PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC (EIN 39-0910727)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-07-28
- IRS object ID
- 202642099349301559
- 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 H
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-07-28T12:53:56+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 | 390910727 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROH | BusinessNameControlTxt |
| Phone | 2629282496 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 AMERICAN AVENUE | AddressLine1Txt |
| City | WAUKESHA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53188 | 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 | DAVID LOWENTHAL CPA | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 2483522500 | PhoneNum |
| Preparation | 2026-08-17 | 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 | 53188 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $693,948,973 | 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 | 1956 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | PROVIDER OF INPATIENT AND OUTPATIENT HOSPITAL SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 3150 | TotalEmployeeCnt |
| Total Volunteers | 194 | TotalVolunteersCnt |
| Total Gross UBI | $6,074,465 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,822,325 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,263,951 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $644,567,442 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $686,878,637 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,082,753 | PYInvestmentIncomeAmt |
| CY Investment Income | $741,375 | CYInvestmentIncomeAmt |
| PY Other Revenue | $14,532,500 | PYOtherRevenueAmt |
| CY Other Revenue | $2,904,825 | CYOtherRevenueAmt |
| PY Total Revenue | $662,005,020 | PYTotalRevenueAmt |
| CY Total Revenue | $693,788,788 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $452,288 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $172,697,547 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $187,699,926 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $396,134,950 | PYOtherExpensesAmt |
| CY Other Expenses | $419,760,467 | CYOtherExpensesAmt |
| PY Total Expenses | $569,284,785 | PYTotalExpensesAmt |
| CY Total Expenses | $607,460,393 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $92,720,235 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $86,328,395 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $615,950,473 | TotalAssetsBOYAmt |
| Total Assets EOY | $619,987,461 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $322,222,334 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $341,220,504 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $293,728,139 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $278,766,957 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CONTINUOUSLY IMPROVING THE HEALTH OF OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $514,308,301 | ExpenseAmt |
| Revenue | $680,917,526 | RevenueAmt |
| Desc | PROHEALTH WAUKESHA MEMORIAL HOSPITAL FULFILLS ITS EXEMPT PURPOSE BY PROVIDING CARE AND SERVICES TO ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY. PROHEALTH WAUKESHA MEMORIAL HOSPITAL ALSO USES ITS RESOURCES TO ADDRESS VARIOUS COMMUNITY NEEDS. PROHEALTH WAUKESHA MEMORIAL HOSPITAL PROVIDED APPROXIMATELY 54,550 DAYS OF INPATIENT CARE AND APPROXIMATELY 372,489 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2025. SEE SCHEDULE H FOR ILLUSTRATION OF ITS PROGRAM SERVICE ACCOMPLISHMENTS. | Desc |
| Total Program Service Expenses | $514,308,301 | 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 | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | 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 | false | 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 | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | 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 | 229 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3150 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| 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 | false | QuidProQuoContributionsInd |
| 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 | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | 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 (10 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| GARY BEYER | |||||||||
| CHAIRPERSON | 2.0 | 8.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN HALLETT | |||||||||
| VICE CHAIRPERSON | 2.0 | 8.0 | 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 | ||
| ANDREW GUTIERREZ | |||||||||
| CHIEF FINANCIAL OFFICER | 2.0 | 50.0 | Yes (X) | $0 | $894,400 | $184,004 | |||
| KENNETH PRICE | |||||||||
| CHIEF OPERATING OFFICER | 2.0 | 48.0 | $0 | $1,465,856 | $244,625 | Yes (X) | |||
| ALAN JOHNSON | |||||||||
| VP CRITICAL CARE & SPECIALTY | 50.0 | 0 | $342,585 | $0 | $32,767 | Yes (X) | |||
| ELIZABETH CLARK | |||||||||
| DIR CLINICAL/PROFESSIONAL OPS | 50.0 | 0 | $231,872 | $0 | $53,342 | Yes (X) | |||
| JAMES SEMRAD | |||||||||
| VP PHARMACY & SERVICE LINES | 50.0 | 0 | $313,166 | $0 | $8,658 | Yes (X) | |||
| MARGARET PFITZINGER | |||||||||
| VP CLINICAL OPERATIONS | 50.0 | 0 | $357,158 | $0 | $60,114 | Yes (X) | |||
| MARK LEWNO | |||||||||
| MGR AMB PHARMACY, OPS/TRANSFER | 50.0 | 0 | $223,172 | $0 | $24,454 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,467,953 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,957,286 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,084,845 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 202 | 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 | CompensationCompensationAmt |
|---|---|---|---|---|---|
| STAFFENCY LLC | |||||
| 221 W COLLEGE AVE | APPLETON | WI | 54911 | PROFESSIONAL SERVICES | $20,635,064 |
| ACL Laboratories | |||||
| 8901 W LINCOLN AVE | WEST ALLIS | WI | 53227 | PROFESSIONAL SERVICES | $12,355,990 |
| APOGEE MEDICAL MANAGEMENT | |||||
| 15059 N SCOTTSDALE RD | SCOTTSDALE | AZ | 85254 | PROFESSIONAL SERVICES | $11,627,749 |
| Riley Construction Co | |||||
| 5301 99th Ave | Kenosha | WI | 53144 | CONSTRUCTION SERVICES | $6,636,685 |
| Epic Systems Corp | |||||
| 1979 Milky Way | Verona | WI | 53593 | PROFESSIONAL SERVICES | $4,760,786 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 63 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,685,783 | RelatedOrganizationsAmt |
| Government Grants | $158,993 | GovernmentGrantsAmt |
| All Other Contributions | $1,419,175 | AllOtherContributionsAmt |
| Noncash Contributions | $1,190,000 | NoncashContributionsAmt |
| Total Contributions | $3,263,951 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $655,470,756 | $655,470,756 | |
| MEDICAL SERVICE LAB | 621500 | $12,253,900 | $6,292,789 | $5,961,111 |
| ORTHO SURGERY CENTER | 621400 | $5,314,856 | $5,314,856 | |
| HOSPITAL JOINT VENTURE | 621110 | $4,534,161 | $4,534,161 | |
| RENTAL REVENUE - AFFILIATE | 532000 | $4,333,531 | $4,333,531 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,971,433 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,971,433 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $686,878,637 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $411,456 | TotalRevenueColumnAmt |
