2026-08-26T16:28:04-05:00 2025-12-31 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 220 DULUTH MN 55812 990 2025-01-01 870838415 MENTAL HEALTH EMERGENCY CENTER INC MENT 4149663030 1525 N 12TH STREET MILWAUKEE WI 53205 RACHEL HALVERSON SVP CONTROLLER 4149663030 2026-08-19 1 MICHAEL J PETERSON CPA P01833529 2187224705 2026-08-14 2025 2025-03-06 01:10:19Z NANCY KOROM 1525 N 12TH STREET MILWAUKEE WI 53205 21139210 0 X WWW.MENTALHEALTHMKE.ORG X 2021 WI THE MENTAL HEALTH EMERGENCY CENTER (MHEC) IS A COUNTY-WIDE PSYCHIATRIC EMERGENCY DEPARTMENT OFFERING 24/7/365 CRISIS MENTAL HEALTH ASSESSMENT, STABILIZATION, TREATMENT, AND TRANSITION CARE MANAGEMENT FOR CHILDREN, ADOLESCENTS AND ADULTS. 9 9 0 8 0 0 11766754 11177678 5875654 9865737 117552 95795 0 0 17759960 21139210 0 0 0 0 0 0 0 0 0 18416494 19577420 18416494 19577420 -656534 1561790 16582545 16574939 2850322 1280926 13732223 15294013 MHEC PROVIDES EMERGENCY CRISIS CARE THAT IS PATIENT-CENTERED, RECOVERY-ORIENTATED AND CULTURALLY INFORMED. 0 0 19210267 0 9865737 MENTAL HEALTH EMERGENCY CENTER INC. (MHEC) COMPLETED CONSTRUCTION AND BEGAN SERVING PATIENTS IN SEPTEMBER 2022. MHEC SERVES AS AN ANCHOR INSTITUTION IN ITS SURROUNDING NEIGHBORHOOD, PROVIDING INCREASED SAFETY, REVITALIZATION AND ECONOMIC BENEFITS. THROUGHOUT 2025, MHEC PROVIDED TIMELY EMERGENCY TREATMENT TO OVER 7,624 PATIENTS, WITH MANY OF THESE PATIENTS STABILIZED AT MHEC AND PROMPTLY TRANSFERRED TO THE NEXT LEVEL OF CARE. MHEC ALSO EMPLOYS ABOUT 100 FULL-TIME EQUIVALENT STAFF. 19210267 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WI X X ADVOCATE AURORA HEALTH INC 4142991576 750 W VIRGINIA STREET MILWAUKEE WI 532341880 X MATTHEW FORTMAN CHAIR 1.00 X X 0 0 0 JONATHAN MATUSZEWSKI VICE CHAIR 1.00 X X 0 0 0 MICHAEL LAPPEN TREASURER 1.00 X X 0 0 0 NKEM IROEGBU MD SECRETARY 1.00 X X 0 0 0 RICHARD D JONES DIRECTOR 1.00 X 0 0 0 NANCY KOROM DIRECTOR 1.00 X 0 0 0 SHAKITA LAGRANT DIRECTOR 1.00 X 0 0 0 MARY NEUBAUER DIRECTOR 1.00 X 0 0 0 AUSTIN REEDER DIRECTOR 1.00 X 0 0 0 PAULA SCHMIDT DIRECTOR (THRU APR 2025) 1.00 X 0 0 0 JULIE OWEN MD HOSPITAL ADMINISTRATOR 1.00 X 0 0 0 0 0 0 0 0 0 0 ADVOCATE AURORA HEALTH 750 W VIRGINIA ST MILWAUKEE WI 53204 MANAGEMENT SERVICES 16987118 MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 PHYSICIAN SERVICES 197215 PSAB ENTERPRISES INC 13040 W LISBON RD BROOKFIELD WI 53005 CLEANING SERVICES 113700 3 5463100 5714578 11177678 OUTPATIENT REVENUE 621400 9669651 9669651 ROOM AND BOARD 623990 168045 168045 INPATIENT REVENUE 621300 28041 28041 9865737 95795 95795 21139210 9865737 0 95795 X 3037190 3037190 40389 40389 52142 52142 5762187 5467304 294883 105125 105125 554507 554507 33542 33542 LEASED EMPLOYEES 7262947 7262947 BAD DEBT 2490927 2490927 MEDICAL SUPPLIES 133102 110280 22822 DRUGS AND PHARMACEUTICA 20180 20121 59 85182 76182 9000 19577420 19210267 367153 0 3445154 4836218 3224644 2310292 57968 58241 11205599 1835411 9854779 9370188 16582545 16574939 2850322 1280926 2850322 1280926 X 13732223 15294013 13732223 15294013 16582545 16574939 1561790 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1305428 1305428 9166471 1621508 7544963 678784 213903 464881 54916 54916 9370188 18648283 -2490927 -2490927 21139210 0 21139210 17086493 0 17086493 2490927 2490927 19577420 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT -2,490,927. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 2,490,927. 1 1 X 1 X 250.000000000000 0 1 1 1 0 1 1 105586 105586 0.00620 9425158 6882964 2542194 0.14880 9530744 6882964 2647780 0.15500 33229 33229 0.00190 5963940 152921 5811019 0.34010 5997169 152921 5844248 0.34200 15527913 7035885 8492028 0.49700 1 2490927 1558578 180920 1122406 -941486 X 1 1 1 1 MENTAL HEALTH EMERGENCY CENTER INC 1525 N 12TH ST MILWAUKEE WI 53205 HTTPS://MENTALHEALTHMKE.ORG 52D2263769 X X 24 HR MENTAL HEALTH EMERGENCY CENTER MENTAL HEALTH EMERGENCY CENTER INC 1 0 0 1 X X X X X X X X X 25 1 1 1 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X 1 25 1 SEE PART V, PAGE 8 0 1 X 250.000000000000 X X X 1 1 X X X 1 X HTTPS://MENTALHEALTHMKE.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://MENTALHEALTHMKE.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://MENTALHEALTHMKE.ORG/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 MENTAL HEALTH EMERGENCY CENTER, INC PART V, SECTION B, LINE 5: MHEC PARTICIPATED IN THE MILWAUKEE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED THROUGH THE MILWAUKEE HEALTH CARE PARTNERSHIP ("MHCP"). THE ASSESSMENT INCORPORATED THREE PRIMARY DATA SOURCES. FIRST, AN ONLINE COMMUNITY HEALTH SURVEY WAS COMPLETED BY MORE THAN 6,200 MILWAUKEE COUNTY RESIDENTS AND EXPLORED HEALTH BEHAVIORS, RISK FACTORS, PERCEPTIONS OF COMMUNITY HEALTH ISSUES, AND BARRIERS TO CARE. SECOND, COMMUNITY PARTNER INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED WITH 42 INDIVIDUALS REPRESENTING 36 KEY INFORMANTS AND 11 FOCUS GROUPS TO IDENTIFY SIGNIFICANT HEALTH NEEDS, CONTRIBUTING FACTORS, COMMUNITY STRENGTHS AND POTENTIAL STRATEGIES FOR IMPROVEMENT. THIRD, THE ASSESSMENT INCORPORATED SECONDARY DATA AVAILABLE THROUGH HEALTH COMPASS MILWAUKEE, WHICH COMPILES NUMEROUS PUBLICLY REPORTED HEALTH INDICATORS AND DEMOGRAPHIC INFORMATION.THE PROCESS INCLUDED INPUT FROM ORGANIZATIONS AND INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH AND COMMUNITY HEALTH ISSUES AND REFLECTED THE PERSPECTIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND OTHER VULNERABLE POPULATIONS RESIDING THROUGHOUT MILWAUKEE COUNTY. THE ASSESSMENT CONSIDERED HEALTH OUTCOMES, SOCIAL DRIVERS OF HEALTH, COMMUNITY RESOURCES, AND HEALTH DISPARITIES AFFECTING COUNTY RESIDENTS. MENTAL HEALTH EMERGENCY CENTER, INC PART V, SECTION B, LINE 6A: MHEC PARTICIPATED IN A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED THROUGH THE MILWAUKEE HEALTH CARE PARTNERSHIP ("MHCP"), A COLLABORATIVE PUBLIC-PRIVATE PARTNERSHIP THAT INCLUDES AURORA HEALTH CARE, ASCENSION WISCONSIN, CHILDREN'S WISCONSIN, FROEDTERT