PROHEALTH CARE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PROHEALTH CARE INC (EIN 39-1486873)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-11
- IRS object ID
- 202222239349300927
- Schema version
- 2020v4.2
- 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 C
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-11T09:32:50-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | 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 | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391486873 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROHEALTH CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROH | BusinessNameControlTxt |
| Phone | 2629282981 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | N17 W24100 RIVERWOOD DRIVE NO 130 | AddressLine1Txt |
| City | WAUKESHA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 531881131 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREW GUTIERREZ | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2629282981 | PhoneNum |
| Signature | 2022-07-18 | 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 | 2022-07-18 | 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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | N17 W24100 RIVERWOOD DRIVE NO 130 | AddressLine1Txt |
| City | WAUKESHA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 531881131 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $187,837,009 | 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 | 1983 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND OTHER HEALTHCARE DELIVERY ENTITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1457 | TotalEmployeeCnt |
| Total Volunteers | 450 | TotalVolunteersCnt |
| Total Gross UBI | $199,237 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $8,263 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $619,755 | PYContributionsGrantsAmt |
| CY Contributions Grants | $924,306 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $140,442,116 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $132,492,558 | CYProgramServiceRevenueAmt |
| PY Investment Income | $54,391,290 | PYInvestmentIncomeAmt |
| CY Investment Income | $52,209,520 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,389,445 | PYOtherRevenueAmt |
| CY Other Revenue | $1,741,373 | CYOtherRevenueAmt |
| PY Total Revenue | $196,842,606 | PYTotalRevenueAmt |
| CY Total Revenue | $187,367,757 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $136,234 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $92,443,541 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $99,096,943 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $38,971,885 | PYOtherExpensesAmt |
| CY Other Expenses | $40,297,458 | CYOtherExpensesAmt |
| PY Total Expenses | $131,415,426 | PYTotalExpensesAmt |
| CY Total Expenses | $139,530,635 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $65,427,180 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $47,837,122 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,511,899,770 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,736,578,007 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $468,004,843 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $486,346,798 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,043,894,927 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,250,231,209 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CONTINUOUSLY IMPROVING THE HEALTH OF OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $34,640,571 | ExpenseAmt |
| Grant | $136,234 | GrantAmt |
| Revenue | $132,293,335 | RevenueAmt |
| Desc | PROHEALTH CARE PROVIDES SUPPORT TO PROHEALTH WAUKESHA MEMORIAL AND PROHEALTH OCONOMOWOC MEMORIAL, OUR HOSPITALS, IN ADDITION TO MEDICAL CENTERS, ASSISTED LIVING/LONG-TERM CARE, HOME HEALTH AND HOSPICE, FITNESS, AND OTHER HEALTHCARE SERVICES. AMONG THE SERVICES PROVIDED ARE ADMINISTRATION, FINANCIAL AND PATIENT ACCOUNTING, DECISION SUPPORT, INFORMATION SYSTEMS, PUBLIC RELATIONS, HUMAN RESOURCES, MATERIALS AND FACILITIES MANAGEMENT, AND EDUCATION. | Desc |
