PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC (EIN 39-0910727)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-10
IRS object ID: 202322229349302137
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-10T16:46:47-05:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3000 TOWN CENTER SUITE 100	AddressLine1Txt
City	SOUTHFIELD	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48075	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390910727	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROHEALTH WAUKESHA MEMORIAL	BusinessNameLine1Txt
Business Name Line2	HOSPITAL INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	WAUK	BusinessNameControlTxt
Phone	2629282496	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	725 AMERICAN AVENUE	AddressLine1Txt
City	WAUKESHA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53188	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANDREW GUTIERREZ	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	2629282496	PhoneNum
Signature	2023-07-25	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ANDREW	PersonFirstNm
Person Last	GUTIERREZ	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID LOWENTHAL	PreparerPersonNm
PTIN	P00378651	PTIN
Phone	2483522500	PhoneNum
Preparation	2023-07-25	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SUSAN EDWARDS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	725 AMERICAN AVENUE	AddressLine1Txt
City	WAUKESHA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53188	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$587,058,796	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PROHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1956	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	PROVIDER OF INPATIENT AND OUTPATIENT HOSPITAL SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	3067	TotalEmployeeCnt
Total Volunteers	165	TotalVolunteersCnt
Total Gross UBI	$8,040,001	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,576,981	PYContributionsGrantsAmt
CY Contributions Grants	$5,363,932	CYContributionsGrantsAmt
PY Program Service Revenue	$563,705,551	PYProgramServiceRevenueAmt
CY Program Service Revenue	$578,164,019	CYProgramServiceRevenueAmt
PY Investment Income	$1,151,831	PYInvestmentIncomeAmt
CY Investment Income	$1,151,820	CYInvestmentIncomeAmt
PY Other Revenue	$1,774,289	PYOtherRevenueAmt
CY Other Revenue	$2,190,223	CYOtherRevenueAmt
PY Total Revenue	$581,208,652	PYTotalRevenueAmt
CY Total Revenue	$586,869,994	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$157,141,124	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$165,499,071	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$326,283,318	PYOtherExpensesAmt
CY Other Expenses	$376,651,443	CYOtherExpensesAmt
PY Total Expenses	$483,424,442	PYTotalExpensesAmt
CY Total Expenses	$542,150,514	CYTotalExpensesAmt
PY Revenues Less Expenses	$97,784,210	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$44,719,480	CYRevenuesLessExpensesAmt
Total Assets BOY	$611,597,189	TotalAssetsBOYAmt
Total Assets EOY	$627,910,142	TotalAssetsEOYAmt
Total Liabilities BOY	$366,246,205	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$339,633,153	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$245,350,984	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$288,276,989	NetAssetsOrFundBalancesEOYAmt
Mission	CONTINUOUSLY IMPROVING THE HEALTH OF OUR COMMUNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$458,626,305	ExpenseAmt
Revenue	$570,232,660	RevenueAmt
Desc	PROHEALTH WAUKESHA MEMORIAL HOSPITAL FULFILLS ITS EXEMPT PURPOSE BY PROVIDING CARE AND SERVICES TO ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY. PROHEALTH WAUKESHA MEMORIAL HOSPITAL ALSO USES ITS RESOURCES TO ADDRESS VARIOUS COMMUNITY NEEDS. PROHEALTH WAUKESHA MEMORIAL HOSPITAL PROVIDED APPROXIMATELY 57,222 DAYS OF INPATIENT CARE AND APPROXIMATELY 345,847 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2022. SEE SCHEDULE H FOR ILLUSTRATION OF ITS PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$458,626,305	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	192	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3067	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	3	GoverningBodyVotingMembersCnt
Independent Voting Member	2	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ANDREW GUTIERREZ	PersonNm
Phone	2629282453	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	N17 W24100 RIVERWOOD DRIVE SUITE	AddressLine1Txt
City	WAUKESHA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	531881131	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SUSAN EDWARDS
PRESIDENT & CEO - PHC	2.00	50.00	Yes (X)	Yes (X)	$0	$3,389,848	$328,138
GARY BEYER
CHAIRPERSON	2.00	8.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN HALLETT
VICE CHAIRPERSON	2.00	8.00	Yes (X)	Yes (X)	$0	$0	$0
ANDREW GUTIERREZ
CHIEF FINANCIAL OFFICER	2.00	50.00		Yes (X)	$0	$321,488	$53,288
KEVIN BARR
INTERIM CFO - PART YEAR	2.00	50.00		Yes (X)	$0	$0	$0
KENNETH PRICE
CHIEF OPERATING OFFICER	2.00	48.00			$0	$1,545,018	$171,756	Yes (X)
MARGARET PFITZINGER
VP CLINICAL OPERATIONS	50.00	0.00			$319,277	$0	$60,854		Yes (X)
JULIE JACKSON
VP CONTINUUM OF CARE	50.00	0.00			$306,313	$0	$56,646		Yes (X)
ALAN JOHNSON
VP CRITICAL CARE & SPECIALTY	50.00	0.00			$283,233	$0	$34,702		Yes (X)
ELIZABETH D CLARK
DIRECTOR PROFESSIONAL PRACTICE	50.00	0.00			$212,880	$0	$45,092		Yes (X)
ERIC HENDEE
CHIEF PHYSICIST	50.00	0.00			$211,317	$0	$34,916		Yes (X)
RONALD FARR
FORMER CHIEF FINANCIAL OFFICER	2.00	50.00			$0	$1,220,992	$42,109			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,333,020	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,477,346	TotReportableCompRltdOrgAmt
Total Other Compensation	$827,501	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	125	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
STAFFENCY LLC
221 W COLLEGE AVE	APPLETON	WI	54911	PROFESSIONAL SERVICES	$14,048,593
ACL LABORATORIES
PO BOX 27901	WEST ALLIS	WI	53227	PROFESSIONAL SERVICES	$10,430,135
JH FINDORFF & SON INC
PO BOX 1647	MADISON	WI	53701	CONSTRUCTION SERVICES	$10,155,149
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RD	SCOTTSDALE	AZ	85254	PROFESSIONAL SERVICES	$8,689,335
EPIC SYSTEMS
PO BOX 88314	MILWAUKEE	WI	53288	PROFESSIONAL SERVICES	$3,615,877

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	58	CntrctRcvdGreaterThan100KCnt
Related Organizations	$960,886	RelatedOrganizationsAmt
Government Grants	$4,149,255	GovernmentGrantsAmt
All Other Contributions	$253,791	AllOtherContributionsAmt
Total Contributions	$5,363,932	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REV.	622110	$543,242,482	$543,242,482
MEDICAL SERVICE LAB	621500	$15,464,651	$7,533,292	$7,931,359
ORTHO SURGERY CENTER	621400	$4,640,249	$4,640,249
HOSPITAL JOINT VENTURE	622110	$4,550,304	$4,550,304
SURGERY CENTER	622110	$1,742,990	$1,742,990

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,523,343	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,523,343	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$578,164,019	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$862,207	TotalRevenueColumnAmt
Unrelated Business Revenue	-$1,531	UnrelatedBusinessRevenueAmt
Exclusion	$863,738	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$690,419	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$148,919	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$541,500	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$541,500	TotalRevenueColumnAmt
Unrelated Business Revenue	$110,173	UnrelatedBusinessRevenueAmt
Exclusion	$431,327	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$329,496	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$39,883	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$289,613	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$289,613	TotalRevenueColumnAmt
Exclusion	$289,613	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	900099	$1,645,973	$1,645,973
GIFT SHOP	453220	$2,750	$2,750

Field	Value	IRS element (for citing)
Other Revenue Total	$1,648,723	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$586,869,994	TotalRevenueColumnAmt
Related Or Exempt Func Income	$570,232,660	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,040,001	UnrelatedBusinessRevenueAmt
Exclusion	$3,233,401	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$125,826,195	TotalAmt
Program Services	$120,246,236	ProgramServicesAmt
Management And General	$5,579,959	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,397,832	TotalAmt
Program Services	$3,397,832	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$27,067,978	TotalAmt
Program Services	$26,429,679	ProgramServicesAmt
Management And General	$638,299	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,207,066	TotalAmt
Program Services	$9,024,313	ProgramServicesAmt
