PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC (EIN 39-0910727)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-07-29
IRS object ID
202532109349300208
Schema version
2023v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-07-29T07:31:34-05:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN331498605PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13000 TOWN CENTER SUITE 100AddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48075ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390910727EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROHEALTH WAUKESHA MEMORIALBusinessNameLine1Txt
Business Name Line2HOSPITAL INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlWAUKBusinessNameControlTxt
Phone2629282496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1725 AMERICAN AVENUEAddressLine1Txt
CityWAUKESHACityNm
State AbbreviationWIStateAbbreviationCd
ZIP53188ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW GUTIERREZPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone2629282496PhoneNum
Signature2025-07-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHALPreparerPersonNm
PTINP00378651PTIN
Phone2483522500PhoneNum
Preparation2025-07-28PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSUSAN EDWARDSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1725 AMERICAN AVENUEAddressLine1Txt
CityWAUKESHACityNm
State AbbreviationWIStateAbbreviationCd
ZIP53188ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$662,288,824GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROHEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1956FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionPROVIDER OF INPATIENT AND OUTPATIENT HOSPITAL SERVICES.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee3130TotalEmployeeCnt
Total Volunteers177TotalVolunteersCnt
Total Gross UBI$5,801,516TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,006,498PYContributionsGrantsAmt
CY Contributions Grants$1,822,325CYContributionsGrantsAmt
PY Program Service Revenue$571,578,698PYProgramServiceRevenueAmt
CY Program Service Revenue$644,567,442CYProgramServiceRevenueAmt
PY Investment Income$994,579PYInvestmentIncomeAmt
CY Investment Income$1,082,753CYInvestmentIncomeAmt
PY Other Revenue$2,700,670PYOtherRevenueAmt
CY Other Revenue$14,532,500CYOtherRevenueAmt
PY Total Revenue$577,280,445PYTotalRevenueAmt
CY Total Revenue$662,005,020CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$452,288CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$168,043,315PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$172,697,547CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$383,569,856PYOtherExpensesAmt
CY Other Expenses$396,134,950CYOtherExpensesAmt
PY Total Expenses$551,613,171PYTotalExpensesAmt
CY Total Expenses$569,284,785CYTotalExpensesAmt
PY Revenues Less Expenses$25,667,274PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$92,720,235CYRevenuesLessExpensesAmt
Total Assets BOY$619,480,960TotalAssetsBOYAmt
Total Assets EOY$615,950,473TotalAssetsEOYAmt
Total Liabilities BOY$341,750,952TotalLiabilitiesBOYAmt
Total Liabilities EOY$322,222,334TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$277,730,008NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$293,728,139NetAssetsOrFundBalancesEOYAmt
MissionCONTINUOUSLY IMPROVING THE HEALTH OF OUR COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$486,535,523ExpenseAmt
Grant$452,288GrantAmt
Revenue$638,878,672RevenueAmt
DescPROHEALTH 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 52,209 DAYS OF INPATIENT CARE AND APPROXIMATELY 366,635 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024. SEE SCHEDULE H FOR ILLUSTRATION OF ITS PROGRAM SERVICE ACCOMPLISHMENTS.Desc
Total Program Service Expenses$486,535,523TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document233IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3130EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANDREW GUTIERREZPersonNm
Phone2629282453PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1N17 W24100 RIVERWOOD DRIVE SUITEAddressLine1Txt
CityWAUKESHACityNm
State AbbreviationWIStateAbbreviationCd
ZIP531881131ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
GARY BEYER
CHAIRPERSON2.008.00Yes (X)Yes (X)$0$0$0
SUSAN EDWARDS
PRESIDENT AND CEO - PHC2.0050.00Yes (X)Yes (X)$0$2,283,498$719,577
JOHN HALLETT
VICE CHAIRPERSON2.008.00Yes (X)Yes (X)$0$0$0
ANDREW GUTIERREZ
CHIEF FINANCIAL OFFICER2.0050.00Yes (X)$0$566,412$239,046
KENNETH PRICE
CHIEF OPERATING OFFICER2.0046.00$0$945,948$345,975Yes (X)
JAMES SEMRAD
VP PHARMACY & SERVICE LINES50.000.00$255,820$0$6,710Yes (X)
MARGARET PFITZINGER
VP CLINICAL OPERATIONS50.000.00$348,633$0$56,302Yes (X)
ALAN JOHNSON
VP CRITICAL CARE & SPECIALTY50.000.00$331,521$0$30,611Yes (X)
ELIZABETH D CLARK
DIRECTOR PROFESSIONAL PRACTICE50.000.00$225,240$0$46,753Yes (X)
MEGAN ANDERSON
