2020-12-14T09:54:11-06:00 2020-01-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2019-02-01 391664109 MILWAUKEE HEALTH SERVICES INC MILW 4143728080 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 TITO IZARD MD PRESIDENT & CEO 4143728080 2020-12-11 1 CHLOE CHIUMINATTO P01924323 4144319300 2020-12-11 2019 2022-09-23 18:48:47Z TITO IZARD MD 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 20395002 0 X WWW.MHSI.ORG X 1989 WI TO PROVIDE MEDICAL AND DENTAL PRIMARY CARE SERVICES TO A MEDICALLY UNDERSERVED POPULATION. 9 9 249 280 0 0 4430163 4260288 19808849 15619154 303 3148 157921 431121 24397236 20313711 37306 11939 0 0 11721676 12373439 0 0 0 7915436 8736047 19674418 21121425 4722818 -807714 15593559 13576595 7686376 6477126 7907183 7099469 TO PROVIDE ACCESSIBLE, QUALITY PRIMARY AND RELATED HEALTH CARE SERVICES TO MILWAUKEE RESIDENTS, WITH OUR CONTINUING EMPHASIS ON MEDICALLY-UNDERSERVED FAMILIES AND INDIVIDUALS. 0 0 16715012 11939 15619154 MHSI IS A PRIVATE, NON-PROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC), SERVING THE COMMUNITY OF MILWAUKEE SINCE 1989. MHSI PROVIDES A COMPREHENSIVE RANGE OF PRIMARY MEDICAL, DENTAL, PODIATRY, AND BEHAVIORAL HEALTHCARE, IN ADDITION TO A LIMITED NUMBER OF SPECIALTY SERVICES. MHSI IS COMMITTED TO REMOVING BARRIERS AND IMPROVING HEALTH OUTCOMES TO PROMOTE QUALITY OF LIFE AND REDUCE DISPARITIES AMONG RACIAL AND ETHNIC COMMUNITIES. 15,766 UNIQUE PATIENTS WERE SERVED DURING 2019. 16715012 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 78 0 249 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X LAURIE YAKE 4143728080 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 KAREN BAKER DIRECTOR 1.00 X 0 0 0 CURTISS HARRIS DIRECTOR 1.00 X 0 0 0 DR PAULA LUCEY DIRECTOR 1.00 X 0 0 0 CURTISS MARSHALL DIRECTOR 1.00 X 0 0 0 BRIDGETT MOSS DIRECTOR 1.00 X 0 0 0 CARMEN MURGUIA DIRECTOR (THRU JUNE) 1.00 X 0 0 0 WALTER LANIER CHAIRPERSON 1.00 X X 0 0 0 GINA GREEN-HARRIS VICE-CHAIRPERSON 1.00 X X 0 0 0 JADDIA ARNOLD SECRETARY 1.00 X X 0 0 0 AUDREY SELLERS TREASURER 1.00 X X 0 0 0 DR TITO IZARD PRESIDENT & CEO 40.00 X 300740 0 22733 TANYA STAMPS CHIEF FINANCE OFFICER (THRU MARCH) 40.00 X 28591 0 1066 LAURIE YAKE CHIEF FINANCE OFFICER (BEG. APRIL) 40.00 X 75082 0 6334 DR ARONICA WILLIAMS CHEIF MEDICAL OFFICER 40.00 X 209428 0 13069 DR ENID TROTMAN PHYSICIAN 40.00 X 170697 0 17128 DR NICOLE MUBANGA PHYSICIAN 40.00 X 157520 0 7387 DR ARTHUR MINES PHYSICIAN 40.00 X 147594 0 3416 ANGELA SMITH PHARMACY MANAGER 40.00 X 132223 0 12478 1221875 0 83611 19 0 1 0 MAXIM HEALTHCARE SERVICES INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 STAFFING SERVICES 651783 MERINO COMPUTER CONCEPTS INC 1822 W KETTLEMAN LANE SUITE 4 LODI CA 95242 IT SERVICES 395901 DR BASIL JACKSON W142 N7967 THORNDELL DRIVE MENOMONEE FALLS WI 53051 MEDICAL PROVIDER 202300 RPS IMAGING 1815 WASHINGTON STREET MICHIGAN CIT IN 46360 X-RAY READING SERVICES 157250 CROSS COUNTRY STAFFING DBA MEDICAL STAF PO BOX 840295 DALLAS TX 75284 STAFFING SERVICES 150514 7 65332 4132377 62579 4260288 PATIENT SERVICE REVENUE 624100 15619154 15619154 15619154 3148 3148 43110 65332 81291 -38181 -38181 999 0 999 999 OUTSTATIONED ENROLLMENT REVENUE 624100 189154 189154 OUTREACH ENROLLMENT REVENUE 624100 97863 97863 INDEPENDENT PHYSICIANS NETWORK 624100 93760 93760 87526 87526 468303 20313711 15619154 0 434269 X 11939 11939 460842 372912 87930 8738315 7104519 1633796 338323 258664 79659 2128389 1627250 501139 707570 540970 166600 34555 34555 93402 93402 2144086 1638212 505874 40743 40743 487364 336294 151070 443585 352367 91218 1101803 768596 333207 52827 1852 50975 129455 120256 9199 298355 298355 530427 280624 249803 21546 21546 PHARMACEUTICALS 3151813 3151813 HEALTH PROMOTIONS 106312 79207 27105 DUES AND SUBSCRIPTIONS 