Management And General	$182,753	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,435,850	TotalAmt
Program Services	$4,435,850	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$69,464,372	TotalAmt
Program Services	$69,169,182	ProgramServicesAmt
Management And General	$295,190	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$8,608	TotalAmt
Program Services	$8,608	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,188,993	TotalAmt
Program Services	$3,338,674	ProgramServicesAmt
Management And General	$850,319	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,647,246	TotalAmt
Program Services	$11,647,246	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,845,962	TotalAmt
Program Services	$6,123,095	ProgramServicesAmt
Management And General	$722,867	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$167,780	TotalAmt
Program Services	$167,662	ProgramServicesAmt
Management And General	$118	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$98,089	TotalAmt
Program Services	$97,020	ProgramServicesAmt
Management And General	$1,069	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,844,330	TotalAmt
Program Services	$5,844,330	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$102,383,632	TotalAmt
Program Services	$27,848,348	ProgramServicesAmt
Management And General	$74,535,284	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$42,997,146	TotalAmt
Program Services	$42,997,146	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$961,842	TotalAmt
Program Services	$961,842	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS & PHARMACEUTICALS	$52,408,557	$52,408,557
MEDICAL SUPPLIES	$43,553,545	$43,523,042	$30,503
BAD DEBTS	$14,265,147	$14,265,147
MEDICAID PROVIDER TAXES	$12,797,517	$12,797,517

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,582,827	TotalAmt
Program Services	$3,894,979	ProgramServicesAmt
Management And General	$687,848	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$542,150,514	TotalAmt
Program Services	$458,626,305	ProgramServicesAmt
Management And General	$83,524,209	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$50,972,034	BOYAmt
EOY	$37,595,657	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$80,145,302	BOYAmt
EOY	$77,194,988	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,207,906	BOYAmt
EOY	$10,866,264	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,243,152	BOYAmt
EOY	$12,225,736	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,002,657,179	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$549,041,949	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$421,962,082	BOYAmt
EOY	$453,615,230	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,171,735	BOYAmt
EOY	$1,870,818	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$14,396,568	BOYAmt
EOY	$12,834,394	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$19,498,410	BOYAmt
EOY	$21,707,055	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$611,597,189	BOYAmt
EOY	$627,910,142	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$76,459,450	BOYAmt
EOY	$63,036,117	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,595,927	BOYAmt
EOY	$191,434	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$287,190,828	BOYAmt
EOY	$276,405,602	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$366,246,205	BOYAmt
EOY	$339,633,153	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$243,818,804	BOYAmt
EOY	$286,771,771	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,532,180	BOYAmt
EOY	$1,505,218	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$245,350,984	BOYAmt
EOY	$288,276,989	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$611,597,189	BOYAmt
EOY	$627,910,142	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$44,719,480	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$839,938	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$953,537	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,986,327	OtherCostOrOtherBasisAmt
Book Value	$26,986,327	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$611,851,721	OtherCostOrOtherBasisAmt
Depreciation	$267,897,280	DepreciationAmt
Book Value	$343,954,441	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,732,436	OtherCostOrOtherBasisAmt
Depreciation	$1,425,454	DepreciationAmt
Book Value	$5,306,982	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$346,372,554	OtherCostOrOtherBasisAmt
Depreciation	$279,590,843	DepreciationAmt
Book Value	$66,781,711	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,714,141	OtherCostOrOtherBasisAmt
Depreciation	$128,372	DepreciationAmt
Book Value	$10,585,769	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$453,615,230	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ACCRUED POSTRETIREMENT MEDICAL	$85,849
ASSET RETIREMENT OBLIGATION	$124,831
INTERCOMPANY NOTES PAYABLE	$274,497,171
LEASES PAYABLE	$1,691,505
DEFERRED COMPENSATION LIABILITY	$6,246

Field	Value	IRS element (for citing)
Total Liability	$276,405,602	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Indiv Hospital Tailored Policy	Yes (X)	IndivHospitalTailoredPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$983,830	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$983,830	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,101,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,875,597	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,225,949	NetCommunityBenefitExpnsAmt
Total Expense	0.06670	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,085,376	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,875,597	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,209,779	NetCommunityBenefitExpnsAmt
Total Expense	0.06860	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	21489	PersonsServedCnt
Total Community Benefit Expns	$2,427,076	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$279,229	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,147,847	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	1988	PersonsServedCnt
Total Community Benefit Expns	$5,748,363	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,748,363	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	197	PersonsServedCnt
Total Community Benefit Expns	$6,781,100	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,781,100	NetCommunityBenefitExpnsAmt
Total Expense	0.01280	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	25	PersonsServedCnt
Total Community Benefit Expns	$903,039	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$903,039	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Persons Served	23699	PersonsServedCnt
Total Community Benefit Expns	$15,859,578	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$279,229	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,580,349	NetCommunityBenefitExpnsAmt
Total Expense	0.02950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Persons Served	23699	PersonsServedCnt
Total Community Benefit Expns	$69,944,954	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,154,826	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,790,128	NetCommunityBenefitExpnsAmt
Total Expense	0.09810	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$125,041	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$125,041	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$9,692	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,692	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$38,196	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,196	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$17,610	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,610	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$190,539	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$190,539	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$14,306,559	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,129,669	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$84,952,393	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$115,531,677	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$30,579,284	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PROHEALTH ALIGNED LLC
AMBULATORY SURGERY CENTER	0.50000	0.49000
2 THE ORTHOPEDIC SURGERY CENTER LLC
ORTHOPEDIC SURGICAL SERVICES	0.49000	0.49000

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room OtherEmergencyRoomOtherInd	OtherOtherDesc
PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC
1	725 AMERICAN AVENUE	WAUKESHA	WI	53188	WWW.PROHEALTHCARE.ORG	#41	Yes (X)	Yes (X)	Yes (X)	Yes (X)
REHABILITATION HOSPITAL OF WISCONSIN LLC
2	1625 COLDWATER CREEK DRIVE	WAUKESHA	WI	53188			Yes (X)				INPATIENT REHABILITATION

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	OtherOtherInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
PROHEALTH WAUKESHA MEMORIAL HOSPITAL IN
