2021-08-06T08:10:52-05:00 2020-09-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2019-10-01 391486873 PROHEALTH CARE INC PROH 2629282981 N17 W24100 RIVERWOOD DRIVE NO 200 WAUKESHA WI 531881131 RONALD FARR CHIEF FINANCIAL OFFICER 2629282981 2021-07-14 1 DAVID LOWENTHAL P00378651 2483522500 2021-07-14 2019 2022-09-23 18:48:47Z SUSAN EDWARDS N17 W24100 RIVERWOOD DRIVE NO 200 WAUKESHA WI 531881131 216810624 0 X WWW.PROHEALTHCARE.ORG X 1983 WI MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND OTHER HEALTHCARE DELIVERY ENTITIES. 15 13 1371 450 180616 33133 2371240 619755 126266246 140442116 16206013 54391290 709418 1389445 145552917 196842606 0 0 0 0 90041292 92443541 0 0 0 49947560 38971885 139988852 131415426 5564065 65427180 1433997641 1511899770 466832994 468004843 967164647 1043894927 CONTINUOUSLY IMPROVING THE HEALTH OF OUR COMMUNITY. 0 0 31641402 140261502 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. 31641402 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 152 0 1 1371 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 15 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X RONALD FARR 2629284740 N17 W24100 RIVERWOOD DRIVE SUITE WAUKESHA WI 531881131 SUSAN EDWARDS PRESIDENT AND CEO 40.00 12.00 X X 1639910 0 44572 ARTHUR COFFEY CHIEF PHY OPS OFFICER/PHYSICIAN 25.00 25.00 X 123465 964704 36328 RONALD FARR CHIEF FINANCIAL OFFICER 40.00 12.00 X 928135 0 185924 JEFFERY SQUIRE CHIEF CORPORATE AFFAIRS OFFICER 40.00 2.00 X 485352 0 310861 KENNETH PRICE CHIEF OPERATING OFFICER 40.00 10.00 X 658930 0 105233 RALPH TOPINKA CHIEF LEGAL OFFICER 40.00 8.00 X 607107 0 138904 PHILIP KUBOW CHIEF HR OFFICER 40.00 8.00 X 550985 0 97682 PETER BACON CHIEF BUS DEVELOPMENT OFFICER 40.00 8.00 X 556245 0 71072 DONALD REICHERT CIO/VP INFORMATION SERVICE 50.00 0.00 X 530326 0 61457 MARY BAKER CHIEF CLINICAL OPS OFFICER 40.00 10.00 X 448192 0 50298 CURTIS GLAUNERT VP REVENUE CYCLE 50.00 0.00 X 375876 0 27399 BRADLEY TREICHEL CHIEF TRANSFORMATION OFFICER 50.00 2.00 X 319373 0 44294 STEPHANIE ORZECHOWSKI CHIEF ADMINISTRATIVE OFFICER 50.00 0.00 X 334510 0 18496 DANIEL BAILEY VP PAYER CONTRACT & FINANCE 50.00 0.00 X 299484 0 40387 VICKI DALLMANN-PAPKE VP POPULATION HEALTH MGMNT 50.00 0.00 X 301250 0 35284 JAMES GARDNER VP PHYSICIAN INTEGRATION 32.00 0.00 X 254359 0 35133 KEN RIESCH CHAIRPERSON 2.00 8.00 X X 0 0 0 MIKE ERWIN VICE CHAIRPERSON 2.00 8.00 X X 0 0 0 JULIE SCHROEDER TREASURER 2.00 8.00 X X 0 0 0 BETTY ARNDT SECRETARY 2.00 8.00 X X 0 0 0 SUE BELLEHUMEUR DIRECTOR 2.00 8.00 X 0 0 0 GARY BEYER DIRECTOR 2.00 8.00 X 0 0 0 JIM GANNON DIRECTOR 2.00 8.00 X 0 0 0 JOHN HALLETT DIRECTOR 2.00 8.00 X 0 0 0 EMERY HARLAN DIRECTOR 2.00 8.00 X 0 0 0 DAN MATOLA DIRECTOR 2.00 8.00 X 0 0 0 MARK MOHR DIRECTOR 2.00 8.00 X 0 0 0 E JOHN RAASCH DIRECTOR 2.00 8.00 X 0 0 0 RALPH RAMIREZ DIRECTOR 2.00 8.00 X 0 0 0 DAVID ROELKE DIRECTOR 2.00 8.00 X 0 0 0 8413499 964704 1303324 113 0 1 0 OLIVER WYMAN PO BOX 3800-28 BOSTON MA 02241 PROFESSIONAL SERVICES 12245463 MAESTRO STRATEGIES LLC PO BOX 767069 ROSWELL GA 30076 PROFESSIONAL SERVICES 3009553 MIRON CONSTRUCTION PO BOX 509 NEENAH WI 54957 CONSTRUCTION SERVICES 2691826 BVK 250 W COVENTRY COURT SUITE 300 MILWAUKEE WI 53217 PRINTING SERVICE 2440922 TALON OF NC LLC 201 NORTH BROAD ST 301 