2025-05-15T13:54:15+00:00 2024-06-30 135565207 KPMG LLP 191 West Nationwide Blvd Suite 500 Columbus OH 432152568 990 2023-07-01 390987025 Community Memorial Hospital of Menomonee Falls Inc COMM 4148053000 W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 Alicia M Maitland SVP - Finance 2025-05-15 true true Mollie P Longhouse P00294881 6142492300 2025-05-15 2023 2025-03-06 01:10:19Z FROEDTERT MENOMONEE FALLS HOSPITAL CATHERINE A JACOBSON W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 278825644 false X WWW.FROEDTERT.COM X 1958 WI COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC. DBA FROEDTERT MENOMONEE FALLS HOSPITAL (FMFH) ADVANCES THE HEALTH OF THE PEOPLE OF THE DIVERSE COMMUNITIES WE SERVE THROUGH EXCEPTIONAL CARE ENHANCED BY INNOVATION AND DISCOVERY. 17 14 0 212 0 0 45763 64473 245317792 265639587 -128811 -3340 12454419 13068352 257689163 278769072 215000 240000 0 109945949 100021174 0 596786 173515923 184325466 283676872 284586640 -25987709 -5817568 121589519 129708445 11514312 14460548 110075207 115247897 X COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC. DBA FROEDTERT MENOMONEE FALLS HOSPITAL (FMFH) ADVANCES THE HEALTH OF THE PEOPLE OF THE DIVERSE COMMUNITIES WE SERVE THROUGH EXCEPTIONAL CARE ENHANCED BY INNOVATION AND DISCOVERY. false false 109113236 123396459 OUTPATIENT SERVICES: FROEDTERT MENOMONEE FALLS HOSPITAL HAD 103,807 OUTPATIENT VISITS IN THE 12 MONTHS ENDING JUNE 30, 2024. THE HOSPITAL OFFERS A WIDE VARIETY OF ANCILLARY, SPECIALTY SERVICES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: - ALLERGY/IMMUNOLOGY - CARDIOLOGY - CLINICAL GENETICS - DERMATOLOGY - ELECTROPHYSIOLOGY - ENDOCRINOLOGY - FAMILY PRACTICE 103093115 116588288 INPATIENT SERVICES: FROEDTERT MENOMONEE FALLS HOSPITAL (FMFH) FOUNDED IN 1964 BY THE CITIZENS OF THE COMMUNITY IT SERVES, IS A FULL-SERVICE HOSPITAL THAT SPECIALIZES IN CANCER CARE, HEART AND VASCULAR CARE, ORTHOPAEDICS, WOMEN'S HEALTH AND ADVANCED SURGICAL PROCEDURES. THE HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION, ENJOYS A NATIONAL REPUTATION OF EXCELLENCE AS A PROVIDER OF TOP QUALITY HEALTH CARE SERVICES AND HAS RECEIVED MANY AWARDS FOR INNOVATIONS. COMBINING NEXT-GENERATION TECHNOLOGY WITH PERSONALIZED CARE, THE HOSPITAL STRIVES TO ENHANCE AND IMPROVE THE QUALITY OF LIFE IN WAUKESHA COUNTY, AS WELL AS WASHINGTON, MILWAUKEE AND OZAUKEE COUNTIES. FMFH IS APPROVED FOR 237 BEDS OF WHICH 131 ARE STAFFED. FOR THE 12 MONTHS ENDED JUNE 30 2024, FMFH HAD 7,945 PATIENT ADMISSIONS AND 31,759 PATIENT DAYS RELATED TO A WIDE RANGE OF INPATIENT 22685274 25654840 EMERGENCY SERVICES: THE EMERGENCY DEPARTMENT AT FROEDTERT MENOMONEE FALLS HOSPITAL IS ALSO A LEVEL III TRAUMA CENTER AND PROVIDES CARE FOR INDIVIDUALS WITH EMERGENT AND URGENT PROBLEMS. DURING FISCAL YEAR 2024, THE EMERGENCY DEPARTMENT HAD 27,874 EMERGENCY VISITS, WITH PATIENTS RECEIVING EXPERT CARE FROM BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS AND NURSES CERTIFIED IN ADVANCED CARDIAC LIFE SUPPORT, STROKE AND TRAUMA CARE. THE EMERGENCY DEPARTMENT INCLUDES 23 EXAM ROOMS AND AN ADDITIONAL 4,000 SQUARE FEET TO MEET THE NEEDS OF CRITICALLY ILL PATIENTS, AS WELL AS EXPANDED CAPACITY TO TREAT PATIENTS WITH TRAUMATIC INJURIES. OUR EMERGENCY DEPARTMENT IS STRENGTHENED BY THE AVAILABILITY OF AND ACCESS TO HIGHLY TRAINED SPECIALISTS IN TRAUMA, NEUROSURGERY, CARDIOLOGY, CARDIOTHORACIC SURGERY, INCLUDING ROBOTIC SURGERY, ORTHOPAEDICS, RESPIRATORY, OBSTETRICS, GYNECOLOGY, IMAGING, PSYCHIATRY AND OTHER SPECIALTIES WHEN THE NEED ARISES. 11526649 240000 13035519 OTHER PROGRAM SERVICES: AS PART OF OPERATING AN ACUTE CARE HOSPITAL AND PROVIDING HEALTH CARE SERVICES TO THE COMMUNITY, OTHER REVENUE IS DERIVED IN THE FOLLOWING AREAS: OTHER DEPARTMENT OPERATING REVENUE - REVENUE DERIVED FROM DIFFERENT SERVICES THROUGH THE PROCESS OF PROVIDING PATIENT CARE AND IN THE NORMAL OPERATION OF A MEDICAL FACILITY. INCLUDED IN THIS CATEGORY ARE ITEMS SUCH AS MEANINGFUL USE REVENUE, CANCER CARE/ONCOLOGY REVENUE, RENTAL REVENUE, GIFT SHOP REVENUE, CLINICAL DIETETICS, AND OTHER WELLNESS SERVICES. DIETARY REVENUE - REVENUE DERIVED FROM CAFETERIA SALES, VENDING MACHINE SALES, GUEST TRAY SALES AND EMPLOYEE MEALS. DIETARY SERVICES ARE NECESSARY TO SUPPORT SERVICES TO PATIENT FAMILIES WHILE THEIR LOVED ONE IS RECEIVING CARE IN THE HOSPITAL. THE REVENUE FROM EMPLOYEE MEALS IS A BENEFIT PROVIDED BY THE HOSPITAL AS AN EMPLOYER AND IT ALLOWS OUR STAFF TO REMAIN ON SITE FOR PATIENT CARE. CORPORATE ALLOCATED REVENUE - REVENUE PASSED THROUGH FROM FROEDTERT THEDACARE HEALTH (FTCH), A RELATED PARTY. INTERCOMPANY REVENUE CONSISTS OF REVENUE DERIVED FROM MEDICAL AND ADMINISTRATIVE SERVICES PROVIDED TO THE OTHER FTCH ENTITIES. ALL OF THESE SERVICES SUPPORT THE DELIVERY OF HEALTHCARE TO THE COMMUNITY. MISCELLANEOUS REVENUE - REVENUE DERIVED FROM DIFFERENT SERVICES THROUGH THE PROCESS OF PROVIDING PATIENT CARE IN THE NORMAL OPERATION OF A MEDICAL FACILITY. SPECIAL EVENT ACTIVITY REVENUE, AND TAXABLE SALES. 11526649 240000 13035519 246418274 true true false false false false false false true true false false false true true false true false false false false false false true false true true true false true false false false false false false false false false false false false false true true true false false true 0 0 0 false false false false false false false false false false false false X 17 14 false false false false true true true true true false false true true true true true true true true true true WI X X DAVID DIRKSMEYER 4148053000 N74 W12501 LEATHERWOOD CT MENOMONEE FALLS WI 53051 Carrie Booher Director & BOD Chair 1.0 0 X X 0 0 0 Cindy Simons Director & BOD V.Chair 1.0 0 X X 0 0 0 Teresa Lux Director & CMH President 44.0 6.0 X X 0 688727 132026 Brad Christianson Director 1.0 0 X 0 0 0 Christopher Rechlicz Director 1.0 1.0 X 0 0 0 Cristino Canga MD Director 1.0 0 X 0 0 0 David Woloszyk Director 1.0 0 X 0 0 0 Edna Abernathy Director 1.0 0 X 0 0 0 Eric Conley Director & FMLH President (Start Jul23; Term Apr24) 1.0 49.0 X 0 1403238 212976 Jennifer Jo Berrall JJ Barnes Director 1.0 0 X 0 0 0 Mary Benedum Director 1.0 0 X 0 0 0 Michael DeGere DPM Chief Medical Officer (Start Jul23) 1.0 49.0 X 0 472454 94185 Payal Shah Director 1.0 0 X 0 0 0 Rick Rosser Director (Start Jul23) 1.0 0 X 0 0 0 Ryan Burch DO Director 1.0 0 X 0 0 0 Sam Sova Director 1.0 0 X 0 0 0 Sandhya Padala Director (Term Nov23) 1.0 0 X 0 0 0 Shelly Waala Director & VP Patient Care Svc 49.0 1.0 X 0 380354 72808 Travis Fisher MD Director 1.0 0 X 0 0 0 Adam Smith Treasurer 1.0 49.0 X 0 416956 71989 Linda McPike Secretary 1.0 49.0 X 0 368327 26864 Jeffrey Van De Kreeke Former - Officer (Treas) 0.0 50.0 X 0 196046 12200 0 3926102 623048 0 true true false 0 64473 1164 64473 OUTPATIENT REVENUE 900099 123396459 123396459 INPATIENT REVENUE 900099 116588288 116588288 EMERGENCY/TRAUMA REVENUE 900099 25654840 25654840 0 0 0 0 265639587 16937 16937 0 0 20277 0 -20277 -20277 -20277 69128 36295 32833 32833 INTERCOMPANY REVENUE 900099 6394329 6394329 CORPORATE ALLOCATED REVENUE 561000 3417149 3417149 OTHER DEPARTMENT REVENUE 561499 2193380 2193380 1030661 1030661 0 0 13035519 278769072 278675106 0 29493 X 240000 240000 93735513 88835469 4499308 400736 10844 10277 521 46 6274817 5946800 301191 26826 37576 37576 30669951 23709871 6942111 17969 758923 709450 46633 2840 282730 112995 150383 19352 2518578 2118842 396340 3396 48402 41444 4688 2270 91673 79711 10967 995 1780150 1497613 280136 2401 9823910 8264708 1545955 13247 SUPPLIES - MEDICAL & OT 53052062 52935550 111022 5490 CORPORATE ALLOCATED EXP 43145921 25996600 17049703 99618 AFFILIATE SUPPORT - CP 32886747 27039756 5846991 STATE HOSPITAL ASSESSME 5283986 5283986 3944857 3595202 348055 1600 284586640 246418274 37571580 596786 5975 5025 5340 11889 0 27119419 32720003 0 0 0 0 0 2999920 2497239 550416 993527 273805157 185817398 82966776 87987759 0 0 0 0 7941673 5493003 121589519 129708445 6243636 6128516 0 120 0 0 0 0 0 0 5270556 8332032 11514312 14460548 X 109285106 115247897 790101 0 0 0 0 110075207 115247897 121589519 129708445 X -5817568 10990258 X false true X true true true X 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9345996 886361 1025826 536028 500384 0 10221771 8614155 605522 856382 467680 261426 957 9345996 8973060 1365028 -1049030 526326 148577 0 8614155 7598551 774955 1396032 410861 384001 1616 8973060 7585233 703700 62097 402620 333816 16043 7598551 1.0 0.0 0.0 false true true 80711 80711 159573365 93115980 66457385 7249108 4636861 2612247 68648075 54025522 14622553 38253898 34039035 4214863 87987759 EST. SETTLEMENTS-MEDICARE/3RD PARTY PAYORS 3640000 PENSION LIABILITY LONG TERM - CAPITAL LEASE OBLIGATION 236017 SHORT TERM - CAPITAL LEASE OBLIGATION 297772 DUE TO AFFILIATES - TOTAL 4158243 8332032 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE FUNDS ARE HELD BY FROEDTERT MENOMONEE FALLS HOSPITAL FOUNDATION, INC. (FMFHF), A RELATED ORGANIZATION. THE BOARD DESIGNATED ENDOWMENT WAS CREATED TO SUPPORT LONG RANGE FINANCIAL NEEDS OF FMFH AND ITS PROGRAMS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote FROEDTERT THEDACARE HEALTH, INC. (FTCH), THE PARENT ENTITY INTO WHICH FMFH'S FINANCIAL RESULTS ARE CONSOLIDATED, APPLIES ASC NO. 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS. ASC NO. 740 PRESCRIBES A MORE-LIKELY THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC NO. 740, TAX POSITIONS ARE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. AS OF JUNE 30, 2024 AND 2023, FTCH DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS. COOKIES 27660 27660 10241 NUTMAN SALES 24314 24314 18740 5 17154 17154 7314 69128 69128 36295 36295 32833 true true true X 250 true X true true false true true 1257991 1257991 0.0044 27565741 11740118 15825623 0.0556 0 0.0 0 0 28823732 11740118 17083614 0.0600 25 96568 1015015 4622 1010393 0.0036 5 14955 6086366 1073352 5013014 0.0176 1 840 550738 550738 0.0019 0 0.0 14 39220 1297656 1297656 0.0046 45 151583 8949775 1077974 7871801 0.0277 45 151583 37773507 12818092 24955415 0.0877 0 0.0 1 29332 29332 0.0001 1 50 4605 4605 0.0000 0 0.0 0 0.0 1 43916 43916 0.0002 0 0.0 3 1310 158194 158194 0.0006 0 0.0 6 1360 236047 0 236047 0.0008 false 7887707 42965279 62657349 -19692070 X true true 1 1 COMMUNITY MEMORIAL HOSPITAL DBA FROEDTERT MENOMONEE FALLS W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 WWW.FROEDTERT.COM 28 X X X COMMUNITY MEMORIAL HOSPITAL DBA FROEDTERT MENOMONEE FALLS 1 false false true X X X X X X X X X 23 true true true true X WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT X X true 24 true WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT false true X 250.0 400.0 X X X X X X X true true X X X true X www.froedtert.com/financial-services X www.froedtert.com/financial-services X www.froedtert.com/financial-services X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - DBA FROEDTERT MENOMONEE FALLS. IN 2020, A CHNA WAS CONDUCTED TO 1) DETERMINE CURRENT COMMUNITY HEALTH NEEDS IN WAUKESHA 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 MENOMONEE FALLS HOSPITAL ASSESSES 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 WAS COLLECTED AND TAKEN INTO CONSIDERATION FOR ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS: COMMUNITY HEALTH SURVEY: USING THE CENTER FOR DISEASE CONTROL'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), A TELEPHONE-BASED SURVEY OF 400 RESIDENTS WAS CONDUCTED BY FROEDTERT MENOMONEE FALLS HOSPITAL IN COLLABORATION WITH THE MILWAUKEE HEALTH CARE PARTNERSHIP. THE FULL REPORT OF THIS SURVEY CAN BE FOUND AT HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. KEY INFORMANT INTERVIEWS: FROEDTERT MENOMONEE FALLS HOSPITAL COMMUNITY ENGAGEMENT TEAM AND LEADERS CONDUCTED 47 INTERVIEWS WITH COMMUNITY LEADERS OF VARIOUS SCHOOL DISTRICTS, NON-PROFIT ORGANIZATIONS, HEALTH & HUMAN SERVICE DEPARTMENT AND BUSINESS LEADERS. THE FULL KEY INFORMANT RESULTS CAN BE FOUND AT HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. COMMUNITY PARTNER/AGENCY REPORTS: TO BETTER UNDERSTAND THE NEEDS OF OUR UNDERSERVED POPULATIONS; FROEDTERT MENOMONEE FALLS HOSPITAL OBTAINED IMPORTANT DATA AND TRENDS FROM PARTNER ORGANIZATIONS SUCH AS COMMUNITY OUTREACH HEALTH CLINIC, UNITED WAY OF GREATER MILWAUKEE & WAUKESHA COUNTY ALICE REPORT, AND IMPACT 211 DATA SPECIFIC TO FROEDTERT MENOMONEE FALLS HOSPITAL'S PRIMARY SERVICE AREA TO SEEK IMPORTANT TRENDS, DEMOGRAPHIC DATA AND SERVICES TO PROVIDE AN INCLUSIVE VIEWPOINT OF COMMUNITY NEEDS FOR THESE UNREPRESENTED POPULATIONS. SECONDARY DATA REPORTS: UTILIZING MULTIPLE COUNTY AND COMMUNITY-BASED PUBLICLY AVAILABLE REPORTS, INFORMATION WAS GATHERED REGARDING: MORTALITY/MORBIDITY DATA, INJURY HOSPITALIZATIONS, EMERGENCY DEPARTMENT VISITS, WAUKESHA COUNTY HEALTH RANKINGS, PUBLIC SAFETY/CRIME REPORTS AND SOCIO-ECONOMIC DATA. A FULL SUMMARY OF SECONDARY DATA INFORMATION CAN BE FOUND AT HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. FROEDTERT MENOMONEE FALLS HOSPITAL IS COMMITTED TO ADDRESSING COMMUNITY HEALTH NEEDS COLLABORATIVELY WITH LOCAL PARTNERS. FROEDTERT MENOMONEE FALLS HOSPITAL USED THE FOLLOWING METHODS TO GAIN COMMUNITY INPUT FROM JUNE-SEPTEMBER 2020 ON THE SIGNIFICANT HEALTH NEEDS OF THE FROEDTERT MENOMONEE FALLS HOSPITAL'S COMMUNITY. THESE METHODS PROVIDED ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING FROEDTERT MENOMONEE FALLS HOSPITAL'S COMMUNITY. INPUT FROM COMMUNITY MEMBERS KEY INFORMANT INTERVIEWS: KEY ORGANIZATIONS