2021-12-15T17:22:52-06:00 2021-01-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2020-02-01 391664109 MILWAUKEE HEALTH SERVICES INC MILW 4143728080 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 TITO IZARD MD PRESIDENT & CEO 4143728080 2021-12-15 1 TITO IZARD MD 999009999 CHLOE CHIUMINATTO P01924323 4144319300 2021-12-15 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z TITO IZARD MD 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 29287329 0 X WWW.MHSI.ORG X 1989 WI TO PROVIDE MEDICAL AND DENTAL PRIMARY CARE SERVICES TO A MEDICALLY UNDERSERVED POPULATION. 11 11 241 99 0 0 4260288 7068099 15619154 21422735 3148 8963 431121 787532 20313711 29287329 11939 6067 0 0 12373439 13074479 0 0 0 8736047 15137671 21121425 28218217 -807714 1069112 13576595 14350055 6477126 6181474 7099469 8168581 TO PROVIDE ACCESSIBLE, QUALITY PRIMARY AND RELATED HEALTH CARE SERVICES TO MILWAUKEE RESIDENTS, WITH OUR CONTINUING EMPHASIS ON MEDICALLY-UNDERSERVED FAMILIES AND INDIVIDUALS. 0 0 23734440 6067 21422735 MHSI IS A PRIVATE, NON-PROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC), SERVING THE COMMUNITY OF MILWAUKEE SINCE 1989. MHSI PROVIDES A COMPREHENSIVE RANGE OF PRIMARY MEDICAL, DENTAL, PODIATRY, AND BEHAVIORAL HEALTHCARE, IN ADDITION TO A LIMITED NUMBER OF SPECIALTY SERVICES. MHSI IS COMMITTED TO REMOVING BARRIERS AND IMPROVING HEALTH OUTCOMES TO PROMOTE QUALITY OF LIFE AND REDUCE DISPARITIES AMONG RACIAL AND ETHNIC COMMUNITIES. 16,699 UNIQUE PATIENTS WERE SERVED DURING 2020. 23734440 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 0 0 1 2 2 241 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X LAURIE YAKE 4143728080 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 DR TITO IZARD PRESIDENT & CEO 40.00 X 318406 0 12764 DR ARONICA WILLIAMS CHEIF MEDICAL OFFICER 40.00 X 217499 0 6869 KATHERINE D VAN FOSSEN PHYSICIAN 40.00 X 201298 0 3500 KINBERLIE WARD-COOPER PHYSICIAN 40.00 X 190488 0 7100 DR ARTHUR MINES PHYSICIAN 40.00 X 159625 0 6115 ANGELA SMITH PHARMACY MANAGER 40.00 X 138424 0 8591 LAURIE YAKE CHIEF FINANCE OFFICER 40.00 X 122883 0 7010 WALTER LANIER CHAIRPERSON 1.00 X X 0 0 0 GINA GREEN-HARRIS VICE-CHAIRPERSON 1.00 X X 0 0 0 JADDIA ARNOLD SECRETARY 1.00 X X 0 0 0 AUDREY SELLERS TREASURER 1.00 X X 0 0 0 KAREN BAKER DIRECTOR 1.00 X 0 0 0 SIRR GRICE DIRECTOR 1.00 X 0 0 0 LORRAINE HALINKA MALCOE DIRECTOR 1.00 X 0 0 0 CURTISS HARRIS DIRECTOR (THRU NOVEMBER) 1.00 X 0 0 0 BABETTE HONORE DIRECTOR 1.00 X 0 0 0 DR PAULA LUCEY DIRECTOR 1.00 X 0 0 0 CURTISS MARSHALL DIRECTOR 1.00 X 0 0 0 BRIDGETT MOSS DIRECTOR 1.00 X 0 0 0 1348623 0 51949 16 0 1 0 MERINO COMPUTER CONCEPTS INC 1822 W KETTLEMAN LANE SUITE 4 LODI CA 95242 IT SERVICES 534507 MAXIM HEALTHCARE SERVICES INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 STAFFING SERVICES 410779 CROSS COUNTRY STAFFING DBA MEDICAL STAF 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 STAFFING SERVICES 385038 MICHAEL J BOHN 5263 WHARVARD DRIVE FRANKLIN WI 53132 PHYCHIATRIST 264010 DR BASIL JACKSON W142 N7967 THORNDELL DRIVE MENOMONEE FALLS WI 53051 MEDICAL PROVIDER 168300 6 6917284 150815 7068099 PATIENT SERVICE REVENUE 624100 21422735 21422735 21422735 8963 8963 OUTREACH ENROLLMENT REVENUE 624100 163123 163123 INDEPENDENT PHYSICIANS NETWORK 624100 76872 76872 547537 547537 787532 29287329 21422735 0 796495 6067 6067 443144 359156 83988 9465016 7700545 1764471 215242 166995 48247 2231722 1731488 500234 719355 558114 161241 47677 47677 87069 87069 1960055 1528285 431770 