DIRECTOR CLINICAL OPERATIONS50.000.00$215,342$0$9,253Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,376,556TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,795,858TotReportableCompRltdOrgAmt
Total Other Compensation$1,454,227TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K174IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
STAFFENCY LLC
221 W COLLEGE AVEAPPLETONWI54911PROFESSIONAL SERVICES$27,660,102
RILEY CONSTRUCTION CO
5301 99TH AVEKENOSHAWI53144CONSTRUCTION SERVICES$15,910,161
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RDSCOTTSDALEAZ85254PROFESSIONAL SERVICES$11,606,198
JH FINDORFF & SON INC
PO BOX 1647MADISONWI53701CONSTRUCTION SERVICES$10,311,432
ACL LABORATORIES
PO BOX 27901WEST ALLISWI53227PROFESSIONAL SERVICES$10,198,583
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K63CntrctRcvdGreaterThan100KCnt
Related Organizations$1,469,855RelatedOrganizationsAmt
Government Grants$142,007GovernmentGrantsAmt
All Other Contributions$210,463AllOtherContributionsAmt
Total Contributions$1,822,325TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REV.621110$608,633,632$608,633,632
MEDICAL SERVICE LAB621500$11,828,543$6,139,773$5,688,770
ORTHO SURGERY CENTER621400$5,558,296$5,558,296
HOSPITAL JOINT VENTURE621110$4,789,514$4,789,514
RENTAL REVENUE532000$4,298,874$4,298,874

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,458,583TotalRevenueColumnAmt
Related Or Exempt Func Income$9,458,583RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$644,567,442TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$661,710TotalRevenueColumnAmt
Unrelated Business Revenue$5UnrelatedBusinessRevenueAmt
Exclusion$661,705ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$757,255RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$164,900RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$592,355RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$592,355TotalRevenueColumnAmt
Unrelated Business Revenue$112,741UnrelatedBusinessRevenueAmt
Exclusion$479,614ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$539,947OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$118,904OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$421,043OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$421,043TotalRevenueColumnAmt
Exclusion$421,043ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
GAIN ON BOND DEFEASANCE900099$11,682,067$11,682,067
CAFETERIA722514$2,255,078$2,255,078
GIFT SHOP459420$3,000$3,000
FieldValueIRS element (for citing)
Other Revenue Total$13,940,145OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$662,005,020TotalRevenueColumnAmt
Related Or Exempt Func Income$638,878,672RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,801,516UnrelatedBusinessRevenueAmt
Exclusion$15,502,507ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$452,288TotalAmt
Program Services$452,288ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$135,446,419TotalAmt
Program Services$130,671,682ProgramServicesAmt
Management And General$4,774,737ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,389,685TotalAmt
Program Services$4,308,364ProgramServicesAmt
Management And General$81,321ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$22,713,997TotalAmt
Program Services$22,257,017ProgramServicesAmt
Management And General$456,980ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,147,446TotalAmt
Program Services$9,867,692ProgramServicesAmt
Management And General$279,754ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,215,767TotalAmt
Program Services$3,215,767ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$51,671,093TotalAmt
Program Services$50,359,338ProgramServicesAmt
Management And General$1,311,755ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,381TotalAmt
Program Services$20,381ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,333,940TotalAmt
Program Services$4,329,146ProgramServicesAmt
Management And General$1,004,794ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,988,293TotalAmt
Program Services$7,016,293ProgramServicesAmt
Management And General$972,000ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,408,391TotalAmt
Program Services$6,776,473ProgramServicesAmt
Management And General$631,918ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$155,911TotalAmt
Program Services$152,711ProgramServicesAmt
Management And General$3,200ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$419,491TotalAmt
Program Services$419,491ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,977,880TotalAmt
Program Services$5,977,880ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$105,878,122TotalAmt
Program Services$33,245,730ProgramServicesAmt
Management And General$72,632,392ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$47,256,935TotalAmt
Program Services$47,256,935ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,243,752TotalAmt
