2017-12-15T16:04:47-06:00 2017-01-31 390758449 Wipfli LLP 10000 Innovation Drive Suite 250 Milwaukee WI 532264837 990 2016-02-01 391664109 MILWAUKEE HEALTH SERVICES INC MILW 4143728080 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 Tito Izard MD President & CEO 4143728080 2017-12-15 1 Juliet Urso CPA P01219682 4144319300 2017-12-13 207.250.78.130 2017-12-15 08:21:29 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D482E504488B33FE332F9841DC0BE60818D7B9FD 2016 2018-03-14 21:41:22Z TITO IZARD MD 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 19861072 0 X WWW.MHSI.ORG X 1989 WI TO PROVIDE MEDICAL AND DENTAL PRIMARY CARE SERVICES TO A MEDICALLY UNDERSERVED POPULATION. 10 10 0 0 0 0 7436251 4677201 10757906 14691331 601 -29200 203455 492215 18398213 19831547 0 0 0 0 10917829 10965339 0 0 0 7194363 7739760 18112192 18705099 286021 1126448 13442673 12576709 18072839 11108961 -4630166 1467748 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 16330213 0 14723204 To provide medical and dental primary care services to a medically underserved population. 23,982 patients were served during the year 16330213 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X Leonel Ac-Lumor 4143728080 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 DR RICHARD EVANS Board Member 1.00 X 0 0 0 GINA GREEN-HARRIS Board Member 1.00 X 0 0 0 CURTISS HARRIS Board Member 1.00 X 0 0 0 Walter Lanier Board Member 1.00 X 0 0 0 PAULA LUCEY Board Member 1.00 X 0 0 0 CASSANDRA MCSHERPARD Board Member 1.00 X 0 0 0 John Yingling Board Member 1.00 X 0 0 0 SENATOR SPENCER COGGS CHAIRPERSON 1.00 X X 0 0 0 THOMAS TERRY VICE CHAIR 1.00 X X 0 0 0 KAREN BAKER 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 268302 0 8061 Michele Grant Chief Operations Officer (Beg Nov 2016) 40.00 X 81741 0 2214 KENNETH WALLER CHIEF OPERATIONS OFFICER (Thru July 2016) 40.00 X 60478 0 0 Tanya Stamps CHIEF FINANCE OFFICER (Beg Jan 2017) 40.00 X 0 0 0 Donna Wolak Chief FINANCE OFFICER (Thru Oct 2016) 40.00 X 57400 0 1979 Aronica Williams Cheif Med. Officer 40.00 X 155492 0 2420 Valeria Hairston Podiatrist 40.00 X 111467 0 7349 Arthur Mines Physician/Family Practice 40.00 X 147786 0 2315 ENID OKOKON Pediatrician 40.00 X 116209 0 4050 Angela Smith Pharmacy Manager/Pharmacist 40.00 X 119875 0 4714 ILVA VAN VALKENBURGH Director of Behavioral Health 40.00 X 214630 0 0 1333380 0 33102 7 0 1 0 0 4177403 499798 4677201 Patient service revenue 624100 14691331 14691331 14691331 325 325 29525 -29525 -29525 -29525 MEDICAL RECORDS 624100 31873 31873 460342 460342 492215 19831547 14723204 0 431142 638087 574736 63351 7892901 7109270 783631 1787042 1650254 136788 647309 597761 49548 38358 38358 61438 61438 760573 550590 209983 675010 660447 14563 1367171 1351640 15531 21378 19554 1824 300434 300434 848193 576771 271422 100892 100892 PHARMACEUTICALS 2854314 2854314 711999 384876 327123 18705099 16330213 2374886 0 -182965 120378 3432 3084 970025 1016901 2025853 1379207 71452 60698 72936 41573 20173344 10218476 10481940 9954868 13442673 12576709 11747443 5038347 0 2769 6325396 6067845 18072839 11108961 X -4630166 1467748 -4630166 1467748 13442673 12576709 1126448 4971466 0 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 599599 599599 13444906 5339804 8105102 416893 416893 0 5156502 4097268 1059234 555444 364511 190933 9954868 X X X X X X 0 0 0 0 0 0 0 1 0 DR TITO IZARD PRESIDENT & CEO 268302 0 0 0 0 0 0 0 8061 0 276363 0 0 0 Aronica Williams Cheif Med. Officer 155492 0 0 0 0 0 0 0 2420 0 157912 0 0 0 Arthur Mines Physician/Family Practice 147786 0 0 0 0 0 0 0 2315 0 150101 0 0 0 ILVA VAN VALKENBURGH Director of Behavioral Health 214630 0 0 0 0 0 0 0 0 0 214630 0 0 0 Part I, Line 7 Incentives are accrued for Providers based upon production. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the COMPTROLLER, Chief Financial Officer, and President/CEO of the organization. After satisfactory review, it is presented to the Finance Committee for review. 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 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. Form 990, Part VI, Section B, line 15a The Board of directors interviews, hires, and negotiates the salary of the CEO. Form 990, Part VI, Section C, line 19 Form 990 is made available upon request.