2013 Community Benefit Report Community Memorial Hospital, Menomonee Falls St. Joseph s Hospital, West Bend OUR COMMUNITY COMMITMENT

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1 2013 Community Benefit Report Community Memorial Hospital, Menomonee Falls St. Joseph s Hospital, West Bend OUR COMMUNITY COMMITMENT

2 This commitment to the underserved in Washington County and Waukesha County comes in many different forms. Community Memorial and St. Joseph s Hospitals are leading health improvement efforts in these counties by collaborating with dozens of area agencies and providers with specific plans to address: access to primary and specialty care alcohol and other drug abuse obesity and physical activity (St. Joseph s Hospital) chronic disease management prevention and wellness (Community Memorial Hospital). Our ability to provide the right care at the right time in the right place is the central philosophy of Froedtert & the Medical College of Wisconsin. Our patients receive excellent care close to home at our two community hospitals and more than 30 community clinics, while patients who need more advanced care are treated at our academic medical center where specialists offer a depth of medical expertise largely unavailable anywhere else in the region. Although the Affordable Care Act will significantly affect how we provide care, our dedication to providing highquality care to Waukesha and Washington Counties remains steadfast. Our commitment to providing care within our communities is certain in these uncertain times, as we continue to strengthen our communities through outreach to the most vulnerable populations. Health care reform is dramatically, unpredictably changing our environment. What s unchanged is our commitment to partnering and collaborating with community organizations to improve the health of area residents. Inside this report, you will find additional information about how we re achieving that goal. Allen Ericson President Froedtert & the Medical College of Wisconsin St. Joseph s Hospital Dennis Pollard President Froedtert & the Medical College of Wisconsin Community Memorial Hospital 1

3 Total Community Benefit: $13,675,929 Government Sponsored Health Care (Medicaid Shortfalls) $7,765,735 Hospitals award $280,000 in grants Recognizing that local partners play an essential role in improving community health, both Community Memorial and St. Joseph s Hospitals awarded grants this year to community partners whose missions overlap with those of the hospitals. The Healthy Community Fund, administered through St. Joseph s Community Foundation, awarded $230,545 in grants to 11 area non-profit organizations: Charity Care $2,842,640 Community Health Services $1,413,702 Health Professions Education $850,712 Financial Contributions $409,042 Community Building Activities $208,907 Community Benefit Operations $185,191 Albrecht Free Clinic Boys and Girls Club of Washington County Casa Guadalupe Education Center Family Center of Washington County Family Promise of Washington County Friends of Abused Families Healthy People Project Kettle Moraine YMCA The Threshold West Bend Professional Fire Fighters Charities Youth and Family Project Through its Community Outreach Steering Committee, Community Memorial Hospital awarded $50,000 in grants in fiscal 2013 to partner organizations: Citizen Advocates of Washington County Community Health & Wellness Initiative Community Outreach Health Clinic Every 15 Minutes in partnership with Germantown Police Department Falls Area Food Pantry Germantown Youth Futures Inc. Safe Babies Healthy Families Sussex Outreach Services Your Choice Drug and Alcohol Awareness Program Financial data, while unique to Community Memorial and St. Joseph s Hospitals, is based on reporting methodology similar to that used by Catholic Health Association of the United States and VHA Guide for Planning and Reporting Community Benefit. All patient care figures reflect the actual cost of care. 2

