADDRESSING THE ISSUE - RANKING OF TWO HEALTH CONDITIONS AND BEHAVIORS THAT ARE THE MOST IMPORTANT ISSUES FOR THE COUNTY. FOR THOSE TWO HEALTH ISSUES, IDENTIFICATION OF: -- THE POPULATIONS MOST AFFECTED AND HOW THEY ARE AFFECTED -- EXISTING STRATEGIES TO ADDRESS THE ISSUE -- ADDITIONAL STRATEGIES NEEDED AND BARRIERS TO ADDRESSING THE ISSUE -- THE COMMUNITY STAKEHOLDERS THAT ARE CRITICAL TO ADDRESSING THE ISSUE -- ONE MAJOR EFFORT THE COMMUNITY COULD RALLY BEHIND TO IMPROVE THE ISSUE -- ONE THING THE ORGANIZATION NEEDS TO ADDRESS THIS ISSUE -- HOW SOCIAL DETERMINANTS OF HEALTH IMPACT THIS ISSUE UNDERSERVED POPULATION INPUT: FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL IS DEDICATED TO REDUCING HEALTH DISPARITIES AND INPUT FROM COMMUNITY MEMBERS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND/OR ORGANIZATIONS THAT REPRESENT THOSE POPULATIONS ARE IMPORTANT IN ADDRESSING COMMUNITY HEALTH NEEDS. WITH THAT IN MIND, FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL TOOK THE FOLLOWING STEPS TO GAIN INPUT: - COMMUNITY HEALTH SURVEY - WHEN APPROPRIATE, DATA WAS STRATIFIED BY GENDER, AGE, EDUCATION, HOUSEHOLD INCOME LEVEL, AND MARITAL STATUS. - KEY STAKEHOLDER INTERVIEWS - THE KEY STAKEHOLDER INTERVIEWS INCLUDED INPUT FROM MEMBERS OF ORGANIZATIONS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SUMMARY OF COMMUNITY MEMBER INPUT: THE TOP FIVE MANITOWOC COUNTY HEALTH ISSUES/BEHAVIORS AND SOCIAL NEEDS RANKED MOST CONSISTENTLY OR MOST OFTEN CITED IN THE COMMUNITY HEALTH SURVEY AND BY KEY STAKEHOLDERS WERE: COMMUNITY HEALTH SURVEY (HEALTH ISSUES/BEHAVIORS) -- ALCOHOL AND SUBSTANCE USE -- MENTAL HEALTH, MENTAL CONDITIONS, AND SUICIDE -- NUTRITION, PHYSICAL ACTIVITY, AND OBESITY -- COMMUNICABLE DISEASES OR COVID-19 -- CHRONIC DISEASES KEY STAKEHOLDER INTERVIEWS (HEALTH ISSUES/BEHAVIORS) -- MENTAL HEALTH, MENTAL CONDITIONS, AND SUICIDE -- ALCOHOL AND SUBSTANCE USE -- NUTRITION, PHYSICAL ACTIVITY, AND OBESITY -- INTIMATE PARTNER/DOMESTIC VIOLENCE -- ORAL HEALTH COMMUNITY HEALTH SURVEY (SOCIAL NEEDS) -- ECONOMIC STABILITY AND EMPLOYMENT -- EDUCATION ACCESS AND QUALITY -- SAFE AND AFFORDABLE HOUSING -- ACCESSIBLE AND AFFORDABLE HEALTH CARE -- RACISM AND DISCRIMINATION KEY STAKEHOLDER INTERVIEWS (SOCIAL NEEDS) -- SAFE AND AFFORDABLE HOUSING -- AFFORDABLE CHILDCARE -- ECONOMIC STABILITY AND EMPLOYMENT -- FAMILY SUPPORT -- SOCIAL CONNECTEDNESS AND BELONGING AFTER ADOPTION OF THE CHNA REPORT AND IMPLEMENTATION STRATEGY, FHFM PUBLICLY SHARES BOTH DOCUMENTS WITH COMMUNITY PARTNERS, KEY STAKEHOLDERS, HOSPITAL BOARD MEMBERS, PUBLIC SCHOOLS, NON-PROFITS, HOSPITAL COALITION MEMBERS, MANITOWOC COUNTY PUBLIC HEALTH DEPARTMENT, AND THE GENERAL PUBLIC. DOCUMENTS ARE MADE AVAILABLE VIA EMAIL, HARD COPIES ARE MADE AVAILABLE AT APPLICABLE MEETINGS, AND ELECTRONIC COPIES ARE MADE AVAILABLE BY PDF FOR DOWNLOAD ON HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. FEEDBACK AND PUBLIC COMMENTS ARE ALWAYS WELCOMED AND ENCOURAGED AND CAN BE PROVIDED THROUGH THE CONTACT FORM ON THE FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN WEBSITE AT HTTPS://WWW.FROEDTERT.COM/CONTACT, OR BY CONTACTING FROEDTERT THEDACARE HEALTH, INC.'S COMMUNITY ENGAGEMENT LEADERSHIP/STAFF WITH QUESTIONS AND CONCERNS BY CALLING 414-777-3787. FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL RECEIVED NO COMMENTS OR ISSUES WITH THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY. IN 2024, THE MOST RECENT CHNA WAS COMPLETED WITH THE DEVELOPMENT OF THE 2026-2028 IMPLEMENTATION STRATEGY/COMMUNITY HEALTH IMPROVEMENT PLAN. HOWEVER, THIS NARRATIVE IS A THREE YEAR SUMMARY OF INITIATIVES AND OUTCOMES OF THE 2022 CHNA AND 2023-2025 IMPLEMENTATION STRATEGY/COMMUNITY HEALTH IMPROVEMENT PLAN.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance FROEDTERT THEDACARE HEALTH (FTCH) INFORMS AND EDUCATES PATIENTS REGARDING FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAM ELIGIBIITY 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 FTCH WEBSITE CONTAINS INFORMATION REGARDING PRICING, HOW TO UNDERSTAND YOUR HOSPITAL BILL, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. FTCH 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 FTCH FINANCIAL ASSISTANCE PROGRAM. FINANCIAL COUNSELORS MAKE EVERY EFFORT TO DETERMINE A PATIENT'S ELIGIBLITY 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.
Schedule H, Part VI, Line 4 Community information OVERVIEW FROEDTERT HOLY FAMILY MEMORIAL (FHFM), IN AFFILIATION WITH THE FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN HEALTH NETWORK, IS THE RECOGNIZED LEADER AND LARGEST PROVIDER OF COMPREHENSIVE HEALTH CARE SERVICES IN MANITOWOC COUNTY. FOUNDED BY THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY, FHFM, ROOTED IN THE HEALING MINISTRY OF JESUS CHRIST, IS COMMITTED TO PROVIDING HIGH QUALITY MEDICAL CARE AND DEDICATED TO HELPING INDIVIDUALS IN THE COMMUNITIES FHFM SERVES ACHIEVE HEALTHIER LIVES. THE FROEDTERT & MCW HEALTH NETWORK OPERATES EASTERN WISCONSIN'S ONLY ACADEMIC MEDICAL CENTER AND ADULT LEVEL 1 TRAUMA CENTER AT FROEDTERT HOSPITAL, MILWAUKEE. THE HEALTH NETWORK SOUTH REGION INCLUDES 11 HOSPITAL LOCATIONS, MORE THAN 2,000 PHYSICIANS, AND MORE THAN 45 HEALTH CENTERS AND CLINICS. MISSION STATEMENT FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN ADVANCE THE HEALTH OF THE PEOPLE OF THE DIVERSE COMMUNITIES WE SERVE THROUGH EXCEPTIONAL CARE ENHANCED BY INNOVATION AND DISCOVERY. SERVICE AREA AND DEMOGRAPHICS FOR THE PURPOSES OF THE CHNA, THE COMMUNITY IS DEFINED AS MANITOWOC COUNTY, BECAUSE 86.7% OF DISCHARGES OCCUR FROM THIS GEOGRAPHY. ALL PROGRAMS, ACTIVITIES, AND PARTNERSHIPS UNDER THE CHNA WILL BE DELIVERED IN MANITOWOC COUNTY. FHFM DETERMINES ITS PRIMARY SERVICE AREA BY COMPLETING AN ANNUAL REVIEW AND ANALYSIS OF HOSPITAL DISCHARGES AND MARKET SHARE ACCORDING TO VARIOUS DETERMINANTS. THE MAP REFLECTS THE FOLLOWING 14 ZIP CODES: 53015 (CLEVELAND), 53042 (KIEL), 53063 (NEWTON), 54207 (COLLINS), 54214 (FRANCIS CREEK), 54215 (KELLNERSVILLE), 54220 (MANITOWOC), 54227 (MARIBEL), 54228 (MISHICOT), 54230 (REEDSVILLE), 54232 (SAINT NAZIANZ), 54241 (TWO RIVERS), 54245 (VALDERS), AND 54247 (WHITELAW). FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL HOUSEHOLD INCOME CY2025 PRIMARY SERVICE AREA UNDER $24,999 . . . . . . . . . . . . 12.37% $25,000 - $49,999 . . . . . . . . . . . 21.58% $50,000 - $99,999 . . . . . . . . . . . 31.98% $100,000 AND UP . . . . . . . . . . . 34.06% TOTAL HOUSEHOLDS . . . . . . 35,289 SOURCE: ESRI BAO PAYER SOURCE FY2024 PRIMARY SERVICE AREA COMMERCIAL/MANAGED CARE . . . 29.1% MEDICAID . . . . . . . . . . . . . . . 11.6% MEDICARE . . . . . . . . . . . . . . . 55.0% OTHER GOVERNMENT . . . . . . . . 2.7% OTHER/SELF PAY . . . . . . . . . . . 1.6% SOURCE: WHA RACE CY2025 PRIMARY SERVICE AREA WHITE . . . . . . . . . . . . . . . . . . 87.22% AFRICAN AMERICAN . . . . . . . . . . 1.56% ASIAN/HAWAIIAN/PACIFIC ISLANDER 2.95% NATIVE AMERICAN . . . . . . . . . . . 0.58% TWO OR MORE RACES . . . . . . . . . 5.54% OTHER . . . . . . . . . . . . . . . . . . 2.14% HISPANIC . . . . . . . . . . . . . . . . . 5.91% TOTAL POPULATION . . . . . . . . 79,879 SOURCE: ESRI BAO PAYER SOURCE FY2025 Q2 PRIMARY SERVICE AREA COMMERCIAL/MANAGED CARE . . . 20.6% MEDICAID . . . . . . . . . . . . . . . 9.3% MEDICARE . . . . . . . . . . . . . . . 67.4% OTHER GOVERNMENT . . . . . . . . 1.2% OTHER/SELF PAY . . . . . . . . . . . 1.5% SOURCE: WHA
Schedule H, Part VI, Line 5 Promotion of community health THE BOARD OF DIRECTORS AT FROEDTERT HOLY FAMILY MEMORIAL IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS. THEY ARE DEDICATED TO LEVERAGING THE BENEFITS OF OUR COMMUNITY THROUGH OUR HOSPITAL'S MISSION, THEY VALUE THE UNIQUE CHARACTER AND NEEDS OF THE PATIENTS AND COMMUNITIES WE SERVE AND THE PHYSICIANS WHO PROVIDE SPECIALTY CARE. FROEDTERT HOLY FAMILY MEMORIAL'S COMMUNITY BOARD DEMONSTRATES OUR COMMITMENT TO QUALITY AND SERVICE. ANNUALLY, THE BOARD REVIEWS AND APPROVES THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN. ADDRESSING NEEDS THROUGH TARGETED OUTREACH FROEDTERT HOLY FAMILY MEMORIAL DEVELOPS AND EXECUTES COMMUNITY OUTREACH PROGRAMMING AND ACTIVITIES BASED ON IDENTIFIED COMMUNITY HEALTH NEEDS. EVERY NEEDS ASSESSMENT CYCLE, FROEDTERT HOLY FAMILY MEMORIAL COMMUNITY ENGAGEMENT STAFF ALONG WITH THE HOSPITAL'S COMMUNITY PARTNERS AND OTHER LEADERS, DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN THAT IS INCORPORATED INTO THE HOSPITAL'S OVERALL STRATEGIC PLAN TO ADDRESS THE MOST CRITICAL NEEDS IN THE COMMUNITIES WE SERVE. THE PLAN IS REVIEWED ANNUALLY BY THE FROEDTERT HOLY FAMILY MEMORIAL BOARD OF DIRECTORS. FROEDTERT HOLY FAMILY MEMORIAL COMMUNITY ENGAGEMENT STAFF, LEADERS, AND EXTERNAL COMMUNITY PARTNERS, WORK COLLABORATIVELY TO DEVELOP KEY GOALS AND STRATEGIES TO ADDRESS COMMUNITY HEALTH NEEDS. PROGRESS TOWARDS COMMUNITY OUTREACH PROGRAMS/ACTIVITIES AND GOALS ARE REPORTED ANNUALLY TO THE FROEDTERT HOLY FAMILY MEMORIAL BOARD OF DIRECTORS, MISSION INTEGRATION COMMITTEE, AND AT LEADERSHIP MEETINGS. BASED ON THE RESULTS FROM THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, PROGRAMS AND ACTIVITIES ARE FOCUSED AROUND THE FOLLOWING IDENTIFIED HEALTH NEEDS: - MENTAL HEALTH - CHRONIC DISEASE, AND - WORKFORCE DEVELOPMENT FOR MORE INFORMATION ON SPECIFIC COMMUNITY OUTREACH EFFORTS, IMPLEMENTATION STRATEGY, AND COMMUNITY HEALTH NEEDS ASSESSMENTS, PLEASE GO TO FROEDTERT HOLY FAMILY MEMORIAL'S WEBSITE AT HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT.
Schedule H, Part VI, Line 6 Affiliated health care system FROEDTERT HOLY FAMILY MEMORIAL, IN AFFILIATION WITH THE FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN HEALTH NETWORK (LOCATED IN SOUTHEAST WISCONSIN), IS THE RECOGNIZED LEADER AND LARGEST PROVIDER OF COMPREHENSIVE HEALTH CARE SERVICES IN MANITOWOC COUNTY. FOUNDED BY THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY, FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL (FHFM), ROOTED IN THE HEALING MINISTRY OF JESUS CHRIST, IS COMMITTED TO PROVIDING HIGH QUALITY MEDICAL CARE AND DEDICATED TO HELPING INDIVIDUALS IN THE COMMUNITIES THAT FHFM SERVES, ACHIEVE HEALTHIER LIVES. THE FROEDTERT & MCW HEALTH NETWORK OPERATES EASTERN WISCONSIN'S ONLY ACADEMIC MEDICAL CENTER AND ADULT LEVEL I TRAUMA CENTER AT FROEDTERT HOSPITAL, MILWAUKEE. THE HEALTH NETWORK - SOUTH REGION INCLUDES 11 HOSPITAL LOCATIONS, MORE THAN 2,000 PHYSICIANS, AND MORE THAN 45 HEALTH CENTERS AND CLINICS. IN THE SOUTHEAST REGION, FROEDTERT MEMORIAL LUTHERAN HOSPITAL, FROEDTERT BLUEMOUND REHABILITATION HOSPITAL, FROEDTERT MENOMONEE FALLS, FROEDTERT WEST BEND HOSPITAL, FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, AND FROEDTERT HOLY FAMILY MEMORIAL MADE SIGNIFICANT INVESTMENTS IN THE HEALTH OF THEIR COMMUNITIES. PATIENTS WHO COULDN'T PAY FOR THEIR MEDICAL CARE RECEIVED MORE THAN $210 MILLION IN UNCOMPENSATED SERVICES. BEYOND PROVIDING CARE FOR THE UNINSURED/UNDERINSURED PATIENTS, WE CONTRIBUTED $187 MILLLION TO IMPROVE ACCESS TO CARE, TAUGHT FUTURE HEALTHCARE PROFESSIONALS, DEVELOPED NEW MEDICAL THERAPIES, AND PARTICIPATED IN LOCAL PARTNERHIPS AIMED AT REDUCING HEALTH DISPARITIES. OUR HEALTH NETWORK MEMBERS DEVELOPED 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 THEDACARE HEALTH REINVESTS ITS SURPLUS FUNDS BACK INTO THE COMMUNITY THROUGH PROGRAMS TO SERVE THE POOR AND UNINSURED, TEACH FUTURE HEALTHCARE PROFESSIONALS, DEVELOP NEW MEDICAL THERAPIES, MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROMOTE HEALTH EDUCATION AND HEALTH INITIATIVES, AND PARTICIPATE IN LOCAL PARTNERSHIPS AIMED AT REDUCING HEALTH DISPARITIES. FOR MORE INFORMATION ABOUT FROEDTERT HOLY FAMILY MEMORIAL, VISIT HTTPS://WWW.FROEDTERT.COM/HOLY-FAMILY, AND FOR FROEDTERT THEDACARE HEALTH, VISIT WWW.FROEDTERT.COM.
Schedule H, Part VI, Line 7 State filing of community benefit report WI
Schedule H (Form 990) 2024
Additional Data


