2014-08-14T14:20:42-05:00 2013-09-30 381357951 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2012-10-01 391486873 PROHEALTH CARE INC PROH 2629282981 N17 W24100 RIVERWOOD DRIVE NO 200 WAUKESHA WI 531881131 RONALD FARR 2629282981 2014-08-12 1 DAVID LOWENTHAL P00378651 2483522500 2012 2015-11-30 17:44:51Z SUSAN EDWARDS N17 W24100 RIVERWOOD DRIVE NO 200 WAUKESHA WI 531881131 125545671 0 X WWW.PROHEALTHCARE.ORG X 1983 WI MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND OTHER HEALTHCARE DELIVERY ENTITIES. 13 12 1051 11 63231 0 30893336 23786050 91199513 101631319 11929 9055 -344095 119247 121760683 125545671 0 0 0 0 60769218 69213486 0 0 0 30098133 32546135 90867351 101759621 30893332 23786050 69775063 101540986 60548772 58139759 9226291 43401227 CONTINUOUSLY IMPROVING THE HEALTH OF OUR COMMUNITY. 0 0 91431430 101568088 PROHEALTH CARE PROVIDES SUPPORT TO WAUKESHA MEMORIAL AND 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. 91431430 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 148 0 1 1051 1 1 1 0 0 0 0 0 0 0 0 0 X 13 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 WI X RONALD FARR 2629284740 N17 W24100 RIVERWOOD DRIVE SUITE WAUKESHA WI 531881131 SUSAN EDWARDS 40.00 12.00 X X 1062296 0 748997 JIM GANNON 2.00 0.00 X X 0 0 0 TOM PACKEE 2.00 0.00 X X 0 0 0 E JOHN RAASCH 2.00 0.00 X X 0 0 0 JANET SWANBY 2.00 0.00 X X 0 0 0 BETTY ARNDT 2.00 0.00 X 0 0 0 DIXON BENZ 2.00 0.00 X 0 0 0 HELEN FORSTER 2.00 0.00 X 0 0 0 DOUG HASTAD 2.00 0.00 X 0 0 0 MARK MOHR 2.00 0.00 X 0 0 0 RALPH RAMIREZ 2.00 0.00 X 0 0 0 DAVID ROELKE 2.00 0.00 X 0 0 0 JULIE SCHROEDER 2.00 0.00 X 0 0 0 DAVID EBEL 40.00 12.00 X 0 0 0 PETER GEISS 40.00 0.00 X 510415 0 513967 STEVEN KULICK 40.00 0.00 X 458682 0 5624 EDWARD MALINDZAK 40.00 0.00 X 263412 0 26915 NANINE NELSON 40.00 12.00 X 478402 0 208280 KATHY SCOTT 40.00 2.00 X 450230 0 42736 JEFFEY SQUIRE 40.00 0.00 X 314682 0 44910 LINDA MORONEY 40.00 0.00 X 297559 0 6356 EDWARD OLSON 40.00 0.00 X 2555507 0 15448 SUSAN DWYER 40.00 0.00 X 232959 0 60466 BARBARA PINEKENSTEIN 40.00 0.00 X 326519 0 21080 CHRISTINE WAHMHOFF 40.00 0.00 X 69072 203987 37663 CHRISTINE BESSLER 40.00 0.00 X 244357 0 28780 FREDERICK SYRJANEN 40.00 0.00 X 230898 0 40292 JANET SCHULZ 0.00 0.00 X 338758 0 0 NADINE GUIRL 0.00 0.00 X 177034 0 0 RODNEY DYKEHOUSE 0.00 0.00 X 195745 0 0 ROBERT MLYNAREK 0.00 0.00 X 201906 0 0 8408433 203987 1801514 54 1 1 0 GE HEALTHCARE PO BOX 277475 ATLANTA GA 30384 REPAIRS/MAINTENANCE 1646407 BVK 250 W COVENTRY COURT MILWAUKEE WI 53217 MEDIA SERVICES 1426695 HURON CONSULTING SERVICES LLC 3005 MOMENTUM PLACE CHICAGO IL 60689 CONSULTING 1238798 VONLAY LLC 8215 GREENWAY BLVD MIDDLETON WI 53562 IT CONSULTING 817044 EXECUTIVE HEALTH RESOURCES PO BOX 822688 PHILADELPHIA PA 19182 EHR SERVICES 738700 38 23786050 23786050 SUPPORT SERVICES 561000 101568088 101568088 TIME SHARE FEES 532000 49000 49000 TRANSPORTATION 480000 13510 13510 PHYSICIAN FEES 621110 721 721 101631319 8949 8949 106 0 106 106 106 INVESTMENT IN JV 900099 119247 119247 119247 125545671 101568088 63231 128302 X 3645463 3645463 49149119 46253334 2895785 3269621 1289221 1980400 9528453 9528453 3620830 3172209 448621 1248487 1248487 14403 14403 13983878 13983878 3304659 3304659 2882334 2870136 12198 2201334 2201334 350477 338697 11780 658874 615236 43638 742513 742513 80494 80494 REPAIRS & MAINTENANCE 4495941 4495941 BILLING & COLLECTION 2245771 2245771 DUES & SUBSCRIPTIONS 336970 