WITH SPECIFIC KNOWLEDGE AND INFORMATION RELEVANT TO THE SCOPE OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS ("INFORMANTS") IN FROEDTERT MENOMONEE FALLS HOSPITAL'S COMMUNITY, INCLUDING WAUKESHA 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. THESE LOCAL PARTNERING ORGANIZATIONS ALSO INVITED THE INFORMANTS TO PARTICIPATE IN AND CONDUCT THE INTERVIEWS. THE INTERVIEWERS USED A STANDARD INTERVIEW SCRIPT THAT INCLUDED THE FOLLOWING ELEMENTS: - RANKING OF UP TO FIVE PUBLIC HEALTH ISSUES, BASED ON THE FOCUS AREAS PRESENTED IN WISCONSIN'S STATE HEALTH PLAN, THAT ARE THE MOST IMPORTANT ISSUES FOR WAUKESHA COUNTY; AND - FOR THOSE FIVE PUBLIC HEALTH ISSUES: - EXISTING STRATEGIES TO ADDRESS THE ISSUE - BARRIERS/CHALLENGES TO ADDRESSING THE ISSUE - ADDITIONAL STRATEGIES NEEDED - KEY GROUPS IN THE COMMUNITY THAT HOSPITALS SHOULD PARTNER WITH TO IMPROVE COMMUNITY HEALTH - IDENTIFICATION OF SUBGROUPS OR SUBPOPULATIONS WHERE EFFORTS COULD BE TARGETED - WAYS EFFORTS CAN BE TARGETED TOWARD EACH SUBGROUP OR SUBPOPULATION - TO BE RESPONSIVE TO THE CURRENT CONDITIONS DURING THE COVID-19 PANDEMIC, THE FOLLOWING ADDITIONAL QUESTIONS WERE ADDED TO THE INTERVIEW GUIDE: - WHAT COMMUNITY NEEDS OR GAPS HAVE DEVELOPED SINCE THE CORONAVIRUS PANDEMIC BEGAN? - HOW CAN HEALTH CARE ORGANIZATIONS SUPPORT THE COMMUNITY DURING THIS PANDEMIC? - WHAT METHODS OF COMMUNICATION AND OUTREACH HAVE BEEN SUCCESSFUL TO REACH PARTNERS AND COMMUNITY MEMBERS DURING THE PANDEMIC? - HOW WOULD YOU SUGGEST HEALTH CARE ORGANIZATIONS OUTREACH TO COMMUNITY PARTNERS AND MEMBERS TO IMPLEMENT HEALTH INITIATIVES? UNDERSERVED POPULATION INPUT: FROEDTERT MENOMONEE FALLS 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 MENOMONEE FALLS 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 INFORMANT INTERVIEWS: THE KEY INFORMANT INTERVIEWS INCLUDED INPUT FROM MEMBERS OF ORGANIZATIONS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. SUMMARY OF COMMUNITY MEMBER INPUT TOP FIVE HEALTH ISSUES RANKED MOST CONSISTENTLY OR MOST OFTEN CITED FOR WAUKESHA COUNTY WERE: KEY INFORMANT INTERVIEWS: - MENTAL HEALTH - SUBSTANCE USE AND ABUSE - ACCESS TO HEALTH CARE - CHRONIC DISEASE - NUTRITION COMMUNITY HEALTH SURVEY: - CORONAVIRUS/COVID-19 - ILLEGAL DRUG USE - OVERWEIGHT OR OBESITY - CHRONIC DISEASES - MENTAL HEALTH OR DEPRESSION AFTER ADOPTION OF THE CHNA REPORT AND IMPLEMENTATION STRATEGY, FROEDTERT MENOMONEE FALLS HOSPITAL PUBLICLY SHARES BOTH DOCUMENTS WITH COMMUNITY PARTNERS, KEY INFORMANTS, HOSPITAL BOARD MEMBERS, PUBLIC SCHOOLS, NON-PROFITS, HOSPITAL COALITION MEMBERS, THE WAUKESHA COUNTY PUBLIC HEALTH DIVISION, 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 THEDACARE HEALTH WEBSITE AT HTTPS://WWW.FROEDTERT.COM/CONTACT, OR CONTACTING FROEDTERT THEDACARE HEALTH, INC.'S COMMUNITY ENGAGEMENT LEADERSHIP/STAFF WITH QUESTIONS AND CONCERNS BY CALLING 414-777-1926. FROEDTERT MENOMONEE FALLS HOSPITAL RECEIVED NO COMMENTS OR ISSUES WITH THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND/IMPLEMENTATION STRATEGY. WAUKESHA COUNTY KEY INFORMANT INTERVIEW ORGANIZATIONS: - ADDICTION RESOURCE COUNCIL, INC. - NONPROFIT PROVIDING ADDICTION RESOURCES AND EDUCATION - AGING AND DISABILITY RESOURCE CENTER OF WAUKESHA COUNTY - PROVIDES INFORMATION, ASSISTANCE, COUNSELING AND SUPPORTIVE SERVICES FOR OLDER ADULTS, CAREGIVERS, PEOPLE WITH DISABILITIES AND ADULTS WITH MENTAL HEALTH OR SUBSTANCE USE CONCERNS - COMMUNITY OUTREACH HEALTH CLINIC - FREE MEDICAL CLINIC FOR UNINSURED - EASTERSEALS SOUTHEAST WISCONSIN - NONPROFIT SERVING PEOPLE WITH DISABILITIES AND AT-RISK FAMILIES - ELMBROOK CHURCH - SERVING PEOPLE WHO ARE HOMELESS, DISFRANCHISED, MENTALLY ILL, AND JOBLESS - ERAS SENIOR NETWORK, INC. - NONPROFIT SERVING SENIORS, ADULTS WITH DISABILITIES, AND FAMILY CAREGIVERS - FAMILY SERVICE OF WAUKESHA - NONPROFIT COUNSELING CENTER - HAMILTON SCHOOL DISTRICT - PROVIDES EDUCATION TO YOUTH - HEBRON HOUSE OF HOSPITALITY - NONPROFIT DEDICATED TO ENDING HOMELESSNESS - HOPE NETWORK FOR SINGLE MOTHERS - NONPROFIT SERVING SINGLE MOTHERS - KETTLE MORAINE SCHOOL DISTRICT - PROVIDES EDUCATION TO YOUTH - LAKE AREA FREE CLINIC - FREE MEDICAL CLINIC FOR UNINSURED - LINDENGROVE COMMUNITIES - PROVIDES ASSISTED LIVING, MEMORY CARE, SHORT-TERM REHABILITATION & SKILLED NURSING HOUSING - MENOMONEE FALLS AREA FOOD PANTRY - PROVIDES FOOD FOR LOW INCOME INDIVIDUALS & FAMILIES - MENOMONEE FALLS POLICE DEPARTMENT - EMERGENCY RESPONSE - MENOMONEE FALLS SCHOOLS - PROVIDES EDUCATION TO YOUTH - MUKWONAGO AREA SCHOOL DISTRICT - PROVIDES EDUCATION TO YOUTH - MUKWONAGO FOOD PANTRY - PROVIDES FOOD FOR LOW INCOME INDIVIDUALS AND FAMILIES - NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) WAUKESHA, INC. - NONPROFIT PROVIDES SUPPORT FOR MENTAL HEALTH - NEW BERLIN FOOD PANTRY - PROVIDES FOOD FOR LOW INCOME INDIVIDUALS & FAMILIES - NEW BERLIN POLICE DEPARTMENT - EMERGENCY RESPONSE Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - DBA FROEDTERT MENOMONEE FALLS. FACILITIES POLICIES (H6), PART V, LN5 (CONTINUED) - OCONOMOWOC AREA CHAMBER OF COMMERCE - NONPROFIT SUPPORTING LOCAL BUSINESSES - OCONOMOWOC AREA SCHOOL DISTRICT - PROVIDES EDUCATION TO YOUTH - SCHOOL DISTRICT OF NEW BERLIN - PROVIDES EDUCATION TO YOUTH - SCHOOL DISTRICT OF WAUKESHA - PROVIDES EDUCATION TO YOUTH - SIXTEENTH STREET COMMUNITY HEALTH CENTERS - FREE MEDICAL CLINIC FOR UNINSURED - SUSSEX AREA OUTREACH SERVICES - PROVIDES FOOD FOR LOW INCOME INDIVIDUALS AND FAMILIES - THE FOOD PANTRY SERVING WAUKESHA COUNTY - PROVIDES FOOD FOR LOW INCOME INDIVIDUALS AND FAMILIES - THE WOMEN'S CENTER - NONPROFIT PROVIDING SAFETY, SHELTER AND SUPPORT FOR INDIVIDUALS AFFECTED BY DOMESTIC AND SEXUAL VIOLENCE - UNITED WAY OF GREATER MILWAUKEE & WAUKESHA COUNTY - ENGAGES, CONVENES, AND MOBILIZES COMMUNITY RESOURCES TO ADDRESS ROOT CAUSES OF LOCAL HEALTH AND HUMAN SERVICES NEEDS - UNIVERSITY OF WISCONSIN-EXTENSION WAUKESHA COUNTY - SHARES, DEVELOPS AND DELIVERS RESOURCES AND PROGRAMS TO RESPOND TO COMMUNITY ISSUES - WAUKESHA COUNTY - LOCAL GOVERNMENT - WAUKESHA COUNTY BUSINESS ALLIANCE - NONPROFIT SUPPORTING LOCAL BUSINESSES IN WAUKESHA COUNTY - WAUKESHA COUNTY COMMUNITY DENTAL CLINIC - NONPROFIT PROVING ORAL HEALTH SERVICES - WAUKESHA COUNTY FIRE CHIEFS' ASSOCIATION - EMERGENCY RESPONSE - WAUKESHA COUNTY HEALTH AND HUMAN SERVICES - GOVERNMENT DEPARTMENT THAT PROVIDES COMMUNITY PROGRAMS TO INDIVIDUALS & FAMILIES CHALLENGED BY DISABILITIES, ECONOMIC HARDSHIP AND SAFETY CONCERNS - WAUKESHA COUNTY MEDICAL EXAMINER'S OFFICE - GOVERNMENT DEPARTMENT THAT INVESTIGATES DEATHS - WAUKESHA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, PUBLIC HEALTH DIVISION - GOVERNMENT DEPARTMENT THAT PREVENTS DISEASE AND PROMOTES HEALTH - WAUKESHA FREE CLINIC - FREE MEDICAL CLINIC FOR UNINSURED - YMCA AT PABST FARMS - NONPROFIT PROVIDING SERVICES THAT HELP PEOPLE IMPROVE THEIR HEALTH AND WELL-BEING IN 2023, THE MOST RECENT CHNA WAS COMPLETED WITH THE DEVELOPMENT OF THE 2025-2027 IMPLEMENTATION STRATEGY/COMMUNITY HEALTH IMPROVEMENT PLAN. HOWEVER, THIS NARRATIVE IS A THREE YEAR SUMMARY OF INITIATIVES AND OUTCOMES OF THE 2020 CHNA AND 2022-2024 IMPLEMENTATION STRATEGY/COMMUNITY HEALTH IMPROVEMENT PLAN. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - DBA FROEDTERT MENOMONEE FALLS. FROEDTERT MENOMONEE FALLS 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 MENOMONEE FALLS HOSPITAL AND IS THE BASIS FOR CREATION OF AN IMPLEMENTATION STRATEGY TO IMPROVE HEALTH OUTCOMES AND REDUCED DISPARITIES IN WAUKESHA COUNTY AND THE HOSPITAL'S PRIMARY SERVICE AREA. WAUKESHA COUNTY COLLABORATIVE PARTNERS: FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN AURORA HEALTH CARE (HOSPITAL/HEALTH SYSTEM) CHILDREN'S WISCONSIN (HOSPITAL/HEALTH SYSTEM) PROHEALTH CARE (HOSPITAL/HEALTH SYSTEM) ASCENSION (HOSPITAL/HEALTH SYSTEM) AFTER COMPLETION OF THE SHARED CHNA, THE DATA WAS TAKEN INTO CONSIDERATION IN ORDER FOR FROEDTERT MENOMONEE FALLS HOSPITAL TO CREATE AN INDEPENDENT CHNA AND IMPLEMENTATION STRATEGY SPECIFIC TO THE HOSPITALS SERVICE AREA AND COMMUNITY HEALTH NEEDS. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - DBA FROEDTERT MENOMONEE FALLS. FROEDTERT MENOMONEE FALLS 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 MENOMONEE FALLS HOSPITAL AND IS THE BASIS FOR CREATION OF AN IMPLEMENTATION STRATEGY TO IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES IN WAUKESHA COUNTY AND THE HOSPITAL'S PRIMARY SERVICE AREA. WAUKESHA COUNTY ORGANIZATIONS: CENTER FOR URBAN POPULATION HEALTH WAUKESHA COUNTY PUBLIC HEALTH DIVISION AFTER COMPLETION OF THE SHARED CHNA, THE DATA WAS TAKEN INTO CONSIDERATION IN ORDER FOR FROEDTERT MENOMONEE FALLS HOSPITAL TO CREATE AN INDEPENDENT CHNA AND IMPLEMENTATION STRATEGY SPECIFIC TO THE HOSPITALS SERVICE AREA AND COMMUNITY HEALTH NEEDS. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - DBA FROEDTERT MENOMONEE FALLS. THE FULL VERSION OF THE MOST RECENT AND PAST CHNA SUMMARIES, REPORTS AND OTHER SUPPORTING DOCUMENTS CAN BE FOUND ON FROEDTERT THEDACARE HEALTH'S WEBSITE: HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT ADDITIONALLY, THE WAUKESHA COUNTY NEEDS ASSESSMENT AND COUNTY HEALTH IMPROVEMENT PLAN CAN BE FOUND AT THE FOLLOWING WEBSITE: WAUKESHA COUNTY PUBLIC HEALTH DEPARTMENT: HTTPS://WWW.WAUKESHACOUNTY.GOV/HEALTHANDHUMANSERVICES/PUBLICHEALTH/CHIPP/ FROEDTERT MENOMONEE FALLS HOSPITAL'S IMPLEMENTATION STRATEGY IS POSTED ON OUR INTRANET SITE FOR STAFF, PHYSICIANS AND LEADERS AS WELL AS THE GENERAL PUBLIC THROUGH OUR EXTERNAL WEBSITE FROEDTERT.COM. TO ACCESS THE IMPLEMENTATION STRATEGY, PLEASE GO TO: HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - DBA FROEDTERT MENOMONEE FALLS. COMMUNITY HEALTH IMPROVEMENT PLAN FOR FROEDTERT MENOMONEE FALLS HOSPITAL IS AVAILABLE ONLINE AT: HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT THE FISCAL YEAR 2022-2024 IMPLEMENTATION STRATEGY WAS REVIEWED AND ADOPTED BY THE FROEDTERT MENOMONEE FALLS HOSPITAL BOARD OF DIRECTORS ON 08/26/2021. FROEDTERT MENOMONEE FALLS HOSPITAL'S COMMUNITY ENGAGEMENT STRATEGIES ARE GUIDED BY THE COMMUNITY OUTREACH STEERING COMMITTEE (COSC) WHICH IS A SUBCOMMITTEE OF THE HOSPITAL'S BOARD OF DIRECTORS. THE COSC ACTUALIZES THE MISSION OF FROEDTERT MENOMONEE FALLS HOSPITAL THROUGH COMMUNITY ENGAGEMENT ACTIVITIES THAT IMPROVE THE QUALITY OF LIFE AND ENHANCE WELLNESS RESOURCES WHICH MEET IDENTIFIED COMPREHENSIVE HEALTH NEEDS OF THE COMMUNITIES SERVED. THE COMMUNITY OUTREACH STEERING COMMITTEE IS APPOINTED ANNUALLY BY THE HOSPITAL PRESIDENT AND IS ADVISORY TO THE FROEDTERT MENOMONEE FALLS HOSPITAL BOARD AND ADMINISTRATION. MEMBERSHIP APPOINTMENTS ARE MADE EACH JUNE WITH MEMBERS SERVING ONE YEAR TERMS. THE COSC MEETS QUARTERLY AND IS COMPOSED OF HOSPITAL AND BOARD REPRESENTATIVES PLUS COMMUNITY MEMBERS REPRESENTING THE VARIOUS CONSTITUENCIES OF THE TOTAL SERVICE AREA. FUNCTIONS INCLUDE: - PROVIDE A LEADERSHIP ROLE IN ADVOCATING COMMUNITY WIDE RESPONSES TO HEALTH CARE NEEDS IN THE COMMUNITY - FACILITATE AND SUPPORT COMMUNITY AND HEALTH CARE PARTNERSHIPS - ENVISION, ASSESS AND GUIDE NEW COMMUNITY BENEFIT OPPORTUNITIES - IDENTIFY AND DESCRIBE UNMET HEALTH NEEDS - PROMOTE UNIVERSAL ACCESS TO HEALTH CARE UNDER THE DIRECTION OF THE COMMUNITY ENGAGEMENT LEADERSHIP TEAM AND TRAINED MEETING FACILITATOR; THE CHNA PLANNING PROCESS INCLUDED SIX STEPS IN DEVELOPING THE IMPLEMENTATION PLAN: - REVIEWED THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS FOR IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS - REVIEWED IMPACT 211 DATA, COMMUNITY OUTREACH HEALTH CLINIC DATA, UNITED WAY ALICE REPORT FOR WAUKESHA COUNTY - REVIEWED PREVIOUS IMPLEMENTATION STRATEGY PRIORITIES, PROGRAMS AND RESULTS - REVIEWED CURRENT HOSPITAL AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND STRATEGIES - RANKED AND SELECTED PRIORITY AREAS - SELECTED EVIDENCE-BASED STRATEGIES, PARTNERSHIPS AND PROGRAMS TO ADDRESS COMMUNITY HEALTH NEEDS BASED ON THE INFORMATION FROM ALL THE CHNA DATA COLLECTION SOURCES, THE MOST SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED AS: - INFECTIOUS DISEASE; - MENTAL HEALTH; - SUBSTANCE USE & ABUSE (ALCOHOL, TOBACCO AND OTHER DRUGS); - ACCESS TO HEALTH CARE; - CHRONIC DISEASE; - NUTRITION; - WORKFORCE DEVELOPMENT (HEALTHCARE CAREER EXPLORATION); - TRANSPORTATION; - FOOD INSECURITY; - HOUSING/HOMELESSNESS; AND - SAFETY/VIOLENCE BEFORE THE FACILITATED WORKOUT SESSION IN FEBRUARY 2021, MEMBERS OF THE CHNA/IMPLEMENTATION STRATEGY ADVISORY COMMITTEE WERE ASKED TO RATE EACH HEALTH NEED BASED ON THE FOLLOWING CRITERIA: IMPACT OF HEALTH NEED, FEASIBILITY OF FROEDTERT MENOMONEE FALLS HOSPITAL TO ADDRESS THE NEED (DIRECT PROGRAMS, CLINICAL STRENGTHS AND DEDICATED RESOURCES), ALIGNMENT WITH FROEDTERT THEDACARE HEALTH'S STRATEGIC PRIORITIES, CURRENT OR POTENTIAL COMMUNITY PARTNERS/COALITIONS; ENSURING DISPARITIES ARE ADDRESSED AND EACH NEED HAS ACHIEVABLE AND MEASURABLE OUTCOMES. BASED ON THIS CRITERIA, THE TOP RANKED SIGNIFICANT HEALTH NEEDS INCLUDED: - MENTAL HEALTH; - WORKFORCE DEVELOPMENT; - FOOD INSECURITY; - INFECTIOUS DISEASE; - TRANSPORTATION; AND - SUBSTANCE USE & ABUSE DURING FEBRUARY 2021 WORKOUT SESSION, MEMBERS OF THE COMMUNITY OUTREACH STEERING COMMITTEE WERE ASKED TO PRIORITIZE THE TOP RANKED SIGNIFICANT HEALTH NEEDS. OF THOSE SIGNIFICANT HEALTH NEEDS CATEGORIES, FOUR OVERARCHING THEMES WERE IDENTIFIED AS THE FOCUS FOR FROEDTERT MENOMONEE FALLS HOSPITAL'S IMPLEMENTATION STRATEGY FOR FISCAL 2022-2024: - POPULATION HEALTH AND HEALTH