| Total Program Service Expenses | $34,640,571 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | 142 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1457 | 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 | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 |
| 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 (35 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 |
|---|---|---|---|---|---|---|---|---|---|
| SUSAN EDWARDS | |||||||||
| PRESIDENT AND CEO | 40.00 | 12.00 | Yes (X) | Yes (X) | $1,839,420 | $0 | $608,286 | ||
| KENNETH PRICE | |||||||||
| CHIEF OPERATING OFFICER | 40.00 | 10.00 | $736,930 | $0 | $480,274 | Yes (X) | |||
| RONALD FARR | |||||||||
| CHIEF FINANCIAL OFFICER - PART YEAR | 40.00 | 12.00 | Yes (X) | $1,020,189 | $0 | $194,197 | |||
| ARTHUR COFFEY | |||||||||
| PHYSICIAN / PHC CHIEF PHY OPS OFFICER | 25.00 | 25.00 | $0 | $1,055,123 | $39,778 | Yes (X) | |||
| JEFFREY SQUIRE | |||||||||
| CHIEF CORPORATE AFFAIRS OFFICER | 40.00 | 2.00 | $755,252 | $0 | $130,488 | Yes (X) | |||
| RALPH TOPINKA | |||||||||
| CHIEF LEGAL OFFICER | 40.00 | 8.00 | $657,860 | $0 | $144,702 | Yes (X) | |||
| PHILIP KUBOW | |||||||||
| CHIEF HR OFFICER | 40.00 | 8.00 | $606,226 | $0 | $149,257 | Yes (X) | |||
| PETER BACON | |||||||||
| CHIEF BUS DEVELOPMENT OFFICER | 40.00 | 8.00 | $620,280 | $0 | $125,600 | Yes (X) | |||
| DONALD REICHERT | |||||||||
| CIO/VP INFORMATION SERVICE | 50.00 | 0.00 | $568,200 | $0 | $64,503 | Yes (X) | |||
| MARY BAKER | |||||||||
| CHIEF CLINICAL OPS OFFICER | 40.00 | 10.00 | $485,274 | $0 | $53,440 | Yes (X) | |||
| BRADLEY TREICHEL | |||||||||
| CHIEF TRANSFORMATION OFFICER | 50.00 | 2.00 | $452,766 | $0 | $41,733 | Yes (X) | |||
| CURTIS GLAUNERT | |||||||||
| VP REVENUE CYCLE | 50.00 | 0.00 | $409,389 | $0 | $36,660 | Yes (X) | |||
| STEPHANIE ORZECHOWSKI | |||||||||
| CHIEF ADMINISTRATIVE OFFICER | 50.00 | 0.00 | $363,975 | $0 | $20,987 | Yes (X) | |||
| VICKI DALLMANN-PAPKE | |||||||||
| VP POPULATION HEALTH MGMNT | 50.00 | 0.00 | $350,982 | $0 | $33,045 | Yes (X) | |||
| ANDREW GUTIERREZ | |||||||||
| VP FINANCE & TREASURY | 50.00 | 0.00 | $327,874 | $0 | $51,430 | Yes (X) | |||
| DANIEL BAILEY | |||||||||
| VP PAYER CONTRACTING | 50.00 | 0.00 | $323,654 | $0 | $42,335 | Yes (X) | |||
| KEN RIESCH | |||||||||
| CHAIRPERSON | 2.00 | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MIKE ERWIN | |||||||||
| VICE CHAIRPERSON | 2.00 | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAN MATOLA | |||||||||
| TREASURER | 2.00 | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BETTY ARNDT | |||||||||
| SECRETARY | 2.00 | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JULIE SCHROEDER | |||||||||
| TREASURER - PART YEAR | 2.00 | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SUE BELLEHUMEUR | |||||||||
| DIRECTOR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| GARY BEYER | |||||||||
| DIRECTOR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| JIM GANNON | |||||||||
| DIRECTOR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN HALLETT | |||||||||
| DIRECTOR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| EMERY HARLAN | |||||||||
| DIRECTOR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID ROELKE | |||||||||
| DIRECTOR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| JUDIE TAYLOR | |||||||||
| DIRECTOR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| TY TAYLOR | |||||||||
| DIRECTOR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN WIMMER | |||||||||
| DIRECTOR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| DAWN WITTAK | |||||||||
| DIRECTOR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK MOHR | |||||||||
| DIRECTOR - PART YEAR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| E JOHN RAASCH | |||||||||
| DIRECTOR - PART YEAR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| RALPH RAMIREZ | |||||||||
| DIRECTOR - PART YEAR | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN BARR | |||||||||
