PROHEALTH CARE FOUNDATION INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- PROHEALTH CARE FOUNDATION INC (EIN 39-1314542)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-07-28
- IRS object ID
- 202602099349301565
- Schema version
- 2024v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-07-28T13:20:18+00:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 331498605 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 TOWN CENTER SUITE 100 | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48075 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391314542 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROHEALTH CARE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROH | BusinessNameControlTxt |
| Phone | 2629282981 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 AMERICAN AVENUE | AddressLine1Txt |
| City | WAUKESHA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 531885031 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREW GUTIERREZ | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2629284740 | PhoneNum |
| Signature | 2026-07-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAMANTHA L BECKER | PreparerPersonNm |
| PTIN | P01344887 | PTIN |
| Phone | 2483522500 | PhoneNum |
| Preparation | 2026-07-27 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUSAN EDWARDS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 AMERICAN AVENUE | AddressLine1Txt |
| City | WAUKESHA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 531885031 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,207,426 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PROHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO SUPPORT CHARITABLE AND EDUCATIONAL HEALTH SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 113 | TotalVolunteersCnt |
| Total Gross UBI | $60,774 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $52,907 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,443,629 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,202,587 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,271,431 | PYInvestmentIncomeAmt |
| CY Investment Income | $833,619 | CYInvestmentIncomeAmt |
| PY Other Revenue | $615,494 | PYOtherRevenueAmt |
| CY Other Revenue | $97,780 | CYOtherRevenueAmt |
| PY Total Revenue | $4,330,554 | PYTotalRevenueAmt |
| CY Total Revenue | $4,133,986 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,037,570 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,116,482 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $219,723 | PYOtherExpensesAmt |
| CY Other Expenses | $212,575 | CYOtherExpensesAmt |
| PY Total Expenses | $4,257,293 | PYTotalExpensesAmt |
| CY Total Expenses | $5,329,057 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $73,261 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,195,071 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,902,904 | TotalAssetsBOYAmt |
| Total Assets EOY | $44,461,005 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $801,767 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,116,197 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $41,101,137 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $43,344,808 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE FINANCIAL SUPPORT AND PROMOTE ADVOCACY FOR PROHEALTH CARE THROUGH PUBLIC AWARENESS, PHILANTHROPY AND STEWARDSHIP. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,445,511 | ExpenseAmt |
| Grant | $2,445,511 | GrantAmt |
| Desc | GRANTS TO OMH, WMH, PHHC AND PHMG FOR CAPITAL PURCHASES INCLUDING ED Exam Rooms, NICU Renovation, Automated Breast Ultrasound, Infant Warmers, AngelsGrace Boardwalk, Mukwonago Hospital Pledges, OB Overhead Lights, Integrated Procedural Services, Patient Care Stretchers, ED Patient Care Carts, OMH ED Pledges, Pharmacy Kiosks, Patient Recliners, Stealth Handpiece, Pharmacy Cameras, Bariatric Chairs, Oncology Master Station, Lab Centrifuge, NuStep Bariatric Unit, Psychotherapists Office Furniture, Wireless Fetal Monitor, Standing Scales. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $662,700 | ExpenseAmt |
| Grant | $662,700 | GrantAmt |
| Desc | STAFF SUPPORT FOR ANGELSGRACE HOSPICE, INCLUDING FUNDING OF SALARIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $641,662 | ExpenseAmt |
| Grant | $641,662 | GrantAmt |
| Desc | PATIENT AND COMMUNITY CARE - CANCER CENTER PROGRAMS, ANGELSGRACE MEDICATIONS, PATIENT TRANSPORTATION, COMMUNITY HEALTH WORKER PROGRAMS, BREAST HEALTH, DEMENTIA CARE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,366,609 | ExpenseAmt |
| Grant | $1,366,609 | GrantAmt |