Program Services$1,243,752ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS & PHARMACEUTICALS$64,759,872$64,759,872
MEDICAL SUPPLIES$61,070,793$61,048,852$21,941
BAD DEBT EXPENSES$18,318,687$18,318,687
MEDICAID PROVIDER TAXES$12,020,653$12,020,653

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,394,989TotalAmt
Program Services$2,816,519ProgramServicesAmt
Management And General$578,470ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$569,284,785TotalAmt
Program Services$486,535,523ProgramServicesAmt
Management And General$82,749,262ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,189,293BOYAmt
EOY$32,955,421EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$77,536,987BOYAmt
EOY$79,845,770EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,065,685BOYAmt
EOY$12,991,858EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,419,374BOYAmt
EOY$4,268,345EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,047,164,802LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$596,018,612LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$464,569,501BOYAmt
EOY$451,146,190EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,430,188BOYAmt
EOY$554,094EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$13,625,683BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$14,408,823EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,644,249BOYAmt
EOY$19,779,972EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$619,480,960BOYAmt
EOY$615,950,473EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$71,056,985BOYAmt
EOY$67,357,030EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$288,974BOYAmt
EOY$204,634EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$270,404,993BOYAmt
EOY$254,660,670EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$341,750,952BOYAmt
EOY$322,222,334EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$276,257,046BOYAmt
EOY$292,271,924EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,472,962BOYAmt
EOY$1,456,215EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$277,730,008BOYAmt
EOY$293,728,139EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$619,480,960BOYAmt
EOY$615,950,473EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$92,720,235ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$410,837NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$76,311,267OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,529,019OtherCostOrOtherBasisAmt
Book Value$26,529,019BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$659,515,205OtherCostOrOtherBasisAmt
Depreciation$315,453,481DepreciationAmt
Book Value$344,061,724BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,999,923OtherCostOrOtherBasisAmt
Depreciation$2,616,192DepreciationAmt
Book Value$6,383,731BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$345,986,056OtherCostOrOtherBasisAmt
Depreciation$277,385,959DepreciationAmt
Book Value$68,600,097BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,134,599OtherCostOrOtherBasisAmt
Depreciation$562,980DepreciationAmt
Book Value$5,571,619BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$451,146,190TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACCRUED POSTRETIREMENT MEDICAL$88,190
ASSET RETIREMENT OBLIGATION$2,083,699
INTERCOMPANY NOTES PAYABLE$251,744,436
LEASES PAYABLE$744,345
FieldValueIRS element (for citing)
Total Liability$254,660,670TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$755,242TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$755,242NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,300,813TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,898,517DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,402,296NetCommunityBenefitExpnsAmt
Total Expense0.05700TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$48,056,055TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,898,517DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,157,538NetCommunityBenefitExpnsAmt
Total Expense0.05840TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs27ActivitiesOrProgramsCnt
Persons Served29366PersonsServedCnt
Total Community Benefit Expns$2,361,669TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$62,816DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,298,853NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served1905PersonsServedCnt
Total Community Benefit Expns$4,489,631TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,489,631NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served198PersonsServedCnt
Total Community Benefit Expns$6,197,223TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,197,223NetCommunityBenefitExpnsAmt
Total Expense0.01120TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served8654PersonsServedCnt
Total Community Benefit Expns$1,027,582TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,027,582NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs42ActivitiesOrProgramsCnt
Persons Served40123PersonsServedCnt