HEALTH, THE MILWAUKEE HEALTH DEPARTMENT, AND THE MILWAUKEE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES. MHCP MEMBERS JOINTLY FUNDED AND DEVELOPED THE MILWAUKEE COUNTY CHNA. MENTAL HEALTH EMERGENCY CENTER, INC PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH GOVERNMENTAL PUBLIC HEALTH AGENCIES, INCLUDING THE MILWAUKEE HEALTH DEPARTMENT AND MILWAUKEE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES. THESE GOVERNMENTAL ORGANIZATIONS PARTNERED WITH THE PARTICIPATING HEALTH SYSTEMS THROUGH THE MILWAUKEE HEALTH CARE PARTNERSHIP TO DEVELOP A SHARED MILWAUKEE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT AND IDENTIFY COUNTY-WIDE HEALTH PRIORITIES. MENTAL HEALTH EMERGENCY CENTER, INC:PART V, SECTION B, LINE 7A: HTTPS://MENTALHEALTHMKE.ORG/WP-CONTENT/UPLOADS/2025/12/CHNA-MHEC-12.19-V2.PDFMENTAL HEALTH EMERGENCY CENTER, INC: PART V, SECTION B, LINE 7B: HTTPS://HEALTHCOMPASSMILWAUKEE.ORG/TOPICS/WIHR2?TOPIC=MENTAL-HEALTH-EMERGENCY-DEPARTMENT-VISIT-RATEMENTAL HEALTH EMERGENCY CENTER, INC: PART V, SECTION B, LINE 10A: HTTPS://MENTALHEALTHMKE.ORG/WP-CONTENT/UPLOADS/2023/04/MHEC-CHIS-2023-2025_FINAL.PDF MENTAL HEALTH EMERGENCY CENTER, INC PART V, SECTION B, LINE 11: THE MILWAUKEE HEALTH CARE PARTNERSHIP IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: MENTAL HEALTH, ACCESS TO CARE, SUBSTANCE USE, CHRONIC DISEASE, ECONOMIC AND HOUSING OPPORTUNITIES, MATERNAL AND CHILD HEALTH, FOOD INSECURITY, AND SAFETY AND VIOLENCE. THESE NEEDS WERE EVALUATED USING CRITERIA THAT INCLUDED THE SIZE AND SERIOUSNESS OF THE PROBLEM, EFFECTIVENESS OF AVAILABLE INTERVENTIONS, AVAILABLE RESOURCES, ALIGNMENT WITH IDENTIFIED COMMUNITY NEED, ABILITY TO COLLABORATE WITH COMMUNITY PARTNERS, AND THE HOSPITAL'S ABILITY TO EFFECTIVELY INFLUENCE OUTCOMES.BASED ON ITS SPECIALIZED MISSION AND SERVICES AS A PSYCHIATRIC EMERGENCY HOSPITAL, MHEC SELECTED MENTAL HEALTH AS ITS PRIORITY HEALTH NEED FOR THE 2026-2028 IMPLEMENTATION STRATEGY. MENTAL HEALTH WAS IDENTIFIED AS ONE OF THE MOST SIGNIFICANT HEALTH CONCERNS IN MILWAUKEE COUNTY THROUGH COMMUNITY SURVEYS, STAKEHOLDER INTERVIEWS, AND FOCUS GROUPS, AND ALIGNS DIRECTLY WITH MHEC'S EXPERTISE AND RESOURCES.OTHER IDENTIFIED NEEDS, INCLUDING ACCESS TO CARE, SUBSTANCE USE, CHRONIC DISEASE, ECONOMIC AND HOUSING OPPORTUNITIES, MATERNAL AND CHILD HEALTH, FOOD INSECURITY, AND SAFETY AND VIOLENCE, WERE NOT SELECTED AS PRIMARY IMPLEMENTATION STRATEGY PRIORITIES BECAUSE MHEC, AS A SPECIALTY HOSPITAL, DETERMINED ITS RESOURCES AND EXPERTISE ARE BEST UTILIZED ADDRESSING BEHAVIORAL HEALTH NEEDS. HOWEVER, MHEC RECOGNIZES THAT SOCIAL DRIVERS OF HEALTH AND MANY OF THESE COMMUNITY ISSUES DIRECTLY AFFECT MENTAL HEALTH OUTCOMES AND INTENDS TO INCORPORATE CONSIDERATION OF THESE FACTORS INTO ITS IMPLEMENTATION STRATEGY AND COLLABORATIVE COMMUNITY EFFORTS. MENTAL HEALTH EMERGENCY CENTER, INC PART V, SECTION B, LINE 13H: APPLY FOR FINANCIAL ASSISTANCE WITHIN 240 DAYS OF THE PATIENT'S FIRST BILLING