2025-05-15T14:03:49+00:00 2024-06-30 135565207 KPMG LLP 191 West Nationwide Blvd Suite 500 Columbus OH 432152568 990 2023-07-01 390806302 St Joseph's Community Hospital of West Bend Inc STJO 4148053000 3200 PLEASANT VALLEY ROAD 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 FROEDTERT WEST BEND HOSPITAL ALLEN ERICSON 3200 PLEASANT VALLEY ROAD WEST BEND WI 53095 149257306 false X WWW.FROEDTERT.COM X 1930 WI SEE SCHEDULE O 12 9 0 95 0 0 8825 11498 123918269 139174927 -13627 9157 9821053 10044397 133734520 149239979 0 0 0 0 48318674 51155363 0 0 0 101025763 105037563 149344437 156192926 -15609917 -6952947 87047860 87361250 7875916 7425085 79171944 79936165 X ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC. DBA FROEDTERT WEST BEND HOSPITAL (FWBH) IS A HEALTH CARE ORGANIZATION SERVING RESIDENTS OF WEST BEND AND WASHINGTON COUNTY. OUR MISSION IS TO ADVANCE THE HEALTH OF THE PEOPLE OF DIVERSE COMMUNITIES WE SERVE THROUGH EXCEPTIONAL CARE ENHANCED BY INNOVATION AND DISCOVERY. false false 60234112 0 67783994 SEE SCHEDULE O - OUTPATIENT SERVICES 44695620 0 50297872 SEE SCHEDULE O - INPATIENT SERVICES 18743685 0 21093061 THE EMERGENCY CARE CENTER AT ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC. DBA FROEDTERT WEST BEND HOSPITAL (FWBH) PROVIDES COMPASSION, RESPONSIVENESS, EXPERTISE, A CONVENIENT LOCATION ALONG WITH ADVANCED TECHNOLOGY IN ADMINISTERING HIGH-QUALITY CARE FOR ALL TYPES OF EMERGENCIES, 24 HOURS A DAY, AUGMENTED BY ITS SEAMLESS COORDINATION WITH FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. (FMLH) ADULT LEVEL I TRAUMA CENTER. STAFFED BY BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS AND EMERGENCY CERTIFIED RNS, THE CENTER SERVED MORE THAN 21,000 PATIENTS IN FY 2024. ITS DESIGNATION AS A LEVEL III TRAUMA CENTER MEANS PROMPT AVAILABILITY OF SURGEONS AND ON-CALL PHYSICIANS IN MULTIPLE SPECIALTIES, MAKING IT THE PREMIER EMERGENCY CARE PROVIDER IN THE WASHINGTON COUNTY AREA FOR INFANTS, CHILDREN AND ADULTS. 8930571 0 10049949 AS PART OF OPERATING AN ACUTE CARE HOSPITAL AND PROVIDING HEALTH CARE SERVICES TO THE COMMUNITY, OTHER REVENUE IS DERIVED IN THE FOLLOWING AREAS: INTERCOMPANY REVENUE - CONSISTS OF REVENEUE DERIVED FROM MEDICAL AND ADMINISTRATIVE SERVICES PROVIDED TO THE FROEDTERT AND MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC. (CP). SERVICES INCLUDE LABORATORY SERVICES, MEDICAL OFFICE BUILDING SPACE, DIETARY SERVICES, AND HOUSEKEEPING SERVICES. ALL OF THESE SERVICES SUPPORT THE DELIVERY OF HEALTHCARE TO THE COMMUNITY. OTHER DEPARTMENT OPERATING REVENUE - IS 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 BABY PHOTO INCOME, GIFT SHOP AND SMALL STONES OPERATIONS, MEDICALL STAFF APPRECIATION FEES, HOSPICE SPACE, AND CLASS REVENUE. DIETARY SERVICES - IS 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 FWBH AS AN EMPLOYER AND IT ALLOWS OUR STAFF TO REMAIN ON SITE FOR PATIENT CARE. MISCELLANEOUS REVENUE - IS REVENUE DERIVED FROM DIFFERENT SERVICES THROUGH THE PROCESS OF PROVIDING PATIENT CARE IN THE NORMAL OPERATION OF A MEDICAL FACILITY. INCLUDED IN THIS CATEGORY ARE ITEMS SUCH AS RECYCLING REVENUE, NSF CHECK CHARGES, AND TAXABLE DIETARY SALES. REBATES AND DISCOUNTS - IS THE RESULT OF VOLUME PURCHASES OF PATIENT CARE SUPPLIES AND THE RESULT OF USING SPECIFIC VENDORS OR RECEIVING A DISCOUNT BY PAYING INVOICES WITHIN A SPECIFIC TIME PERIOD. CORPORATE ALLOCATED REVENUE - REVENUE BASED FROM FTCH, A RELATED PARTY. 8930571 10049949 132603988 true false 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 false false true false false false false false false false false false false false false false true true false false false true 0 0 0 false false false false false false false false false false false false X 12 9 false false false false true true true true true false false true true true true true true true true false WI X X DAVID DIRKSMEYER 4148053000 N74 W12501 LEATHERWOOD CT MENOMONEE FALLS WI 53051 Allen Ericson Director & SJH President 41.0 9.0 X X 0 875006 174074 Noelle Braun Director & BOD V.Chair 1.0 0 X X 0 0 0 Peter Rettler Director & BOD Chair 1.0 1.0 X X 0 0 0 Steven Volkert Director & BOD Secretary 1.0 0 X X 0 0 0 Carey Cameron MD Director (Start Nov23) 1.0 0 X 0 0 0 Eric Conley Director & FMLH President (Start Jul23; Term Apr24) 1.0 49.0 X 0 1403238 212976 Mark Bosbous MD Director 1.0 0 X 0 0 0 Matt Weston Director 1.0 0 X 0 0 0 Michael DeGere DPM Director & Chief Medical Officer (Start Jul23) 1.0 49.0 X 0 472454 94185 Michael Faley Director (Start Jul23; Term May24) 1.0 0 X 0 0 0 Michelle Arneson DO Director (Start Jul23) 1.0 0 X 0 0 0 Patrick Patton Director (Start Jul23) 1.0 0 X 0 0 0 Shelly Waala Director & VP Patient Care Svc 1.0 49.0 X 0 380354 72808 Susan Bartow Director (Start Jul23) 1.0 0 X 0 0 0 Adam Smith Treasurer 1.0 49.0 X 0 416956 71989 Jeffrey Van De Kreeke Former - Officer (Treas) 0.0 50.0 X 0 196046 12200 0 3744054 638232 0 true true false 0 0 0 11498 0 0 0 11498 Outpatient Revenue 621400 67783994 67783994 Inpatient Revenue 621990 50297872 50297872 Emergency Dept Revenue 621990 21093061 21093061 0 0 0 0 139174927 11978 11978 0 0 0 0 0 2821 0 -2821 -2821 -2821 8954 11498 14506 -5552 -5552 Intercompany Revenue 621110 5459132 5459132 Other Department Operating Revenue 900099 2367151 2367151 Corporate Allocated Revenue 900099 1716612 1716612 507054 507054 0 0 10049949 149239979 149224876 0 3605 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47712760 45044312 2668448 0 0 0 0 0 0 0 0 0 3442603 3300271 142332 0 0 0 0 0 12593 0 12593 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19072052 15594466 3477586 0 0 0 0 0 395579 370518 25061 0 122234 81947 40287 0 0 0 0 0 1529507 901150 628357 0 34372 22812 11560 0 0 0 0 0 26425 23266 3159 0 1925429 1134418 791011 0 0 0 0 0 3880062 2850540 1029522 0 0 0 0 0 Medical Supplies 26958044 26928066 29978 0 Affiliated Support - CP 24436775 20091916 4344859 0 Corporate Allocated Exp 23199713 12938763 10260950 0 State Hospital Assessment 2731551 2731551 0 0 713227 589992 123235 0 156192926 132603988 23588938 0 2623 2420 -69648 -88219 0 0 15472181 17180681 0 0 0 0 2183584 2286936 245207 205906 159458915 91856704 69059036 67602211 134877 151315 0 0 20000 20000 87047860 87361250 5876911 5495813 0 1999005 1929272 7875916 7425085 X 79005678 79753460 166266 182705 79171944 79936165 87047860 87361250 X -6952947 23970 0 0 0 7693198 X false true X true true true X 2100 2100 2100 2100 2100 2100 2100 2100 2100 2100 0.0 1.0 0.0 false true true 4814698 4814698 72814767 28707350 44107417 10014562 5312529 4702033 64745238 57836825 6908413 7069650 7069650 67602211 DUE TO AFFILIATES 1929272 1929272 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE FUNDS ARE HELD BY ST. JOSEPH'S COMMUNITY HOSPITAL FOUNDATION, INC., A RELATED ORGANIZATION, AND ARE RESTRICTED FOR USE BY KATHY HOSPICE. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote FROEDTERT THEDACARE HEALTH INC. (FTCH), THE PARENT ENTITY INTO WHICH FWBH 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, FWBH DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS. Love Lights 6260 6260 0 0 0 6260 6260 0 true true true X 250 true X true true true false true true 622442 0 622442 0.0040 14269920 5782715 8487205 0.0543 0 0 0 0.0 0 0 14892362 5782715 9109647 0.0583 21 53068 690697 0 690697 0.0044 4 348 373693 0 373693 0.0024 1 365 6162 0 6162 0.0000 0 0 0 0 0 0.0 11 21278 528422 0 528422 0.0034 37 75059 1598974 0 1598974 0.0102 37 75059 16491336 5782715 10708621 0.0686 0 0 0 0 0 0.0 1 0 11635 0 11635 0.0001 1 0 2724 0 2724 0.0000 0 0 0 0 0 0.0 0 0 0 0 0 0.0 1 0 11080 0 11080 0.0001 0 0 0 0 0 0.0 4 602 60044 0 60044 0.0004 0 0 0 0 0 0.0 7 602 85483 0 85483 0.0005 false 4710803 0 21701181 36788710 -15087529 X true true 1 1 ST JOSEPH'S COMMUNITY HOSPITAL 3200 PLEASANT VALLEY ROAD WEST BEND WI 530953868 froedtert.com/locations/hospital/west-bend-hospital 44 X X X DBA FROEDTERT WEST BEND HOSPITAL ST JOSEPH'S COMMUNITY HOSPITAL 1 false false true X X X X X X X X X X 22 true true true true X www.froedtert.com/community-engagement X X true 23 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 3 Facility , 1 Facility , 1 - FROEDTERT WEST BEND HOSPITAL. FWBH PARTNERS WITH THE WASHINGTON COUNTY HEALTH DEPARTMENT ON THE CHNA PROCESS IN ADDITION TO THE COUNTY'S COMMUNITY HEALTH IMPROVEMENT PLAN. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - FROEDTERT WEST BEND HOSPITAL. CHNA Process and Report In 2022, a CHNA was conducted to 1) determine current community health needs in Washington 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 West Bend Hospital assessed the health needs of the communities it serves through a comprehensive data collection process from a number of key sources. Data and research included information from community members, public health officials, community leaders/experts, and non-profit organizations representing vulnerable populations in our service area. The following information/data sources were collected and taken into consideration for assessing and addressing community health needs: Community Health Survey: A phone and online survey of 578 residents was conducted by Froedtert West Bend Hospital in collaboration with community partners. The full report of these surveys can be found at https://www.froedtert.com/community-engagement/west-bend-hospital. Key Stakeholder Interviews: Froedtert West Bend Hospital Community Engagement team and leaders conducted 23 phone interviews with community leaders of various school districts, non-profit organizations, health and human service department and business leaders. A list of organizations can be found in Appendix H of the CHNA. The full key stakeholder interview results can be found at https://www.froedtert.com/community-engagement/west-bend-hospital. Secondary Data Report: Utilizing multiple county and community-based publicly available reports, information was gathered regarding: mortality/morbidity data, injury