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	HTTPS://TINYURL.COM/Y9C7P5JJ	Yes (X)	Yes (X)	Yes (1)	22	Yes (1)	HTTPS://TINYURL.COM/Y9C7P5JJ	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://TINYURL.COM/Y892WQSN	Yes (X)	HTTPS://TINYURL.COM/Y892WQSN	Yes (X)	HTTPS://TINYURL.COM/Y892WQSN	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
REHABILITATION HOSPITAL OF WISCONSIN LLC
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	HTTPS://TINYURL.COM/Y9C7P5JJ	Yes (X)	Yes (X)	Yes (1)	22	Yes (1)	HTTPS://TINYURL.COM/Y9C7P5JJ	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://TINYURL.COM/Y892WQSN	Yes (X)	HTTPS://TINYURL.COM/Y892WQSN	Yes (X)	HTTPS://TINYURL.COM/Y892WQSN	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC	PART V, SECTION B, LINE 3J: 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 WAS COLLECTED AND TAKEN INTO CONSIDERATION FOR ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS:- COMMUNITY HEALTH SURVEY: A TELEPHONE-BASED SURVEY OF 400 CONSUMERS COMMISSIONED BY THE MILWAUKEE HEALTH CARE PARTNERSHIP (WWW.MKEHCP.ORG), OF WHICH PROHEALTH CARE IS A MEMBER. THIS COMPREHENSIVE SURVEY PROVIDES VALUABLE BEHAVIORAL DATA, LIFESTYLE HABITS, AND THE PREVALENCE OF RISK FACTORS AND DISEASE CONDITIONS OF WAUKESHA COUNTY RESIDENTS. THE FULL REPORT OF THIS SURVEY CAN BE FOUND AT PROHEALTHCARE.ORG.- KEY INFORMANT INTERVIEWS: MORE THAN 50 INTERVIEWS WERE CONDUCTED WITH LEADERS OF VARIOUS NON-PROFIT ORGANIZATIONS, SCHOOLS, CIVIC AND BUSINESS LEADERS. THESE KEY INFORMANTS REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS (REFER TO APPENDIX D FOR A COMPLETE LISTING OF ORGANIZATIONS). THE FULL KEY INFORMANT RESULTS CAN BE FOUND AT PROHEALTHCARE.ORG.- COMMUNITY FEEDBACK: A SURVEY OF HOSPITAL ADVOCATES (COMMUNITY MEMBERS) WAS CONDUCTED. THE ADVOCATES REVIEWED PERTINENT DATA AND 'VOTED' ON THEIR TOP CONCERNS FOR OUR COMMUNITY.- COMPILATION OF "SECONDARY DATA REPORTS": USING A VARIETY OF SOURCES, INFORMATION WAS GATHERED, INCLUDING:- SOCIAL DETERMINANTS OF HEALTH DATA AND TRENDS INCLUDING INCOME, EDUCATIONAL LEVEL, HOUSING AND EMPLOYMENT- HEALTH STATISTICS SUCH AS LEADING CAUSES OF ILLNESS, DEATH AND DISABILITY- WAUKESHA COUNTY HEALTH RANKINGS- PUBLIC SAFETY STATISTICS SUCH AS CRIME RATES
REHABILITATION HOSPITAL OF WISCONSIN LLC	PART V, SECTION B, LINE 3J: 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 WAS COLLECTED AND TAKEN INTO CONSIDERATION FOR ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS:- COMMUNITY HEALTH SURVEY: A TELEPHONE-BASED SURVEY OF 400 CONSUMERS COMMISSIONED BY THE MILWAUKEE HEALTH CARE PARTNERSHIP (WWW.MKEHCP.ORG), OF WHICH PROHEALTH CARE IS A MEMBER. THIS COMPREHENSIVE SURVEY PROVIDES VALUABLE BEHAVIORAL DATA, LIFESTYLE HABITS, AND THE PREVALENCE OF RISK FACTORS AND DISEASE CONDITIONS OF WAUKESHA COUNTY RESIDENTS. THE FULL REPORT OF THIS SURVEY CAN BE FOUND AT PROHEALTHCARE.ORG.- KEY INFORMANT INTERVIEWS: MORE THAN 50 INTERVIEWS WERE CONDUCTED WITH LEADERS OF VARIOUS NON-PROFIT ORGANIZATIONS, SCHOOLS, CIVIC AND BUSINESS LEADERS. THESE KEY INFORMANTS REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. THE FULL KEY INFORMANT RESULTS CAN BE FOUND AT PROHEALTHCARE.ORG.- COMMUNITY FEEDBACK: A SURVEY OF HOSPITAL ADVOCATES (COMMUNITY MEMBERS) WAS CONDUCTED. THE ADVOCATES REVIEWED PERTINENT DATA AND 'VOTED' ON THEIR TOP CONCERNS FOR OUR COMMUNITY.- COMPILATION OF "SECONDARY DATA REPORTS": USING A VARIETY OF SOURCES, INFORMATION WAS GATHERED, INCLUDING:- SOCIAL DETERMINANTS OF HEALTH DATA AND TRENDS INCLUDING INCOME, EDUCATIONAL LEVEL, HOUSING AND EMPLOYMENT- HEALTH STATISTICS SUCH AS LEADING CAUSES OF ILLNESS, DEATH AND DISABILITY- WAUKESHA COUNTY HEALTH RANKINGS- PUBLIC SAFETY STATISTICS SUCH AS CRIME RATES
PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC	PART V, SECTION B, LINE 5: SEE PART V, SECTION B, LINE 3J DISCLOSURESUMMARY DATA AND A REVIEW OF MAJOR ISSUES WAS PRESENTED TO THE HOSPITAL ADVOCATES COMMITTEE. EACH COMMITTEE MEMBER PROVIDED FEEDBACK VIA A 'VOTING' METHODOLOGY. THIS FEEDBACK, ALONG WITH THE DATA FROM THE CONSUMER TELEPHONE SURVEY AND KEY INFORMANT INTERVIEWS SERVED AS ADVISORY RECOMMENDATIONS WHEN OUR PROHEALTH COMMUNITY BENEFIT COMMITTEE MADE THEIR PRIORITY DECISIONS USING IDENTIFIED CRITERIA IN A TWO-STEP NARROWING PROCESS. OUR TEN MEMBER COMMUNITY BENEFIT COMMITTEE IS A BOARD-LEVEL GROUP OF GOVERNMENTAL, COMMUNITY AND BUSINESS LEADERS IN OUR SERVICE AREA AND ARE RESPONSIBLE FOR OVERSIGHT OF OUR CHNA.
REHABILITATION HOSPITAL OF WISCONSIN LLC	PART V, SECTION B, LINE 5: SEE PART V, SECTION B, LINE 3J DISCLOSURESUMMARY DATA AND A REVIEW OF MAJOR ISSUES WAS PRESENTED TO THE HOSPITAL ADVOCATES COMMITTEE. EACH COMMITTEE MEMBER PROVIDED FEEDBACK VIA A 'VOTING' METHODOLOGY. THIS FEEDBACK, ALONG WITH THE DATA FROM THE CONSUMER TELEPHONE SURVEY AND KEY INFORMANT INTERVIEWS SERVED AS ADVISORY RECOMMENDATIONS WHEN OUR PROHEALTH COMMUNITY BENEFIT COMMITTEE MADE THEIR PRIORITY DECISIONS USING IDENTIFIED CRITERIA IN A TWO-STEP NARROWING PROCESS. OUR TEN MEMBER COMMUNITY BENEFIT COMMITTEE IS A BOARD-LEVEL GROUP OF GOVERNMENTAL, COMMUNITY AND BUSINESS LEADERS IN OUR SERVICE AREA AND ARE RESPONSIBLE FOR OVERSIGHT OF OUR CHNA.
PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC	PART V, SECTION B, LINE 6A: PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL AND REHABILITATION HOSPITAL OF WISCONSIN LLC
REHABILITATION HOSPITAL OF WISCONSIN LLC	PART V, SECTION B, LINE 6A: PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL AND PROHEALTH WAUKESHA MEMORIAL HOSPITAL
PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC	PART V, SECTION B, LINE 7D: THE CHNA AS WELL AS SEPARATE IMPLEMENTATION STRATEGY, IS AVAILABLE AT HTTPS://WWW.PROHEALTHCARE.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/CHNA/PRINTED COPIES ALSO AVAILABLE TO COMMUNITY MEMBERS ON REQUEST.
REHABILITATION HOSPITAL OF WISCONSIN LLC	PART V, SECTION B, LINE 7D: THE CHNA AS WELL AS SEPARATE IMPLEMENTATION STRATEGY, IS AVAILABLE AT HTTPS://WWW.PROHEALTHCARE.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/CHNA/PRINTED COPIES ALSO AVAILABLE TO COMMUNITY MEMBERS ON REQUEST.
PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC	PART V, SECTION B, LINE 11: THE FACILITY CONTINUES TO FOCUS ITS COMMUNITY OUTREACH PROGRAMS ON THE PRIORITY NEEDS DETERMINED FROM THE LAST CHNA. THE ENTITY FEES ALL NEEDS ARE BEING ADDRESSED EITHER THROUGH DIRECT OUTREACH OR ENSURING OTHER COMMUNITY LEADERS ARE AWARE OF SIMILAR NEEDS AND THOSE PATIENTS OR USERS ARE PROVIDED WITH THOSE COMMUNITY RESOURCES IF NOT OFFERED BY THE FACILITY.
REHABILITATION HOSPITAL OF WISCONSIN LLC	PART V, SECTION B, LINE 11: THE FACILITY CONTINUES TO FOCUS ITS COMMUNITY OUTREACH PROGRAMS ON THE PRIORITY NEEDS DETERMINED FROM THE LAST CHNA. THE ENTITY FEES ALL NEEDS ARE BEING ADDRESSED EITHER THROUGH DIRECT OUTREACH OR ENSURING OTHER COMMUNITY LEADERS ARE AWARE OF SIMILAR NEEDS AND THOSE PATIENTS OR USERS ARE PROVIDED WITH THOSE COMMUNITY RESOURCES IF NOT OFFERED BY THE FACILITY.
PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC	PART V, SECTION B, LINE 13B: THE HOSPITAL PROVIDES CHARITY CARE OR REDUCED COST CARE FOR A VARIETY OF PATIENTS IN NEED. SOME OF THESE PATIENTS IN NEED MAY TECHNICALLY HAVE INCOME IN EXCESS OF MINIMUM FEDERAL POVERTY GUIDELINES. FOR ADDITIONAL DETAILS ON THE CRITERIA USED BY THE HOSPITAL FACILITY TO DETERMINE ELIGIBILITY, PLEASE REFER TO THE FINANCIAL ASSISTANCE POLICY AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.PROHEALTHCARE.ORG/PATIENTS-FAMILIES/BILLING-AND-INSURANCE/
REHABILITATION HOSPITAL OF WISCONSIN LLC	PART V, SECTION B, LINE 13B: THE HOSPITAL PROVIDES CHARITY CARE OR REDUCED COST CARE FOR A VARIETY OF PATIENTS IN NEED. SOME OF THESE PATIENTS IN NEED MAY TECHNICALLY HAVE INCOME IN EXCESS OF MINIMUM FEDERAL POVERTY GUIDELINES. FOR ADDITIONAL DETAILS ON THE CRITERIA USED BY THE HOSPITAL FACILITY TO DETERMINE ELIGIBILITY, PLEASE REFER TO THE FINANCIAL ASSISTANCE POLICY AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.PROHEALTHCARE.ORG/PATIENTS-FAMILIES/BILLING-AND-INSURANCE/
PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC	PART V, SECTION B, LINE 13H: THE FACILITY ALSO CONSIDERS THE FOLLOWING IN THE FAP: SIZE OF THE PATIENT'S FAMILY WILL BE DETERMINED BY THE NUMBER OF DEPENDENTS CLAIMED ON THE APPLICANT'S TAX RETURNS OR IDENTIFIED AS PART OF THE HOUSEHOLD, HOUSEHOLD INCOME WILL INCLUDE ALL INCOME FROM ANY SOURCE INCLUDING WAGES AND SALARIES AND OTHER SOURCES OF INCOME INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING ;* ALL PENSIONS FROM STATE, FEDERAL OR PRIVATE SOURCES* INCOME FROM ANNUITIES, IRAS, TSAS, 401(K)S* STOCKS, OR BONDS* VETERANS BENEFITS* SOCIAL SECURITY PAYMENTS* REGULARLY RECEIVED INSURANCE CHECKS SUCH AS UNEMPLOYMENT BENEFITS AND WORKMAN'S COMPENSATION* ALIMONY; CHILD SUPPORT* RETURNS ON INVESTMENTS; NET RENTS AND NET PROFITS FROM BUSINESS.
