4A (Expenses $ 279747940 including grants of $ 3125) (Revenue $ 338640878)
ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO ITS COMMUNITY. 2019 CHARITY CARE $3,304,254. CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO THOSE WHO CANNOT AFFORD TO PAY AND WHO MEET ALL CRITERIA FOR FINANCIAL ASSISTANCE. CHARITY CARE IS BASED ON ACTUAL COSTS, NOT CHARGES, AND DOES NOT INCLUDE BAD DEBT. UNREIMBURSED COST OF PUBLIC PROGRAMS $23,134,092. UNREIMBURSED COST OF PUBLIC PROGRAMS IS DEFINED AS THE SHORTFALL EXPERIENCED WHEN PAYMENTS RECEIVED ARE BELOW THE COST OF TREATING PUBLIC BENEFICIARIES THROUGH MEDICAID AND OTHER LOCAL PUBLIC PROGRAMS. COMMUNITY HEALTH IMPROVEMENT SERVICES $947,522. COMMUNITY HEALTH IMPROVEMENT SERVICES ARE DEFINED AS CLINICAL AND NON-CLINICAL SERVICES DESIGNED TO IMPROVE COMMUNITY HEALTH, WHICH ARE PROVIDED TO THE COMMUNITY FOR FREE OR FOR FEES THAT DID NOT COVER COSTS. FINANCIAL CONTRIBUTIONS $280,754. FINANCIAL CONTRIBUTIONS ARE DEFINED AS CONTRIBUTIONS, INCLUDING CASH, NON-CASH ITEMS SUCH AS FOOD, FURNITURE, EQUIPMENT, SUPPLIES, AND LOANED STAFF FOR VOLUNTEER AND CHARITABLE PURPOSES, MADE TO INDIVIDUALS, COMMUNITY GROUPS, OR NONPROFIT ORGANIZATIONS FOR CHARITABLE PURPOSES. HEALTH PROFESSIONS EDUCATION $3,232. HEALTH PROFESSIONS EDUCATION IS DEFINED AS DIRECT COSTS INCURRED FOR ACCREDITED TRAINING AND EDUCATION PROGRAMS FOR PHYSICIANS, NURSES, ALLIED HEALTH PROFESSIONALS AND TECHNICIANS (DOES NOT INCLUDE ONGOING EDUCATION FOR STAFF). COMMUNITY BUILDING ACTIVITIES $416,371. COMMUNITY BUILDING ACTIVITIES ARE DEFINED AS PROGRAMS THAT, WHILE NOT DIRECTLY RELATED TO HEALTH CARE, PROVIDE OPPORTUNITIES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL ISSUES. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS. COMMUNITY BENEFIT OPERATIONS $6,465. COMMUNITY BENEFIT OPERATIONS ARE DEFINED AS COSTS ASSOCIATED WITH DEDICATED STAFF AND COMMUNITY HEALTH NEEDS AND/OR ASSETS ASSESSMENT, AS WELL AS, OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS. TOTAL BENEFIT TO THE COMMUNITY FOR 2019 $34,528,843.

KENOSHA MEDICAL CENTER
PART V, SECTION B, LINE 5: AS PART OF THE CHNA PROCESS, 32 PERSONS WHO REPRESENT THE COMMUNITY SERVED BY FROEDTERT SOUTH PROVIDED VALUABLE FEEDBACK REGARDING THEIR VIEWS OF THE HEALTHCARE CHALLENGES FACING OUR COMMUNITY. THIRTY-TWO PEOPLE PARTICIPATED REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY INCLUDING LOW-INCOME, RACIAL AND ETHNIC MINORITIES, THE ELDERLY, YOUTH, VETERANS, FAITH COMMUNITIES, INDIVIDUALS WITH DISABILITIES, RURAL COMMUNITIES, SURVIVORS OF DOMESTIC AND SEXUAL VIOLENCE, AND THOSE LIVING WITH MENTAL ILLNESS AND SUBSTANCE ABUSE. THE INFORMATION/FEEDBACK PROVIDED BY THESE PERSONS WHO REPRESENT THE COMMUNITY SERVED BY FROEDTERT SOUTH WAS INCORPORATED INTO THE COMMUNITY HEALTH NEEDS ASSESSMENT, IDENTIFICATION, PRIORITIZATION AND IMPLEMENTATION PLANNING SUMMARY. KEY INFORMANTS RANKED UP TO FIVE PUBLIC HEALTH ISSUES AND PROVIDED EXISTING STRATEGIES TO ADDRESS THESE ISSUES, ALONG WITH BARRIERS/CHALLENGES TO ADDRESSING THESE ISSUES AND ADDITIONAL STRATEGIES NEEDED.