| Exclusion | $411,456 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $775,179 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $160,185 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $614,994 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $614,994 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $113,354 | UnrelatedBusinessRevenueAmt |
| Exclusion | $501,640 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $329,919 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $329,919 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $329,919 | TotalRevenueColumnAmt |
| Exclusion | $329,919 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 722514 | $2,286,831 | $2,286,831 |
| GIFT SHOP | 459420 | $3,000 | $3,000 |
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 | $2,289,831 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $693,788,788 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $680,917,526 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $6,074,465 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,532,846 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,017,584 | TotalAmt |
| Program Services | $139,839,853 | ProgramServicesAmt |
| Management And General | $5,177,731 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,652,203 | TotalAmt |
| Program Services | $4,652,203 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,469,332 | TotalAmt |
| Program Services | $26,839,714 | ProgramServicesAmt |
| Management And General | $629,618 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,560,807 | TotalAmt |
| Program Services | $10,551,464 | ProgramServicesAmt |
| Management And General | $9,343 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,229,319 | TotalAmt |
| Program Services | $3,229,319 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,716,063 | TotalAmt |
| Program Services | $51,212,046 | ProgramServicesAmt |
| Management And General | $4,504,017 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,136 | TotalAmt |
| Program Services | $22,136 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,282,822 | TotalAmt |
| Program Services | $4,323,522 | ProgramServicesAmt |
| Management And General | $959,300 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,094,707 | TotalAmt |
| Program Services | $3,094,707 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,777,378 | TotalAmt |
| Program Services | $7,088,048 | ProgramServicesAmt |
| Management And General | $689,330 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,040 | TotalAmt |
| Program Services | $157,280 | ProgramServicesAmt |
| Management And General | $3,760 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,404 | TotalAmt |
| Program Services | $188,404 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,306,584 | TotalAmt |
| Program Services | $5,306,584 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,144,024 | TotalAmt |
| Program Services | $37,333,512 | ProgramServicesAmt |
| Management And General | $80,810,512 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,282,504 | TotalAmt |
| Program Services | $47,282,504 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,317,166 | TotalAmt |
| Program Services | $1,317,166 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS & PHARMACEUTICALS | $67,683,581 | $67,683,581 | |
| MEDICAL SUPPLIES | $66,237,662 | $66,201,063 | $36,599 |
| MEDICAID PROVIDER TAXES | $20,157,705 | $20,157,705 | |
| BAD DEBT EXPENSES | $14,423,462 | $14,423,462 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,735,910 | TotalAmt |
| Program Services | $3,404,028 | ProgramServicesAmt |
| Management And General | $331,882 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $607,460,393 | TotalAmt |
| Program Services | $514,308,301 | ProgramServicesAmt |
| Management And General | $93,152,092 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,955,421 | BOYAmt |
| EOY | $17,459,358 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,845,770 | BOYAmt |
| EOY | $93,607,591 | 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 |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,991,858 | BOYAmt |
| EOY | $13,516,999 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,268,345 | BOYAmt |
| EOY | $4,952,519 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,074,218,238 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $620,293,626 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,146,190 | BOYAmt |
| EOY | $453,924,612 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $554,094 | BOYAmt |
| EOY | $297,087 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,408,823 | BOYAmt |
| EOY | $13,777,833 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,779,972 | BOYAmt |
| EOY | $22,451,462 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $615,950,473 | BOYAmt |
| EOY | $619,987,461 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,357,030 | BOYAmt |
| EOY | $91,143,588 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,634 | BOYAmt |
| EOY | $1,155,628 | 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 | $254,660,670 | BOYAmt |
| EOY | $248,921,288 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $322,222,334 | BOYAmt |
| EOY | $341,220,504 | 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 | $292,271,924 | BOYAmt |
| EOY | $277,405,842 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,456,215 | BOYAmt |
| EOY | $1,361,115 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,728,139 | BOYAmt |
| EOY | $278,766,957 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $615,950,473 | BOYAmt |
| EOY | $619,987,461 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $86,328,395 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,368 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$101,291,945 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,584,495 | OtherCostOrOtherBasisAmt |
| Book Value | $27,584,495 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $669,198,845 | OtherCostOrOtherBasisAmt |
| Depreciation | $339,483,326 | DepreciationAmt |
| Book Value | $329,715,519 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,621,777 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,892,086 | DepreciationAmt |
| Book Value | $5,729,691 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $341,728,093 | OtherCostOrOtherBasisAmt |
| Depreciation | $276,640,067 | DepreciationAmt |
| Book Value | $65,088,026 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,085,028 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,278,147 | DepreciationAmt |
| Book Value | $25,806,881 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $453,924,612 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| ACCRUED POSTRETIREMENT MEDICAL | $85,267 |
| ASSET RETIREMENT OBLIGATION | $2,159,436 |
| INTERCOMPANY NOTES PAYABLE | $246,020,413 |