4 3 Outreach clinics deliver accessible health care for all Ryan Lundgren (l), pictured with Jennifer Thickens (r), nurse practitioner; is grateful for the care he received at the Community Outreach Health Clinic. Ryan Lundgren struggled with chronic health issues much of his life. By his mid-30s he had already faced complications from uncontrolled diabetes, retinal bleeding, partial toe amputation, bone infections and a broken shoulder I lost two of my last three jobs because of my illnesses, he said. Ryan said his wake-up call was a heart attack in May He knew he needed to make drastic changes, but without a job or health insurance, he didn t know where to start. I didn t have the information or motivation to do it on my own, he said. I felt like giving up and accepting that I wasn t going to live much longer. Ryan got the help he needed at the Community Outreach Health Clinic at Community Memorial Hospital in Menomonee Falls. The team of nurse practitioners, student nurses and volunteers delivered just what Ryan needed to deal with his many interrelated health conditions. Linda and Jen (nurse practitioners) and Anita (volunteer nurse) really worked to help me get better so I wouldn t need to come to the clinic every week, said Ryan. They arranged for eye surgeries for his retinal bleeding, which interfered with his vision and his ability to hold a job, and provided physical therapy for his shoulder injury and monitored his progress. They also helped him enroll in pharmaceutical assistance programs so he could get lowcost insulin and other medications, and provided follow-up care while he recovered from his heart attack. Most important of all, they helped Ryan understand that he had choices, that his health was something he could take charge of by choosing to make lifestyle changes, like eating differently and becoming more active. The Community Outreach Health Clinic in Menomonee Falls provides this access to residents of Waukesha, Washington and Milwaukee counties. It provides access to basic medical care for eligible individuals who are underinsured, uninsured or otherwise unable to afford health services. About 60 percent of clinic patients have one or more chronic conditions, putting them at risk for more severe and long-lasting health problems if left untreated. Staff not only provide immediate assistance for the patient s presenting health concern, but work to address the many other factors that affect health, particularly with patients who have not had access to ongoing preventive care. Many are struggling with depression, anxiety or other mental issues exacerbated by unemployment, family problems and financial stress. Patients often need help in identifying and accessing other services, obtaining referrals and follow-up care. As a result, these patients tend to require more time and more intensive, personalized services than insured patients whose needs are less urgent and complex. Today, Ryan is 100 pounds lighter, exercises regularly and says he feels great. I used to take insulin injections four times a day; now I don t need it at all, he said. He s learned to manage his diabetes by monitoring his blood sugar levels and eating accordingly. Ryan is back at work at a delivery job, but still with no health insurance. He continues to visit the clinic for check-ups and to reinforce his healthier habits. He can t say enough about the terrific people at the Community Outreach Health Clinic. Their support has made a major difference for me, he said. They are there for the right reasons, to help people get well, and they made me believe I could do it. As the health care environment continues to change, we expect the demand for clinic services to remain high. We are privileged to have the support of our communities to enable us to continue to meet the needs of those without access to essential primary and specialty medical care.

5 We are here because we want to be here, said Alissa Mosal. It feels good to do something good for the community. Alissa is a nurse and the clinical supervisor at the Albrecht Free Clinic in West Bend. The not-forprofit health care facility proves fulfilling for its staff. Established in 1996 as Donated Health and renamed the Albrecht Free Clinic in 2001, the clinic s purpose has remained the same. Bringing accessible and affordable health care to qualifying residents needing it most in Washington County continues to be its mission. With more than 3,000 patient visits in 2012, the clinic provides health care services to individuals at 200 percent or below the federal poverty level. Albrecht Free Clinic offers access to free health care primarily through its walk-in clinic. Open a couple of hours two evenings every week, the clinic never sends waiting patients away after closing time. Clinic appointments are also available one morning every week for patients needing follow-up care for chronic conditions. While clinic practitioners offer care for acute health conditions, they have recently seen more patients dealing with several serious chronic conditions. Many times Free health care provided by a dedicated staff patients visit the clinic after having been off of their medications for months or sometimes years. The majority of the patients seen at the clinic suffer from chronic conditions such as diabetes or hypertension. Together with services provided by St. Joseph s Hospital in West Bend and volunteer physicians from Froedtert & the Medical College of Wisconsin Community Physicians, patients receive the care they desperately need and would otherwise be unable to access or afford. Clinic staff do their best to help patients manage their chronic conditions and refer them to the hospital or specialists as needed. Staff at Albrecht Free Clinic are grateful for the continued support of St. Joseph s Hospital and Community Physicians. Hazel Hanson, a nurse practitioner at the clinic, explained, Patients are surprised that we offer so much. We are appreciative of the extended services provided by the hospital and physicians. Albrecht Free Clinic serves individuals in Washington County and is located on Oak Street in West Bend. disease; he also had a history of stroke. Michael was on several medications to manage his conditions. Due to deteriorating health, he was forced to close his business in spring of Without insurance and unable to Albrecht Free Clinic staff (top row): Emma Jacque, executive director; Alissa Mosal, nurse and clinical supervisor; Vicki Towell, clinical office assistant; (seated) Jessica Osenbrugge, business office coordinator and Hazel Hanson, nurse practitioner. afford his needed medications, Michael went to the clinic. Suffering from dizziness, weakness and blurred vision, he was fortunate to have sought the clinic s care when he did. Tests quickly determined that Michael s carotid artery was more than 90 percent blocked and his blood pressure was high. Thankfully, given the skilled nursing staff at the clinic and lab services available at St. Joseph s Hospital, Michael had a carotid stent placed at Froedtert Hospital during the summer of The efforts of Albrecht Free Clinic saved Michael s life. The clinic s executive director, Emma Jacque, is pleased that Albrecht Free Clinic is able to touch so many lives in Washington County. Robert Gibson, MD, and medical director at the not-for-profit clinic, echoes Emma s satisfaction and looks forward to continuing to help those who need it the most in Washington County. Vicki Towell, clinical office assistant, added, It s not about the money, it s about the satisfaction of helping people. Clinic staff are quick to mention that what they do cannot be done alone. It s about partnership, collaboration and trust, summarized Jessica Osenbrugge, business office coordinator at Albrecht Free Clinic. Grass-root efforts developed into real solutions to help our fellow neighbors. At age 57, Michael Beine, a small-business owner and avid Harley rider, found himself needing the services of Albrecht Free Clinic. Years ago, Michael had undergone stents and triple bypass surgery for cardiovascular 4

