2025-05-15T09:49:24+00:00 2024-06-30 135565207 KPMG LLP 191 West Nationwide Blvd Suite 500 Columbus OH 432152568 990 2023-07-01 392034296 Froedtert West Bend Hospital Foundation Inc FROE 2623345533 3200 PLEASANT VALLEY RD WEST BEND WI 53095 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 X ALLEN ERICSON 3200 PLEASANT VALLEY RD WEST BEND WI 53095 22163290 false X WWW.FROEDTERT.COM/WESTBENDFOUNDATION X 2002 WI TO IMPROVE THE HEALTH, WELLNESS AND EDUCATION OF THE COMMUNITY THROUGH THE DEVELOPMENT AND STEWARDSHIP OF PHILANTHROPIC RESOURCES IN SUPPORT OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND. 14 11 0 38 0 0 193752 248273 0 0 789753 1183817 33517 6449 1017022 1438539 286125 297644 0 198116 188334 0 0 218280 67422 67417 551663 553395 465359 885144 23330780 25011797 402357 355819 22928423 24655978 TO IMPROVE THE HEALTH, WELLNESS AND EDUCATION OF THE COMMUNITY THROUGH THE DEVELOPMENT AND STEWARDSHIP OF PHILANTHROPIC RESOURCES IN SUPPORT OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND. false false 245997 238644 FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC., IS A NONSTOCK, NONPROFIT CORPORATION THAT RECEIVES GIFTS AND BEQUESTS, RAISES FUNDS FOR SPECIFIC PROJECTS OR NEEDS, ADMINISTERS AND INVESTS FUNDS, AND DISBURSES PAYMENTS TO FURTHER THE MISSION AND PURPOSES OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND. 59000 59000 FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC. ISSUES SCHOLARSHIPS EACH YEAR FROM MONEY DONATED TO THE FOUNDATION FROM AN OUTSIDE DONOR. CURRENT YEAR SCHOLARSHIP EXPENSES TOTALED $59,000. 304997 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 false true true true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false true true false false false false false false X 14 11 false false true false true true true true true false false true true true true true true true true false WI X X DAVE DIRKSMEYER 4148053000 N74 W12501 LEATHERWOOD CT MENOMONEE FALLS WI 53051 Allen Ericson Director & SJH President 1.0 49.0 X X 0 875006 174074 Amy Dahlberg Director & BOD V.Chair & Secr 1.0 0 X X 0 0 0 Dan Miller Director & BOD Chair 1.0 0 X X 0 0 0 Nooriya Farheen Treasurer (Start Jul23) 1.0 49.0 X X 0 130421 13770 Austin Smith Director 1.0 0 X 0 0 0 Catherine Jacobson Director (Start Jul23) & FTCH President/CEO 1.0 49.0 X 0 5872993 318276 Chad Feltz Director 1.0 0 X 0 0 0 Chris Chlupp Director 1.0 0 X 0 0 0 Gary Herdrich Director 1.0 0 X 0 0 0 Jacci Gambucci Director 1.0 0 X 0 0 0 John Breuer Director 1.0 0 X 0 0 0 Peter Rettler Director (Start Jul23) 1.0 1.0 X 0 0 0 Tom Zuern Director 1.0 0 X 0 0 0 Troy Hanson Director 1.0 0 X 0 0 0 Michael Malzewski Former - Officer (Treas) 0.0 50.0 X 0 375448 27043 0 7253868 533163 0 true true false 0 117540 0 0 130733 15390 248273 0 0 0 0 0 682167 682167 0 0 21222016 20720366 501650 0 501650 501650 10834 117540 4385 6449 6449 