SAINT CATHERINE'S MEDICAL CENTER
PART V, SECTION B, LINE 5: AS PART OF THE CHNA PROCESS, 32 PERSONS WHO REPRESENT THE COMMUNITY SERVED BY FROEDTERT SOUTH PROVIDED VALUABLE FEEDBACK REGARDING THEIR VIEWS OF THE HEALTHCARE CHALLENGES FACING OUR COMMUNITY. THIRTY-TWO PEOPLE PARTICIPATED REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY INCLUDING LOW-INCOME, RACIAL AND ETHNIC MINORITIES, THE ELDERLY, YOUTH, VETERANS, FAITH COMMUNITIES, INDIVIDUALS WITH DISABILITIES, RURAL COMMUNITIES, SURVIVORS OF DOMESTIC AND SEXUAL VIOLENCE, AND THOSE LIVING WITH MENTAL ILLNESS AND SUBSTANCE ABUSE. THE INFORMATION/FEEDBACK PROVIDED BY THESE PERSONS WHO REPRESENT THE COMMUNITY SERVED BY FROEDTERT SOUTH WAS INCORPORATED INTO THE COMMUNITY HEALTH NEEDS ASSESSMENT, IDENTIFICATION, PRIORITIZATION AND IMPLEMENTATION PLANNING SUMMARY. KEY INFORMANTS RANKED UP TO FIVE PUBLIC HEALTH ISSUES AND PROVIDED EXISTING STRATEGIES TO ADDRESS THESE ISSUES, ALONG WITH BARRIERS/CHALLENGES TO ADDRESSING THESE ISSUES AND ADDITIONAL STRATEGIES NEEDED.

KENOSHA MEDICAL CENTER
PART V, SECTION B, LINE 6A: AURORA HEALTHCARE, CHILDREN'S HOSPITAL OF WISCONSIN AND SAINT CATHERINE'S MEDICAL CENTER

SAINT CATHERINE'S MEDICAL CENTER
PART V, SECTION B, LINE 6A: AURORA HEALTHCARE, CHILDREN'S HOSPITAL OF WISCONSIN AND KENOSHA MEDICAL CENTER

KENOSHA MEDICAL CENTER
PART V, SECTION B, LINE 6B: KENOSHA COUNTY DIVISION OF HEALTH, KENOSHA COMMUNITY HEALTH CENTER AND UNITED WAY OF KENOSHA COUNTY

SAINT CATHERINE'S MEDICAL CENTER
PART V, SECTION B, LINE 6B: KENOSHA COUNTY DIVISION OF HEALTH, KENOSHA COMMUNITY HEALTH CENTER AND UNITED WAY OF KENOSHA COUNTY