89285 89285 602801 468112 134689 478773 308872 169901 1161408 905029 256379 8853 8853 89894 89894 293237 293237 839875 582315 257560 22067 22067 BAD DEBT 5830853 5830853 PHARMACEUTICALS 3346316 3346316 HEALTH PROMOTIONS 78304 78304 DUES AND SUBSCRIPTIONS 45089 8875 36214 156115 65220 90895 28218217 23734440 4483777 0 2528948 3128721 607372 690300 1972780 2657588 116414 111310 90256 144827 19650635 12033326 8260825 7617309 13576595 14350055 1848848 1713802 3599 137518 4498417 4304911 126262 25243 6477126 6181474 X 6908849 8042321 190620 126260 7099469 8168581 13576595 14350055 1069112 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 746728 746728 13483927 7328058 6155869 416893 416893 0 5003087 4288375 714712 7617309 CAPITAL LEASE OBLIGATIONS 25243 25243 X 23456476 0 23456476 5830853 5830853 29287329 22387364 0 22387364 5830853 5830853 28218217 PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING WHETHER IT IS MORE LIKELY THAN NOT THAT THE TAXING AUTHORITY WOULD SUSTAIN THE TAX POSITION UPON EXAMINATION OF THE TECHNICAL MERITS OF THE TAX POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. THE ORGANIZATION HAS RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 5,830,853. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 5,830,853. 1 PATIENT ASSISTANCE 15 6067 PART I, LINE 2: THE ORGANIZATION DOCUMENTS ALL RELEVANT INFORMATION PERTAINING TO MEDICAL ASSISTANCE GIVEN TO THE PATIENT, IN THE PATIENT RECORDS. ASSISTANCE WITH TRANSPORTATION IS PROVIDED THROUGH BUS VOUCHERS. THE PATIENT SIGNS FOR THE RECEIPT OF THE BUS VOUCHER AND A RECORD IS MAINTAINED IN THE EIP DEPARTMENT. X X X X 0 0 0 0 0 0 0 0 0 DR TITO IZARD PRESIDENT & CEO 318252 0 154 0 0 0 3500 0 9264 0 331170 0 0 0 DR ARONICA WILLIAMS CHEIF MEDICAL OFFICER 217347 0 152 0 0 0 3500 0 3369 0 224368 0 0 0 KATHERINE D VAN FOSSEN PHYSICIAN 201146 0 152 0 0 0 3500 0 0 0 204798 0 0 0 KINBERLIE WARD-COOPER PHYSICIAN 190336 0 152 0 0 0 0 0 7100 0 197588 0 0 0 DR ARTHUR MINES PHYSICIAN 159473 0 152 0 0 0 3500 0 2615 0 165740 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CONTROLLER, CHIEF FINANCIAL OFFICER, AND PRESIDENT/CEO OF THE ORGANIZATION. AFTER SATISFACTORY REVIEW, IT IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW. BEFORE FILING WITH THE INTERNAL REVENUE SERVICE, THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THAT ALL EMPLOYEES AND BOARD MEMBERS DISCLOSE IN WRITING AND UPDATE AT LEAST ANNUALLY, ALL BUSINESS AND IMMEDIATE FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST. IN ADDITION, EMPLOYEES WITH NON-COMPETE CONTRACTS MUST DISCLOSE TO THE PRESIDENT/CEO, AND PRESIDENT/CEO MUST DISCLOSE TO THE BOARD CHAIRPERSON, IN WRITING THE SPECIFICS OF ANY PLAN TO ACCEPT OUTSIDE EMPLOYMENT SO THAT OUTSIDE EMPLOYMENT MAY BE DETERMINED IF POTENTIAL CONFLICT EXISTS. NO BOARD MEMBER MAY VOTE ON ANY MATTER WHICH MAY DIRECTLY OR INDIRECTLY RESULT IN FINANCIAL GAIN TO THAT MEMBER, OR WHICH MAY CONFLICT WITH THAT MEMBER'S OBLIGATIONS TO ANOTHER ORGANIZATION'S BOARD OF DIRECTORS. PROVIDED THAT THE BOARD MEMBER HAS FIRST DISCLOSED A CONFLICT OR POTENTIAL CONFLICT, AND ABSTAINS FROM VOTING IN THAT REGARD, HE/SHE MAY PARTICIPATE IN DISCUSSIONS RELATING TO THAT MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE EXECUTIVE COMPENSATIONS IS BASED ON PERFORMANCE EVALUATION, ANALYZING COMPENSATION SURVEYS/STUDIES, REVIEW OF 990S OF OTHER ORGANIZATIONS AND APPROVAL OF THE REVISED EMPLOYMENT AGREEMENT BY THE BOARD CHAIR. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.