| INTERIM CFO - STARTED AUG 2021 | 40.00 | 12.00 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,518,271 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,055,123 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,216,715 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 140 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| OLIVER WYMAN | |||||
| PO BOX 3800-28 | BOSTON | MA | 02241 | PROFESSIONAL SERVICES | $3,837,569 |
| TALON OF NC LLC | |||||
| 201 NORTH BROAD ST 301 | WINSTONSALEM | NC | 27101 | PROFESSIONAL SERVICES | $2,015,628 |
| ESCOM PROPERTIES | |||||
| 3700 74TH AVE | BROOKLYN PARK | MN | 55443 | PROFESSIONAL SERVICES | $1,061,065 |
| BVK | |||||
| 250 W COVENTRY COURT SUITE 300 | MILWAUKEE | WI | 53217 | PRINTING SERVICE | $886,471 |
| ODEZA LLC | |||||
| 117 N JEFFERSON ST STE 306 | CHICAGO | IL | 60661 | PROFESSIONAL SERVICES | $762,851 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 44 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $588,619 | RelatedOrganizationsAmt |
| Government Grants | $335,687 | GovernmentGrantsAmt |
| Total Contributions | $924,306 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| SUPPORT SERVICES | 561000 | $132,293,335 | $132,293,335 | |
| TRANSPORTATION | 480000 | $161,827 | $161,827 | |
| MARKETING FEES | 561000 | $37,396 | $37,396 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $132,492,558 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,894,002 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $14 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,893,988 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $39,767,987 | SecuritiesAmt |
| Other | $16,783 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $469,252 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $39,298,735 | SecuritiesAmt |
| Other | $16,783 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,315,518 | TotalRevenueColumnAmt |
| Exclusion | $39,315,518 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN JV | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,741,373 | TotalRevenueColumnAmt |
| Exclusion | $1,741,373 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,741,373 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $187,367,757 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $132,293,335 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $199,237 | UnrelatedBusinessRevenueAmt |
| Exclusion | $53,950,879 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,234 | TotalAmt |
| Program Services | $136,234 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,209,376 | TotalAmt |
| Management And General | $8,209,376 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,519,399 | TotalAmt |
| Program Services | $25,169,007 | ProgramServicesAmt |
| Management And General | $40,350,392 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,522,456 | TotalAmt |
| Management And General | $3,522,456 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,897,335 | TotalAmt |
| Program Services | $1,195 | ProgramServicesAmt |
| Management And General | $16,896,140 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,948,377 | TotalAmt |
| Program Services | $1,960,851 | ProgramServicesAmt |
| Management And General | $2,987,526 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,438,868 | TotalAmt |
| Management And General | $1,438,868 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,884 | TotalAmt |
| Management And General | $338,884 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,659 | TotalAmt |
| Management And General | $17,659 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,580,729 | TotalAmt |
| Program Services | $3,888,183 | ProgramServicesAmt |
| Management And General | $15,692,546 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,801,467 | TotalAmt |
| Program Services | $5,560 | ProgramServicesAmt |
| Management And General | $3,795,907 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,119,588 | TotalAmt |
| Program Services | $651,334 | ProgramServicesAmt |
| Management And General | $2,468,254 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,134,296 | TotalAmt |