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Software Version: 2024v5.1

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Schedule I
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number
39-0806395
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) CASA OF EAST CENTRAL WI
501 NORTH 10TH ST STUDIO B
MANITOWOC,WI542210721
83-2387527 501(C)3 7,500 0 FMV N/A SUPERVISION OF 30 DRUG ENDANGERED CHILDREN UNDER JURISDICTION OF THE COURT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) Rev. 1-2025

Schedule I (Form 990) Rev. 1-2025
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) MEDICAL ITEMS/SUPPLIES FOR THE NEEDY 162 0 9,813 FMV FOOD AND MEDICATIONS
(2) LODGING FOR THE NEEDY 12 0 1,950 FMV LODGING
(3) TRANSPORTATION FOR THE NEEDY 216 0 4,226 FMV TAXI/OTHER TRANSPORT/GAS CARDS
(4) SCHOLARSHIPS 5 10,000 0 FMV  
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part III FROEDTERT HOLY FAMILY MEMORIAL MAINTAINS FILES OF THE GRANTS AWARDED ALONG WITH THE AMOUNT. AN APPLICATION FORM IS USED (IF APPLICABLE) FOR THE AWARD, WHICH INCLUDES A REVIEW OF INSURANCE AND EMPLOYMENT STATUS. PROVIDENCE FUNDS MAY ALSO BE USED IN EMERGENCY SITUATIONS TO PROVIDE FOOD, HOUSING, CLOTHING, AND MEDICAL SUPPLIES FOR SOMEONE STRANDED DUE TO AN ACCIDENT. GRANTS ARE AWARDED BASED ON MEDICAL AND FINANCIAL NEED.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds FOR GRANTS TO ORGANIZATIONS FOR PART II, GRANT REQUESTS FROM ORGANIZATIONS ARE MADE AND EVALUATED BASED ON THE BENEFIT PROVIDED TO A WIDE GROUP OF PEOPLE LIVING IN THE SERVICE AREA WHERE WE PROVIDE SERVICES AS WELL AS BEING OF A CHARITABLE OR PUBLIC BENEFIT TYPE NATURE.
Schedule I (Form 990) Rev. 1-2025



Additional Data


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Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number

39-0806395
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 on 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 on 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
 
 
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 on Line 1a? ....
2
 
 
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 on 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 on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on 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" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
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 on 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, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1Ryan Neville
Director & President (term 2/28/25)
(i)

(ii)
0
-------------
345,010
0
-------------
168,901
0
-------------
1,869
0
-------------
45,532
0
-------------
36,697
0
-------------
598,009
0
-------------
0
2Brian Graf
Director & Interim President (eff 3/1/25)
(i)

(ii)
0
-------------
144,860
0
-------------
29,824
0
-------------
918
0
-------------
11,943
0
-------------
37,082
0
-------------
224,627
0
-------------
0
3Allen Ericson
Director & FWBH President (term 10/31/24)
(i)

(ii)
0
-------------
570,318
0
-------------
365,694
0
-------------
178,204
0
-------------
140,575
0
-------------
39,617
0
-------------
1,294,408
0
-------------
150,044
4Dale Gisi
Director & Sr VP North Region (eff 11/1/24)
(i)

(ii)
0
-------------
496,131
0
-------------
322,501
0
-------------
136,268
0
-------------
159,501
0
-------------
9,217
0
-------------
1,123,618
0
-------------
0
5Margaret Klatt MD
Director & Doctor (term 9/30/24)
(i)

(ii)
0
-------------
457,987
0
-------------
55,381
0
-------------
25,472
0
-------------
18,600
0
-------------
2,041
0
-------------
559,481
0
-------------
0
6Milan Jordan MD
Director & Doctor (eff 10/1/24)
(i)

(ii)
0
-------------
439,227
0
-------------
33,824
0
-------------
3,641
0
-------------
18,600
0
-------------
32,813
0
-------------
528,105
0
-------------
0
7Thomas Veeser
Director & CNO
(i)

