2024-07-30T10:57:49-05:00 2023-09-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2022-10-01 391486873 PROHEALTH CARE INC PROH 2629282981 N17 W24100 RIVERWOOD DRIVE 130 WAUKESHA WI 531881131 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 2629282981 2024-07-26 1 1 DAVID LOWENTHAL P00378651 2483522500 2024-06-28 2022 2024-08-08 14:25:15Z SUSAN EDWARDS N17 W24100 RIVERWOOD DRIVE 130 WAUKESHA WI 531881131 186142871 0 X WWW.PROHEALTHCARE.ORG X 1983 WI MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND OTHER HEALTHCARE DELIVERY ENTITIES. 12 11 1463 11 213965 7330 1242793 552900 147637430 160619749 26718666 14413764 1443348 2298251 177042237 177884664 392459 0 0 0 102433026 104411810 0 0 0 46239700 36116462 149065185 140528272 27977052 37356392 1618522346 1758926377 481643526 469562864 1136878820 1289363513 CONTINUOUSLY IMPROVING THE HEALTH OF OUR COMMUNITY. 0 0 40900956 0 160405784 PROHEALTH CARE PROVIDES SUPPORT TO PROHEALTH WAUKESHA MEMORIAL AND PROHEALTH OCONOMOWOC MEMORIAL, OUR HOSPITALS, IN ADDITION TO MEDICAL CENTERS, ASSISTED LIVING/LONG-TERM CARE, HOME HEALTH AND HOSPICE, FITNESS, AND OTHER HEALTHCARE SERVICES. AMONG THE SERVICES PROVIDED ARE ADMINISTRATION, FINANCIAL AND PATIENT ACCOUNTING, DECISION SUPPORT, INFORMATION SYSTEMS, PUBLIC RELATIONS, HUMAN RESOURCES, MATERIALS AND FACILITIES MANAGEMENT, AND EDUCATION. 40900956 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 142 0 1 1463 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X ANDREW GUTIERREZ 2629282453 N17 W24100 RIVERWOOD DRIVE SUITE WAUKESHA WI 531881131 X SUSAN EDWARDS PRESIDENT AND CEO 40.00 12.00 X X 2193635 0 681826 GARY BEYER VICE CHAIRPERSON 2.00 8.00 X X 0 0 0 JOHN HALLETT SECRETARY 2.00 8.00 X X 0 0 0 KEN RIESCH CHAIRPERSON 2.00 0.00 X X 0 0 0 DAN MATOLA TREASURER 2.00 0.00 X X 0 0 0 SUE BELLEHUMEUR DIRECTOR 2.00 0.00 X 0 0 0 JIM GANNON DIRECTOR 2.00 0.00 X 0 0 0 EMERY HARLAN DIRECTOR 2.00 0.00 X 0 0 0 JUDIE TAYLOR DIRECTOR 2.00 0.00 X 0 0 0 TY TAYLOR DIRECTOR 2.00 0.00 X 0 0 0 DAWN WITTAK DIRECTOR 2.00 0.00 X 0 0 0 JOHN WIMMER DIRECTOR 2.00 0.00 X 0 0 0 MIKE ERWIN VICE CHAIRPERSON - PART YEAR 2.00 0.00 X X 0 0 0 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 40.00 12.00 X 515387 0 142213 ARTHUR COFFEY PHYSICIAN/CHIEF PHYS OPS OFFICER 25.00 25.00 X 0 998305 49395 JEFFREY SQUIRE CHIEF CORPORATE AFFAIRS OFFICER 40.00 2.00 X 593712 0 203039 PHILIP KUBOW CHIEF HR OFFICER 40.00 8.00 X 668493 0 227803 PETER BACON CHIEF BUS DEVELOPMENT OFFICER 40.00 8.00 X 691557 0 232788 RALPH TOPINKA CHIEF LEGAL OFFICER 40.00 8.00 X 685448 0 148906 MARY BAKER CHIEF CLINICAL OPS OFF.