| Desc | OTHER - RESEARCH INSTITUTE SALARIES, ATHLETIC TRAINING OPERATING SUPPORT, EDUCATION & TRAINING, NURSING SCHOLARSHIPS, HIGH SCHOOL SCHOLARSHIPS, PROGRAM SUPPLIES, OPERATING SUPPORT, PHARMACY RESIDENCY SALARIES, COMMUNITY HEALTH SALARIES & SANE SALARIES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,366,609 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,366,609 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $5,116,482 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREW GUTIERREZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2629282453 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | N17 W24100 RIVERWOOD DR SUITE 130 | AddressLine1Txt |
| City | WAUKESHA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 531881131 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BEN KOSSOW | ||||||||
| VICE CHAIRPERSON | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CINDY PAGENKOPF | ||||||||
| CHAIRPERSON | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL RODENBAUGH | ||||||||
| CHAIRPERSON - PART YEAR | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RON JAHNKE | ||||||||
| TREASURER | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SUSAN EDWARDS | ||||||||
| PRESIDENT AND CEO - PHC | 2.0 | 50.0 | Yes (X) | Yes (X) | $0 | $3,597,030 | $476,881 | |
| TONY LASZEWSKI | ||||||||
| TREASURER - PART YEAR | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TONY MALLINGER | ||||||||
| SECRETARY | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANDREW CARDONI | ||||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| COLLEEN SONDERMAN | ||||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL GREEN | ||||||||
| DIRECTOR - PART YEAR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| DENISE HARRIS | ||||||||
| DIRECTOR - PART YEAR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| GRACE HANNEKEN | ||||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JACK RIESCH | ||||||||
| DIRECTOR - PART YEAR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JAMES HAUSER | ||||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JASON DVORAK | ||||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JEFF STANDAFER | ||||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| MATT QUEST | ||||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| RENEE RAMIREZ | ||||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT CHAPMAN | ||||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| ANDREW GUTIERREZ | ||||||||
| CHIEF FINANCIAL OFFICER | 2.0 | 50.0 | Yes (X) | $0 | $894,400 | $184,004 | ||
| JEFFREY SQUIRE | ||||||||
| CHIEF OF CORPORATE AFFAIRS | 2.0 | 40.0 | $0 | $862,024 | $171,591 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,353,454 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $832,476 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc |
|---|---|---|---|---|
| HCTEC PARTNERS | ||||
| PO BOX 746681 | ATLANTA | GA | 303746681 | PROFESSIONAL SERVICES |
| BVK | ||||
| 250 W COVENTRY COURT SUITE 300 | MILWAUKEE | WI | 53217 | PRINTING SERVICES |
| OLIVER WYMAN | ||||
| PO BOX 3800-28 | BOSTON | MA | 021102320 | PROFESSIONAL SERVICES |
| RPI CONSULTANTS | ||||
| 1 N HAVEN ST | BALTIMORE | MD | 21224 | PROFESSIONAL SERVICES |
| VIZIENT INC | ||||
| PO BOX 842175 | DALLAS | TX | 752842167 | PROFESSIONAL SERVICES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $218,598 | FundraisingAmt |
| Related Organizations | $200 | RelatedOrganizationsAmt |
| All Other Contributions | $2,983,789 | AllOtherContributionsAmt |
| Noncash Contributions | $108,005 | NoncashContributionsAmt |
| Total Contributions | $3,202,587 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $995,003 | TotalRevenueColumnAmt |
| Exclusion | $995,003 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,830,552 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,991,936 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$161,384 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$161,384 | TotalRevenueColumnAmt |
| Exclusion | -$161,384 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $74,110 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $218,598 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $81,504 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,394 | TotalRevenueColumnAmt |
| Exclusion | -$7,394 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| INVEST. IN METALCRAFT - TAX | 310000 | $60,774 | $60,774 | |
| BOOK/TAX ADJ IN METALCRAFT | 310000 | $44,400 | $44,400 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $105,174 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,133,986 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $60,774 | UnrelatedBusinessRevenueAmt |
| Exclusion | $870,625 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,058,982 | TotalAmt |