| Program Services | $201,362 | ProgramServicesAmt |
| Management And General | $2,932,934 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,511 | TotalAmt |
| Program Services | $127,031 | ProgramServicesAmt |
| Management And General | $9,480 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,875 | TotalAmt |
| Program Services | $55,813 | ProgramServicesAmt |
| Management And General | $125,062 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $582,714 | TotalAmt |
| Program Services | $151,828 | ProgramServicesAmt |
| Management And General | $430,886 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,320,623 | TotalAmt |
| Management And General | $3,320,623 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,599 | TotalAmt |
| Program Services | $43,378 | ProgramServicesAmt |
| Management And General | $124,221 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS & MAINTENANCE | $1,444,349 | $1,406,434 | $37,915 |
| BILLING & COLLECTION | $1,185,696 | $0 | $1,185,696 |
| PATIENT CARE SUPPLIES | $1,088,524 | $586,543 | $501,981 |
| DUES & SUBSCRIPTIONS | $281,038 | $26,964 | $254,074 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,038 | TotalAmt |
| Program Services | $228,854 | ProgramServicesAmt |
| Management And General | $249,184 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,530,635 | TotalAmt |
| Program Services | $34,640,571 | ProgramServicesAmt |
| Management And General | $104,890,064 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,115,579 | BOYAmt |
| EOY | $1,222,664 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,011,681 | BOYAmt |
| EOY | $12,782 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,496,900 | BOYAmt |
| EOY | $2,099,430 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $52,743,925 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,371,634 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,513,684 | BOYAmt |
| EOY | $30,372,291 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $768,284,404 | BOYAmt |
| EOY | $951,735,056 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,855,927 | BOYAmt |
| EOY | $7,565,000 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,428,627 | BOYAmt |
| EOY | $302,268,000 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,982 | BOYAmt |
| EOY | $268,982 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $419,923,986 | BOYAmt |
| EOY | $441,033,802 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,511,899,770 | BOYAmt |
| EOY | $1,736,578,007 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,704,296 | BOYAmt |
| EOY | $26,804,810 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,278,873 | BOYAmt |
| EOY | $2,052,083 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,820,899 | BOYAmt |
| EOY | $421,696,835 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,569,877 | BOYAmt |
| EOY | -$6,250 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,680,268 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,950,630 | BOYAmt |
| EOY | $35,799,320 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $468,004,843 | BOYAmt |
| EOY | $486,346,798 | 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 | $1,043,894,927 | BOYAmt |
| EOY | $1,250,231,209 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,043,894,927 | BOYAmt |
| EOY | $1,250,231,209 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,511,899,770 | BOYAmt |
| EOY | $1,736,578,007 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $47,837,122 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $80,481,819 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $78,017,341 | 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) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 5 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (5 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC | ||||
| 390910727 | 3 | Yes (1) | $0 | $0 |
| PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC | ||||
| 390794174 | 3 | Yes (1) | $0 | $0 |
