2013-12-15T16:29:37-06:00 2013-01-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2012-02-01 391664109 MILWAUKEE HEALTH SERVICES INC MILW 4143728080 2555 N MARTIN LUTHER KING DR MILWAUKEE WI 53212 TITO IZARD 4143728080 2013-12-16 1 DAVE GLOBIG P01356041 4144319300 2013-12-16 2012 2016-03-07 17:11:31Z TITO IZARD 2555 N MARTIN LUTHER KING DR MILWAUKEE WI 53212 21008616 0 X WWW.MHSI.ORG X 1989 WI TO PROVIDE MEDICAL AND DENTAL PRIMARY CARE SERVICES TO A MEDICALLY UNDERSERVED POPULATION. 9 9 307 0 2400 1400 4338982 4760819 15650975 15536277 56035 30867 405918 680653 20451910 21008616 0 0 0 0 16768547 16648584 0 0 0 7555838 6233634 24324385 22882218 -3872475 -1873602 18292168 20327444 6498895 10411853 11793273 9915591 MILWAUKEE HEALTH SERVICES, INC. OPERATES A HEALTHCARE CENTER LOCATED IN MILWAUKEE, WISCONSIN. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 0 0 19838691 15536277 TO PROVIDE MEDICAL AND DENTAL PRIMARY CARE SERVICES TO A MEDICALLY UNDERSERVED POPULATION. 100,541 PATIENTS WERE SERVED DURING THE YEAR. 19838691 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 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 45 0 1 307 1 1 1 0 0 0 0 0 0 0 0 0 X 9 9 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X MS DONNA WOLAK 4143728080 2555 N MARTIN LUTHER KING DR MILWAUKEE WI 53212 BETTY RUSS-BANKS 1.00 X X 0 0 0 DR RICHARD EVANS 1.00 X 0 0 0 EMERY HARLAN 1.00 X 0 0 0 KAREN BAKER 1.00 X X 0 0 0 PAULA LUCEY 1.00 X 0 0 0 GINA GREEN-HARRIS 1.00 X 0 0 0 SENATOR G SPENCER COGGS 1.00 X X 0 0 0 THOMAS TERRY 1.00 X X 0 0 0 CASSANDRA MCSHEPARD 1.00 X 0 0 0 JULIA HARRIS-ROBINSON 40.00 X 102548 0 12079 TITO IZARD 40.00 X 284606 0 10652 JANICE A LITZA 40.00 X 195404 0 11798 CLOVER BARNES 40.00 X 91416 0 9383 RAMA BALIJA 40.00 X 160933 0 10367 LAKESHA LAWRENCE 40.00 X 208265 0 10230 MARIAN B ORGAN 40.00 X 231759 0 11822 ILVA VAN VALKENBURGH 40.00 X 177320 0 0 1452251 0 76331 7 0 1 0 PLANTINUM SECURITY 1530 N 40TH STREET MILWAUKEE WI 53208 SECURITY 306925 JENNIFER KING N52W21717 TAYLORS WOODS DRIVE MENOMONEE FALLS WI 53051 PHYSICIAN-BEHAVIORAL HEALTH 204114 ABM JANITORIAL 75 REMITTANCE DRIVE STE 3011 CHICAGO IL 60675 JANITORIAL 126970 RONALD GROSSMAN 10412 N BIRCH CT MEQUON WI 53092 PHYSICIAN-RADIOLOGY 100183 4 4301980 458839 4760819 MEDICARE MEDICADE PAYMENTS 624100 13148878 13148878 CONTRACT SERVICES AND OTHER GRANT 624100 1167333 1167333 SELF PAY 624100 1011239 1011239 OTHER THIRD PARTY 624100 208827 208827 15536277 30867 30867 2400 0 2400 2400 2400 OTHER REVENUE 624100 601462 601462 MEDICAL RECORDS 624100 76791 76791 678253 21008616 15536277 2400 709120 628289 566366 61923 12992894 11712343 1280551 2090286 1886364 203922 937115 845693 91422 75735 75735 48600 48600 1291984 1158284 133700 361671 270259 91412 1287795 1066812 220983 25637 20366 5271 337784 337784 670612 456016 214596 143858 143858 PHARMACEUTICALS 892616 892616 MEDICAL SUPPLIES 332084 330773 1311 LABORATORY FEES 288539 288539 HEALTH PROMOTIONS 208387 188801 19586 268332 155459 112873 22882218 19838691 3043527 0 5619358 2934482 251544 317549 565336 458629 1231883 2234284 144760 126632 104975 121925 20408414 6496803 10166214 13911611 90400 86320 117698 136012 18292168 20327444 2519736 3111041 105562 875 3873597 7299937 6498895 10411853 X 11575716 9470453 217557 445138 11793273 9915591 18292168 20327444 -1873602 -4080 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 711442 711442 12132900 3408856 8724044 416893 300558 116335 6089412 2734335 3355077 1057767 53054 1004713 13911611 X 21004536 -4080 -4080 21008616 0 21008616 22882217 0 22882217 0 22882217 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. TAX RETURNS FOR THE YEAR ENDED JANUARY 31, 2010 AND ALL SUBSEQUENT YEARS REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. 1 X X X X 0 0 0 0 0 0 0 1 0 TITO IZARD 284606 0 0 0 0 0 0 0 10652 0 295258 0 0 0 JANICE A LITZA 195404 0 0 0 0 0 0 0 11798 0 207202 0 0 0 RAMA BALIJA 160933 0 0 0 0 0 0 0 10367 0 171300 0 0 0 LAKESHA LAWRENCE 208265 0 0 0 0 0 0 0 10230 0 218495 0 0 0 MARIAN B ORGAN 231759 0 0 0 0 0 0 0 11822 0 243581 0 0 0 ILVA VAN VALKENBURGH 177320 0 0 0 0 0 0 0 0 0 177320 0 0 0 PART I, LINE 7 INCENTIVES ARE ACCRUED FOR PROVIDERS BASED UPON PRODUCTION. FORM 990, PART VI, SECTION A, LINE 4 BY-LAWS WERE REVISED 09/2012. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE COMPTROLLER, CFO, AND 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. PART XII, LINE 2C THE ORGNAIZATION CONTINUES TO HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY OF THE AUDIT. THE PROCESS HAS NOT CHANGED.