6 5 In a dramatic portrayal, two West Bend High Schools teens were killed as a result of a teen drunk-driving and texting incident May 9, 2013, just east of the West Bend High Schools. At least, that s what it appeared, based on the two smashed cars, debris and broken glass on the roadway, a body on the road, another on the hood of a wrecked car and the documentary shown the next day. It wasn t real, but the message to West Bend High School students was that Every 15 Minutes someone dies as the result of an alcohol-related collision, and on that day it Students learn life lesson from drinking and driving dramatization was two of their friends and classmates. Only the 23 students who were directly involved in the program were aware of the details taking place that day. For the rest of the 2,300 students, it was a surprise. They did not know anything until friends were pulled from class by the Grim Reaper. Throughout the day, he silently entered classrooms and beckoned a student in each class to become one of the Living Dead, a group of students made up with white faces and sunken black eyes to represent young lives lost. Each of the students stayed outside the classroom door to hear his/her obituary read to the class by a West Bend police officer. The West Bend School District, in partnership with the Washington County Injury Prevention Coalition, West Bend Fire Department, West Bend Police Department and St. Joseph s Hospital, presented the Every 15 Minutes program, a dramatic program intended to drive home a powerful message about the consequences of drinking and driving. At Germantown High School, the same program was carried out April 25 in partnership with Community Memorial Hospital and the Germantown Police Department. At each school, the student drunk driver was taken into custody, the students died, others were critically injured, and still others were treated at the hospital and released. Actual parents came to the crash scenes to identify their child, went to the funeral home to make mock funeral arrangements and pick out a casket. All of it was videotaped. The scenes were watched by hundreds of high school juniors and seniors, and were also videotaped by separate teams of video production students who worked through the night of each crash to create movies of each event, which were then presented at powerful assemblies at each high school the next morning. In West Bend, dramatic scenes were filmed at St. Joseph s Hospital s Emergency Care Center, Phillips Funeral Home and the Washington County Court House during the two-day event. For the Germantown program, scenes were shot at students homes, at Germantown High School, Germantown Police Department and Community Memorial Hospital s Emergency Department. Even though we were prepared and knew it wasn t real, it was still very emotional, John Gambucci, father of one of the students who died, told the West Bend Daily News. I hope this program makes an impact, and if it takes my death, well, then that s fine, John s dead daughter, Gina Gambucci, told the WBDN. Her grin appeared to be missing several teeth as an emergency room nurse helped her remove the makeup that made the fatal injuries she received in the crash simulation seem all too real. Community Memorial and St. Joseph s Hospitals partnered with Germantown and West Bend High Schools to produce Every 15 Minutes. The two-day event portrays fatal automobile collisions involving classmates to illustrate the dangers of drinking/texting while driving.

