Form 990 for tax year 2022
Filed by COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC.
Totals
- Total revenue
- $257,689,163
- Total expenses
- $283,676,872
- Contributions and grants received
- $45,763
- Grants paid
- $215,000
- Program service revenue
- $245,317,792
- Investment income
- -$128,811
- Other revenue
- $12,454,419
- Total assets, end of year
- $121,589,519
- Total liabilities, end of year
- $11,514,312
- Net assets or fund balances, end of year
- $110,075,207
- Program services expenses (Part IX)
- $243,854,865
- Management and general expenses
- $39,199,775
- Fundraising expenses
- $622,232
- Program service expenses (Part III)
- $243,854,865
Program services were 86.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1d · Related organizations
$45,763
-
1g · Noncash contributions included above
$3,931
-
2a · Program service revenue: INPATIENT REVENUE
total $117,253,065 · related or exempt $117,253,065
-
2b · Program service revenue: OUTPATIENT REVENUE
total $105,678,297 · related or exempt $105,678,297
-
2c · Program service revenue: EMERGENCY/TRAUMA REVENUE
total $22,386,430 · related or exempt $22,386,430
-
3 · Investment income
total $49,800 · excluded $49,800
-
7b · Less cost or other basis and sales expenses
other assets $178,611
-
7c · Gain or loss
other assets -$178,611
-
7d · Net gain or loss
total -$178,611 · excluded -$178,611
-
8a · Fundraising events: gross income
$63,133
-
8b · Fundraising events: direct expenses
$29,161
-
8c · Net income from fundraising events
total $33,972 · excluded $33,972
-
11a · Other revenue: INTERCOMPANY REVENUE
total $6,450,412 · related or exempt $6,450,412
-
11b · Other revenue: CORPORATE ALLOCATED REVENUE
total $2,651,078 · related or exempt $2,651,078
-
11c · Other revenue: OTHER DEPARTMENT REVENUE
total $2,312,124 · related or exempt $2,312,124
-
11d · All other revenue
total $1,006,833 · related or exempt $1,006,833
-
11e · Other revenue, total
$12,420,447
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $215,000 · program services $215,000
-
7 · Other salaries and wages
total $103,419,396 · program services $98,133,280 · management and general $4,871,372 · fundraising $414,744
-
9 · Other employee benefits
total $26,404 · program services $25,054 · management and general $1,244 · fundraising $106
-
10 · Payroll taxes
total $6,500,149 · program services $6,167,904 · management and general $306,177 · fundraising $26,068
-
11b · Fees: legal
total $76,686 · management and general $76,686
-
11c · Fees: accounting
total $4,100 · management and general $4,100
-
11g · Fees: other
total $32,223,843 · program services $23,140,732 · management and general $9,061,285 · fundraising $21,826
-
13 · Office expenses
total $1,184,817 · program services $1,126,289 · management and general $55,303 · fundraising $3,225
-
14 · Information technology
total $268,374 · program services $79,246 · management and general $151,683 · fundraising $37,445
-
16 · Occupancy
total $2,395,014 · program services $1,983,362 · management and general $408,058 · fundraising $3,594
-
17 · Travel
total $30,128 · program services $23,954 · management and general $4,169 · fundraising $2,005
-
19 · Conferences, conventions and meetings
total $85,246 · program services $59,890 · management and general $23,724 · fundraising $1,632
-
20 · Interest
total $1,831,466 · program services $1,516,676 · management and general $312,042 · fundraising $2,748
-
22 · Depreciation, depletion and amortization
total $8,759,376 · program services $7,253,826 · management and general $1,492,407 · fundraising $13,143
-
23 · Insurance
total $3,354 · program services $3,354
-
24a · Other expenses: SUPPLIES - MEDICAL & OT
total $47,240,745 · program services $47,151,279 · management and general $84,635 · fundraising $4,831
-
24b · Other expenses: CORPORATE ALLOCATED EXP
total $41,701,512 · program services $25,027,956 · management and general $16,583,663 · fundraising $89,893