EQUITY; - BEHAVIORAL HEALTH; - WORKFORCE DEVELOPMENT (HEALTH CARE CAREER EXPLORATION); AND - INFECTIOUS DISEASE SIGNIFICANT HEALTH NEEDS NOT ADDRESSED - TOBACCO USE: FROEDTERT MENOMONEE FALLS HOSPITAL SUPPORTS THE MULTI-JURISDICTIONAL COALITION OF TOBACCO FREE COMMUNITY PARTNERSHIP DODGE, JEFFERSON AND WAUKESHA COUNTIES. - NUTRITION: FROEDTERT MENOMONEE FALLS HOSPITAL SUPPORTS THE WAUKESHA COUNTY CHIPP BY ACTIVELY PARTICIPATING ON THE COUNTY-WIDE NUTRITION COMMITTEE. - FOOD INSECURITY: FROEDTERT MENOMONEE FALLS HOSPITAL ACTIVELY PARTICIPATES ON THE WAUKESHA COUNTY CHIPP COALITION BY SUPPORTING INITIATIVES THROUGH THE COUNTY-WIDE NUTRITION COMMITTEE. IN ADDITION, THE HOSPITAL SUPPORTS INITIATIVES THROUGH THE LOCAL FOOD PANTRIES. - HOUSING/HOMELESSNESS: FROEDTERT MENOMONEE FALLS HOSPITAL SUPPORTS THE MILWAUKEE HEALTHCARE PARTNERSHIP THROUGH THE HOUSING NAVIGATION PROGRAM. - SAFETY/VIOLENCE: FROEDTERT MENOMONEE FALLS HOSPITAL SUPPORTS THE WOMEN'S CENTER, VIOLENCE INTERRUPTER PROGRAM AND A CULTURE OF SEE SOMETHING SAY SOMETHING. FROEDTERT MENOMONEE FALLS HOSPITAL SUMMARY OF IMPLEMENTATION STRATEGY FROEDTERT MENOMONEE FALLS HOSPITAL HAS COMPLETED A SEPARATE 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 MENOMONEE FALLS HOSPITAL HAVE DEDICATED FULL TIME EMPLOYEES AND BUDGETED FUNDS TOWARD SERVING THE NEEDS OF THE FROEDTERT MENOMONEE FALLS HOSPITAL COMMUNITIES. TO ACCESS A COPY OF THE FULL IMPLEMENTATION STRATEGY, PLEASE GO TO HTTPS://WWW.FROEDTERT.COM/COMMUNITY-ENGAGEMENT. HEALTHCARE ACCESS FOR PRIORITY POPULATIONS & NAVIGATION OF COMMUNITY RESOURCES, HEALTH EQUITY, PATIENT ACCESS TO AFFORDABLE TRANSPORTATION AND CHRONIC DISEASE PREVENTION AND MANAGEMENT CHNA SIGNIFICANT HEALTH NEED: POPULATION HEALTH & HEALTH EQUITY CHNA COMMUNITY HEALTH NEED/ RATIONALE: - 4% OF WAUKESHA COUNTY RESIDENTS UNINSURED - 13% OF WAUKESHA COUNTY RESIDENTS DID NOT SEEK MEDICAL CARE DUE TO COST - 9% OF WAUKESHA COUNTY RESIDENTS REPORTED HAVING UNMET MEDICAL CARE IN THEIR HOUSEHOLD - 5% OF WAUKESHA COUNTY RESIDENTS RESPONDED THAT A HOUSEHOLD MEMBER DID NOT TAKE PRESCRIPTION MEDICATION DUE TO COST GOAL: IMPROVE EQUITABLE ACCESS TO PRIMARY, COMPREHENSIVE, QUALITY HEALTH AND DENTAL CARE SERVICES. OBJECTIVES: 1. ENSURE A STRONG SAFETY NET OF SERVICES THAT IMPROVE ACCESS TO CARE AMONG PRIORITY POPULATIONS. 2. DECREASE THE PERCENT OF RESIDENTS WHO REPORTED UNMET MEDICAL AND DENTAL CARE (IN HOUSEHOLD). 3. PROVIDE INCLUSIVE, CULTURALLY AND LINGUISTICALLY COMPETENT CARE TO ALL PATIENTS, INFORMATION TO COMMUNITY MEMBERS AND EDUCATION TO STAFF. 4. PROVIDE AND ASSIST ELIGIBLE PATIENTS WITH AFFORDABLE TRANSPORTATION OPTIONS. 5. INCREASE NUMBER OF COMMUNITY CHRONIC DISEASE AND CANCER SCREENINGS, ACCESS TO SUPPORT SERVICES AND PREVENTION OPPORTUNITIES. FROEDTERT MENOMONEE FALLS HOSPITAL AVAILABLE RESOURCES: - COMMUNITY ENGAGEMENT LEADERSHIP/STAFF - FROEDTERT THEDACARE & MCW COMMUNITY PHYSICIANS - FINANCIAL SUPPORT THROUGH THE COMMUNITY OUTREACH STEERING COMMITTEE GIFTS - DEPARTMENT OF DIVERSITY AND INCLUSION - FROEDTERT MENOMONEE FALLS HOSPITAL FOUNDATION DEPARTMENT FROEDTERT MENOMONEE FALLS HOSPITAL COLLABORATIVE PARTNERS: - COMMUNITY OUTREACH HEALTH CLINIC-PARTNER ON PROVIDING HEALTHCARE AND BEHAVIORAL SERVICES TO UNDERSERVED POPULATIONS - COMMUNITY SMILES DENTAL-PARTNER ON PROVIDING DENTAL CARE TO UNDERSERVED POPULATIONS - FMFH FAMILY MEDICINE RESIDENCY PROGRAM-PARTNER ON PROVIDING HEALTHCARE SERVICES TO UNDERSERVED POPULATIONS - COMMUNITY COALITIONS (COLLECTIVE IMPACT & WAUKESHA COUNTY CHIPP)-PARTNER TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY - WAUKESHA COUNTY SCHOOL DISTRICTS-PARTNER TO PROMOTE SERVICES - MENOMONEE FALLS AND SUSSEX FOOD PANTRIES-PARTNER TO PROMOTE SERVICES - FAITH-BASED ORGANIZATIONS-PARTNER TO PROMOTE SERVICES - UNITED WAY OF GREATER MILWAUKEE & WAUKESHA COUNTY-PROVIDES FUNDING TO ADDRESS PRIORITY HEALTH NEEDS - AREA COMMUNITY EDUCATION AND RECREATION DEPARTMENTS-PROMOTES COMMUNITY EDUCATION AND WELLNESS CLASSES - AMERICAN CANCER SOCIETY-PARTNER TO GAIN RESOURCES TO IMPLEMENT SERVICES - BOBBIE NICK VOSS CHARITABLE FUNDS-PARTNER TO PROMOTE AND ACCESS CANCER CARE SERVICES TO UNDERSERVED POPULATIONS - ERAS SENIOR PROGRAMS WAUKESHA COUNTY-PROMOTES COMMUNITY EDUCATION AND WELLNESS CLASSES - MEDICAL COLLEGE OF WISCONSIN-PARTNER ON FACULTY Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - DBA FROEDTERT MENOMONEE FALLS. PART V, LINE 11 (CONT) COMMUNITY OUTREACH HEALTH CLINIC The Community Outreach Health Clinic is a facility where uninsured populations at or below 250% federal poverty level can seek free medical care. The clinic serves people who do not have medical insurance or the ability to pay for medical care. The clinic provides quality medical care with dignity and confidentiality using the services of two Nurse Practitioners, RN Care Coordinator, and volunteers including, physicians, nurses, pharmacists, technicians and other professional staff. This clinic is open Tuesday and Thursday evenings from 5 - 9pm. FY 2022 Outcomes/Progress: Patient Referral Statistics/Outcomes for FY22: - Free or reduced pharmaceuticals dispensed: 2,610 - Laboratory Tests (Donated by Hospital): 841 - Cardiology Procedures (Donated by Hospital): 6 - Radiology Procedures (Donated by Hospital): 23 - Referrals to Specialty Care (Donated by F&MCW Community Physicians): 42 - Clinic served 809 individuals FY 2023 Outcomes/Progress: Patient Referral Statistics/Outcomes for FY23: - Free or reduced pharmaceuticals dispensed: 2,078 - Laboratory Tests (Donated by Hospital): 957 - Cardiology Procedures (Donated by Hospital): 15 - Radiology Procedures (Donated by Hospital): 45 - Referrals to Specialty Care (Donated by F&MCW Community Physicians): 49 - Clinic served 766 individuals FY 2024 Outcomes/Progress: Patient Referral Statistics/Outcomes for FY24: - Free or reduced pharmaceuticals dispensed: 2,449 - Laboratory Tests (Donated by Hospital): 971 - Cardiology Procedures (Donated by Hospital): 13 - Radiology Procedures (Donated by Hospital): 43 - Referrals to Specialty Care (Donated by F&MCW Community Physicians): 50 - Clinic served 840 individuals Family Medicine Residency Program The Froedtert Menomonee Falls Hospital Family Medicine Residency program in Menomonee Falls opened in July 2017 and offers specialty and inpatient rotations at Froedtert Menomonee Falls Hospital, the primary training site, while also featuring an outpatient clinic across the street at Town Hall Health Center, to new Medical College of Wisconsin residents. The six residents took advantage of learning in both a clinic location and a community hospital setting with access to an academic medical center. The Patient-Centered Medical Home model added to the optimal learning environment. In addition to providing exceptional training to new residents, the program also helps to address family medicine physician shortages and expands access to quality health care. FY 2022 Outcomes/Progress: - 16,588 patient visits - Menomonee Falls Senior Enrichment Fair Breakout session on COVID: Truth vs. Myth with 37 attendees. - Panel presenter on virtual webinar entitled Guarding Seniors from Drug Misuse in Partnership with the Heroin task Force with 27 people that attended live event. - Presenter at the Waukesha County Aging & Disability Resource Center's Cup of Health entitled Wellbeing in Turbulent Times with 7 people in attendance. - Attended Safety Town to present on bike safety to three sessions of preschool age students with a total attendance of 69 kids. FY 2023 Outcomes/Progress: - 14,816 patient visits - Menomonee Falls Senior Enrichment Fair Breakout session on vaccinations called Vaccines for the Elderly with 7 attendees. FY 2024 Outcomes/Progress: - 14,458 patient visits - Presented at Wisconsin's Independent Living program, locally operated by Forward Careers. This program is designed to empower young adults aging out of foster care to live independently and participate fully in their communities. 4 students in attendance learned about health screenings and insurance. Community Smiles Dental Community Smiles Dental and Froedtert Menomonee Falls Hospital developed a partnership to expand dental services to Menomonee Falls for uninsured/underinsured children and adults. Froedtert ThedaCare Health allocated a $1.65 million grant which is paid out over a five year span which began in FY 2018 and ended in FY 2022. The dental clinic is owned and operated by Community Smiles Dental in Menomonee Falls and provides preventative, routine and emergent dental care for the hospital's overall service area. Through the terms developed through the grant, Froedtert ThedaCare Health will provide restricted financial support for the rent, construction, equipment and operations for Menomonee Falls Clinic. FY 2022 Outcomes/Progress: - Provided $250,000 restricted grant to cover construction costs and first year operational costs - Continue to network with community partners on children and adult dental needs and services - 5,457 dental appointments - 21,068 dental procedures - 227 emergency exams - Total unique patients - 1,990 - Total value of care: $1,704,660 FY 2023 Outcomes/Progress: - Provided $100,000 restricted grant to cover construction costs and first year operational costs - Continue to network with community partners on children and adult dental needs and services - 5,027 dental appointments - 20,464 dental procedures - 128 emergency exams - Total unique patients - 1,762 (1,392 children, 370 adults) - Total value of care: $1,355,523 FY 2024 Outcomes/Progress: - Provided $600,000 restricted grant to cover construction costs and operational costs - Continue to network with community partners on children and adult dental needs and services - 5,071 dental appointments - 22,765 dental procedures - 167 emergency exams - Total unique patients - 1,855 (1,510 children, 345 adults) - Total value of care: $1,488,958 Chronic Disease and Cancer Preventative Screenings and Management FY2022 Outcomes/Progress: - Froedtert Menomonee Falls Hospital partners with the Bobbie Nick Voss Charitable Funds to provide free colonoscopies to patients (age 50 and above) in the Community Outreach Health Clinic that show signs or symptoms of colorectal related health conditions. 3 uninsured patients received a colonoscopy at no cost. - Monthly blood pressure screenings completed at the Menomonee Falls Senior Center. 75 blood pressure screenings were completed on 28 unique individuals. Results are tracked and basic education and coaching is done with participants. - Cancer Education Classes and Attendance (all classes were virtual) - Eating Well to Prevent Cancer - 7 attendance - Ovarian Cancer Awareness - 3 attendance - Advance Care Planning - 13 attendance - Navigation results from Lisa Lamontagne, Oncology Social Worker and Cancer Navigator include 45 patients that were screened and referred to community resources/assistance. Referrals include insurance resources, government assistance programs, transportation, food pantries and community based outpatient behavioral health services. FY2023 Outcomes/Progress: - Froedtert Menomonee Falls Hospital partners with the Bobbie Nick Voss Charitable Funds to provide free colonoscopies to patients (age 50 and above) in the Community Outreach Health Clinic that show signs or symptoms of colorectal related health conditions. Three uninsured patients received a colonoscopy at no cost. - Monthly blood pressure screenings completed at the Menomonee Falls Senior Center and Sussex Food Pantry. 112 blood pressure screenings were completed on 60 unique individuals. Results are tracked and basic education and coaching is done with participants. - Navigation results from Kelly Russel, Oncology Social Worker and Cancer Navigator include 56 patients that were screened and referred to community resources/assistance. Referrals include insurance resources, government assistance programs, transportation, food pantries and community based outpatient behavioral health services. Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - DBA FROEDTERT MENOMONEE FALLS. PART V, LINE 11 (CONT) FY2024 Outcomes/Progress: - Froedtert Menomonee Falls Hospital partners with the Bobbie Nick Voss Charitable Funds to provide free colonoscopies to patients (age 50 and above) in the Community Outreach Health Clinic that show signs or symptoms of colorectal related health conditions. Seven uninsured patients received a colonoscopy at no cost. In addition, we are working to increase the number of residents in Southeast Wisconsin who participate in colorectal screenings with in-home testing kits. In 2024, a second round of mailings of the Fecal Immunochemical Tests (FIT) Kits through the United States Postal Service to 800 Froedtert ThedaCare & the Medical College of Wisconsin patients who are overdue for colonoscopy screenings. The at-home testing kits are designed to address gaps in colorectal cancer screening between Non-BIPOC+A /BIPOC+A populations (black, indigenous, people of color). FIT Kits are an excellent first step for patients hesitant to undergo a colonoscopy. - Monthly blood pressure screenings at the Menomonee Falls Senior Center screened 65 people. Bimonthly blood pressure screenings at Sussex Area Outreach Services screened 34 people. Participants receive basic education and coaching based on their results. - Navigation results from Kelly Russel, Oncology Social Worker and Cancer Navigator include 115 patients that were screened, and 26 referrals were provided to community resources/assistance. Referrals include insurance resources, government assistance programs, transportation, food pantries and community based outpatient behavioral health services. Subsidized Transportation The Subsidized Medical Transportation Program at Froedtert Menomonee Falls contracts with local transportation organizations in order to provide transportation to and from the hospital service locations for ambulatory/non-ambulatory eligible patients (200% federal poverty level or below) who have difficulty arranging their own transportation and lack the financial resources to purchase transportation. FY2022 Outcomes/Progress: - Froedtert Menomonee Falls provided 496 subsidized rides to 467 patients with a total cost of $26,378. - Added an additional non-ambulatory transportation provider to increase capacity. FY2023 Outcomes/Progress: - Froedtert Menomonee Falls Hospital provided 128 subsidized rides to 113 patients with a total cost of $11,502. - Added an additional non-ambulatory transportation provider to increase capacity. FY2024 Outcomes/Progress: - Froedtert Menomonee Falls Hospital provided 248 subsidized rides with a total cost of $7,405. - Added an additional non-ambulatory transportation provider to increase capacity. Bias & Institutional Racism FY2022 Outcomes/Progress: - Exploration of programs and partnerships FY2023 Outcomes/Progress: - Exploration of programs and partnerships. FY2024 Outcomes/Progress: - Froedtert ThedaCare Health hosted an unconscious bias webinar with Judge Derek Mosley on September 28th. - Microaggression Learning Center module were incorporated into yearly staff learning bundle. - Staff badge extenders made available to add pronouns. Grants and In-Kind Contributions FY2022 Outcomes/Progress: - Provided $60,000 to improve population health/health equity in Waukesha County through the Community Outreach Steering Committee grants. - HOPE Inc- Healthy Moms and Birth Outcomes Project- $2,000 - Friends of Germantown Parks- Fit in the Parks - $1,000 - Hebron House of Hospitality- Jeremy House Safe Haven- $5,000 - Youth Choice to Live Inc.- Summer Webinar Series- $5,000 - Family Promise Waukesha County- Their Future Begins at Home Housing Project- $5,000 - Community Outreach Health Clinic- Clinic Operations- $42,000 - Staff volunteered 291.5 hours for the flu clinics that reached 1,089 individuals FY2023 Outcomes/Progress: - Provided $45,000 to improve population health/health equity in Waukesha County through the Community Outreach Steering Committee grants. - Friends of Germantown Parks- Fit in the Parks - $1,000 - Hebron Housing Services- Operational Cost for Emergency Shelters- $10,000 - Family Promise Waukesha County- Family Homelessness Prevention Project- $7,500 - Community Outreach Health Clinic- Clinic Operations- $25,000 - School District of Waukesha County - SDW Wake Up Call - $1,500 - Staff volunteered 154.5 hours for the flu clinics that reached 455 individuals FY2024 Outcomes/Progress: - Provided $75,000 to improve population health/health equity in Waukesha County through the Community Outreach Steering Committee grants. - Elevate - Community Project and Peers 4 Peers - $12,500 - The YMCA of Greater Waukesha County - Cardiac Rehab Maintenance Program - $5,000 - Sussex Area Outreach Services - Cooler repair and enhancements - $10,000 - CV Academics Foundation - Supporting students interested in a career in health care - $8,700 - Family Promise of Waukesha County - Homeless Prevention Project - $7,500 - Menomonee Falls Food Pantry - Food and hygiene items - $3,000 - Germantown Fit in the Park - Free health and exercise activities - $1,000 - Community Outreach Health Clinic - Clinic operations - $27,300 - Staff volunteered 179 hours for the flu clinics that reached 430 individuals Social Engagement, Support Groups, Prescription Drug Prevention, Treatment, Screenings and Referrals Services CNHA Significant Health Need: Behavioral Health (Mental Health and Substance Use & Abuse) CHNA Community Health Need/ Rationale: - 32% of Waukesha County residents reported binge drinking - 19% of Waukesha County residents reported having a Mental Health Condition - 4% of Waukesha County residents reporting having unmet mental health care in household - 3% of Waukesha County residents reporting considering suicide in past year Goals: 1. Support behavioral health outreach, education, and prevention programs. 2. Improve access to behavioral health treatment, services and navigation of community resources. Objectives: 1. Increase opportunities for social engagement to reduce isolation, depression and addiction. 2. Increase opportunities for the safe removal of prescription drugs from households. 3. Increase number of behavioral health treatment services, screenings and referrals targeted at underinsured populations through the Community Outreach Health Clinic. 4. Decrease the percent of residents who reported unmet mental health care (in household). Froedtert Menomonee Falls Hospital Available Resources: - Community Engagement leadership/staff - Grant support through the Community Outreach Steering Committee - Froedtert ThedaCare Health Behavioral Health Services - Froedtert ThedaCare & MCW Community Physicians Froedtert Menomonee Falls Hospital Collaborative Partners: - Waukesha County Health & Human Services-Partner to promote and implement behavioral health efforts. - Elevate, Inc-Partner on substance abuse prevention efforts - NAMI Southeast Wisconsin-Partner to promote mental wellness efforts - Community Outreach Health Clinic-Partner to promote and provide behavioral health services - Menomonee Falls Police Department-Partner for Drug Collection - Aging & Disability Resource Center-Community partner addressing opiate and alcohol use among older adults - UW-Extension -Waukesha County-Community partner working on programming with older adults and social engagement - Addiction Resource Council-Partner to promote and access alcohol and drug abuse services to underserved populations - Waukesha County School Districts-Partner to promote opportunities to students - Eras Senior Programs Waukesha County-Promotes community education and wellness classes Behavioral Health Support Groups and Programs FY 2022 Outcomes/Progress: - Participating member in the Waukesha County Criminal Justice Collaborative - Guarding seniors from Drug Misuse webinar in partnership with the Heroin Task Force. FY 2023 Outcomes/Progress: - Participating on the mental health community health action team through the Waukesha County Public Health Department. - Behavioral Health Peer Support Group with 60 participants FY 2024 Outcomes/Progress: - Participating on the mental health community health action team through the Waukesha County Public Health Department. - Focus areas include: - Youth Mental Health Navigation - Youth Mental Health Days - Promoting 988 and other hotlines/warmlines - Ending the Silence - Behavioral Health Peer Support Group with 406 participants Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - DBA FROEDTERT MENOMONEE FALLS. 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 - DBA FROEDTERT MENOMONEE FALLS. OUT OF POCKET MAXIMUM DISCOUNT. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - DBA FROEDTERT MENOMONEE FALLS. WE REQUEST ADDITIONAL DOCUMENTATION WHEN AN INDIVIDUAL HAS SUBMITTED AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION. 0 Schedule H, Part VI, Line 7 COMMUNITY BENEFIT DATA IS REPORTED ANNUALLY TO THE WISCONSIN HOSPITAL ASSOCIATION. Schedule H, Part I, Line 6a Every year, Froedtert ThedaCare Health produces an annual report to the community highlighting community outreach programs, patient impact stories and investments in the communities we serve. The report is mailed to over 150 area non-profits, chambers of commerce, hospital partners, Froedtert Menomonee Falls Hospital Board of Directors, Froedtert Menomonee Falls 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/about/annual-reports Schedule H, Part V, Section C Facilities Policies, Line 11 (continued) Grants and In-Kind Contributions FY2022 Outcomes/Progress: - Provided $15,000 to improve behavioral health in Waukesha County through the Community Outreach Steering Committee grants. - Addiction Resource Council- Outreach and Ind/Family Support Programs- $15,000 - Coalition work- Heroin Task Force of Waukesha County & Prevention sub-committee FY2023 Outcomes/Progress: - Provided $30,000 to improve behavioral health in Waukesha County through the Community Outreach Steering Committee grants. - Addiction Resource Council- Outreach and Ind/Family Support Programs- $20,000 - Family Services - Supporting Student Mental Health in Schools - $10,000 - Coalition work - Heroin Task Force of Waukesha County & Prevention sub-committee and Mental Health Community Health Action Team FY2024 Outcomes/Progress: - Provided $12,500 to improve behavioral health in Waukesha County through the Community Outreach Steering Committee grants. - Elevate Inc. - Elevate Community Project and Peers 4 Peers- $12,500 - Coalition work - Heroin Task Force of Waukesha County & Prevention sub-committee and Mental Health Community Health Action Team Drug Collection (AODA/Mental Health) As part of our commitment to improve the quality of life in our community and address drug/heroin addiction in our communities, Froedtert Menomonee Falls Hospital partners with the Menomonee Falls Police Department to host drug collections. FY 2022 Outcomes/Progress: At the collections, area residents dropped off 633pounds of prescription and over-the-counter medications and 330 area households participated in the collection. This year it took 35 staff and 103 hours to make the collections possible FY 2023 Outcomes/Progress: At the collections, area residents dropped off 543 pounds of prescription and over-the-counter medications and 350 area households participated in the collection. This year it took 26 staff and 116 hours to make the collections possible. FY 2024 Outcomes/Progress: At the collection, area residents dropped off 466 pounds of prescription and over-the-counter medications and 279 area households participated in the collection. This year it took 23 staff and 64 hours to make the collections possible. Community Outreach Health Clinic FY 2022 Outcomes/Progress: - Behavioral health screenings: 160 - Counseling/Case Management: 80 - Medically Assisted Treatment (MAT): 40 FY 2023 Outcomes/Progress: - Behavioral health screenings: 140 - Counseling/Case Management: 68 - Medically Assisted Treatment (MAT): 48 FY 2024 Outcomes/Progress: - Behavioral health screenings: 112 - Counseling/Case Management: 118 - Medically Assisted Treatment (MAT): 37 CNHA Significant Health Need: Workforce Development (health care career exploration) CHNA Community Health Need/ Rationale: - 2.2% unemployment rate - 4.8% of Waukesha County residents live in poverty - Froedtert Menomonee Falls Hospital provides yearly scholarships to high school students - Froedtert Menomonee Falls Hospital serves over 5,000 students through workforce development programs per year Goals: Increase student's exposure to health care careers. Objectives: Increase opportunities for students to gain exposure to all health care careers including medical, dental and behavioral health. Froedtert Menomonee Falls Hospital Available Resources: - Community Engagement leadership/staff - Froedtert ThedaCare Health Workforce Development - Froedtert ThedaCare Health Human Resources - Froedtert ThedaCare Health Organizations Development - Froedtert Menomonee Falls Hospital Foundation Department Froedtert Menomonee Falls Hospital Collaborative Partners: - Waukesha County School Districts-Partner to promote opportunities to students - Waukesha County Business Alliance -Partner to promote opportunities to students - Waukesha County Community Organizations-Partner to promote workforce development opportunities Community Engagement Workforce Development Program FY 2022 Outcomes/Progress: - Evaluate current partnerships and resources - Create effectiveness criteria - Develop and implement a coordinated plan - Develop a tracking tool FY 2023 Outcomes/Progress: - Developed a core working group to determine Community Engagement Workforce Development structure and staffing - Determined workforce development programs that align with Community Engagement scope and outreach - Developed a proposal that outlined programs, health system leads and future recommendations for approval FY 2024 Outcomes/Progress: - Held internal meetings with a core working group to determine and align Community Engagement Workforce Development structure and staffing - Held external meetings with three school districts to discuss partnership opportunities - Waukesha, Pewaukee and Sussex Hamilton. - Determined workforce development programs that align with Community Engagement scope and outreach to include health care career presentations, career exploration booths and special project partnerships. Froedtert Menomonee Falls Hospital Foundation Scholarship Program FY2022 Outcomes/Progress: - 33 students received a scholarship through the Froedtert Menomonee Falls Hospital Foundation with a total dollar amount of $81,000 FY2023 Outcomes/Progress: - 32 students received a scholarship through the Froedtert Menomonee Falls Hospital Foundation