| Program Services | $5,058,982 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,500 | TotalAmt |
| Program Services | $57,500 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,157 | TotalAmt |
| Management And General | $70,157 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,750 | TotalAmt |
| Management And General | $3,750 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| UBI FEDERAL TAXES | $130,000 | $130,000 |
| BAD DEBT RECOVERY | $8,668 | $8,668 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,329,057 | TotalAmt |
| Program Services | $5,116,482 | ProgramServicesAmt |
| Management And General | $212,575 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,972,021 | BOYAmt |
| EOY | $2,265,471 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,733 | BOYAmt |
| EOY | $915,277 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,933 | BOYAmt |
| EOY | $11,778 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,609,661 | BOYAmt |
| EOY | $40,871,029 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $881,000 | BOYAmt |
| EOY | $396,450 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,556 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,902,904 | BOYAmt |
| EOY | $44,461,005 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $763,236 | BOYAmt |
| EOY | $1,080,241 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,531 | BOYAmt |
| EOY | $35,956 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $801,767 | BOYAmt |
| EOY | $1,116,197 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,634,746 | BOYAmt |
| EOY | $29,485,134 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,466,391 | BOYAmt |
| EOY | $13,859,674 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,101,137 | BOYAmt |
| EOY | $43,344,808 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,902,904 | BOYAmt |
| EOY | $44,461,005 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,195,071 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,438,742 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,972,344 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,353,261 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,559,585 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,443,629 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,202,587 | CurrentTaxYearAmt |
| Total | $9,531,406 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,972,344 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,353,261 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,559,585 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,443,629 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,202,587 | CurrentTaxYearAmt |
| Total | $9,531,406 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,310,134 | SubstantialContributorsTotAmt |
| Public Support Total170 | $8,221,272 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $855,225 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $574,524 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $730,455 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,054,790 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $995,003 | CurrentTaxYearAmt |
| Total | $4,209,997 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $766,959 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $973,032 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,007,314 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $191,922 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,786 | CurrentTaxYearAmt |
| Total | $2,999,013 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,280 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $390,018 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $497,485 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $118,510 | CurrentTaxYearAmt |
| Total | $1,049,243 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $17,789,659 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $0 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.46214 | PublicSupportCY170Pct |
| Public Support PY170 | 0.4901 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - FUNDRAISING ACTIVITIES, COLUMN A - 20280.0, COLUMN B - 22950.0, COLUMN C - 45018.0, COLUMN D - 51285.0, COLUMN E - 74110.0, COLUMN F - 213643.0; DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 345000.0, COLUMN D - 446200.0, COLUMN E - 44400.0, COLUMN F - 835600.0; | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,160,385 | BeginningYearBalanceAmt |
| Contributions | $64,677 | ContributionsAmt |
| Investment Earnings Or Losses | $1,016,210 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,737,389 | GrantsOrScholarshipsAmt |
| End Year Balance | $18,503,883 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,077,093 | BeginningYearBalanceAmt |