hospitalizations, Washington County Health Rankings, public safety/crime reports and socio-economic/social driver data. Internal Hospital Data: Internal data was gathered from Froedtert West Bend Hospital's service area to gain a better understanding of specific health needs impacting the hospital's patient population. Froedtert West Bend Hospital is committed to addressing community health needs collaboratively with local partners. Froedtert West Bend Hospital used the following methods to gain community input from June to November 2022 on the significant health needs of the Froedtert West Bend Hospital community. These methods provided additional perspectives on how to select and address top health issues facing Froedtert West Bend Hospital's community. Input from Community Members Key Stakeholder Interviews: Key organizations with specific knowledge and information relevant to the scope of the identified significant health needs ("informants") in Froedtert West Bend Hospital's community, including Washington County, were identified by organizations and professionals that represent the broad needs of the community and organizations that serve low-income and underserved populations. A list of key stakeholders can be found in Appendix H of the CHNA. These local partnering organizations also invited the stakeholder to participate in and conducted the interviews. The interviewers used a standard interview script that included the following elements: Social Determinants of Health: * Top Rank, Second Rank * How has COVID-19 impacted this issue? * If the community rallied behind one major effort to radically improve this issue, what would that initiative be? * Which community stakeholders are critical to addressing this issue? Health Conditions/Behaviors: * Top Rank, Second Rank * What populations in our communities are most affected by this issue? How are they affected? * What are the existing strategies to address the health issue? What is working well? * What additional strategies are needed to address this issue? What is keeping our community from doing what needs to be done to improve this issue? * Which community stakeholders are critical to addressing this issue? * If the community rallied behind one major effort to radically improve this issue, what would that initiative be? * How has COVID-19 impacted this issue? Additional Questions/Comments * How would you suggest organizations reach out to community members to implement health initiatives? * Do you have any additional comments you would like to share? Underserved Population Input: Froedtert West Bend Hospital is dedicated to reducing health disparities. Gathering input from community members who are medically underserved, from low-income and minority populations, and/or from organizations that represent those populations, is important in addressing community health needs. With that in mind, Froedtert West Bend Hospital gained input from: * Community Health Survey: When appropriate, data was stratified by gender, age, education household income level and marital status. * Key Stakeholder Interviews: The key stakeholder interviews included input from members of organizations representing medically underserved, low-income and minority populations. Summary of Community Member Input The top five Washington County health issues/behaviors and social needs ranked most consistently or most often cited in the community health survey and by key stakeholders were: Community Health Survey (Health Issues/Behaviors): * Mental Health, Mental Conditions and Suicide * Alcohol Abuse and Drug/Substance Use * Nutrition, Physical Activity and Obesity * Access to Affordable Health Care * Tobacco and Vaping Products Community Health Survey (Social Needs): * Economic Stability and Employment * Food Insecurity * Education Access and Quality * Safe and Affordable Housing * Accessible and Affordable Transportation Key Stakeholder Interviews (Health Issues/Behaviors): * Mental Health, Mental Conditions and Suicide * Alcohol and Substance Use * Nutrition, Physical Activity and Obesity * Maternal, Infant and Child Health * Chronic Diseases Key Stakeholder Interviews (Social Needs): * Economic Stability and Employment * Family Support * Access to Social Services * Affordable Childcare * Safe and Affordable Housing After adoption of the CHNA Report and Implementation Strategy, Froedtert West Bend Hospital publicly shares both documents with community partners, key stakeholder, hospital board members, public schools, non-profits, hospital coalition members, the Washington Ozaukee Public Health Department and the general public. Documents are made available via email, hard copies are made available at applicable meetings, and electronic copies are made available by PDF for download on https://www.froedtert.com/community-engagement/west-bend-hospital. Feedback and public comments are always welcomed and encouraged. Use the contact form on the Froedtert & the Medical College of Wisconsin health network website at https://www.froedtert.com/contact, or call Froedtert ThedaCare Health, Inc.'s Community Engagement leadership/staff at 414-777-3787. Froedtert West Bend Hospital received no comments or issues with the previous Community Health Needs Assessment Report and Implementation Strategy. Washington County Key Informant Interview Organizations: 4C Family Center of Washington County - Nonprofit that provides programs for parents, youth and families. Aging and Disability Resource Center of Washington County- Provides information, assistance, and access to services and community resources for seniors and adults with disabilities Albrecht Free Clinic - Free medical and dental clinic for uninsured Boys and Girls Club of Washington County - Nonprofit youth serving agency providing youth academic and recreational programming. Casa Guadalupe Education Center - Nonprofit serving Latinx community Elevate, Inc.- Nonprofit providing prevention, intervention and recovery support around substance abuse and mental health Germantown School District - Provides services for youth and participates in the Youth Risk Behavioral Survey Interfaith Caregivers of Washington County - Provides services for seniors. Kettle Moraine YMCA - Nonprofit providing services that help people improve their health and well-being Kewaskum School District - Provides public education for youth. Moraine Park Technical College- Higher education institute NAMI Washington County- Provides mental health services through resources, education, and recovery support service in a safe and social atmosphere. Senior Citizens Activities, Inc- Provides programs and activities for seniors to socialize Threshold Inc - Provides services for people with disabilities. United Way of Washington County - Engages, convenes, and mobilizes community resources to address root causes of local health and human services needs Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - FROEDTERT WEST BEND HOSPITAL. UW Madison- Extension - Designs educational programs focused on agriculture, community development, human development & relationships, nutrition education, 4-H youth development, and positive youth development. Washington County - Government agency. Washington County Economic Development Corp. - Provides support for local business and economic growth. Washington County Human Services Department - Provides community programs to individuals and families challenged by disability, economic hardship and safety concerns. Washington County Sheriff's Department - Law enforcement agency. Washington Ozaukee Public Health Department - Government department that prevents disease and promotes health. Washington Ozaukee Workforce Development Board - Provides support for local business and economic growth. West Bend School District - Provides public education for youth. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - FROEDTERT WEST BEND HOSPITAL. Froedtert West Bend 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 West Bend Hospital and is the basis for creation of an implementation strategy to improve health outcomes and reduce disparities in Washington County and the hospital's primary service area. Washington County Collaborative Partners: Froedtert & the Medical College of Wisconsin Ascension Wisconsin Advocate Aurora Health After completion of the shared CHNA, the data was taken into consideration in order for Froedtert West Bend 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 - FROEDTERT WEST BEND HOSPITAL. Froedtert West Bend 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 West Bend Hospital and is the basis for creation of an implementation strategy to improve health outcomes and reduce disparities in Washington County and the hospital's primary service area. Washington County Organizations: Washington Ozaukee Public Health Department JKV Research After completion of the shared CHNA, the data was taken into consideration in order for Froedtert West Bend 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 - FROEDTERT WEST BEND HOSPITAL. 