| PROHEALTH HOME CARE INC | ||||
| 200067392 | 3 | Yes (1) | $0 | $0 |
| NATIONAL REGENCY OF NEW BERLIN INC | ||||
| 391077992 | 10 | Yes (1) | $0 | $0 |
| PROHEALTH MEDICAL GROUP INC | ||||
| 391083015 | 3 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 5 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | 0 | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART I, LINE 11G, COL. V: | THE ORGANIZATION PROVIDES OVERSIGHT TO ALL SUPPORTED ORGANIZATIONS. |
| SCHEDULE A, PART IV, SECTION C, LINE 1: | PROHEALTH CARE, INC., (PHC) IS SUPERVISED OR CONTROLLED IN CONNECTION WITH ITS SUPPORTED ORGANIZATIONS THROUGH COMMON SUPERVISION AND CONTROL WITH ITS SUPPORTED ORGANIZATIONS. THIS IS ACCOMPLISHED THROUGH SIGNIFICANT OVERLAP IN THE BOARDS OF DIRECTORS AS WELL AS COMMON MANAGEMENT OVERSIGHT. TO THIS END, PHC HOLDS CERTAIN RESERVE POWERS OVER ITS SUPPORTING ENTITIES INCLUDING APPROVAL OF STRATEGIC PLANNING, ANNUAL OPERATING AND CAPITAL BUDGETS, BORROWING, TRANSFER, LEASE, PLEDGE OR SALE OF ASSETS. |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $17,659 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $17,659 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A THIRD PARTY VENDOR PROVIDES ADVICE TO THE ORGANIZATION REGARDING ONGOING OPPORTUNITIES TO ADVANCE THE PROHEALTH CARE VALUE PROPOSITION MESSAGE WITH GOVERNMENT LEADERS OF INFLUENCE, BUSINESS LEADERS OF INFLUENCE AND BUSINESS ORGANIZATIONS. ADDITIONALLY, THE THIRD PARTY VENDOR PROVIDES CONSISTENT MONITORING OF STATE POLICY AND POLITICAL ENVIRONMENTS, COMMUNICATES WITH KEY LEGISLATORS AND AGENCIES AS NECESSARY, AND WORKS WITH STATE ASSOCIATIONS AS APPROPRIATE TO AID IN GOVERNMENT RELATIONS ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,826,582 | OtherCostOrOtherBasisAmt |
| Book Value | $4,826,582 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,428,382 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,864,352 | DepreciationAmt |
| Book Value | $16,564,030 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,691,194 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,562,597 | DepreciationAmt |
| Book Value | $4,128,597 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,003,038 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,944,685 | DepreciationAmt |
| Book Value | $4,058,353 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $794,729 | OtherCostOrOtherBasisAmt |
| Book Value | $794,729 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,372,291 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN WHS/OCC/MA | $294,753,009 | C |
| INVESTMENT IN MEC | $7,157,549 | C |
| INVESTMENT IN SOUTHERN LAKES ENDOSCOPY | $357,442 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $302,268,000 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (9 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY NOTE RECEIVABLE | $401,274,985 |
| DUE FROM AFFILIATES | $16,326,228 |
| DEFERRED COMPENSATION | $332,786 |
| SERP TRUST | $1,763,280 |
| HELD FOR SALE ASSETS | $8,175,536 |
| ROU LEASE ASSETS AND A/D | $12,998,561 |
| MISCELLANEOUS RECEIVABLES | $19,909 |
| OTHER | $12,517 |
| INSURANCE RECOVERY | $130,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $441,033,802 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $332,786 |
| ACCRUED MINIMUM SERP LIABILITY | $1,737,471 |
| INSURANCE LIABILITY | $249,320 |
| OTHER LONG - TERM LIABILITIES | $1,695,581 |
| OPERATING LEASE PAYABLE | $12,935,854 |
| LEASES PAYABLE - CURRENT | $930,844 |
| LT LEASES PAYABLE | $17,917,464 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $35,799,320 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIXTEETH STREET COMMUNITY HEALTH CENTERS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1337 S CESAR CHAVEZ DR | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 391180475 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $136,234 | CashGrantAmt |
| Valuation Method Used | N/A | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
