2024-05-07T11:16:12-05:00 2023-06-30 135565207 KPMG LLP 191 WEST NATIONWIDE BLVD SUITE 500 COLUMBUS OH 432152568 990 2022-07-01 391431192 FROEDTERT HOSPITAL FOUNDATION INC FROE 4147770929 9200 WEST WISCONSIN AVE MILWAUKEE WI 53226 ALICIA M MAITLAND SVP - FINANCE 4147770929 2024-05-07 1 ALICIA MAITLAND XXX-XX-XXXX 0 MOLLIE P LONGHOUSE P00294881 6142492300 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MITCHELL R BECKMAN 9200 WEST WISCONSIN AVE MILWAUKEE WI 53226 13330075 0 X WWW.FROEDTERT.COM/GIVING/FOUNDATION X 1991 WI DEVELOP AND GROW PHILANTHROPIC RESOURCES TO OPTIMIZE THE INITIATIVES OF FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. (FMLH) TO IMPROVE PATIENT OUTCOMES. 16 13 0 13 0 0 3811047 3617888 0 0 1202792 919729 -27528 -25914 4986311 4511703 2174599 1126210 0 0 0 0 0 0 462223 633913 766163 2808512 1892373 2177799 2619330 26601873 30676221 375535 164561 26226338 30511660 X TO DEVELOP AND GROW PHILANTHROPIC RESOURCES TO OPTIMIZE THE INITIATIVES OF FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. (FMLH) TO IMPROVE PATIENT OUTCOMES, WITH SPECIFIC SUPPORT FOR CLINICAL RESEARCH, CLINICAL CENTERS OF EXCELLENCE, PATIENT CARE, AND RELATED CAPITAL, HEALTH AND COMMUNITY HEALTH EDUCATION PROGRAMS. 0 0 1126210 1126210 THE FROEDTERT HOSPITAL FOUNDATION, INC. RAISES REVENUE TO SUPPORT VARIOUS HEALTH CARE RELATED SERVICES AND ACTIVITIES OF FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC., SUCH AS HOSPITAL OPERATIONS, RESEARCH AND EDUCATION. 1126210 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 16 13 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AK AL CA CO DC FL GA HI IL KY LA MA MD ME MI MN NC ND NH NJ NM NV NY OH OK OR PA SC TN UT WA WI WV X X DAVID DIRKSMEYER 4148053000 N74 W12501 LEATHERWOOD CT MENOMONEE FALLS WI 53051 JACOBSON CATHERINE DIRECTOR & FH PRESIDENT/CEO 1.00 49.00 X 0 3435812 441556 CONLEY ERIC DIRECTOR & FMLH PRESIDENT 1.00 49.00 X 0 1021309 188618 SMITH ADAM DIRECTOR & TREASURER (START NOV22) 1.00 49.00 X X 0 350262 70178 COLEMAN WILLIAM C DIRECTOR 1.00 0.00 X 0 0 0 GESKE JANINE DIRECTOR (START JUL22) 1.00 0.00 X 0 0 0 GOLLER CHRISTOPHER G DIRECTOR 1.00 0.00 X 0 0 0 JEMISON RAVEN DIRECTOR (START JUL22) 1.00 0.00 X 0 0 0 LENNON JAN DIRECTOR 1.00 0.00 X 0 0 0 MARCUS DAVID DIRECTOR 1.00 0.00 X 0 0 0 SCHNEIDER ANDREA DIRECTOR (START JUL22) 1.00 0.00 X 0 0 0 THOMETZ MICHAEL DIRECTOR 1.00 0.00 X 0 0 0 TRIMBLE BETSY DIRECTOR 1.00 0.00 X 0 0 0 WERNER EDWARD 'TEDDY' DIRECTOR 1.00 0.00 X 0 0 0 ZIZZO ANNE DIRECTOR (START JUL22) 1.00 1.00 X 0 0 0 AMEEN SYLVIA DIRECTOR & EXECUTIVE DIRECTOR 1.00 0.00 X X 0 0 0 RITCHIE KIP DIRECTOR & BOD CHAIR 1.00 0.00 X X 0 0 0 VAN DE KREEKE JEFFREY FORMER - OFFICER (TREAS) 0.00 50.00 X 0 545072 28202 0 5352455 728554 0 1 1 0 0 220531 3397357 27323 3617888 750795 750795 8852523 8683589 168934 168934 168934 108869 220531 134783 -25914 -25914 4511703 0 0 893815 X 1126210 1126210 2476 2476 659056 296575 362481 UNCOLLECTABLE PLEDGE EX 94642 94642 BANK CHARGES 4889 4889 PROFESSIONAL FEES OTHER 4000 4000 GIFTS IN KIND OFFSET 1100 1100 1892373 1126210 303940 462223 556885 657420 0 0 1925305 3718559 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24119683 26300242 0 0 0 0 0 0 0 