PROGRESSIVE COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PROGRESSIVE COMMUNITY HEALTH CENTERS INC (EIN 39-1958810)
- Tax period
- 2020-04-01 to 2021-03-31
- Filed
- 2022-02-15
- IRS object ID
- 202240469349301634
- Schema version
- 2020v4.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-02-15T13:21:21-06:00 | ReturnTs |
| Tax Period End | 2021-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 E WISCONSIN AVENUE 32ND FLOOR | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391958810 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROGRESSIVE COMMUNITY HEALTH CENTERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROG | BusinessNameControlTxt |
| Phone | 4149358000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3522 WEST LISBON AVENUE | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53208 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER SEVENICH | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4149358000 | PhoneNum |
| Signature | 2022-02-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JENNIFER | PersonFirstNm |
| Person Last | SEVENICH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TROY MARINE CPA | PreparerPersonNm |
| PTIN | P00187863 | PTIN |
| Phone | 4147775500 | PhoneNum |
| Preparation | 2022-02-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNIFER SEVENICH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3522 WEST LISBON AVENUE | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53208 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,984,251 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PROGRESSIVECHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | PROGRESSIVE COMMUNITY HEALTH CENTERS EXIST TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY BY PROVIDING CULTURALLY COMPETENT SERVICES THAT ADDRESS IDENTIFIED NEEDS. PROVIDING PEDIATRIC, GYNECOLOGICAL, DENTAL, INTEGRATED BEHAVIORAL HEALTH, URGENT CARE AND OTHER PRIMARY MEDICAL CARE AND HEALTH EDUCATION FOR INDIVIDUALS IN A TARGETED AREA ON THE WEST SIDE OF MILWAUKEE, REGARDLESS OF THEIR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 150 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,940,080 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,869,535 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,012,521 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,010,423 | CYProgramServiceRevenueAmt |
| PY Investment Income | $86,233 | PYInvestmentIncomeAmt |
| CY Investment Income | $63,109 | CYInvestmentIncomeAmt |
| PY Other Revenue | $40,070 | PYOtherRevenueAmt |
| CY Other Revenue | $32,210 | CYOtherRevenueAmt |
| PY Total Revenue | $14,078,904 | PYTotalRevenueAmt |
| CY Total Revenue | $13,975,277 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,316,759 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,187,202 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $314,713 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,496,091 | PYOtherExpensesAmt |
| CY Other Expenses | $11,771,864 | CYOtherExpensesAmt |
| PY Total Expenses | $10,812,850 | PYTotalExpensesAmt |
| CY Total Expenses | $20,959,066 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,266,054 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,983,789 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,088,244 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,993,272 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,499,297 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,388,114 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,588,947 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,605,158 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROGRESSIVE COMMUNITY HEALTH CENTERS EXISTS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY BY PROVIDING CULTURALLY COMPETENT SERVICES THAT ADDRESSES IDENTIFIED NEEDS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,045,724 | ExpenseAmt |
| Revenue | $10,010,423 | RevenueAmt |
| Desc | COMMUNITY HEALTHCARE PROVIDER - TO PROVIDE QUALITY PRIMARY MEDICAL AND DENTAL ACCESS TO UNDERINSURED AND UNINSURED COMMUNITY REGARDLESS OF ABILITY TO PAY. THESE SERVICES ALSO INCLUDE SCREENING, EXAMS, URGENT CARE, LAB AND PRENATAL CARE. | Desc |
| Total Program Service Expenses | $17,045,724 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 150 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| 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 | PROGRESSIVE COMMUNITY HEALTH CENTERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4149358000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3522 WEST LISBON AVENUE | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53208 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|---|
| ALLISON KOS MD | |||||||||
| CMO | 40.00 | Yes (X) | $253,347 | $0 | $19,452 | ||||
| MADELAINE TULLY | |||||||||
| FAMILY PRACTICE | 40.00 | $226,851 | $0 | $26,252 | Yes (X) | ||||
| MICHAEL BELETE | |||||||||
| INTERNAL MEDICINE | 40.00 | $238,703 | $0 | $7,136 | Yes (X) | ||||
| JENNIFER SEVENICH | |||||||||