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 WASHINGTON COUNTY NEEDS ASSESSMENT AND COUNTY HEALTH IMPROVEMENT PLAN CAN BE FOUND AT THE FOLLOWING WEBSITE: WASHINGTON OZAUKEE PUBLIC HEALTH DEPARTMENT WEBSITE: https://www.washozwi.gov/Strategy Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - FROEDTERT WEST BEND HOSPITAL. Community Health Improvement Plan for Froedtert West Bend Hospital is available online at: https://www.froedtert.com/community-engagement The Fiscal Year 2024 - 2026 Implementation Strategy/Community Health Improvement Plan was reviewed and adopted by the Froedtert West Bend Hospital Board of Directors on 8/29/2023. The CHNA was reviewed by the Froedtert West Bend Hospital CHNA/Implementation Strategy Advisory Committee, which consists of members from the Community Initiatives Committee, Washington County community partners, the Washington Ozaukee Public Health Department and hospital and health system leadership and staff. Committee members were selected based on their specific knowledge of health needs and resources in Washington County for a collective analysis of the CHNA findings. Under the direction of the Department of Community Engagement leadership team and a trained meeting facilitator, the planning process included four steps in prioritizing Froedtert West Bend Hospital's significant health needs: * Review the 2022 Community Health Needs Assessment results for identification and prioritization of community health needs. * Review previous 2021 - 2023 Implementation Strategy programs and results. * Rank and selected priority areas. * Brainstorm evidence-based strategies, partnerships and programs to address community health needs. During a facilitated workout session in February 2023, members of the CHNA/Implementation Strategy Advisory Committee were asked to rate each health need based on the following criteria, to identify the significant health needs: * Alignment: the degree to which the health issue aligns with Froedtert ThedaCare Health's mission and strategic priorities. * Feasibility: the degree to which the hospital can address the need through direct programs, clinical strengths and dedicated resources. * Partnerships: the degree to which there are current or potential community partners/coalitions. * Health Equity: the degree to which disparities exist and can be addressed. * Measurable: the degree to which measurable impact can be made to address the issue. * Upstream: the degree to which the health issue is upstream from and a root cause of other health issues. Based on those results, three overarching significant health needs were identified as priorities for Froedtert West Bend Hospital's Implementation Strategy for fiscal 2024-2026: * Mental Health * Chronic Disease * Equitable Access to Health Services Significant Health Needs Not Addressed * Alcohol Use and Substance Use: Froedtert West Bend Hospital collaborates with the local health department and local non-profits to address alcohol use and substance use through the substance use coalition and Healthy Community Fund. * Obesity: Obesity was not identified as a stand-alone significant health need but this issue will be included under chronic disease prevention. * Safe and Affordable Housing: As part of the Froedtert & the Medical College of Wisconsin health network, Froedtert West Bend Hospital will continue to support housing through the Housing Navigation Program, charitable giving and community partnerships. * Affordable Childcare: Other organizations in the community are addressing this need. * Economic Stability and Employment: Froedtert West Bend Hospital supports economic stability and employment by partnering with the Washington County Economic Development Corporation, Moraine Park Technical College and local chambers. Froedtert West Bend Hospital Summary of Implementation Strategy Froedtert West Bend 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 West Bend Hospital have dedicated full time employees and budgeted funds toward serving the needs of the Froedtert West Bend Hospital communities. To access a copy of the full Implementation Strategy, please go to https://www.froedtert.com/community-engagement. Coalition Participation, Charitable Giving and Sponsorship, Health Care Career Exploration, Educational Trainings and Referral Applications CHNA Significant Health Need: Mental Health Goal: Support mental health and well-being through evidence-based, community-led prevention programs and navigation of support services that are equitable, high-quality, culturally responsive and linguistically appropriate, specifically for priority populations. Objective: * Support mental health outreach, education and prevention programs by June 30, 2026. * Improve access to mental health services and navigation to community resources by June 30, 2026. Froedtert West Bend Hospital Actions: * Actively participate on the Washington Ozaukee Mental Health Coalition. * Support mental health efforts through the Healthy Community Fund. * Expand behavioral health care career exploration to offer at least two presentations or speakers for middle school or high school students per year. * Collaborate with community organizations to conduct at least one educational training to increase awareness and skills to address mental health concerns, improve individual self-care and provide community with support, tools and resources. * Utilize and promote Impact 211 as a central access point for people who need mental health support. * Explore the expansion of SilverCloud to the community. Froedtert West Bend Hospital Available Resources: * Community Engagement Leadership/Staff * Behavioral Health Services * Froedtert West Bend Hospital Healthy Community Fund * Froedtert ThedaCare Health Sponsorship * Workforce Development * The Department of Psychiatry and Behavioral Health Medical College of Wisconsin * Inception Health Froedtert West Bend Hospital Collaborative Partners: * Washington Ozaukee Public Health Department - Partner to promote and implement mental health initiatives. * Washington County School Districts - Partner to expose youth to behavioral health care careers. * National Association of Mental Illness (NAMI) Washington County - Partner to provide educational trainings in the community. * Impact 211 - Partner to increase awareness of resources. * Washington County Non-Profit Organizations - Partner to promote and implement mental health initiatives. * First Responders - Partner to conduct front line mental health trainings. * Elevate, Inc. - Partner to provide education and resources. * Albrecht Free Clinic - Partner to provide community prevention programs/services to low income and uninsured individuals. * Casa Guadalupe Education Center - Partner to provide community prevention programs/services to Hispanic/Latino population. * West Bend Senior Center - Partner to provide mental health programs to elderly populations. * Washington County Human Services - Partner to provide mental health services. Coalition Participation FY 2024 Outcomes/Progress: * Participating on the Mental Wellness Coalition through the Washington Ozaukee Health Department - 381 lives touched through the Washington Ozaukee Mental Health Coalition. - Focus areas include: - Reduce Stigma & Awareness Campaign - Increase Mental Health services for youth - Raise awareness and increase utilization of mental health crisis services - Promoting 988, 911, 211 Healthy Community Fund FY 2024 Outcomes/Progress: In Fiscal Year 2024, Froedtert West Bend Hospital, through its foundation, awarded $238,644 to seven Washington County Nonprofits that are positively impacting 2,162 lives throughout the county. Below is a summary of awards and grantees focused on behavioral health prevention: Elevate - Individualized Intervention Programs (AODA) At Elevate we believe healthy individuals build strong communities. Mission is to guide and empower individuals and families to effectively address substance use and mental health challenges. Funding will be used to build Elevate's school strategy of intervention programming to improve youth mental health and reduce their risk for substance abuse by targeting youth with high rates of absenteeism from school as well as other high-risk behavior. Amount awarded: $32,000 People Served: 11 The Youth and Family Project Inc - Crossroads Youth Program Outreach (Mental Health) The Youth and Family Project is a community based, human service, nonprofit agency founded in 1975. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - FROEDTERT WEST BEND HOSPITAL. The agency's mission is to provide support, guidance and understanding to help people in need realize their individual goals of independence and personal well-being and for them to achieve a safe, stable living environment. The Youth and Family Project partnered with the Family Center of Washington County to offer the Crossroads Youth Program. This program will address issues associated with childhood trauma and provide a continuum of services to children facing difficult life events: peer support and individual counseling. Amount awarded: $15,000 People Served: 113 Educational Trainings FY 2024 Outcomes/Progress: * 3 collaborative partners in FY24: NAMI Washington County, Washington Ozaukee County Health Department, Aurora Health Care * 15 people attended the blood pressure screening at the West Bend Senior Center and received education. * Community Action Coalition for South Central Wisconsin (CAC) hosted a series of free, virtual Mental Health First Aid trainings in which 11 community partners attended Mental Health Care Career Exploration FY 2024 Outcomes/Progress: * 149 students attended 4 presentations in FY24: Hartford Union High School and West Bend High Schools. Increased knowledge by 27%. Impact 211 Promotion/Trainings FY 2024 Outcomes/Progress: * In collaboration with Impact211, 4 virtual trainings were offered to community partners. Of those trainings 21 people participated. SilverCloud Expansion FY 2024 Outcomes/Progress: * Coordinated a SilverCloud workgroup made up of representatives from Community Engagement, Behavioral Health and Inception Health. Will be engaging Marketing and Communications. * Developed an action plan and secured funding to launch pilot. * Determined a pilot will launch in January 1, 2025 in Washington and Ozaukee Counties. February 1, 2025 will expand into Milwaukee, Manitowoc and Waukesha Counties. * Will launch a resiliency and stress program, open for all community members. Community Collaborations, Charitable Giving, Cancer and Chronic Disease Screenings and Referrals CHNA Significant Health Need: Chronic Disease Prevention Goal: To reduce the burden of chronic diseases in Washington County. Objective: * Increase preventative screening, navigation to resources and