-
24c · Other expenses: AFFILIATE SUPPORT - CP
total $31,043,400 · program services $25,595,904 · management and general $5,447,496
-
24d · Other expenses: STATE HOSPITAL ASSESSME
total $5,284,170 · program services $5,284,170
-
24e · All other expenses
total $1,383,692 · program services $1,066,989 · management and general $315,731 · fundraising $972
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $5,925 · end of year $5,975
-
2 · Savings and temporary cash investments
beginning of year $1,348 · end of year $5,340
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $31,573,900 · end of year $27,119,419
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $3,036,547 · end of year $2,999,920
-
9 · Prepaid expenses and deferred charges
beginning of year $370,900 · end of year $550,416
-
10a · Land, buildings and equipment: cost or other basis
$260,979,772
-
10b · Land, buildings and equipment: accumulated depreciation
$178,012,996
-
10c · Land, buildings and equipment, net
beginning of year $78,901,155 · end of year $82,966,776
-
11 · Investments: publicly traded securities
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $0 · end of year $0
-
13 · Investments: program-related
beginning of year $0 · end of year $0
-
14 · Intangible assets
beginning of year $0 · end of year $0
-
15 · Other assets
beginning of year $13,091,009 · end of year $7,941,673
-
17 · Accounts payable and accrued expenses
beginning of year $9,302,003 · end of year $6,243,636
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $730 · end of year $120
-
20 · Tax-exempt bond liabilities
beginning of year $0 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $0 · end of year $0
-
24 · Unsecured notes and loans payable
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $17,152,573 · end of year $5,270,556
-
27 · Net assets without donor restrictions
beginning of year $99,771,115 · end of year $109,285,106
-
28 · Net assets with donor restrictions
beginning of year $754,363 · end of year $790,101
Mission and programs · 2022
Mission
COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC. DBA FROEDTERT MENOMONEE FALLS HOSPITAL (FMFH) ADVANCES THE HEALTH OF THE PEOPLE OF THE DIVERSE COMMUNITIES WE SERVE THROUGH EXCEPTIONAL CARE ENHANCED BY INNOVATION AND DISCOVERY.
-
SEE SCHEDULE O - INPATIENT SERVICES
Expenses $110,937,089 · Revenue $117,253,065
-
SEE SCHEDULE O - OUTPATIENT SERVICES
Expenses $99,985,811 · Revenue $105,678,297
-
SEE SCHEDULE O - EMERGENCY SERVICES
Expenses $21,180,557 · Revenue $22,386,430
-
AS PART OF OPERATING AN ACUTE CARE HOSPITAL AND PROVIDING HEALTH CARE SERVICES TO THE COMMUNITY, OTHER REVENUE IS DERIVED IN THE FOLLOWING AREAS:OTHER DEPARTMENT OPERATING REVENUE - REVENUE DERIVED FROM DIFFERENT SERVICES THROUGH THE PROCESS OF PROVIDING PATIENT CARE AND IN THE NORMAL OPERATION OF A MEDICAL FACILITY. INCLUDED IN THIS CATEGORY ARE ITEMS SUCH AS MEANINGFUL USE REVENUE, CANCER CARE/ONCOLOGY REVENUE, RENTAL REVENUE, GIFT SHOP REVENUE, CLINICAL DIETETICS, AND OTHER WELLNESS SERVICES.DIETARY REVENUE - REVENUE DERIVED FROM CAFETERIA SALES, VENDING MACHINE SALES, GUEST TRAY SALES AND EMPLOYEE MEALS. DIETARY SERVICES ARE NECESSARY TO SUPPORT SERVICES TO PATIENT FAMILIES WHILE THEIR LOVED ONE IS RECEIVING CARE IN THE HOSPITAL. THE REVENUE FROM EMPLOYEE MEALS IS A BENEFIT PROVIDED BY THE HOSPITAL AS AN EMPLOYER AND IT ALLOWS OUR STAFF TO REMAIN ON SITE FOR PATIENT CARE.CORPORATE ALLOCATED REVENUE - REVENUE PASSED THROUGH FROM FROEDTERT HEALTH (FH), A RELATED PARTY.INTERCOMPANY REVENUE CONSISTS OF REVENUE DERIVED FROM MEDICAL AND ADMINISTRATIVE SERVICES PROVIDED TO THE OTHER FH ENTITIES. ALL OF THESE SERVICES SUPPORT THE DELIVERY OF HEALTHCARE TO THE COMMUNITY.MISCELLANEOUS REVENUE - REVENUE DERIVED FROM DIFFERENT SERVICES THROUGH THE PROCESS OF PROVIDING PATIENT CARE IN THE NORMAL OPERATION OF A MEDICAL FACILITY. SPECIAL EVENT ACTIVITY REVENUE, AND TAXABLE SALES.