0 0 0 0 0 1438539 0 0 1190266 238644 238644 59000 59000 175690 17569 158121 12644 1264 11380 2375 2375 0 0 0 0 3930 393 3537 HOSPITAL SUPPORT 28297 4310 23987 PRINTING & PUBLICATIONS 13577 1358 12219 ALL OTHER EXPENSES 9198 7353 1845 MINOR EQUIPMENT 5656 565 5091 4384 0 439 3945 553395 304997 30118 218280 251578 256183 21862 20766 800 0 0 0 0 27248 27248 0 23056540 24734848 0 0 0 0 23330780 25011797 0 402357 355819 402357 355819 X 22507946 24235501 420477 420477 22928423 24655978 23330780 25011797 X 885144 1080799 -238388 X false true X true false X 227165 221662 266842 193752 248273 1157694 0 0 227165 221662 266842 193752 248273 1157694 81784 1075910 1140403 902082 466968 638633 682167 3830253 0 -9446 -22079 -15984 33517 6449 -7543 4980404 0 0.2160 0.1875 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0.0 X 0 0 0 0 0 0 Schedule A, Part II, Line 17a PART II, SECTION C, LINE 17A, FACTS AND CIRCUMSTANCES TEST: THERE ARE TWO REQUIREMENTS THAT FROEDTERT WEST BEND HOSPITAL FOUNDATION MUST FULFILL IN ORDER TO SATISFY THE FACTS-AND-CIRCUMSTANCES TEST SET FORTH IN TREAS. REG. 1.170A-9 (F) (3) (II). FIRST, THEY MUST DERIVE AT LEAST 10% OF ITS SUPPORT FROM GOVERNMENTAL UNITS OR FROM DIRECT OR INDIRECT CONTRIBUTIONS FROM THE GENERAL PUBLIC, OR A COMBINATION OF BOTH. FROEDTERT WEST BEND HOSPITAL FOUNDATION RECEIVED 21.6% OF ITS TOTAL SUPPORT FROM GOVERNMENT UNITS AND THE PUBLIC AND THEREFORE, FROEDTERT WEST BEND HOSPITAL FOUNDATION HAS SATISFIED THIS FIRST REQUIREMENT. SECOND, FROEDTERT WEST BEND HOSPITAL FOUNDATION MUST MAINTAIN A CONTINUOUS AND BONAFIDE FUNDRAISING PROGRAM OR CARRY ON PROGRAMS DESIGNED TO ATTRACT SUPPORT FROM GOVERNMENTAL UNITS OR OTHER PUBLIC CHARITIES DESCRIBED IN IRC 170 (B) (1) (A) (I) THROUGH (VI). FROEDTERT WEST BEND HOSPITAL FOUNDATION MAINTAINS SEVERAL FUNDRAISING PROGRAMS AND INITIATIVES, EACH OF WHICH IS DESIGNED TO ATTRACT SUPPORT FROM THE PUBLIC. FROEDTERT WEST BEND HOSPITAL FOUNDATION CONDUCTS A MID-YEAR AND YEAR-END DIRECT MAIL CONTRIBUTIONS SOLICITATION PROGRAM, AN ANNUAL STAFF GIVING CAMPAIGN, A GRATEFUL PATIENT PROGRAM WHICH INVOLVES WORKING WITH INDIVIDUALS WHO HAVE BENEFITTED FROM THE CARE THEY RECEIVED AT ST. JOSEPH'S COMMUNITY HOSPITAL, AND A MEMORIAL DONATION PROGRAM FOR WORKING WITH FAMILIES WHO HAVE LOST A LOVED ONE. FROEDTERT WEST BEND HOSPITAL FOUNDATION ALSO CONDUCTS VARIOUS FUNDRAISING EVENTS EACH YEAR TO BENEFIT SPECIFIC CARE PROGRAMS OF ST. JOSEPH'S COMMUNITY HOSPITAL. FROEDTERT WEST BEND HOSPITAL FOUNDATION MAINTAINS A VERY CLOSE RELATIONSHIP WITH ST. JOSEPH'S COMMUNITY HOSPITAL, AN EXEMPT CHARITABLE ORGANIZATION UNDER IRC 501 (A) AS DESCRIBED IN IRC 501 (C) (3), AND CLASSIFIED AS A PUBLICLY SUPPORTED PUBLIC CHARITY UNDER IRC 509 (A) (1) AND DESCRIBED IN IRC 170 (B) (1) (A) (III). ST. JOSEPH'S COMMUNITY HOSPITAL PROVIDES A SIGNIFICANT PORTION OF FROEDTERT WEST BEND HOSPITAL