2026-07-28T12:53:56+00:00 2025-09-30 331498605 Plante & Moran PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2024-10-01 390910727 PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC PROH 2629282496 725 AMERICAN AVENUE WAUKESHA WI 53188 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 2629284740 2026-07-28 true DAVID LOWENTHAL CPA P00378651 2483522500 2026-08-17 2024 2025-03-06 01:10:19Z SUSAN EDWARDS 725 AMERICAN AVENUE WAUKESHA WI 53188 693948973 false X WWW.PROHEALTHCARE.ORG X 1956 WI PROVIDER OF INPATIENT AND OUTPATIENT HOSPITAL SERVICES. 3 2 3150 194 6074465 0 1822325 3263951 644567442 686878637 1082753 741375 14532500 2904825 662005020 693788788 452288 0 0 172697547 187699926 0 0 396134950 419760467 569284785 607460393 92720235 86328395 615950473 619987461 322222334 341220504 293728139 278766957 CONTINUOUSLY IMPROVING THE HEALTH OF OUR COMMUNITY. false false 514308301 680917526 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. 514308301 true true false false false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false true false false false false true true true false false true 229 0 true 3150 true true true false false false false false false false false false false false X 3 2 false false false false true true true true true false false false true true true true true true true true false false WI X ANDREW GUTIERREZ 2629282453 N17 W24100 RIVERWOOD DR SUITE 130 WAUKESHA WI 531881131 GARY BEYER CHAIRPERSON 2.0 8.0 X X 0 0 0 JOHN HALLETT VICE CHAIRPERSON 2.0 8.0 X X 0 0 0 SUSAN EDWARDS PRESIDENT AND CEO - PHC 2.0 50.0 X X 0 3597030 476881 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 2.0 50.0 X 0 894400 184004 KENNETH PRICE CHIEF OPERATING OFFICER 2.0 48.0 X 0 1465856 244625 ALAN JOHNSON VP CRITICAL CARE & SPECIALTY 50.0 0 X 342585 0 32767 ELIZABETH CLARK DIR CLINICAL/PROFESSIONAL OPS 50.0 0 X 231872 0 53342 JAMES SEMRAD VP PHARMACY & SERVICE LINES 50.0 0 X 313166 0 8658 MARGARET PFITZINGER VP CLINICAL OPERATIONS 50.0 0 X 357158 0 60114 MARK LEWNO MGR AMB PHARMACY, OPS/TRANSFER 50.0 0 X 223172 0 24454 1467953 5957286 1084845 202 false true false STAFFENCY LLC 221 W COLLEGE AVE APPLETON WI 54911 PROFESSIONAL SERVICES 20635064 ACL Laboratories 8901 W LINCOLN AVE WEST ALLIS WI 53227 PROFESSIONAL SERVICES 12355990 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD SCOTTSDALE AZ 85254 PROFESSIONAL SERVICES 11627749 Riley Construction Co 5301 99th Ave Kenosha WI 53144 CONSTRUCTION SERVICES 6636685 Epic Systems Corp 1979 Milky Way Verona WI 53593 PROFESSIONAL SERVICES 4760786 63 1685783 158993 1419175 1190000 3263951 NET PATIENT REVENUE 621110 655470756 655470756 MEDICAL SERVICE LAB 621500 12253900 6292789 5961111 ORTHO SURGERY CENTER 621400 5314856 5314856 HOSPITAL JOINT VENTURE 621110 4534161 4534161 RENTAL REVENUE - 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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. 3 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 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 false true false false false false false true false SUSAN EDWARDS PRESIDENT AND CEO - PHC 0 1305361 0 1995134 0 296535 0 434430 0 42451 0 4073911 0 1096617 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 0 374596 0 519804 0 0 0 133422 0 50582 0 1078404 0 301372 KENNETH PRICE CHIEF OPERATING OFFICER 0 561495 0 781776 0 122585 0 186369 0 58256 0 1710481 0 465903 JAMES SEMRAD VP PHARMACY & SERVICE LINES 257784 0 55382 0 0 0 6561 0 2097 0 321824 0 0 0 MARGARET PFITZINGER VP CLINICAL OPERATIONS 260338 0 96820 0 0 0 15250 0 44864 0 417272 0 0 0 ALAN JOHNSON VP CRITICAL CARE & SPECIALTY 251132 0 91453 0 0 0 11004 0 21763 0 375352 0 0 0 ELIZABETH CLARK DIR CLINICAL/PROFESSIONAL OPS 202476 0 29396 0 0 0 7494 0 45848 0 285214 0 0 0 MARK LEWNO MGR AMB PHARMACY, OPS/TRANSFER 207936 0 15236 0 0 0 8025 0 16429 0 247626 0 0 0 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. 1 1190000 Cost 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Real estate - Commercial - ORGANIZATION IS REPORTING NUMBER OF CONTRIBUTIONS. 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. 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