(ii)
0
-------------
248,099
0
-------------
171,693
0
-------------
44,721
0
-------------
43,560
0
-------------
5,286
0
-------------
513,359
0
-------------
40,151
8Matt Wille
Director & COO, North Region (eff 11/1/24; term 5/1/25)
(i)

(ii)
0
-------------
564,873
0
-------------
150,755
0
-------------
9,279
0
-------------
168,758
0
-------------
26,899
0
-------------
920,564
0
-------------
0
9Adam Smith
Treasurer (term 12/4/24)
(i)

(ii)
0
-------------
332,057
0
-------------
152,007
0
-------------
1,198
0
-------------
53,081
0
-------------
23,730
0
-------------
562,073
0
-------------
0
10Will Flett
Treasurer (eff 12/4/24)
(i)

(ii)
0
-------------
478,381
0
-------------
134,891
0
-------------
10,627
0
-------------
151,232
0
-------------
26,899
0
-------------
802,030
0
-------------
0
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
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
Schedule J, Part I, Line 3 COMPENSATION OF CEO/EXECUTIVE DIRECTOR ESTABLISHED BY RELATED ORGANIZATION, FROEDTERT THEDACARE HEALTH, THROUGH USE OF THE TALENT STRATEGY AND COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR THE TALENT STRATEGY AND COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 457(f) distributions: Ericson, Allen - $150,044 Veeser, Thomas - $40,151 457(f) plan participants: Ericson, Allen Neville, Ryan Smith, Adam Veeser, Tom
Schedule J, Part I, Line 7 BONUS COMPENSATION IS PAID BASED UPON ATTAINMENT OF SPECIFIC GOALS RELATED TO THE ORGANIZATION'S STRATEGY, SERVICE, QUALITY, AND FINANCIAL STRENGTH. THE AMOUNT OF COMPENSATION IS CALCULATED USING SPECIFIED PERCENTAGES OF BASE SALARY FOR ACHIEVEMENT OF PARTICULAR GOAL LEVELS. HOWEVER, THE FROEDTERT THEDACARE HEALTH SYSTEM BOARD COMMITTEE WHICH ADMINISTERS THE BONUS COMPENSATION PROGRAM HAS DISCRETION OVER WHETHER TO PAY THE BONUS IN ANY GIVEN YEAR OR TO AMEND, CHANGE, OR TERMINATE THE PROGRAM AT ANY TIME.
Schedule J, Part II, Column (B)(ii) BONUS AND INCENTIVE COMPENSATION AMOUNTS INCLUDE INCENTIVE COMPENSATION PAID.
Schedule J, Part II, Column (B)(iii) OTHER REPORTABLE COMPENSATION INCLUDES 457(F) DEFERRED COMPENSATION PLAN DISTRIBUTIONS PAID TO INDIVIDUALS AND OTHER MISCELLANEOUS COMPENSATION.
Schedule J (Form 990) (Rev. 1-2025)

Additional Data


Software ID: 24020961
Software Version: 2024v5.1
Schedule L
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number

39-0806395
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ............... $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) (Rev. 1-2025)
Schedule L (Form 990) (Rev. 1-2025)
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) DAWN KRUEGER
 
SPOUSE OF DIRECTOR 122,377 EMPLOYMENT   No
(2) Jonathan Klatt
 
SPOUSE OF DIRECTOR 600,519 EMPLOYMENT   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large image Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large image Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number

39-0806395
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( ADVERTISING ) X 1 24,750 Market value
26 Other Right pointing arrow large image ( BENCHES ) X 2 4,686 Market value
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2024)
Schedule M (Form 990) (2024)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M, Part I Explanations of reporting method for number of contributions Other - ADVERTISING - NUMBER OF CONTRIBUTIONS RECEIVED, NOT THE NUMBER OF ITEMS RECEIVED. Other - BENCHES - NUMBER OF CONTRIBUTIONS AND ITEMS RECEIVED.
Schedule M (Form 990) (2024)

Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number

39-0806395
Return Reference Explanation
Form 990, Part III, Line 4a OUTPATIENT SERVICES HOLY FAMILY MEMORIAL HAD 136,425 OUTPATIENT VISITS DURING THIS PERIOD. OUTPATIENT SURGERIES TOTALED 1,824. CARDIOLOGY ENCOUNTERS WERE 8,137. ORTHO NOW PROVIDES SAME-DAY CARE FOR ORTHOPAEDIC AND SPORTS-RELATED INJURIES AT THE COST OF A CLINIC VISIT. BEHAVIORAL HEALTH SERVICES: FROM ALCOHOLISM AND OTHER DRUG ABUSE, TO ANXIETY, DEPRESSION, AND A RANGE OF OTHER MENTAL HEALTH ISSUES, OUR BEHAVIORAL HEALTH EXPERTS ARE HERE TO HELP YOU DEVELOP EFFECTIVE SKILLS TO: CHANGE UNHEALTHY OR ADDICTIVE BEHAVIORS; CONFRONT AND OVERCOME THE STRUGGLES OF GROWING UP; DEAL WITH THE EFFECTS OF SUBSTANCE ABUSE; FACE A TRAUMA AND THE STRESS AND ANXIETY IT MAY CAUSE; HANDLE LIFE CHANGES BROUGHT ON BY MARRIAGE, DIVORCE, OR THE DEATH OF A LOVED ONE; MANAGE DISRUPTIVE BEHAVIORAL PROBLEMS IN CHILDREN, INCLUDING ATTENTION-DEFICIT/HYPERACTIVITY DISORDER (ADHD); SUCCESSFULLY COPE WITH ANXIETY, DEPRESSION, LOW ENERGY, LOW SELF-ESTEEM, AND LONELINESS; AND TAKE ON THE CHALLENGES OF RAISING A FAMILY. BEHAVIORAL HEALTH PROVIDES THE HIGHEST QUALITY CARE COMBINED WITH UNMATCHED COMPASSION AND SENSITIVITY. WE'RE PROUD TO OFFER A VARIETY OF PROVEN SERVICES AND TREATMENT OPTIONS FOR YOUR SPECIFIC NEEDS, INCLUDING: ALCOHOL AND OTHER DRUG ABUSE TREATMENTS; DEMENTIA/MEMORY ASSESSMENTS; DIALECTIC BEHAVIOR THERAPY (DBT) FOR PATIENTS WITH DIFFICULTY MANAGING THEIR EMOTIONS AND POTENTIALLY ENGAGING IN SELF-HARM; EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR) AND BRAINSPOTTING FOR TREATING TRAUMA-RELATED SYMPTOMS; INDIVIDUAL, FAMILY, AND GROUP COUNSELING; PSYCHIATRIC EVALUATIONS AND MEDICATION MANAGEMENT; AND SPECIFIC SERVICES AND TREATMENTS FOR CHILDREN AND ADOLESCENTS. ALCOHOLISM AND SUBSTANCE ABUSE ARE DISEASES. THEY DEVASTATE FAMILIES AND DESTROY LIVES EVERY DAY. AT BEHAVIORAL HEALTH, WE OFFER THE MOST COMPREHENSIVE OUTPATIENT SUBSTANCE ABUSE DISORDER TREATMENT SERVICES IN THE AREA PROVIDING EVERYTHING FROM ASSESSMENT AND OUTPATIENT COUNSELING, TO SPECIALIZED MEDICATION-ASSISTED TREATMENT (MAT). WE'RE EXPERTS IN WHAT WE DO, AND UNLIKE MANY PROVIDERS, ARE CERTIFIED TO PROVIDE MEDICATIONS TO ASSIST YOU BOTH IN REDUCING YOUR CRAVINGS AND URGES, AS WELL AS PREVENTING WITHDRAWAL SYMPTOMS. BECAUSE WE KNOW ADDICTION IS NOT WEAKNESS. IT'S NOT WILLFULNESS OR STUBBORNNESS. IT'S A CHRONIC AND RELAPSING BRAIN DISEASE, AND WE'RE HERE TO HELP YOU WITH EVERYTHING FROM TAKING THE FIRST STEP, TO DEVELOPING A LONG-TERM RECOVERY PLAN. HOLY FAMILY MEMORIAL BEHAVIORAL HEALTH OFFERS HELP FOR FAMILIES AND PATIENTS EXPERIENCING THE DIFFICULTIES OF MEMORY LOSS, CONFUSION SURROUNDING DAILY LIFE, NEW VERBAL PROBLEMS, CHANGES IN MOOD OR PERSONALITY, AND PROBLEM-SOLVING DIFFICULTIES THAT OCCUR WITH AGING. WE OFFER MEMORY LOSS ASSESSMENT, DIAGNOSIS, EDUCATION AND SYMPTOM MANAGEMENT, AND ARE AN AFFILIATE OF THE WISCONSIN ALZHEIMER'S INSTITUTE (WAI) DEMENTIA DIAGNOSTIC CLINIC NETWORK. CANCER CARE: IF YOU ARE DIAGNOSED WITH CANCER, EVERYTHING SEEMS TO STOP. YOU WANT ANSWERS ABOUT YOUR DIAGNOSIS, YOUR CHANCES TO BEAT IT AND YOUR TREATMENT OPTIONS. HOLY FAMILY MEMORIAL'S CANCER CENTER TEAM WILL WALK WITH YOU THROUGH YOUR JOURNEY WITH CANCER. OUR ENTIRE CANCER CENTER TEAM OF DOCTORS, NURSES, THERAPISTS, AND OTHER HEALTH CARE PROFESSIONALS WILL BE AT YOUR SIDE TO TAKE CARE OF YOUR PHYSICAL, SPIRITUAL, AND EMOTIONAL NEEDS. WE WILL SUPPORT YOU ON BAD DAYS AND CELEBRATE YOUR SUCCESS ON GOOD DAYS. YOU WILL LEARN WHY WE ARE NATIONALLY ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. MEDICAL ONCOLOGY TREATS THE FULL SPECTRUM OF CANCER DIAGNOSES USING CHEMOTHERAPY, HORMONAL THERAPIES, BIOLOGIC RESPONSE MODIFIERS, TARGETED THERAPIES, AND IMMUNOTHERAPY. SUPPORTIVE SERVICES PROVIDED FOR THESE TREATMENTS MAY INCLUDE BLOOD TRANSFUSIONS, HYDRATION, AND NAUSEA OR PAIN MANAGEMENT THERAPIES. RADIATION ONCOLOGY PROVIDES A FULL RANGE OF EXTERNAL BEAM RADIATION FOR ALL ADULT MALIGNANCIES, SOME ADOLESCENT MALIGNANCIES, AND SELECT BENIGN CONDITIONS. OUR RADIATION ONCOLOGISTS PLAN TREATMENT DESIGNED TO EFFECTIVELY TREAT HARD-TO-REACH AND COMPLEX TUMORS BY DELIVERING PRECISE, INTENSE DOSES OF RADIATION. USING IMAGE-GUIDED RADIATION THERAPY TECHNOLOGY, THE RADIATION DOSE CAN TARGET THE TUMOR FROM ALL ANGLES. THIS APPROACH ALLOWS HIGHER DOSES OF RADIATION TO REACH THE TUMOR, WHILE REDUCING RADIATION EXPOSURE TO HEALTHY TISSUES. IMAGE GUIDANCE ALLOWS OUR PHYSICIANS TO ACCOMMODATE CHANGES IN THE BODY THAT MAY OCCUR DURING TREATMENT AND STILL TARGET THE TUMOR EFFECTIVELY. TOMOTHERAPY IS A TYPE OF IMAGE-GUIDED RADIATION THERAPY THAT ATTACKS TUMORS WITH HIGHLY PRECISE RADIATION DELIVERED FROM 360 DEGREES AROUND YOU, WHICH INCREASES THE CONTROL DOCTORS HAVE IN GETTING RADIATION DOSE WHERE IT NEEDS TO BE AND HELPS DECREASE THE DAMAGE TO SURROUNDING HEALTHY TISSUES AND ORGANS. SURGERY IS ONE OF THE PRIMARY METHODS USED IN CANCER DIAGNOSIS AND TREATMENT. HFM HAS A COMPREHENSIVE SURGICAL DEPARTMENT THAT IS EQUIPPED TO PERFORM ALL TYPES OF CANCER PROCEDURES, INCLUDING MINIMALLY INVASIVE SURGERIES. THE SURVIVORSHIP AND REHABILITATION PROGRAM HELPS CANCER PATIENTS PREPARE FOR TREATMENT, RECOVER MORE QUICKLY AND COMPLETELY, AND IMPROVE THEIR QUALITY OF LIFE AFTER TREATMENT. NEWLY DIAGNOSED CANCER PATIENTS MAY BENEFIT FROM PREHABILITATION, BY WORKING WITH THERAPISTS WHO HELP PATIENTS BECOME PHYSICALLY AND EMOTIONALLY STRONGER BEFORE THEIR TREATMENT STARTS. PATIENTS LIVING WITH CANCER AS A CHRONIC DISEASE MAY BENEFIT FROM THE PROGRAM THROUGH IMPROVED MANAGEMENT OF TREATMENT-RELATED CONDITIONS SUCH AS CHRONIC PAIN AND DECREASED STRENGTH AND ENERGY. PEOPLE WHO ARE CURED OR IN REMISSION MAY ENROLL IN THE PROGRAM WITH THE GOAL OF BOOSTING THEIR IMMUNE SYSTEM AND IMPROVING PHYSICAL FUNCTION. PREHAB AND REHAB INTERVENTIONS ARE PROVIDED BY A TEAM OF HIGHLY-TRAINED HEALTH CARE PROFESSIONALS FROM A VARIETY OF DISCIPLINES WITHIN HOLY FAMILY MEMORIAL. TREATMENT IS TAILORED TO EACH INDIVIDUAL'S NEEDS BASED ON MANY FACTORS, INCLUDING CANCER DIAGNOSIS, CANCER TREATMENT, OR OTHER EXISTING HEALTH CONDITIONS. CARDIODIAGNOSTICS: HOLY FAMILY MEMORIAL'S LEADING-EDGE CARDIODIAGNOSTICS DEPARTMENT PROVIDES A NUMBER OF SERVICES TO DIAGNOSE HEART CONDITIONS, INCLUDING: ECHOCARDIOGRAPHY, INCLUDING TRANSESOPHAGEAL ECHOCARDIOGRAPHY, EKG, EVENT MONITORING, STRESS TESTING, HOLTER MONITORING, AND NUCLEAR MEDICINE CARDIAC IMAGING. HEART AND VASCULAR CENTER PROVIDES TOP-QUALITY, COMPREHENSIVE CARDIAC CARE TO OUR COMMUNITY. FEATURING AN AWARD-WINNING CARDIAC CATH LAB, OUR TEAM QUICKLY AND EXPERTLY DIAGNOSES, TREATS, AND MANAGES EVERYTHING FROM CHEST PAIN, HEART ATTACKS, AND CONGESTIVE HEART FAILURE, TO CORONARY ARTERY DISEASE, MYOCARDIAL INFARCTION, ARRHYTHMIAS, AND HYPERTENSION. CARDIAC CATH LAB AT HOLY FAMILY MEMORIAL, OUR AWARD-WINNING, NATIONALLY RECOGNIZED CARDIAC CATH LAB IS HERE AND READY WHEN YOU NEED US WITH THE RAPID RESPONSE AND EXPERTISE YOU CAN DEPEND ON. WHEN IT COMES TO A HEART ATTACK, EVERY MINUTE MATTERS. WHEN DEALING WITH HEART ATTACKS, YOU OFTEN HEAR THE TERM, "DOOR-TO-BALLOON TIME." THIS REFERS TO THE AMOUNT OF TIME BETWEEN WHEN A PATIENT ARRIVES AT THE HOSPITAL TO THE TIME THEY RECEIVE NECESSARY TREATMENT TO OPEN A BLOCKED HEART VESSEL. HFM'S DOOR-TO-BALLOON TIME CONSISTENTLY BEATS NATIONAL AVERAGES. OUR AVERAGE TIME IS 30 MINUTES, AND WE OFTENTIMES CLOCK IN UNDER 15 MINUTES. IT'S THIS COMMITMENT TO SPEED AND EXCELLENCE THAT'S LED US TO RECEIVING NATIONAL AWARDS AND RECOGNITION. THE AMERICAN HEART ASSOCIATION HAS HONORED HOLY FAMILY MEMORIAL WITH TWO MISSION: LIFELINE AWARDS FOR EXCELLENCE IN IMPROVING QUALITY OF CARE FOR HEART ATTACK PATIENTS. HFM HAS ALSO BEEN AWARDED THE PLATINUM PERFORMANCE ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF CARDIOLOGY AND IS ACCREDITED BY THE AMERICAN HEART ASSOCIATION AND THE SOCIETY OF CARDIOVASCULAR PATIENT CARE. CARDIAC REHABILITATION FOLLOWING HEART SURGERY OR A HEART PROCEDURE, PATIENTS UNDERGO A COMPREHENSIVE PROGRAM OF EXERCISE, RISK FACTOR MODIFICATION, AND HEART HEALTH EDUCATION IN THE CARDIAC REHABILITIATION PROGRAM. INDIVIDUAL REHABILITATION PLANS ARE DESIGNED TO HELP PATIENTS GET BACK ON THEIR FEET. THE PROGRAM COMBINES STATE-OF-THE-ART EXERCISE EQUIPMENT WITH INDIVIDUALIZED PATIENT EDUCATION AND EXERCISE GUIDELINES PROVIDED BY CERTIFIED STAFF. OUR PROFESSIONAL TEAM INCLUDES REGISTERED NURSES, EXERCISE PHYSIOLOGISTS, REGISTERED DIETARY STAFF, AND BEHAVIORAL HEALTH EXPERTS. UPON DISCHARGE, PATIENTS BEGIN THE OUTPATIENT PHASE IN WHICH OUR SPECIALLY TRAINED STAFF DEVELOPS AN INDIVIDUALIZED REHABILITATION PLAN DESIGNED TO IMPROVE CARDIOVASCULAR HEALTH AND MUSCULOSKELETAL STRENGTH. THE LENGTH OF THE OUTPATIENT PHASE IS DETERMINED BY BOTH EXERCISE AND EDUCATIONAL GOAL ATTAINMENT.