0 26601873 30676221 375535 164561 0 0 0 0 0 0 0 0 0 0 0 0 0 0 375535 164561 X 15917644 17617672 10308694 12893988 26226338 30511660 26601873 30676221 X 2619330 1291591 374401 X 0 1 X 1 0 X 1567745 1431201 1477889 3811047 3617888 11905770 1567745 1431201 1477889 3811047 3617888 11905770 912787 10992983 637829 703527 501382 532038 750795 3125571 15031341 770050 0.73130 0.69770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13643803 2893118 824900 347728 454341 97988 16461764 13865321 1976096 -1073674 329530 791357 3053 13643803 12468124 145619 1501046 155673 98838 -5043 13865321 12604461 340465 33502 235821 271733 2750 12468124 12339528 609946 466100 246749 558214 6150 12604461 0.95810 0.04190 0 0 0 X PART V, LINE 4: THE ORGANIZATION MAINTAINS SEVERAL TYPES OF ENDOWMENT FUNDS. THE BOARD DESIGNATED/QUASI-ENDOWMENT FUNDS WERE CREATED TO SUPPORT THE FINANCIAL NEEDS OF VARIOUS DEPARTMENTS AND PROGRAMS OF FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. FOR PERMANENTLY RESTRICTED ENDOWMENT FUNDS, THE INTENT OF THE FUNDS DEPENDS ON THE RESTRICTION THAT APPLIES TO THAT PARTICULAR ENDOWMENT, AS PRESCRIBED BY THE DONOR. DEPENDING ON THE PARTICULAR ENDOWMENT, THE INTENDED USE INCLUDES FELLOWSHIPS, RESEARCH AND EDUCATIONAL RESOURCES FOR THE COMMUNITY. PART X, LINE 2: PART X - FASB ASC 740 FOOTNOTE FROEDTERT HEALTH, INC., THE PARENT ENTITY INTO WHICH THE FROEDTERT HOSPITAL FOUNDATION'S FINANCIAL RESULTS ARE CONSOLIDATED, APPLIES ASC NO. 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS. ASC NO. 740 PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC NO. 740, TAX POSITIONS ARE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. AS OF JUNE 30, 2023 AND 2022, FROEDTERT HOSPITAL FOUNDATION DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS. X 1 AK AL AR CA CO CT DC FL GA HI IL KS KY LA MA MD ME MI MN MO MS NC ND NH NJ NM NV NY OH OK OR PA RI SC TN UT VA WA WI WV GOLF OUTING 329400 220531 108869 3540 50905 25977 5600 48761 329400 220531 108869 3540 50905 25977 5600 48761 134783 -25914 1 FROEDTERT MEMORIAL LUTHERAN HOSPITAL 9200 W WISCONSIN AVE MILWAUKEE WI 53226 396105970 501(C)(3) 1126210 0 SUPPORT RESEARCH AND EDUCATION 1 0 PART I, LINE 2: THE FOUNDATION MAINTAINS ELECTRONIC RECORDS/FILES OF ALL GRANT REQUESTS (APPROVED AND DENIED). RECORDS ARE KEPT ON EXPENDITURES FROM THOSE GRANTS AND REVIEWED TO MAKE SURE THAT THEY ARE IN COMPLIANCE WITH THE GRANT REQUEST. THE FOUNDATION DOES NOT HAVE A PROCESS IN PLACE TO PROVIDE FORMAL REPORTING FROM THE RECIPIENTS AS MOST GRANTS ARE VERY SMALL AND FOR VERY SPECIFIC USES (PURCHASE SOMETHING/ FUND A CONFERENCE). LARGER GRANTS (FOR CLINICAL RESEARCH, FOR EXAMPLE) ARE LINKED INTO OFFICE OF CLINICAL RESEARCH AND INNOVATIVE CARE COMPLIANCE (OCRICC) REVIEWS AND APPROVALS AND THERE IS A REQUIREMENT THAT THE STAFF CONDUCTING THE RESEARCH RECONNECT WITH THE FOUNDATION AND DONORS FOR PRESENTATIONS ON THEIR EFFORTS. 