-PART YEAR 40.00 10.00 X 433092 0 46622 KENNETH PRICE CHIEF OPERATING OFFICER 40.00 10.00 X 886988 0 311188 BRADLEY TREICHEL CHIEF TRANSFORMATION OFFICER 50.00 2.00 X 474652 0 45352 STEPHANIE ORZECHOWSKI CHIEF ADMINISTRATIVE OFFICER 40.00 8.00 X 367022 0 22587 CURTIS GLAUNERT VP REVENUE CYCLE 50.00 0.00 X 414376 0 32869 VICKI DALLMANN-PAPKE VP POPULATION HEALTH MGMNT 50.00 0.00 X 311476 0 36699 JULIET UGARTE HOPKINS PHYSICIAN ADVISOR 50.00 0.00 X 324805 0 45654 RONALD FICKEL VP HEALTH INFORMATICS 50.00 0.00 X 407892 0 21867 DONALD REICHERT CIO/VP INFORMATION SERVICE 50.00 0.00 X 587799 0 58765 9556334 998305 2307573 152 0 1 0 OLIVER WYMAN PO BOX 3800-28 BOSTON MA 02241 PROFESSIONAL SERVICES 10876837 BVK 250 W COVENTRY COURT SUITE 300 MILWAUKEE WI 53217 PROFESSIONAL SERVICES 2181696 HCTEC PARTNERS 201 NORTH BROAD ST 301 ATLANTA GA 303746681 PROFESSIONAL SERVICES 1678706 RPI CONSULTANTS 1 N HAVEN ST BALTIMORE MD 21224 PROFESSIONAL SERVICES 1403225 ENSEMBLE HEALTH PARTNERS 3700 74TH AVE CINCINNATI OH 45263 PROFESSIONAL SERVICES 982760 50 552900 552900 SUPPORT SERVICES 561000 160401913 160401913 TRANSPORTATION 480000 181556 3871 177685 MARKETING FEES 561000 36280 36280 160619749 19299009 19299009 3367072 5890 8244757 13450 -4877685 -7560 -4885245 -4885245 INVESTMENT IN JV 900099 2298251 2298251 2298251 177884664 160405784 213965 16712015 X 8532729 8532729 70476589 29712950 40763639 3418648 3418648 16497904 1656 16496248 5485940 2146952 3338988 671191 671191 373883 373883 19137 19137 16924134 4927781 11996353 2580526 570 2579956 3752147 778316 2973831 2768958 273705 2495253 149850 135811 14039 209417 139180 70237 518557 412045 106512 3344970 3344970 189654 55023 134631 REPAIRS & MAINTENANCE 1567773 1437683 130090 PATIENT CARE SUPPLIES 1229351 620980 608371 BILLING & COLLECTION 1105057 1105057 DUES & SUBSCRIPTIONS 325740 35673 290067 386117 222631 163486 140528272 40900956 99627316 0 5507535 25777452 2153679 2576249 65584409 22687615 36827834 42896794 782791990 870193425 7620000 7735000 350482425 391614599 268982 268982 432869901 417863876 1618522346 1758926377 26748171 24695695 1927083 1802683 413510233 405268631 39458039 37795855 481643526 469562864 X 1136878820 1289363513 1136878820 1289363513 1618522346 1758926377 X 37356392 67449545 47678756 X X 0 1 X 1 1 1 X X 5 PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC 390910727 3 1 0 0 PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC 390794174 3 1 0 0 PROHEALTH HOME CARE INC 200067392 3 1 0 0 NATIONAL REGENCY OF NEW BERLIN INC 391077992 10 1 0 0 PROHEALTH MEDICAL GROUP INC 391083015 3 1 0 0 5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART I, LINE 11G, COL. V: THE ORGANIZATION PROVIDES OVERSIGHT TO ALL SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION C, LINE 1: PROHEALTH CARE, INC., (PHC) IS SUPERVISED OR CONTROLLED IN CONNECTION WITH ITS SUPPORTED ORGANIZATIONS THROUGH COMMON SUPERVISION AND CONTROL WITH ITS SUPPORTED ORGANIZATIONS. THIS IS ACCOMPLISHED THROUGH SIGNIFICANT OVERLAP IN THE BOARDS OF DIRECTORS AS WELL AS COMMON MANAGEMENT OVERSIGHT. TO THIS END, PHC HOLDS CERTAIN RESERVE POWERS OVER ITS SUPPORTING ENTITIES INCLUDING APPROVAL OF STRATEGIC PLANNING, ANNUAL OPERATING AND CAPITAL BUDGETS, BORROWING, TRANSFER, LEASE, PLEDGE OR SALE OF ASSETS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 19137 19137 0 PART