| Purpose Of Grant | SUBSIDY OF SIXTEENTH STREET COMMUNITY HEALTH CENTER IN WAUKESHA WI | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MONTHLY FINANCIAL STATEMENTS ARE SUBMITTED TO SUBSTANTIATE THE SUPPORT PROVIDED TO THE SELECTED ORGANIZATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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 AND CEO | $1,120,244 | $0 | $719,176 | $0 | $0 | $0 | $575,234 | $0 | $33,052 | $0 | $2,447,706 | $0 | $0 | $0 |
| KENNETH PRICE | ||||||||||||||
| CHIEF OPERATING OFFICER | $447,564 | $0 | $245,597 | $0 | $43,769 | $0 | $432,977 | $0 | $47,297 | $0 | $1,217,204 | $0 | $43,769 | $0 |
| RONALD FARR | ||||||||||||||
| CHIEF FINANCIAL OFFICER - PART YEAR | $560,882 | $0 | $339,110 | $0 | $120,197 | $0 | $139,309 | $0 | $54,888 | $0 | $1,214,386 | $0 | $120,197 | $0 |
| ARTHUR COFFEY | ||||||||||||||
| PHYSICIAN / PHC CHIEF PHY OPS OFFICE | $0 | $948,120 | $0 | $107,003 | $0 | $0 | $0 | $0 | $0 | $39,778 | $0 | $1,094,901 | $0 | $0 |
| JEFFREY SQUIRE | ||||||||||||||
| CHIEF CORPORATE AFFAIRS OFFICER | $332,997 | $0 | $167,483 | $0 | $254,772 | $0 | $83,867 | $0 | $46,621 | $0 | $885,740 | $0 | $254,772 | $0 |
| RALPH TOPINKA | ||||||||||||||
| CHIEF LEGAL OFFICER | $393,476 | $0 | $185,838 | $0 | $78,546 | $0 | $96,627 | $0 | $48,075 | $0 | $802,562 | $0 | $78,546 | $0 |
| PHILIP KUBOW | ||||||||||||||
| CHIEF HR OFFICER | $378,154 | $0 | $180,442 | $0 | $47,630 | $0 | $106,149 | $0 | $43,108 | $0 | $755,483 | $0 | $47,630 | $0 |
| PETER BACON | ||||||||||||||
| CHIEF BUS DEVELOPMENT OFFICER | $389,046 | $0 | $183,631 | $0 | $47,603 | $0 | $114,319 | $0 | $11,281 | $0 | $745,880 | $0 | $47,603 | $0 |
| DONALD REICHERT | ||||||||||||||
| CIO/VP INFORMATION SERVICE | $396,524 | $0 | $171,676 | $0 | $0 | $0 | $13,000 | $0 | $51,503 | $0 | $632,703 | $0 | $0 | $0 |
| MARY BAKER | ||||||||||||||
| CHIEF CLINICAL OPS OFFICER | $327,214 | $0 | $158,060 | $0 | $0 | $0 | $13,000 | $0 | $40,440 | $0 | $538,714 | $0 | $0 | $0 |
| BRADLEY TREICHEL | ||||||||||||||
| CHIEF TRANSFORMATION OFFICER | $304,592 | $0 | $148,174 | $0 | $0 | $0 | $9,750 | $0 | $31,983 | $0 | $494,499 | $0 | $0 | $0 |
| CURTIS GLAUNERT | ||||||||||||||
| VP REVENUE CYCLE | $286,549 | $0 | $122,840 | $0 | $0 | $0 | $13,000 | $0 | $23,660 | $0 | $446,049 | $0 | $0 | $0 |
| STEPHANIE ORZECHOWSKI | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $250,056 | $0 | $113,919 | $0 | $0 | $0 | $13,000 | $0 | $7,987 | $0 | $384,962 | $0 | $0 | $0 |
| VICKI DALLMANN-PAPKE | ||||||||||||||
| VP POPULATION HEALTH MGMNT | $227,829 | $0 | $123,153 | $0 | $0 | $0 | $13,000 | $0 | $20,045 | $0 | $384,027 | $0 | $0 | $0 |
| ANDREW GUTIERREZ | ||||||||||||||
| VP FINANCE & TREASURY | $227,462 | $0 | $100,412 | $0 | $0 | $0 | $9,750 | $0 | $41,680 | $0 | $379,304 | $0 | $0 | $0 |
| DANIEL BAILEY | ||||||||||||||
| VP PAYER CONTRACTING | $225,510 | $0 | $98,144 | $0 | $0 | $0 | $7,411 | $0 | $34,924 | $0 | $365,989 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: RONALD FARR: $120,197 KENNETH PRICE: $43,769 PETER BACON: $47,603 PHILIP KUBOW: $47,630 RALPH TOPINKA: $78,546 JEFFREY SQUIRE: $254,772 SUSAN EDWARDS: $0 |
| PART I, LINE 6 | 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 | JEFFREY SQUIRE'S OTHER REPORTABLE COMPENSATION PAYOUT (COLUMN B(III) ON PART II) WAS EARNED OVER A 4-YEAR SPAN, AS HE REACHED RETIREMENT AGE AND VESTED IN THE CURRENT YEAR, AND AS SUCH, WAS PREVIOUSLY REPORTED ON PART II, COLUMN C OF THE PRIOR 4 990S. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| WISCONSIN HEALTH & EDUCATIONAL FACILITIES | ||||||||
| A | 391337855 | 97712DKQ8 | 2015-01-29 | $133,630,000 | SEE PART VI SUPPLEMENTAL INFORMATION | 0 | 0 | 0 |
| WISCONSIN HEALTH & EDUCATIONAL FACILITIES | ||||||||
| B | 391337855 | 2021-03-04 | $201,845,000 | SEE PART VI SUPPLEMENTAL INFORMATION | 0 | 0 | 0 | |
| WISCONSIN HEALTH & EDUCATIONAL FACILITIES | ||||||||
| C | 391337855 | 2021-03-04 | $35,190,000 | SEE PART VI SUPPLEMENTAL INFORMATION | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond DefeasedBondDefeasedAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $145,977,595 | $145,977,595 | $1,450,228 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) | |||