Form 990, Part III, Line 4a OUTPATIENT SERVICES (CONTINUED) IN ADDITION TO EXERCISE, CARDIAC REHABILITATION PROVIDES HEART HEALTH EDUCATION. OUR HEALTH CARE PROFESSIONALS PROVIDE VITAL INFORMATION ABOUT HEART DISEASE, RISK FACTOR MANAGEMENT, PROPER NUTRITION AND WEIGHT MANAGEMENT, UNDERSTANDING EXERCISE, HEART DISEASE TREATMENTS, AND STRESS MANAGEMENT. PULMONARY REHABILITATION OUR SPECIALLY TRAINED STAFF DESIGNS INDIVIDUALIZED REHABILITATION PLANS INCLUDING THERAPY, EDUCATION, AND EXERCISE TO HELP PATIENTS ACHIEVE THEIR MAXIMUM BREATHING POTENTIAL. PULMONARY REHABILITATION HELPS PATIENTS DIAGNOSED WITH ASTHMA, CHRONIC OBSTRUCTIVE PULMONARY DISEASES (EMPHYSEMA, BRONCHITIS), COVID, AND PATIENTS REQUIRING LUNG TRANSPLANT AND OTHER PULMONARY CONDITIONS. THE PROGRAM PROVIDES BREATHING RETRAINING, COUGH MANAGEMENT, ENERGY CONSERVATION, MEDICATION EDUCATION, AND STRESS AND ANXIETY MANAGEMENT THROUGH INPATIENT, OUTPATIENT AND MAINTENANCE SERVICES. OUR CERTIFIED STAFF COMBINES STATE-OF-THE-ART EXERCISE EQUIPMENT WITH INDIVIDUALIZED PATIENT EDUCATION AND EXERCISE GUIDELINES FOR THE BEST POSSIBLE OUTCOMES. CHIROPRACTIC: CHIROPRACTIC ADDRESSES MUSCULOSKELETAL SYSTEM AND NERVOUS SYSTEM DISORDERS THAT AFFECT YOUR GENERAL HEALTH. IT CAN RESTORE MOBILITY AND ALLEVIATE PAIN AND MUSCLE TIGHTNESS CAUSED BY A TRAUMATIC EVENT OR FROM REPETITIVE MISUSE. CHIROPRACTIC IS BENEFICIAL TO ALL AGES AND CAN BE USED ON ITS OWN TO TREAT SPECIFIC CONDITIONS OR USED TO COMPLEMENT OTHER TREATMENT OPTIONS. COMMON CONDITIONS TREATED INCLUDE: BACK PAIN OR STIFFNESS, HEADACHES, INJURIES, JOINT PAIN, LOW BACK PAIN, LOWER EXTREMITY PAIN OR COMPLAINTS, NECK PAIN OR STIFFNESS, SCIATIC PAIN, UPPER EXTREMITY PAIN AND COMPLAINTS, AND WHIPLASH. CHIROPRACTIC USES NON-INVASIVE, DRUG-FREE THERAPIES TO TREAT THE MUSCULOSKELETAL SYSTEM. TREATMENTS OFFERED INCLUDE: ADJUSTMENTS (MANIPULATION OF THE SPINE AND EXTREMITIES), ELECTRICAL MUSCLE STIMULATION, NUTRITIONAL COUNSELING, ORTHOTICS, THERAPEUTIC EXERCISES, AND TRITON SPINAL DECOMPRESSION/TRACTION. DIAGNOSTIC IMAGING SERVICES: WHEN IT COMES TO DIAGNOSING AND TREATING DISEASES, THE RIGHT TECHNOLOGY MAKES A DIFFERENCE. HOLY FAMILY MEMORIAL IS TAKING THE LEAD IN BRINGING CUTTING-EDGE DIAGNOSTIC TECHNOLOGY TO YOU. OUR DIAGNOSTIC IMAGING SERVICES INCLUDE: CT SCAN (MANITOWOC COUNTY'S ONLY 64-SLICE CT SCANNER AND ONE OF THE FEW IN WISCONSIN TO PERFORM CT HEART SCANS); 3D MAMMOGRAPHY; SHORT-BORE MRI FEATURING MUSIC, AROMATHERAPY, AND OTHER CLAUSTROPHOBIA-REDUCING AMENITIES; ECHO-VASCULAR ULTRASOUND; PET/CT; AND NUCLEAR MEDICINE. EAR, NOSE, AND THROAT (ENT): AT EAR, NOSE, AND THROAT, OUR EXPERT TEAM SPECIALIZES IN QUICKLY DIAGNOSING AND EFFECTIVELY TREATING DISEASES AND DISORDERS AFFECTING THE HEAD AND NECK, FOR PATIENTS OF ALL AGES. FROM ALLERGIES TO EAR INFECTIONS, TO THYROIDS, TONSILS, AND SINUSES, WE'VE GOT YOU COVERED WITH THE RIGHT CARE FOR YOUR SPECIFIC NEEDS. DEPENDING ON THE SCOPE OF YOUR ENT ISSUE, AND IF HEARING AND BALANCE ARE AFFECTED, WE MAY NEED TO COORDINATE CARE WITH HEARING AND BALANCE. OUR TEAMS WORK SEAMLESSLY TO PROVIDE THE EXPERT CARE YOU NEED TO RESOLVE YOUR ISSUE AND GET YOU BACK TO LIVING YOUR BEST LIFE. MANY OF OUR PATIENTS ARE YOUNG CHILDREN NEEDING THE RIGHT CARE FOR ANYTHING FROM CHRONIC EAR INFECTIONS TO TONSILLITIS. REGARDLESS OF THE ISSUE, WE'RE PROUD TO OFFER SPECIALIZED, COMPASSIONATE PEDIATRIC ENT CARE FOR YOUR PRECIOUS LITTLE ONE. WE TREAT YOUR CHILD AS IF THEY'RE OUR OWN, AND KEEP YOU INFORMED EVERY STEP OF THE WAY. AUDIOLOGY: AT AUDIOLOGY, WE KNOW THAT HEARING WELL IS VITAL TO THE WAY YOU EXPERIENCE LIFE. OUR EXPERT TEAM OF AUDIOLOGISTS SPECIALIZE IN EVALUATING YOUR HEARING AND HELPING YOU IMPROVE IT. AND IN ADDITION TO YOUR HEARING, WE ALSO OFFER BALANCE ASSESSMENTS TO ADDRESS ANY HEARING-RELATED BALANCE ISSUES YOU MAY BE EXPERIENCING. WE'RE PROUD TO OFFER COMPREHENSIVE AUDIOLOGY CARE, BECAUSE WE WANT YOU LIVING YOUR LIFE TO ITS FULLEST, NOT HINDERED BY HEARING OR BALANCE ISSUES. OUR COMPREHENSIVE AUDIOLOGY SERVICES INCLUDE: ASSISTIVE LISTENING DEVICES; BALANCE/DIZZINESS EVALUATIONS; COMPREHENSIVE HEARING EVALUATIONS FOR ADULTS AND CHILDREN; HEARING AID FITTINGS; AND PROTECTIVE HEARING DEVICES. FOOT AND ANKLE CLINIC: OUR TEAM INTEGRATES ALL ASPECTS OF SPECIALIZED CARE BY COLLECTIVELY COMBINING THEIR KNOWLEDGE, EXPERIENCE, AND EXPERTISE. WE BELIEVE THAT NO ONE SHOULD HAVE TO LIVE WITH ANKLE PAIN OR FOOT PAIN. WE WILL HELP YOU THROUGH EVERY STEP OF YOUR TREATMENT, WHETHER IT BE ORTHOTIC THERAPY OR CORRECTIVE SURGERY. FOOT AND ANKLE PAIN IS A COMMON DISORDER. ALMOST 80% OF THE POPULATION WILL EXPERIENCE FOOT PAIN IN THEIR LIVES. OUR TEAM IS TRAINED AND EQUIPPED TO DIAGNOSE AND TREAT ALL PROBLEMS INVOLVING THE FOOT AND ANKLE. WE TREAT PEOPLE OF ALL AGES, FOR PROBLEMS SUCH AS PLANTAR FASCIITIS, TENDONITIS AND BUNIONS, AS WELL AS SERIOUS INJURIES AND DISORDERS. MANY FOOT AND ANKLE PROBLEMS CAN BE REMEDIED WITH CONSERVATIVE CARE, INCLUDING CORRECTIVE ORTHOTIC DEVICES. FOR PATIENTS WITH CONDITIONS THAT FAIL TO RESPOND TO CONSERVATIVE CARE, SURGICAL INTERVENTION MAY BE NECESSARY. FOOT AND ANKLE SURGERY INCLUDES THE TREATMENT OF FRACTURES, REPAIR OF TENDON INJURIES, CORRECTION OF DEFORMITY, MANAGEMENT OF ANKLE INSTABILITY AND BONE/CARTILAGE FROM SPORTS-RELATED INJURIES, AND COMPREHENSIVE MANAGEMENT OF HEEL PAIN. WE ARE DEDICATED TO KEEPING OUR PATIENTS' FEET AND ANKLES IN THE HEALTHIEST CONDITIONS. IT IS OUR GOAL TO RELIEVE PATIENTS OF CHRONIC PAIN AND TO RETURN FUNCTION AND ENJOYMENT TO EVERYDAY ACTIVITY. HOME HEALTH CARE: SKILLED NURSING SERVICES INCLUDE: INFUSION THERAPY; PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES; CARE AFTER SURGERY; COMPLEX WOUND CARE; MEDICATION MANAGEMENT; TELEMONITORING PROGRAM; MEDICAL SOCIAL WORK; AND HOME HEALTH AIDE. CARE IS TAILORED TO THE NEEDS OF EACH PATIENT AND HIS/HER FAMILY. LABORATORY: OUR LEADING-EDGE LABORATORY PROUDLY SERVES THE ENTIRE HFM NETWORK, AS WELL AS PROVIDING TESTING FOR MANY OUT-OF-NETWORK PROVIDERS AND HEALTHCARE ORGANIZATIONS. BECAUSE OUR PATIENTS AS WELL AS OTHER HEALTHCARE PROFESSIONALS KNOW THEY CAN PLACE THEIR TRUST IN US TO PROVIDE ACCURATE, RELIABLE RESULTS FAST. WE'RE CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA) CERTIFIED, AND COLLEGE OF AMERICAN PATHOLOGISTS (CAP) ACCREDITED, AND OUR HIGHLY SPECIALIZED TEAM UTILIZES INNOVATIVE TECHNOLOGY TO PROVIDE YOU WITH THE RIGHT LABORATORY SERVICES AND THE RIGHT RESULTS. PAIN CLINIC: AT PAIN CLINIC, WE UNDERSTAND CHRONIC PAIN AND THE IMPACT IT CAN HAVE ON YOUR DAILY LIFE. OUR TEAM OF PAIN MANAGEMENT EXPERTS SPECIALIZE IN HELPING YOU EFFECTIVELY MANAGE YOUR CHRONIC PAIN. BECAUSE WE WANT YOU LIVING YOUR LIFE TO IT FULLEST, NOT HINDERED BY CHRONIC PAIN. AT PAIN CLINIC, WE'RE COMMITTED TO GETTING TO KNOW YOU AND YOUR PAIN, SO WE CAN MOST EFFECTIVELY PROVIDE YOU WITH THE RIGHT CARE, TAILORED TO YOUR SPECIFIC NEEDS. WE KNOW NO TWO PATIENTS OR TYPES OF PAIN ARE THE SAME, AND OUR TEAM IS PROUD TO OFFER AN ARRAY OF PROVEN, INNOVATIVE TECHNIQUES AND TREATMENT OPTIONS TO GET YOU THE RIGHT RESULTS. REHABILITATION SERVICES: AT REHAB PLUS, WE'RE COMMITTED TO COLLABORATING WITH OUR PATIENTS AND PROVIDING THE RIGHT REHABILITATION CARE THROUGHOUT THEIR RECOVERY. OUR EXPERT TEAM OF HIGHLY SKILLED PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS IS HERE TO WORK WITH YOU TO BUILD A PERSONALIZED PLAN TO MAXIMIZE YOUR FUNCTION AND MEET YOUR GOALS, WHETHER IT'S GETTING BACK TO COMPETITIVE ATHLETICS OR SIMPLY BUILDING STRENGTH TO GET OFF THE COUCH. WHILE THE ISSUES WE TREAT VARY GREATLY, OUR APPROACH REMAINS THE SAME. WE PROVIDE THE