KENOSHA MEDICAL CENTER
"PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED DURING THE FISCAL YEAR ENDED 2017. AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, A THREE (3) YEAR ACTION PLAN WAS DEVELOPED IN AN EFFORT TO ADDRESS THE NEEDS IDENTIFIED WITHIN THE COMMUNITY HEALTH NEEDS ASSESSMENT. FROEDTERT SOUTH IS ACTIVELY WORKING ON THE ACTION ITEMS ESTABLISHED FOR YEAR THREE:MENTAL HEALTH AWARENESS - WE HAVE NOW EXTENDED OUR SOCIAL WORK HOURS IN THE EMERGENCY ROOM TO HELP ADDRESS SUPPORTING THE NEEDS OF MENTAL HEALTH.ACCESS TO HEALTHCARE - WE HAVE UPDATED PHYSICIAN SCHEDULING TO INCREASE AVAILABILITY AND DECREASE WAIT TIMES.SUBSTANCE ABUSE EDUCATION AND PREVENTION - ALCOHOL AND OTHER DRUG ADDICTIONS IS A CONSISTENT TOP FINDING. THERE HAS BEEN AN OPIOID TASK FORCE AND A SUBSTANCE ABUSE COMMITTEE WHICH MEETS MONTHLY. THERE ARE HOSPITAL REPRESENTATIVES AT THE TABLE WITH THE GOAL TO IDENTIFY COMMUNITY RESOURCES, WORK WITH PHYSICIANS TO ADMINISTER SUBOXONE IN THE EMERGENCY DEPARTMENT AND STREAMLINE THEM INTO A COMMUNITY TREATMENT PLAN AND EXPLORE GRANT OPTIONS FOR THE USE OF NARCAN. CURRENTLY WE ARE PROVIDING A ""THIS COULD SAVE YOUR LIFE"" PACKET TO ALL PATIENTS WHO HAVE EXPERIENCED AN OVERDOSE IN THE EMERGENCY DEPARTMENT. THIS PACKET WAS DRIVEN BY COMMUNITY COLLABORATIONSELF-CARE AWARENESS - WE WILL SUPPORT HEALTHY NUTRITION AS WE PARTICIPATE IN THE COMMUNITY INITIATIVE OF HEALTHY PEOPLE KENOSHA. WE WILL PROMOTE PROPER NUTRITION THROUGHOUT THE HOSPITAL SYSTEM WITH INPATIENTS AND OUTPATIENTS IN OUR HOSPITAL AND CLINIC SETTINGS THROUGH INDIVIDUALIZING OUR NUTRITIONAL COUNSELING. WE ALSO OFFER THE ""LIVING WELL PROGRAM"" IN OUR HOSPITAL CAFETERIAS WHICH PROVIDES ALTERNATIVES FOR HEALTHY FOOD CHOICES TO OUR EMPLOYEES AND THE PUBLIC. CHRONIC DISEASE AWARENESS AND PREVENTION - WE ARE CURRENTLY FOCUSED IN ON OUR PATIENT POPULATION WITH A DIAGNOSIS OF CHF, COPD, PNEUMONIA AND DIABETES TO HELP AVOID READMISSIONS AND PROMOTE CONTINUITY OF CARE. SOME INITIATIVES THAT WE ARE WORKING ON: IDENTIFY A PATIENT WITH A 30-DAY ADMISSION IN THE EMERGENCY DEPARTMENT, COMPLETE A SOCIAL WORK SCREEN FOR COMMUNITY RESOURCES, ENSURE A TIMELY FOLLOW UP APPOINTMENT IS SCHEDULED WITH THE PHYSICIAN AND CONSIDER A CASE MANAGEMENT MODEL FOR CARE POST DISCHARGE PLANNING WHILE WORKING WITH OUR COMMUNITY PARTNERS. WE ARE AT THE TABLE WITH THE KENOSHA COUNTY DIVISION OF AGING AND DISABILITY RESOURCE CENTER TO FOCUS ON COMMUNITY COLLABORATIONS TO SUPPORT EDUCATION ON OUR PATIENTS WITH A CHRONIC DISEASE AND OVERALL REDUCE OUR READMISSION RATE."