Expenses $11,751,408 · Grants $215,000 · Revenue $12,420,447
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Behl MarkBEHL MARK
DIRECTOR & EVP/FH COO
- Total calculated
- $1,399,347
- From this org
- $0
- From related orgs
- $1,191,308
- Other
- $208,039
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $772,583 related
- Bonus
- $0 + $397,207 related
- Other
- $0 + $21,518 related
- Deferred
- $0 + $176,261 related
- Nontaxable benefits
- $0 + $31,778 related
- Filer's total
- $0 + $1,399,347 related
-
Lux TeresaLUX TERESA
DIRECTOR & CMH PRESIDENT
- Total calculated
- $861,344
- From this org
- $0
- From related orgs
- $736,401
- Other
- $124,943
- Hours/week
- 44 + 6 related
Schedule J breakdown matched by us
- Base
- $0 + $424,095 related
- Bonus
- $0 + $199,668 related
- Other
- $0 + $112,638 related
- Deferred
- $0 + $110,037 related
- Nontaxable benefits
- $0 + $14,906 related
- Filer's total
- $0 + $861,344 related
-
Goldberg David MDGOLDBERG DAVID MD
DIRECTOR&CMO,VP MED AFF(TERM JUN23)
- Total calculated
- $719,129
- From this org
- $0
- From related orgs
- $654,892
- Other
- $64,237
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $0 + $419,169 related
- Bonus
- $0 + $163,164 related
- Other
- $0 + $72,559 related
- Deferred
- $0 + $58,892 related
- Nontaxable benefits
- $0 + $5,345 related
- Filer's total
- $0 + $719,129 related
-
Waala ShellyWAALA SHELLY
DIRECTOR & VP PATIENT CARE SVC
- Total calculated
- $477,416
- From this org
- $0
- From related orgs
- $408,868
- Other
- $68,548
- Hours/week
- 49 + 1 related
Schedule J breakdown matched by us
- Base
- $0 + $267,474 related
- Bonus
- $0 + $109,882 related
- Other
- $0 + $31,512 related
- Deferred
- $0 + $35,265 related
- Nontaxable benefits
- $0 + $33,283 related
- Filer's total
- $0 + $477,416 related
-
Abernathy EdnaABERNATHY EDNA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Barnes Jennifer Jo Jj BerrallBARNES JENNIFER JO JJ BERRALL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Benedum MaryBENEDUM MARY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Binzak RickBINZAK RICK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Burch Ryan DoBURCH RYAN DO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Canga Cristino MDCANGA CRISTINO MD
DIRECTOR (START SEP22)
- Total calculated
- $0
- Hours/week
- 1
-
Christianson BradCHRISTIANSON BRAD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Fisher Travis MDFISHER TRAVIS MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Golla CoreyGOLLA COREY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Padala SandhyaPADALA SANDHYA
DIRECTOR (START JUL22)
- Total calculated
- $0
- Hours/week
- 1
-
Rechlicz ChristopherRECHLICZ CHRISTOPHER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Shah PayalSHAH PAYAL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Sova SamSOVA SAM
DIRECTOR (START JUL22)
- Total calculated
- $0
- Hours/week
- 1
-
Timm Mark A MDTIMM MARK A MD
DIRECTOR (TERM SEP22)
- Total calculated
- $0
- Hours/week
- 1
-
Woloszyk DavidWOLOSZYK DAVID
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Simons CindySIMONS CINDY
DIRECTOR & BOD V. CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Booher CarrieBOOHER CARRIE
DIRECTOR & BOD CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Smith AdamSMITH ADAM
TREASURER
- Total calculated
- $420,440
- From this org
- $0
- From related orgs
- $350,262
- Other
- $70,178
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $256,301 related
- Bonus
- $0 + $78,300 related
- Other
- $0 + $15,661 related
- Deferred
- $0 + $40,227 related