| B | $510,000 | 2021 | Yes (1) | 0 | Yes (1) | Yes (1) | $2,865,000 | $201,845,000 | $201,335,000 | ||
| C | $110,000 | 2021 | Yes (1) | 0 | Yes (1) | Yes (1) | $35,190,000 | $35,080,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART I, ROW A, BOND ISSUES, COLUMN F: | ADVANCED REFUND BONDS ISSUED ON 4/30/2009 |
| SCHEDULE K, PART I, ROW B, BOND ISSUES, COLUMN F: | CONSTRUCTION OF CERTAIN HEALTHCARE FACILITIES AND ADVANCED REFUNDING OF SERIES 2014A, 2014B (ISSUED 12/18/2014), 2008A, 2008B (ISSUED 8/14/08) AND 2005 (5/1/05). |
| SCHEDULE K, PART I, ROW C, BOND ISSUES, COLUMN F: | CURRENT REFUND BONDS ISSUED IN 2012, 1999, 2001 & 2009 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | KEVIN BARR WAS COMPENSATED $120,832 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 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-PRESIDENT. 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 2021. |
| 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 CARE, INC. MAY RETAIN ITS EXEMPT STATUS. |
| FORM 990, PART VII | ARTHUR COFFEY IS EMPLOYED BY PROHEALTH MEDICAL GROUP, INC., A WHOLLY OWNED SUBSIDIARY OF PROHEALTH CARE INC, AS A PHYSICIAN. HE ALSO DEVOTES TIME TO PROHEALTH CARE INC., THE SOLE CORPORATE MEMBER, AS THE CHIEF PHYSICIAN OPERATIONS OFFICER. WHILE COFFEY SPLITS HIS TIME BETWEEN THE TWO POSITIONS, ALL COMPENSATION IS HANDLED BY PROHEALTH MEDICAL GROUP INC. |
| FORM 990, PART IX, LINE 11G | OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,590,171. MANAGEMENT AND GENERAL EXPENSES 15,546,341. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,136,512. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 2,298,012. MANAGEMENT AND GENERAL EXPENSES 26,851. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,324,863. EMPLOYEE PHYSICAL EXAMS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 119,354. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,354. |
| FORM 990, PART XI, LINE 9: | CAPITAL CONTRIBUTIONS FROM RELATED ORGANIZATIONS 3,833,695. INVESTMENT FUNDING FROM RELATED ORGANIZATIONS 40,497,345. TRANSFER FROM AFFILIATE FOR CENTRALLY MANAGED INVESTMENTS 32,080,000. DEBT EXTINGUISHMENT 1,606,301. |
| FORM 990, PART XII, LINE 2C | THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT 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 | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC | ||||||||||
| 791 SUMMIT AVENUE | OCONOMOWOC | WI | 53066 | 390794174 | HOSPITAL | WI | 501(C)(3) | LINE 3 | N/A | Yes (1) |
| PROHEALTH HOME CARE INC | ||||||||||
| N17 W24100 RIVERWOOD DR SUITE 130 | WAUKESHA | WI | 53188 | 200067392 | HEALTHCARE | WI | 501(C)(3) | LINE 3 | N/A | 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 | N/A | Yes (1) |
| PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC | ||||||||||
| 725 AMERICAN AVENUE | WAUKESHA | WI | 53188 | 390910727 | HOSPITAL | WI | 501(C)(3) | LINE 3 | N/A | Yes (1) |
| PROHEALTH CARE FOUNDATION INC | ||||||||||
| 725 AMERICAN AVENUE | WAUKESHA | WI | 53188 | 391314542 | CHARITABLE SUPPORT | WI | 501(C)(3) | LINE 7 | N/A | Yes (1) |
| PROHEALTH MEDICAL GROUP INC | ||||||||||
| N17 W24100 RIVERWOOD DR SUITE 130 | WAUKESHA | WI | 53188 | 391083015 | HEALTHCARE | WI | 501(C)(3) | LINE 3 | N/A | 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 | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROHEALTH ALIGNED LLC (DBA PROHEALTH CARE MORELAND SURGERY CENTER) | ||||||||||||||
| 1111 DELAFIELD STREET STE 1 | WAUKESHA | WI | 53188 | 263324572 | SURGERY CENTER | WI | N/A | 0 | 0 | |||||
| REHABILITATION HOSPITAL OF WISCONSIN LLC | ||||||||||||||
| 1625 COLDWATER CREEK DRIVE | WAUKESHA | WI | 53188 | 262332250 | INPATIENT REHABILITATION | WI | N/A | 0 | 0 | |||||
| THE ORTHOPEDIC SURGERY CENTER LLC | ||||||||||||||
| W238 N1610 BUSSE ROAD | WAUKESHA | WI | 53188 | 208356016 | ORTHOPEDIC SURGICAL SERVICES | WI | N/A | 0 | 0 | |||||
| PROHEALTH SOLUTIONS LLC | ||||||||||||||