SAINT CATHERINE'S MEDICAL CENTER
"PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED DURING THE FISCAL YEAR ENDED 2017. AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, A THREE (3) YEAR ACTION PLAN WAS DEVELOPED IN AN EFFORT TO ADDRESS THE NEEDS IDENTIFIED WITHIN THE COMMUNITY HEALTH NEEDS ASSESSMENT. FROEDTERT SOUTH IS ACTIVELY WORKING ON THE ACTION ITEMS ESTABLISHED FOR YEAR THREE:MENTAL HEALTH AWARENESS - WE HAVE NOW EXTENDED OUR SOCIAL WORK HOURS IN THE EMERGENCY ROOM TO HELP ADDRESS SUPPORTING THE NEEDS OF MENTAL HEALTH.ACCESS TO HEALTHCARE - WE HAVE UPDATED PHYSICIAN SCHEDULING TO INCREASE AVAILABILITY AND DECREASE WAIT TIMES.SUBSTANCE ABUSE EDUCATION AND PREVENTION - ALCOHOL AND OTHER DRUG ADDICTIONS IS A CONSISTENT TOP FINDING. THERE HAS BEEN AN OPIOID TASK FORCE AND A SUBSTANCE ABUSE COMMITTEE WHICH MEETS MONTHLY. THERE ARE HOSPITAL REPRESENTATIVES AT THE TABLE WITH THE GOAL TO IDENTIFY COMMUNITY RESOURCES, WORK WITH PHYSICIANS TO ADMINISTER SUBOXONE IN THE EMERGENCY DEPARTMENT AND STREAMLINE THEM INTO A COMMUNITY TREATMENT PLAN AND EXPLORE GRANT OPTIONS FOR THE USE OF NARCAN. CURRENTLY WE ARE PROVIDING A ""THIS COULD SAVE YOUR LIFE"" PACKET TO ALL PATIENTS WHO HAVE EXPERIENCED AN OVERDOSE IN THE EMERGENCY DEPARTMENT. THIS PACKET WAS DRIVEN BY COMMUNITY COLLABORATIONSELF-CARE AWARENESS - WE WILL SUPPORT HEALTHY NUTRITION AS WE PARTICIPATE IN THE COMMUNITY INITIATIVE OF HEALTHY PEOPLE KENOSHA. WE WILL PROMOTE PROPER NUTRITION THROUGHOUT THE HOSPITAL SYSTEM WITH INPATIENTS AND OUTPATIENTS IN OUR HOSPITAL AND CLINIC SETTINGS THROUGH INDIVIDUALIZING OUR NUTRITIONAL COUNSELING. WE ALSO OFFER THE ""LIVING WELL PROGRAM"" IN OUR HOSPITAL CAFETERIAS WHICH PROVIDES ALTERNATIVES FOR HEALTHY FOOD CHOICES TO OUR EMPLOYEES AND THE PUBLIC. CHRONIC DISEASE AWARENESS AND PREVENTION - WE ARE CURRENTLY FOCUSED IN ON OUR PATIENT POPULATION WITH A DIAGNOSIS OF CHF, COPD, PNEUMONIA AND DIABETES TO HELP AVOID READMISSIONS AND PROMOTE CONTINUITY OF CARE. SOME INITIATIVES THAT WE ARE WORKING ON: IDENTIFY A PATIENT WITH A 30-DAY ADMISSION IN THE EMERGENCY DEPARTMENT, COMPLETE A SOCIAL WORK SCREEN FOR COMMUNITY RESOURCES, ENSURE A TIMELY FOLLOW UP APPOINTMENT IS SCHEDULED WITH THE PHYSICIAN AND CONSIDER A CASE MANAGEMENT MODEL FOR CARE POST DISCHARGE PLANNING WHILE WORKING WITH OUR COMMUNITY PARTNERS. WE ARE AT THE TABLE WITH THE KENOSHA COUNTY DIVISION OF AGING AND DISABILITY RESOURCE CENTER TO FOCUS ON COMMUNITY COLLABORATIONS TO SUPPORT EDUCATION ON OUR PATIENTS WITH A CHRONIC DISEASE AND OVERALL REDUCE OUR READMISSION RATE."