with a total dollar amount of $91,100 FY2024 Outcomes/Progress: - 27 students received a scholarship through the Froedtert Menomonee Falls Hospital Foundation with a total dollar amount of $100,100 Schedule H, Part V, Section C Facilities Policies, Line 11 (Continued) Promote Mission Critical Health Care Careers Health care exploration programs are offered to showcase healthcare careers to middle and high school students. Students have the opportunity to participate in job shadows, get department tours and have small group or one-on-one time with health care professionals to discuss career pathways along with answering their questions. FY 2022 Outcomes/Progress: - Froedtert Menomonee Falls Hospital partnered with LAUNCH for two multi-week sessions with health care mentors. There were 42 students served. Eight staff supported the LAUNCH mock interviews for 42 students. Eight classroom presentations were done in a Biomedical Solutions Health Care classroom. - Presentations on careers and health topics at Waukesha North, Germantown & Sussex Hamilton High Schools. - A multi-week virtual job shadow took place with the Menomonee Falls High School Capstone classroom that included 12 students. - Supported Junior Achievement's Career Day at Muskego High School with 10 staff presenting to 560 students. - Provided job shadows for one student. - Provided clinical and nursing preceptor hours to 573 students. - Provided non-clinical preceptor hours to 77 students. FY 2023 Outcomes/Progress: - Froedtert Menomonee Falls Hospital partnered with LAUNCH for two multi-week sessions with health care mentors. There were 72 students served and 24 staff mentors. - 6 staff supported 9 different LAUNCH mock interview slots for 39 students. - 15 classroom presentations were done in a Biomedical Solutions Health Care classroom. - Presentations on careers and health topics at Brookfield East High School, Waukesha North, and Germantown High School. - Participated on a story telling panel where 13 staff served as an authentic audience with 130 students. - Waukesha Business Alliance Health Care Career Expo: 475 students attended with 9 Froedtert ThedaCare Health booths staffed by 19 staff and one comfort dog and handler. - Participated in a virtual Junior Achievement presentation where 645 students participated. - Junior Achievement presentation at Muskego High School (144 students). A total of 5 Froedtert ThedaCare Health speakers serving 18 hours. - Provided job shadows for 13 students. - Provided clinical and nursing preceptor hours to 304 students. - Provided non-clinical preceptor hours to 91students. FY 2024 Outcomes/Progress: - Froedtert Menomonee Falls Hospital partnered with LAUNCH for two multi-week sessions with health care mentors. There were 78 students served and 24 staff mentors. In addition, 3 staff served at judges at the spring showcase event. - 7 staff supported 10 different LAUNCH mock interview slots for 55 students. - Presentation on suturing at Germantown High School. - Participated in Mukwonago High School Healthcare Symposium - Capstone Project Gallery Walk where 6 staff attended impacting 31 students. - Waukesha Business Alliance Health Care Career Expo: 650 students attended with 7 Froedtert ThedaCare Health booths staffed by 13 staff and one comfort dog and handler. - Participated in a virtual Junior Achievement Career Panel on careers in Mental Health providing 3 speakers and a moderator. - Created a new partnership with AMP Honors where staff participated in short career interviews. Coordinated 6 staff interviews. - Participated in Pewaukee School District's Academic and Career Advisory Board. - Provided job shadows for 30 students. - Provided clinical and nursing preceptor hours to 288 students. - Provided non-clinical preceptor hours to 137 students. Health Disparities, Immunizations and Preparedness CNHA Significant Health Need: Infectious Disease CHNA Community Health Need/ Rationale: - 49.8% of Waukesha County residents have received at least one COVID-19 vaccine dose - 43.2% of Waukesha County residents have completed the COVID-19 vaccine series - Over 500 total COVID-19 deaths Goals: Support infectious disease outreach, education and prevention initiatives Objectives: 1. Increase outreach to priority populations to reduce health disparities related to access to care, language, historical trauma and other barriers. 2. Improve access to infectious disease immunizations. 3. Enhance collaborations with community partners on emergency preparedness efforts. 4. Achieve a low COVID-19 case activity level in Waukesha County by June, 2024.* Froedtert Menomonee Falls Hospital Available Resources: - Community Engagement leadership/staff - Froedtert ThedaCare Health Emergency Preparedness Department - Froedtert ThedaCare Health Infectious Disease and Clinical Experts Froedtert Menomonee Falls Hospital Collaborative Partners: - Waukesha County Health Department-Partner to promote and implement infectious disease efforts - Community Outreach Health Clinic-Partner to promote infectious disease services - United Way of Greater Milwaukee & Waukesha County-Provides funding to address priority health needs - Eras Senior Programs Waukesha County -Promotes community education and wellness classes Outreach and Prevention FY 2022 Outcomes/Progress: - Presentation at Menomonee Falls Senior Enrichment Fair titled COVID: Myths & Facts. FY 2023 Outcomes/Progress: - Presentation at Menomonee Falls Senior Enrichment Fair titled Vaccines for the Elderly with 7 attendees. FY 2024 Outcomes/Progress: - Shared information about the RSV vaccine at the Menomonee Falls Senior Center before Bingo with 41 attendees. Immunization Clinics FY 2022 Outcomes/Progress: - During the fall of FY22, provided 1,032 flu vaccines at THHC drive thru drives, 57 free flu vaccines at various community partner sites. 1,365 at all Froedtert ThedaCare Health system drive-thru drives. People were immunized at various locations as well as through drive through flu clinics. Each of the clinics was staffed by hospital pharmacists and support staff who were certified by the state to administer immunizations. - 69.1% of Waukesha County residents have received at least one dose of the COVID-19 vaccine - 66.4% of Waukesha County residents have completed the COVID-19 vaccine series - 38.6% of Waukesha County residents have received a booster dose FY 2023 Outcomes/Progress: - During the fall of FY23, provided 354 flu vaccines at THHC drive thru drives, 97 free flu vaccines at various community partner sites. 512 at all Froedtert ThedaCare Health system drive-thru drives. People were immunized at various locations as well as through drive through flu clinics. Each of the clinics was staffed by hospital pharmacists and support staff who were certified by the state to administer immunizations. FY 2024 Outcomes/Progress: - During the fall of FY24, provided 340 flu vaccines at THHC drive thru drives, 90 free flu vaccines at various community partner sites. 477 at all Froedtert ThedaCare Health system drive-thru drives. People were immunized at various locations as well as through drive through flu clinics. Each of the clinics was staffed by hospital pharmacists and support staff who were certified by the state to administer immunizations. Emergency Preparedness Plan FY2022 Outcomes/Progress: - Explored opportunities to strengthen partnership with health department. FY2023 Outcomes/Progress: - Explored opportunities to strengthen partnership with health department. FY2024 Outcomes/Progress: - The Froedtert ThedaCare Health Emergency Management Department has collaborative plans with the health department. Schedule H, Part V, Section C Significant Health Needs Not Addressed, Line 11 Significant Health Needs Not Addressed - Tobacco Use: Froedtert Menomonee Falls Hospital supports the Multi-Jurisdictional Coalition of Tobacco Free Community Partnership Dodge, Jefferson and Waukesha Counties. - Nutrition: Froedtert Menomonee Falls Hospital supports the Waukesha County CHIPP by actively participating on the county-wide nutrition committee. - Food Insecurity: Froedtert Menomonee Falls Hospital actively participates on the Waukesha County CHIPP Coalition by supporting initiatives through the county-wide nutrition committee. In addition, the hospital supports initiatives through the local food pantries. - Housing/Homelessness: Froedtert Menomonee Falls Hospital supports the Milwaukee HealthCare Partnership through the Housing Navigation Program. - Safety/Violence: Froedtert Menomonee Falls Hospital supports The Women's Center, Violence Interrupter Program and a culture of see something say something. Schedule H, Part II Community Building Activities To promote the health of our communities, Froedtert Menomonee Falls Hospital participates in numerous community building activities, which are not included elsewhere on Schedule H. These activities include: 1. Economic Development: 3 leaders participate in local chamber of commerce boards focused on economic development to improve the local economy and local job opportunities. 2. Community Support: 25 hours were dedicated to supporting youth focused coalitions to improve the community environment for youth to set them up for greater success. 3. Community Health Improvement Advocacy: Participation in completing the Community Health Improvement Plan initiatives with the local health departments to increase collaborative work in our communities. 4. 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. Work with high school students to increase their interest in health care careers and includes things such as HealthCare Career Academy, hospital tours, career events and observation experiences. 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 AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD PARTY COVERAGE EXISTS FOR PART OF THE BILL), FROEDTERT THEDACARE HEALTH, INC. 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, INC. 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 ON THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs FMFH 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 COLLECTION POLICY REGARDING THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS, FMFH MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICIES FOR ASSISTING THOSE PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE IN A PROFESSIONAL AND CONSISTENT MANNER. STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS SUCH AS PATIENT FINANCIAL SERVICES CUSTOMER SERVICE AND FINANCIAL COUNSELING STAFF, AS WELL AS THOSE INVOLVED IN BILLING AND COLLECTIONS ARE TRAINED ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE OR THEIR ABILITY TO PAY FOR SERVICES. OTHER STAFF WHO MAY HAVE INTERACTIONS WITH PATIENTS, SUCH AS ADMITTING STAFF ARE ALSO AWARE OF THE POLICY, AND ABLE TO PROVIDE PATIENTS A COPY OF AN APPLICATION UPON REQUEST AND ALSO ARE COMMITTED TO TREATING PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE OR THEIR ABILITY TO PAY FOR SERVICES. Schedule H, Part V, Section B, Line 16a FAP website - COMMUNITY MEMORIAL HOSPITAL DBA FROEDTERT MENOMONEE FALLS: Line 16a URL: www.froedtert.com/financial-services; Schedule H, Part V, Section B, Line 16b FAP Application website - COMMUNITY MEMORIAL HOSPITAL DBA FROEDTERT MENOMONEE FALLS: Line 16b URL: www.froedtert.com/financial-services; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - COMMUNITY MEMORIAL HOSPITAL DBA FROEDTERT MENOMONEE FALLS: Line 16c URL: www.froedtert.com/financial-services; Schedule H, Part VI, Line 2 Needs assessment In 2020, a CHNA was conducted to 1) determine current community health needs in Waukesha 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 Menomonee Falls Hospital assesses 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 was collected and taken into consideration for assessing and addressing community health needs: Community Health Survey: Using the Center for Disease Control's Behavioral Risk Factor Surveillance System (BRFSS), a telephone-based survey of 400 residents was conducted by Froedtert Menomonee Falls Hospital in collaboration with the Milwaukee Health Care Partnership. The full report of this survey can be found at https://www.froedtert.com/community-engagement. Key Informant Interviews: Froedtert Menomonee Falls Hospital Community Engagement team and leaders conducted 47 interviews with community leaders of various school districts, non-profit organizations, health & human service department and business leaders. The full Key Informant Results can be found at https://www.froedtert.com/community-engagement. Community Partner/Agency Reports: To better understand the needs of our underserved populations; Froedtert Menomonee Falls Hospital obtained important data and trends from partner organizations such as Community Outreach Health Clinic, United Way of Greater Milwaukee & Waukesha County ALICE Report, and Impact 211 data specific to FMFH's primary service area to seek important trends, demographic data and services to provide an inclusive viewpoint of community needs for these unrepresented populations. Secondary Data Reports: Utilizing multiple county and community-based publicly available reports, information was gathered regarding: Mortality/Morbidity data, Injury Hospitalizations, Emergency Department visits, Waukesha County Health Rankings, Public Safety/Crime Reports and Socio-economic data. A full summary