| CEO | 40.00 | Yes (X) | $195,296 | $0 | $25,780 | 0.50 | |||
| JASON HOLT | |||||||||
| DENTIST | 40.00 | $146,151 | $0 | $26,337 | Yes (X) | ||||
| CANDICE COLE | |||||||||
| CFO | 40.00 | Yes (X) | $153,238 | $0 | $12,331 | ||||
| LALEH KARIMI | |||||||||
| OB/GYN | 40.00 | $157,442 | $0 | $5,431 | Yes (X) | ||||
| BARB ZAK | |||||||||
| COO | 40.00 | Yes (X) | $132,163 | $0 | $23,265 | ||||
| REYNA GARCIA | |||||||||
| DENTIST | 40.00 | $138,035 | $0 | $10,664 | Yes (X) | ||||
| JOHN GRANDBERRY | |||||||||
| CHAIR | 0.50 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| ALBERT COOPER | |||||||||
| VICE CHAIR | 0.50 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| NICOLE WILLIAMS | |||||||||
| SECRETARY | 0.50 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| MATTHEW BURCHI | |||||||||
| TREASURER | 0.50 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| BRITTANY SCHOENICK | |||||||||
| MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| HEATHER SAUCEDO | |||||||||
| MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| JANICE HARRELL | |||||||||
| MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| QUENTIN PRINCE | |||||||||
| MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| RICHELLE WEBB DIXON | |||||||||
| MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| SUNCERRAE PERRY | |||||||||
| MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| WINFRID FINKLEY | |||||||||
| MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,641,226 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $156,648 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OCHIN | |||||
| PO BOX 5426 | PORTLAND | OR | 972285426 | ELECTRONIC MEDICAL RECORD SERVICE PROVID | $312,635 |
| CITY WIDE FACILITIES SOLUTIONS | |||||
| 3880 W WHEELHOUSE RD STE B | MILWAUKEE | WI | 53208 | FACILITIES MAINTENANCE | $263,523 |
| ALLIED UNIVERSAL SECURITY SERVICES | |||||
| EIGHT TOWER BRIDGE 161 WASHINGTON | CONSHOSHOCKEN | PA | 19428 | SECURITY SERVICES | $207,257 |
| ACCOUNTEMPS | |||||
| 12400 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | TEMPORARY SERVICES - ACCOUNTING | $129,839 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,459,955 | GovernmentGrantsAmt |
| All Other Contributions | $409,580 | AllOtherContributionsAmt |
| Total Contributions | $3,869,535 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUES | 621110 | $8,919,573 | $8,919,573 |
| OTHER PROGRAM REVENUE | 621110 | $1,087,982 | $1,087,982 |
| MEDICAL RECORDS REQUEST | 621110 | $2,868 | $2,868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,010,423 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,109 | TotalRevenueColumnAmt |
| Exclusion | $63,109 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $7,427 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $8,974 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,547 | TotalRevenueColumnAmt |
| Exclusion | -$1,547 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $33,757 | TotalRevenueColumnAmt |
| Exclusion | $33,757 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $33,757 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,975,277 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,010,423 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $95,319 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $814,873 | TotalAmt |
| Program Services | $440,031 | ProgramServicesAmt |
| Management And General | $374,842 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,745,817 | TotalAmt |
| Program Services | $4,787,028 | ProgramServicesAmt |
| Management And General | $1,806,116 | ManagementAndGeneralAmt |
| Fundraising | $152,673 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,083 | TotalAmt |
| Program Services | $79,519 | ProgramServicesAmt |
| Management And General | $33,256 | ManagementAndGeneralAmt |
| Fundraising | $2,308 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $956,506 | TotalAmt |
| Program Services | $658,059 | ProgramServicesAmt |
| Management And General | $280,303 | ManagementAndGeneralAmt |
| Fundraising | $18,144 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $554,923 | TotalAmt |
| Program Services | $383,435 | ProgramServicesAmt |
| Management And General | $160,359 | ManagementAndGeneralAmt |
| Fundraising | $11,129 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,077,600 | TotalAmt |
| Program Services | $583,448 | ProgramServicesAmt |
| Management And General | $403,432 | ManagementAndGeneralAmt |
| Fundraising | $90,720 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,473 | TotalAmt |
| Program Services | $222,969 | ProgramServicesAmt |
| Management And General | $148,449 | ManagementAndGeneralAmt |
| Fundraising | $4,055 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,154 | TotalAmt |
| Program Services | $261,648 | ProgramServicesAmt |
| Management And General | $10,697 | ManagementAndGeneralAmt |
| Fundraising | $2,809 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,939 | TotalAmt |
| Program Services | $34,622 | ProgramServicesAmt |