Total Community Benefit Expns$14,076,105TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$62,816DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,013,289NetCommunityBenefitExpnsAmt
Total Expense0.02540TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs42ActivitiesOrProgramsCnt
Persons Served40123PersonsServedCnt
Total Community Benefit Expns$62,132,160TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,961,333DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,170,827NetCommunityBenefitExpnsAmt
Total Expense0.08380TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served78PersonsServedCnt
Total Community Benefit Expns$12,308TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,508NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served1315PersonsServedCnt
Total Community Benefit Expns$155,869TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$155,869NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,720TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,720NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served13PersonsServedCnt
Total Community Benefit Expns$16,211TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,211NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served2PersonsServedCnt
Total Community Benefit Expns$138,049TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$138,049NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served1408PersonsServedCnt
Total Community Benefit Expns$328,157TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$321,357NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$18,337,317BadDebtExpenseAmt
Bad Debt Expense Attributable$1,245,224BadDebtExpenseAttributableAmt
Reimbursed By Medicare$88,350,860ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$109,271,927CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$20,921,067MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PROHEALTH ALIGNED LLC
AMBULATORY SURGERY CENTER0.500000.49000
2 THE ORTHOPEDIC SURGERY CENTER LLC
ORTHOPEDIC SURGICAL SERVICES0.490000.49000
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndTeaching HospitalTeachingHospitalIndEmergency Room OtherEmergencyRoomOtherIndOtherOtherDesc
PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC
1725 AMERICAN AVENUEWAUKESHAWI53188WWW.PROHEALTHCARE.ORG#41Yes (X)Yes (X)Yes (X)
REHABILITATION HOSPITAL OF WISCONSIN LLC
21625 COLDWATER CREEK DRIVEWAUKESHAWI53188Yes (X)INPATIENT REHABILITATION

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndOtherOtherIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
PROHEALTH WAUKESHA MEMORIAL HOSPITAL IN
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)Yes (1)0Yes (1)Yes (X)HTTPS://TINYURL.COM/Y9C7P5JJYes (X)Yes (X)Yes (1)22Yes (1)HTTPS://TINYURL.COM/Y9C7P5JJ0Yes (1)Yes (X)200.000000000000400.000000000000Yes (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/Y892WQSNYes (X)HTTPS://TINYURL.COM/Y892WQSNYes (X)HTTPS://TINYURL.COM/Y892WQSNYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
REHABILITATION HOSPITAL OF WISCONSIN LLC
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (1)Yes (1)0Yes (1)Yes (X)HTTPS://TINYURL.COM/Y9C7P5JJYes (X)Yes (X)Yes (1)22Yes (1)HTTPS://TINYURL.COM/Y9C7P5JJ0Yes (1)Yes (X)200.000000000000400.000000000000Yes (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/Y892WQSNYes (X)HTTPS://TINYURL.COM/Y892WQSNYes (X)HTTPS://TINYURL.COM/Y892WQSNYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INCPART 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 LLCPART 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, INCPART 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 LLCPART 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, INCPART V, SECTION B, LINE 6A: PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL AND REHABILITATION HOSPITAL OF WISCONSIN LLC
REHABILITATION HOSPITAL OF WISCONSIN LLCPART V, SECTION B, LINE 6A: PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL AND PROHEALTH WAUKESHA MEMORIAL HOSPITAL
PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INCPART 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 LLCPART 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, INCPART 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 LLCPART 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, INCPART 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 LLCPART 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, INCPART 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 LLCPART 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, INCPART V, SECTION B, LINE 16J: REFERENCE TO THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE BACK ALL PATIENT STATEMENTS AND THE PROHEALTH CARE CONSUMER WEBSITE. ADDITIONALLY THROUGH CUSTOMER RELATIONS' INTERACTION WITH PATIENTS, VERBAL REMINDERS OF THE FINANCIAL ASSISTANCE POLICY ARE PROVIDED WHEN DISCUSSING OPEN BALANCES.