of Secondary Data information can be found at https://www.froedtert.com/community-engagement. Froedtert Menomonee Falls Hospital is committed to addressing community health needs collaboratively with local partners. Froedtert Menomonee Falls Hospital used the following methods to gain community input from June-September 2020 on the significant health needs of the Froedtert Menomonee Falls Hospital's community. These methods provided additional perspectives on how to select and address top health issues facing Froedtert Menomonee Falls Hospital's community. Input from Community Members Key Informant Interviews: Key organizations with specific knowledge and information relevant to the scope of the identified significant health needs ("informants") in Froedtert Menomonee Falls Hospital's community, including Waukesha 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. These local partnering organizations also invited the informants to participate in and conduct the interviews. The interviewers used a standard interview script that included the following elements: - Ranking of up to five public health issues, based on the focus areas presented in Wisconsin's State Health Plan, that are the most important issues for Waukesha County; and - For those five public health issues: - Existing strategies to address the issue - Barriers/challenges to addressing the issue - Additional strategies needed - Key groups in the community that hospitals should partner with to improve community health - Identification of subgroups or subpopulations where efforts could be targeted - Ways efforts can be targeted toward each subgroup or subpopulation - To be responsive to the current conditions during the COVID-19 pandemic, the following additional questions were added to the interview guide: - What community needs or gaps have developed since the coronavirus pandemic began? - How can health care organizations support the community during this pandemic? - What methods of communication and outreach have been successful to reach partners and community members during the pandemic? - How would you suggest health care organizations outreach to community partners and members to implement health initiatives? Underserved Population Input: Froedtert Menomonee Falls 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 Menomonee Falls 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 Informant Interviews: The key informant interviews included input from members of organizations representing medically underserved, low-income and minority populations. Summary of Community Member Input Top five health issues ranked most consistently or most often cited for Waukesha County were: Key Informant Interviews: - Mental Health - Substance Use and Abuse - Access to Health Care - Chronic Disease - Nutrition Community Health Survey: - Coronavirus/COVID-19 - Illegal Drug Use - Overweight or Obesity - Chronic Diseases - Mental Health or Depression After adoption of the CHNA Report and Implementation Strategy, Froedtert Menomonee Falls Hospital publicly shares both documents with community partners, key informants, hospital board members, public schools, non-profits, hospital coalition members, the Waukesha County Public Health Division, 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 ThedaCare Health website at https://www.froedtert.com/contact, or contacting Froedtert ThedaCare Health, Inc.'s Community Engagement leadership/staff with questions and concerns by calling 414-777-1926. Froedtert Menomonee Falls Hospital received no comments or issues with the previous Community Health Needs Assessment Report and/Implementation Strategy. IN 2023, THE MOST RECENT CHNA WAS COMPLETED WITH THE DEVELOPMENT OF THE 2025-2027 IMPLEMENTATION STRATEGY/COMMUNITY HEALTH IMPROVEMENT PLAN. HOWEVER, THIS NARRATIVE IS A THREE YEAR SUMMARY OF INITIATIVES AND OUTCOMES OF THE 2020 CHNA AND 2022-2024 IMPLEMENTATION STRATEGY/COMMUNITY HEALTH IMPROVEMENT PLAN. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Froedtert ThedaCare Health informs and educates patients regarding financial assistance and government program eligibility in a number of ways. Its communication efforts also address special needs of patients and their families, such as hearing or visual impairment or language interpretation. Information on hospital-based financial support policies and government programs are made available to patients during the pre-registration and registration processes through brochures, signage and direct contact with financial counselors, social workers / case managers and registration staff. Patient billing statements also inform patients that financial assistance is available. The FTCH website contains information regarding pricing, how to understand your hospital bill, and how to apply for Financial Assistance. Froedtert ThedaCare Health has made financial assistance forms and information available in Spanish, Arabic, Russian, and Hmong. Financial counselors screen uninsured patients for government program eligibility and social services staff are available to assist patients with enrollment processes. Patients who are uninsured, those covered by government programs and those with limited financial means may also be eligible for charity care or discounts through the Froedtert ThedaCare Health financial assistance program. Financial counselors make every effort to determine a patient's eligibility prior to or at the time of admission or service. However, determination for financial assistance can be made during any stage of the patient's stay after stabilization, or the collection cycle. Schedule H, Part VI, Line 4 Community information Community Information Overview Froedtert Menomonee Falls Hospital, founded in 1964 by the citizens of Menomonee Falls and surrounding communities and originally named Community Memorial Hospital, is a full-service hospital that specializes in cancer care, heart and vascular care, orthopaedics, women's health and advanced surgical procedures. Froedtert Menomonee Falls Hospital is part of the Froedtert ThedaCare & MCW health care network, which includes Froedtert Hospital in Milwaukee, eastern Wisconsin's only academic medical center; hospitals in Kenosha, Manitowoc, New Berlin, Pewaukee, Pleasant Prairie and West Bend; and more than 45 primary and specialty care health centers and clinics. Mission Statement Froedtert Menomonee Falls Hospital advances 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 purpose of the Community Health Needs Assessment, the community is defined as Northeast Waukesha County and Germantown because we derive 73% of discharges occur from this geography. All programs, activities, and partnerships under the CHNA will be delivered in Waukesha County. However, Froedtert Menomonee Falls Hospital's total service area consists of Waukesha County as well as zip codes in southern Washington County and western Milwaukee County. Froedtert Menomonee Falls Hospital determines its primary and secondary service areas by completing an annual review and analysis of hospital discharges and market share according to various determinants. The map reflects the 25 zip codes - 53005 (Brookfield), 53007 (Butler), 53012 (Cedarburg), 53017 (Colgate), 53022 (Germantown), 53027 (Hartford), 53029 (Hartland), 53033 (Hubertus), 53037 (Jackson), 53040 (Kewaskum), 53045 (Brookfield), 53046 (Lannon), 53051 (Menomonee Falls), 53072 (Pewaukee), 53076 (Richfield), 53086 (Slinger), 53089 (Sussex), 53090 (West Bend), 53095 (West Bend), 53122 (Elm Grove), 53218 (Milwaukee), 53222 (Milwaukee), 53223 (Milwaukee), 53224 (Milwaukee), and 53225 (Milwaukee). HOUSEHOLD INCOME CY24 - PRIMARY SERVICE AREA AND SECONDARY SERVICE AREA UNDER $24,999 - 15.01% AND 9.18% $25,000 - $49,999 - 17.02% AND 12.28% $50,000 - $99,999 - 29.19% AND 24.77% $100,000 AND UP - 38.78% AND 53.78% TOTAL HOUSEHOLDS - 122,201 AND 63,169 SOURCE: ESRI BAO PAYER SOURCE FY23 - PRIMARY SERVICE AREA AND SECONDARY SERVICE AREA COMMERCIAL/MANAGED CARE - 22.5% AND 30.7% MEDICAID - 21.8% AND 9.5% MEDICARE - 52.7% AND 58.2% OTHER GOVERNMENT - 1.1% AND 0.8% OTHER SELF PAY - 1.9% AND 0.8% SOURCE: WHA RACE CY24 - PRIMARY SERVICE AREA AND SECONDARY SERVICE AREA WHITE - 63.06% AND 80.95% AFRICAN AMERICAN - 24.22% AND 6.09% ASIAN/HAWAIIAN/PACIFIC ISLANDER - 5.57% AND 5.95% NATIVE AMERICAN - 0.32% AND 0.24% TWO OR MORE RACES - 5.14% AND 5.67% OTHER - 1.69% AND 1.10% HISPANIC - 4.60% AND 3.98% TOTAL POPULATION - 301,863 AND 154,869 SOURCE: ESRI BAO PAYER SOURCE FY24 Q3 - PRIMARY SERVICE AREA AND SECONDARY SERVICE AREA COMMERCIAL/MANAGED CARE - 21.9% AND 29.8% MEDICAID - 20.9% AND 9.4% MEDICARE - 54.0% AND 59.1% OTHER GOVERNMENT - 1.0% AND 0.8% OTHER SELF PAY - 2.1% AND 0.8% SOURCE: WHA Schedule H, Part VI, Line 5 Promotion of community health Promotion of Community Health: Other Community 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 Menomonee Falls Hospital's Community Engagement programming and health improvement activities are supported through staff resources, budgeted dollars for programming and community partnerships. United Way Employee Giving Campaign (Community Development) Froedtert Menomonee Falls Hospital collaborates with United Way of Greater Milwaukee and Waukesha County to address community needs in the areas of meeting basic needs, developing self-reliance, strengthening communities and community support. Community Memorial Hospital hosts an annual workplace giving campaign to support all local United Ways. FY 2022 Outcomes/Progress: - The implementation of the campaign took 305 hours of staff time to coordinate. As a health system, Froedtert ThedaCare staff, physicians, and leaders raised $1,207,919.51. FY 2023 Outcomes/Progress: - The implementation of the campaign took 137 hours of staff time to coordinate. As a health system, Froedtert ThedaCare staff, physicians, and leaders raised $1,257,932.20 FY 2024 Outcomes/Progress: - The implementation of the campaign took 137 hours of staff time to coordinate. As a health system, Froedtert ThedaCare staff, physicians, and leaders raised $1,220,269.21 Distracted Driving Programs (AODA) Speeding, recklessness and drug or alcohol use are common risk factors among children and teens killed in motor vehicle and transport crashes, according to the Wisconsin Child Death Review Council. Changes in behavior can help prevent death and injury from vehicle crashes, one of the top five causes of preventable death in Wisconsin children. To drive home a powerful message about the consequences of drinking and driving and to help prevent death from drunk driving crashes, Froedtert Menomonee Falls Hospital collaborates with local high schools in the "Every 15 Minutes" program. The program involves not only a mock crash, but multiple scenarios that are videotaped by high school students and presented at a moving and emotional assembly at school the next day. The hospital has been part of the "Every 15 Minutes" program since 2010, as the receiving hospital for mock crash victims arriving by local EMS ambulance and Flight for Life. The Emergency Care Center provides staffing to treat the mock victims in a realistic way. Physicians, nurses, EMTs, technicians and other staff are involved. Hospital staffs are also involved in the planning and communications. In a safe and caring way, the program confronts high school students with the real-life consequences of drug and/or alcohol use while driving and has been positively received by students and community. FY 2022 Outcomes/Progress: - Did not participate in FY22 due to COVID-19 FY 2023 Outcomes/Progress: - This program has not continued due to COVID-19 FY 2024 Outcomes/Progress: - This program has not returned. Financial Assistance & Affordable Care Financial Counseling (Access to Care) Froedtert ThedaCare Health (parent company of Froedtert Menomonee Falls Hospital) recognized the need to help individuals navigate financial resources including 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 screened and enrolled over 6,000 community members in Public Assistance and Marketplace Insurance Plans. These certified application counselors answer 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, Washington and Waukesha Counties in securing adequate and affordable health insurance. FY 2022 Outcomes/Progress: - Our network of certified application counselors assisted a total of 5,821 individuals with approximately 396 for Froedtert Menomonee Falls Hospital. FY 2023 Outcomes/Progress: - Our network of certified application counselors assisted a total of 6,759 individuals with approximately 527 for Froedtert Menomonee Falls Hospital. FY 2024 Outcomes/Progress: - Our network of certified application counselors assisted a total of 5,857 individuals with approximately 421 for Froedtert Menomonee Falls Hospital. Leadership Volunteerism/Community Support (Community Development) As an indication of Froedtert Menomonee Falls Hospital's executive team's commitment to the community, hospital leaders provided support to local initiatives, not-for-profit organizations, community boards and community events that align with the hospital's mission and directly support identified community needs. FY 2022 Outcomes/Progress: - 74 FMFH leaders provided 861 hours to community organizations and coalitions FY 2023 Outcomes/Progress: - 78 FMFH leaders provided 1,198 hours to community organizations and coalitions