| Management And General | $3,429 | ManagementAndGeneralAmt |
| Fundraising | -$1,112 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,638 | TotalAmt |
| Program Services | $73,979 | ProgramServicesAmt |
| Management And General | -$1,984 | ManagementAndGeneralAmt |
| Fundraising | $643 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,292 | TotalAmt |
| Management And General | $49,292 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| FORGIVENESS OF DEBT | $8,305,000 | $8,305,000 | ||
| BAD DEBT EXPENSE | $783,407 | $783,407 | ||
| MEDICAL EXPENSES | $374,767 | $194,975 | $159,437 | $20,355 |
| OTHER ADMINISTRATIVE | $369,972 | $198,293 | $159,632 | $12,047 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,622 | TotalAmt |
| Program Services | $39,311 | ProgramServicesAmt |
| Management And General | $11,369 | ManagementAndGeneralAmt |
| Fundraising | $942 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,959,066 | TotalAmt |
| Program Services | $17,045,724 | ProgramServicesAmt |
| Management And General | $3,598,629 | ManagementAndGeneralAmt |
| Fundraising | $314,713 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,008,977 | BOYAmt |
| EOY | $10,520,125 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $806,498 | BOYAmt |
| EOY | $369,910 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,664,628 | BOYAmt |
| EOY | $1,097,961 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,305,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,825 | BOYAmt |
| EOY | $154,628 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,351,026 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,890,463 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,316 | BOYAmt |
| EOY | $9,460,563 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $390,085 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,088,244 | BOYAmt |
| EOY | $21,993,272 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $705,132 | BOYAmt |
| EOY | $823,669 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,257 | BOYAmt |
| EOY | $14,483 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $643,773 | BOYAmt |
| EOY | $1,563,014 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,135 | BOYAmt |
| EOY | $8,986,948 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,499,297 | BOYAmt |
| EOY | $11,388,114 | 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 | $16,990,645 | BOYAmt |
| EOY | $9,975,422 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $598,302 | BOYAmt |
| EOY | $629,736 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,588,947 | BOYAmt |
| EOY | $10,605,158 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,088,244 | BOYAmt |
| EOY | $21,993,272 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$6,983,789 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,360,813 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,616,239 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,002,949 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,940,080 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,869,335 | CurrentTaxYearAmt |
| Total | $20,789,416 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,360,813 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,616,239 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,002,949 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,940,080 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,869,335 | CurrentTaxYearAmt |
| Total | $20,789,416 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $20,789,416 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $95,738 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $94,075 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $85,763 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $86,233 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $63,109 | CurrentTaxYearAmt |
| Total | $424,918 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,331 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,809 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,843 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,237 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,757 | CurrentTaxYearAmt |
| Total | $129,977 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $21,344,311 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $43,051,823 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97400 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97070 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2016 AMOUNT: $ 24,331. 2017 AMOUNT: $ 34,809. 2018 AMOUNT: $ 12,843. 2019 AMOUNT: $ 24,237. 2020 AMOUNT: $ 33,757. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,300 | OtherCostOrOtherBasisAmt |
| Book Value | $48,300 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,223,665 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,831,318 | DepreciationAmt |
| Book Value | $8,392,347 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $277,471 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,100 | DepreciationAmt |
