2018-08-09T18:15:14-05:00 2017-09-30 381357951 PLANTE & MORAN PLLC 27400 Northwestern Highway Southfield MI 48034 990 2016-10-01 391486873 PROHEALTH CARE INC PROH 2629282981 N17 W24100 RIVERWOOD DRIVE No 200 WAUKESHA WI 531881131 RONALD FARR CHIEF FINANCIAL/ADMIN OFFICER 2629282981 2018-07-26 1 David Lowenthal P00378651 2483522500 2018-07-26 2016 2022-09-23 18:48:47Z SUSAN EDWARDS N17 W24100 RIVERWOOD DRIVE No 200 WAUKESHA WI 531881131 174389906 0 X WWW.PROHEALTHCARE.ORG X 1983 WI MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND OTHER HEALTHCARE DELIVERY ENTITIES. 14 13 1180 450 144244 49758 25890913 19619537 120602339 127402199 8851988 19587563 33462 1396307 155378702 168005606 0 0 0 0 83299569 81180397 0 0 0 33653339 38123897 116952908 119304294 38425794 48701312 1127721922 1255797040 455038693 455191989 672683229 800605051 CONTINUOUSLY IMPROVING THE HEALTH OF OUR COMMUNITY. 0 0 110335621 127257955 PROHEALTH CARE PROVIDES SUPPORT TO WAUKESHA MEMORIAL AND OCONOMOWOCMEMORIAL, OUR HOSPITALS, IN ADDITION TO MEDICAL CENTERS, ASSISTEDLIVING/LONG-TERM CARE, HOME HEALTH AND HOSPICE, FITNESS, AND OTHERHEALTHCARE SERVICES. AMONG THE SERVICES PROVIDED ARE ADMINISTRATION,FINANCIAL AND PATIENT ACCOUNTING, DECISION SUPPORT, INFORMATIONSYSTEMS, PUBLIC RELATIONS, HUMAN RESOURCES, MATERIALS AND FACILITIESMANAGEMENT, AND EDUCATION. 110335621 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 1 137 0 1 1180 1 1 1 0 0 0 0 0 0 0 0 0 X 14 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 & CEO 40.00 12.00 X X 1309663 0 832068 MIKE ERWIN VICE CHAIRPERSON 2.00 8.00 X X 0 0 0 MARK MOHR CHAIRPERSON 2.00 8.00 X X 0 0 0 BETTY ARNDT SECRETARY 2.00 8.00 X X 0 0 0 JULIE SCHROEDER TREASURER 2.00 8.00 X X 0 0 0 JIM GANNON DIRECTOR 2.00 8.00 X 0 0 0 E JOHN RAASCH DIRECTOR 2.00 8.00 X 0 0 0 DOUG HASTAD 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 SUE BELLEHUMEUR DIRECTOR 2.00 8.00 X 0 0 0 KEN RIESCH DIRECTOR 2.00 8.00 X 0 0 0 GARY BEYER dIRECTOR 2.00 8.00 X 0 0 0 JOHN HALLETT dIRECTOR 2.00 8.00 X 0 0 0 RONALD FARR CHIEF FINANCIAL/ADMIN OFFICER 40.00 12.00 X 644036 0 181999 JOHN ROBERTSTAD CHIEF COMMUNITY LIAISON 20.00 28.00 X 638900 55258 57266 KENNETH PRICE CHIEF OPERATING OFFICER 40.00 12.00 X 411672 0 145979 PETER BACON CHIEF BUS DEVELOPMNET OFFIcer 40.00 0.00 X 430598 0 105178 JEFFREY SQUIRE CHIEF CORPORATE AFFAIRS OFficer 40.00 0.00 X 390753 0 166500 PHILIP KUBOW CHIEF HR OFFICER 40.00 0.00 X 421114 0 146306 STEVEN KULICK CHIEF MEDICAL OFFICER 40.00 0.00 X 574737 0 21972 KATHY SCOTT CHIEF INTEGRATION OFFICER 40.00 2.00 X 573724 0 229621 MARY LEE RATZEL CHIEF LEGAL OFFICER 40.00 0.00 X 357903 0 2622 RALPH TOPINKA CHIEF LEGAL OFFICER 40.00 0.00 X 424066 0 43429 BRIAN LIPMAN CHIEF PHYSICIAN OPS OFFICER 40.00 0.00 X 690462 0 68871 MARIA HILL VP CARE MGMT & POST-ACUTE CARE 40.00 0.00 X 276024 0 25536 JAMES GARDNER VP PHYSICIAN INTEGRATION 40.00 0.00 X 249274 0 44332 FREDERICK MEIER VP MATERIALS MANAGEMENT 