| Contributions | $218,477 | ContributionsAmt |
| Investment Earnings Or Losses | $2,340,855 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,443,321 | GrantsOrScholarshipsAmt |
| Other Expenditures | $32,719 | OtherExpendituresAmt |
| End Year Balance | $19,160,385 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,331,767 | BeginningYearBalanceAmt |
| Contributions | $367,638 | ContributionsAmt |
| Investment Earnings Or Losses | $1,238,448 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $860,760 | GrantsOrScholarshipsAmt |
| End Year Balance | $18,077,093 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,752,920 | BeginningYearBalanceAmt |
| Contributions | $327,441 | ContributionsAmt |
| Investment Earnings Or Losses | -$985,271 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $763,323 | GrantsOrScholarshipsAmt |
| End Year Balance | $17,331,767 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,142,616 | BeginningYearBalanceAmt |
| Contributions | $590,611 | ContributionsAmt |
| Investment Earnings Or Losses | $2,494,675 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $474,982 | GrantsOrScholarshipsAmt |
| End Year Balance | $18,752,920 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.5219 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.3682 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.1099 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| SPLIT INTEREST AGREEMENT PAYABLE | $35,956 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $35,956 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $8,615,882 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $3,438,742 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $1,031,807 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $81,504 | OtherRevenueAmt |
| Revenue Not Reported | $4,552,053 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,063,829 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $70,157 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $70,157 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,133,986 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,372,211 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $1,031,807 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $81,504 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,113,311 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,258,900 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $70,157 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $70,157 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $5,329,057 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | TO SUPPORT PROHEALTH CARE, INC. IN ITS CHARITABLE MISSION. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | DIRECT FUNDRAISING EXPENSES REPORTED ON PART VIII - 81504 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | DIRECT FUNDRAISING EXPENSES REPORTED ON PART VIII - 81504 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CANCER WALKS | Event1Nm |
| Gross Receipts Event1 | $253,503 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $191,788 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $61,715 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $12,014 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,298 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,990 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $52,017 | OtherDirectExpensesEvent1Amt |
| Event2 | SUMMER DONOR EVENT | Event2Nm |
| Gross Receipts Event2 | $26,510 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $26,510 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $0 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $4,990 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $137 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $12,695 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $300 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $12,395 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $300 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $8,758 | RentFcltyCostsOtherEventsAmt |
| Gross Receipts Total | $292,708 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $218,598 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $74,110 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $300 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $25,762 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,298 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,990 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $52,154 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $81,504 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$7,394 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC | |||||||||||