7 Preparing the future of health care Every year, Community Memorial Hospital partners with local school districts to help prepare the next generation of health care professionals. The Health Care Career Academy provides qualifying students entering their junior or senior year the opportunity to gain real-life experience while broadening their knowledge base to virtually limitless career possibilities in health care. Drug collection nearly doubles in five years Together with Drug Free Communities Waukesha County and the Menomonee Falls Police Department, Community Memorial Hospital collected 1,149 pounds of expired or unused medication from 870 households in the area during its spring collection event. This important community event has grown throughout the years. The first collection event in 2009 yielded 592 pounds of expired or unused medications. In 2009, 385 vehicles navigated the drop-off lanes; in 2013, 593 vehicles made their way through the hospital parking lot. This annual effort works to reduce substance abuse, prevent childhood poisonings and help protect our environment. The three-week summer program has students job shadowing and learning from the professionals in many departments at Community Memorial Hospital. Students learn through observation, hands-on experiences and classroom-style discussions. After the program, many students are armed with a vast amount of knowledge allowing them to focus on a specific area of health care that appeals to them the most. Three area school districts participated in the 2013 Health Care Career Academy; they included Germantown, Menomonee Falls and Sussex. More than 25 local high school students completed this year s program. St. Joseph s Hospital recognizes the value of preparing tomorrow s health care providers, giving dozens of aspiring care-givers the valuable opportunity to serve as job shadows or preceptors every year. St. Joseph s Job Shadow Program involved 167 students observing professional staff for 3,310 hours in fiscal 2013, helping students connect classroom learning with real-life situations. Health Care Career Academy participants from Germantown High School learned from valuable hands-on experiences while at Community Memorial Hospital. Students from Menomonee Falls High School successfully completed their Health Care Career Academy session at Community Memorial Hospital. Erika Schlough, a Slinger resident and student at Carroll University, was one of nearly 170 students who observed St. Joseph s Hospital care providers in Hamilton high school students from Sussex appreciated the in-depth health care exposure they received from Health Care Career Academy. 6

8 Community Outreach Fights the Flu Community Memorial Hospital takes care of its community with the approach of every flu season. With Community Outreach serving as the liaison between flu clinics and the hospital, 93 individuals benefited from free flu shots administered to clients of local food pantries and patients of the Community Outreach Health Clinic at Community Memorial Hospital. These individuals would not have otherwise had access to a free flu shot. Last flu season: 39 total individuals received a flu shot at the Community Outreach Health Clinic at Community Memorial Hospital in Menomonee Falls during two flu clinics 22 individuals were vaccinated at the Menomonee Falls Food Pantry in Menomonee Falls 17 participants received a flu shot at Sussex Area Outreach Services 15 participants were vaccinated at St. Boniface Food Pantry in Germantown Community Memorial Foundation funded the vaccines and supplies, valued at $930, associated with these free flu clinics. The Foundation, together with the generosity of its donors, supports the mission of Community Memorial Hospital. All vaccinations were administered by pharmacists, certified by the state to give immunizations, from the Outpatient Pharmacy at Community Memorial Hospital. Jacob Heffter, a pharmacy resident at Community Memorial Hospital, administered some of these free vaccinations. It was a privilege to be part of such a worthwhile program, he said. Administering the flu vaccine to underinsured and uninsured individuals in our community makes for rewarding work, definitely a win-win situation. Several pharmacy residents from the hospital volunteered their time to participate in these clinics. Clients of local food pantries appreciated the service, value and convenience of the flu clinics. Kathy Wodushek, director of the Menomonee Falls Food Pantry, praised the program. So many community residents use the food pantry, but their needs often go beyond putting food on the family table, she said. The free flu clinics subsidized by Community Memorial Hospital provide a valuable resource. Subsidized flu clinics throughout the community helped promote wellness for individuals who were unable to pay for preventive health services. Community Memorial Hospital continues to deliver compassionate and quality health care to all residents of the surrounding communities. Transportation program delivers accessibility Access to primary and specialty care goes beyond hospitals, clinics, physicians, nurses, treatment options and prescription drugs. For those individuals without health insurance or the means to afford the basics of health treatments, simply getting there is half the battle. A subsidized transportation program is available to patients at Community Memorial and St. Joseph s Hospitals. Individuals must qualify for the service based on income; those at or below 200 percent of the federal poverty level are eligible. The program provides transportation to and from hospital locations for eligible patients who have difficulty arranging their own transportation and lack the financial resources to afford it. Last year, 826 rides were provided to Community Memorial Hospital and 583 rides to St. Joseph s Hospital, with patients being treated in those hospitals emergency, cancer and outpatient departments making the most use of the program. 7