KENOSHA MEDICAL CENTER CAMPUS:
"PART V, SECTION B, LINE 22B: PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL NOT BE CHARGED INDIVIDUALLY MORE FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THAN THE AMOUNT GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERAGE FOR SUCH CARE (""AGB""). FURTHERMORE, CHARGES FOR ANY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE PROVIDED TO INDIVIDUALS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL BE LESS THAN THE GROSS CHARGES FOR SUCH SERVICES. THE ORGANIZATION CALCULATES ONE OR MORE AGB PERCENTAGES USING THE ""LOOK-BACK METHOD AND INCLUDING MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE ORGANIZATION, ALL INACCORDANCE WITH 501(R). THESE CALCULATIONS ARE MADE AS FOLLOWS:1. THE ORGANIZATION DETERMINES AGB BY MULTIPLYING THE GROSS CHARGES FOR THE APPLICABLE MEDICAL CARE BY THE AGB PERCENTAGE, WHICH IS DETERMINED ANNUALLY BY DIVIDING (A) THE SUM OF THE AMOUNTS FOR ALL OF ITS CLAIMS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE THAT HAVE BEEN ALLOWED DURING THE AGB PERIOD BY MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS AS PRIMARY PAYORS, TOGETHER WITH ANY ASSOCIATED PORTIONS OF THESE CLAIMS PAID BY MEDICARE BENEFICIARIES OR INSURED INDIVIDUALS IN THE FORM OF CO-PAYS, CO-INSURANCE OR DEDUCTIBLES BY (B) THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS.2. ""GROSS CHARGES"" MEANS THE ORGANIZATION'S FULL, ESTABLISHED PRICE FOR MEDICAL CARE THAT THE ORGANIZATION CONSISTENTLY AND UNIFORMLY CHARGES PATIENTS BEFORE APPLYING ANY CONTRACTUAL ALLOWANCES, DISCOUNTS, OR DEDUCTIONS.3. THE ""AGB PERIOD"" MEANS EACH PRIOR 12-MONTH PERIOD ENDING ON DECEMBER 31ST.4. THE ORGANIZATION WILL BEGIN TO APPLY THE ANNUALLY DETERMINED AGB PERCENTAGE WITHIN 120 DAYS FOLLOWING THE END OF THE AGB PERIOD THAT WAS USED IN CALCULATION THE AGB PERCENTAGE.5. ANY CAPITALIZED TERMS NOT DEFINED IN THIS DOCUMENT WILL HAVE THE MEANING ASSIGNED TO SUCH TERM IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.THESE LIMITATIONS ON CHARGES FOR MEDICAL SERVICES SHALL NOT APPLY IF AN INDIVIDUAL HAS NOT SUBMITTED A COMPLETE FINANCIAL ASSISTANCE APPLICATION AS OF THE TIME THE CHARGES ARE BILLED TO SUCH INDIVIDUAL; PROVIDED, HOWEVER, THAT ADJUSTMENTS WILL BE MADE IF AMOUNTS ARE CHARGED IN EXCESS OF THESE LIMITATIONS AND THE INDIVIDUAL IS SUBSEQUENTLY DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE."

SAINT CATHERINE'S MEDICAL CENTER CAMPUS:
"PART V, SECTION B, LINE 22B: PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL NOT BE CHARGED INDIVIDUALLY MORE FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THAN THE AMOUNT GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERAGE FOR SUCH CARE (""AGB""). FURTHERMORE, CHARGES FOR ANY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE PROVIDED TO INDIVIDUALS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL BE LESS THAN THE GROSS CHARGES FOR SUCH SERVICES. THE ORGANIZATION CALCULATES ONE OR MORE AGB PERCENTAGES USING THE ""LOOK-BACK METHOD AND INCLUDING MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE ORGANIZATION, ALL INACCORDANCE WITH 501(R). THESE CALCULATIONS ARE MADE AS FOLLOWS:1. THE ORGANIZATION DETERMINES AGB BY MULTIPLYING THE GROSS CHARGES FOR THE APPLICABLE MEDICAL CARE BY THE AGB PERCENTAGE, WHICH IS DETERMINED ANNUALLY BY DIVIDING (A) THE SUM OF THE AMOUNTS FOR ALL OF ITS CLAIMS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE THAT HAVE BEEN ALLOWED DURING THE AGB PERIOD BY MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS AS PRIMARY PAYORS, TOGETHER WITH ANY ASSOCIATED PORTIONS OF THESE CLAIMS PAID BY MEDICARE BENEFICIARIES OR INSURED INDIVIDUALS IN THE FORM OF CO-PAYS, CO-INSURANCE OR DEDUCTIBLES BY (B) THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS.2. ""GROSS CHARGES"" MEANS THE ORGANIZATION'S FULL, ESTABLISHED PRICE FOR MEDICAL CARE THAT THE ORGANIZATION CONSISTENTLY AND UNIFORMLY CHARGES PATIENTS BEFORE APPLYING ANY CONTRACTUAL ALLOWANCES, DISCOUNTS, OR DEDUCTIONS.3. THE ""AGB PERIOD"" MEANS EACH PRIOR 12-MONTH PERIOD ENDING ON DECEMBER 31ST.4. THE ORGANIZATION WILL BEGIN TO APPLY THE ANNUALLY DETERMINED AGB PERCENTAGE WITHIN 120 DAYS FOLLOWING THE END OF THE AGB PERIOD THAT WAS USED IN CALCULATION THE AGB PERCENTAGE.5. ANY CAPITALIZED TERMS NOT DEFINED IN THIS DOCUMENT WILL HAVE THE MEANING ASSIGNED TO SUCH TERM IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.THESE LIMITATIONS ON CHARGES FOR MEDICAL SERVICES SHALL NOT APPLY IF AN INDIVIDUAL HAS NOT SUBMITTED A COMPLETE FINANCIAL ASSISTANCE APPLICATION AS OF THE TIME THE CHARGES ARE BILLED TO SUCH INDIVIDUAL; PROVIDED, HOWEVER, THAT ADJUSTMENTS WILL BE MADE IF AMOUNTS ARE CHARGED IN EXCESS OF THESE LIMITATIONS AND THE INDIVIDUAL IS SUBSEQUENTLY DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE."