40.00 0.00 X 243658 0 37697 CURTIS GLAUNERT VP REVENUE CYCLE 40.00 0.00 X 311196 0 25349 JEANNE SCINTO VP PERFORMANCE EXCELLENCE 40.00 0.00 X 281538 0 44723 8229318 55258 2179448 90 0 1 0 PRISM HEALTHCARE 190 S LA SALEE ST STE 2900 CHICAGO IL 60603 CONSULTING 3898334 BVK 250 W COVENTRY COURT SUITE 300 MILWAUKEE WI 53217 MARKETING 3042042 HURON CONSULTING SERVICES 3005 MOMENTUM PLACE CHICAGO IL 60689 CONSULTING 3009858 CSRA RIVERWOOD CORPORATE CN 3700 74TH AVE NORTH BROOKLYN PARK MN 55443 RENT OF PROPERTY 1569808 PLANTE & MORAN PLLC 16060 COLLECTIONS CENTER DR CHICAGO IL 60693 Audit and Tax Services 442735 35 19541525 78012 19619537 SUPPORT SERVICES 561000 127257955 127257955 TRANSPORTATION 480000 98738 98738 MARKETING FEES 561000 45506 45506 127402199 9339902 9339902 16619542 12419 6380800 3500 10238742 8919 10247661 10247661 Investment in MEC 900099 1348077 1348077 INVESTMENT IN JV 900099 48230 48230 1396307 168005606 127257955 144244 20983870 X 6679054 6679054 55302958 55302958 487520 -138825 626345 14489292 14489292 4221573 4023920 197653 925111 925111 13905 13905 18885768 18885768 4614337 4614337 2780483 2775961 4522 2491221 2491221 230990 219046 11944 763518 648301 115217 1211010 1211010 106288 106288 REPAIRS & MAINTENANCE 3671048 3671048 BILLING & COLLECTION 1841298 1841298 DUES & SUBSCRIPTIONS 588920 193998 394922 119304294 110335621 8968673 0 4048869 3664024 17565082 20013133 2575084 2159902 14991929 7539720 6569269 7452209 575189486 665733140 1616411 1559888 127592626 163426429 268983 268983 392296112 391519332 1127721922 1255797040 23266901 32671572 391286944 389849183 31400000 30473589 9084848 2197645 455038693 455191989 X 672683229 800605051 672683229 800605051 1127721922 1255797040 X 48701312 35694233 43526277 X X 0 1 X 1 0 X X 5 WAUKESHA MEMORIAL HOSPITAL INC 390910727 3 1 0 0 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 CARE MEDICAL ASSOCIATES 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 13905 13905 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. 616843 616843 1689204 454932 1234272 5244061 2847522 2396539 6776276 4237266 2539010 665545 665545 7452209 INVESTMENT IN WHS/OCC/MA 154923352 C INVESTMENT IN ABOUTHEALTH 100000 C INVESTMENT IN MEC 8403077 C 163426429 INTERCOMPANY NOTE PAYABLE 391484106 Other Assets 35226 391519332 ACCRUED MINIMUM PENSION 1264650 DEFERRED COMPENSATION 281423 ACCRUED MINIMUM SERP LIABILITY 631292 INSURANCE LIABILITY 20280 2197645 X X X X 1 1 0 0 0 1 1 0 0 SUSAN EDWARDS PRESIDENT & CEO 878773 0 430890 0 0 0 805877 0 26191 0 2141731 0 0 0 RONALD FARR CHIEF FINANCIAL/ADMIN OFFICER 465048 0 178988 0 0 0 140273 0 41726 0 826035 0 0 0 JOHN ROBERTSTAD CHIEF COMMUNITY LIAISON 424008 55258 214892 0 0 0 14998 1085 36571 4612 690469 60955 0 0 KENNETH PRICE CHIEF OPERATING OFFICER 295861 0 115811 0 0 0 112089 0 33890 0 557651 0 0 0 PETER BACON CHIEF BUS DEVELOPMNET OFFIcer 308459 0 122139 0 0 0 76341 0 28837 0 535776 0 0 0 JEFFREY SQUIRE CHIEF