| N17 W24100 RIVERWOOD DR SUITE 130 | WAUKESHA | WI | 53188 | 273863494 | ACCOUNTABLE CARE ORGANIZATION | WI | 0 | 0 | PROHEALTH CARE INC | RELATED | $3,131,339 | $15,045,672 | 0.63640 | |
| LAKE COUNTRY ENDOSCOPY CENTER | ||||||||||||||
| 1185 CORPORATE CENTER DR | OCONOMOWOC | WI | 53066 | 261572986 | ENDOSCOPY SERVICES | WI | N/A | 0 | 0 | |||||
| WAUKESHA IMAGING LLC | ||||||||||||||
| N17 W24100 RIVERWOOD DR SUITE 130 | WAUKESHA | WI | 53188 | 392036860 | RADIOLOGY SERVICES | WI | 0 | Yes (1) | WAUKESHA HEALTH SYSTEM INC | RELATED | $143,710 | 0.50000 | ||
| PHCOAW CO-MANAGEMENT COMPANY LLC | ||||||||||||||
| N17 W24100 RIVERWOOD DR SUITE 130 | WAUKESHA | WI | 53188 | 811823911 | MANAGEMENT SERVICES | WI | 0 | Yes (1) | PROHEALTH CARE INC | RELATED | $43,876 | 0.50000 | ||
| GI SPECIALISTS LLC (DBA MORELAND ENDOSCOPY CENTER) | ||||||||||||||
| 1111 DELAFIELD STREET | WAUKESHA | WI | 53188 | 205269133 | ENDOSCOPY SERVICES | WI | 0 | Yes (1) | PROHEALTH CARE INC | RELATED | $893,946 | $5,865,776 | 0.50000 | |
| SOUTHERN LAKES ENDOSCOPY CENTER | ||||||||||||||
| 240 MAPLE AVENUE | MUKWONAGO | WI | 53149 | 824245460 | ENDOSCOPY SERVICES | WI | 0 | 0 | PROHEALTH CARE INC | RELATED | $9,462 | $114,417 | 0.50000 | |
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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WAUKESHA HEALTH SYSTEM INC | |||||||||||||
| N17 W24100 RIVERWOOD DR SUITE 130 | WAUKESHA | WI | 53188 | 391507910 | HEALTHCARE | WI | N/A | C | $6,910,806 | $23,050,540 | 1.00000 | 0 | |
| EMPATHIA PACIFIC INC | |||||||||||||
| 31416 AGOURA RD STE 180 | WESTLAKE VILLAGE | CA | 91361 | 953070501 | HEALTHCARE | CA | C | $2,955,786 | $4,647,443 | 1.00000 | Yes (1) | EMPATHIA INC | |
| NATIONAL AVENUE DEVELOPMENT CORPORATION | |||||||||||||
| N17 W24100 RIVERWOOD DR SUITE 130 | WAUKESHA | WI | 53188 | 391417226 | HEALTHCARE | WI | C | $643,009 | 1.00000 | Yes (1) | WAUKESHA HEALTH SYSTEM INC | ||
| EMPATHIA INC | |||||||||||||
| N17 W24100 RIVERWOOD DR SUITE 130 | WAUKESHA | WI | 53188 | 391567366 | HEALTHCARE | WI | C | $14,657,974 | $14,389,206 | 1.00000 | Yes (1) | WAUKESHA HEALTH SYSTEM INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | 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 (22 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC | ||
| L | $91,110,797 | ACTUAL AMOUNT RECEIVED |
| PROHEALTH MEDICAL GROUP INC | ||
| R | $26,700,000 | ACTUAL COSTS INCURRED |
| PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC | ||
| L | $18,598,276 | ACTUAL AMOUNT RECEIVED |
| PROHEALTH MEDICAL GROUP INC | ||
| L | $13,989,914 | ACTUAL AMOUNT RECEIVED |
| PROHEALTH SOLUTIONS LLC | ||
| L | $5,271,600 | ACTUAL AMOUNT RECEIVED |
| PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC | ||
| S | $13,545,000 | ACTUAL AMOUNT RECEIVED |
| PROHEALTH HOME CARE INC | ||
| S | $1,400,000 | ACTUAL AMOUNT RECEIVED |
| MORELAND ENDOSCOPY | ||
| S | $1,550,000 | ACTUAL AMOUNT RECEIVED |
| NATIONAL REGENCY OF NEW BERLIN INC | ||
| L | $921,129 | ACTUAL AMOUNT RECEIVED |
| NATIONAL REGENCY OF NEW BERLIN INC | ||
| S | $1,135,000 | ACTUAL AMOUNT RECEIVED |
| PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC | ||
| S | $56,497,345 | ACTUAL AMOUNT RECEIVED |
| PROHEALTH CARE FOUNDATION INC | ||
| C | $588,619 | ACTUAL AMOUNT RECEIVED |
| EMPATHIA INC | ||
| L | $402,825 | ACTUAL AMOUNT RECEIVED |
| NATIONAL REGENCY OF NEW BERLIN INC | ||
| K | $323,877 | ACTUAL COSTS INCURRED |
| PROHEALTH SOLUTIONS LLC | ||
| M | $322,078 | ACTUAL COSTS INCURRED |
| PROHEALTH HOME CARE INC | ||
| L | $192,998 | ACTUAL AMOUNT RECEIVED |
| EMPATHIA INC | ||
| M | $155,131 | ACTUAL COSTS INCURRED |
| PROHEALTH ALIGNED LLC (DBA MSC) | ||
| L | $124,838 | ACTUAL AMOUNT RECEIVED |
| WAUKESHA HEALTH SYSTEM INC | ||
| L | $120,000 | ACTUAL AMOUNT RECEIVED |
| PROHEALTH MEDICAL GROUP INC | ||
| Q | $114,972 | ACTUAL AMOUNT RECEIVED |
| WAUKESHA HEALTH SYSTEM INC | ||
| M | $57,175 | ACTUAL COSTS INCURRED |
| PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC | ||
| M | $139,253 | ACTUAL COSTS INCURRED |
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