| 725 AMERICAN AVE | WAUKESHA | WI | 53188 | 390910727 | 501(C )(3) | $1,685,786 | $0 | N/A | N/A | TO AID THE ORGANIZATION IN ITS CHARITABLE MISSON. | |
| PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC | |||||||||||
| 791 SUMMIT AVE | OCONOMOWOC | WI | 53066 | 390794174 | 501(C )(3) | $1,293,527 | $0 | N/A | N/A | TO AID THE ORGANIZATION IN ITS CHARITABLE MISSON. | |
| PROHEALTH HOME CARE INC | |||||||||||
| N17 W24100 RIVERWOOD DRIVE | WAUKESHA | WI | 53188 | 200067392 | 501(C )(3) | $1,074,572 | $0 | N/A | N/A | TO AID THE ORGANIZATION IN ITS CHARITABLE MISSON. | SUITE 130 |
| PROHEALTH CARE INC | |||||||||||
| N17 W24100 RIVERWOOD DRIVE | WAUKESHA | WI | 53188 | 391486873 | 501(C )(3) | $890,268 | $0 | N/A | N/A | TO AID THE ORGANIZATION IN ITS CHARITABLE MISSON. | SUITE 130 |
| PROHEALTH MEDICAL GROUP INC | |||||||||||
| N17 W24100 RIVERWOOD DRIVE | WAUKESHA | WI | 53188 | 391083015 | 501(C )(3) | $113,605 | $0 | N/A | N/A | TO AID THE ORGANIZATION IN ITS CHARITABLE MISSON. | SUITE 130 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|
| EMPLOYEE EMERGENCY GRANT | 33 | $31,500 | N/A | N/A |
| HIGH SCHOOL SCHOLARSHIPS | 11 | $26,000 | N/A | N/A |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds | FormAndLineReferenceDesc |
| Explanation | ALL GRANTS ARE APPROVED AND PROCESSED BY THE ORGANIZATION'S MANAGEMENT. SCHOLARSHIP CHECKS ARE PAID BY SCHOLARSHIP AMERICA. SCHOLARSHIP AMERICA MAKES THE CHECKS PAYABLE TO THE INSTITUTION ATTENDED BY THE STUDENT. PHCF MANAGEMENT CONFIRMS THE USE AND DISTRIBUTION OF THE RELATED GRANTS TO ENSURE THEY MEET THE DONOR SPECIFIED PURPOSES OF THE INITIAL FUND'S PROCEEDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUSAN EDWARDS | ||||||||||||||
| PRESIDENT AND CEO - PHC | $0 | $1,305,361 | $0 | $1,995,134 | $0 | $296,535 | $0 | $434,430 | $0 | $42,451 | $0 | $4,073,911 | $0 | $1,096,617 |
| ANDREW GUTIERREZ | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $374,596 | $0 | $519,804 | $0 | $0 | $0 | $133,422 | $0 | $50,582 | $0 | $1,078,404 | $0 | $301,372 |
| JEFFREY SQUIRE | ||||||||||||||
| CHIEF OF CORPORATE AFFAIRS | $0 | $382,343 | $0 | $399,619 | $0 | $80,062 | $0 | $120,457 | $0 | $51,134 | $0 | $1,033,615 | $0 | $214,300 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | THIS ENTITY RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR OFFICERS AND DIRECTORS: 1. COMPENSATION COMMITTEE 2. COMPENSATION STUDY 3. APPROVAL OF THE BOARD ANNUALLY APPROVING COMPENSATION AMOUNTS 4. INDEPENDENT COMPENSATION CONSULTANT |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | PROHEALTH CARE INC. (PHC) MAINTAINS A SUPPLEMENTAL RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF EXECUTIVES OF PHC AND ITS AFFILIATED ENTITIES. THIS SERP IS AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THIS SERP ARE TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. SERP PAYMENTS DURING THE YEAR ARE AS FOLLOWS: SUSAN EDWARDS: $296,535 JEFFREY SQUIRE: $80,062 |
| Schedule J, Part I, Line 7 Non-fixed payments | 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. |
| Schedule J, Part II, Column (B)(ii) | A PORTION OF SUSAN EDWARDS, JEFFREY SQUIRE, AND ANDREW GUTIERREZ'S BONUS AND INCENTIVE COMPENSATION PAYOUT (COLUMN B(II) ON PART II) WAS EARNED OVER A 3-YEAR SPAN AND VESTED IN THE CURRENT YEAR. |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $3,200 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
Books And Publications BooksAndPublicationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $1,861 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $37,561 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | CAFETERIA EQUIPMENT | 1 | $58,837 | Cost |
| Yes (X) | DINING & ENTERTAINMENT | 3 | $5,310 | Cost |
| Yes (X) | GIFT CARDS\CERTIFICATES | 8 | $1,236 | Cost |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I COLUMN B | FormAndLineReferenceDesc |
| Explanation | ORGANIZATION IS REPORTING NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a-4c Description of program services | (Expenses $ 1,366,609 including grants of $ 1,366,609) OTHER - RESEARCH INSTITUTE SALARIES, ATHLETIC TRAINING OPERATING SUPPORT, EDUCATION & TRAINING, NURSING SCHOLARSHIPS, HIGH SCHOOL SCHOLARSHIPS, PROGRAM SUPPLIES, OPERATING SUPPORT, PHARMACY RESIDENCY SALARIES, COMMUNITY HEALTH SALARIES & SANE SALARIES. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | PROHEALTH CARE, INC. IS THE SOLE CORPORATE MEMEBER. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE DIRECTORS ARE ELECTED ANNUALLY BY THE SOLE CORPORATE MEMBER, PROHEALTH CARE, INC. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | PROHEALTH CARE INC. HOLDS CERTAIN RESERVED POWERS OVER THE (NON-STOCK) CORPORATION, INCLUDING APPROVAL OF STRATEGIC PLANNING, ANNUAL OPERATING AND CAPITAL BUDGETS, BORROWING, TRANSFER, LEASE, PLEDGE OR SALE OF ASSETS. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | 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, Line 12c Conflict of interest policy | 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, Line 15a Process to establish compensation of top management official | AN INDEPENDENT, EXTERNAL COMPENSATION REVIEW IS CONDUCTED FOR THE POSITIONS OF CEO, SENIOR EXECUTIVE TEAM EMBERS, AND 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 2025. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | See Part VI, line 15a disclosure above. |