309554 27416 101759621 91431430 10328191 0 3803175 7035947 10450958 12190089 1211180 1882327 11717281 3794863 8177086 7922418 4089310 2798030 42043354 69712175 69775063 101540986 13662035 17834046 31812291 31784845 15074446 8520868 60548772 58139759 X 9226291 43401227 9226291 43401227 69775063 101540986 X 23786050 10388886 X X 0 1 X 1 0 X X X 0 0 0 WAUKESHA MEMORIAL HOSPITAL INC 390910727 3 1 1 1 0 OCONOMOWOC MEMORIAL HOSPITAL INC 390794174 3 1 1 1 0 PROHEALTH HOME CARE INC 200067392 3 1 1 1 0 NATIONAL REGENCY OF NEW BERLIN INC 391077992 9 1 1 1 0 PROHEALTH CARE MEDICAL ASSOCIATES 391083015 3 1 1 1 0 5 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14403 14403 0 EXPLANATION OF LOBBYING ACTIVITIES: 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. 2732052 2732052 588569 101637 486932 4924821 1427901 3496920 3436605 2265325 1171280 35234 35234 7922418 INVESTMENT IN WHS/OCC/MA 68231241 C INVESTMENT IN UM CSC 200000 C INVESTMENT IN ACO 1280934 C 69712175 ACCRUED MINIMUM PENSION 3932991 ACCRUED POSTRETIREMENT MEDICAL 20182 DEFERRED COMPENSATION 563188 ACCRUED MINIMUM SERP LIABILITY 4004507 8520868 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: FIN48 DISCLOSURE: PHC, WMH, OMH, NATIONAL REGENCY, PHCMA, PHCF, AND PHHC ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. ALL OF THESE ENTITIES ARE, HOWEVER, SUBJECT TO FEDERAL AND STATE INCOME TAXES ON ANY UNRELATED BUSINESS INCOME UNDER THE PROVISIONS OF SECTION 511 OF THE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2010. X X X X 1 1 0 0 0 1 1 0 0 SUSAN EDWARDS 710875 0 348385 0 3036 0 731425 0 17572 0 1811293 0 313385 0 PETER GEISS 359929 0 146195 0 4291 0 485753 0 28214 0 1024382 0 146195 0 STEVEN KULICK 339054 0 104890 0 14738 0 3630 0 1994 0 464306 0 104890 0 EDWARD MALINDZAK 257954 0 0 0 5458 0 1482 0 25433 0 290327 0 0 0 NANINE NELSON 352255 0 124984 0 1163 0 177592 0 30688 0 686682 0 124984 0 KATHY SCOTT 331843 0 115981 0 2406 0 23940 0 18796 0 492966 0 115981 0 JEFFEY SQUIRE 231235 0 81904 0 1543 0 18378 0 26532 0 359592 0 81904 0 LINDA MORONEY 210911 0 86648 0 0 0 6083 0 273 0 303915 0 86648 0 EDWARD OLSON 373529 0 66966 0 2115012 0 11624 0 3824 0 2570955 0 2181024 0 SUSAN DWYER 169151 0 56444 0 7364 0 27863 0 32603 0 293425 0 56444 0 BARBARA PINEKENSTEIN 239466 0 75317 0 11736 0 5558 0 15522 0 347599 0 75317 0 CHRISTINE WAHMHOFF 68595 184748 477 2261 0 16978 4130 13870 5788 13875 78990 231732 477 0 CHRISTINE BESSLER 194285 0 48966 0 1106 0 4413 0 24367 0 273137 0 48966 0 FREDERICK SYRJANEN 175049 0 53858 0 1991 0 18551 0 21741 0 271190 0 53858 0 JANET SCHULZ 0 0 20899 0 317859 0 0 0 0 0 338758 0 20899 0 NADINE GUIRL 0 0 10199 0 166835 0 0 0 0 0 177034 0 10199 0 RODNEY DYKEHOUSE 5705 0 13191 0 176849 0 0 0 0 0 195745 0 13191 0 ROBERT MLYNAREK 0 0 0 0 201906 0 0 0 0 0 201906 0 0 0 PART I, LINES 4A-B PART I, LINES 4A-B: LINE 4A: JANET SCHULZ RECEIVED SEVERANCE PAYMENTS TOTALING $296,960 DURING THE TAX YEAR. PAYMENTS ARE MADE IN BIWEEKLY INSTALLMENTS OVER AN 18 MONTH PERIOD PER THE AGREEMENT SIGNED BY THE PARTIES ON 6/20/11. NADINE GUIRL RECEIVED SEVERANCE PAYMENTS TOTALING $166,835 DURING THE TAX YEAR. PAYMENTS ARE MADE IN BIWEEKLY INSTALLMENTS OVER A 13 MONTH PERIOD PER THE AGREEMENT SIGNED BY THE PARTIES ON 8/17/11. ROBERT MLYNAREK RECEIVED SEVERANCE PAYMENTS TOTALING $201,906 DURING THE TAX YEAR. PAYMENTS ARE MADE IN BIWEEKLY INSTALLMENTS OVER AN 18 MONTH PERIOD PER THE AGREEMENT SIGNED