FY 2024 Outcomes/Progress: - 52 FMFH leaders provided 1,122 hours to community organizations and coalitions 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 Menomonee Falls 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: - 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 FY2022 Outcomes/Progress: - SANE nurses screened 14 patients and provided referrals and case management after initial consultation. FY2023 Outcomes/Progress: - SANE nurses screened 25 patients and provided referrals and case management after initial consultation. FY2024 Outcomes/Progress: - SANE nurses screened 16 patients and provided referrals and case management after initial consultation. SDOH Screening/UniteUs FY2024 Outcomes/Progress: Of those screened at Froedtert Menomonee Falls Hospital, 3,746 were patients who identified as underserved and 40 were referred. Drives FY2024 Outcomes/Progress: - Holiday Drive: 1,110 items collected by Froedtert Menomonee Falls Hospital with 48 total volunteer hours. - Healthy Shelves: 1,500 pounds of food was collected across the health network with 16 total volunteer hours from Froedtert Menomonee Falls Hospital staff. Schedule H, Part VI, Line 6 Affiliated health care system Affiliated Health Care Systems Froedtert Menomonee Falls Hospital located in Southeast Wisconsin, founded in 1964 by the citizens of Menomonee Falls and surrounding communities, is a full-service hospital that specializes in cancer care, heart and vascular care, orthopaedics, women's health and advanced surgical procedures. Froedtert Menomonee Falls Hospital is part of the Froedtert ThedaCare & MCW health care network, which includes Froedtert Hospital in Milwaukee, eastern Wisconsin's only academic medical center; hospitals in Kenosha, Pleasant Prairie and West Bend; and more than 40 primary and specialty care health centers and clinics. In the Southeast region, Froedtert Hospital, Froedtert Menomonee Falls Hospital, Froedtert West Bend Hospital, Froedtert Health Neighborhood Hospital, LLC, and Froedtert Holy Family Memorial Hospital made significant investments in the health of their communities. Patients who couldn't pay for their medical care received more than $188 million in uncompensated services. Beyond providing care for the uninsured/underinsured patients, we contributed $178 million to improve access to care, teach future healthcare professionals, develop new medical therapies and participate in local partnerships aimed at reducing health disparities. Our health network members develop community benefit strategies and goals based on the unique needs of each of their communities. By conducting regular community needs assessments that monitor critical public health issues, and actively seeking community input, the hospitals have built important local relationships that provide meaningful outreach programs that link each hospital to their neighbors and patients. As a not-for-profit health system, Froedtert 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, health education and promotion initiatives, and participate in local partnerships aimed at reducing health disparities. For more information about Froedtert ThedaCare Health, visit www.froedtert.com Promotion Of Community Health: The Community Outreach Steering Committee (COSC), which is a subcommittee of the hospital's Board of Directors, actualizes the mission of Froedtert Menomonee Falls Hospital through community benefit activities that improve the quality of life and enhance wellness resources, which meet identified comprehensive health needs of the communities served. The COSC is appointed annually by the hospital president and is advisory to the Community Memorial Hospital Board and Administration. Membership appointments are made each June with members serving one year terms. The COSC meets quarterly and is composed of hospital and board representatives, plus community members representing the various constituencies of the total service area. Functions include: - Provide a leadership role in advocating community wide responses to health care needs in the community. - Facilitate and support community and health care partnerships. - Envision, assess and guide new community benefit opportunities. - Identify and describe unmet health needs. - Promote universal access to health care. - Determine allocation of the Community Outreach Services Fund, which awards $50,000 annually towards area non-profits efforts to improve health disparities focused on Access to Care/Navigation, Mental Health/AODA and Chronic Disease Management in the communities Froedtert Menomonee Falls Hospital serves. Addressing Needs Through Targeted Outreach: Froedtert Menomonee Falls Hospital develops and executes community outreach programming and activities based on identified community health needs. Since 1990 Froedtert Menomonee Falls Hospital conducts needs assessments every three years in order to determine priorities and strategies in addressing community health disparities. Every needs assessment cycle, Froedtert Menomonee Falls Hospital Community Engagement staff along with the hospital's COSC develops 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 COSC. Froedtert Menomonee Falls Hospital Community Outreach 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 quarterly through the COSC, Physician Advisory Council, Leadership Meetings and the Board of Directors. Based on the results from the 2020 Community Health Needs Assessment, programs and activities are focused around the following identified health needs: - Population Health and Health Equity; - Behavioral Health; - Workforce Development (health care career exploration); and - Infectious Disease For more information on specific community outreach efforts, Implementation Strategy and Community Health Needs Assessments, please go to Froedtert ThedaCare Health's website at www.froedtert.com. Schedule H, Part VI, Line 7 State filing of community benefit report WI true WAUKESHA COUNTY COMMUNITY DENTAL CLINIC 2010 NW BARSTOW ST SUITE 305 WAUKESHA WI 53188 300436162 501(c)(3) 100000 SUPPORT OPERATIONS OPTIMIST CLUB OF MENOMONEE FALLS INC PO BOX 671 MENOMONEE FALLS WI 53052 237297960 501(c) (3) 50000 SUPPORT OPERATIONS FROEDTERT MENOMONEE FALLS HOSPITAL FOUNDATION INC W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53052 391635057 501(c) (3) 27300 SUPPORT OPERATIONS ELEVATE INC N169 W21005 MEADOW LANE JACKSON WI 53037 391256286 501(c) (3) 12500 SUPPORT OPERATIONS HEBRON HOUSE OF HOSPITATLITY INC 1166 QUAIL CT SUITE 400 PEWAUKEE WI 53072 391414365 501(c) (3) 10000 SUPPORT OPERATIONS SUSSEX OUTREACH SERVICES N64 W23760 MAIN STREET SUSSEX WI 53089 391746231 501(c) (3) 10000 SUPPORT OPERATIONS CV ACADEMICS FOUNDATION INC N37 W23800 BROKEN Hill CIRS PEWAUKEE WI 53072 844761897 501(c) (3) 8700 SUPPORT OPERATIONS FAMILY PROMISE OF WAUKESHA COUNTY INC 139 E NORTH STREET WAUKESHA WI 53188 455502675 501(c) (3) 7500 SUPPORT OPERATIONS 8 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ORGANIZATIONS SUBMIT GRANT REQUESTS TO THE COMMUNITY OUTREACH STEERING COMMITTEE (THE COMMITTEE). ON A QUARTERLY BASIS THE FUND ALLOCATIONS ARE DETERMINED. EACH ORGANIZATION SELECTED FOR FUNDS RECEIVES AN AWARD LETTER DETAILING THE EXPECTATIONS AND CONDITIONS OF THE GRANT MONEY. IN ORDER TO COMPLY WITH APPLICABLE TAX LAWS, REGULATIONS AND THE COMMUNITY OUTREACH SERVICES FUND POLICY, THE COMMUNITY OUTREACH SERVICES FUND WILL PROVIDE GRANT SUPPORT TO ORGANIZATIONS WITH THE UNDERSTANDING THAT: 1) GRANT FUNDS DISTRIBUTED WILL BE USED ONLY FOR THE PURPOSES DESIGNATED IN THE AWARD LETTER. 2) NO FUNDS WILL BE USED FOR ANY POLITICAL CAMPAIGN OR TO SUPPORT ATTEMPTS TO INFLUENCE LEGISLATION OF ANY GOVERNMENTAL BODY. 3) IF THE ORGANIZATION LOSES EXEMPT STATUS, ANY UNEXPENDED FUNDS WILL BE RETURNED TO THE COMMUNITY OUTREACH STEERING COMMITTEE. 4) ADEQUATE ACCOUNTING RECORDS OF THE EXPENDITURES OF FUNDS WILL BE MAINTAINED BY THE ORGANIZATION. 5) THIS IS A ONE TIME GRANT DISTRIBUTION. FUTURE FUNDING REQUESTS WILL BE CONSIDERED ON A CASE BY CASE BASIS. IN ADDITION, THE COMMITTEE INCLUDES A "FINAL REPORT FORM" WITH EACH ORGANIZATION'S AWARD LETTER. THE FORM REQUIRES THE ORGANIZATION TO PROVIDE A BRIEF DESCRIPTION OF THE ACTIVITY AND MEASURABLE OUTCOMES/BENEFITS, AN EXPENDITURE REPORT, FOLLOW UP ACTIONS TO THE COMMITTEE'S RECOMMENDATIONS, AND FUTURE PLANS. THE COMMITTEE REQUESTS THAT EACH ORGANIZATION SUBMIT THE "FINAL REPORT FORM" TO THE COMMITTEE WITHIN THIRTY DAYS AFTER THE COMPLETION OF THE PROJECT FOR WHICH THE FUNDS WERE INTENDED OR WITHIN A MAXIMUM OF ONE YEAR FROM THE RECEIPT OF FUNDS. true true false false false false false false false Teresa Lux Director & CMH President 0 448266 0 113523 0 126938 0 116644 0 15382 0 820753 0 101318 Eric Conley Director & FMLH President (Start Jul23; Term Apr24) 0 766153 0 494021 0 143064 0 176458 0 36518 0 1616214 0 115894 Michael DeGere DPM Chief Medical Officer (Start Jul23) 0 363118 0 84153 0 25183 0 57290 0 36895 0 566639 0 0 Shelly Waala Director & VP Patient Care Svc 0 283270 0 62474 0 34610 0 37518 0 35290 0 453162 0 31460 Jeffrey Van De Kreeke Former - Officer (Treas) 0 0 0 0 0 196046 0 12200 0 0 0 208246 0 0 Linda McPike Secretary 0 293069 0 30750 0 44508 0 20575 0 6289 0 395191 0 0 Adam Smith Treasurer 0 314773 0 101071 0 1112 0 49435 0 22554 0 488945 0 0 Schedule J, Part I, Line 3 COMPENSATION OF CEO/EXECUTIVE DIRECTOR ESTABLISHED BY RELATED ORGANIZATION, FROEDTERT THEDACARE HEALTH, THROUGH USE OF COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4a SEVERANCE OR CHANGE-OF-CONTROL PAYMENT SEVERANCE: VAN DE KREEKE, JEFFREY - $196,046 Schedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 457(F) DISTRIBUTIONS: CONLEY, ERIC - $115,894 LUX, TERESA - $101,318 WAALA, SHELLY - $31,460 457(F) PLAN PARTICIPANTS: CONLEY, ERIC DEGERE, MICHAEL LUX, TERESA SMITH, ADAM WAALA, SHELLY 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. Form 990, Part III, Line 4a Outpatient Services - (Continued) - GASTROENTEROLOGY - GERONTOLOGY - GYNECOLOGIC ONCOLOGY - GYNECOLOGY - HAND SURGERY - HEMATOLOGY - HEMATOLOGY/ONCOLOGY - INFECTIOUS DISEASE - INTERNAL MEDICINE - INTERVENTIONAL RADIOLOGY - IMAGING, INCLUDING MRI - NEONATOLOGY - NEPHROLOGY - NEUROSURGERY - NUCLEAR MEDICINE - OCCUPATIONAL MEDICINE - ONCOLOGY - OPHTHALMOLOGY - ORAL SURGERY - ORTHOPAEDICS - OTOLARYNGOLOGY - PATHOLOGY - PEDIATRICS - PEDODONTICS - PERINATOLOGY - PERIODONTICS - PHYSICAL MEDICINE AND REHABILITATION - PLASTIC/RECONSTRUCTIVE SURGERY - PODIATRY - PSYCHIATRY - PSYCHOLOGY - PULMONARY MEDICINE - RADIOLOGY - RADIATION ONCOLOGY - RHEUMATOLOGY - THORACIC SURGERY - UROLOGY - UROLOGIC ONCOLOGY - VASCULAR SURGERY Form 990, Part III, Line 4b Inpatient Services - (Continued) SERVICES, INCLUDING HOSPITALIST SERVICES, PSYCHIATRY, OBSTETRICS AND MATERNITY CARE, CRITICAL CARE MEDICINE, ORTHOPEDICS, INTERNAL MEDICINE, GENERAL SURGERY, AND OTHER SPECIALTY CARE. DURING FISCAL YEAR 2024 THE HOSPITAL HAD 780 CANCER REGISTRY CASES. Awards, Accreditations and Recognitions Froedtert Menomonee Falls Hospital (FMFH) was named a "LGBTQ+ Equality Leader" in the Human Rights Campaign Foundation's 2024 Healthcare Equality Index (HEI), earning a perfect score of 100. Earning a "LGBTQ+ Equality Leader" designation shows our commitment to having strong LGBTQ+ policies that help ensure our patients, visitors and workforce feel valued, safe and heard. HEI award criteria includes non-discrimination and staff training, patient services and support, employee benefits and policies, patient and community engagement and responsible citizenship. Froedtert ThedaCare Health, parent organization to FMFH, was named a Best Place to Work for Disability Inclusion, earning a top score on the 2024 Disability Equality Index (DEI) for outstanding commitment to disability inclusion practices. The DEI assessment measures an organization's culture and leadership, accessibility, employment practices (including benefits, education and accommodations), community engagement and supplier diversity. U.S. News and World Report. Froedtert Menomonee Falls Hospital is recognized by U.S. News & World Report as high performing in four adult procedures and conditions - hip replacement, knee replacement, chronic obstructive pulmonary disease (COPD), and heart failure. - The Joint Commission. All Froedtert ThedaCare & the Medical College of Wisconsin health network hospitals are accredited by The Joint Commission, an independent nonprofit organization. The Joint Commission accreditation is recognized nationwide as a symbol of quality, reflecting an organization's commitment to meeting standards of patient safety and care. The Joint Commission conducts extensive on-site visits of health care providers every three years and evaluates every aspect of patient care delivery. The Joint Commission - Stroke Care. Froedtert Menomonee Falls Hospital is a Certified Advanced Primary Stroke Center, recognized by The Joint Commission, demonstrating its ability to provide care from a multidisciplinary team of neurologists, neurosurgeons, emergency medicine specialists, radiologists, nurses, therapists, pharmacists, technicians and more, all working in a coordinated, collaborative system. The Joint Commission - Orthopaedic Care. Froedtert Menomonee Falls Hospital is also certified by The Joint Commission for Advanced Total Hip and Knee Replacement. Froedtert Menomonee Falls Hospital is among "America's 