FOUNDATION'S SUPPORT IN RECOGNITION OF THE NEED TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED BY ST. JOSEPH'S COMMUNITY HOSPITAL AND FROEDTERT WEST BEND HOSPITAL FOUNDATION. FROEDTERT WEST BEND HOSPITAL FOUNDATION IS ACCOUNTABLE TO ST. JOSEPH'S COMMUNITY HOSPITAL FOR HOW THE FOUNDATION EXPENDS ITS FUNDS BY VIRTUE OF THE FACT THAT ST. JOSEPH'S COMMUNITY HOSPITAL APPOINTS AND APPROVES A MAJORITY OF FROEDTERT WEST BEND HOSPITAL FOUNDATION'S BOARD OF DIRECTORS AND RETAINS OTHER APPROVAL RIGHTS OVER THE FOUNDATION'S OPERATIONS. IN ADDITION TO SATISFYING THE TWO REQUIREMENTS SET FORTH ABOVE, THERE ARE ADDITIONAL RELEVANT FACTS AND CIRCUMSTANCES WHICH DEMONSTRATE THAT FROEDTERT WEST BEND HOSPITAL FOUNDATION QUALIFIES AS A "PUBLICLY SUPPORTED" PUBLIC CHARITY UNDER IRC 509 (A) (1) AND 170 (B) (1) (A) (VI). 1. FROEDTERT WEST BEND HOSPITAL FOUNDATION'S TOTAL SUPPORT EXCEEDS THE MINIMUM 10% "THRESHOLD" BY A SUBSTANTIAL PORTION. MOREOVER, HISTORICALLY THE TOTAL SUPPORT RECEIVED BY FROEDTERT WEST BEND HOSPITAL FOUNDATION IS FROM A CONSIDERABLE AND REPRESENTATIVE NUMBER OF DONORS LOCATED THROUGHOUT THE VARIOUS COMMUNITIES SERVED BY FROEDTERT WEST BEND HOSPITAL FOUNDATION. 2. FROEDTERT WEST BEND HOSPITAL FOUNDATION'S BOARD OF DIRECTORS IS COMPRISED OF INDIVIDUALS WHO INCLUDE COMMUNITY AND CIVIC LEADERS, COMMUNITY BUSINESS EXECUTIVES, PHYSICIANS AND OTHER INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE PUBLIC. 3. FROEDTERT WEST BEND HOSPITAL FOUNDATION PROVIDES CONTINUING SUPPORT TO ST. JOSEPH'S COMMUNITY HOSPITAL, AND OTHER HEALTH CARE FACILITIES AND ORGANIZATIONS WHICH MAKE THEIR HEALTH CARE SERVICES AVAILABLE TO THE GENERAL PUBLIC WITH THE MISSION OF IMPROVING THE HEALTH OF THE COMMUNITIES SERVED BY SUCH ORGANIZATIONS. 4. FROEDTERT WEST BEND HOSPITAL FOUNDATION HAS VOLUNTEERS COMPRISED OF INDIVIDUALS FROM THE GENERAL PUBLIC WHO VOLUNTEER THEIR TIME AND SKILLS IN CARRYING OUT VARIOUS ACTIVITIES AND FUNCTIONS OF THE FOUNDATION. 5. IN ADDITION TO RECEIVING FUNDS FROM THE GENERAL PUBLIC, FROEDTERT WEST BEND HOSPITAL FOUNDATION RECEIVES A SIGNIFICANT AMOUNT OF SUPPORT FROM ITS "PARENTGANIZATION, ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND. Schedule A, Part II, Line 10 Other Income DESCRIPTION - FUNDRAISING, COLUMN A - -9446.0, COLUMN B - -22079.0, COLUMN C - -15984.0, COLUMN D - 33517.0, COLUMN E - 6449.0, COLUMN F - -7543.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2100 2100 2100 2100 2100 2100 2100 2100 2100 2100 1.0 false true true 27248 27248 0 0 DUE TO AFFILIATES 355819 355819 X Schedule D, Part V, Line 4 Intended uses of endowment funds FOR PERMANENTLY RESTRICTED ENDOWMENT FUNDS, THE INTENT OF THE FUNDS DEPENDS ON THE RESTRICTION THAT APPLIES TO THAT PARTICULAR ENDOWMENT, AS PRESCRIBED BY THE DONOR. DEPENDING ON THE PARTICULAR ENDOWMENT, THE INTENDED USE INCLUDES FELLOWSHIPS, RESEARCH AND EDUCATIONAL RESOURCES FOR THE COMMUNITY. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote FROEDTERT THEDACARE HEALTH, INC., THE PARENT ENTITY INTO WHICH FROEDTERT WEST BEND HOSPITAL FOUNDATION INC.'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, FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC. DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS. ABOVE & BEYOND 128374 117540 10834 4385 0 0 128374 117540 10834 4385 4385 6449 true ALBRECHT FREE CLINIC 908 W WASHINGTON STREET WEST BEND WI 53095 391839654 501 (C) (3) 75000 0 HEALTHY SMILES CHANGE LIVES INTERFAITH CAREGIVERS OF WASHINGTON COUNTY 2374A W WASHINGTON ST WEST BEND WI 53095 020657722 502 (C) (3) 25000 0 HEALTHY AGING IN PLACE CASA GUADALUPE EDUCATION CENTER 419 ROOSEVELT DRIVE WEST BEND WI 53090 204483105 501 (C) (3) 40000 0 HEALTHY LATINOS, HEALTHY FUTURES ELEVATE INC N169W21005 MEADOW LANE JACKSON WI 53209 391256286 501 (C) (3) 32000 0 INDIVIDUALIZED INTERVENTION PROGRAMS COMMUNITY SMILES DENTAL 210 NW BARSTOW STREET WAUKESHA WI 53188 300436162 501 (C) (3) 31644 0 DENTAL CARE ACCESS FOR LOW-INCOME WASHINGTON COUNTY CHILDREN THE YOUTH AND FAMILY PROJECT INC 630 ELM STREET WEST BEND WI 53095 510149160 501 (C) (3) 15000 0 CROSSROADS YOUTH PROGRAM OUTREACH FAMILY PROMISE 724 ELM STREET 100 WEST BEND WI 53095 270740203 501 (C) (3) 20000 0 HEALTH SERVICES AND HOUSING FOR HOMELESS 7 SCHOLARSHIPS 18 59000 0 FMV N/A Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. APPLICATIONS FOR FUNDING ARE AVAILABLE VIA AN INDEPENDENT WEBSITE ON AN ANNUAL BASIS FOR 501(C)(3) NON-PROFIT ORGANIZATIONS. REQUESTS ARE LIMITED TO PROJECTS THAT WILL SIGNIFICANTLY IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE LIVING IN WASHINGTON COUNTY AND MAY INCLUDE CAPITAL PROJECTS. APPLICANTS ARE GIVEN APPROXIMATELY ONE MONTH TO SUBMIT THEIR APPLICATION AND SUPPORTING DOCUMENTATION. THE APPLICATIONS THEN GO TO A COMMITTEE OF INDIVIDUALS FROM LOCAL COMMUNITIES, AS WELL AS INDIVIDUALS FROM THE FROEDTERT THEDACARE HEALTH, INC. SYSTEM. THE HEALTHY COMMUNITY FUND COMMITTEE WILL REVIEW APPROPRIATE APPLICATION REQUESTS AND DETERMINE IF THE PROGRAM/PROJECT MEETS REQUIREMENTS. AFTER A FORMAL RANKING PROCESS, IT WILL BE DETERMINED IF SUPPORT WILL BE GRANTED, AND AT WHAT LEVEL, GIVEN THE AVAILABLE RESOURCES AND COMMITTEE'S CURRENT PRIORITIES. THE RECOMMENDATION OF HEALTHY COMMUNITY FUND COMMITTEE THEN GOES TO THE FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC. BOARD AND THE FROEDTERT THEDACARE HEALTH, INC. PRESIDENT FOR APPROVAL. ONCE THE ORGANIZATIONS ARE NOTIFIED OF FUNDING AND GIVEN THE MONEY, THEY ARE ASKED TO SUBMIT A REPORT TO THE FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC.'S BOARD SHOWING THE PROGRESS OF THEIR PROJECT. true true false false false false false false false Allen Ericson Director & SJH President 0 564706 0 142952 0 167348 0 137340 