| Form 990, Part VI, Line 19 Required documents available to the public | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| Form 990, Part XII, Line 2c Change of oversight process or selection process | THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NATIONAL REGENCY OF NEW BERLIN INC | |||||||||||
| N17 W24100 RIVERWOOD DRIVE | SUITE 130 | WAUKESHA | WI | 53188 | 391077992 | HEALTHCARE | WI | 501(c)(3) | 10 | PROHEALTH CARE INC | Yes (true) |
| PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC | |||||||||||
| 791 SUMMIT AVENUE | OCONOMOWOC | WI | 53066 | 390794174 | HOSPITAL | WI | 501(c)(3) | 3 | PROHEALTH CARE INC | Yes (true) | |
| PROHEALTH MEDICAL GROUP INC | |||||||||||
| N17 W24100 RIVERWOOD DRIVE | SUITE 130 | WAUKESHA | WI | 53188 | 391083015 | HEALTHCARE | WI | 501(c)(3) | 3 | PROHEALTH CARE INC | Yes (true) |
| PROHEALTH CARE INC | |||||||||||
| N17 W24100 RIVERWOOD DRIVE | SUITE 130 | WAUKESHA | WI | 53188 | 391486873 | MANAGEMENT | WI | 501(c)(3) | Type II | NA | false |
| PROHEALTH HOME CARE INC | |||||||||||
| N17 W24100 RIVERWOOD DRIVE | SUITE 130 | WAUKESHA | WI | 53188 | 200067392 | HEALTHCARE | WI | 501(c)(3) | 3 | PROHEALTH CARE INC | Yes (true) |
| PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC | |||||||||||
| 725 AMERICAN AVENUE | WAUKESHA | WI | 53188 | 390910727 | HOSPITAL | WI | 501(c)(3) | 3 | PROHEALTH CARE INC | Yes (true) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PROHEALTH ALIGNED LLC (DBA PROHEALTH CARE MORELAND SURGERY CENTER) | |||||||||||
| 1111 DELAFIELD STREET | STE 1 | WAUKESHA | WI | 53188 | 263324572 | SURGERY CENTER | WI | NA | N/A | false | false |
| REHABILITATION HOSPITAL OF WISCONSIN LLC | |||||||||||
| 1625 COLDWATER CREEK DRIVE | WAUKESHA | WI | 53188 | 262332250 | INPATIENT REHABILITATION | WI | NA | N/A | false | false | |
| THE ORTHOPEDIC SURGERY CENTER LLC | |||||||||||
| N15 W28300 GOLF RD | PEWAUKEE | WI | 53072 | 208356016 | ORTHOPEDIC SURGICAL SERVICES | WI | NA | N/A | false | false | |
| PROHEALTH SOLUTIONS LLC | |||||||||||
| N17 W24100 RIVERWOOD DR | STE 130 | WAUKESHA | WI | 53188 | 273863494 | ACCOUNTABLE CARE ORGANIZATION | WI | NA | N/A | false | false |
| GI SPECIALISTS LLC (DBA MORELAND ENDOSCOPY CENTER) | |||||||||||
| 1111 DELAFIELD STREET | STE 1 | WAUKESHA | WI | 53188 | 205269133 | ENDOSCOPY SERVICES | WI | NA | N/A | false | false |
| LAKE COUNTRY ENDOSCOPY CENTER | |||||||||||
| 1185 CORPORATE CENTER DR | OCONOMOWOC | WI | 53066 | 261572986 | ENDOSCOPY SERVICES | WI | NA | N/A | false | false | |
| PHCOAW CO-MANAGEMENT COMPANY LLC | |||||||||||
| N17 W24100 RIVERWOOD DR | STE 130 | WAUKESHA | WI | 53188 | 811823911 | MANAGEMENT SERVICES | WI | NA | N/A | false | false |
| SOUTHERN LAKES ENDOSCOPY CENTER | |||||||||||
| 240 MAPLE AVENUE | MUKWONAGO | WI | 53149 | 824245460 | ENDOSCOPY SERVICES | WI | NA | N/A | false | false | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| WAUKESHA HEALTH SYSTEM INC | ||||||||||
| N17 W24100 RIVERWOOD DR | SUITE 130 | WAUKESHA | WI | 53188 | 391507910 | HEALTHCARE | WI | NA | C Corporation | false |
| EMPATHIA PACIFIC INC | ||||||||||
| 31416 AGOURA RD | STE 180 | WESTLAKE VILLAGE | CA | 91361 | 953070501 | HEALTHCARE | CA | EMPATHIA INC | C Corporation | false |
| NATIONAL AVENUE DEVELOPMENT CORPORATION | ||||||||||
| N17 W24100 RIVERWOOD DR | SUITE 130 | WAUKESHA | WI | 53188 | 391417226 | HEALTHCARE | WI | WAUKESHA HEALTH SYSTEM INC | C Corporation | false |
| EMPATHIA INC | ||||||||||
| N17 W24100 RIVERWOOD DR | SUITE 130 | WAUKESHA | WI | 53188 | 391567366 | HEALTHCARE | WI | WAUKESHA HEALTH SYSTEM INC | C Corporation | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC | ||
| B | $1,685,783 | ACTUAL COSTS INCURRED |
| PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC | ||
| B | $1,293,527 | ACTUAL COSTS INCURRED |
| PROHEALTH HOME CARE INC | ||
| B | $1,074,575 | ACTUAL COSTS INCURRED |
| PROHEALTH CARE INC | ||
| B | $890,268 | ACTUAL COSTS INCURRED |
| PROHEALTH MEDICAL GROUP INC | ||
| B | $113,605 | ACTUAL COSTS INCURRED |
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