REHABILITATION HOSPITAL OF WISCONSIN LLC	PART V, SECTION B, LINE 13H: THE FACILITY ALSO CONSIDERS THE FOLLOWING IN THE FAP: SIZE OF THE PATIENT'S FAMILY WILL BE DETERMINED BY THE NUMBER OF DEPENDENTS CLAIMED ON THE APPLICANT'S TAX RETURNS OR IDENTIFIED AS PART OF THE HOUSEHOLD, HOUSEHOLD INCOME WILL INCLUDE ALL INCOME FROM ANY SOURCE INCLUDING WAGES AND SALARIES AND OTHER SOURCES OF INCOME INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING ;* ALL PENSIONS FROM STATE, FEDERAL OR PRIVATE SOURCES* INCOME FROM ANNUITIES, IRAS, TSAS, 401(K)S* STOCKS, OR BONDS* VETERANS BENEFITS* SOCIAL SECURITY PAYMENTS* REGULARLY RECEIVED INSURANCE CHECKS SUCH AS UNEMPLOYMENT BENEFITS AND WORKMAN'S COMPENSATION* ALIMONY; CHILD SUPPORT* RETURNS ON INVESTMENTS; NET RENTS AND NET PROFITS FROM BUSINESS.
PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC	PART V, SECTION B, LINE 16J: REFERENCE TO THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE BACK OF ALL PATIENT STATEMENTS. ALSO THROUGH CUSTOMER RELATIONS, VERBAL REMINDER OF THE FINANCIAL ASSISTANCE POLICY ARE PROVIDED WHEN DISCUSSING OPEN BALANCES.
REHABILITATION HOSPITAL OF WISCONSIN LLC	PART V, SECTION B, LINE 16J: REFERENCE TO THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE BACK OF ALL PATIENT STATEMENTS. ALSO THROUGH CUSTOMER RELATIONS, VERBAL REMINDER OF THE FINANCIAL ASSISTANCE POLICY ARE PROVIDED WHEN DISCUSSING OPEN BALANCES.
PART V, SECTION B, LINE 22	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS. TO CALCULATE THE AGB, THE HOSPITAL FACILITIES USES THE "LOOK-BACK" METHOD DESCRIBED IN 26 C.F.R. 501 (R)-4(B)(2). IN THIS METHOD, THE HOSPITAL FACILITIES USE DATA BASED ON CLAIMS SENT TO MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE COMMERCIAL INSURERS FOR ALL MEDICARE CARE OVER THE PAST YEAR TO DETERMINE THE PERCENTAGE OF GROSS CHARGES THAT IS TYPICALLY PAID BY THESE INSURERS. THE AGB PERCENTAGE IS THEN MULTIPLIED BY GROSS CHARGES FOR EMERGENCY AND MEDICALLY NECESSARY CARE TO DETERMINE THE AGB. THE HOSPITAL FACILITIES RE-CALCULATE THE PERCENTAGE EACH YEAR. FOR FISCAL YEAR 2022, THE AGB PERCENTAGE FOR PROHEALTH WAUKESHA MEMORIAL HOSPITAL IS 29.54% AND FOR PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL IS 28.76%. EACH YEAR THE HOSPITAL FACILITIES WILL UPDATE THESE AMOUNTS.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - REHAB HOSPITAL OF WI OUTPATIENT CLINIC
1625 COLDWATER CREEK DRIVE	WAUKESHA	WI	53188	OUTPATIENT REHABILATION CLINIC
2 - PROHEALTH ALIGNED LLC
1111 DELAFIELD ST SUITE 100	WAUKESHA	WI	53188	AMBULATORY SURGERY CENTER
3 - THE ORTHOPEDIC SURGERY CENTER LLC
W238 N 1610 BUSSE ROAD SUITE 100	WAUKESHA	WI	53188	ORTHOPEDIC SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	A COMMUNITY BENEFIT REPORT IS COMPLETED BY PROHEALTH CARE, INC. (EIN 39-1486873), THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.
PART I, LINE 7:	THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE AMOUNTS ON LINES 7A-7D. THIS WAS CALCULATED BY USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE HOSPITAL'S FINANCIAL COST REPORTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS ON LINES 7E-7I
PART I, LN 7 COL(F):	$14,306,559 OF BAD DEBT EXPENSES FROM PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC. WAS INCLUDED ON FORM 990, PART, IX, LINE 25 AND WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE.
PART II, COMMUNITY BUILDING ACTIVITIES:	PROHEALTH WAUKESHA MEMORIAL HOSPITAL HAS FOSTERED A WIDE VARIETY OF PARTNERSHIPS WITH NUMEROUS AGENCIES AND INITIATIVES THAT BENEFIT OUR ENTIRE COMMUNITY BEYOND THOSE THAT ARE DIRECTLY ASSOCIATED WITH HEALTH. OUR EFFORTS TO HELP BUILD A SAFE AND VIBRANT COMMUNITY ARE IN SOME WAYS JUST AS IMPORTANT AS OUR TREMENDOUS EFFORTS TO IMPROVE COMMUNITY HEALTH. WE BELIEVE COMMUNITY BUILDING STARTS IN OUR OWN NEIGHBORHOODS AND ONE EXAMPLE OF THAT IS OUR SUPPORT OF LOCAL NEIGHBORHOOD GROUPS AND COALITIONS THAT ADDRESS SAFETY, PROPERTY APPEARANCE AND CONNECTIVITY OF RESIDENTS. WE PROVIDE FUNDING FOR BEAUTIFICATION AND CLEAN-UP OF COMMON PROPERTIES AND STREETS, AS WELL AS THE LAND EXPERTISE AND RESOURCES FOR COMMUNITY RAIN AND CROP GARDENS. AS PART OF OUR LEADERSHIP VOLUNTEERISM PROGRAM, WE PROVIDE ASSISTANCE AT LOCAL LIBRARIES AND LITERACY PROGRAMS AND HAVE A STRONG PRESENCE WITH MEMBERSHIPS IN A NUMBER OF CIVIC AND SERVICE ORGANIZATIONS. INVOLVEMENT WITH YOUTH IS A YEAR-ROUND FOCUS AS WE ASSEMBLE AND DISTRIBUTE BACKPACKS TO LOW INCOME CHILDREN AND ASSIST WITH THE DISTRIBUTION OF BLESSINGS IN A BACKPACK TO CHILDREN IN OUR LOCAL SCHOOLS. WE REGULARLY ADDRESS AND MENTOR LOCAL HIGH SCHOOL STUDENTS IN A VARIETY OF HEALTH CARE CAREER AWARENESS EVENTS AND INITIATIVES. WE ARE THE MAJOR SPONSOR OF "LEADERSHIP WAUKESHA", A PROGRAM THAT FOCUSES ON THE DEVELOPMENT OF EMERGING LEADERS IN OUR COUNTY. WE SUPPORT HOMELESS SHELTERS, ARE ACTIVE MEMBERS OF THE HOUSING ACTION COALITION AND THE COUNTY'S HISPANIC COLLABORATIVE NETWORK. WE ARE TREMENDOUSLY PROUD OF OUR WORK WITH TRANSCEN, SERVING AS A HOST SITE FOR PROJECT SEARCH, A WORKFORCE TRAINING PROGRAM FOR DEVELOPMENTALLY/PHYSICALLY DISABLED INDIVIDUALS.
PART III, LINE 2:	THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON PART III LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON FORM 990 PART IX FOR PROHEALTH WAUKESHA MEMORIAL HOSPITAL PLUS ITS SHARE OF THE BAD DEBT EXPENSE OF REHABILITATION HOSPITAL OF WISCONSIN LLC.
PART III, LINE 3:	THE BAD DEBT COST WAS REVIEWED BY THE HOSPITAL'S REVENUE CYCLE TEAM AND THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS WHO WOULD HAVE QUALIFIED UNDER OUR FINANCIAL ASSISTANCE PROGRAM IS 7.9% OF TOTAL BAD DEBTS.