0 36734 0 1049080 0 139594 Catherine Jacobson Director (Start Jul23) & FTCH President/CEO 0 1711053 0 1915129 0 2246811 0 280978 0 37298 0 6191269 0 2074559 Michael Malzewski Former - Officer (Treas) 0 178938 0 28064 0 168446 0 19155 0 7888 0 402491 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment SEVERANCE: MALZEWSKI, MICHAEL - $141,825 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 457(F) DISTRIBUTIONS: ERICSON, ALLEN - $139,594 JACOBSON, CATHERINE - $2,074,559 457(F) PLAN PARTICIPANTS: ERICSON, ALLEN JACOBSON, CATHERINE NON-QUALIFIED DISTRIBUTIONS: JACOBSON, CATHERINE - $167,475 (OF WHICH $0 WAS REPORTED AS DEFERRED ON A PRIOR FORM 990) NON-QUALIFIED PARTICIPANTS: JACOBSON, CATHERINE Schedule J, Part I, Line 3 THE PRESIDENT/CEO'S PERFORMANCE IS REVIEWED BY THE BOARD CHAIR ANNUALLY. THE BOARD OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC. APPROVES ANY SALARY AND/OR BENEFIT CHANGES. SALARIES ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE FROEDTERT THEDACARE HEALTH, INC. (A RELATED ORGANIZATION) BOARD OF DIRECTORS, UTILIZING VARIOUS COMPENSATION STUDIES AND COMPARATIVE DATA. 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, AMOUNTS PAID IN LIEU OF 457(F) DEFERRED COMPENSATION PLAN CONTRIBUTIONS, AND OTHER MISCELLANEOUS COMPENSATION. Form 990, Part III, Line 4a DURING FY 2024, FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC. PAID THE FOLLOWING AMOUNTS TO AREA ORGANIZATIONS: - $75,000 TO ALBRECHT FREE CLINIC FOR HEALTH SMILES CHANGE LIVES (ACCESS DENTAL) - $25,000 TO INTERFAITH CAREGIVERS OF WASHINGTON COUNTY FOR HEALTHY AGING IN PLACE (ACCESS HEALTHCARE/COMMUNITY SERVICES/TRANSPORTATION) - $40,000 TO CASA GUADALUPE EDUCATION CENTER FOR HEALTHY LATINOS, HEALTHY FUTURES (CHRONIC DISEASE) - $32,000 TO ELEVATE INC. FOR ELEVATE U (AODA/MENTAL HEALTH) - $31,644 TO COMMUNITY SMILES DENTAL FOR LOW INCOME DENTAL CARE (ACCESS DENTAL) - $20,000 TO FAMILY PROMISE OF WASHINGTON COUNTY (HOUSING) - $15,000 TO THE YOUTH AND FAMILY PROJECT INC. FOR CROSSROADS YOUTH PROGRAM OUTREACH (MENTAL HEALTH) ADDITIONALLY, FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC. PAID THE FOLLOWING AMOUNT TO INTERNAL PROGRAMS: - $5,000 TO THE ABOVE & BEYOND CANCER CENTER FUNDRAISER EVENT (CANCER CENTER) - $2,353 TO STAFF SCHOLARSHIPS Form 990, Part VI, Line 4 Significant changes to organizational documents The bylaws and articles of incorporation were updated effective 7/1/2023. In the Articles dated December 5, 2013, the member is listed as The sole Member of the Corporation is St. Joseph's Community Hospital of West Bend, Inc., a Wisconsin nonstock corporation (the "Member"), In the Articles effective July 1, 2023 the member is listed as The sole member of the Corporation shall be St. Joseph's Community Hospital of West Bend, Inc. a Wisconsin nonstock corporation (the "Member"). In the Articles