II-B, LINE 1: A THIRD PARTY VENDOR PROVIDES ADVICE TO THE ORGANIZATION REGARDING ONGOING OPPORTUNITIES TO ADVANCE THE PROHEALTH CARE VALUE PROPOSITION MESSAGE WITH GOVERNMENT LEADERS OF INFLUENCE, BUSINESS LEADERS OF INFLUENCE AND BUSINESS ORGANIZATIONS. ADDITIONALLY, THE THIRD PARTY VENDOR PROVIDES CONSISTENT MONITORING OF STATE POLICY AND POLITICAL ENVIRONMENTS, COMMUNICATES WITH KEY LEGISLATORS AND AGENCIES AS NECESSARY, AND WORKS WITH STATE ASSOCIATIONS AS APPROPRIATE TO AID IN GOVERNMENT RELATIONS ACTIVITIES. 8044649 8044649 34624089 7935895 26688194 7476000 5991645 1484355 13773295 8760075 5013220 1666376 1666376 42896794 INVESTMENT IN WHS/MA 384731009 C INVESTMENT IN MEC 6628962 C INVESTMENT IN SOUTHERN LAKES ENDOSCOPY 254628 C 391614599 INTERCOMPANY NOTE RECEIVABLE 387413020 DUE FROM AFFILIATES 17850186 ROU LEASE ASSETS AND A/D 10905821 MISCELLANEOUS RECEIVABLES 78317 SERP TRUST 346083 DEFERRED COMPENSATION 656721 INSURANCE RECOVERY 613728 417863876 DEFERRED COMPENSATION 656721 ACCRUED MINIMUM SERP LIABILITY 774092 INSURANCE LIABILITY 808041 OTHER LONG - TERM LIABILITIES 482365 OPERATING LEASE PAYABLE 11090493 LEASES PAYABLE - CURRENT 974296 LT LEASES PAYABLE 23009847 37795855 X X X X 0 1 0 0 0 0 0 1 0 SUSAN EDWARDS PRESIDENT AND CEO 1184879 0 731247 0 277509 0 644097 0 37729 0 2875461 0 277509 0 KENNETH PRICE CHIEF OPERATING OFFICER 498039 0 280082 0 108867 0 257829 0 53359 0 1198176 0 108867 0 ARTHUR COFFEY PHYSICIAN/CHIEF PHYS OPS OFFICER 0 912163 0 86142 0 0 0 0 0 49395 0 1047700 0 0 PETER BACON CHIEF BUS DEVELOPMENT OFFICER 401747 0 198616 0 91194 0 185054 0 47734 0 924345 0 91194 0 PHILIP KUBOW CHIEF HR OFFICER 388870 0 191634 0 87989 0 177853 0 49950 0 896296 0 87989 0 RALPH TOPINKA CHIEF LEGAL OFFICER 401864 0 197358 0 86226 0 99726 0 49180 0 834354 0 86226 0 JEFFREY SQUIRE CHIEF CORPORATE AFFAIRS OFFICER 348919 0 170339 0 74454 0 157043 0 45996 0 796751 0 74454 0 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 342349 0 173038 0 0 0 96614 0 45599 0 657600 0 0 0 DONALD REICHERT CIO/VP INFORMATION SERVICE 421280 0 166519 0 0 0 13500 0 45265 0 646564 0 0 0 BRADLEY TREICHEL CHIEF TRANSFORMATION OFFICER 313721 0 160931 0 0 0 10250 0 35102 0 520004 0 0 0 MARY BAKER CHIEF CLINICAL OPS OFF.-PART YEAR 433092 0 0 0 0 0 11482 0 35140 0 479714 0 0 0 CURTIS GLAUNERT VP REVENUE CYCLE 297328 0 117048 0 0 0 5634 0 27235 0 447245 0 0 0 RONALD FICKEL VP HEALTH INFORMATICS 323434 0 84458 0 0 0 13500 0 8367 0 429759 0 0 0 STEPHANIE ORZECHOWSKI CHIEF ADMINISTRATIVE OFFICER 246476 0 120546 0 0 0 12380 0 10207 0 389609 0 0 0 JULIET UGARTE HOPKINS PHYSICIAN ADVISOR 281331 0 43474 0 0 0 8552 0 37102 0 370459 0 0 0 VICKI DALLMANN-PAPKE VP POPULATION HEALTH MGMNT 240022 0 71454 0 0 0 13500 0 23199 0 348175 0 0 0 PART I, LINE 4B 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: KENNETH PRICE: $108,867 PETER BACON: $91,194 PHILIP KUBOW: $87,989 RALPH TOPINKA: $86,226 JEFFREY SQUIRE: $74,454 SUSAN EDWARDS: $277,509 PART I, LINE 7 