| LEASES PAYABLE | $656,172 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $248,921,288 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $647,973 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $647,973 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00109 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,841,018 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,763,980 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,077,038 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05914 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $53,488,991 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,763,980 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,725,011 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06023 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 28 | ActivitiesOrProgramsCnt |
| Persons Served | 35652 | PersonsServedCnt |
| Total Community Benefit Expns | $2,681,345 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $104,943 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,576,402 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00434 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 1204 | PersonsServedCnt |
| Total Community Benefit Expns | $6,042,960 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,042,960 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01019 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 240 | PersonsServedCnt |
| Total Community Benefit Expns | $6,930,657 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,930,657 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01169 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 11562 | PersonsServedCnt |
| Total Community Benefit Expns | $695,061 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $695,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00117 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 42 | ActivitiesOrProgramsCnt |
| Persons Served | 48658 | PersonsServedCnt |
| Total Community Benefit Expns | $16,350,023 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $104,943 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,245,080 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02739 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 42 | ActivitiesOrProgramsCnt |
| Persons Served | 48658 | PersonsServedCnt |
| Total Community Benefit Expns | $69,839,014 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,868,923 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,970,091 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08762 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 108 | PersonsServedCnt |
| Total Community Benefit Expns | $13,279 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,279 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00002 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 524 | PersonsServedCnt |
| Total Community Benefit Expns | $122,621 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $122,621 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00021 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,006 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,006 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00001 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 68 | PersonsServedCnt |
| Total Community Benefit Expns | $17,092 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,092 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00003 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 105 | PersonsServedCnt |
| Total Community Benefit Expns | $196,903 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $196,903 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00033 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 805 | PersonsServedCnt |
| Total Community Benefit Expns | $355,901 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $355,901 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $14,442,091 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $972,916 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $94,954,762 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $113,308,305 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$18,353,543 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| PROHEALTH ALIGNED LLC | |||
| AMBULATORY SURGERY CENTER | 0.005 | 0 | 0.005 |
| THE ORTHOPEDIC SURGERY CENTER LLC | |||
| ORTHOPEDIC SURGICAL SERVICES | 0.0049 | 0 | 0.0051 |
| Johnson Creek ASC LLC | |||
| Orthopedic surgical services | 0.002 | 0 | 0.008 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | Critical Access HospitalCriticalAccessHospitalInd | Emergency Room OtherEmergencyRoomOtherInd | Facility Reporting GroupFacilityReportingGroupCd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC | |||||||||||
| 1 | 725 AMERICAN AVENUE | WAUKESHA | WI | 53188 | WWW.PROHEALTHCARE.ORG | 41 | Yes (X) | Yes (X) | Yes (X) | 1 | |
| REHABILITATION HOSPITAL OF WISCONSIN LLC | |||||||||||
| 2 | 1625 COLDWATER CREEK DRIVE | WAUKESHA | WI | 53188 | Yes (X) | 2 | INPATIENT REHABILITATION | ||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | OtherOtherInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
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| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 25 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | HTTPS://TINYURL.COM/Y9C7P5JJ | Yes (X) | Yes (X) | Yes (true) | 25 | Yes (true) | HTTPS://TINYURL.COM/Y9C7P5JJ | false | Yes (true) | Yes (X) | 200.0 | 400.0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | HTTPS://TINYURL.COM/Y892WQSN | Yes (X) | HTTPS://TINYURL.COM/Y892WQSN | Yes (X) | HTTPS://TINYURL.COM/Y892WQSN | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3 Facility 1, 1 | Facility 1, 1 - PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC. Data and research for the ProHealth Waukesha Memorial Hospital CHNA included input from community members, public health officials, and nonprofit leaders representing vulnerable populations in our service area. Key sources and methods included: Community Survey: The 2023 Waukesha County Community Health Survey, conducted by JKV Research, LLC, collected information from 400 residents on health status, coverage, economic hardship, and mental health. Chronic disease, mental health, and substance use were identified as top issues. The full report is available at ProHealthCare.org. Key Informant Interviews: Over 30 interviews with leaders of nonprofit, civic, school, and business organizations provided insights on health needs and social drivers such as housing, food insecurity, and access to care. Common concerns included mental health, substance use, chronic disease, and obesity. A full summary is available at ProHealthCare.org. Focus Groups: Three groups comprising 28 participants highlighted barriers to care, including transportation, childcare costs, and long wait times, and emphasized the need for accessible services and community support. Key issues included food insecurity, addiction, mental health, and social isolation. Metopio Data Platform: Used to integrate public and proprietary data, providing curated insights on health behaviors, outcomes, healthcare utilization, and social determinants such as income, education, housing, and transportation. This supplemented primary data findings. Secondary Data Reports: Local and national data on social determinants of health, Waukesha County Health Rankings, and other compiled public health reports were included. Full summaries are available at ProHealthCare.org. Together, these data sources informed the assessment and prioritization of community health needs, ensuring representation of diverse populations and identification of key areas for intervention. |