dated December 5, 2013 the name is listed as The name of the Corporation is St. Joseph's Community Foundation Inc. In the Articles effective July 1, 2023 the name is listed as The name of the Corporation is Froedtert West Bend Hospital Foundation, Inc. (the "Corporation") Form 990, Part VI, Line 6 Classes of members or stockholders ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC. IS THE SOLE CORPORATE MEMBER OF FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC., AS THE SOLE CORPORATE MEMBER OF FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC., HAS THE FINAL APPROVAL OF ELECTION OF ALL BOARD MEMBERS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders FROEDTERT THEDACARE HEALTH, INC., AS THE SOLE CORPORATE MEMBER OF ST. JOSEPH'S COMMUNITY HOSPITAL., AND ST. JOSEPH'S COMMUNITY HOSPITAL, AS THE SOLE MEMBER OF FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC., EACH RETAIN AUTHORITIES AS DEFINED IN CORPORATE BYLAWS. Form 990, Part VI, Line 11b Review of form 990 by governing body FROEDTERT THEDACARE HEALTH, INC. ACCOUNTING STAFF PREPARE FORM 990 WHICH IS REVIEWED BY THE FROEDTERT THEDACARE HEALTH FINANCIAL LEADERS. THE 990 IS THEN REVIEWED BY KPMG, FROEDTERT THEDACARE HEALTH'S OUTSIDE ACCOUNTING FIRM. NEXT, THE 990 IS PROVIDED TO THE FROEDTERT THEDACARE HEALTH 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 DOCUMENT. THE DATA IS COMPILED, AND THE FROEDTERT THEDACARE HEALTH, INC., VICE PRESIDENT - CHIEF COMPLIANCE OFFICER (CCO), THE SENIOR VICE PRESIDENT - GENERAL COUNSEL AND/OR DELEGATE WILL REVIEW ALL FORMS AND NOTIFICATIONS TO DETERMINE IF ANY CONFLICTS OF INTEREST EXIST IN THE DISCLOSURE DOCUMENTS. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THEN THE PERSON MAKING THE DISCLOSURE SHALL BE RELIEVED OF HIS/HER OBLIGATIONS ON BEHALF OF FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC. 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 FROEDTERT THEDACARE HEALTH, INC. CCO AT LEAST ONCE ANNUALLY TO THE FROEDTERT THEDACARE HEALTH AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE PRESIDENT/CEO'S PERFORMANCE IS REVIEWED BY THE BOARD CHAIR ANNUALLY. THE BOARD OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC. APPROVES ANY SALARY AND/OR BENEFIT CHANGES. THE INITIAL SALARY WAS DETERMINED BY THE SYSTEM CEO AND OUTSIDE CONSULTANT, USING COMPARATIVE DATA. Form 990, Part VI, Line 19 Required documents available to the public FINANCIAL INFORMATION: THE FROEDTERT THEDACARE HEALTH, INC. QUARTERLY FINANCIAL INFORMATION IS MADE AVAILABLE TO THE PUBLIC THROUGH THE DIGITAL ASSURANCE CORPORATION, INC. WEBSITE. ANYONE CAN REGISTER TO RECEIVE ONGOING ACCESS TO AND NOTIFICATIONS REGARDING FINANCIAL STATEMENTS AT THE ONLINE WEBSITE. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY: DOCUMENTS ARE AVAILABLE TO THE PUBLIC THROUGH THE CORPORATE OFFICE UPON REQUEST. Form 990, Part IX, Line 9 BENEFIT COSTS FOR FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC. ARE RECORDED AT THE CORPORATE LEVEL OF FROEDTERT THEDACARE HEALTH, INC. AND GET ABSORBED BY ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC. Form 990, Part XI, Line 9 Other changes in net assets or fund balances FORGIVENESS OF RECEIVABLE FROM FOUNDATION - 213967; TRANSFER TO AFFILIATES - -452355; FROEDTERT THEDACARE HEALTH INC 9200 WEST WISCONSIN AVENUE MILWAUKEE WI 532263596 392014409 MGMT SERVICES WI 501(c)(3) Type III-FI NA false ST JOSEPH'S COMMUNITY HOSPITAL-WEST BEND 3200 PLEASANT VALLEY ROAD WEST BEND WI 53095 390806302 HOSPITAL WI 501(c)(3) 3 FTCH INC false FROEDTERT HOSPITAL FOUNDATION INC 9200 WEST WISCONSIN AVENUE MILWAUKEE WI 53226 391431192 HEALTH PROMO WI 501(c)(3) 7 FMLH false FROEDTERT MENOMONEE FALLS HOSPITAL FOUNDATION INC W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 391635057 HEALTH PROMO WI 501(c)(3) 10 CMH false FROEDTERT MEMORIAL LUTHERAN HOSPITAL 9200 WEST WISCONSIN AVENUE MILWAUKEE WI 53226 396105970 HOSPITAL WI 501(c)(3) 3 FTCH INC false COMMUNITY MEMORIAL HOSPITAL OF MF INC W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 390987025 HOSPITAL WI 501(c)(3) 3 FTCH INC false COMMUNITY OUTPATIENT HEALTH SERVICES W180 N8085 TOWN HALL RD MENOMONEE FALLS WI 53051 391743056 O/P SERVICES WI 501(c)(3) 3 CMH false FH ENTERPRISE SERVICES HOLDINGS INC 9200 W WISCONSIN AVENUE MILWAUKEE WI 53226 202636686 HLTHCARE SRVS WI 501(c)(3) Type I FTCH INC false HOLY FAMILY MEMORIAL INC 2300 WESTERN AVENUE MANITOWOC WI 54221 390806395 HOSPITAL WI 501(c)(3) 3 FTCH INC false THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC PO BOX 8025 APPLETON WI 549128025 390830664 HOSPITAL WI 501(c)(3) 3 THEDACARE INC false THEDACARE MEDICAL CENTER - NEW LONDON INC PO BOX 8025 APPLETON WI 549128025 390869788 HOSPITAL WI 501(c)(3) 3 THEDACARE INC false THEDACARE MEDICAL CENTER - WAUPACA INC PO BOX 8025 APPLETON WI 549128025 390871113 HOSPITAL WI 501(c)(3) 3 THEDACARE INC false THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC PO BOX 8025 APPLETON WI 549128025 390824015 HOSPITAL WI 501(c)(3) 3 THEDACARE INC false THEDACARE MEDICAL CENTER - SHAWANO INC PO BOX 8025 APPLETON WI 549128025 390807068 HOSPITAL WI 501(c)(3) 3 THEDACARE INC false THEDACARE MEDICAL CENTER - BERLIN INC PO BOX 8025 APPLETON WI 549128025 390806359 HOSPITAL WI 501(c)(3) 3 THEDACARE INC false THEDACARE MEDICAL CENTER - WILD ROSE INC PO BOX 8025 APPLETON WI 549128025 396089134 HOSPITAL WI 501(c)(3) 3 THEDACARE INC false THEDACARE FAMILY OF FOUNDATIONS INC PO BOX 8025 APPLETON WI 549128025 464112255 FOUNDATION WI 501(c)(3) 7 THEDACARE INC false THEDACARE INC PO BOX 8025 APPLETON WI 549128025 391509362 HEALTHCARE WI 501(c)(3) 10 FTCH INC false false true true false false false false false false false false false false true true true false true true