34088 11968 22120 65686 57569 8117 21121425 16715012 4406413 0 126116 2528948 1012401 607372 5477747 1972780 98858 116414 88392 90256 19454275 11193450 8790045 8260825 15593559 13576595 2731319 1848848 5000 3599 4722776 4498417 227281 126262 7686376 6477126 X 7626175 6908849 281008 190620 7907183 7099469 15593559 13576595 -807714 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 746728 746728 13483927 6886106 6597821 416893 416893 0 4806727 3890451 916276 8260825 CAPITAL LEASE OBLIGATIONS 126262 126262 X 20395002 0 20395002 -81291 -81291 20313711 21202716 81291 81291 21121425 0 21121425 PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING WHETHER IT IS MORE LIKELY THAN NOT THAT THE TAXING AUTHORITY WOULD SUSTAIN THE TAX POSITION UPON EXAMINATION OF THE TECHNICAL MERITS OF THE TAX POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. THE ORGANIZATION HAS RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -81,291. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRASING EXPENSES 81,291. LAUGHTER FOR THE SOUL 108442 65332 43110 4948 4610 10080 61653 108442 65332 43110 4948 4610 10080 61653 81291 -38181 1 PATIENT ASSISTANCE 22 9993 PATIENT TRANSPORTATION 116 1946 PART I, LINE 2: THE ORGANIZATION DOCUMENTS ALL RELEVANT INFORMATION PERTAINING TO MEDICAL ASSISTANCE GIVEN TO THE PATIENT, IN THE PATIENT RECORDS. ASSISTANCE WITH TRANSPORTATION IS PROVIDED THROUGH BUS VOUCHERS. THE PATIENT SIGNS FOR THE RECEIPT OF THE BUS VOUCHER AND A RECORD IS MAINTAINED IN THE EIP DEPARTMENT. X X X X 0 0 0 0 0 0 0 0 0 DR TITO IZARD PRESIDENT & CEO 300529 0 211 0 0 0 13469 0 9264 0 323473 0 0 0 DR ARONICA WILLIAMS CHEIF MEDICAL OFFICER 209217 0 211 0 0 0 9697 0 3372 0 222497 0 0 0 DR ENID TROTMAN PHYSICIAN 170487 0 210 0 0 0 7615 0 9513 0 187825 0 0 0 DR NICOLE MUBANGA PHYSICIAN 156060 0 1460 0 0 0 7387 0 0 0 164907 0 0 0 DR ARTHUR MINES PHYSICIAN 147384 0 210 0 0 0 800 0 2616 0 151010 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CONTROLLER, CHIEF FINANCIAL OFFICER, AND PRESIDENT/CEO OF THE ORGANIZATION. AFTER SATISFACTORY REVIEW, IT IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW. BEFORE FILING WITH THE INTERNAL REVENUE SERVICE, THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THAT ALL EMPLOYEES AND BOARD MEMBERS DISCLOSE IN WRITING AND UPDATE AT LEAST ANNUALLY, ALL BUSINESS AND IMMEDIATE FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST. IN ADDITION, EMPLOYEES WITH NON-COMPETE CONTRACTS MUST DISCLOSE TO THE PRESIDENT/CEO, AND PRESIDENT/CEO MUST DISCLOSE TO THE BOARD CHAIRPERSON, IN WRITING THE SPECIFICS OF ANY PLAN TO ACCEPT OUTSIDE EMPLOYMENT SO THAT OUTSIDE EMPLOYMENT MAY BE DETERMINED IF POTENTIAL CONFLICT EXISTS. NO BOARD MEMBER MAY VOTE ON ANY MATTER WHICH MAY DIRECTLY OR INDIRECTLY RESULT IN FINANCIAL GAIN TO THAT MEMBER, OR WHICH MAY CONFLICT WITH THAT MEMBER'S OBLIGATIONS TO ANOTHER ORGANIZATION'S BOARD OF DIRECTORS. PROVIDED THAT THE BOARD MEMBER HAS FIRST DISCLOSED A CONFLICT OR POTENTIAL CONFLICT, AND ABSTAINS FROM VOTING IN THAT REGARD, HE/SHE MAY PARTICIPATE IN DISCUSSIONS RELATING TO THAT MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE EXECUTIVE COMPENSATIONS IS BASED ON PERFORMANCE EVALUATION, ANALYZING COMPENSATION SURVEYS/STUDIES, REVIEW OF 990S OF OTHER ORGANIZATIONS AND APPROVAL OF THE REVISED EMPLOYMENT AGREEMENT BY THE BOARD CHAIR. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,044,784. MANAGEMENT AND GENERAL EXPENSES 505,084. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,549,868. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 436,881. MANAGEMENT AND GENERAL EXPENSES 790. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 437,671. LABORATORY FEES: PROGRAM SERVICE EXPENSES 156,547. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 156,547.