REHABILITATION HOSPITAL OF WISCONSIN LLCPART 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 22BASIS 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 2024, THE AGB PERCENTAGE FOR PROHEALTH WAUKESHA MEMORIAL HOSPITAL IS 25.4% AND FOR PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL IS 25.23%. EACH YEAR THE HOSPITAL FACILITIES WILL UPDATE THESE AMOUNTS.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - REHAB HOSPITAL OF WI OUTPATIENT CLINIC
1625 COLDWATER CREEK DRIVEWAUKESHAWI53188OUTPATIENT REHABILATION CLINIC
2 - PROHEALTH ALIGNED LLC
1111 DELAFIELD ST SUITE 100WAUKESHAWI53188AMBULATORY SURGERY CENTER
3 - THE ORTHOPEDIC SURGERY CENTER LLC
W238 N 1610 BUSSE ROAD SUITE 100WAUKESHAWI53188ORTHOPEDIC SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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):$18,337,317 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 6.8% 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. THE CORPORATION'S PATIENT ACCOUNTS RECEIVABLE BALANCE CONSISTS OF AMOUNTS DUE FROM ITS PATIENTS AND THIRD-PARTY PAYORS. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT EXPECTED NET REALIZABLE AMOUNTS. AN ALLOWANCE FOR CREDIT LOSSES IS ESTABLISHED FOR AMOUNTS EXPECTED TO BE UNCOLLECTIBLE OVER THE CONTRACTUAL LIFE OF THE RECEIVABLES. THE CORPORATION EVALUATES PATIENT RECEIVABLES TO DETERMINE THE ALLOWANCE FOR CREDIT LOSSES BASED ON SIMILAR RISK CHARACTERISTICS THAT EXIST WITHIN CERTAIN CLASSES OF PAYORS. THE CORPORATION CALCULATES THE ALLOWANCE USING AN EXPECTED LOSS MODEL THAT CONSIDERS THE CORPORATION'S ACTUAL HISTORICAL LOSS RATES ADJUSTED FOR CURRENT ECONOMIC CONDITIONS AND REASONABLE AND SUPPORTABLE FORECASTS. THE CORPORATION CONSIDERS MARKET TRENDS, FUTURE ECONOMIC CONDITIONS, AND CREDIT RATINGS OF ITS PAYORS WHEN MAKING ADJUSTMENTS FOR REASONABLE AND SUPPORTABLE FORECASTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR CREDIT LOSSES IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. RECOVERIES OF AMOUNTS PREVIOUSLY WRITTEN OFF ARE RECOGNIZED WHEN RECEIVED.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 548,269 VISITS (CLINIC, URGENT CARE, AND VIRTUAL VISITS) AS WELL AS 23,937 IMAGING PROCEDURES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024. 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 8,901 DAYS OF INPATIENT CARE AND APPROXIMATELY 88,130 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024.
PART VI, LINE 7, REPORTS FILED WITH STATESWI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HABITAT FOR HUMANITY OF WAUKESHA & JEFFERSON COUNTIESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12020 SPRINGDALE ROADAddressLine1Txt
CityWAUKESHACityNm
State AbbreviationWIStateAbbreviationCd
ZIP53186ZIPCd
FieldValueIRS element (for citing)
Recipient EIN391642114RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$0CashGrantAmt
Non Cash Assistance$452,288NonCashAssistanceAmt
Valuation Method UsedBOOKValuationMethodUsedDesc
Non Cash AssistanceLAND DONATIONNonCashAssistanceDesc