CORPORATE AFFAIRS OFficer 284483 0 106270 0 0 0 127775 0 38725 0 557253 0 0 0 PHILIP KUBOW CHIEF HR OFFICER 302139 0 118975 0 0 0 108645 0 37661 0 567420 0 0 0 STEVEN KULICK CHIEF MEDICAL OFFICER 413742 0 160995 0 0 0 12000 0 9972 0 596709 0 0 0 KATHY SCOTT CHIEF INTEGRATION OFFICER 420066 0 153658 0 0 0 200167 0 29454 0 803345 0 0 0 MARY LEE RATZEL CHIEF LEGAL OFFICER 44924 0 0 0 312979 0 358 0 2264 0 360525 0 0 0 RALPH TOPINKA CHIEF LEGAL OFFICER 311813 0 112253 0 0 0 11603 0 31826 0 467495 0 0 0 BRIAN LIPMAN CHIEF PHYSICIAN OPS OFFICER 469360 0 221102 0 0 0 27486 0 41385 0 759333 0 0 0 MARIA HILL VP CARE MGMT & POST-ACUTE CARE 213742 0 62282 0 0 0 10008 0 15528 0 301560 0 0 0 JAMES GARDNER VP PHYSICIAN INTEGRATION 183092 0 66182 0 0 0 9668 0 34664 0 293606 0 0 0 FREDERICK MEIER VP MATERIALS MANAGEMENT 179180 0 64478 0 0 0 6181 0 31516 0 281355 0 0 0 CURTIS GLAUNERT VP REVENUE CYCLE 221774 0 89422 0 0 0 9681 0 15668 0 336545 0 0 0 JEANNE SCINTO VP PERFORMANCE EXCELLENCE 206256 0 75282 0 0 0 9829 0 34894 0 326261 0 0 0 Part I, Lines 4a-b LINE 4A: MARY LEE RATZEL RECEIVED SEVERENCE PAYMENTS TOTALING $296,960 DURING THE TAX YEAR. PAYMENTS ARE MADE IN BIWEEKLY INSTALLMENTS OVER A FIFTY-TWO WEEK PERIOD PER THE AGREEMENT SIGNED BY THE PARTIES ON FEBRUARY 8, 2016. LINE 4B: PROHEALTH CARE INC. (PHC) MAINTAINS TWO SUPPLEMENTAL RETIREMENT PLANS (SERPS) FOR A SELECT GROUP OF EXECUTIVES OF PHC AND ITS AFFILIATED ENTITIES. THESE SERPS ARE UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION PLANS THAT ARE INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THESE SERPS ARE TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. SERP PAYMENTS DURING THE YEAR ARE AS FOLLOWS: MARY LEE RATZEL: $8,812 KATHY SCOTT: $23,812 JEFFREY SQUIRE: $16,686 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 147427823 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 1000000 47276592 644599 46631994 2010 1 1 1 1 B 145977595 145977595 1450228 2010 1 1 1 1 C 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 2017. 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 AGENCY STAFFING: Program service expenses 268,723. Management and general expenses 0. Fundraising expenses 0. Total expenses 268,723. OUTSIDE SERVICES: Program service expenses 18,598,491. Management and general expenses 0. Fundraising expenses 0. Total expenses 18,598,491. EMPLOYEE PHYSICAL EXAMS: Program service expenses 18,554. Management and general expenses 0. Fundraising expenses 0. Total expenses 18,554. Form 990, Part XI, line 9: CAPITAL CONTRIBUTIONS TO RELATED ORGANIZATIONS 2,687,359. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE 732,239. CHANGE IN SERP VALUATION -615,236. INVESTMENT FUNDING FROM RELATED ORGANIZATIONS 8,286,915. TRANSFER FROM AFFILIATE FOR CENTRALLY MANAGED INVESTMENTS 32,435,000. FORM 990, PART XII, LINE 2C THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. 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