treatment of chronic diseases specifically for priority populations in high need zip codes by June 30, 2026. Froedtert West Bend Hospital Actions: * Implement at least three prevention opportunities in partnership with community organizations that target either low income, elderly or Hispanic/ Latino populations. * Support chronic disease prevention efforts through the Healthy Community Fund. * Yearly conduct one cancer screening in partnership with community organizations and the Froedtert & the Medical College of Wisconsin Cancer Network. * Conduct at least two chronic disease community screenings across zip codes 53090 (West Bend), 53095 (West Bend) and 53027 (Hartford). * Support population health and health equity by addressing gaps in medical care, screenings, education and navigation to resources related to breast and colon cancer, pneumococcal vaccines, diabetes, hypertension and readmissions. Froedtert West Bend Hospital Available Resources: * Froedtert Cancer Network Care Navigator * Froedtert West Bend Hospital's Community Foundation * Froedtert & MCW Community Physicians * Froedtert & MCW Cancer Care Network Physicians * Community Education Coordinator * Froedtert West Bend Hospital Healthy Community Fund * Froedtert ThedaCare Health Sponsorship Froedtert West Bend Hospital Collaborative Partners: * Albrecht Free Clinic - Partner to provide community chronic disease prevention programs/services to low income and uninsured individuals. * Casa Guadalupe Education Center - Partner to provide community chronic disease prevention programs/services to Hispanic/Latino populations. * Washington Ozaukee Public Health Department - Partner to promote and implement chronic disease prevention efforts. * Kettle Moraine YMCA - Partner to promote and implement chronic disease prevention efforts. Chronic Disease Prevention Programs/Outreach FY 2024 Outcomes/Progress: * Wellness in Our Parks: 52 participants (Yoga at the West Bend Library) * Screen Free Week: 1,998 lives impacted & 15 partners * MOWA | Riveredge | West Bend Library | Kettle Moraine YMCA | Boys & Girls Club | EMT/Fire Departments (4) | Skateland | Kewaskum Library | Hartford Library | Aurora Health Care | Pike Lake | Germantown Library Healthy Community Fund FY 2024 Outcomes/Progress: In Fiscal Year 2024, Froedtert West Bend Hospital, through its foundation, awarded $238,644 to seven Washington County Nonprofits that are positively impacting 2,162 lives throughout the county. Below is a summary of awards and grantees focused on chronic disease prevention: Casa Guadalupe Education Center - Healthy Latinos, Healthy Futures (Chronic Disease) Casa Guadalupe is currently the only bilingual and bi-cultural community based non-profit organization serving Spanish speaking residents in Washington County. Latinos living in Washington County are the most likely group to not have a regular source of health care, resulting in low health literacy which affects the overall health of the community. Funds will support health seminars and programs, outreach initiatives and transportation needs to promote education about health screenings, diabetes prevention, active lifestyles and nutrition for adults and families. Amount awarded: $40,000 People Served: 480 Community Cancer Screening FY 2024 Outcomes/Progress: * Skin, Hair and Nails screening scheduled for Oct. 2023 at Casa Guadalupe health fair was canceled. Community Chronic Disease Screening FY 2024 Outcomes/Progress: * 37 screened for chronic disease in FY24 through monthly blood pressure screenings at West Bend Senior Center. Population Health and Health Equity FY 2024 Outcomes/Progress: * Overall composite current performance: 84.3% (target: 92.4%) * Breast cancer screening composite measure: 74.3% (target: 77.1%) * Colorectal cancer screening composite measure: 63.7% (target: 73.2%) * Pneumococcal vaccination composite measure: 85.3% (target: 86.2%) * Controlling high blood pressure composite measure: 64.9% (target: 73.6%) * HbA1c Poor Control composite measure: 72.2% (target: 80%) * 30-day readmissions composite measure: 15.3% (target: 13.3%) Charitable Giving, Impact Connect, Population Health and Health Equity, Health Care Career Exploration. CHNA Significant Health Need: Equitable Access to Health Services Goal: * To improve equitable access to comprehensive community and hospital-based services that deliver inclusive, culturally and linguistically competent care. Objective: * Enhance a strong, equitable safety net of services that improves access to care among priority populations by June 30, 2026. Froedtert West Bend Hospital Actions: * Allocate funds to support equitable access to health services through the Healthy Community Fund. * Continue to implement and expand the social determinants of health screening tool within primary and specialty care. * Support population health and health equity by addressing gaps in medical care, screenings, education and navigation to resources related to breast and colon cancers, pneumococcal vaccines, diabetes, hypertension, and readmissions * Expand the Froedtert ThedaCare Health Community Health Worker program to Froedtert West Bend Hospital. * Offer at least two opportunities to educate middle or high school students about health care careers per year. Froedtert West Bend Hospital Available Resources: * Community Engagement leadership/staff * Froedtert West Bend Hospital Healthy Community Fund * Froedtert & MCW Community Physicians * Community Health Worker * Population Health and Health Equity Froedtert West Bend Hospital Collaborative Partners: * Albrecht Free Clinic - Partner to provide health and dental care to underserved populations. * Casa Guadalupe Education Center - Partner to navigate and provide services to Hispanic/Latino populations. * United Way of Washington County - Partner to fund organizations to increase access to care. * Washington County School Districts - Partner to provide health care career exploration opportunities. * Washington County Human Services - Partner to provide behavioral health services. Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - FROEDTERT WEST BEND HOSPITAL. Healthy Community Fund FY 2024 Outcomes/Progress: In Fiscal Year 2024, Froedtert West Bend Hospital, through its foundation, awarded $238,644 to seven Washington County Nonprofits that are positively impacting 2,162 lives throughout the county. Below is a summary of awards and grantees focused on access to care: Albrecht Free Clinic (Lakeshore Community Health Center)- Healthy Smiles Change Lives (Access - Dental) The Albrecht Free Clinic provides medical, behavioral and dental services for eligible individuals who are underinsured, uninsured or otherwise unable to afford and access medical care. As a result of many post- pandemic challenges, Albrecht Free Clinic transitioned dental services to Lakeshore Community Health Care in August 2022. funds from the Healthy Community Fund will help offset the cost of a paid, part-time nurse practitioner, a part-time bilingual CHN, and specialty dental care for qualifying AFC medical patients. Amount awarded: $75,000 People Served: 556 Interfaith Caregivers of Washington County - Healthy Aging In Place (Access to Healthcare / Community Services / Transportation) Interfaith Caregivers helps Washington County residents over the age of 60 with assistance to live safely in their own home. Support is provided to enable seniors to live and thrive in their homes and community by providing transportation to medical appointments, pharmacies, grocery stores/food pantries and exercise and wellness programs. When transportation barriers for seniors are removed, a senior's access to healthcare and other vital services such as nutrition and wellness improve. Transportation expenses include volunteer recruitment and background checks, auto supplies, fuel, insurance, licensing, repairs/maintenance and software to track assisted rides. As the population of Washington County ages, providing support for these services is important so they do not increase to a point where the health of seniors is in jeopardy. Amount awarded: $25,000 People Served: 509 Community Smiles Dental - Dental Care Access for Low-Income Washington County Children (Access - Dental) Community Smiles Dental provides affordable dental care to residents in Milwaukee, Ozaukee, Washington, and Waukesha Counties. We are the only safety net dental clinic in the region dedicated to providing affordable dental care and a dental home to low-income children and pregnant women. Our two clinics, located in Waukesha and Menomonee Falls, provide comprehensive dental care to low-income families in a setting that mirrors a professional dental practice. The goal of this project is to increase access to affordable, routine, dental care for low-income residents of Washington County. Based on an annual 25% growth rate in our Washington County patient census experienced over each of the past four years, we anticipate that CSD will serve 450 unique Washington County patients during 2024. Amount awarded: $31,644 People served: 268 Family Promise - Health Services and Housing for Homeless (Housing) Since 2010, Family Promise of Washington County has been serving homeless families and individuals. Family Promise is a national organization with over 200 affiliates throughout the United States. Funding from the Healthy Community Fund will be used for coordinated health services, emergency shelter, and housing for the homeless through the continuum of care provided by Family Promise of Washington County. Amount awarded: $20,000 People served: 225 Impact Connect/UniteUs FY 2024 Outcomes/Progress: * 2,728 screened and 70 referrals in FY24 * Of those screened at Froedtert West Bend Hospital, 927 were patients who identified as underserved and 14 were referred. * In an effort of outreach to community partners of Froedtert West Bend Hospital by UniteUs, the