Purpose Of GrantPROPERTY DONATION FOR HABITAT FOR HUMANITY TO ASSIST WITH ITS CHARITABLE MISSION.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationALL GRANTS ARE APPROVED AND PROCESSED BY THE ORGANIZATION'S MANAGEMENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SUSAN EDWARDS
PRESIDENT AND CEO - PHC$0$1,232,169$0$767,535$0$283,794$0$681,589$0$37,988$0$3,003,075$0$283,794
KENNETH PRICE
CHIEF OPERATING OFFICER$0$529,317$0$302,184$0$114,447$0$291,222$0$54,753$0$1,291,923$0$114,447
ANDREW GUTIERREZ
CHIEF FINANCIAL OFFICER$0$355,604$0$210,808$0$0$0$192,295$0$46,751$0$805,458$0$0
MARGARET PFITZINGER
VP CLINICAL OPERATIONS$248,110$0$100,523$0$0$0$12,401$0$43,901$0$404,935$0$0$0
ALAN JOHNSON
VP CRITICAL CARE & SPECIALTY$237,393$0$94,128$0$0$0$10,826$0$19,785$0$362,132$0$0$0
ELIZABETH D CLARK
DIRECTOR PROFESSIONAL PRACTICE$194,610$0$30,630$0$0$0$4,707$0$42,046$0$271,993$0$0$0
JAMES SEMRAD
VP PHARMACY & SERVICE LINES$222,576$0$33,244$0$0$0$5,027$0$1,683$0$262,530$0$0$0
MEGAN ANDERSON
DIRECTOR CLINICAL OPERATIONS$187,368$0$27,974$0$0$0$7,540$0$1,713$0$224,595$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THIS 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 4BPROHEALTH 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: $283,794 KENNETH PRICE: $114,447
PART I, LINE 7PROHEALTH 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6PROHEALTH CARE, INC. IS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7AACCORDING 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 7BPROHEALTH 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 11BAFTER 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 12CALL 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 15AN 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 2024.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS 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 XI, LINE 9:INVESTMENT FUNDING TO RELATED ORGANIZATIONS -794,969. OTHER CHANGES -16,298. TRANSFER OF EXCESS CASH -75,500,000.
FORM 990, PART XII, LINE 2CTHE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC
791 SUMMIT AVENUEOCONOMOWOCWI53066390794174HOSPITALWI501(C)(3)LINE 3PROHEALTH CARE INCYes (1)
PROHEALTH CARE FOUNDATION INC
725 AMERICAN AVENUEWAUKESHAWI53188391314542CHARITABLE SUPPORTWI501(C)(3)LINE 7PROHEALTH CARE INCYes (1)
PROHEALTH HOME CARE INC
N17 W24100 RIVERWOOD DR SUITE 130WAUKESHAWI53188200067392HEALTHCAREWI501(C)(3)LINE 3PROHEALTH CARE INCYes (1)
NATIONAL REGENCY OF NEW BERLIN INC
N17 W24100 RIVERWOOD DR SUITE 130WAUKESHAWI53188391077992HEALTHCAREWI501(C)(3)LINE 10PROHEALTH CARE INCYes (1)
PROHEALTH CARE INC
N17 W24100 RIVERWOOD DR SUITE 130WAUKESHAWI53188391486873MANAGEMENTWI501(C)(3)LINE 12B, II0N/A
PROHEALTH MEDICAL GROUP INC
N17 W24100 RIVERWOOD DR SUITE 130WAUKESHAWI53188391083015HEALTHCAREWI501(C)(3)LINE 3PROHEALTH CARE INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
PROHEALTH ALIGNED LLC (DBA PROHEALTH CARE MORELAND SURGERY CENTER)
1111 DELAFIELD STREET STE 100WAUKESHAWI53188263324572SURGERY CENTERWIWAUKESHA MEMORIAL HOSPITAL INCRELATED$3,169,324$3,629,5450Yes (1)0.50000