| Schedule H, Part V, Section B, Line 5 Facility 1, 1 | Facility 1, 1 - PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC:. SEE PART V, SECTION B, LINE 3J DISCLOSURE ProHealth Waukesha Memorial Hospital took broad community input into account through multiple avenues. Summary data and key findings from the CHNA, including results from the community survey, key informant interviews, and focus groups, were reviewed and analyzed. This information, along with secondary data sources, informed recommendations to the ProHealth Community Benefit Committee, a ten-member, board-level group of governmental, community, and business leaders. The committee used a two-step prioritization process to select community health needs for action, ensuring decisions reflected the perspectives of residents across Waukesha County and surrounding communities served by ProHealth Waukesha Memorial Hospital. |
| Schedule H, Part V, Section B, Line 6a Facility 1, 1 | Facility 1, 1 - PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC:. PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL AND REHABILITATION HOSPITAL OF WISCONSIN LLC |
| Schedule H, Part V, Section B, Line 7 Facility 1, 1 | Facility 1, 1 - PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC:. THE CHNA AS WELL AS SEPARATE IMPLEMENTATION STRATEGY, IS AVAILABLE AT HTTPS://WWW.PROHEALTHCARE.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/CHNA/ ProHealth Waukesha Memorial Hospital made its most recent CHNA widely available to the public through multiple channels. The full report is posted on the ProHealth Care website at ProHealthCare.org. Summaries of the CHNA and community health priorities were shared with local stakeholders, community partners, and public health agencies. Copies were also provided to community organizations upon request, and key findings were presented at public meetings and events to ensure transparency and accessibility to residents, partner agencies, and other interested parties. |
| Schedule H, Part V, Section B, Line 11 Facility 1, 1 | Facility 1, 1 - PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC:. ProHealth Waukesha Memorial Hospital addresses the significant health needs identified in its most recent CHNA through a combination of direct programs and collaborative community partnerships. Priority areas-including mental health, substance use, and healthy aging are addressed through hospital-led initiatives, partnerships with community-based organizations, educational programming, workforce development, and neighborhood engagement efforts. For needs not directly addressed by the hospital, staff work closely with local agencies and community leaders to ensure residents are connected to appropriate services and resources. Decisions not to implement certain programs internally are based on considerations such as existing strong programming in the community, alignment with other providers' services to avoid duplication, and available resources. This approach ensures that all identified health needs are being addressed either directly or through coordinated community efforts. |
| Schedule H, Part V, Section B, Line 13 Facility 1, 1 | Facility 1, 1 - PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC:. THE HOSPITAL PROVIDES CHARITY CARE OR REDUCED COST CARE FOR A VARIETY OF PATIENTS IN NEED. SOME OF THESE PATIENTS IN NEED MAY TECHNICALLY HAVE INCOME IN EXCESS OF MINIMUM FEDERAL POVERTY GUIDELINES. FOR ADDITIONAL DETAILS ON THE CRITERIA USED BY THE HOSPITAL FACILITY TO DETERMINE ELIGIBILITY, PLEASE REFER TO THE FINANCIAL ASSISTANCE POLICY AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.PROHEALTHCARE.ORG/PATIENTS-FAMILIES/BILLING-AND-INSURANCE/ |
| Schedule H, Part V, Section B, Line 13 Facility 1, 1 | Facility 1, 1 - PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC:. THE FACILITY ALSO CONSIDERS THE FOLLOWING IN THE FAP: SIZE OF THE PATIENT'S FAMILY WILL BE DETERMINED BY THE NUMBER OF DEPENDENTS CLAIMED ON THE APPLICANT'S TAX RETURNS OR IDENTIFIED AS PART OF THE HOUSEHOLD, HOUSEHOLD INCOME WILL INCLUDE ALL INCOME FROM ANY SOURCE INCLUDING WAGES AND SALARIES AND OTHER SOURCES OF INCOME INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: * ALL PENSIONS FROM STATE, FEDERAL OR PRIVATE SOURCES * INCOME FROM ANNUITIES, IRAS, TSAS, 401(K)S * STOCKS, OR BONDS * VETERANS BENEFITS * SOCIAL SECURITY PAYMENTS * REGULARLY RECEIVED INSURANCE CHECKS SUCH AS UNEMPLOYMENT BENEFITS AND WORKMAN'S COMPENSATION * ALIMONY; CHILD SUPPORT * RETURNS ON INVESTMENTS; NET RENTS AND NET PROFITS FROM BUSINESS. |
| Schedule H, Part V, Section B, Line 16 Facility 1, 1 | Facility 1, 1 - PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC:. Reference to the financial assistance policy is available on the back of all patient statements. Also through customer relations, verbal reminders of the financial assistance policy are provided when discussing open balances. |
| Schedule H, Part V, Section B, Line 3 Facility 2, 1 | Facility 2, 1 - REHABILITATION HOSPITAL OF WISCONSIN LLC:. Data and research for the ProHealth Waukesha Memorial Hospital CHNA included input from community members, public health officials, and nonprofit leaders representing vulnerable populations in our service area. Key sources and methods included: Community Survey: The 2023 Waukesha County Community Health Survey, conducted by JKV Research, LLC, collected information from 400 residents on health status, coverage, economic hardship, and mental health. Chronic disease, mental health, and substance use were identified as top issues. The full report is available at ProHealthCare.org. Key Informant Interviews: Over 30 interviews with leaders of nonprofit, civic, school, and business organizations provided insights on health needs and social drivers such as housing, food insecurity, and access to care. Common concerns included mental health, substance use, chronic disease, and obesity. A full summary is available at ProHealthCare.org. Focus Groups: Three groups comprising 28 participants highlighted barriers to care, including transportation, childcare costs, and long wait times, and emphasized the need for accessible services and community support. Key issues included food insecurity, addiction, mental health, and social isolation. Metopio Data Platform: Used to integrate public and proprietary data, providing curated insights on health behaviors, outcomes, healthcare utilization, and social determinants such as income, education, housing, and transportation. This supplemented primary data findings. Secondary Data Reports: Local and national data on social determinants of health, Waukesha County Health Rankings, and other compiled public health reports were included. Full summaries are available at ProHealthCare.org. Together, these data sources informed the assessment and prioritization of community health needs, ensuring representation of diverse populations and identification of key areas for intervention. |