WINSTONSALEM NC 27101 PROFESSIONAL SERVICES 1684856 67 526051 93704 619755 SUPPORT SERVICES 561000 140261502 140261502 TRANSPORTATION 480000 132600 132600 MARKETING FEES 561000 48014 48014 140442116 12730425 2 12730423 61626275 2608 19968018 0 41658257 2608 41660865 41660865 INVESTMENT IN JV 900099 1389445 1389445 1389445 196842606 140261502 180616 55780733 X 6893430 6893430 62104909 22363795 39741114 3387657 3387657 15351496 357 15351139 4706049 1584031 3122018 856613 856613 380349 380349 16111 16111 21445851 4539606 16906245 1042900 43341 999559 2855404 635338 2220066 3198069 175092 3022977 169396 124424 44972 163527 55189 108338 921463 179557 741906 3200807 3200807 157368 42025 115343 BILLING & COLLECTION 1618176 1618176 REPAIRS & MAINTENANCE 1260509 1252701 7808 PATIENT CARE SUPPLIES 1062779 425217 637562 DUES & SUBSCRIPTIONS 326047 37610 288437 296516 183119 113397 131415426 31641402 99774024 0 2817503 5115579 0 10011681 2462312 1496900 52921830 19408146 44399772 33513684 740523317 768284404 5760679 5855927 231159863 267428627 268982 268982 406605213 419923986 1433997641 1511899770 30644929 23704296 36277 2278873 386908660 380820899 26078231 35569877 20420208 19680268 2744689 5950630 466832994 468004843 X 967164647 1043894927 967164647 1043894927 1433997641 1511899770 X 65427180 -86444 11389544 X X 0 1 X 1 1 0 X X 5 PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC 390910727 3 1 0 0 PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC 390794174 3 1 0 0 PROHEALTH HOME CARE INC 200067392 3 1 0 0 NATIONAL REGENCY OF NEW BERLIN INC 391077992 10 1 0 0 PROHEALTH MEDICAL GROUP INC 391083015 3 1 0 0 5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 16111 16111 0 PART II-B, LINE 1: 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. 4826582 4826582 21428382 3591045 17837337 14691194 8872618 5818576 10927930 6944483 3983447 1047742 1047742 33513684 INVESTMENT IN WHS/OCC/MA 260005008 C INVESTMENT IN ABOUTHEALTH 100000 C INVESTMENT IN MEC 7323619 C 267428627 INTERCOMPANY NOTE RECEIVABLE 384333090 DUE FROM AFFILIATES 20147593 DEFERRED COMPENSATION 330643 SERP TRUST 1409621 HELD FOR SALE ASSETS 8115254 ROU LEASE ASSETS AND A/D 3181123 MISCELLANEOUS RECEIVABLES 2393526 OTHER 13136 419923986 DEFERRED COMPENSATION 330642 ACCRUED MINIMUM SERP LIABILITY 671028 INSURANCE LIABILITY 10000 OTHER LONG - TERM LIABILITIES 1902536 OPERATING LEASE PAYABLE 3036424 5950630 X X X X 0 1 0 0 0 1 1 0 0 SUSAN EDWARDS PRESIDENT AND CEO 1018182 0 621728 0 0 0 12500 0 32072 0 1684482 0 0 0 ARTHUR COFFEY CHIEF PHY OPS OFFICER/PHYSICIAN 111465 811413 12000 153291 0 0 0 0 10637 25691 134102 990395 0 0 RONALD FARR CHIEF FINANCIAL OFFICER 521830 0 291132 0 115173 0 132697 0 53227 0 1114059 0 115173 0 JEFFERY SQUIRE CHIEF CORPORATE AFFAIRS OFFICER 302986 0 149014 0 33352 0 265271 0 45590 0 796213 0 33352 0 KENNETH PRICE CHIEF OPERATING OFFICER 396983 0 224087 0 37860 0 60171 0 45062 0 764163 0 37860 0 RALPH TOPINKA CHIEF LEGAL OFFICER 358765 0 172640 0 75702 0 91046 0 47858 0 746011 0 75702 0 PHILIP KUBOW CHIEF HR OFFICER 343870 0 167633 0 39482 0 50942 0 46740 0 648667 0 39482 0 PETER BACON CHIEF BUS DEVELOPMENT OFFICER 359795 0 173754 0 22696 0 60103 0 10969 0 627317 0 22696 0 DONALD REICHERT CIO/VP INFORMATION SERVICE 369250 0 161076 