PART III, LINE 4:	BAD DEBT EXPENSE FOOTNOTE FOR WAUKESHA MEMORIAL HOSPITAL, INC: ACCOUNTS RECEIVABLE FROM PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIRENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACT, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.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 PART OF THE BILL, THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS 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. BAD DEBT EXPENSE FOOTNOTE FOR REHABILITATION HOSPITAL OF WISCONSIN LLC:ACCOUNTS RECEIVABLE PRIMARILY CONSIST OF AMOUNTS DUE FROM THIRD-PARTY PAYORS AND PATIENTS. THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING RECEIVABLES IS CRITICAL TO ITS RESULTS OF OPERATIONS AND CASH FLOWS. TO PROVIDE FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE, THE HOSPITAL ESTABLISHES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THE PRIMARY UNCERTAINTY OF SUCH ALLOWANCES LIES WITH UNINSURED PATIENT RECEIVABLES AND DEDUCTIBLES, CO-PAYMENTS OR OTHER AMOUNTS DUE FROM INDIVIDUAL PATIENTS. THE HOSPITAL'S POLICY TO RECORD AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON A PERCENTAGE OF NET RECEIVABLES BY AGE OF BALANCE AFTER DISCHARGE DATE. THE HOSPITAL HAS AN ESTABLISHED PROCESS TO DETERMINE THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS THAT RELIES ON A NUMBER OF ANALYTICAL TOOLS AND BENCHMARKS TO ARRIVE AT A REASONABLE ALLOWANCE. NO SINGLE STATISTIC OR MEASUREMENT DETERMINES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SOME OF THE ANALYTICAL TOOLS THAT THE HOSPITAL UTILIZES INCLUDE, BUT ARE NOT LIMITED TO, HISTORICAL CASH COLLECTION EXPERIENCE, REVENUE TRENDS BY PAYOR CLASSIFICATION AND REVENUE DAYS IN ACCOUNTS RECEIVABLE. INDIVIDUAL PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL'S POLICIES.BAD DEBT EXPENSE IS RECORDED FOR FINANCIAL STATEMENT PURPOSES BASED ON UNCOLLECTED REVENUE, BUT THE RELATED COST COULD BE DETERMINED BY APPLYING COST TO CHARGE RATIOS FROM THE MEDICARE COST REPORT. DISCOUNTS ARE RECORDED TO AN APPROPRIATE CONTRA REVENUE ACCOUNT INCLUDING CHARITY CARE WHEN APPLICABLE; PAYMENTS RECEIVED AFTER AN ACCOUNT HAS BEEN WRITTEN OFF WOULD DECREASE BAD DEBT EXPENSE. MOST OF THE PATIENTS FOR WHICH BAD DEBT EXPENSE IS RECORDED WOULD PROBABLY QUALIFY FOR SOME LEVEL OF FINANCIAL ASSISTANCE ACCORDING TO HOSPITAL POLICIES, BUT MANY CHOOSE NOT TO COMPLETE THE NECESSARY FINANCIAL ASSISTANCE APPLICATION SO THAT THIS CAN BE PROPERLY DETERMINED.
PART III, LINE 8:	THE SHORTFALL ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO AS REPORTED ON THE MEDICARE COST REPORT.
PART III, LINE 9B:	PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE WILL HAVE A CHARITY DISCOUNT APPLIED TO THEIR BALANCES AT THE TIME OF BILLING. IF THIS RESULTS IN NO BALANCE DUE FORM THE PATIENT, THEN THE PATIENT WILL NOT RECEIVE A STATEMENT. IF A BALANCE REMAINS AFTER THE DISCOUNT PERCENTAGE IS APPLIED, THE PATIENT WILL RECEIVE A STATEMENT FOR THE BALANCE DUE. THE STATEMENT CYCLE IS CONSISTENT FOR ALL PATIENTS.
PART VI, LINE 2:	A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A DISCIPLINED APPROACH TO USING LOCAL DATA TO IDENTIFY BARRIERS TO THE HEALTH AND WELL-BEING OF ITS RESIDENTS. OUR PROCESS FOR THIS ASSESSMENT BEGAN WITH DATA COLLECTION, AGGREGATION AND ANALYSIS. WE DEVELOPED A DATA COMPENDIUM WHICH WAS STUDIED BY OUR BOARD-LEVEL COMMUNITY BENEFITS COMMITTEE. AFTER RECEIVING COMMUNITY FEEDBACK FROM OUR HOSPITAL ADVOCATES GROUP, THE COMMITTEE USED CRITERIA-BASED VOTING TO DEFINE THE MOST PRESSING PROBLEMS OUR COMMUNITY IS FACING. A TARGETED IMPLEMENTATION STRATEGY SUGGESTS THE DEVELOPMENT OF RESOURCES AND PROGRAMS WHERE THEY ARE MOST NEEDED AND CAN BE MOST EFFECTIVE. BECAUSE OF THIS WORK, WE HAVE A MUCH CLEARER UNDERSTANDING OF THE HEALTH OF OUR COMMUNITY AND HOW WE ARE BEST ABLE TO PARTNER WITH OTHERS TO IMPROVE THE HEALTH STATUS OF OUR RESIDENTS. AND, BY USING DATA-DRIVEN MEASURES, WE CAN DETERMINE IF WE ARE MAKING REAL PROGRESS IN THE AREAS IDENTIFIED AS THE HIGHEST PRIORITY. FOLLOWING DISCUSSION AND DEBATE, THREE OVERARCHING THEMES EMERGED AS PRIORITY AREAS:PRIORITY AREASNUTRITION AND OBESITY- NOTABLE DECREASES IN THOSE WHO REPORT MEETING DAILY FRUIT AND VEGETABLE SERVING RECOMMENDATIONS- 70% OF CONSUMERS IN WAUKESHA COUNTY REPORT THEY ARE OVERWEIGHT- 28% OF RESIDENTS ARE CONSIDERED OBESESUBSTANCE ABUSE- DISPENSING OF PRESCRIBED OPIOIDS CONTINUES TO DECREASE- NOTABLE INCREASE IN DRUG RELATED DEATH AND DEATHS DUE TO OVERDOSE- SIGNIFICANT INCREASE IN DEATHS RELATED TO FENTANYL- EXCESSIVE ALCOHOL USEMENTAL HEALTH- SIGNIFICANT INCREASE IN THOSE THAT REPORTED POOR MENTAL HEALTH DAYS IN WAUKESHA COUNTY- RANKED #1 CONCERN IN KEY INFORMANT INTERVIEWS- AFTER ACCOUNTING FOR AGE DIFFERENCES, THE VETERAN SUICIDE RATE IN WISCONSIN IS SIGNIFICANTLY HIGHER THAN THE NATIONAL GENERAL POPULATIONS SUICIDE RATEFOR MORE INFORMATION ABOUT OUR CHNA, PLEASE VISIT HTTPS://WWW.PROHEALTHCARE.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/CHNA/.
PART VI, LINE 3:	EVERY PATIENT WITH A SELF PAY BALANCE RECEIVES A STATEMENT WHICH CONVEYS THE AVAILABILITY OF COMMUNITY (CHARITY) CARE AND A CONTACT NUMBER FOR FURTHER INFORMATION. PATIENTS THAT ARE UNINSURED RECEIVE AN UNINSURED DISCOUNT WHICH IS LISTED ON THE FIRST STATEMENT THAT THEY RECEIVE. PATIENTS RECEIVE A TOTAL OF FOUR STATEMENTS. EACH STATEMENT CONTAINS VERBIAGE REFERENCING THE HOSPITAL'S COMMUNITY CARE PROGRAM AND A CONTACT NUMBER FOR FURTHER INFORMATION. IF SOMEONE HAS BEEN FOUND ELIGIBLE FOR SOME LEVEL OF CHARITY CARE, THE ELIGIBILITY PERIOD IS THREE MONTHS SO ANY SUBSEQUENT ACCOUNTS DURING THAT TIMEFRAME WOULD BE DISCOUNTED AT WHATEVER LEVEL OF CHARITY CARE THE PATIENT IS DEEMED ELIGIBLE. PATIENTS MAY REAPPLY FOR COMMUNITY CARE WHEN THEIR ELIGIBILITY PERIOD HAS EXPIRED. SELF PAY PATIENTS MAY ALSO BE INFORMED OF THE HOSPITAL'S COMMUNITY CARE PROGRAM WHILE THEY ARE INPATIENTS. SOCIAL WORK AND/OR THE BUSINESS OFFICE MAY MAKE CONTACT WITH THESE PATIENTS DURING THEIR STAY TO INFORM THEM OF THE COMMUNITY CARE PROGRAM AND ASSIST THEM WITH COMPLETION OF THE APPLICATION.INFORMATION IS AVAILABLE AT REGISTRATION AREAS RELATED TO OUR COMMUNITY CARE PROGRAM. THIS INFORMATION CONTAINS CONTACT INFORMATION FOR THE HOSPITAL'S CENTRAL BUSINESS OFFICE WHERE PATIENTS CAN RECEIVE ASSISTANCE IN OBTAINING AND COMPLETING APPLICATIONS.