BY THE PARTIES ON 1/7/11. RODNEY DYKEHOUSE RECEIVED SEVERANCE PAYMENTS TOTALING $176,849 DURING THE TAX YEAR. PAYMENTS ARE MADE IN BIWEEKLY INSTALLMENTS OVER A 12 MONTH PERIOD PER THE AGREEMENT SIGNED BY THE PARTIES ON 12/29/11. EDWARD OLSON RECEIVED SEVERANCE PAYMENTS TOTALING $285,708 DURING THE TAX YEAR. PAYMENTS ARE MADE IN BIWEEKLY INSTALLMENTS OVER A 17 MONTH PERIOD PER THE AGREEMENT SIGNED BY THE PARTIES ON 1/24/12. LINE 4B: NAME CURRENT YEAR PAYOUT EDWARD OLSON 2,114,058 SUSAN EDWARDS SUSAN DWYER PETER GEISS STEVEN KULICK EDWARD MALINDZAK NANINE NELSON BARBARA PINEKENSTEIN LINDA MORONEY CHRISTINE BESSLER FREDERICK SYRJANEN PROHEALTH CARE INC. (PHC) MAINTAINS A SUPPLEMENTAL RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF EXECUTIVES OF PHC AND ITS AFFILIATED ENTITIES. THE SERP IS AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THE SERP ARE TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. PART I, LINE 6 PRO HEALTH 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 A 1000000 47276592 644599 46631994 2010 1 1 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 PROHEALTH ALIGNED LLC (DBA MSC) CIO-KATHY SCOTT, CFO-NANINE NELSON, CEO-SUSAN EDWARDS ARE DIRECTORS OF PHA 131252 PHC PERFORMS SERVICES FOR PROHEALTH ALIGNED. 0 PROHEALTH SOLUTIONS KEY EMPLOYEE, PETER GEISS, IS A DIRECTOR OF PROHEALTH SOLUTIONS 952634 PHC PERFORMS SERVICES FOR PROHEALTH SOLUTIONS. 0 WAUKESHA HEALTH SYSTEM CIO, KATHY SCOTT, AND CCAO, JEFF SQUIRE ARE ON THE BOARD OF WHS. 2148097 WAUKESHA HEALTH SYSTEM PROVIDES RENT AND REIMBURSEMENT OF EXPENSES TO PHC. 0 PROHEALTH CARE MEDICAL ASSOCIATES INC NELSON, EDWARDS & GEISS WERE ON THE BOARD OF BOTH PHC AND PHCMA. 16179427 PHC PERFORMS SERVICES AND REIMBURSES EXPENSES FOR PHCMA. 0 FORM 990, PART VI, SECTION A, LINE 3 DAVID EBEL WAS COMPENSATED BY WARBIRD CONSULTING, A MANAGEMENT COMPANY, FOR SERVICES AS INTERIM CFO FOR PROHEALTH CARE, INC. AND RELATED ORGANIZATIONS. WARBIRD CONSULTING WAS NOT PAID ANY COMPENSATION IN CALENDAR YEAR 2012, AS SERVICES DID NOT COMMENCE UNTIL 2013. BEGINNING IN MAY 2013, COMPENSATION WAS PAID TO WARBIRD CONSULTING BY PROHEALTH CARE, INC.. FORM 990, PART VI, SECTION B, LINE 11 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 COMMITEE PERFORMED A REVIEW. THEN THE ORGANIZATION'S TAX PREPARERS MADE A PRESENTATION TO THE AUDIT COMMITTEE, 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 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 2013. 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. OTHER FEES FORM 990, PART IX, LINE 11G AGENCY STAFFING: PROGRAM SERVICE EXPENSES 517,376. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 517,376. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 13,308,090. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,308,090. PERSONNEL ACTIVITY: PROGRAM SERVICE EXPENSES 128,137. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,137. EMPLOYEE PHYSICAL EXAMS: PROGRAM SERVICE EXPENSES 30,275. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,275. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: EQUITY EARNINGS IN AFFILIATED ORGANIZATIONS 27,489,959. CAPITAL CONTRIBUTIONS TO RELATED ORGANIZATIONS -23,372,073. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE 4,609,000. CHANGE IN SERP VALUATION 1,662,000. FORM 990, PART XII, LINE 2C THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. 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