STATEMENT. PART I, LINE 7: A COST-TO-CHARGE RATIO AS CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, INCLUDED IN THE SCHEDULE H INSTRUCTIONS WAS USED TO DETERMINE THE AMOUNTS ON LINE 7. PART I, LINE 7G: MENTAL HEALTH EMERGENCY CENTER (MHEC) PROVIDES CRITICAL PSYCHIATRIC EMERGENCY AND STABILIZATION SERVICES FOR INDIVIDUALS EXPERIENCING MENTAL HEALTH CRISES THROUGHOUT MILWAUKEE COUNTY. AS A SPECIALTY PSYCHIATRIC EMERGENCY FACILITY, MHEC SERVES ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY AND PROVIDES SERVICES THAT ARE ESSENTIAL TO THE COMMUNITY BUT ARE NOT FINANCIALLY SELF-SUSTAINING. FOR PURPOSES OF DETERMINING THE SUBSIDIZED HEALTH SERVICES BENEFIT REPORTED ON SCHEDULE H, MHEC'S CALCULATIONS EXCLUDE MEDICAID SHORTFALLS, BAD DEBT EXPENSE, AND FINANCIAL ASSISTANCE (CHARITY CARE). EVEN AFTER EXCLUDING THESE AMOUNTS, THE ORGANIZATION INCURS SIGNIFICANT LOSSES IN PROVIDING THESE CRISIS STABILIZATION AND EMERGENCY MENTAL HEALTH SERVICES. UNDER THE JOINT OPERATING MODEL, THESE OPERATING LOSSES ARE SHARED EQUALLY BETWEEN MILWAUKEE COUNTY AND THE PARTICIPATING HEALTH SYSTEM MEMBERS. THE ORGANIZATION CONTINUES TO WORK WITH THE STATE OF WISCONSIN AND OTHER STAKEHOLDERS TO ENHANCE REIMBURSEMENT FOR CRISIS SERVICES AND IMPROVE THE LONG-TERM SUSTAINABILITY OF THESE ESSENTIAL COMMUNITY MENTAL HEALTH RESOURCES. IN ADDITION, MHEC IS PURSUING PHILANTHROPIC AND OTHER FUNDING SOURCES TO SUPPORT SERVICES FOR WHICH REIMBURSEMENT IS UNAVAILABLE OR INADEQUATE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,490,927. PART III, LINE 2: BAD DEBT IS ESTIMATED AS THE AMOUNT OF GROSS CHARGES THAT ARE UNLIKELY TO BE PAID BY PATIENTS BASED ON PATIENTS' INSURANCE COVERAGE AND HISTORICAL PAYMENT HISTORY. PART III, LINE 4: WITHIN THE AUDITED FINANCIAL STATEMENTS, THE HOSPITAL DOES NOT HAVE A SINGLE OR SPECIFIC FOOTNOTE IN REFERENCE TO BAD DEBT. HOWEVER, WITHIN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (NOTE 2) THEY DEFINE PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE. FURTHER, WITHIN THE PATIENT ACCOUNTS RECEIVABLE (NOTE 3), THE HOSPITAL NOTES "ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE RATHER THAN AN ALLOWANCE FOR DOUBTFUL ACCOUNTS." PART III, LINE 8: THE COSTING METHOD USED ABOVE FOR IRS FORM 990 COMPLIANCE REPORTING IS ALSO BASED ON AN OVERALL AVERAGE COST-TO-CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE) DIVIDED BY TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE. THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES WHICH ARE REIMBURSED ON A COST METHODOLOGY EXCLUDING THE FEE SCHEDULE ITEMS LIKE PHYSICIAN SERVICES AND THE HOSPITAL WOULD SHOW A LARGE LOSS ON THESE SERVICES.THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFITS EXPENSE BECAUSE PROVIDING MEDICAL CARE AT A SHORTFALL IMPACTS THE HOSPITAL'S OPERATIONS AND GROWTH. THE CARE IS PROVIDED BECAUSE THERE IS A NEED AND A DESIRE TO PROVIDE MEDICAL CARE IN THIS COMMUNITY.WHETHER THERE IS A SHORTFALL OR