1 1 0 0 0 0 0 0 0 JACOBSON CATHERINE DIRECTOR & FH PRESIDENT/CEO 0 1547248 0 1497354 0 391210 0 406217 0 35339 0 3877368 0 388747 CONLEY ERIC DIRECTOR & FMLH PRESIDENT 0 661079 0 337158 0 23072 0 153960 0 34658 0 1209927 0 0 VAN DE KREEKE JEFFREY FORMER - OFFICER (TREAS) 0 184071 0 144602 0 216399 0 19300 0 8902 0 573274 0 0 SMITH ADAM DIRECTOR & TREASURER (START NOV22) 0 256301 0 78300 0 15661 0 40227 0 29951 0 420440 0 0 PART I, LINE 3 COMPENSATION OF TOP MANAGEMENT IS PAID BY AN OUTSIDE ORGANIZATION BUT A REVIEW IS PERFORMED. IN ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT, INDEPENDENT COMPENSATION CONSULTANTS ARE UTILIZED, COMPENSATION STUDIES ARE COMPLETED TO GATHER COMPARATIVE DATA, PERSONS WITH A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENTS AT ISSUE ARE NOT INVOLVED IN THE DECISION MAKING PROCESS, AND AMOUNTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE FROEDTERT HEALTH, INC. (A RELATED ORGANIZATION) BOARD OF DIRECTORS. PART I, LINES 4A-B SEVERANCE: VAN DE KREEKE, JEFFREY - $165,458 457(F) DISTRIBUTIONS: JACOBSON, CATHERINE - $388,747 457(F) PLAN PARTICIPANTS: CONLEY, ERIC JACOBSON, CATHERINE SMITH, ADAM VAN DE KREEKE, JEFFREY NON-QUALIFIED DISTRIBUTIONS: VAN DE KREEKE, JEFFREY - $33,370 (OF WHICH $0 WAS REPORTED AS DEFERRED ON A PRIOR FORM 990) NON-QUALIFIED PARTICIPANTS: VAN DE KREEKE, JEFFREY PART II, COLUMN (B)(II): BONUS AND INCENTIVE COMPENSATION AMOUNTS INCLUDE INCENTIVE COMPENSATION PAID. PART II, COLUMN (B)(III): OTHER REPORTABLE COMPENSATION INCLUDES 457(F) DEFERRED COMPENSATION PLAN DISTRIBUTIONS PAID TO INDIVIDUALS, AMOUNTS PAID IN LIEU OF 457(F) DEFERRED COMPENSATION PLAN CONTRIBUTIONS, AND OTHER MISCELLANEOUS COMPENSATION. X 2 26223 FMV X CHILDREN'S BOOKS, BOOK CART AND DECORATIONS 95 1100 FMV 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 ERIC CONLEY: BUSINESS RELATIONSHIP WITH CATHERINE JACOBSON ADAM SMITH: BUSINESS RELATIONSHIP WITH CATHERINE JACOBSON & ERIC CONLEY FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE REVISED TO CLARIFY THAT THE MINIMUNM NUMBER OF VOTING MEMBERS OF THE BOARD OF DIRECTORS ("REGULAR DIRECTORS") SHALL BE SEVEN (7) MEMBERS. PRIOR TO THIS CHANGE, THE MINIMUM NUMBER OF REGULAR DIRECTORS WAS SIX (6). FORM 990, PART VI, SECTION A, LINE 6 FMLH IS THE SOLE CORPORATE MEMBER OF FROEDTERT HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A FMLH AS THE SOLE CORPORATE MEMBER OF FROEDTERT HOSPITAL FOUNDATION, APPOINTS ALL BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B FMLH AS THE SOLE CORPORATE MEMBER OF FROEDTERT HOSPITAL FOUNDATION, INC. (FROEDTERT FOUNDATION) HAS CERTAIN RESERVED POWERS AND AUTHORITIES WITH RESPECT TO THE FROEDTERT FOUNDATION ACTIVITIES. FORM 990, PART VI, SECTION B, LINE 11B FROEDTERT HEALTH, INC. (FH) ACCOUNTING STAFF PREPARE FORM 990 WHICH IS REVIEWED BY FH'S FINANCIAL LEADERS. THE 990 IS THEN REVIEWED BY KPMG, FH'S OUTSIDE ACCOUNTING FIRM. NEXT, THE 990 IS PROVIDED TO THE FH AUDIT COMMITTEE AND BOARD OF DIRECTORS. FINALLY, THE 990 IS FILED AS REQUIRED. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS ALL OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE DOCUMENT. THE DATA IS COMPILED, AND THE FH VICE PRESIDENT - CHIEF COMPLIANCE OFFICER (CCO), THE SENIOR VICE PRESIDENT - GENERAL COUNSEL AND/OR DELEGATE WILL REVIEW ALL FORMS AND NOTIFICATIONS TO DETERMINE IF ANY CONFLICTS OF INTERESTS EXIST IN THE DISCLOSURE DOCUMENTS. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THEN THE PERSON MAKING THE DISCLOSURE SHALL BE RELIEVED OF HIS/HER OBLIGATIONS ON BEHALF OF A FROEDTERT HEALTH, INC. AFFILIATE 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 FH, INC. CCO AT LEAST ONCE ANNUALLY TO THE FH AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A - COMPENSATION OF TOP MANAGEMENT IS PAID BY A RELATED ORGANIZATION BUT A REVIEW IS PERFORMED. IN ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT, INDEPENDENT COMPENSATION CONSULTANTS ARE UTILIZED, COMPENSATION STUDIES ARE COMPLETED TO GATHER COMPARATIVE DATA, PERSONS WITH A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENTS AT ISSUE ARE NOT INVOLVED IN THE DECISION MAKING PROCESS, AND AMOUNTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE FH (A RELATED ORGANIZATION) BOARD OF DIRECTORS. IN ADDITION, THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING FOR DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. LINE 15B - COMPENSATION OF OFFICERS IS PAID BY A RELATED ORGANIZATION BUT A REVIEW IS PERFORMED. IN ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S OFFICERS, INDEPENDENT COMPENSATION CONSULTANTS ARE UTILIZED, COMPENSATION STUDIES ARE COMPLETED TO GATHER COMPARATIVE DATA, PERSONS WITH A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENTS AT ISSUE ARE NOT INVOLVED IN THE DECISION MAKING PROCESS, AND AMOUNTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE FH (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, SECTION C, LINE 19 FH'S QUARTERLY FINANCIAL INFORMATION IS MADE AVAILABLE TO THE PUBLIC ONLINE THROUGH THE DIGITAL ASSURANCE CORPORATION, INC WEBSITE. ANYONE CAN REGISTER TO RECEIVE ONGOING ACCESS TO AND NOTIFICATIONS REGARDING FINANCIAL STATEMENTS AT THE ONLINE WEBSITE. ADDITIONALLY, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE CORPORATE OFFICE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES SPLIT 45/55: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 296,575. FUNDRAISING EXPENSES 362,481. TOTAL EXPENSES 659,056. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATES 374,404. ROUNDING -3. FROEDTERT HEALTH INC 9200 W WISCONSIN AVE MILWAUKEE WI 532263596 392014409 MNGMT SVCS WI 501(C)(3) LN 12, 111 N/A 0 FROEDTERT MEMORIAL LUTHERAN HOSPITAL 9200 W WISCONSIN AVE MILWAUKEE WI 532263522 396105970 HOSPITAL WI 501(C)(3) 3 FH INC 0 ST JOSEPH'S COMMUNITY FOUNDATION 3200 PLEASANT VALLEY ROAD WEST BEND WI 530953868 392034296 PROMOTE HLTH WI 501(C)(3) 7 ST JOES WB 0 COMMUNITY MEMORIAL FOUNDATION OF MF W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 391635057 PROMOTE HLTH WI 501(C)(3) 10 CMH MF 0 ST JOSEPH'S COMMUNITY HOSPITAL INC 3200 PLEASANT VALLEY ROAD WEST BEND WI 530953868 390806302 HOSPITAL WI 501(C)(3) 3 FH INC 0 COMMUNITY MEMORIAL HOSPITAL OF MF INC W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 390987025 HOSPITAL WI 501(C)(3) 3 FH INC 0 COMMUNITY OUTPATIENT HEALTH SERVICES W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 391743056 OUTPT SVCS WI 501(C)(3) 3 CMH MF 0 QHS 1 INC 9200 W WISCONSIN AVE MILWAUKEE WI 53226 202636686 HLTHCARE SVCS WI 501(C)(3) LN 12, 1 FH INC 0 HOLY FAMILY MEMORIAL INC 2300 WESTERN AVE MANITOWOC WI 542211450 390806395 HOSPITAL WI 501(C)(3) 3 FH INC 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0