REHABILITATION HOSPITAL OF WISCONSIN LLC
1625 COLDWATER CREEK DRIVEWAUKESHAWI53188262332250INPATIENT REHABILITATIONWIWAUKESHA MEMORIAL HOSPITAL INCRELATED$4,504,464$1,575,0850Yes (1)0.49000
THE ORTHOPEDIC SURGERY CENTER LLC
N15 W28300 GOLF RDPEWAUKEEWI53072208356016ORTHOPEDIC SURGICAL SERVICESWIWAUKESHA MEMORIAL HOSPITAL INCRELATED$5,469,413$2,124,1670Yes (1)0.49000
PROHEALTH SOLUTIONS LLC
N17 W24100 RIVERWOOD DRWAUKESHAWI53188273863494ACCOUNTABLE CARE ORGANIZATIONWI00N/A
LAKE COUNTRY ENDOSCOPY CENTER
1185 CORPORATE CENTER DROCONOMOWOCWI53066261572986ENDOSCOPY SERVICESWI00N/A
PHCOAW CO-MANAGEMENT COMPANY LLC
N17 W24100 RIVERWOOD DR STE 130WAUKESHAWI53188811823911MANAGEMENT SERVICESWI00N/A
GI SPECIALISTS LLC (DBA MORELAND ENDOSCOPY CENTER)
1111 DELAFIELD STREETWAUKESHAWI53188205269133ENDOSCOPY SERVICESWI00N/A
SOUTHERN LAKES ENDOSCOPY CENTER
240 MAPLE AVENUEMUKWONAGOWI53149824245460ENDOSCOPY SERVICESWI00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
WAUKESHA HEALTH SYSTEM INC
N17 W24100 RIVERWOOD DR SUITE 130WAUKESHAWI53188391507910HEALTHCAREWIN/AC0
EMPATHIA PACIFIC INC
31416 AGOURA RD STE 180WESTLAKE VILLAGECA91361953070501HEALTHCARECAN/AC0
NATIONAL AVENUE DEVELOPMENT CORPORATION
N17 W24100 RIVERWOOD DR SUITE 130WAUKESHAWI53188391417226HEALTHCAREWIN/AC0
EMPATHIA INC
N17 W24100 RIVERWOOD DR SUITE 130WAUKESHAWI53188391567366HEALTHCAREWIN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (24 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROHEALTH CARE INC
M$105,885,796ACTUAL COST INCURRED
PROHEALTH CARE INC
R$76,294,969ACTUAL COST INCURRED
THE ORTHOPEDIC SURGERY CENTER LLC
S$4,953,567ACTUAL AMOUNT RECEIVED
REHABILITATION HOSPITAL OF WISCONSIN LLC
S$4,931,101ACTUAL AMOUNT RECEIVED
PROHEALTH MEDICAL GROUP INC
Q$3,991,302ACTUAL AMOUNT RECEIVED
PROHEALTH MEDICAL GROUP INC
P$3,325,274ACTUAL COST INCURRED
PROHEALTH SOLUTIONS LLC
L$3,042,894ACTUAL AMOUNT RECEIVED
PROHEALTH MEDICAL GROUP INC
A$2,868,614ACTUAL AMOUNT RECEIVED
PROHEALTH ALIGNED LLC (DBA MSC)
S$2,867,901ACTUAL AMOUNT RECEIVED
PROHEALTH MEDICAL GROUP INC
L$2,838,093ACTUAL AMOUNT RECEIVED
PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC
Q$2,263,099ACTUAL AMOUNT RECEIVED
PROHEALTH CARE FOUNDATION INC
C$1,469,855ACTUAL AMOUNT RECEIVED
REHABILITATION HOSPITAL OF WISCONSIN LLC
A$1,427,884ACTUAL AMOUNT RECEIVED
PROHEALTH SOLUTIONS LLC
M$1,117,177ACTUAL COST INCURRED
WAUKESHA HEALTH SYSTEM INC
M$795,744ACTUAL COST INCURRED
NATIONAL REGENCY OF NEW BERLIN INC
K$701,404ACTUAL COST INCURRED
PROHEALTH MEDICAL GROUP INC
K$581,546ACTUAL COST INCURRED
WAUKESHA HEALTH SYSTEM INC
A$205,941ACTUAL AMOUNT RECEIVED
PROHEALTH HOME CARE INC
L$155,326ACTUAL AMOUNT RECEIVED
REHABILITATION HOSPITAL OF WISCONSIN LLC
L$150,554ACTUAL AMOUNT RECEIVED
PROHEALTH HOME CARE INC
Q$138,208ACTUAL AMOUNT RECEIVED
PROHEALTH CARE INC
L$125,662ACTUAL AMOUNT RECEIVED
NATIONAL REGENCY OF NEW BERLIN INC
L$120,000ACTUAL COST INCURRED
WAUKESHA HEALTH SYSTEM INC
K$94,378ACTUAL COST INCURRED

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.