following partners are live on the platform; Casa Guadalupe Education Center, Interfaith Caregivers of Washington Count, and The Threshold. Population Health and Health Equity FY 2024 Outcomes/Progress: * Overall composite current performance: 84.3% (target: 92.4%) * Breast cancer screening composite measure: 74.3% (target: 77.1%) * Colorectal cancer screening composite measure: 63.7% (target: 73.2%) * Pneumococcal vaccination composite measure: 85.3% (target: 86.2%) * Controlling high blood pressure composite measure: 64.9% (target: 73.6%) * HbA1c Poor Control composite measure: 72.2% (target: 80%) * 30-day readmissions composite measure: 15.3% (target: 13.3%) Community Health Work Program FY 2024 Outcomes/Progress: * CHW program will be supported under the Enterprise Care Coordination (ECC) service line as they have the expertise to support the CHWs with patient referrals, data reports, team huddles, EPIC access, etc. * No plans at this time to expand to Washington County due to the transition and ECC/social work can manage the current case load. Health Care Career Exploration FY2024 Outcomes/Progress: * 505 students attended 7 presentations and College Career Fair at West Bend High School, Slinger High School, Hartford Union High School and Kewaskum High School Other Engagement Programs and Initiatives Community Engagement proactively addresses the social, cultural and economic determinants that underpin health and seeks to build partnerships with others to find solutions. Froedtert & the Medical College of Wisconsin are committed to making a positive, sustained difference in our community. Community Engagement will strengthen the economic vitality and quality of life of those communities we serve. Froedtert West Bend Hospital Community Engagement programming and health improvement activities are supported through staff resources, budgeted dollars for programming and community partnerships. Nursing and Other Health Professions Education Froedtert West Bend Hospital recognizes the value of preparing tomorrow's health care today. Each year, Froedtert West Bend Hospital nurses, technicians and other health professionals provide Washington County students' clinical rotations, preceptorships, and continuing education opportunities. FY 2024 Outcomes/Progress: * Froedtert West Bend Hospital staff provided 3,024 hours of preceptorship time to 168 students in nursing roles. * Froedtert West Bend Hospital staff provided 1,889 hours of preceptorship time to 78 students in professional/technical roles. Project Search Project SEARCH is a nine-month program for young adults that provides training and education for ages 18 and older. The ultimate end goal that Project SEARCH strives for is employment for young adults with physical or cognitive challenges. The cornerstone of the program is total immersion into the business environment. Those selected to participate in the program will learn employable skills in a classroom setting, hands-on job skills and participate in a variety of meaningful rotations and experiences within our organizations environment. They will have the opportunity to complete three rotations lasting 10 weeks each. FY 2024 Outcomes/Progress: * 1 young adult completed the program. He spent time as an intern in our Food n Nutrition, Environmental Services and Ambulatory Surgery departments. United Way Employee Campaign (Addresses all areas in Implementation Plan) Froedtert West Bend Hospital collaborates with the United Way of Washington County to address community needs in the areas of access to health care, creating healthy beginnings and making healthy choices. Froedtert West Bend Hospital hosts an annual workplace giving campaign to support United Way and its affiliated organizations. FY 2024 Outcomes/Progress: * 51 hours from staff and leaders to coordinate three week campaign. * $24,504 restricted corporate gift to United Way of Washington County * $38,344.71 corporate match * Overall dollars raised by staff, leaders and physicians - $1,220,269.21 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 West Bend 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) Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - FROEDTERT WEST BEND HOSPITAL. * Assistance with concerns about sexually transmitted infection and pregnancy * Assistance with safety planning * Development of a medical follow-up plan FY2024 Outcomes/Progress: * SANE nurses screened 19 patients and provided referrals and case management after initial consultation. ACA Insurance Marketplace and Enrollment Assistance (Access to Care and Navigation) Froedtert ThedaCare Health (parent company of Froedtert West Bend Hospital) recognized the need to help individuals navigate the new choices available to them through the Affordable Care Act's Insurance Marketplace and Medicaid reforms. Our overall health network of certified application counselors screen and enroll individuals in Public Assistance and Marketplace Insurance Plans. In addition, our certified application counselors answered thousands of phone calls and assisted with questions. Froedtert ThedaCare Health also partnered with the Milwaukee Enrollment Network which represented health systems, free clinics, health departments and other non-profit organizations to reach out to people throughout Milwaukee, Manitowoc, Washington and Waukesha Counties in securing adequate and affordable health insurance. FY2024 Outcomes/Progress: * Our network of certified application counselors assisted a total of 5,857 individuals with approximately 232 for Froedtert West Bend Hospital. Leadership Volunteerism/Community Support (Froedtert in Action) (Community Building) As an indication of Froedtert West Bend Hospital's executive team's commitment to the community, hospital leaders volunteer their time to support to local initiatives, not-for-profit organizations and community events that align with the hospital's mission and directly support identified community needs. FY 2024 Outcomes/Progress: * More than 28 leaders provided 571 hours of support to local initiatives through volunteering at not-for-profit organizations and community events Drives FY2024 Outcomes/Progress: * Holiday Drive: 565 items collected by Froedtert West Bend Hospital with 40 total volunteer hours. * Healthy Shelves: 1,500 pounds of food was collected across the health network with 12 total volunteer hours from Froedtert West Bend Hospital staff. For more information on Froedtert West Bend Hospital Community Benefit programs, please visit https://www.froedtert.com/community-engagement or see attached Report to the Community. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - FROEDTERT WEST BEND HOSPITAL. IN ALIGNMENT WITH THE FTCH FINANCIAL ASSISTANCE POLICY FWBH RESERVES THE RIGHT TO REVIEW EACH APPLICATION FOR FINANCIAL ASSISTANCE ON ITS OWN MERITS AND TO CONSIDER OTHER EXTENUATING CIRCUMSTANCES IN THE DECISION TO APPROVE OR DENY A PATIENT'S APPLICATION FOR FINANCIAL ASSISTANCE. THE APPLICANT'S GROSS FAMILY INCOME WILL BE DETERMINED USING MODIFIED ADJUSTED GROSS INCOME (MAGI). MODIFIED ADJUSTED GROSS INCOME INCLUDES BOTH EARNED INCOME AND PASSIVE INCOME RECEIVED AND COMPARED TO THE ANNUAL FEDERAL POVERTY GUIDELINES SET FORTH BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. A PATIENT WHO HAS AN ANNUAL GROSS INCOME EQUAL TO OR LESS THAN 400% OF THE CURRENT YEAR'S POVERTY GUIDELINES WILL NOT PAY MORE THAN 15% OF THEIR ANNUAL GROSS INCOME ON ANY SINGLE ACCOUNT DURING THE APPROVED ELIGIBILITY TIMEFRAME. PATIENTS WHO MEET THE REQUIREMENTS AND HAVE A GROSS INCOME EQUAL OR LESS THAN 250% OF THE FPL MAY QUALIFY FOR A 100% DISCOUNT. PATIENTS WHO MEET THE REQUIREMENTS AND HAVE A GROSS INCOME BETWEEN 250% AND 400% OF THE FPL MAY QUALIFY FOR A DISCOUNT ON A SLIDING SCALE. IN ADDITION TO INCOME, FWBH 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 - FROEDTERT WEST BEND HOSPITAL. OUT OF POCKET MAXIMUM DISCOUNT. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - FROEDTERT WEST BEND HOSPITAL. WE REQUEST ADDITIONAL DOCUMENTATION WHEN AN INDIVIDUAL HAS SUBMITTED AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION. 3 ST JOSEPH'S HOSPITAL KCC 3200 PLEASANT VALLEY RD WEST BEND WI 53095 CANCER CENTER THE KATHY HOSPICE 3232 PLEASANT VALLEY RD WEST BEND WI 53095 INPATIENT HOSPICE FACILITY ST JOSEPH SLEEP CENTER 1201 OAK STREET WEST BEND WI 53095 SLEEP CENTER Schedule H, Part I, Line 3c IN ALIGNMENT WITH THE FTCH FINANCIAL ASSISTANCE POLICY FROEDTERT WEST BEND HOSPITAL RESERVES THE RIGHT TO REVIEW EACH APPLICATION FOR FINANCIAL ASSISTANCE ON ITS OWN MERITS AND TO CONSIDER OTHER EXTENUATING CIRCUMSTANCES IN THE DECISION TO APPROVE OR DENY A PATIENT'S APPLICATION FOR FINANCIAL ASSISTANCE. THE APPLICANT'S GROSS FAMILY INCOME WILL BE DETERMINED USING MODIFIED ADJUSTED GROSS INCOME (MAGI). MODIFIED ADJUSTED GROSS INCOME INCLUDES BOTH EARNED INCOME AND PASSIVE INCOME RECEIVED AND COMPARED TO THE ANNUAL FEDERAL POVERTY GUIDELINES SET FORTH BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. A PATIENT WHO HAS AN ANNUAL GROSS INCOME EQUAL TO OR LESS THAN 400% OF THE CURRENT YEAR'S POVERTY GUIDELINES WILL NOT PAY MORE THAN 15% OF THEIR ANNUAL GROSS INCOME ON ANY SINGLE ACCOUNT DURING THE APPROVED ELIGIBILITY TIMEFRAME. PATIENTS WHO MEET THE REQUIREMENTS AND HAVE A GROSS INCOME EQUAL OR LESS THAN 250% OF THE FPL MAY QUALIFY FOR A 100% DISCOUNT. PATIENTS WHO MEET THE REQUIREMENTS AND HAVE A GROSS INCOME BETWEEN 250% AND 400% OF THE FPL MAY QUALIFY FOR A DISCOUNT ON A SLIDING SCALE. IN ADDITION TO INCOME, FROEDTERT WEST BEND HOSPITAL ALSO TAKES CERTAIN ASSETS INTO CONSIDERATION. ASSETS PROTECTED FROM FINANCIAL EVALUATION INCLUDE A HOUSEHOLD'S RETIREMENT ASSETS, HOME EQUITY, AND A PORTION OF CASH AND SAVINGS ASSETS. Schedule H, Part I, Line 6a EVERY YEAR, FROEDTERT THEDACARE HEALTH PRODUCES AN ANNUAL REPORT TO THE COMMUNITY HIGHLIGHTING ALL OF THE HOSPITALS AND CLINICS EFFORTS IN COMMUNITY OUTREACH PROGRAMS, PATIENT IMPACT STORIES AND INVESTMENTS IN THE COMMUNITIES WE SERVE. THE REPORT IS MAILED TO OVER 100 AREA NON-PROFITS, CHAMBERS OF COMMERCE, FROEDTERT WEST BEND HOSPITAL BOARD OF DIRECTORS, FROEDTERT WEST BEND 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 I, Line 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS COSTS WERE DETERMINED BY USING INTERNAL INFORMATION TO REDUCE THE VARIOUS ACTIVITIES TO COST. THE COSTING METHODOLOGY FOLLOWS THE INSTRUCTIONS FROM THE IRS. AS A NOT-FOR-PROFIT, EMERGENCY MEDICAL CARE AND OTHER MEDICALLY NECESSARY CARE IS PROVIDED TO ALL, REGARDLESS OF ABILITY TO PAY FOR THAT CARE. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBTS AS A COMMUNITY BENEFIT. Schedule H, Part I, Line 7f OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $156,192,926. BAD DEBT EXPENSE IS INCLUDED IN FORM 990, PART VIII, STATEMENT OF REVENUE, LINES 2A-2C AS REQUIRED BY ASU 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES. THEREFORE, BAD DEBT EXPENSE IS NOT INCLUDED ON PART IX, STATEMENT OF FUNCTIONAL EXPENSES, LINE 25, COLUMN (A). Schedule H, Part VI, Line 7 COMMUNITY BENEFIT DATA IS REPORTED ANNUALLY TO THE WISCONSIN HOSPITAL ASSOCIATION. 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 DEBTS 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 GENERALLY PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. FTCH ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. FTCH ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. FTCH PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, FTCH HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS FTCH EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. SEE ALSO PAGE 29-31 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs FROEDTERT WEST BEND HOSPITAL BELIEVES THAT ALL OF THE $15,087,529 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. 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, FROEDTERT WEST BEND HOSPITAL MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICIES FOR ASSISTING THOSE PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE IN A PROFESSIONAL AND CONSISTENT MANNER. STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS SUCH AS PATIENT FINANCIAL SERVICES CUSTOMER SERVICE AND FINANCIAL COUNSELING STAFF, AS WELL AS THOSE INVOLVED IN BILLING AND COLLECTIONS ARE TRAINED ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE OR THEIR ABILITY TO PAY FOR SERVICES. OTHER STAFF WHO MAY HAVE INTERACTIONS WITH PATIENTS, SUCH AS ADMITTING STAFF ARE ALSO AWARE OF THE POLICY, AND ABLE TO PROVIDE PATIENTS A COPY OF AN APPLICATION UPON REQUEST AND ALSO ARE COMMITTED TO TREATING PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE OR THEIR ABILITY TO PAY FOR SERVICES. Schedule H, Part V, Section B, Line 16a FAP website - ST. JOSEPH'S COMMUNITY HOSPITAL: Line 16a URL: www.froedtert.com/financial-services; Schedule H, Part V, Section B, Line 16b FAP Application website - ST. JOSEPH'S COMMUNITY HOSPITAL: Line 16b URL: www.froedtert.com/financial-services; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ST. JOSEPH'S COMMUNITY HOSPITAL: Line 16c URL: www.froedtert.com/financial-services; Schedule H, Part VI, Line 2 Needs assessment In 2022, a CHNA was conducted to 1) determine current community health needs in Washington 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 West Bend Hospital assessed the health needs of the communities it serves through a comprehensive data collection process from a number of key sources. Data and research included information from community members, public health officials, community leaders/experts, and non-profit organizations representing vulnerable populations in our service area. The following information/data sources were collected and taken into consideration for assessing and addressing community health needs: Community Health Survey: A phone and online survey of 578 residents was conducted by Froedtert West Bend Hospital in collaboration with community partners. The full report of these surveys can be found at https://www.froedtert.com/community-engagement/west-bend-hospital. Key Stakeholder Interviews: Froedtert West Bend Hospital Community Engagement team and leaders conducted 23 phone interviews with community leaders of various school districts, non-profit organizations, health and human service department and business leaders. A list of organizations can be found in Appendix H of the CHNA. The full key stakeholder interview results can be found at https://www.froedtert.com/community-engagement/west-bend-hospital. Secondary Data Report: Utilizing multiple county and community-based publicly available reports, information was gathered regarding: mortality/morbidity data, injury hospitalizations, Washington County Health Rankings, public safety/crime reports and socio-economic/social driver data. Internal Hospital Data: Internal data was gathered from Froedtert West Bend Hospital's service area to gain a better understanding of specific health needs impacting the hospital's patient population. Froedtert West Bend Hospital is committed to addressing community health needs collaboratively with local partners. Froedtert West Bend Hospital used the following methods to gain community input from June to November 2022 on the significant health needs of the Froedtert West Bend Hospital community. These methods provided additional perspectives on how to select and address top health issues facing Froedtert West Bend Hospital's community. Input from Community Members Key Stakeholder Interviews: Key organizations with specific knowledge and information relevant to the scope of the identified significant health needs ("informants") in Froedtert West Bend Hospital's community, including Washington County, were identified by organizations and professionals that represent the broad needs of the community and organizations that serve low-income and underserved populations. A list of key stakeholders can be found in Appendix H of the CHNA. These local partnering organizations also invited the stakeholder to participate in and conducted the interviews. The interviewers used a standard interview script that included the following elements: Social Determinants of Health: * Top Rank, Second Rank * How has COVID-19 impacted this issue? * If the community rallied behind one major effort to radically improve this issue, what would that initiative be? * Which community stakeholders are critical to addressing this issue? Health Conditions/Behaviors: * Top Rank, Second Rank * What populations in our communities are most affected by this issue? How are they affected? * What are the existing strategies to address the health issue? What is working well? * What additional strategies are needed to address this issue? What is keeping our community from doing what needs to be done to improve this issue? * Which community stakeholders are critical to addressing this issue? * If the community rallied behind one major effort to radically improve this issue, what would that initiative be? * How has COVID-19 impacted this issue? Additional Questions/Comments * How would you suggest organizations reach out to community members to implement health initiatives? * Do you have any additional comments you would like to share? Underserved Population Input: Froedtert West Bend Hospital is dedicated to reducing health disparities. Gathering input from community members who are medically underserved, from low-income and minority populations, and/or from organizations that represent those populations, is important in addressing community health needs. With that in mind, Froedtert West Bend Hospital gained input from: * Community Health Survey: When appropriate, data was stratified by gender, age, education household income level and marital status. * Key Stakeholder Interviews: The key stakeholder interviews included input from members of organizations representing medically underserved, low-income and minority populations. Summary of Community Member Input The top five Washington County health issues/behaviors and social needs ranked most consistently or most often cited in the community health survey and by key stakeholders were: Community Health Survey (Health Issues/Behaviors): * Mental Health, Mental Conditions and Suicide * Alcohol Abuse and Drug/Substance Use * Nutrition, Physical Activity and Obesity * Access to Affordable Health Care * Tobacco and Vaping Products Community Health Survey (Social Needs): * Economic Stability and Employment * Food Insecurity * Education Access and Quality * Safe and Affordable Housing * Accessible and Affordable Transportation Key Stakeholder Interviews (Health Issues/Behaviors): * Mental Health, Mental Conditions and Suicide * Alcohol and Substance Use * Nutrition, Physical Activity and Obesity * Maternal, Infant and Child Health * Chronic Diseases Key Stakeholder Interviews (Social Needs): * Economic Stability and Employment * Family Support * Access to Social Services * Affordable Childcare * Safe and Affordable Housing After adoption of the CHNA Report and Implementation Strategy, Froedtert West Bend Hospital publicly shares both documents with community partners, key stakeholder, hospital board members, public schools, non-profits, hospital coalition members, the Washington Ozaukee Public Health Department and the general public. Documents are made available via email, hard copies are made available at applicable meetings, and electronic copies are made available by PDF for download on https://www.froedtert.com/community-engagement/west-bend-hospital. Feedback and public comments are always welcomed and encouraged. Use the contact form on the Froedtert & the Medical College of Wisconsin health network website at https://www.froedtert.com/contact, or call Froedtert ThedaCare Health, Inc.'s Community Engagement leadership/staff at 414-777-3787. Froedtert West Bend Hospital received no comments or issues with the previous Community Health Needs Assessment Report and Implementation Strategy. 