PART VI, LINE 4:	ESTABLISHED IN 1914, PROHEALTH WAUKESHA MEMORIAL HOSPITAL SERVES THE RESIDENTS OF WAUKESHA COUNTY AND SURROUNDING COMMUNITIES. THE HOSPITAL'S SERVICE AREA IS DEFINED AS A ZIP-CODE BASED GEOGRAPHIC AREA REFLECTING 85 PERCENT OF INPATIENT AND OUTPATIENT ACTIVITY. THIS AREA CONSISTS OF WAUKESHA COUNTY AS WELL AS EAST TROY AND ELKHORN (NORTHERN WALWORTH COUNTY), WATERFORD AND BURLINGTON (NORTHEAST RACINE COUNTY) AS WELL AS WATERTOWN (EASTERN JEFFERSON COUNTY). IN EVERY FEDERAL POPULATION CENSUS, WAUKESHA COUNTY HAS RECORDED AN INCREASE IN POPULATION. SINCE 1950, THE COUNTY'S POPULATION HAS GROWN FROM 85,901 TO MORE THAN 400,000, AND THE GROWTH IS CONTINUING. WAUKESHA COUNTY IS LARGE (580 SQUARE MILES) AND DIVERSE, INCORPORATING URBAN, SUBURBAN AND RURAL AREAS. THE COUNTY'S POPULATION IS AGING, WITH A MEDIAN AGE OF 43.2 YEARS, WHICH FAR SURPASSES STATE AVERAGES. PROJECTIONS INDICATE THE POPULATION OF THOSE 65 AND OVER WILL MAKE UP OVER 30 PERCENT OF THE COUNTY'S POPULATION BY 2040. WAUKESHA COUNTY IS AMONG THE MOST AFFLUENT COUNTIES IN WISCONSIN WITH A MEDIAN HOUSEHOLD INCOME OF $87,277, BUT A GROWING NUMBER OF PEOPLE LIVE BELOW THE POVERTY LEVEL WITH THE LARGEST POCKET OF THOSE LIVING IN POVERTY IN THE CITY OF WAUKESHA.
PART VI, LINE 5:	PROHEALTH WAUKESHA MEMORIAL HOSPITAL IS GOVERNED BY A COMMUNITY BOARD. WE ARE PROUD OF THE NUMEROUS AND STRONG PARTNERSHIPS WE HAVE FORMED WITH A WIDE VARIETY OF NOT-FOR-PROFIT HEALTH AND HUMAN SERVICES AGENCIES AS WE WORK TOGETHER TO FORGE A STRONGER, HEALTHIER COMMUNITY. WE ARE ACTIVELY INVOLVED IN SUPPORTING TWO FREE CLINICS SERVING OUR AREA, THE LAKE AREA FREE CLINIC AND THE WAUKESHA FREE CLINIC AT CARROLL UNIVERSITY. WE PROVIDE BOTH FINANCIAL AND IN-KIND SUPPORT TO THESE CLINICS. WE WERE INSTRUMENTAL IN FORMING SEVERAL KEY AGENCIES DESIGNED TO MEET AN URGENT COMMUNITY NEED. FOR EXAMPLE, THROUGH OUR LEADERSHIP AND SUPPORT, THE WAUKESHA COUNTY COMMUNITY DENTAL CLINIC WAS FORMED AND WE HAVE PROVIDED ONGOING FINANCIAL SUPPORT AND PROVIDED CLINICAL AND OFFICE SPACE SO THIS AGENCY CAN CARRY OUT ITS MISSION. WE PROVIDE TRAINED THERAPISTS AT HIGH SCHOOL ATHLETIC GAMES FREE-OF-CHARGE TO SCHOOL SYSTEMS IN AN EFFORT TO REDUCE INJURY. WE PROVIDE FREE OR REDUCED COST TRANSPORTATION FOR PATIENTS THAT REQUIRE ASSISTANCE GETTING TO FREE CLINICS FOR MEDICAL APPOINTMENTS. SEVERAL OF OUR STAFF ARE ACTIVELY INVOLVED WITH THE HEALTH DEPARTMENT'S CHIPP AND SERVE ON A VARIETY OF COMMITTEES FOR THE AREA'S DEPARTMENT OF HEALTH AND HUMAN SERVICES. WE HOST COMMUNITY-WIDE HEALTH FAIRS OFFERING A WIDE VARIETY OF FREE SCREENINGS AND OFFER AN ONGOING AND IMPRESSIVE MENU OF FREE COMMUNITY EDUCATION CLASSES (INCLUDING EVIDENCE-BASED SELF-HELP WORKSHOPS). PROHEALTH CARE REACHES OUT INTO OUR COMMUNITY TO MEET THE NEEDS OF ITS RESIDENTS. FROM THE ALZHEIMER'S ASSOCIATION TO WAUKESHA COUNTY HEROIN TASK FORCE, AND DOZENS OF AGENCIES IN BETWEEN, PROHEALTH CARE IS THERE, PROVIDING VOLUNTEERS, FINANCIAL SUPPORT AND PARTNERSHIPS THAT HELP TO IMPROVE THE HEALTH OF OUR COMMUNITY.
PART VI, LINE 6:	OUR HOSPITAL IS A MEMBER OF THE PROHEALTH CARE HEALTH SYSTEM WHICH SERVES AS OUR PARENT COMPANY. WHILE COMMUNITY BENEFIT RESPONSIBILITIES RESIDE WITH OUR HOSPITAL BOARD, THE PARENT COMPANY PLAYS A KEY ROLE IN COORDINATING COMMUNITY NEEDS ASSESSMENTS, COMMUNITY BENEFIT PROGRAM PLANNING, AND EVALUATION. A DESCRIPTION OF EACH AFFILIATES ROLE IN PROMOTING HEALTH WITHIN THE COMMUNITIES SERVED IS AS FOLLOWS:PROHEALTH CARE, INC. - HELPS TO MANAGE THE HOSPITALS TO ENSURE THEY CAN PROMOTE HEALTH AND WELLNESS WITHIN THE COMMUNITY. NATIONAL REGENCY OF NEW BERLIN, INC. - OWNS AND OPERATES SENIOR LIVING CENTERS AS A MEANS TO PROMOTE HEALTH WITHIN THE COMMUNITY. PROHEALTH HOME CARE, INC. - PROVIDES HOSPICE AND HOME HEALTH CARE SERVICES AS A MEANS TO PROMOTE HEALTH WITHIN THE COMMUNITY. PROHEALTH CARE FOUNDATION, INC. - SUPPORTS THE CHARITABLE MISSION OF PROHEALTH WAUKESHA MEMORIAL HOSPITAL AND PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL SO THAT IT MAY PROVIDE HEALTH SERVICES WITHIN THE COMMUNITY. PROHEALTH MEDICAL GROUP, INC. - PHMG OPERATES VARIOUS CLINIC AND URGENT CARE LOCATIONS THROUGHOUT WAUKESHA COUNTY AND THE SURROUNDING COMMUNITIES. PHMG FULFILLS ITS EXEMPT PURPOSE BY PROVIDING CARE AND SERVICES TO ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY. PHMG PROVIDED 533,463 VISITS (CLINIC, URGENT CARE, AND VIRTUAL VISITS) AS WELL AS 11,469 IMAGING PROCEDURES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2022. PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL FULFILLS ITS EXEMPT PURPOSE BY PROVIDING CARE AND SERVICES TO ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY. PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL ALSO USES ITS RESOURCES TO ADDRESS VARIOUS COMMUNITY NEEDS. PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL PROVIDED APPROXIMATELY 10,453 DAYS OF INPATIENT CARE AND APPROXIMATELY 82,959 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED SEPTEMBER 30,2022.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SUSAN EDWARDS
PRESIDENT & CEO - PHC	$0	$1,137,148	$0	$1,690,466	$0	$562,234	$0	$290,509	$0	$37,629	$0	$3,717,986	$0	$562,234
KENNETH PRICE
CHIEF OPERATING OFFICER	$0	$470,879	$0	$650,148	$0	$423,991	$0	$117,444	$0	$54,312	$0	$1,716,774	$0	$423,991
RONALD FARR
FORMER CHIEF FINANCIAL OFFICER	$0	$320,486	$0	$774,197	$0	$126,309	$0	$13,000	$0	$29,109	$0	$1,263,101	$0	$126,309
MARGARET PFITZINGER
VP CLINICAL OPERATIONS	$227,121	$0	$92,156	$0	$0	$0	$11,457	$0	$49,397	$0	$380,131	$0	$0	$0
ANDREW GUTIERREZ
CHIEF FINANCIAL OFFICER	$0	$234,087	$0	$87,401	$0	$0	$0	$9,750	$0	$43,538	$0	$374,776	$0	$0
JULIE JACKSON