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. A WISCONSIN HEALTH & EDUCATIONAL FACILITIES 391337855 97712DKQ8 2015-01-29 133630000 SEE PART VI SUPPLEMENTAL INFORMATION 0 0 0 B WISCONSIN HEALTH & EDUCATIONAL FACILITIES 391337855 2021-03-04 201845000 SEE PART VI SUPPLEMENTAL INFORMATION 0 0 0 C WISCONSIN HEALTH & EDUCATIONAL FACILITIES 391337855 2021-03-04 35190000 SEE PART VI SUPPLEMENTAL INFORMATION 0 0 0 A 145977595 145977595 1450228 2010 1 0 1 1 B 8935000 201845000 510000 201335000 2021 1 0 1 1 C 6690000 35190000 110000 35080000 2021 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 C 0 0 1 0 0 0 0 0 0 A 0 B 0 C 0 SCHEDULE K, PART I, ROW A, BOND ISSUES, COLUMN F: ADVANCED REFUND BONDS ISSUED ON 4/30/2009 SCHEDULE K, PART I, ROW B, BOND ISSUES, COLUMN F: CONSTRUCTION OF CERTAIN HEALTHCARE FACILITIES AND ADVANCED REFUNDING OF SERIES 2014A, 2014B (ISSUED 12/18/2014), 2008A, 2008B (ISSUED 8/14/08) AND 2005 (5/1/05). SCHEDULE K, PART I, ROW C, BOND ISSUES, COLUMN F: CURRENT REFUND BONDS ISSUED IN 2012, 1999, 2001 & 2009 FORM 990, PART VI, SECTION B, LINE 11B 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, SECTION B, LINE 12C 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, SECTION B, LINE 15 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 2023. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS & CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION B, 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 CARE, INC. MAY RETAIN ITS EXEMPT STATUS. FORM 990, PART VII ARTHUR COFFEY IS EMPLOYED BY PROHEALTH MEDICAL GROUP, INC., A WHOLLY OWNED SUBSIDIARY OF PROHEALTH CARE INC, AS A PHYSICIAN. HE ALSO DEVOTES TIME TO PROHEALTH CARE INC., THE SOLE CORPORATE MEMBER, AS THE CHIEF PHYSICIAN OPERATIONS OFFICER. WHILE COFFEY SPLITS HIS TIME BETWEEN THE TWO POSITIONS, ALL COMPENSATION IS HANDLED BY PROHEALTH MEDICAL GROUP INC. FORM 990, PART IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,985,077. MANAGEMENT AND GENERAL EXPENSES 11,620,449. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,605,526. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 2,942,704. MANAGEMENT AND GENERAL EXPENSES 17,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,959,834. EMPLOYEE PHYSICAL EXAMS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 158,799. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,799. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,488. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,488. LEASED EMPLOYEE EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 178,487. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 178,487. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTIONS FROM RELATED ORGANIZATIONS 2,986,669. INVESTMENT FUNDING FROM RELATED ORGANIZATIONS 541,908. TRANSFER FROM AFFILIATE FOR CENTRALLY MANAGED INVESTMENTS 44,150,179. FORM 990, PART XII, LINE 2C THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. 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