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 Overview Froedtert West Bend Hospital, founded in 1930 by local doctors, community leaders and the Sisters of the Divine Savior, is a full-service hospital serving residents of West Bend, Washington County, and surrounding areas. Froedtert West Bend Hospital, specializing in birthing services, cancer care, emergency care, orthopaedics, surgical services and women's health, is part of the Froedtert & Medical College of Wisconsin health network, which also includes Froedtert ThedaCare Hospital, Milwaukee; Froedtert Menomonee Falls Hospital, Menomonee Falls; and more than 40 primary and specialty care health centers and clinics. Mission Statement The Froedtert & the Medical College of Wisconsin health network advances the health of the people of the diverse communities we serve through exceptional care enhanced by innovation and discovery. Froedtert West Bend Hospital Service Area and Demographics For the purpose of the Community Health Needs Assessment, the community is defined as Washington County because we derive 85.5% of discharges occur from this geography. All programs, activities, and partnerships under the CHNA will be delivered in Washington County. However, Froedtert West Bend Hospital's total service area consists of Washington County as well as zip codes in eastern Dodge County. Froedtert West Bend 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 Froedtert West Bend Hospital total service area in Washington County consists of 15 zip codes: 53001 (Adell), 53002 (Allenton), 53010 (Campbellsport), 53011 (Cascade), 53021 (Fredonia), 53027 (Hartford), 53037 (Jackson), 53040 (Kewaskum), 53048 (Lomira), 53050 (Mayville), 53075 (Random Lake), 53086 (Slinger), 53090 (West Bend), 53091 (Theresa), and 53095 (West Bend). HOUSEHOLD INCOME CY24 - PRIMARY SERVICE AREA AND SECONDARY SERVICE AREA UNDER $24,999 - 12.81% AND 11.21% $25,000 - $49,999 - 14.87% AND 15.84% $50,000 - $99,999 - 29.63% AND 31.55% $100,000 AND UP - 42.69% AND 41.40% TOTAL HOUSEHOLDS - 42,400 AND 14,921 SOURCE: ESRI BAO PAYER SOURCE FY23 - PRIMARY SERVICE AREA AND SECONDARY SERVICE AREA COMMERCIAL/MANAGED CARE - 28.30% AND 31.40% MEDICAID - 11.10% AND 8.40% MEDICARE - 56.90% AND 56.80% OTHER GOVERNMENT - 1.30% AND 2.00% OTHER SELF PAY - 2.40% AND 1.50% SOURCE: WHA RACE CY24 - PRIMARY SERVICE AREA AND SECONDARY SERVICE AREA WHITE - 91.29% AND 92.84% AFRICAN AMERICAN - 1.27% AND 0.98% ASIAN/HAWAIIAN/PACIFIC ISLANDER - 1.08% AND 0.53% NATIVE AMERICAN - 0.29% AND 0.29% TWO OR MORE RACES - 4.69% AND 3.79% OTHER - 1.38% AND 1.57% HISPANIC - 4.29% AND 4.21% TOTAL POPULATION - 101,199 AND 35,968 SOURCE: ESRI BAO PAYER SOURCE FY24 Q3 - PRIMARY SERVICE AREA AND SECONDARY SERVICE AREA COMMERCIAL/MANAGED CARE - 26.00% AND 34.80% MEDICAID - 7.40% AND 8.60% MEDICARE - 62.90% AND 49.60% OTHER GOVERNMENT - 1.30% AND 1.40% OTHER SELF PAY - 2.40% AND 5.60% SOURCE: WHA DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES To promote the health of our communities, Froedtert West Bend Hospital participates in numerous community building activities, which are not included elsewhere on Schedule H. These activities include: 1. Coalition Building: Froedtert ThedaCare Health Community Engagement staff participate on the community health coalition through the Washington Ozaukee Public Health Department. Froedtert West Bend Hospital's SANE (Sexual Assault Nurse Examiner Program) works closely with volunteers from the area Women's Shelter to care for victims of sexual assault and SANE nurses collaborate with a county coalition to promote awareness, education and prevention of sexual assaults. Other committees include the CTC Transportation Committee, Injury Prevention Coalition and AARP Network of Age. 2. Community Support: Participation in local emergency preparedness and youth focused coalitions to improve the communities' ability to respond to an emergency and to improve the community environment for youth to set them up for greater success. 3. Economic Development: Leadership participates in local chamber of commerce boards focusing on economic development. 4. Diversity: Training that recruits health professionals in our traditionally underserved community. 5. Workforce Development: Diversity training and minority internship programs that recruit health professionals in our traditionally underserved communities to diversify our workforce population to better serve our communities. Schedule H, Part VI, Line 5 Promotion of community health The Board of Directors at Froedtert West Bend Hospital is made up of medical and business professionals, all of whom reside in the hospital's primary service area. They are dedicated to leveraging the benefits of our community through our hospital's mission. They value the unique character and needs of the patients and communities we serve and the physicians who provide specialty care. Froedtert West Bend Hospital's community board demonstrates our commitment to quality and service. Annually, the board reviews and approves the hospital's Community Health Improvement Plan. Additionally, Froedtert West Bend Hospital supports the Healthy Community Fund, administered through Froedtert ThedaCare Health Community Engagement, which was created in 2008 to support community programs or projects throughout Washington County that positively affect the health and wellness of those living and working within the area. Addressing Needs Through Targeted Outreach: Froedtert West Bend Hospital develops and executes community outreach programming and activities based on identified community health needs. Every needs assessment cycle, Froedtert West Bend Hospital Community Engagement staff along with the hospital's community partners and other leaders 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 Froedtert West Bend Hospital Board of Directors. Froedtert West Bend Hospital Community Engagement staff, leaders and external community partners work collaboratively to develop key goals and strategies to address community health needs. Progress towards community outreach programs/activities and goals are reported annually to the Froedtert West Bend Hospital Board of Directors, Physician Advisory Council, Froedtert ThedaCare Health Community Engagement Steering Committee, Leadership Meetings, Froedtert West Bend Hospital Community Foundation and Healthy Community Fund Boards. Based on those results, three overarching significant health needs were identified as priorities for Froedtert West Bend Hospital's Implementation Strategy for fiscal 2024-2026: * Mental Health * Chronic Disease * Equitable Access to Health Services For more information on specific community outreach efforts, Implementation Strategy and Community Health Needs Assessments, please go to Froedtert ThedaCare Health's website at http://www.froedtert.com. Schedule H, Part VI, Line 6 Affiliated health care system Froedtert & the Medical College of Wisconsin Froedtert West Bend Hospital located in Southeast Wisconsin, founded in 1930 by local doctors, community leaders and the Sisters of the Divine Savior, is a full-service hospital serving residents of West Bend, Washington County, and surrounding areas. Froedtert West Bend Hospital, specializing in birthing services, cancer care, emergency care, orthopaedics, surgical services and women's health, is part of the Froedtert & Medical College of Wisconsin health network, which also includes Froedtert ThedaCare Hospital, Milwaukee; Froedtert Menomonee Falls Hospital, Menomonee Falls; and more than 40 primary and specialty care health centers and clinics. In the Southeast region, Froedtert Memorial Lutheran Hospital, Froedtert Menomonee Falls Hospital, Froedtert West Bend Hospital, Froedtert Health Neighborhood Hospital, LLC, and Holy Family Memorial 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 $177 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 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 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 Director & 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 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 ERICSON, ALLEN - $139,594 WAALA, SHELLY - $31,460 457(F) PLAN PARTICIPANTS: CONLEY, ERIC DEGERE, MICHAEL ERICSON, ALLEN 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 I, Line 1 ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC. DBA FROEDTERT WEST BEND HOSPITAL (FWBH) IS A HEALTH CARE ORGANIZATION SERVING RESIDENTS OF WEST BEND AND WASHINGTON COUNTY. OUR MISSION IS TO ADVANCE THE HEALTH OF THE PEOPLE OF DIVERSE COMMUNITIES WE SERVE THROUGH EXCEPTIONAL CARE ENHANCED BY INNOVATION AND DISCOVERY. Form 990, Part III, Line 4a IN ADDITION TO BEING A 70-BED HOSPITAL, FWBH OFFERS A WIDE VARIETY OF OUTPATIENT SERVICES TO THE COMMUNITY, INCLUDING CANCER CARE SERVICES, VARIOUS DIAGNOSTIC AND THERAPEUTIC TREATMENTS, OUTPATIENT AND AMBULATORY SURGERIES, AND REHAB TREATMENTS. THE FWBH 16,000-SQUARE-FOOT KRAEMER CANCER CENTER IS CONVENIENTLY PROVIDED CLOSE TO HOME, WITH MEDICAL COLLEGE OF WISCONSIN SPECIALISTS WORKING WITH COMMUNITY PHYSICIANS TO PROVIDE ADVANCED, COORDINATED CARE, AND IF NEEDED, ACCESS TO SPECIALIZED TREATMENT AT FMLH IN MILWAUKEE. CANCER NETWORK PHYSICIANS IN WEST BEND INCLUDE SPECIALISTS IN RADIATION ONCOLOGY, UROLOGIC ONCOLOGY, GYNECOLOGIC ONCOLOGY AND PLASTIC AND RECONSTRUCTIVE SURGERY. ADDITIONALLY THE KRAEMER CANCER CENTER STAYS ON THE FOREFRONT OF THE SEARCH FOR NEW MEDICATIONS AND TREATMENTS, OFFERING PATIENTS THE OPPORTUNITY TO PARTICIPATE IN CLINICAL TRIALS FOR NEW DRUGS, THERAPIES, TECHNOLOGIES AND SURGICAL PROCEDURES. BECAUSE THE CANCER CENTER IS PART OF THE CANCER NETWORK, ELIGIBLE PATIENTS ALSO HAVE ACCESS TO SELECT CLINICAL TRIALS CONDUCTED THROUGH FMLH. FROEDTERT WEST BEND HEALTH CENTER, LOCATED ADJACENT TO FWBH, OFFERS EXPERTISE IN GYNECOLOGICAL