SURPLUS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. PART III, LINE 9B: BEFORE ENGAGING IN COLLECTION ACTIVITIES OR REFERRING ACCOUNTS TO A COLLECTION AGENCY, REASONABLE EFFORTS ARE MADE TO DETERMINE WHETHER A PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY (FAP). PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH BILLING STATEMENTS, FINANCIAL COUNSELING RESOURCES, AND THE FAP PLAIN LANGUAGE SUMMARY. COLLECTION ACTIVITIES ARE SUSPENDED WHILE A TIMELY SUBMITTED FINANCIAL ASSISTANCE APPLICATION IS BEING REVIEWED. THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS, INCLUDING CREDIT REPORTING, LAWSUITS, LIENS, WAGE GARNISHMENTS, OR SIMILAR ACTIONS, AGAINST PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: AS A UNIQUE JOINT VENTURE BETWEEN MILWAUKEE COUNTY AND THE HEALTH SYSTEM MEMBERS OF THE MILWAUKEE HEALTH CARE PARTNERSHIP (ADVOCATE AURORA HEALTH, ASCENSION WISCONSIN, CHILDREN'S WISCONSIN, AND FROEDTERT HEALTH), THE MENTAL HEALTH EMERGENCY CENTER (MHEC) LEVERAGES EXPERTISE FROM HEALTHCARE AND COMMUNITY LEADERS TO CONTINUOUSLY ASSESS THE HEALTH CARE NEEDS OF THE RESIDENTS OF MILWAUKEE COUNTY. PART VI, LINE 3: THE ORGANIZATION'S PATIENT FINANCIAL ADVOCATES ADDRESS EVERY PATIENT OR PATIENT'S FAMILY WHO PRESENTS FOR SERVICES AND HAS NO INSURANCE, WITH THE PURPOSE OF SHARING OPTIONS FOR COVERAGE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, AS WELL AS MHEC'S INTERNAL PATIENT FINANCIAL ASSISTANCE PROGRAM. THE PATIENT FINANCIAL ADVOCATE WILL ASSIST THE PATIENT AND/OR PATIENT'S FAMILY IN PREPARING THE PAPERWORK TO APPLY FOR ANY GOVERNMENT COVERAGE AND/OR MHEC'S INTERNAL FINANCIAL ASSISTANCE. NOTICES REGARDING ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM ARE ALSO POSTED WITHIN THE FACILITY. PART VI, LINE 4: A DETAILED DESCRIPTION OF THE COMMUNITY SERVED BY MHEC CAN BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT HTTPS://MENTALHEALTHMKE.ORG/WP-CONTENT/UPLOADS/2025/12/CHNA-MHEC-12.19-V2.PDF) BEGINNING ON PAGE 4. THIS DOCUMENT CONTAINS A DEFINITION OF THE COMMUNITY SERVED (RESIDENTS OF MILWAUKEE COUNTY) INCLUDING THE COUNTY'S POPULATION, AN ANALYSIS OF THE SOCIAL DETERMINANTS OF HEALTH, DEMOGRAPHICS OF THE COUNTY'S POPULATION (INCLUDING AGE, GENDER, RACE, ETHNICITY, AND FAMILY STRUCTURE), ECONOMIC PICTURE, AND EDUCATION LEVELS. PART VI, LINE 5: MHEC PROVIDES IMPORTANT STABILIZATION SERVICES TO INDIVIDUALS IN MENTAL HEALTH CRISES AT THE EXPENSE OF ITS MEMBERS. THE ORGANIZATION IS EXPECTED TO DELIVER CARE WITH AN OPERATING LOSS OF $11.5 MILLION ANNUALLY IN 2025. OPERATING SHORTFALLS ARE SPLIT 50/50 BETWEEN MILWAUKEE COUNTY AND MHEC'S HEALTH SYSTEM MEMBERS. EFFORTS ARE UNDERWAY WITH THE STATE OF WISCONSIN TO ENHANCE CRISIS REIMBURSEMENT TO ENSURE LONG-TERM VIABILITY AND TO SECURE PHILANTHROPIC FUNDING FOR UNCOVERED SERVICES. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES WI FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP INTERESTS ARE HELD BY TWO CLASSES OF MEMBERS: THE HEALTH SYSTEM CLASS AND THE MILWAUKEE COUNTY CLASS. MEMBERSHIP IN THE HEALTH SYSTEM CLASS IS DIVIDED EQUALLY AMONG THE HEALTH SYSTEM PARTNERS, WITH EACH HEALTH SYSTEM PARTNER HOLDING TWENTY-FIVE PERCENT (25%) OF THE HEALTH SYSTEM CLASS, OR TWELVE AND ONE-HALF PERCENT (12.5%) OF THE MEMBERSHIP VOTE IN THE CORPORATION. MEMBERSHIP IN THE MILWAUKEE COUNTY CLASS IS HELD ENTIRELY BY THE COUNTY, MEANING THE COUNTY SHALL HOLD ONE HUNDRED PERCENT (100%) OF THE MILWAUKEE COUNTY CLASS, OR FIFTY PERCENT (50%) OF THE MEMBERSHIP VOTE IN THE CORPORATION. THE HEALTH SYSTEM PARTNERS CONSIST OF THE FOLLOWING: (1) AURORA HEALTH CARE, INC., (2) COLUMBIA ST. MARY'S, INC. (D/B/A ASCENSION WISCONSIN) OR ONE OF ITS AFFILIATES, (3) CHILDREN'S HOSPITAL AND HEALTH SYSTEMS, INC. OR ONE OF ITS AFFILIATES, AND (4) FROEDTERT HEALTH, INC. OR ONE OF ITS AFFILIATES. THE COUNTY IS MILWAUKEE COUNTY, A WISCONSIN MUNICIPAL CORPORATION, AS REPRESENTED BY ITS MENTAL HEALTH BOARD, DEPARTMENT OF HEALTH AND HUMAN SERVICES AND DHHS-BEHAVIORAL HEALTH DIVISION. FORM 990, PART VI, SECTION A, LINE 7A ONE HALF OF THE DIRECTORS ARE APPOINTED BY THE MILWAUKEE COUNTY CLASS. THE OTHER HALF OF THE DIRECTORS ARE APPOINTED BY THE HEALTH SYSTEM CLASS, WITH EACH HEALTH SYSTEM PARTNER HAVING THE RIGHT TO APPOINT ONE (1) SUCH HEALTH SYSTEM CLASS DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN KEY DECISIONS REGARDING THE STRATEGIC DIRECTION OF MHEC ARE RESERVED FOR THE MEMBERS OF MHEC, INCLUDING BUT NOT LIMITED TO ALTERING THE PHILOSOPHY, MISSION, LONG-RANGE GOALS, STRATEGIC PLANS AND OVERALL PURPOSES OF THE ORGANIZATION, APPROVING AMENDMENTS TO THE ORGANIZATION'S GOVERNING DOCUMENTS, APPROVING BORROWING OR LENDING OF MONEY, ETC. A FULL LIST OF DECISIONS THAT REQUIRE APPROVAL FROM THE MEMBERS OF MHEC ARE INCLUDED WITHIN THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. IN THEIR CAPACITY AS THE MANAGER OF THE CENTER, AURORA HEALTH CARE LEADERSHIP REVIEWS THESE STATEMENTS FOR COMPLIANCE WITH THE ESTABLISHED POLICY. WHEN A CONFLICT IS DISCOVERED, THE GOVERNING BODY DETERMINES IF SUCH CONFLICT WARRANTS A RESTRICTION ON THE CAPACITY OF THE BOARD MEMBER OR KEY EMPLOYEE INVOLVED (E.G. RECUSAL FROM DECISION-MAKING OR UTILIZING ANOTHER METHOD OF NON-PARTICIPATION IN AN ACTIVITY. FORM 990, PART VI, SECTION C, LINE 19 THE ARTICLES OF INCORPORATION FOR MENTAL HEALTH EMERGENCY CENTER INC. ARE ON FILE WITH THE STATE OF WISCONSIN, DEPARTMENT OF FINANCIAL INSTITUTIONS. THE FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIANS & NON-PHYSICIANS PRACTITIONERS SERVICES: PROGRAM SERVICE EXPENSES 5,309,610. MANAGEMENT AND GENERAL EXPENSES 291,383. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,600,993. MEDICAL RESIDENT FEES: PROGRAM SERVICE EXPENSES 98,312. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,312. SUPPORT STAFF: MEDICAL RELATED: PROGRAM SERVICE EXPENSES 59,382. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,382. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,500.