PART I, LINE 7:
THE COST METHOD USED TO CALCULATE THE COST OF THE COMMUNITY BENEFIT PROGRAMS WAS THE COST-TO-CHARGE RATIO. WORKSHEET 2 WAS USED TO CALCULATE THE RATIO OF PATIENT CARE COST TO CHARGES.

PART I, LN 7 COL(F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $13,841,484.

PART II, COMMUNITY BUILDING ACTIVITIES:
MANY STAFF MEMBERS ARE UTILIZED TO PROMOTE THE HEALTH OF THE COMMUNITY AND THE GENERAL WELL-BEING OF THE COMMUNITY WE SERVE. THROUGH OUR EMERGENCY PREPAREDNESS COMMITTEE, STAFF ARE ALWAYS PLANNING AND PREPARING TO BE READY TO MEET THE NEEDS OF THE COMMUNITY AS EVENTS OCCUR. ADDITIONALLY, A VARIETY OF STAFF WORK WITH LOCAL SCHOOLS AND OTHER ORGANIZATIONS TO GIVE TALKS PROMOTING HEALTH AND CAREERS IN HEALTHCARE. A NUMBER OF STAFF MEMBERS ARE INVOLVED IN MENTORING PROGRAMS WITHIN THE LOCAL SCHOOLS. RECOGNIZING THE IMPORTANCE OF SUSTAINING AND GROWING OUR ECONOMY, WE PARTICIPATE IN OUR LOCAL BUSINESS ALLIANCE.

PART III, LINE 2:
THE ORGANIZATIONS UTILIZED THE HMFA #15 METHODOLOGY FOR DETERMINING BAD DEBT EXPENSE.

PART III, LINE 3:
SINCE THE ORGANIZATION UTILIZES HMFA #15, THERE IS NO PORTION OF THE BAD DEBT THAT WOULD BE CONSIDERED CHARITY CARE.

PART III, LINE 4:
IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL AMOUNTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL), THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.

PART III, LINE 8:
"SCHEDULE H PART III SECTION B LINE 6 REPORTS ""ALLOWABLE COSTS OF CARE"" AS TAKEN FROM THE MOST RECENTLY FILED MEDICARE COST REPORT AVAILABLE AT THE TIME THE COMMUNITY BENEFIT REPORT IS PUBLISHED. THE MEDICARE COST REPORT CALCULATES ITS ALLOWABLE TOTAL COSTS BASED ON APPLICABLE MEDICARE REGULATIONS. MEDICARE AND MEDICAID COST IS DETERMINED USING INDIVIDUAL COST CENTER COST-TO-CHARGE RATIOS. THIS COST TO CHARGE RATIO IS DETERMINED USING ALL PAYER COST AND ALL PAYER CHARGES. THE COST TO CHARGE RATIO IS APPLIED TO THE ACTUAL MEDICARE AND MEDICAID CHARGES TO DETERMINE THE MEDICARE AND MEDICAID COST. THIS ORGANIZATION HAS ADOPTED THE COST AND CHARGE PRACTICES AS RECOMMENDED BY THE CATHOLIC HEALTH ASSOCIATION AND THE WISCONSIN, IOWA, OR ILLINOIS HOSPITAL ASSOCIATION AS APPLICABLE, AND THEREFORE, DOES NOT COUNT ANY MEDICARE SHORTFALL NUMBERS IN ITS ANNUAL REPORTING OF COMMUNITY BENEFIT AMOUNTS."