9 Individuals managing chronic conditions Donald Kingsbury, 62, was diagnosed with diabetes more than a decade ago. Thanks to good medical care and a series of maintenance drugs, he was able to keep his diabetes, as well as his elevated blood pressure, under control. Then Donald lost his job and his insurance coverage. He couldn t afford the medications he depended on. I just quit them cold turkey, Donald said. The consequences were serious, and resulted in a hospital stay of several days, until Donald s condition stabilized. While he recovered at Community Memorial Hospital, hospital staff introduced him to the Community Outreach Health Clinic, knowing he would need follow-up care to prevent another crisis. They said the folks at the clinic would take good care of me, Donald recalled. They were right! They gave me top-shelf care. Clinic staff provided support and monitoring along with the right medications through the clinic s prescription assistance program. Last fall, Donald went to an afternoon movie with a friend and as they left, he had difficulty walking to the car. His friend wanted to take him to the emergency room, but Donald said he had his regular appointment at the clinic that afternoon. I knew something was wrong, so I was in the waiting room before the clinic opened. After assessing Donald s symptoms, the nurse practitioner immediately ordered an EKG, which revealed a dangerously abnormal heartbeat. Donald was admitted to the Emergency Department at Community Memorial Hospital; he had surgery to implant a pacemaker the following day. Chronic conditions, if left untreated, can result in more serious, often life-threatening situations. Monitoring, education and medications help patients learn to manage their chronic disease and prevent more serious complications and unnecessary hospitalizations. As of January 2013, Donald qualified for Medicare Disability coverage. Donald also participated in a six-week Living Well with Chronic Conditions program at Community Memorial Hospital. He remains grateful to clinic staff. I can t say enough about them, and how much they care about their patients, he said. They kept me alive. Helping patients help themselves Significant populations in Washington and Waukesha counties live with chronic conditions such as diabetes, high blood pressure and elevated cholesterol levels. An evidence-based national program, Living Well with Chronic Conditions, promotes self-management of chronic conditions. Community Memorial and St. Joseph s Hospitals together with the Wisconsin Institute for Healthy Aging, area food pantries and free clinics utilize the Living Well program to increase patient engagement. The program provides education on healthy eating and physical activity; patient surveys then measure the success of self-management directives. Donald Kingsbury is thankful for the care he received at the Community Outreach Health Clinic. 8

10 Partnering with local organizations who share the mission of helping our communities contributes in large part to the success of our efforts. Strength also comes from within. The percentage of Community Memorial and St. Joseph s Hospitals leaders participating in community outreach programs is consistently high above 90 percent. That s more than 150 people affecting our communities. Leaders dedicated to their communities Karl Schultz, director of operations at St. Joseph s Hospital in West Bend, is also a volunteer board member of the United Way of Washington County. With similar missions, the work of the United Way and the hospital is important for many Washington county residents. Our involvement with the United Way extends our ability to reach a larger community, said Karl. Larry Dux, director of patient care informatics and process improvement for the Community Hospital Division, serves as a volunteer board member for the United Way of Waukesha County. I feel that the United Way of Waukesha County addresses local needs and its review process ensures that money is spent on worthwhile programs that meet the needs of families and individuals, Larry said. Patricia Petry, RN, director of women s health for the Community Hospital Division and director of the Kathy Hospice at the St. Joseph s Hospital campus, serves as the president of the board of directors for the Germantown Chamber of Commerce and has had involvement with Leadership Germantown. It s my way of getting to know the community and its needs, said Patricia. Leaders take pride in the fact that they can give back to their communities, the same communities that support our hospitals and our mission. Leaders impacting our communities with their volunteerism include (l to r): Karl Schultz, director of operations at St. Joseph s Hospital in West Bend; Larry Dux, director of patient care informatics and process improvement for the Community Hospital Division; and Patricia Petry, RN, director of women s health for the Community Hospital Division and director of the Kathy Hospice at the St. Joseph s Hospital campus. 9