RIGHT CARE, IN THE RIGHT SETTING, FOR THE RIGHT OUTCOMES. REHABILITATION AND THERAPY SERVICES: AT HFM REHAB PLUS, WE'RE COMMITTED TO STAYING ON THE LEADING-EDGE OF REHAB TREATMENTS AND SERVICES. WE'RE PROUD TO OFFER AN ARRAY OF SPECIALTY REHAB SERVICES, INCLUDING: AQUATIC THERAPY, ASTYM THERAPY, CONCUSSION CARE, DRY NEEDLING, FUNCTIONAL CAPACITY EVALUATIONS, SURVIVORSHIP AND REHAB PROGRAM, HOME CARE SERVICES, LYMPHEDEMA THERAPY, MODIFIED BARIUM SWALLOW STUDIES, PEDIATRIC THERAPY, PELVIC FLOOR AND INCONTINENCE REHABILITATION, VESTIBULAR REHABILITATION, AND WORK CONDITIONING. SLEEP CLINIC: AT HOLY FAMILY MEMORIAL, WE OFFER A VARIETY OF SLEEP STUDIES AND SCREENINGS FOR THE SPECTRUM OF SLEEP DISORDERS. FROM SIMPLE, AT-HOME SCREENINGS TO IN-DEPTH DIAGNOSTIC SLEEP STUDIES, WE'VE GOT YOU COVERED. AND YOU HAVE OPTIONS. MOST DIAGNOSTIC SLEEP STUDIES CAN BE PERFORMED EITHER OVERNIGHT AT OUR FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL, OR AS A HOME SLEEP STUDY. SPORTS MEDICINE: OUR SPORTS MEDICINE EXPERTS ARE DEDICATED TO KEEPING LOCAL ATHLETES HEALTHY AND ACTIVE. WE DO THIS THROUGH: - SPECIALIZED ASSESSMENT AND TREATMENT FOR SPORTS-RELATED INJURIES - EDUCATING OUR AREA'S ATHLETES, COACHES AND PARENTS ABOUT INJURY PREVENTION AND RECOGNITION - SPORTS CONCUSSION CLINIC - STRENGTH, FLEXIBILITY, CONDITIONING AND ENDURANCE TRAINING - SPEED CAMPS - DEPLOYING ATHLETIC TRAINERS TO SUPPORT SPORTS PROGRAMS
Form 990, Part III, Line 4a OUTPATIENT SERVICES (CONTINUED) WALK-IN CLINIC: OUR WALK-IN CLINIC OFFERS SERVICES TO PATIENTS OF ALL AGES FOR SUDDEN ILLNESSES OR INJURIES THAT SHOULD BE TREATED THE SAME DAY BUT AREN'T CONSIDERED EMERGENCIES. OUR WALK-IN CLINIC IS STAFFED BY BOARD-CERTIFIED PHYSICIANS, AS WELL AS HIGHLY TRAINED PHYSICIAN ASSISTANTS AND ADVANCED NURSE PRACTIONERS. WE OFFER ON-SITE X-RAY, AS WELL AS COMPREHENSIVE LABORATORY TEST CAPABILITIES. WOUND CARE: AT WOUND CLINIC, WE'RE COMMITTED TO PROVIDING YOU WITH THE RIGHT CARE, TAILORED TO YOUR SPECIFIC CONDITION. YOUR INDIVIDUALIZED WOUND CARE TREATMENT PLAN MAY INCLUDE SOME OR ALL OF THESE TREATMENTS AND TECHNIQUES: ANTIBIOTIC THERAPY, APPLICATION OF SPECIALTY DRESSINGS AND/OR OINTMENTS, LABORATORY STUDIES, NUTRITIONAL COUNSELING AND/OR SUPPLEMENTS, PHYSICAL THERAPY, SURGICAL DEBRIDEMENT TO REMOVE INFECTED TISSUE AND/OR BONE, USE OF CRUTCHES, WHEELCHAIR, OR OTHER OFF-LOADING TECHNIQUES, VASCULAR STUDIES, AND X-RAYS. OUR WOUND CLINIC IS ALSO PROUD TO OFFER ADDITIONAL CARE SERVICES, INCLUDING: GENERAL OSTOMY CARE, HOSPITAL DISCHARGE FOLLOW-UP FOR NEW OR REVISED OSTOMIES, PREOPERATIVE OSTOMY SITE MARKING AND EDUCATION, AND POSTOPERATIVE OSTOMY EDUCATION AND CARE.
Form 990, Part III, Line 4b EMERGENCY SERVICES DURING THE 12 MONTHS ENDED JUNE 30, 2025, WE HAD 10,712 EMERGENCY VISITS. THE EMERGENCY DEPARTMENT OFFERS MANITOWOC COUNTY THE MOST COMPREHENSIVE EMERGENCY SERVICES IN THE AREA. WE ARE A LEVEL III TRAUMA CENTER. WITH A TEAM OF FULL-TIME, EMERGENCY MEDICINE PHYSICIANS AND SPECIALLY TRAINED ACLS-CERTIFIED NURSES, PATIENTS WILL RECEIVE THE HIGHEST LEVEL OF CARE. HFM ALSO OFFERS A 10-BED INTENSIVE CARE UNIT STAFFED BY HIGHLY TRAINED NURSES AND MONITOR TECHNICIANS. IN OUR INTENSIVE CARE UNIT: RNS ARE CERTIFIED IN ADVANCED CARDIAC LIFE SUPPORT; CHEST PAIN PROTOCOLS INITIATED IN THE EMERGENCY ROOM ARE CONTINUED AND A WORKUP FOR CARDIAC DISEASE CAN OFTEN BE COMPLETED IN 12-24 HOURS; STATE-OF-THE-ART MONITORING EQUIPMENT IS USED, INCLUDING INTRA-AORTIC BALLOON PUMPS; AND WE BRING THE ELEMENT OF HUMAN CARING TO A HIGHLY TECHNICAL AREA.
Form 990, Part III, Line 4c INPATIENT SERVICES HOLY FAMILY MEMORIAL PROVIDES HEALTH CARE SERVICES INTENDED TO BENEFIT THE HEALTH AND WELLBEING OF THE COMMUNITIES IT SERVES. THESE SERVICES INCLUDE PRIMARY AND SPECIALTY CLINIC CARE, PREVENTIVE CARE SUCH AS HEALTH SCREENINGS, VACCINATION CLINICS AND HEALTH EDUCATION CLASSES, 24/7 EMERGENCY CARE, WALK-IN, INPATIENT ACUTE CARE, OUTPATIENT CARE, HOME CARE, AND MEDICALLY BASED FITNESS AND WELLNESS. HOLY FAMILY MEMORIAL HAS BEEN ABLE TO ACHIEVE A GREATER IMPACT IN THE COMMUNITY BY PARTNERING FINANCIAL, HUMAN AND PROGRAMMATIC RESOURCES WITH OTHER ORGANIZATIONS. THESE PARTNERSHIPS INCLUDE A COMMITMENT TO COLLABORATE WITH OTHER HEALTH AND SOCIAL SERVICE AGENCIES TO IMPROVE ACCESS TO CARE, FOCUS ON PREVENTIVE SERVICES, REDUCE COMMUNITY HEALTH RISKS, AND CONTRIBUTE TO A HEALTHIER, VIBRANT COMMUNITY. HOLY FAMILY MEMORIAL PROVIDES MEDICALLY NECESSARY SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICIES. IN ASSESSING A PATIENT'S ABILITY TO PAY, HFM UTILIZES GENERALLY RECOGNIZED POVERTY INCOME LEVELS OF THE COMMUNITIES IT SERVES AND CONSIDERS SITUATIONS WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO THE PATIENT'S FINANCIAL RESOURCES. BECAUSE HFM DOES NOT EXPECT TO RECEIVE PAYMENT OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUES. HOLY FAMILY MEMORIAL'S TOTAL COMMUNITY BENEFIT INCLUDES THE COST OF CHARITY CARE AND UNPAID COST OF PUBLIC PROGRAMS (MEDICARE AND MEDICAID) AS WELL AS THOSE DISCUSSED ABOVE. HOLY FAMILY MEMORIAL'S COMMUNITY BENEFIT WAS APPROXIMATELY $14,999,000 FOR THE PERIOD ENDED JUNE 30, 2025. THIS AMOUNT INCLUDES THE NET COST OF CHARITY CARE OF APPROXIMATELY $905,000. MORE INFORMATION IS AVAILABLE FROM OUR COMMUNITY BENEFIT REPORT WHICH IS LOCATED ON OUR WEBSITE AT WWW.FROEDTERT.COM. WHEN THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY WAS APPROACHED BY LOCAL CLERGY AND COMMUNITY LEADERS OVER A CENTURY AGO TO CARE FOR THE HEALTH NEEDS OF OUR GROWING COMMUNITY IN THE MANITOWOC AREA, THEY ANSWERED THE CALL. HOLY FAMILY MEMORIAL WAS FOUNDED IN 1899 WITH A MISSION TO SERVE OUR COMMUNITY'S UNIQUE NEEDS. AS HEALTHCARE HAS EVOLVED AND AS OUR COMMUNITY HAS GROWN, SO HAVE WE. BUT OUR MISSION REMAINS THE SAME. AND WE'VE BEEN PROUDLY SERVING OUR COMMUNITY EVER SINCE. ROOTED IN THE FRANCISCAN TRADITION OF HOSPITALITY AND THE HEALING MINISTRY OF JESUS CHRIST, HOLY FAMILY MEMORIAL HAS A RICH HERITAGE OF PUTTING OUR COMMUNITY FIRST. WE'RE COMMITTED TO PROVIDING THE RIGHT CARE, IN THE RIGHT SETTING, FOR THE RIGHT OUTCOMES. TODAY, WE'RE RECOGNIZED AS THE LEADER AND LARGEST PROVIDER OF HEALTHCARE SERVICES IN MANITOWOC COUNTY. OUR NETWORK OF APPROXIMATELY 800 HEALTHCARE PROFESSIONALS PROUDLY PROVIDES OUR COMMUNITY WITH TOP QUALITY, PERSONALIZED CARE. HOLY FAMILY MEMORIAL INCLUDES AN INPATIENT AND OUTPATIENT MEDICAL CENTER, SPECIALTY AND WALK-IN CARE, AND MORE THAN 10 RELATED CLINICS. AT HOLY FAMILY MEMORIAL, YOU RECEIVE WORLD-CLASS, FAITH-BASED HEALTHCARE RIGHT IN YOUR OWN COMMUNITY. YOU DON'T HAVE TO TRAVEL TO A LARGER MARKET NETWORK TO GET BETTER QUALITY OF CARE SINCE WE'RE RIGHT HERE, JUST MINUTES FROM YOUR HOME, WORKING HARD TO EXCEED REGIONAL AND NATIONAL STANDARDS EVERY DAY. IT'S OUR PROMISE TO YOU TOO, TO PROVIDE THE RIGHT CARE, IN THE RIGHT SETTING, FOR THE RIGHT OUTCOMES. OUR EVER-GROWING LIST OF AWARDS, ACCOLADES, ACCREDITATIONS, AND RECOGNITION DEMONSTRATE OUR COMMITMENT TO EXCELLENCE AND OUR DEDICATION TO OUR PATIENTS AND OUR COMMUNITY. IN MARCH 2021, HFM FINALIZED AN AFFILIATION AGREEMENT WITH FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN, STARTING THE NEXT CHAPTER IN CONTINUING TO IMPROVE OUR OFFERING OF HEALTHCARE TO THE MANITOWOC AREA. WORKING TOGETHER, WE'RE MAKING MORE OF WHAT IS HUMANLY POSSIBLE FOR YOUR HEALTH CARE AVAILABLE CLOSER TO HOME IN MANITOWOC COUNTY. IT'S A PARTNERSHIP THAT BUILDS ON THE RICH LEGACY OF HOLY FAMILY MEMORIAL AND SECURES IT FOR YEARS TO COME BY ADDING THE BROAD RESOURCES OF THE FROEDTERT AND MCW ACADEMIC HEALTH NETWORK TO BRING MORE HEALTH CARE OPTIONS TO THE COMMUNITY. IT'S A BEST-OF-BOTH-WORLDS SCENARIO FOR LOCAL RESIDENTS, AS MANITOWOC COUNTY'S TRUSTED HEALTH CARE PROVIDER PARTNERS WITH EASTERN WISCONSIN'S ONLY ACADEMIC HEALTH NETWORK TO OFFER EASY, LOCAL CONNECTIONS TO HIGH-CALIBER COMPLEX AND SPECIALTY CARE. BY WORKING TOGETHER, THE ENTIRE COMMUNITY BENEFITS, TOO. AS NONPROFIT ORGANIZATIONS, WE REMAIN COMMITTED TO REINVESTING ALL REVENUE OVER EXPENSES INTO OUR PEOPLE, FACILITIES, TECHNOLOGY, AND STRATEGIES TO SUPPORT OUR SHARED MISSION TO ADVANCE THE HEALTH OF THOSE WE SERVE NOW AND IN THE FUTURE. IT'S A MISSION STARTED WHEN THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY MINISTRY FOUNDED HOLY FAMILY MEMORIAL AND ONE THAT REFLECTS THE VALUES LONG SUPPORTED BY THE FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN HEALTH NETWORK. INPATIENT SERVICES: HOLY FAMILY MEMORIAL HAS 45 INPATIENT BEDS. FOR THE 12 MONTHS ENDED JUNE 30, 2025. WE HAD 1,668 ADMISSIONS WITH 6,452 PATIENT DAYS OF CARE. INPATIENT SURGERIES WERE 283. DURING FISCAL YEAR 2025, THE HOSPITAL HAD 427 CANCER REGISTRY CASES. SURGICAL SERVICES: WE HAVE SURGICAL SPECIALISTS IN A VARIETY OF FIELDS TO MEET ALL OF THE SURGICAL NEEDS OF OUR COMMUNITY, INCLUDING: CANCER TREATMENT - SCREENINGS AND SURGICAL PROCEDURES FOR COMMON CANCERS, INCLUDING: COLORECTAL, BREAST, ESOPHAGUS, STOMACH, LUNG, LIVER, SKIN, OVARIAN, THYROID AND OTHERS; EAR, NOSE, AND THROAT (ENT) SURGERY - TUBES IN EARS, REMOVE TONSILS, SEPTUM REPAIR OR REPOSITION, TURBINATE REDUCTION SURGERY, AND ENDOSCOPIC SINUS SURGERY; GENERAL SURGERY - HERNIA REPAIR, GALL BLADDER REMOVAL, VARICOSE VEIN REPAIR; AND ORTHOPAEDIC SURGERY - JOINT REPLACEMENTS, SPORTS MEDICINE INJURY REPAIR. TOTAL JOINT REPLACEMENT CLINIC: WE WORK WITH PATIENTS TO IDENTIFY AND DIAGNOSE THEIR BONE OR JOINT PROBLEM, LISTEN TO THEIR CONCERNS, IDENTIFY THEIR GOALS, AND CREATE AN INDIVIDUALIZED TREATMENT PLAN. OFTENTIMES, SURGERY IS NOT REQUIRED, AND PATIENTS CAN BE TREATED WITH THE FOLLOWING THERAPIES AND RECOMMENDATIONS: ANTI-INFLAMMATORY MEDICATIONS; KNEE BRACES; WALKING DEVICES; EXERCISE AND/OR PHYSICAL THERAPY; ICE FOLLOWING CERTAIN ACTIVITIES; WEIGHT REDUCTION FOR THOSE OVERWEIGHT; HYALURONIC ACID THERAPY; AND REST OR ACTIVITY MODIFICATION. OUR ADVANCED DIAGNOSTIC CAPABILITIES AND STATE-OF-THE-ART TECHNOLOGY HELP US MAKE AN ACCURATE DIAGNOSIS FOR EACH PATIENT. WE USE RESOURCES SUCH AS MAGNETIC RESONANCE IMAGING (MRI), CT SCANS, ELECTROMYOGRAPHY (EMG), MOTION AND GAIT ANALYSIS. WE ARE THE ONLY PROVIDER IN NORTHEASTERN WISCONSIN OFFERING KNEEKG TO HELP ASSESS CONDITIONS THAT MAY REQUIRE JOINT REPLACEMENT. GASTROENTEROLOGY: AT GASTROENTEROLOGY, WE'RE HERE TO PROVIDE YOU WITH ANSWERS FOR ALL OF YOUR GASTROINTESTINAL CONCERNS IN TERMS YOU'LL UNDERSTAND, ALONG WITH THE EXPERT CARE YOU DESERVE. OUR TEAM OF INDUSTRY-LEADING GASTROENTEROLOGISTS COMBINE YEARS OF EXPERIENCE WITH CUTTING-EDGE TECHNOLOGY TO QUICKLY DIAGNOSE AND EFFECTIVELY TREAT ANY DIGESTIVE SYSTEM DISORDER. HERE ARE JUST SOME OF THE DIGESTIVE CONDITIONS WE TREAT: ACID REFLUX; BARRETT'S ESOPHAGUS; BILE DUCT DISORDERS; CELIAC DISEASE; CIRRHOSIS; COLON CANCER SCREENING (COLONOSCOPY); COMMON BILE DUCT STONES; CONSTIPATION; CROHN'S DISEASE; DIARRHEA; DIVERTICULITIS; DYSPHAGIA; ESOPHAGITIS; GALLBLADDER DISORDERS; GASTROESOPHAGEAL REFLUX DISEASE (GERD); GASTROINTESTINAL BLEEDING; GASTRITIS; HEPATITIS B AND C; IRRITABLE BOWEL SYNDROME (IBS); INFLAMMATORY BOWEL DISEASE (IBD); LIVER DISEASES (BOTH VIRAL AND INHERITABLE); PANCREATITIS; PEPTIC ULCER DISEASE; AND ULCERATIVE COLITIS.
Form 990, Part III, Line 4d Description of other program services (Expenses $ 5,114,543 including grants of $ 96,789)(Revenue $ 4,777,278) INTERCOMPANY REVENUE: REVENUE THAT COMES FROM RELATED FROEDTERT COMPANIES OR ACTIVITIES DUE TO ACTIVITY RESTRUCTURING MOVES; ALLOCATED REVENUE: REVENUE DERIVED FROM A RELATED COMPANY TO OFFSET EXPENSE OF SHARED ACTIVITIES; CAFETERIA: CAFETERIA RECEIPTS AND GUEST TRAYS; ALL OTHER REVENUE: CONTAINS MISCELLANEOUS SERVICE FEES.
Form 990, Part V, Line 2a FTCH is the common law employer of HFM and as a result, the 2024 W-2 amounts are being reported under FTCH, the common law employer, rather than HFM.
Form 990, Part VI, Line 6 Classes of members or stockholders AS OF MARCH 1, 2021, BFHFM, LLC OWNS 80% OF HFM AS A CORPORATE MEMBER. PRIOR TO MARCH 1, 2021, HOLY FAMILY MEMORIAL WAS SPONSORED BY FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. (FSCCSM). AS OF MARCH 1, 2021, FSCCSM RETAINS A 20% INTEREST IN HFM. BFHFM, LLC AND FSCCSM, INC. ARE THE TWO CORPORATE MEMBERS OF HFM. FROEDTERT THEDACARE HEALTH INC. OWNS 100% OF BFHFM, LLC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body BFHFM, LLC, AS THE MAJORITY MEMBER, HAS THE RIGHT TO APPOINT TWO BOARD MEMBERS AND THE RIGHT TO APPOINT BETWEEN EIGHT TO TEN INDEPENDENT "COMMUNITY" BOARD MEMBERS. FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. HAS THE RIGHT TO APPOINT TWO BOARD MEMBERS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders BFHFM, LLC, AS THE MAJORITY CORPORATE MEMBER OF HFM, HAS CERTAIN POWERS AND AUTHORITIES WITH RESPECT TO THE OPERATIONS AND MANAGEMENT OF HFM AS SET FORTH IN THE HFM BYLAWS. IN ADDITION, BFHFM, LLC AND FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC JOINTLY EXERCISE CERTAIN RETAINED AUTHORITIES AS DEFINED IN HFM'S BYLAWS.
Form 990, Part VI, Line 11b Review of form 990 by governing body FROEDTERT THEDACARE HEALTH, INC. (FTCH - AN AFFILIATED ORGANIZATION) ACCOUNTING STAFF PREPARE FORM 990 WHICH IS REVIEWED BY FTCH FINANCIAL LEADERS. THE 990 IS THEN REVIEWED BY KPMG, FTCH'S OUTSIDE ACCOUNTING FIRM. NEXT, THE 990 IS PROVIDED TO THE FTCH AUDIT COMMITTEE AND BOARD OF DIRECTORS. FINALLY, THE 990 IS FILED AS REQUIRED.
Form 990, Part VI, Line 12c Conflict of interest policy ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND OTHER COVERED INDIVIDUALS ARE REQUIRED TO COMPLETE AND SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THESE FORMS REQUIRE INDIVIDUALS TO IDENTIFY ANY ACTUAL, POTENTIAL, OR PERCEIVED CONFLICTS. SUBMITTED DISCLOSURES ARE REVIEWED BY THE COMPLIANCE/OGC, AND BOARD GOVERNANCE COMMITTEE. THROUGHOUT THE YEAR, INDIVIDUALS ARE REQUIRED TO UPDATE DISCLOSURES WHENEVER NEW CONFLICTS ARISE. THIS IS REENFORCED IN ANNUAL COMPLIANCE EDUCATION. IN ADDITION, BOARD COMMITTEE MEETINGS AND PROCUREMENT COMMITTEE MEETINGS HAVE CONFLICT OF INTEREST DISCLOSURES AS AN AGENDA ITEM. THE ORGANIZATION ENFORCES COI POLICY THROUGH PUTTING MANAGEMENT PLANS IN PLACE TO MITIGATE A POTENTIAL CONFLICT WHEN APPROPRIATE. ALL DISCLOSURES, EVALUATIONS, AND MITIGATION ACTIONS ARE DOCUMENTED AND RETAINED BY THE COMPLIANCE DEPARTMENT.
Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION REVIEW & APPROVAL PROCESS - CEO & TOP MANAGEMENT COMPENSATION OF TOP MANAGEMENT IS PAID BY FTCH, A RELATED ORGANIZATION, BUT A REVIEW IS PERFORMED. IN ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO AND 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 TALENT STRATEGY AND COMPENSATION COMMITTEE OF THE FROEDTERT THEDACARE 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 15b Process to establish compensation of other employees COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEES COMPENSATION OF SEVERAL OFFICERS IS PAID BY FTCH, A RELATED ORGANIZATION, BUT A REVIEW IS PERFORMED. IN ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S OFFICERS, 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 TALENT STRATEGY AND COMPENSATION COMMITTEE OF THE FROEDTERT THEDACARE HEALTH, INC. (THE RELATED ORGANIZATION) BOARD OF DIRECTORS.
Form 990, Part VI, Line 19 Required documents available to the public DISCLOSURE: FROEDTERT THEDACARE 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.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER - Total Revenue: -11308, Related or Exempt Function Revenue: -11308, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 24b CORPORATE ALLOCATIONS FROEDTERT THEDACARE HEALTH, INC. ALLOCATES CERTAIN REVENUES AND EXPENSES TO RELATED ORGANIZATIONS: FROEDTERT MEMORIAL LUTHERAN HOSPITAL, FROEDTERT MENOMONEE FALLS HOSPITAL, FROEDTERT WEST BEND HOSPITAL, HOLY FAMILY MEMORIAL, 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 THEDACARE HEALTH INC. EACH ENTITY THEN RECEIVES ITS PORTION OF THE FROEDTERT THEDACARE HEALTH, INC. ALLOCATION ON A MONTHLY BASIS.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances CONTRIBUTED CAPITAL - 26634; INVESTMENT RETURN ON RESTRICTED ASSETS - 422913; TRANSFER NET ASSETS TO FTCH - -2698518; OTHER CHANGES TO NET ASSETS - -45167; Total - -2294138;
FORM 990, PART I, LINE 5 AND PART V, LINE 2 PART I, LINE 5 AND PART V, LINE 2 FROEDTERT THEDACARE HEALTH, INC. IS THE COMMON LAW EMPLOYER FOR THE FROEDTERT HEALTH SYSTEM WHICH INCLUDES HOLY FAMILY MEMORIAL, INC.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE R
(Form 990)