| Schedule H, Part V, Section B, Line 5 Facility 2, 1 | Facility 2, 1 - REHABILITATION HOSPITAL OF WISCONSIN LLC:. SEE PART V, SECTION B, LINE 3J DISCLOSURE ProHealth Waukesha Memorial Hospital took broad community input into account through multiple avenues. Summary data and key findings from the CHNA, including results from the community survey, key informant interviews, and focus groups, were reviewed and analyzed. This information, along with secondary data sources, informed recommendations to the ProHealth Community Benefit Committee, a ten-member, board-level group of governmental, community, and business leaders. The committee used a two-step prioritization process to select community health needs for action, ensuring decisions reflected the perspectives of residents across Waukesha County and surrounding communities served by ProHealth Waukesha Memorial Hospital. |
| Schedule H, Part V, Section B, Line 6a Facility 2, 1 | Facility 2, 1 - REHABILITATION HOSPITAL OF WISCONSIN LLC:. PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL AND PROHEALTH WAUKESHA MEMORIAL HOSPITAL |
| Schedule H, Part V, Section B, Line 7 Facility 2, 1 | Facility 2, 1 - REHABILITATION HOSPITAL OF WISCONSIN LLC:. THE CHNA AS WELL AS SEPARATE IMPLEMENTATION STRATEGY, IS AVAILABLE AT HTTPS://WWW.PROHEALTHCARE.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/CHNA/ ProHealth Waukesha Memorial Hospital made its most recent CHNA widely available to the public through multiple channels. The full report is posted on the ProHealth Care website at ProHealthCare.org. Summaries of the CHNA and community health priorities were shared with local stakeholders, community partners, and public health agencies. Copies were also provided to community organizations upon request, and key findings were presented at public meetings and events to ensure transparency and accessibility to residents, partner agencies, and other interested parties. |
| Schedule H, Part V, Section B, Line 11 Facility 2, 1 | Facility 2, 1 - REHABILITATION HOSPITAL OF WISCONSIN LLC:. ProHealth Waukesha Memorial Hospital addresses the significant health needs identified in its most recent CHNA through a combination of direct programs and collaborative community partnerships. Priority areas-including mental health, substance use, and healthy aging are addressed through hospital-led initiatives, partnerships with community-based organizations, educational programming, workforce development, and neighborhood engagement efforts. For needs not directly addressed by the hospital, staff work closely with local agencies and community leaders to ensure residents are connected to appropriate services and resources. Decisions not to implement certain programs internally are based on considerations such as existing strong programming in the community, alignment with other providers' services to avoid duplication, and available resources. This approach ensures that all identified health needs are being addressed either directly or through coordinated community efforts. |
| Schedule H, Part V, Section B, Line 13 Facility 2, 1 | Facility 2, 1 - REHABILITATION HOSPITAL OF WISCONSIN LLC:. THE HOSPITAL PROVIDES CHARITY CARE OR REDUCED COST CARE FOR A VARIETY OF PATIENTS IN NEED. SOME OF THESE PATIENTS IN NEED MAY TECHNICALLY HAVE INCOME IN EXCESS OF MINIMUM FEDERAL POVERTY GUIDELINES. FOR ADDITIONAL DETAILS ON THE CRITERIA USED BY THE HOSPITAL FACILITY TO DETERMINE ELIGIBILITY, PLEASE REFER TO THE FINANCIAL ASSISTANCE POLICY AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.PROHEALTHCARE.ORG/PATIENTS-FAMILIES/BILLING-AND-INSURANCE/ |
| Schedule H, Part V, Section B, Line 13 Facility 2, 1 | Facility 2, 1 - REHABILITATION HOSPITAL OF WISCONSIN LLC:. THE FACILITY ALSO CONSIDERS THE FOLLOWING IN THE FAP: SIZE OF THE PATIENT'S FAMILY WILL BE DETERMINED BY THE NUMBER OF DEPENDENTS CLAIMED ON THE APPLICANT'S TAX RETURNS OR IDENTIFIED AS PART OF THE HOUSEHOLD, HOUSEHOLD INCOME WILL INCLUDE ALL INCOME FROM ANY SOURCE INCLUDING WAGES AND SALARIES AND OTHER SOURCES OF INCOME INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: * ALL PENSIONS FROM STATE, FEDERAL OR PRIVATE SOURCES * INCOME FROM ANNUITIES, IRAS, TSAS, 401(K)S * STOCKS, OR BONDS * VETERANS BENEFITS * SOCIAL SECURITY PAYMENTS * REGULARLY RECEIVED INSURANCE CHECKS SUCH AS UNEMPLOYMENT BENEFITS AND WORKMAN'S COMPENSATION * ALIMONY; CHILD SUPPORT * RETURNS ON INVESTMENTS; NET RENTS AND NET PROFITS FROM BUSINESS. |
| Schedule H, Part V, Section B, Line 16 Facility 2, 1 | Facility 2, 1 - REHABILITATION HOSPITAL OF WISCONSIN LLC:. Reference to the financial assistance policy is available on the back of all patient statements. Also through customer relations, verbal reminders of the financial assistance policy are provided when discussing open balances. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| REHAB HOSPITAL OF WI OUTPATIENT CLINIC | ||||
| 1625 COLDWATER CREEK DRIVE | WAUKESHA | WI | 53188 | OUTPATIENT REHABILATION CLINIC |
| PROHEALTH ALIGNED LLC | ||||
| 1111 DELAFIELD ST SUITE 100 | WAUKESHA | WI | 53188 | AMBULATORY SURGERY CENTER |
| THE ORTHOPEDIC SURGERY CENTER LLC | ||||
| W238 N 1610 BUSSE ROAD SUITE 100 | WAUKESHA | WI | 53188 | ORTHOPEDIC SURGERY CENTER |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7f | $14,442,091 OF BAD DEBT EXPENSES FROM PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC. WAS INCLUDED ON FORM 990, PART, IX, LINE 25 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE. |
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | A COMMUNITY BENEFIT REPORT IS COMPLETED BY PROHEALTH CARE, INC. (EIN 39-1486873) THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | The cost-to-charge ratio was used to calculate amounts on lines 7A-7D. This was calculated by using worksheet 2 of the Schedule H instructions. The hospital's financial cost reporting system was used to calculate the amounts on lines 7E-7I. |