0 0 0 12500 0 48957 0 591783 0 0 0 MARY BAKER CHIEF CLINICAL OPS OFFICER 300006 0 148186 0 0 0 12500 0 37798 0 498490 0 0 0 CURTIS GLAUNERT VP REVENUE CYCLE 262733 0 113143 0 0 0 5009 0 22390 0 403275 0 0 0 BRADLEY TREICHEL CHIEF TRANSFORMATION OFFICER 223603 0 95770 0 0 0 13901 0 30393 0 363667 0 0 0 STEPHANIE ORZECHOWSKI CHIEF ADMINISTRATIVE OFFICER 225708 0 108802 0 0 0 11430 0 7066 0 353006 0 0 0 DANIEL BAILEY VP PAYER CONTRACT & FINANCE 208252 0 91232 0 0 0 7411 0 32976 0 339871 0 0 0 VICKI DALLMANN-PAPKE VP POPULATION HEALTH MGMNT 210009 0 91241 0 0 0 16590 0 18694 0 336534 0 0 0 JAMES GARDNER VP PHYSICIAN INTEGRATION 165129 0 89230 0 0 0 4759 0 30374 0 289492 0 0 0 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: $115,173 KENNETH PRICE: $37,860 PETER BACON: $22,696 PHILIP KUBOW: $39,482 RALPH TOPINKA: $75,702 JEFFREY SQUIRE: $33,352 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. A WISCONSIN HEALTH & EDUCATIONAL FACILITIES 391337855 977108T51 2012-05-04 44650000 CURRENT REFUND BONDS ISSUED IN 1999, 2001 & 2009 0 0 0 B WISCONSIN HEALTH & EDUCATIONAL FACILITIES 391337855 97712DKQ8 2015-01-29 133630000 ADVANCED REFUND BONDS ISSUED ON 4/30/2009 0 0 0 C WISCONSIN HEALTH & EDUCATIONAL FACILITIES 391337855 2014-12-18 204800000 SEE PART VI SUPPLEMENTAL INFORMATION 0 0 0 A 7685000 47276592 644599 46631994 2010 1 1 1 1 B 145977595 145977595 1450228 2010 1 1 1 1 C 3465000 879063 70000000 133920937 2015 1 1 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 C 0 0 1 0 1 0 0 0 0 A 0 B 0 C 0 SCHEDULE K, PART I BOND ISSUES, COLUMN F: CONSTRUCTION OF CERTAIN HEALTHCARE FACILITIES AND ADVANCED REFUNDING OF SERIES 2008A, 2008B (ISSUED 8/14/08) AND 2005 (5/1/05). 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/PRESIDENT, OFFICER, EXECUTIVE DIRECTOR, VICE- PRESIDENT, AND SENIOR 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 2020. 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 IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 2,051,166. MANAGEMENT AND GENERAL EXPENSES 16,830,574. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,881,740. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 2,488,440. MANAGEMENT AND GENERAL EXPENSES 24,675. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,513,115. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9,075. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,075. EMPLOYEE PHYSICAL EXAMS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 41,921. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,921. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTIONS FROM RELATED ORGANIZATIONS 4,517,027. PENSION RELATED CHANGES NET PERIODIC BENEFIT COST 3,754,797. INVESTMENT FUNDING FROM RELATED ORGANIZATIONS 783,335. TRANSFER FROM AFFILIATE FOR CENTRALLY MANAGED INVESTMENTS 6,780,000. ASC 843 IMPACT - DEFERRED SALES LEASEBACK 160,211. PENSION PLAN TERMINATION LOSS -4,605,826. FORM 990, PART XII, LINE 2C THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. FORM 990, PART XII, LINE 3B: THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 HAS NOT BEEN COMPLETED YET FOR THE FISCAL YEAR-END 9/30/20, BUT PLANS TO COMPLETED BY THE EXTENDED DUE DATE 9/30/21 AS ESTABLISHED IN OMB M-20-26. 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