(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
Open to Public Inspection
Name of the organization
HOLY FAMILY MEMORIAL INC
 
Employer identification number

39-0806395
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 THEDACARE HEALTH INC
9200 W WISCONSIN AVE

MILWAUKEE,WI53226
39-2014409
MGMT SVCS WI 501(c)(3) Type III-FI NA
 
 
No
(2)ST JOSEPH'S COMMUNITY HOSP OF WEST BEND
3200 PLEASANT VALLEY RD

WEST BEND,WI53095
39-0806302
HOSPITAL WI 501(c)(3) 3 FTCH INC
 
 
No
(3)FROEDTERT WEST BEND HOSPITAL FOUNDATION INC
3200 PLEASANT VALLEY RD

WEST BEND,WI53095
39-2034296
HLTH/WELFARE WI 501(c)(3) 7 SJH
 
 
No
(4)COMMUNITY MEMORIAL HOSPITAL OF MF
W180 N8085 TOWN HALL RD

MENOMONEE FALLS,WI53051
39-0987025
HOSPITAL WI 501(c)(3) 3 FTCH INC
 
 
No
(5)FROEDTERT MEMORIAL LUTHERAN HOSPITAL
9200 W WISCONSIN AVE

MILWAUKEE,WI53226
39-6105970
HOSPITAL WI 501(c)(3) 3 FTCH INC
 
 
No
(6)FH ENTERPRISE SERVICES HOLDINGS INC
9200 W WISCONSIN AVE

MILWAUKEE,WI53226
20-2636686
HLTHCARE SVCS WI 501(c)(3) Type I FTCH INC
 
 
No
(7)FROEDTERT MENOMONEE FALLS HOSPITAL FOUNDATION INC
W180 N8085 TOWN HALL RD

MENOMONEE FALLS,WI53051
39-1635057
HLTH/WELFARE WI 501(c)(3) 10 CMH
 
 
No
(8)COMMUNITY OUTPATIENT HEALTH SERVICES
W180 N8085 TOWN HALL RD

MENOMONEE FALLS,WI53051
39-1743056
MED/DENT SVCS WI 501(c)(3) 3 CMH
 
 
No
(9)FROEDTERT HOSPITAL FOUNDATION INC
9200 W WISCONSIN AVE

MILWAUKEE,WI53226
39-1431192
HLTH/WELFARE WI 501(c)(3) 7 FMLH
 
 
No
(10)THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC
PO BOX 8025

APPLETON,WI549128025
39-0830664
HOSPITAL WI 501(c)(3) 3 THEDACARE INC
 
 
No
(11)THEDACARE MEDICAL CENTER - NEW LONDON INC
PO BOX 8025

APPLETON,WI549128025
39-0869788
HOSPITAL WI 501(c)(3) 3 THEDACARE INC
 
 
No
(12)THEDACARE MEDICAL CENTER - WAUPACA INC
PO BOX 8025

APPLETON,WI549128025
39-0871113
HOSPITAL WI 501(c)(3) 3 THEDACARE INC
 
 
No
(13)THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC
PO BOX 8025

APPLETON,WI549128025
39-0824015
HOSPITAL WI 501(c)(3) 3 THEDACARE INC
 
 
No
(14)THEDACARE MEDICAL CENTER - SHAWANO INC
PO BOX 8025

APPLETON,WI549128025
39-0807068
HOSPITAL WI 501(c)(3) 3 THEDACARE INC
 
 
No
(15)THEDACARE MEDICAL CENTER - BERLIN INC
PO BOX 8025

APPLETON,WI549128025
39-0806359
HOSPITAL WI 501(c)(3) 3 THEDACARE INC
 
 
No
(16)THEDACARE MEDICAL CENTER - WILD ROSE INC
PO BOX 8025

APPLETON,WI549128025
39-6089134
HOSPITAL WI 501(c)(3) 3 THEDACARE INC
 
 
No
(17)THEDACARE FAMILY OF FOUNDATIONS INC
PO BOX 8025

APPLETON,WI549128025
46-4112255
FOUNDATION WI 501(c)(3) 7 THEDACARE INC
 
 
No
(18)THEDACARE INC
PO BOX 8025

APPLETON,WI549128025
39-1509362
HEALTHCARE WI 501(c)(3) 10 FTCH INC
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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) FMLH MCW REAL ESTATE VENTURES LLC

9200 W WISCONSIN AVE
MILWAUKEE,WI53226
26-0629591
REAL ESTATE WI NA
 
N/A       No     No  
(2) WISCONSIN DIAGNOSTIC LABORATORIES LLC

9200 W WISCONSIN AVE
MILWAUKEE,WI53226
39-1896819
LAB SERVICES WI NA
 
N/A       No     No  
(3) D1 SPORTS TRAINING OF MILWAUKEE LLC

9200 W WISCONSIN AVE
MILWAUKEE,WI53226
47-3322294
SPORTS MEDICINE WI NA
 
N/A       No     No  
(4) DREXEL TOWN SQUARE SURGERY CENTER LLC

7901 S 6TH ST
OAK CREEK,WI53154
81-4904300
SURGERY CENTER WI NA
 
N/A       No     No  
(5) FROEDTERT SURGERY CENTER LLC

9200 W WISCONSIN AVE
MILWAUKEE,WI53226
20-1499345
SURGERY CENTER WI NA
 
N/A       No     No  
(6) WEST BEND SURGERY CENTER LLC

3212 PLEASANT VALLEY ROAD
WEST BEND,WI53095
39-1954169
SURGERY CENTER WI NA
 
N/A       No     No  
(7) MENOMONEE FALLS AMBULATORY SURGERY CENTER LLP

W180 N8045 TOWN HALL RD
MENOMONEE FALLS,WI53051
39-1745697
SURGERY CENTER WI NA
 
N/A       No     No  
(8) THP-FROEDTERT HEALTH VENTURES LLC

1415 LOUISIANA ST
HOUSTON,TX77002
82-3559342
HEALTH CARE TX NA
 
N/A       No     No  
(9) FROEDTERT & THE MCW NETWORK LLC

9200 W WISCONSIN AVE
MILWAUKEE,WI53226
81-4382585
HEALTH CARE WI NA
 
N/A       No     No  
(10) FROEDTERT & MEDICAL COLLEGE OF WI ACO LLC

8710 WATERTOWN PLANK RD
MILWAUKEE,WI53226
83-3159534
HEALTH CARE WI NA
 
N/A       No     No  
(11) N APPLETON AMBULATORY CARE CENTER BUILDING COMPANY LLC

122 E CAPITOL DR
APPLETON,WI54911
26-2497187
RENTAL WI NA
 
N/A       No     No  
(12) ENCIRCLE REALCO LLC

65 HIDDEN RAVINES DRIVE
SUITE 100
POWELL,OH43065
85-3472736
PROPERTY HOLDING OH NA
 
N/A       No     No  
(13) NATIONAL LABORATORY NETWORK LLC

9200 W WISCONSIN AVE
MILWAUKEE,WI53226
88-3305667
LAB SERVICES WI NA
 
N/A       No     No  
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) HART'S MILLS INSURANCE COMPANY SPC

 
 
98-1311808
SELF-INSURANCE   NA
 
C Corporation     0 %   No
(2) NETWORK HEALTH INC

1570 MIDWAY PLACE
MENASHA,WI54952
46-2966177
HEALTH INSURANCE WI NA
 
C Corporation     0 %   No
(3) NETWORK HEALTH INSURANCE CORPORATION

1570 MIDWAY PLACE
MENASHA,WI54952
39-2020474
HEALTH INSURANCE WI NA
 
C Corporation     0 %   No
(4) NETWORK HEALTH PLAN

1570 MIDWAY PLACE
MENASHA,WI54952
39-1442058
HEALTH INSURANCE WI NA
 
C Corporation     0 %   No
(5) FH INVESTMENT HOLDINGS INC

9200 W WISCONSIN AVE
MILWAUKEE,WI53226
99-1422017
HEALTH SERVICES WI NA
 
C Corporation     0 %   No




Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
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
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
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
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
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
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
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





Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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) (Rev. 1-2025)

Additional Data


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