| Schedule H, Part II Community Building Activities | Other ways ProHealth Waukesha Memorial Hospital promotes community health include activities that strengthen neighborhood stability, civic engagement, and workforce development across Waukesha County. Hospital leaders and staff actively participate in civic and nonprofit leadership. Through ProHealth Care's leadership volunteerism initiative, hospital representatives serve on boards, committees, and advisory groups for local nonprofits addressing housing, education, social services, and economic development. In the past fiscal year, leaders contributed more than 2,000 volunteer hours to 64 organizations, helping strengthen community capacity and foster collaboration around local priorities that influence health and well-being. The hospital is the major sponsor of Leadership Waukesha County, a program that develops emerging community leaders and promotes civic engagement throughout the county. ProHealth also supports neighborhood development initiatives that strengthen connections and improve local environments. In partnership with University of Wisconsin-Madison Extension and the Tower Hill Neighborhood Association, the hospital provides financial support and collaborates on initiatives that build community capacity in the Tower Hill neighborhood. These include educational programs that promote civic participation, organizational development assistance to strengthen leadership, and activities that foster healthy environments and stronger social connections. Neighborhood projects, such as the Tower Hill Neighborhood Garden, serve as hubs for community engagement, nutrition education, and resident leadership development. Extension educators also help connect residents with safety initiatives, home improvement resources, and employment opportunities, while supporting the Prairieville Neighborhood Revitalization Strategy Area strategic plan. ProHealth participates in the Housing Action Coalition of Waukesha County to address local housing needs. The hospital also serves as a host site for Project SEARCH in partnership with TransCen, Inc. Since the program began more than 10 years ago, ProHealth has provided internship opportunities for over 100 individuals with developmental or physical disabilities, helping participants develop job skills and pursue competitive employment opportunities. Through these partnerships and initiatives, ProHealth Waukesha Memorial Hospital strengthens the social, economic, and environmental conditions that support long-term community health and well-being. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON PART III LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON FORM 990 PART IX FOR PROHEALTH WAUKESHA MEMORIAL HOSPITAL PLUS ITS SHARE OF THE BAD DEBT EXPENSE OF REHABILITATION HOSPITAL OF WISCONSIN LLC. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE BAD DEBT COST WAS REVIEWED BY THE HOSPITAL'S REVENUE CYCLE TEAM AND THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS WHO WOULD HAVE QUALIFIED UNDER OUR FINANCIAL ASSISTANCE PROGRAM IS 6.7% OF TOTAL BAD DEBTS. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | ACCOUNTS RECEIVABLE FROM PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACT, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE CORPORATION'S PATIENT ACCOUNTS RECEIVABLE BALANCE CONSISTS OF AMOUNTS DUE FROM ITS PATIENTS AND THIRD-PARTY PAYORS. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT EXPECTED NET REALIZABLE AMOUNTS. AN ALLOWANCE FOR CREDIT LOSSES IS ESTABLISHED FOR AMOUNTS EXPECTED TO BE UNCOLLECTIBLE OVER THE CONTRACTUAL LIFE OF THE RECEIVABLES. THE CORPORATION EVALUATES PATIENT RECEIVABLES TO DETERMINE THE ALLOWANCE FOR CREDIT LOSSES BASED ON SIMILAR RISK CHARACTERISTICS THAT EXIST WITHIN CERTAIN CLASSES OF PAYORS. THE CORPORATION CALCULATES THE ALLOWANCE USING AN EXPECTED LOSS MODEL THAT CONSIDERS THE CORPORATION'S ACTUAL HISTORICAL LOSS RATES ADJUSTED FOR CURRENT ECONOMIC CONDITIONS AND REASONABLE AND SUPPORTABLE FORECASTS. THE CORPORATION CONSIDERS MARKET TRENDS, FUTURE ECONOMIC CONDITIONS, AND CREDIT RATINGS OF ITS PAYORS WHEN MAKING ADJUSTMENTS FOR REASONABLE AND SUPPORTABLE FORECASTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR CREDIT LOSSES IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. RECOVERIES OF AMOUNTS PREVIOUSLY WRITTEN OFF ARE RECOGNIZED WHEN RECEIVED. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE SHORTFALL ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO AS REPORTED ON THE MEDICARE COST REPORT. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE WILL HAVE A CHARITY DISCOUNT APPLIED TO THEIR BALANCES AT THE TIME OF BILLING. IF THIS RESULTS IN NO BALANCE DUE FORM THE PATIENT, THEN THE PATIENT WILL NOT RECEIVE A STATEMENT. IF A BALANCE REMAINS AFTER THE DISCOUNT PERCENTAGE IS APPLIED, THE PATIENT WILL RECEIVE A STATEMENT FOR THE BALANCE DUE. THE STATEMENT CYCLE IS CONSISTENT FOR ALL PATIENTS. |
| Schedule H, Part V, Section B, Line 16a FAP website | 1 - PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC: Line 16a URL: HTTPS://TINYURL.COM/Y892WQSN; 2 - REHABILITATION HOSPITAL OF WISCONSIN, LLC: Line 16a URL: HTTPS://TINYURL.COM/Y892WQSN; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | 1 - PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC: Line 16b URL: HTTPS://TINYURL.COM/Y892WQSN; 2 - REHABILITATION HOSPITAL OF WISCONSIN, LLC: Line 16b URL: HTTPS://TINYURL.COM/Y892WQSN; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | 1 - PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC: Line 16c URL: HTTPS://TINYURL.COM/Y892WQSN; 2 - REHABILITATION HOSPITAL OF WISCONSIN, LLC: Line 16c URL: HTTPS://TINYURL.COM/Y892WQSN; |
| Schedule H, Part VI, Line 2 Needs assessment | A Community Health Needs Assessment (CHNA) is a disciplined, data-driven process used to identify barriers to health and well-being in the communities we serve. For the 2025 assessment, ProHealth Care collected and analyzed a variety of primary and secondary data, including results from community focus groups, key informant interviews, county and state public health databases, and other local surveys when available. This information was aggregated into a comprehensive data compendium, which was reviewed by our board-level Community Benefits Committee. Using this data along with community input, the committee applied criteria-based evaluation to identify the most pressing health concerns in Waukesha County. The resulting targeted implementation strategy guides the development of programs and resources where they are most needed and can have the greatest impact, ensuring that our efforts address the social, environmental, and behavioral factors that most influence community health. Following discussion and debate, three overarching themes emerged as priority areas: Healthy Aging - Waukesha County's 65+ population is expected to grow through 2040 and continues to make up a larger portion of the county's population distribution. Currently, 31.6% of Waukesha County households have at least one member who is 65+ years old. - Fall-related hospitalization and mortality is higher in Waukesha County than the state of Wisconsin for people 65 and older. - More than one third of adults age 45+ report feeling lonely; nearly one-quarter of adults 65+ are considered to be socially isolated. Social isolation significantly increases a person's risk of premature death from all causes. Substance Abuse - Drug-related deaths in Waukesha County nearly doubled from 2019 to 2020. - From 2007 to 2021, opioid overdose emergency room visits in Waukesha County tripled. - Alcohol continues to be the most used substance in Waukesha County. Mental Health - Prevalence of depression in adults over 18 is 21.6% - Mental health issues have been increasing across the county. - Approximately 3% of Waukesha County adult residents may have considered suicide in 2020. FOR MORE INFORMATION ABOUT OUR CHNA, PLEASE VISIT https://www.prohealthcare.org/about-us/community-involvement/chna/. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Every patient with a self pay balance receives a statement which conveys the availability of community (charity) care and a contact number for further information. Patients that are uninsured receive an uninsured discount which is listed on the first statement that they receive. Patients receive a total of four statements. Each statement contains verbiage referencing the hospital's community care program and a contact number for further information. If someone has been found eligible for some level of charity care, the eligibility period is three months so any subsequent accounts during that timeframe would be discounted at whatever level of charity care the patient is deemed eligible. Patients may reapply for Community Care when their eligibility period has expired. Self pay patients may also be informed of the hospital's community care program while they are inpatients. Social work and/or the business office may make contact with these patients during their stay to inform them of the community care program and assist them with completion of the application. Information is available at registration areas related to our community care program. This information contains contact information for the hospital's central business office where patients can receive assistance in obtaining and completing applications. |
| Schedule H, Part VI, Line 4 Community information | Established in 1914, ProHealth Waukesha Memorial Hospital serves the residents of Waukesha County and surrounding communities. ProHealth Care's service area is defined as a ZIP-code-based geographic region that accounts for 85 percent of the hospital's inpatient and outpatient activity. This area includes all of Waukesha County, as well as East Troy and Elkhorn in northern Walworth County, Waterford and Burlington in northeast Racine County, and Palmyra in southeast Jefferson County. Waukesha County has experienced consistent population growth in every federal census since 1950, increasing from 85,901 residents to over 400,000, and the upward trend continues. The county is large (580 square miles) and diverse, incorporating urban, suburban, and rural areas. Its population is aging, with a median age of 43.5 years, well above state averages, and projections indicate that adults age 65 and over will account for more than 30 percent of the population by 2040. Waukesha County is among the most affluent in Wisconsin, with a median household income of $101,639, yet a growing number of residents live below the poverty level, with the largest concentration in the City of Waukesha. |
| Schedule H, Part VI, Line 5 Promotion of community health | In addition to community building, ProHealth Waukesha Memorial Hospital promotes community health through programs, services, and partnerships that improve access to care, preventive services, and health education. The hospital is governed by a community board and partners with a wide range of nonprofit health and human services organizations to strengthen the health of the communities it serves. We actively support two free clinics in the area, the Lake Area Free Clinic and the Waukesha Free Clinic at Carroll University, providing both financial and in-kind support to expand access to care for underserved populations. Through our leadership, the Waukesha County Community Dental Clinic was formed to meet urgent oral health needs; ProHealth continues to provide funding, clinical staff, and office space to support the clinic's mission. ProHealth also provides culturally and linguistically appropriate care and outreach through its Hispanic Health Resource Center, helping Spanish-speaking residents navigate the health system, access preventive services, and engage in health education programs that reduce barriers and improve outcomes. Hospital staff deliver services directly to the community. Trained therapists provide coverage free-of-charge at local high school athletic events to reduce injuries. Transportation assistance is offered to patients needing help getting to free clinic appointments. Staff also participate in community events, including National Night Out and local health fairs, providing screenings, health education, and resources. Staff are actively engaged in public health initiatives, including the Waukesha County Community Health Improvement Plan (CHIP), and serve on committees for the Department of Health and Human Services. Our partnerships extend across the community-from local housing, addiction recovery, and social service organizations to public safety initiatives-providing volunteers, financial support, and programmatic collaboration that improve population health. Through these initiatives, ProHealth Waukesha Memorial Hospital furthers its exempt purpose by expanding access to care, delivering preventive and educational programs, and addressing social, behavioral, and clinical determinants of health in Waukesha County. |
| Schedule H, Part VI, Line 6 Affiliated health care system | Our hospital is a member of the ProHealth Care health system which serves as our parent company. While community benefit responsibilities reside with our hospital board, the parent company plays a key role in coordinating community needs assessments, community benefit program planning, and evaluation. A DESCRIPTION OF EACH AFFILIATES ROLE IN PROMOTING HEALTH WITHIN THE COMMUNITIES SERVED IS AS FOLLOWS: PROHEALTH CARE, INC. - HELPS TO MANAGE THE HOSPITALS TO ENSURE THEY CAN PROMOTE HEALTH AND WELLNESS WITHIN THE COMMUNITY. NATIONAL REGENCY OF NEW BERLIN, INC. - OWNS AND OPERATES SENIOR LIVING CENTERS AS A MEANS TO PROMOTE HEALTH WITHIN THE COMMUNITY. PROHEALTH HOME CARE, INC. - PROVIDES HOSPICE AND HOME HEALTH CARE SERVICES AS A MEANS TO PROMOTE HEALTH WITHIN THE COMMUNITY. PROHEALTH CARE FOUNDATION, INC. - SUPPORTS THE CHARITABLE MISSION OF PROHEALTH WAUKESHA MEMORIAL HOSPITAL AND PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL SO THAT IT MAY PROVIDE HEALTH SERVICES WITHIN THE COMMUNITY. PROHEALTH MEDICAL GROUP, INC. - OPERATES VARIOUS CLINIC AND URGENT CARE LOCATIONS THROUGHOUT WAUKESHA COUNTY AND THE SURROUNDING COMMUNITIES. PHMG FULFILLS ITS EXEMPT PURPOSE BY PROVIDING CARE AND SERVICES TO ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY. PHMG PROVIDED 554,647 VISITS (CLINIC, URGENT CARE, AND VIRTUAL VISITS) DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2025. PROHEALTH Oconomowoc MEMORIAL HOSPITAL FULFILLS ITS EXEMPT PURPOSE BY PROVIDING CARE AND SERVICES TO ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY. PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL ALSO USES ITS RESOURCES TO ADDRESS VARIOUS COMMUNITY NEEDS. PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL PROVIDED APPROXIMATELY 9,714 DAYS OF INPATIENT CARE AND APPROXIMATELY 83,835 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2025. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | WI |
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 (8 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 |