| Book Value | $196,371 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,148,424 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,475,133 | DepreciationAmt |
| Book Value | $673,291 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $653,166 | OtherCostOrOtherBasisAmt |
| Depreciation | $502,912 | DepreciationAmt |
| Book Value | $150,254 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,460,563 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED ENTITY | Desc |
| Amt | $8,986,948 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,986,948 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | MILWAUKEE GOSPEL | Event1Nm |
| Gross Receipts Event1 | $7,427 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $7,427 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $8,974 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $7,427 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $7,427 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $8,974 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $8,974 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$1,547 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALLISON KOS MD | ||||||||||||||
| CMO | $225,704 | $0 | $6,200 | $0 | $21,443 | $0 | $5,145 | $0 | $14,307 | $0 | $272,799 | $0 | $0 | $0 |
| MADELAINE TULLY | ||||||||||||||
| FAMILY PRACTICE | $196,026 | $0 | $1,510 | $0 | $29,315 | $0 | $4,627 | $0 | $21,625 | $0 | $253,103 | $0 | $0 | $0 |
| MICHAEL BELETE | ||||||||||||||
| INTERNAL MEDICINE | $214,741 | $0 | $400 | $0 | $23,562 | $0 | $4,414 | $0 | $2,722 | $0 | $245,839 | $0 | $0 | $0 |
| JENNIFER SEVENICH | ||||||||||||||
| CEO | $179,042 | $0 | $200 | $0 | $16,054 | $0 | $4,091 | $0 | $21,689 | $0 | $221,076 | $0 | $0 | $0 |
| JASON HOLT | ||||||||||||||
| DENTIST | $128,093 | $0 | $200 | $0 | $17,858 | $0 | $1,966 | $0 | $24,371 | $0 | $172,488 | $0 | $0 | $0 |
| CANDICE COLE | ||||||||||||||
| CFO | $122,340 | $0 | $10,200 | $0 | $20,698 | $0 | $2,893 | $0 | $9,438 | $0 | $165,569 | $0 | $0 | $0 |
| LALEH KARIMI | ||||||||||||||
| OB/GYN | $120,576 | $0 | $0 | $0 | $36,866 | $0 | $3,070 | $0 | $2,361 | $0 | $162,873 | $0 | $0 | $0 |
| BARB ZAK | ||||||||||||||
| COO | $118,427 | $0 | $5,200 | $0 | $8,536 | $0 | $1,290 | $0 | $21,975 | $0 | $155,428 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 5 | FormAndLineReferenceDesc |
| Explanation | PART OF THE EXECUTIVE DIRECTOR BONUS CRITERIA CONSIST OF ENSURING THE FINANCIAL PERFORMANCE OF THE ORGANIZATION DOES NOT RESULT IN A DEFICIT WITHIN THE FISCAL YEAR. THE POTENTIAL BONUS PAYOUT IS ACCRUED THROUGHOUT THE FISCAL PERIOD. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | UPON THE COMPLETION OF THE 990 BY THE AUDITING CONTRACTORS IT IS FORWARDED TO THE FINANCE BOARD FOR APPROVAL AND CIRCULATED TO THE BOARD OF DIRECTORS BEFORE SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICIES ARE SIGNED ANNUALLY BY THE BOARD OF DIRECTORS. FOR CONTRACTED EMPLOYEES, CONFLICT OF INTEREST IS ADDRESSED IN THEIR CONTRACT. NO EMPLOYEE, OFFICER OR AGENT SHALL PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF A CONTRACT IN WHICH THEY, OR THEIR IMMEDIATE FAMILY MEMBER, HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WITH INPUT FROM THE ORGANIZATION'S DIRECTOR OF HUMAN RESOURCES & OPERATIONS. THE SALARY DATA THAT WAS UTILIZED FROM COMPARISON TO OTHER CHIEF EXECUTIVE OFFICERS OF COMMUNITY HEALTH CENTERS WAS OBTAINED FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE SALARY DATA IS REPORTED BY THE STATE, REGION AND NATIONALLY. ALSO, FOR FURTHER COMPARISON THE EXECUTIVE COMMITTEE REVIEWED THE 990 TAX FORMS OF OTHER LOCAL COMMUNITY HEALTH CENTERS TO OBTAIN THE SALARY INFORMATION OF THEIR CHIEF EXECUTIVE OFFICERS. THE DIRECTOR OF HUMAN RESOURCES & OPERATIONS CONDUCTS AN ANNUAL SALARY REVIEW OF TOP AND KEY MANAGEMENT POSITIONS. THE SALARY DATA IS OBTAINED FROM THE BUREAU OF LABOR STATISTICS, SALARY.COM, AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. ONCE THE RESEARCHED SALARY DATA IS COMPILED, THE INFORMATION IS PRESENTED TO THE VICE PRESIDENT/CHIEF OPERATING OFFICER FOR REVIEW AND DISCUSSION. THEREAFTER, THE INFORMATION IS PRESENTED TO THE CHIEF EXECUTIVE OFFICER FOR FINAL APPROVAL. AFTER APPROVAL BY THE CHIEF EXECUTIVE OFFICER THE ORGANIZATION USES THIS INFORMATION TO DEVELOP A SALARY SCALE, FOR HIRING AND RETENTION OF ALL STAFF. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PCHC SUPPORTING CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3522 W LISBON AVE | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53208 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463905712 | EIN |
| Primary Activities | HOLD TITLE AND MANAGE OF PROPERTY FOR PROGRESSIVE COMMUNITY HEALTH CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(2) | ExemptCodeSectionTxt |
| Public Charity Status | N/A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PCHC SUPPORTING CORPORATION | ||
| K | $66,667 | FMV |
| PCHC SUPPORTING CORPORATION | ||
| S | $9,307,247 | FMV |