VP CONTINUUM OF CARE	$217,133	$0	$89,180	$0	$0	$0	$9,750	$0	$46,896	$0	$362,959	$0	$0	$0
ALAN JOHNSON
VP CRITICAL CARE & SPECIALTY	$203,490	$0	$79,743	$0	$0	$0	$9,376	$0	$25,326	$0	$317,935	$0	$0	$0
ELIZABETH D CLARK
DIRECTOR PROFESSIONAL PRACTICE	$182,997	$0	$29,883	$0	$0	$0	$4,457	$0	$40,635	$0	$257,972	$0	$0	$0
ERIC HENDEE
CHIEF PHYSICIST	$211,161	$0	$156	$0	$0	$0	$10,707	$0	$24,209	$0	$246,233	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THIS ENTITY RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR OFFICERS AND DIRECTORS: 1. COMPENSATION COMMITTEE 2. COMPENSATION STUDY 3. APPROVAL OF THE BOARD ANNUALLY APPROVING COMPENSATION AMOUNTS 4. INDEPENDENT COMPENSATION CONSULTANT
PART I, LINE 4B	PROHEALTH CARE INC. (PHC) MAINTAINS A SUPPLEMENTAL RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF EXECUTIVES OF PHC AND ITS AFFILIATED ENTITIES. THIS SERP IS AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THIS SERP IS TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. SERP PAYMENTS DURING THE YEAR ARE AS FOLLOWS: SUSAN EDWARDS: $562,234 KENNETH PRICE: $423,991 RONALD FARR: $126,309
PART I, LINE 7	PROHEALTH CARE HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION AND RELATED ORGANIZATIONS (COLLECTIVELY THE "SYSTEM"). THE PLAN RELATES FINANCIAL REWARD TO THE SYSTEM'S ACHIEVEMENT OF CERTAIN FINANCIAL AND NON-FINANCIAL OBJECTIVES. THE PRIMARY PURPOSE OF THE PLAN IS TO SUPPORT THE SYSTEM'S MISSION TO ACHIEVE CONTINUED GROWTH AND DEMONSTRATE VALUE THROUGH: (1) A SEAMLESS CONTINUUM OF PATIENT CENTERED CARE; (2) NATIONALLY RECOGNIZED OUTCOMES; (3) RESPONSIBLE AND EFFICIENT USE OF HEALTH CARE RESOURCES; AND (4) A FOCUS ON THE HEALTH OF OUR COMMUNITY.
SCHEDULE J, PART II	SUSAN EDWARDS AND KENNETH PRICE'S OTHER REPORTABLE COMPENSATION PAYOUT (COLUMN B(III) ON PART II) WAS EARNED OVER A 2-YEAR AND 4-YEAR SPAN, RESPECTIVELY, AS THEY VESTED IN THE CURRENT YEAR, AND AS SUCH, WAS PREVIOUSLY REPORTED ON PART II, COLUMN C OF THE PRIOR 4 990S. SUSAN EDWARDS AND KENNETH PRICE'S BONUS AND INCENTIVE COMPENSATION PAYOUT (COLUMN B(II) ON PART II) WAS EARNED OVER A 3-YEAR SPAN AND VESTED IN THE CURRENT YEAR. RONALD FARR'S BONUS AND INCENTIVE COMPENSATION PAYOUT (COLUMN B(II) ON PART II) WAS EARNED OVER A 2 YEAR AND 10-MONTH SPAN AND WAS PAID OUT IN THE CURRENT YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	KEVIN BARR WAS COMPENSATED $174,720 DIRECTLY BY WARBIRD CONSULTING, A MANAGEMENT COMPANY FOR SERVICES AS INTERIM CFO FOR PROHEALTH CARE, INC. AND RELATED ORGANIZATIONS. SEPARATE COMPENSATION WAS PAID TO WARBIRD BY PROHEALTH CARE INC. FOR INTERIM CFO MANAGEMENT SERVICES.
FORM 990, PART VI, SECTION A, LINE 6	PROHEALTH CARE, INC. IS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	ACCORDING TO THE GOVERNING DOCUMENTS, THE BOARD OF THE FILING ORGANIZATION IS THE SAME AS THE BOARD OF THE SOLE CORPORATE MEMBER, PROHEALTH CARE, INC.
FORM 990, PART VI, SECTION A, LINE 7B	PROHEALTH CARE, INC. HOLDS CERTAIN RESERVED POWERS OVER THE (NON-STOCK) CORPORATION, INCLUDING APPROVAL OF STRATEGIC PLANNING, ANNUAL OPERATING AND CAPITAL BUDGETS, BORROWING, TRANSFER, LEASE, PLEDGE OR SALE OF ASSETS.
FORM 990, PART VI, SECTION B, LINE 11B	AFTER THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S TAX PREPARERS AND PRIOR TO FILING THE FORM 990, SELECT EXECUTIVE MEMBERS OF THE ORGANIZATION AND THE AUDIT & COMPLIANCE COMMITTEE PERFORMED A REVIEW. THEN THE ORGANIZATION'S TAX PREPARERS MADE A PRESENTATION TO THE AUDIT COMMITTEE, WHO THEN FORMALLY APPROVED THE FORM 990, AND THE BOARD OF DIRECTORS WAS PROVIDED A COPY OF THE RETURN, WHICH WAS SUBSEQUENTLY FILED BY THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 12C	ALL OFFICERS, VICE-PRESIDENTS, MANAGERS AND ABOVE, AS WELL AS BOARD MEMBERS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. ALL REPORTED POTENTIAL CONFLICTS OF INTEREST ARE TRACKED IN THE CORPORATE COMPLIANCE DEPARTMENT. THEY ARE REVIEWED AND ANY PERSON IDENTIFIED AS HAVING A POTENTIAL CONFLICT OF INTEREST IS GIVEN DIRECTION AS TO WHAT STEPS SHOULD BE TAKEN TO MITIGATE THE CONCERN. ALL EMPLOYEES ARE EDUCATED ANNUALLY. THE STEPS TAKEN WHEN A CONFLICT ARISES ARE AS FOLLOWS: FOR THE BOARD OF DIRECTORS, THE RESTRICTION IS NOT BEING ALLOWED TO PARTICIPATE IN DISCUSSION OR VOTING RELATED TO ANY DECISION WHERE THE BOARD MEMBER HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST. FOR LEADERS, RESEARCHERS, AND EMPLOYEES, RECOMMENDATIONS ARE MADE FROM COMPLIANCE MANAGER TO LEADERSHIP AND/OR HUMAN RESOURCES. RESTRICTIONS CAN RANGE FROM ANY OF THE FOLLOWING: DISCLOSING POTENTIAL CONFLICTS OF INTEREST TO PATIENTS; NOT BEING ABLE TO BE INVOLVED IN DISCUSSION OR DECISION MAKING ON SPECIFIC TOPICS; AND NOT BEING ABLE TO WORK AT PROHEALTH IN THE SPECIFIC ROLE WHERE THE REPORTED CONFLICT EXISTS. IF THE RECOMMENDATION IS CHALLENGED, THE MATTER GOES TO THE SENIOR EXECUTIVE TEAM FOR A DECISION.
FORM 990, PART VI, SECTION B, LINE 15	AN INDEPENDENT, EXTERNAL COMPENSATION REVIEW IS CONDUCTED FOR THE POSITIONS OF CEO, SENIOR EXECUTIVE TEAM MEMBERS, AND VICE PRESIDENTS. THE RESULTS OF THE COMPENSATION REVIEW ARE PRESENTED TO THE BOARD'S EXECUTIVE COMMITTEE FOR APPROVAL. ANY MEMBER OF THE EXECUTIVE COMMITTEE WHOSE SALARY IS INCLUDED IN THE SALARY REVIEW IS RECUSED FROM THE APPROVAL PROCESS FOR HIS/HER SALARY APPROVAL. THIS PROCESS WAS LAST DONE IN 2022.
FORM 990, PART VI, SECTION C, LINE 19	FINANCIAL STATEMENTS, GOVERNING DOCUMENTS & CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:	THE PROCESS IS TO HAVE ALL JOINT VENTURE ARRANGEMENTS REVIEWED BY THE LEGAL DEPARTMENT TO ENSURE IT MEETS ALL LEGAL REQUIREMENTS AND TO ENSURE THAT PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC. MAY RETAIN ITS EXEMPT STATUS.