| KENNETH PRICE | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $561,495 | $0 | $781,776 | $0 | $122,585 | $0 | $186,369 | $0 | $58,256 | $0 | $1,710,481 | $0 | $465,903 |
| JAMES SEMRAD | ||||||||||||||
| VP PHARMACY & SERVICE LINES | $257,784 | $0 | $55,382 | $0 | $0 | $0 | $6,561 | $0 | $2,097 | $0 | $321,824 | $0 | $0 | $0 |
| MARGARET PFITZINGER | ||||||||||||||
| VP CLINICAL OPERATIONS | $260,338 | $0 | $96,820 | $0 | $0 | $0 | $15,250 | $0 | $44,864 | $0 | $417,272 | $0 | $0 | $0 |
| ALAN JOHNSON | ||||||||||||||
| VP CRITICAL CARE & SPECIALTY | $251,132 | $0 | $91,453 | $0 | $0 | $0 | $11,004 | $0 | $21,763 | $0 | $375,352 | $0 | $0 | $0 |
| ELIZABETH CLARK | ||||||||||||||
| DIR CLINICAL/PROFESSIONAL OPS | $202,476 | $0 | $29,396 | $0 | $0 | $0 | $7,494 | $0 | $45,848 | $0 | $285,214 | $0 | $0 | $0 |
| MARK LEWNO | ||||||||||||||
| MGR AMB PHARMACY, OPS/TRANSFER | $207,936 | $0 | $15,236 | $0 | $0 | $0 | $8,025 | $0 | $16,429 | $0 | $247,626 | $0 | $0 | $0 |
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 IS TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. SERP PAYMENTS DURING THE YEAR ARE AS FOLLOWS: SUSAN EDWARDS: $296,535 KENNETH PRICE: $122,585 |
| 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, KENNETH PRICE, 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
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,190,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
| 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 Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Real estate - Commercial - ORGANIZATION IS REPORTING NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, 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 WAUKESHA MEMORIAL HOSPITAL, INC. MAY RETAIN ITS EXEMPT STATUS. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | PROHEALTH CARE, INC. IS THE SOLE CORPORATE MEMBER. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | ACCORDING TO THE GOVERNING DOCUMENTS, THE BOARD OF THE FILING ORGANIZATION IS THE SAME AS THE BOARD OF 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 MEMBERS, 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 VIII, Line 2f Other Program Service Revenue | OTHER PROGRAM REVENUE - Total Revenue: 4971433, Related or Exempt Function Revenue: 4971433, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | INVESTMENT FUNDING TO RELATED ORGANIZATIONS - -196845; OTHER CHANGES - -95100; TRANSFER OF EXCESS CASH - -101000000; Total - -XXX-XX-XXXX; |
| 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 | 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 | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC | |||||||||||
| 791 SUMMIT AVENUE | OCONOMOWOC | WI | 53066 | 390794174 | HOSPITAL | WI | 501(c)(3) | 3 | PROHEALTH CARE INC | Yes (true) | |
| PROHEALTH CARE FOUNDATION INC | |||||||||||
| 725 AMERICAN AVENUE | WAUKESHA | WI | 53188 | 391314542 | CHARITABLE SUPPORT | WI | 501(c)(3) | 7 | PROHEALTH CARE INC | Yes (true) | |
| PROHEALTH HOME CARE INC | |||||||||||
| N17 W24100 RIVERWOOD DR | WAUKESHA | WI | 53188 | 200067392 | HEALTHCARE | WI | 501(c)(3) | 3 | PROHEALTH CARE INC | Yes (true) | SUITE 130 |
| NATIONAL REGENCY OF NEW BERLIN INC | |||||||||||
| N17 W24100 RIVERWOOD DR | WAUKESHA | WI | 53188 | 391077992 | HEALTHCARE | WI | 501(c)(3) | 10 | PROHEALTH CARE INC | Yes (true) | SUITE 130 |
| PROHEALTH CARE INC | |||||||||||
| N17 W24100 RIVERWOOD DR | WAUKESHA | WI | 53188 | 391486873 | MANAGEMENT | WI | 501(c)(3) | Type II | NA | false | SUITE 130 |
| PROHEALTH MEDICAL GROUP INC | |||||||||||
| N17 W24100 RIVERWOOD DR | WAUKESHA | WI | 53188 | 391083015 | HEALTHCARE | WI | 501(c)(3) | 3 | PROHEALTH CARE INC | Yes (true) | SUITE 130 |
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 100 | WAUKESHA | WI | 53188 | 263324572 | SURGERY CENTER | WI | WAUKESHA MEMORIAL HOSPITAL INC | Related | false | Yes (true) |
| REHABILITATION HOSPITAL OF WISCONSIN LLC | |||||||||||
| 1625 COLDWATER CREEK DRIVE | WAUKESHA | WI | 53188 | 262332250 | INPATIENT REHABILITATION | WI | WAUKESHA MEMORIAL HOSPITAL INC | Related | false | Yes (true) | |
| THE ORTHOPEDIC SURGERY CENTER LLC | |||||||||||
| N15 W28300 GOLF RD | PEWAUKEE | WI | 53072 | 208356016 | ORTHOPEDIC SURGICAL SERVICES | WI | WAUKESHA MEMORIAL HOSPITAL INC | Related | false | Yes (true) | |
| PROHEALTH SOLUTIONS LLC | |||||||||||
| N17 W24100 RIVERWOOD DRIVE | WAUKESHA | WI | 53188 | 273863494 | ACCOUNTABLE CARE ORGANIZATION | WI | NA | N/A | false | false | |
| LAKE COUNTRY ENDOSCOPY CENTER | |||||||||||
| 1185 CORPORATE CENTER DRIVE | 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 |
| GI SPECIALISTS LLC (DBA MORELAND ENDOSCOPY CENTER) | |||||||||||
| 1111 DELAFIELD STREET | STE 1 | WAUKESHA | WI | 53188 | 205269133 | ENDOSCOPY 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 | NA | C Corporation | false |
| NATIONAL AVENUE DEVELOPMENT CORPORATION | ||||||||||
| N17 W24100 RIVERWOOD DR | SUITE 130 | WAUKESHA | WI | 53188 | 391417226 | HEALTHCARE | WI | NA | C Corporation | false |
| EMPATHIA INC | ||||||||||
| N17 W24100 RIVERWOOD DR | SUITE 130 | WAUKESHA | WI | 53188 | 391567366 | HEALTHCARE | WI | NA | C Corporation | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | 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 | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (23 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PROHEALTH CARE INC | ||
| M | $118,158,070 | Actual Cost Incurred |
| PROHEALTH CARE INC | ||
| R | $101,196,906 | Actual Cost Incurred |
| THE ORTHOPEDIC SURGERY CENTER LLC | ||
| S | $5,281,923 | Actual Amount Received |
| REHABILITATION HOSPITAL OF WISCONSIN LLC | ||
| S | $4,719,038 | Actual Amount Received |
| PROHEALTH MEDICAL GROUP INC | ||
| Q | $4,244,268 | Actual Amount Received |
| PROHEALTH MEDICAL GROUP INC | ||
| P | $3,564,904 | Actual Cost Incurred |
| PROHEALTH MEDICAL GROUP INC | ||
| L | $3,066,722 | Actual Amount Received |
| PROHEALTH MEDICAL GROUP INC | ||
| A | $2,871,622 | Actual Amount Received |
| PROHEALTH ALIGNED LLC (DBA MSC) | ||
| S | $2,682,133 | Actual Amount Received |
| PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL | ||
| Q | $2,477,278 | Actual Amount Received |
| PROHEALTH CARE FOUNDATION INC | ||
| C | $1,685,783 | Actual Amount Received |
| REHABILITATION HOSPITAL OF WISCONSIN LLC | ||
| A | $1,459,533 | Actual Amount Received |
| NATIONAL REGENCY OF NEW BERLIN INC | ||
| K | $661,115 | Actual Cost Incurred |
| WAUKESHA HEALTH SYSTEM INC | ||
| M | $640,389 | Actual Cost Incurred |
| PROHEALTH SOLUTIONS LLC | ||
| M | $587,905 | Actual Cost Incurred |
| PROHEALTH MEDICAL GROUP INC | ||
| K | $581,546 | Actual Cost Incurred |
| WAUKESHA HEALTH SYSTEM INC | ||
| A | $205,941 | Actual Amount Received |
| PROHEALTH HOME CARE INC | ||
| Q | $178,809 | Actual Amount Received |
| REHABILITATION HOSPITAL OF WISCONSIN LLC | ||
| L | $174,228 | Actual Amount Received |
| PROHEALTH HOME CARE INC | ||
| L | $158,536 | Actual Amount Received |
| PROHEALTH CARE INC | ||
| L | $124,942 | Actual Amount Received |
| NATIONAL REGENCY OF NEW BERLIN INC | ||
| L | $120,000 | Actual Amount Received |
| WAUKESHA HEALTH SYSTEM INC | ||
| K | $117,062 | Actual Cost Incurred |
Comments