11 A community health survey conducted by Community Memorial Hospital in 2012 identified a need for affordable and healthy nutrition options for individuals unable to afford healthy food choices or unable to easily access healthier options. A community garden became a reality. Annually, the Volunteers in Partnership at Community Memorial Hospital plant, maintain and harvest produce from a community garden located right on hospital grounds in Menomonee Falls. The produce grown and harvested from the garden is given to patients in the Community Outreach Health Clinic Nourishing our communities at the hospital and also donated to the Menomonee Falls Food Pantry, Sussex Area Outreach Services and St. Boniface Food Pantry in Germantown. The Community Garden on the grounds of Community Memorial Hospital in Menomonee A typical harvest includes tomatoes, Falls helps to feed local residents unable to afford cucumbers, zucchini, pumpkins, peppers fresh produce. and beans. In 2012, 667 pounds of fresh produce, over a quarter ton, were harvested and given back to local residents. The community garden is a community health and wellness initiative. It s a collaborative effort with Menomonee Falls Community Education and Recreation, UW Extensions Washington and Waukesha Counties, Shady Lane Greenhouses and Tri-County YMCA. It takes a village to support the garden effort every year. Healthy People Project provides 16,000 students with food for thought More than 16,000 students in area school districts are now finding more fruits and vegetables and fewer nutrient-poor carbohydrates on their lunch trays. These significant changes were due to requirements from the National School Lunch Program across the country beginning with the school year. Locally, those requirements presented an opportunity for the Healthy People Project of Washington County to convene an action team of area school food service directors, dietitians, and health care professionals to find ways of increasing fruit and vegetable consumption, creating school gardens, implementing Farm to School programs and exploring local food sourcing. The Healthy People Project of Washington County is a community-based coalition seeking to improve nutrition and increase fruit and vegetable consumption, increase physical activity and improve the overall health of Washington County residents. Froedtert & the Medical College of Wisconsin have had a representative from the health system on the group since the HPPWC s inception in The HPPWC kicked off its School Nutrition Team to work on School Nutrition/Farm to School initiatives with the major school districts in Washington County, including Hartford Joint 1, Hartford Union High School, Kewaskum, Slinger and West Bend. While each school district has different needs, they all have the common goal of improving the nutrition of food offered to students at school. All five districts were able to offer more fresh fruits and vegetables to students last year thanks to a grant from the Healthy Community Fund to the Healthy People Project. St. Joseph s Hospital, an active participant in the HPPWC, recognizes that improving children s daily diets is a key component to helping them improve their overall health and well-being. Implementing changes now will pave the way for halting, and reversing, the rising obesity rates among children. Teaching students about proper nutrition will build the base for them to live healthier lifestyles as they grow into adulthood. 10

12 Special Thanks Albrecht Free Clinic American Cancer Society Better Together Sussex Community Summit Cambridge Major Laboratories Casa Guadalupe Celebrate Families Community Health & Wellness Initiative The Council on AODA Washington County Drug Free Communities Waukesha County Elmbrook Community Health Coalition Falls Sussex Youth Leadership Germantown Chamber of Commerce Germantown Community Scholarship Fund Germantown High School Germantown Park & Recreation Department Germantown Police Department Germantown Youth Futures Habitat for Humanity Hartford Area Chamber of Commerce Hartford Union High School Healthy People Project Washington County Horizon Home Care & Hospice Interfaith Caregivers of Washington County Kettle Moraine YMCA Kiwanis of Germantown Kiwanis Kewaskum Kiwanis West Bend Leadership Germantown Leadership Menomonee Falls Leadership West Bend LindenGrove Menomonee Falls Chamber of Commerce Menomonee Falls Community Education and Recreation Menomonee Falls Food Pantry Menomonee Falls High School Menomonee Falls Kiwanis Club Menomonee Falls Little League Menomonee Falls Police Department Menomonee Falls Rotary Club Menomonee Falls Scholarship & Educational Foundation Milwaukee Area Health Education Center National MS Society Wisconsin Chapter Richfield Youth Basketball & Softball Association Roger s Memorial Hospital Rotary Club of Washington County Schauer Arts & Activity Center Shady Lane Greenhouses St. Boniface Food Pantry Sussex Area Chamber of Commerce Sussex Hamilton School District Sussex Outreach Services Town of Lisbon Tri-County YMCA United Way of Greater Milwaukee United Way of Washington County United Way of Waukesha County UW-Extension Washington County UW-Extension Waukesha County Village of Sussex Recreation Department Washington County Fair Washington County Public Health Department Waukesha County Community Dental Clinic Waukesha County Specialized Transportation Providers Network West Bend Area Chamber of Commerce West Bend High Schools West Bend Lioness/Lions Club West Bend Park, Recreation and Forestry Department WTKM Senior Fair 2013 Community Benefit Report Community Memorial Hospital, Menomonee Falls St. Joseph s Hospital, West Bend Fiscal 2013: July 1, June 30, 2013 froedtert.com