PART III, LINE 9B:
OUR COLLECTION PROCESS IS THE SAME FOR ALL PATIENTS. IF A PATIENT EXPRESSES A NEED FOR FINANCIAL ASSISTANCE WE OFFER THE FINANCIAL ASSISTANCE APPLICATION. WE BILL ALL INSURANCES. PATIENT DOES NOT RECEIVE A COPY OF THE BILL UNTIL IT IS THEIR BALANCE. OUR EXTENDED BUSINESS OFFICE SENDS THREE STATEMENTS AND OUR REQUIRED FINAL REQUEST STATEMENT. FROM THIS POINT THE OUTSTANDING BALANCE IS HANDLED BY THE COLLECTION AGENCY. THE ACCOUNT DOES STAY ACTIVE ON OUR FINANCIAL SYSTEM FOR ONE YEAR. AT THAT TIME THE OUTSTANDING BALANCE IS MOVED OVER TO A BAD DEBT STATUS.

PART VI, LINE 2:
IN AN EFFORT TO UNDERSTAND AND ASSIST IN ADDRESSING THE NEEDS OF THE COMMUNITY WE SERVE, FROEDTERT SOUTH HAS INVOLVEMENT IN A VARIETY OF COMMUNITY COMMITTEES. FROEDTERT SOUTH HAS MULTIPLE STAFF, MANAGEMENT AND ADMINISTRATIVE LEVEL EMPLOYEES PARTICIPATE IN COMMITTEES THAT ARE SET UP TO ASSESS AND ADDRESS NEEDS IN THE COMMUNITY SUCH AS A HEALTHY LIFESTYLE COMMITTEE, MENTAL HEALTH COMMITTEE, INJURY PREVENTION COMMITTEE, SUICIDE PREVENTION COMMITTEE, INFANT MORTALITY COMMITTEE. THROUGH OUR PARTICIPATION IN COMMUNITY COMMITTEES WE GAIN AN UNDERSTANDING ABOUT THE NEEDS OF THE COMMUNITY AS WELL AS THE OPPORTUNITY TO WORK TOGETHER TO ADDRESS THE NEEDS.

PART VI, LINE 3:
WHEN STATEMENTS ARE SENT FROM OUR EXTENDED BUSINESS OFFICE, THERE IS A PHONE NUMBER FOR THE PATIENT TO CALL FOR ASSISTANCE WITH THEIR BALANCES. PATIENTS CALL AND THEY WORK WITH THEM TO SET UP PAYMENT ARRANGEMENTS. IF THEY EXPRESS ANY CONCERNS FOR FINANCIAL NEEDS THEY OFFER TO SEND THEM A COMMUNITY CARE APPLICATION.

PART VI, LINE 4:
KENOSHA COUNTY IS A FAST GROWING LAKESHORE COUMMUNITY IN SOUTHEASTERN WISCONSIN. LOCATED BETWEEN CHICAGO AND MILWAUKEE, KENOSHA COUNTY BOASTS A DIVERSE ECONOMY. KENOSHA IS THE FOURTH LARGEST CITY IN THE STATE OF WISCONSIN WITH 100,164 RESIDENTS REPORTED BY THE UNITED STATES CENSUS BUREAU IN THE 2018 POPULATION ESTIMATES. KENOSHA IS NOW THE EIGHTH LARGEST COUNTY IN WISCONSIN IN TERMS OF POPULATION WITH 169,290 RESIDENTS. FROEDTERT SOUTH SERVES PEOPLE IN SOUTHEASTERN WISCONSIN AND NORTHERN ILLINOIS THROUGH ITS TWO HOSPITAL LOCATIONS, FROEDTERT PLEASANT PRAIRIE HOSPITAL AND FROEDTERT KENOSHA HOSPITAL. ADVOCATE AURORA MEDICAL CENTER ALSO HAS A HOSPITAL CAMPUS IN KENOSHA.

PART VI, LINE 5:
FROEDTERT SOUTH IS COMMITTED TO IMPROVING THE HEALTH OF OUR PATIENTS AND NEIGHBORS. WE OFFER A VARIETY OF COMMUNITY OUTREACH PROGRAMS TO HELP THE GENERAL PUBLIC MAINTAIN GOOD HEALTH. THESE INCLUDE FREE COMMUNITY EDUCATION SEMINARS, HEALTH SCREENINGS, AND VARIOUS SUPPORT GROUPS.

PART VI, LINE 7, REPORTS FILED WITH STATES
WI