- Nontaxable benefits
- $0 + $29,951 related
- Filer's total
- $0 + $420,440 related
-
McPike LindaMCPIKE LINDA
SECRETARY
- Total calculated
- $406,452
- From this org
- $0
- From related orgs
- $380,955
- Other
- $25,497
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $274,558 related
- Bonus
- $0 + $59,197 related
- Other
- $0 + $47,200 related
- Deferred
- $0 + $19,300 related
- Nontaxable benefits
- $0 + $6,197 related
- Filer's total
- $0 + $406,452 related
-
Van De Kreeke JeffreyVAN DE KREEKE JEFFREY
FORMER - OFFICER (TREAS)
- Total calculated
- $573,274
- From this org
- $0
- From related orgs
- $545,072
- Other
- $28,202
- Hours/week
- 0 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $184,071 related
- Bonus
- $0 + $144,602 related
- Other
- $0 + $216,399 related
- Deferred
- $0 + $19,300 related
- Nontaxable benefits
- $0 + $8,902 related
- Filer's total
- $0 + $573,274 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- COMPENSATION OF CEO/EXECUTIVE DIRECTOR ESTABLISHED BY RELATED ORGANIZATION, FROEDTERT HEALTH, THROUGH USE OF COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
- PART I, LINES 4A-B
- SEVERANCE: VAN DE KREEKE, JEFFREY - $165,458 457(F) DISTRIBUTIONS: GOLDBERG, DAVID - $49,437 LUX, TERESA - $90,937 WAALA, SHELLY - $28,775 457(F) PLAN PARTICIPANTS: BEHL, MARK GOLDBERG, DAVID LUX, TERESA SMITH, ADAM VAN DE KREEKE, JEFFREY WAALA, SHELLY 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
SUPPORT OPERATIONS OF THE HOSPITAL
-
SUPPORT OPERATIONS OF THE HOSPITAL
-
SUPPORT OPERATIONS OF THE HOSPITAL
-
SUPPORT OPERATIONS OF THE HOSPITAL
-
SUPPORT OPERATIONS OF THE HOSPITAL
-
SUPPORT OPERATIONS OF THE HOSPITAL
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · MGMNT SVCS · WI
-
501(C)(3) · HLTH & WLFR · WI · controlled entity
Directly controlled by CMH INC
-
COMMUNITY OUTPATIENT HEALTH SERVICES
501(C)(3) · OP MED & DNTL · WI · controlled entity
Directly controlled by CMH INC
-
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
501(C)(3) · HOSPITAL CARE · WI
Directly controlled by FH INC
-
ST JOSEPH'S COMMUNITY HOSPITAL INC
501(C)(3) · HOSPITAL CARE · WI
Directly controlled by FH INC
-
501(C)(3) · HLTHCRE SVCS · WI
Directly controlled by FH INC
-
ST JOSEPH'S COMMUNITY FOUNDATION INC
501(C)(3) · HLTH & WLFR · WI
Directly controlled by SJH INC
-
FROEDTERT HOSPITAL FOUNDATION INC
501(C)(3) · HLTH & WLFR · WI
Directly controlled by FMLHINC
-
501(C)(3) · HOSPITAL CARE · WI
Directly controlled by FH INC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
FMLH MCW REAL ESTATE VENTURES LLC
N/A · REAL ESTATE · WI
-
WISCONSIN DIAGNOSTIC LABORATORIES LLC
N/A · LABORATORY SVCS · WI
-
D1 SPORTS TRAINING OF MILWAUKEE LLC
N/A · SPORTS THERAPY · WI
-
DREXEL TOWN SQUARE SURGERY CENTER LLC
N/A · SURGICAL SERVICES · WI
-
MENOMONEE FALLS AMBULATORY SURGERY LLP
RELATED · SURGICAL SERVICES · WI · 99% owned · share of income $1,447,182 · share of assets $4,908,847 · general or managing partner
Directly controlled by CMH
-
THP-FROEDTERT HEALTH VENTURE LLC
N/A · HEALTH CARE SVCS · TX
-
F&MCW NETWORK LLC
N/A · HEALTH CARE SVCS · WI
-
FROEDERT & MEDICAL COLLEGE OF WI ACOLLC
N/A · HEALTH CARE SVCS · WI
-
FROEDTERT SURGERY CENTER LLC
N/A · HEALTH CARE SVCS · WI
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
HART'S MILLS INSURANCE COMPANY SPC
C · SELF - INSURANCE · CJ
-
HOLY FAMILY HEALTH SERVICES INC
C · HOSPITAL CARE · WI
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 7 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202411289349300516
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.