FORM 990, PART VII, SECTION A, LINE 1A:	RONALD FARR RETIRED AS OF JULY 2021. HE IS CONSIDERED A "FORMER OFFICER" PER THE 990 INSTRUCTIONS, HOWEVER HIS COMPENSATION RELATES TO HIS ACTIVE ROLE AS CFO FROM JANUARY THROUGH JULY 2021.
FORM 990, PART IX, LINE 11G	MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 1,410,687. MANAGEMENT AND GENERAL EXPENSES 17,244. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,427,931. OUTSIDE SERVICES EXPENSE: PROGRAM SERVICE EXPENSES 16,914,792. MANAGEMENT AND GENERAL EXPENSES 277,946. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,192,738. PHMG PHYSICIAN FEE SUBSIDY: PROGRAM SERVICE EXPENSES 3,552,312. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,552,312. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 845,665. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 845,665. LINEN SERVICES: PROGRAM SERVICE EXPENSES 1,843,578. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,843,578. OUTSIDE PATIENT SERVICES: PROGRAM SERVICE EXPENSES 729,571. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 729,571. SEND OUT LAB WORK: PROGRAM SERVICE EXPENSES 11,611,677. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,611,677. AGENCY STAFFING: PROGRAM SERVICE EXPENSES 32,260,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,260,900.
FORM 990, PART XI, LINE 9:	CHANGE IN MINIMUM PENSION LIABILITY 16,643. INVESTMENT FUNDING TO RELATED ORGANIZATIONS -943,219. OTHER CHANGES -26,961.
FORM 990, PART XII, LINE 2C	THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC
791 SUMMIT AVENUE	OCONOMOWOC	WI	53066	390794174	HOSPITAL	WI	501(C)(3)	LINE 3	PROHEALTH CARE INC	Yes (1)
PROHEALTH CARE FOUNDATION INC
725 AMERICAN AVENUE	WAUKESHA	WI	53188	391314542	CHARITABLE SUPPORT	WI	501(C)(3)	LINE 7	PROHEALTH CARE INC	Yes (1)
PROHEALTH HOME CARE INC
N17 W24100 RIVERWOOD DR SUITE 130	WAUKESHA	WI	53188	200067392	HEALTHCARE	WI	501(C)(3)	LINE 3	PROHEALTH CARE INC	Yes (1)
NATIONAL REGENCY OF NEW BERLIN INC
N17 W24100 RIVERWOOD DR SUITE 130	WAUKESHA	WI	53188	391077992	HEALTHCARE	WI	501(C)(3)	LINE 10	PROHEALTH CARE INC	Yes (1)
PROHEALTH CARE INC
N17 W24100 RIVERWOOD DR SUITE 130	WAUKESHA	WI	53188	391486873	MANAGEMENT	WI	501(C)(3)	LINE 12B, II		0	N/A
PROHEALTH MEDICAL GROUP INC
N17 W24100 RIVERWOOD DR SUITE 130	WAUKESHA	WI	53188	391083015	HEALTHCARE	WI	501(C)(3)	LINE 3	PROHEALTH CARE INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
PROHEALTH ALIGNED LLC (DBA PROHEALTH CARE MORELAND SURGERY CENTER)
1111 DELAFIELD STREET STE 100	WAUKESHA	WI	53188	263324572	SURGERY CENTER	WI	WAUKESHA MEMORIAL HOSPITAL INC	RELATED	$1,938,214	$4,313,958	0	Yes (1)	0.50000
REHABILITATION HOSPITAL OF WISCONSIN LLC
1625 COLDWATER CREEK DRIVE	WAUKESHA	WI	53188	262332250	INPATIENT REHABILITATION	WI	WAUKESHA MEMORIAL HOSPITAL INC	RELATED	$4,489,097	$1,092,084	0	Yes (1)	0.49000
THE ORTHOPEDIC SURGERY CENTER LLC
W238 N1610 BUSSE ROAD	WAUKESHA	WI	53188	208356016	ORTHOPEDIC SURGICAL SERVICES	WI	WAUKESHA MEMORIAL HOSPITAL INC	RELATED	$5,058,094	$1,975,448	0	Yes (1)	0.49000
PROHEALTH SOLUTIONS LLC
N17 W24100 RIVERWOOD DR SUITE 130	WAUKESHA	WI	53188	273863494	ACCOUNTABLE CARE ORGANIZATION	WI					0	0		N/A
LAKE COUNTRY ENDOSCOPY CENTER
1185 CORPORATE CENTER DR	OCONOMOWOC	WI	53066	261572986	ENDOSCOPY SERVICES	WI					0	0		N/A
WAUKESHA IMAGING LLC
N17 W24100 RIVERWOOD DR SUITE 130	WAUKESHA	WI	53188	392036860	RADIOLOGY SERVICES	WI					0	0		N/A
PHCOAW CO-MANAGEMENT COMPANY LLC
N17 W24100 RIVERWOOD DR SUITE 130	WAUKESHA	WI	53188	811823911	MANAGEMENT SERVICES	WI					0	0		N/A
GI SPECIALISTS LLC (DBA MORELAND ENDOSCOPY CENTER)
1111 DELAFIELD STREET	WAUKESHA	WI	53188	205269133	ENDOSCOPY SERVICES	WI					0	0		N/A
SOUTHERN LAKES ENDOSCOPY CENTER
240 MAPLE AVENUE	MUKWONAGO	WI	53149	824245460	ENDOSCOPY SERVICES	WI					0	0		N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
WAUKESHA HEALTH SYSTEM INC
N17 W24100 RIVERWOOD DR SUITE 130	WAUKESHA	WI	53188	391507910	HEALTHCARE	WI	N/A	C	0
EMPATHIA PACIFIC INC
31416 AGOURA RD STE 180	WESTLAKE VILLAGE	CA	91361	953070501	HEALTHCARE	CA	N/A	C	0
NATIONAL AVENUE DEVELOPMENT CORPORATION
N17 W24100 RIVERWOOD DR SUITE 130	WAUKESHA	WI	53188	391417226	HEALTHCARE	WI	N/A	C	0
EMPATHIA INC
N17 W24100 RIVERWOOD DR SUITE 130	WAUKESHA	WI	53188	391567366	HEALTHCARE	WI	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (24 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PROHEALTH CARE INC
M	$102,389,457	ACTUAL COST INCURRED
THE ORTHOPEDIC SURGERY CENTER LLC
S	$5,654,931	ACTUAL AMOUNT RECEIVED
REHABILITATION HOSPITAL OF WISCONSIN LLC
S	$4,819,524	ACTUAL AMOUNT RECEIVED
PROHEALTH MEDICAL GROUP INC
Q	$3,833,305	ACTUAL AMOUNT RECEIVED
PROHEALTH MEDICAL GROUP INC
P	$3,810,234	ACTUAL COST INCURRED
PROHEALTH MEDICAL GROUP INC
A	$2,863,031	ACTUAL AMOUNT RECEIVED
PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC
Q	$2,672,463	ACTUAL AMOUNT RECEIVED
PROHEALTH MEDICAL GROUP INC
L	$2,614,832	ACTUAL AMOUNT RECEIVED
PROHEALTH ALIGNED LLC (DBA MSC)
S	$2,021,262	ACTUAL AMOUNT RECEIVED
PROHEALTH SOLUTIONS LLC
L	$1,541,729	ACTUAL AMOUNT RECEIVED
REHABILITATION HOSPITAL OF WISCONSIN LLC
A	$1,311,152	ACTUAL AMOUNT RECEIVED
WAUKESHA HEALTH SYSTEM INC
M	$1,106,628	ACTUAL COST INCURRED
PROHEALTH CARE FOUNDATION INC
C	$960,886	ACTUAL AMOUNT RECEIVED
PROHEALTH CARE INC
R	$943,219	ACTUAL COST INCURRED
NATIONAL REGENCY OF NEW BERLIN INC
K	$671,220	ACTUAL COST INCURRED
PROHEALTH MEDICAL GROUP INC
K	$659,109	ACTUAL COST INCURRED
PROHEALTH SOLUTIONS LLC
M	$615,135	ACTUAL COST INCURRED
PROHEALTH CARE INC
L	$200,325	ACTUAL AMOUNT RECEIVED
WAUKESHA HEALTH SYSTEM INC
A	$171,357	ACTUAL AMOUNT RECEIVED
REHABILITATION HOSPITAL OF WISCONSIN LLC
L	$168,806	ACTUAL AMOUNT RECEIVED
WAUKESHA HEALTH SYSTEM INC
Q	$159,274	ACTUAL AMOUNT RECEIVED
PROHEALTH HOME CARE INC
Q	$141,323	ACTUAL AMOUNT RECEIVED
WAUKESHA HEALTH SYSTEM INC
K	$78,175	ACTUAL COST INCURRED
PROHEALTH HOME CARE INC
L	$60,196	ACTUAL AMOUNT RECEIVED