CANCER, UROLOGICAL CANCER, UROLOGY, PLASTIC SURGERY, CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, ALLERGY AND IMMUNOLOGY, AND ELECTROPHYSIOLOGY. PHYSICIANS AT THE HEALTH CENTER WORK CLOSELY WITH THE HOSPITAL, PERFORMING SURGICAL PROCEDURES, UTILIZING LAB, RADIOLOGY AND OTHER ANCILLARY SERVICES OF THE HOSPITAL ALL OF WHICH PROVIDE LEADING-EDGE CARE TO THE RESIDENTS OF WEST BEND AND WASHINGTON COUNTY. IN ADDITION TO THE SPECIALTY CLINICS AND CANCER CARE SERVICES, FWBH PROVIDED A VARIETY OF OUTPATIENT TREATMENTS AND PROCEDURES DURING THE FISCAL YEAR INCLUDING: OPERATIONS: 3,087 CT SCANS: 13,654 MRIS: 3,918 ULTRASOUNDS: 5,070 INTERVENTIONAL RADIOLOGY PROCEDURES: 1,720 LABORATORY TESTS: 224,272 NUCLEAR MEDICINE SCANS: 2,981 AMBULATORY SURGERY VISITS: 3,923 GI VISITS: 586 SLEEP CENTER VISITS: 0 Form 990, Part III, Line 4b FWBH IS A HEALTH CARE ORGANIZATION DEDICATED TO IMPROVING THE HEALTH STATUS OF RESIDENTS OF WEST BEND AND NEIGHBORING COMMUNITIES REGARDLESS OF ABILITY TO PAY. THE HOSPITAL HAS BEEN SERVING RESIDENTS OF WASHINGTON COUNTY FOR MORE THAN 90 YEARS AND TODAY OFFERS A WIDE RANGE OF INPATIENT SERVICES. THE 143-ACRE HOSPITAL CAMPUS ALSO INCLUDES THE KATHY HOSPICE, THE KRAEMER CANCER CENTER AND THE ST. JOSEPH'S HEALTH CENTER. FWBH IS AN ACUTE CARE GENERAL HOSPITAL WITH 70 LICENSED AND STAFFED BEDS, PROVIDING A WIDE RANGE OF INPATIENT SERVICES, INCLUDING GENERAL AND ORTHOPEDIC SURGERY, GENERAL MEDICINE, INTENSIVE CARE SERVICES, OBSTETRICS AND MATERNITY CARE, AND RESIDENTIAL HOSPICE CARE. THE NEW LIFE CENTER AT FWBH IS WASHINGTON COUNTY'S LEADING BIRTH CENTER, WITH 697 DELIVERIES AND 1,379 NURSERY DAYS DURING FISCAL YEAR 2024. THE HOSPITAL OFFERS A STATE OF THE ART FACILITY COMBINED WITH A HIGH LEVEL OF PROFESSIONAL, COMPASSIONATE CARE. THE STAFF INCLUDES PERINATOLOGISTS AND NEONATOLOGISTS AVAILABLE TO PROVIDE EXPERT, INDIVIDUALIZED CARE FOR WOMEN EXPERIENCING HIGH-RISK PREGNANCY. CONVENIENT AND COMFORTABLE, THE CENTER OFFERS EXPERIENCED NURSES, TASTEFULLY APPOINTED LABOR, DELIVERY, RECOVERY AND POSTPARTUM ROOMS, A SPECIAL CARE NURSERY AND A DEDICATED C-SECTION SUITE. THE INPATIENT HOSPICE CARE UNIT, THE KATHY HOSPICE, IS A SEPARATE 8-BED BUILDING LOCATED ON THE CAMPUS OF FWBH, AND OPERATED BY HORIZON HOME CARE AND HOSPICE, WHICH PROVIDES A PEACEFUL AND COMFORTABLE ENVIRONMENT FOR INDIVIDUALS IN NEED OF END-OF-LIFE CARE. THE HOME-LIKE HOSPICE WAS THE FIRST OF ITS KIND IN WASHINGTON COUNTY. IN ADDITION TO THE NEWBORN AND HOSPICE SERVICES, FROEDTERT WEST BEND HOSPITAL HAD 3,359 ADMISSIONS AND 14,227 PATIENT DAYS RELATED TO MEDICAL, SURGICAL, MODIFIED AND INTENSIVE CARE INPATIENT SERVICES. IN CONJUNCTION WITH INPATIENT STAYS, THE HOSPITAL PROVIDED A VARIETY OFINPATIENT ANCILLARY TREATMENTS AND PROCEDURES DURING THE FISCAL YEAR INCLUDING, BUT NOT LIMITED, TO: OPERATIONS: 583 CT SCANS: 4,171 MRIS: 603 RADIOLOGICAL DIAGNOSTIC EXAMS: 6,240 ULTRASOUNDS: 1,034 INTERVENTIONAL RADIOLOGY PROCEDURES: 642 LABORATORY TESTS: 162,523 NUCLEAR MEDICINE SCANS: 154 REHABILITATION TREATMENTS: 37,419 Form 990, Part III, Line 4d Description of other program services (Expenses $ 8,930,571 including grants of $ 0)(Revenue $ 10,049,949) AS PART OF OPERATING AN ACUTE CARE HOSPITAL AND PROVIDING HEALTH CARE SERVICES TO THE COMMUNITY, OTHER REVENUE IS DERIVED IN THE FOLLOWING AREAS: INTERCOMPANY REVENUE - CONSISTS OF REVENEUE DERIVED FROM MEDICAL AND ADMINISTRATIVE SERVICES PROVIDED TO THE FROEDTERT AND MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC. (CP). SERVICES INCLUDE LABORATORY SERVICES, MEDICAL OFFICE BUILDING SPACE, DIETARY SERVICES, AND HOUSEKEEPING SERVICES. ALL OF THESE SERVICES SUPPORT THE DELIVERY OF HEALTHCARE TO THE COMMUNITY. OTHER DEPARTMENT OPERATING REVENUE - IS 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 BABY PHOTO INCOME, GIFT SHOP AND SMALL STONES OPERATIONS, MEDICALL STAFF APPRECIATION FEES, HOSPICE SPACE, AND CLASS REVENUE. DIETARY SERVICES - IS 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 FWBH AS AN EMPLOYER AND IT ALLOWS OUR STAFF TO REMAIN ON SITE FOR PATIENT CARE. MISCELLANEOUS REVENUE - IS REVENUE DERIVED FROM DIFFERENT SERVICES THROUGH THE PROCESS OF PROVIDING PATIENT CARE IN THE NORMAL OPERATION OF A MEDICAL FACILITY. INCLUDED IN THIS CATEGORY ARE ITEMS SUCH AS RECYCLING REVENUE, NSF CHECK CHARGES, AND TAXABLE DIETARY SALES. REBATES AND DISCOUNTS - IS THE RESULT OF VOLUME PURCHASES OF PATIENT CARE SUPPLIES AND THE RESULT OF USING SPECIFIC VENDORS OR RECEIVING A DISCOUNT BY PAYING INVOICES WITHIN A SPECIFIC TIME PERIOD. CORPORATE ALLOCATED REVENUE - REVENUE BASED FROM FTCH, A RELATED PARTY. Form 990, Part VI, Line 6 Classes of members or stockholders FTCH IS THE SOLE CORPORATE MEMBER OF SJH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body FTCH AS THE SOLE CORPORATE MEMBER OF SJH HAS THE FINAL APPROVAL OF ELECTION OF ALL BOARD MEMBERS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders FTCH, AS THE SOLE CORPORATE MEMBER OF SJH HAS CERTAIN POWERS AND AUTHORITIES WITH RESPECT TO THE OPERATIONS AND MANAGEMENT OF SJH AS SET FORTH IN THE SJH BYLAWS. Form 990, Part VI, Line 11b Review of form 990 by governing body FTCH ACCOUNTING STAFF PREPARE FORM 990 WHICH IS REVIEWED BY FTCH'S 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 DOCUMENT. THE DATA IS COMPILED, AND THE FTCH. VICE PRESIDENT-CHIEF COMPLIANCE OFFICER (CCO), THE SENIOR VICE PRESIDENT-GENERAL COUNSEL AND/OR DELEGATE REVIEW ALL FORMS AND NOTIFICATIONS TO DETERMINE IF ANY CONFLICTS OF INTEREST EXISTS 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 SJH 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 ONCE ANNUALLY TO THE FTCH AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION OF CEO, EXECUTIVE DIRECTORS, AND TOP MANAGEMENT IS PAID BY FTCH, A RELATED ORGANIZATION, BUT A REVIEW IS PERFORMED. IN ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTORS, AND TOP MANAGEMENT, INDEPENDENT COMPENSATION CONSULTANTS ARE UTILIZED, COMPENSATION STUDIES ARE COMPLETED TO GATHER COMPARATIVE DATA, PERSONS WITH A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENTS AT ISSUE ARE NOT INVOLVED IN THE DECISION MAKING PROCESS, AND AMOUNTS ARE REVIEWED AND APPROVED BY THE 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 SEVERAL OFFICERS IS PAID BY FTCH, A RELATED ORGANIZATION, BUT A REVIEW IS PERFORMED. IN ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S OFFICERS, INDEPEDENT COMPENSATION CONSULTANTS ARE UTILITZED, COMPENSATION STUDIES ARE COMPLETED TO GATHER COMPARATIVE DATA, PERSONS WITH A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENTS AT ISSUE ARE NOT INVOLED IN THE DECISION MAKING PROCESS, AND AMOUNTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMITTEE OF THE FTCH (THE RELATED ORGANIZATION) BOARD OF DIRECTORS. IN ADDITION, THERE IS CONTEMPRANEOUS DOCUMENTATION AND RECORD KEEPING FOR DELIVERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. Form 990, Part VI, Line 19 Required documents available to the public FTCH'S QUARTERLY FINANCIAL INFORMATION, (WHICH INCLUDES THE OPERATING RESULTS OF SJH), 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. SJH GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY IS MADE AVAILABLE TO THE PUBLIC THROUGH THE CORPORATE OFFICE UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 507054, Related or Exempt Function Revenue: 507054, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Temp Personnel - Total Expense: 4355856, Program Service Expense: 4355856, Management and General Expenses: , Fundraising Expenses: ; Physician Fees - Total Expense: 3023487, Program Service Expense: 3023487, Management and General Expenses: , Fundraising Expenses: ; General Contract Services - Total Expense: 6027272, Program Service Expense: 5820703, Management and General Expenses: 206569, Fundraising Expenses: ; Other Purchase Services - Total Expense: 734507, Program Service Expense: 104928, Management and General Expenses: 629579, Fundraising Expenses: ; Consulting - Total Expense: 15443, Program Service Expense: 750, Management and General Expenses: 14693, Fundraising Expenses: ; Other Professional Fees - Total Expense: 1000113, Program Service Expense: 1000113, Management and General Expenses: , Fundraising Expenses: ; Repairs and Maintenance - Total Expense: 3359188, Program Service Expense: 1288629, Management and General Expenses: 2070559, Fundraising Expenses: ; Landscape and Snow Removal - Total Expense: 556186, Program Service Expense: 0, Management and General Expenses: 556186, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Kraemer Trust Annual Distribution - -7532; Transfer from Affiliates - 7700730; FROEDTERT MEMORIAL LUTHERAN HOSPITAL 9200 W WISCONSIN AVE MILWAUKEE WI 53226 396105970 HOSPITAL WI 501(c)(3) 3 FTCH INC false COMMUNITY MEMORIAL HOSPITAL OF MF W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 390987025 HOSPITAL WI 501(c)(3) 3 FTCH INC false FROEDTERT WEST BEND HOSPITAL FOUNDATION INC 3200 PLEASANT VALLEY ROAD WEST BEND WI 530953868 392034296 HEALTH & WLFR WI 501(c)(3) 7 SJCH INC true FROEDTERT THEDACARE HEALTH INC 9200 W WISCONSIN AVE MILWAUKEE WI 53226 392014409 MGMT SERVICE WI 501(c)(3) Type III-FI NA false COMMUNITY OUTPATIENT HEALTH SVC OF MF W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 391743056 OUTPT MED/DNT WI 501(c)(3) 3 CMH INC false FROEDTERT MENOMONEE FALLS HOSPITAL FOUNDATION INC W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 391635057 HEALTH & WLFR WI 501(c)(3) 10 CMH INC false FROEDTERT HOSPITAL FOUNDATION INC 9200 W WISCONSIN AVE MILWAUKEE WI 53226 391431192 HEALTH & WLFR WI 501(c)(3) 7 FMLH INC false HOLY FAMILY MEMORIAL INC 2300 WESTERN AVE MANITOWOC WI 54221 390806395 HOSPITAL WI 501(c)(3) 3 FTCH INC false FH ENTERPRISE SERVICE HOLDINGS INC 9200 WEST WISCONSIN AVE MILWAUKEE WI 53226 202636686 HEALTHCARE SVCS WI 501(c)(3) Type I FTCH INC false THEDACARE REGIONAL MEDICAL CENTER - 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