2016-12-15T16:26:59-06:00 2016-01-31 390758449 Wipfli LLP 10000 Innovation Drive Suite 250 Milwaukee WI 532264837 990 2015-02-01 391664109 MILWAUKEE HEALTH SERVICES INC MILW 4143728080 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 Tito Izard MD President & CEO 4143728080 2016-12-15 1 Juliet Urso CPA P01219682 4144319300 2016-12-14 2015 2017-02-10 21:41:12Z TITO IZARD MD 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 18398213 0 X WWW.MHSI.ORG X 1989 WI TO PROVIDE MEDICAL AND DENTAL PRIMARY CARE SERVICES TO A MEDICALLY UNDERSERVED POPULATION. 10 10 241 0 24000 20750 5458239 7436251 11053667 10757906 738 601 527942 203455 17040586 18398213 0 0 0 0 10290008 10917829 0 0 0 5328181 7194363 15618189 18112192 1422397 286021 15000390 13442673 19257631 18072839 -4257241 -4630166 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 15558728 0 10757906 To provide medical and dental primary care services to a medically underserved population. 23,982 patients were served during the year 15558728 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 50 0 1 241 1 1 1 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 ATTORNEY EMERY HARLAN Board Member 1.00 X 0 0 0 CURTISS HARRIS Board Member 1.00 X 0 0 0 CASSANDRA MCSHERPARD Board Member 1.00 X 0 0 0 PAULA LUCEY Board Member 1.00 X 0 0 0 SENATOR SPENCER COGGS CHAIRPERSON 1.00 X X 0 0 0 KAREN BAKER SECRETARY 1.00 X X 0 0 0 THOMAS TERRY VICE CHAIR 1.00 X X 0 0 0 AUDREY SELLERS INTERIM TREASURER 1.00 X X 0 0 0 DR TITO IZARD PRESIDENT, CEO, & Chief Me 40.00 X 270098 0 6700 KENNETH WALLER CHIEF OPERATIONS OFFICER 40.00 X 100108 0 0 DONNA WOLAK CHIEF FINANCE OFFICER 40.00 X 110177 0 1500 480383 0 8200 3 0 1 0 PLATINUM SECURITY 1530 N 40th Street MILWAUKEE WI 53208 SECURITY Services 262722 David J Kaiser 425 Lynnwoood Lane Brookfield WI 53005 Contracted Provider 182925 Dr James Scerpella 1106 Lake Drive South Milwaukee WI 53172 Contracted Provider 136260 JENNIFER KING MD N52W21717 TAYLORS WOODS DRIVE MENOMONEE FALLS WI 53051 Physician-Behavioral Health 111075 Accounting Principals Dept CH 14031 Palatine IL 60055 Temp Agency 104247 5 7166935 269316 7436251 Medicare Medicade payments 624100 9861558 9861558 SELF PAY 624100 604739 604739 OTHER THIRD PARTY 624100 231109 231109 Contract Services 624100 60500 60500 10757906 601 601 24000 0 24000 24000 24000 MEDICAL RECORDS 624100 34729 34729 144726 144726 179455 18398213 10792635 24000 145327 488472 422074 66398 8148995 7041306 1107689 1645858 1645858 634504 634504 41368 41368 40000 40000 1162141 746463 415678 988526 965767 22759 1524221 1511714 12507 25042 17357 7685 316298 316298 890418 605484 284934 85983 85983 PHARMACEUTICALS 1489047 1489047 631319 479154 152165 18112192 15558728 2553464 0 26402 -182965 2034 3432 933076 970025 2529583 2025853 59396 71452 53767 72936 19992838 9510898 11396132 10481940 15000390 13442673 12402229 11747443 6855402 6325396 19257631 18072839 X -4257241 -4630166 -4257241 -4630166 15000390 13442673 286021 -658946 0 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 599599 599599 13469167 4852186 8616981 416893 416893 0 4958314 3912882 1045432 548865 328937 219928 10481940 X X X X X X 0 0 0 0 0 0 0 1 0 DR TITO IZARD PRESIDENT, CEO, & Chief Me 270098 0 0 0 0 0 0 0 6700 0 276798 0 0 0 Part I, Line 7 Incentives are accrued for Providers based upon production. Form 990, Part VI, Section B, line 11 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.