100 Best Hospitals," according to a list released by Healthgrades in 2023. This recognition places our hospital among the top 2% of hospitals nationally, according to Healthgrades. Healthgrades America's Best Hospitals achievements are based on an objective review of clinical outcomes across multiple conditions and procedures, analyzing the performance of nearly 4,500 hospitals nationwide. America's Best Hospitals deliver better outcomes than 95% of hospitals in the nation. In its 2023 Specialty Excellence Awards, Healthgrades recognized Froedtert Menomonee Falls Hospital for various specialty achievements. - American College of Radiology. Froedtert Menomonee Falls Hospital Imaging Services is recognized as a Diagnostic Imaging Center of Excellence (DICOE) by the American College of Radiology (ACR). At a DICOE facility, patients receive the highest levels of imaging quality, safety and care. The DICOE program is an achievement that goes beyond accreditation to recognize the best in quality imaging practices and diagnostic care. This includes a comprehensive assessment of the entire medical imaging enterprise, including structure, operations, quality, safety and outcomes. This award formally recognizes our ongoing commitment to provide the highest quality medical imaging. Additionally, the American College of Radiology grants accreditation in 10 forms of imaging. Accreditation is given to facilities demonstrating the highest standards of care and compliance with Medicare and other mandates. Froedtert Menomonee Falls Hospital has earned accreditation in the following areas: - Computerized tomography (CT) - Magnetic resonance imaging (MRI) - Nuclear medicine - Positron emission tomography (PET) - General ultrasound - Breast Imaging Center of Excellence, including: - Mammography - Breast ultrasound - Breast MRI - Stereotactic breast biopsy - Ultrasound-guided breast biopsy - National Accreditation Program for Breast Centers. The Breast Care Center at Froedtert Menomonee Falls Hospital is accredited by the National Accreditation Program for Breast Centers (NAPBC), a program of the American College of Surgeons. Accreditation by the NAPBC involves extensive review of performance, including on-site review, to ensure compliance with NAPBC standards for quality care. American Heart Association. The American Heart Association recognized Froedtert Menomonee Falls Hospital with its Get With the Guidelines Heart Failure Gold Plus Award. In addition, the hospital was recognized on the AHA's Target: Heart Failure (SM) Honor Roll and received the AHA's Target: Type 2 Diabetes Honor Roll award. The American Heart Association recognized Froedtert Menomonee Falls Hospital with its Get With The Guidelines-Coronary Artery Disease STEMI and NSTEMI Receiving Gold with Target: Type 2 Diabetes. These awards demonstrate our commitment to improving care by adhering to the latest treatment guidelines and streamlining processes to ensure timely and proper care for heart attacks. The Stroke Program at Froedtert Menomonee Falls Hospital earned the Get With The Guidelines - Stroke GOLD Plus, Target: Stroke Elite Honor Roll and Target: Type 2 Diabetes Honor Roll, from the American Heart Association Get With the Guidelines Program. The award recognizes commitment and success in implementing the highest standard of stroke care. - Press Ganey. The Froedtert ThedaCare & MCW Cancer Network, which includes the Cancer Center at Froedtert Menomonee Falls Hospital, is a 2022 Press Ganey Guardian of Excellence Award winner. This award honors organizations that have reached the 95th percentile for patient experience, engagement or clinical quality performance. In 2023, Froedtert Menomonee Falls Hospital and Froedtert Hospital were designated as American College of Surgeons Surgical Quality Partners. This designation means we are dedicated to maintaining the highest standards in surgical care. Radiation Oncology at Froedtert Menomonee Falls Hospital is accredited by the American Society of Therapeutic Radiology and Oncology Accreditation Program for Excellence. This accreditation program evaluates radiation oncology practices by objectively assessing care teams, policies and procedures and the facility, while focusing on the highest level of quality and patient safety. Form 990, Part III, Line 4b Inpatient Services - (Continued) Cancer Care As a Froedtert ThedaCare & the Medical College of Wisconsin Cancer Network location, the Cancer Center at Froedtert Menomonee Falls Hospital* provides advanced cancer care, while offering access to the vast resources of eastern Wisconsin's only academic medical center at Froedtert Hospital campus. Through the Cancer Network, patients at Froedtert Menomonee Falls Hospital have access to expanded services: nationally and internationally known specialists who focus on specific cancers, advanced treatments and technologies, and more options through the largest cancer clinical trials treatment program in Wisconsin. Medical College of Wisconsin cancer specialists are joined by radiation therapists, oncology nurses, genetic counselors, registered dietitians, psycho-oncology specialists, and support service specialists - all of whom are keenly attuned to the needs, hopes and fears of cancer patients. Each patient's care is coordinated with teams from many areas of Froedtert Menomonee Falls Hospital, who help and support patients and their families through the physical, emotional and economic phases of treatment. Applying clinical research that translates into the most advanced treatments, our doctors are battling cancer from every angle possible. Heart and Vascular Care At the Heart and Vascular Center, dedicated physicians work as a team with cardiovascular nurses and other specialized staff to provide the full spectrum of heart and vascular care, from diagnostic tests to surgical procedures. An extensive network of heart and vascular specialists collaborates to ensure our patients receive comprehensive, high-quality care. During fiscal year 2024, Froedtert Menomonee Falls Hospital had 11,237 cardiology patient encounters. Women's Services At the FMFH Birth Center, we are committed to relationship-centered birthing care. The Birth Center includes 13 specialty equipped suites and provides the full spectrum of prenatal services for women with normal and high-risk pregnancies. The Level II Neonatal Intensive Care Unit (NICU) has the technology needed to provide long-term care for babies. During fiscal year 2024, 406 women gave birth at Froedtert Menomonee Falls Hospital. Orthopaedics - Joint Care FMFH is the Froedtert ThedaCare & MCW Center of Excellence for elective joint replacements. The hospital also provided a variety of inpatient ancillary treatments, tests and procedures during fiscal year 2024, including but not limited to the following: - Surgeries: 2,069 - Laboratory tests: 319,232 - CT scans: 7,331 - Magnetic resonance (MR) I scans: 1,349 - Nuclear Medicine/PET scans: 349 - Ultrasounds: 1,734 Form 990, Part III, Line 4d Description of other program services (Expenses $ 11,526,649 including grants of $ 240,000)(Revenue $ 13,035,519) OTHER PROGRAM SERVICES: AS PART OF OPERATING AN ACUTE CARE HOSPITAL AND PROVIDING HEALTH CARE SERVICES TO THE COMMUNITY, OTHER REVENUE IS DERIVED IN THE FOLLOWING AREAS: OTHER DEPARTMENT OPERATING REVENUE - REVENUE DERIVED FROM DIFFERENT SERVICES THROUGH THE PROCESS OF PROVIDING PATIENT CARE AND IN THE NORMAL OPERATION OF A MEDICAL FACILITY. INCLUDED IN THIS CATEGORY ARE ITEMS SUCH AS MEANINGFUL USE REVENUE, CANCER CARE/ONCOLOGY REVENUE, RENTAL REVENUE, GIFT SHOP REVENUE, CLINICAL DIETETICS, AND OTHER WELLNESS SERVICES. DIETARY REVENUE - REVENUE DERIVED FROM CAFETERIA SALES, VENDING MACHINE SALES, GUEST TRAY SALES AND EMPLOYEE MEALS. DIETARY SERVICES ARE NECESSARY TO SUPPORT SERVICES TO PATIENT FAMILIES WHILE THEIR LOVED ONE IS RECEIVING CARE IN THE HOSPITAL. THE REVENUE FROM EMPLOYEE MEALS IS A BENEFIT PROVIDED BY THE HOSPITAL AS AN EMPLOYER AND IT ALLOWS OUR STAFF TO REMAIN ON SITE FOR PATIENT CARE. CORPORATE ALLOCATED REVENUE - REVENUE PASSED THROUGH FROM FROEDTERT THEDACARE HEALTH (FTCH), A RELATED PARTY. INTERCOMPANY REVENUE CONSISTS OF REVENUE DERIVED FROM MEDICAL AND ADMINISTRATIVE SERVICES PROVIDED TO THE OTHER FTCH ENTITIES. ALL OF THESE SERVICES SUPPORT THE DELIVERY OF HEALTHCARE TO THE COMMUNITY. MISCELLANEOUS REVENUE - REVENUE DERIVED FROM DIFFERENT SERVICES THROUGH THE PROCESS OF PROVIDING PATIENT CARE IN THE NORMAL OPERATION OF A MEDICAL FACILITY. SPECIAL EVENT ACTIVITY REVENUE, AND TAXABLE SALES. Form 990, Part VI, Line 6 Classes of members or stockholders FROEDTERT THEDACARE HEALTH, INC, (FTCH) IS THE SOLE CORPORATE MEMBER OF FMFH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body FTCH, AS THE SOLE CORPORATE MEMBER OF FMFH, HAS FINAL APPROVAL OF ELECTION OF FULL BOARD MEMBERS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders FTCH, AS THE SOLE CORPORATE MEMBER OF FMFH, RETAINS CERTAIN RESERVED POWERS AND AUTHORITIES WITH RESPECT TO SPECIFIC GOVERNANCE MATTERS, AND STRATEGIC AND MISSION-RELATED INITIATIVES OF FMFH. Form 990, Part VI, Line 11b Review of form 990 by governing body FTCH 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 ON AN ANNUAL BASIS ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DATA IS COMPILED, AND THE FTCH VICE PRESIDENT-CHIEF COMPLIANCE OFFICER (CCO), THE SENIOR VICE-PRESIDENT-GENERAL COUNSEL AND/OR DELEGATE WILL REVIEW ALL FORMS AND NOTIFICATIONS TO DETERMINE IF ANY CONFLICTS OF INTEREST EXIST IN THE DISCLOSURE DOCUMENTS. IF IT IS DETERMINED THAT A CONFLICTS OF INTEREST EXISTS, THEN THE PERSON MAKING THE DISCLOSURE SHALL BE RELIEVED OF HIS/HER OBLIGATIONS ON BEHALF OF FMFH WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT THAT CREATES THE CONFLICT OF INTEREST. A REPORT OF ALL CONFLICTS OF INTEREST WILL BE MADE BY THE CCO AT LEAST ANNUALLY TO THE FTCH FINANCE COMMITTEE OF THE FTCH BOARD OF DIRECTORS. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION OF TOP MANAGEMENT IS PAID BY FTCH, A RELATED ORGANIZATION, BUT A REVIEW IS PERFORMED. IN ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT, INDEPENDENT COMPENSATION CONSULTANTS ARE UTILIZED, COMPENSATION STUDIES ARE COMPLETED TO GATHER COMPARATIVE DATA, PERSONS WITH A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENTS AT ISSUE ARE NOT INVOLVED IN THE DECISION MAKING PROCESS, AND AMOUNTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE FTCH (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 OF OFFICERS AND KEY EMPLOYEES IS PAID BY A RELATED ORGANIZATION BUT A REVIEW IS PERFORMED. IN ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INDEPENDENT COMPENSATION CONSULTANTS ARE UTILIZED, COMPENSATION STUDIES ARE COMPLETED TO GATHER COMPARATIVE DATA, PERSONS WITH A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENTS AT ISSUE ARE NOT INVOLVED IN THE DECISION MAKING PROCESS, AND AMOUNTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE FTCH (THE RELATED ORGANIZATION) BOARD OF DIRECTORS. IN ADDITION, THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING FOR DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. Form 990, Part VI, Line 19 Required documents available to the public FTCH'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 REVENUE - Total Revenue: 1030661, Related or Exempt Function Revenue: 1030661, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 24b CORPORATE ALLOCATIONS FTCH ALLOCATES CERTAIN REVENUES AND EXPENSES TO FMLH, FMFH, FWBH, HFMH & CP. THE ALLOCATION IS CALCULATED BY APPLYING AN ALLOCATION METRIC TO EACH ACCOUNTING UNIT AT FTCH. EACH ENTITY THEN RECEIVES ITS PORTION OF THE FTCH ALLOCATION ON A MONTHLY BASIS. Form 990, Part IX, Line 11g Other Fees FEES FOR SVCS- OTHER - Total Expense: 30669951, Program Service Expense: 23709871, Management and General Expenses: 6942111, Fundraising Expenses: 17969; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PENSION ADJUSTMENT - 3597687; CHANGE IN RESTRICTED ASSETS - -790102; TRANSFER FROM AFFILIATES - 8182673; FROEDTERT THEDACARE HEALTH INC 9200 WEST WISCONSIN AVENUE MILWAUKEE WI 532263596 392014409 MGMNT SVCS WI 501(c)(3) Type III-FI NA false FROEDTERT MENOMONEE FALLS HOSPITAL FOUNDATIONINC W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 391635057 HLTH & WLFR WI 501(c)(3) 10 CMH INC true COMMUNITY OUTPATIENT HEALTH SERVICES OF MENOMONEE FALLS INC W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 391743056 OP MED & DNTL WI 501(c)(3) 3 CMH INC true FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC 9200 WEST WISCONSIN AVENUE MILWAUKEE WI 532263522 396105970 HOSPITAL WI 501(c)(3) 3 FTCH INC false ST JOSEPH'S COMMUNITY HOSPITAL INC 3200 PLEASANT VALLEY ROAD WEST BEND WI 530953868 390806302 HOSPITAL WI 501(c)(3) 3 FTCH INC false FH ENTERPRISE SERVICES HOLDINGS INC 9200 WEST WISCONSIN AVENUE MILWAUKEE WI 53226 202636686 HEALTHCARE SVCS WI 501(c)(3) Type I FTCH INC false FROEDTERT WEST BEND HOSPITAL FOUNDATION INC 3200 PLEASANT VALLEY ROAD WEST BEND WI 530953868 392034296 HLTH & WLFR WI 501(c)(3) 7 SJH INC false FROEDTERT HOSPITAL FOUNDATION INC 9200 WEST WISCONSIN AVENUE MILWAUKEE WI 532263596 391431192 HLTH & WLFR WI 501(c)(3) 7 FMLHINC false HOLY FAMILY MEMORIAL INC 2300 WESTERN AVE MANITOWOC WI 542211450 390806395 HOSPITAL WI 501(c)(3) 3 FTCH INC false THEDACARE REGIONAL MEDICAL CENTER - 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