2020-08-13T09:56:49-05:00 2019-09-30 381357951 PLANTE & MORAN PLLC 27400 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 990 2018-10-01 391486873 PROHEALTH CARE INC PROH 2629282981 N17 W24100 RIVERWOOD DRIVE NO 200 WAUKESHA WI 531881131 RONALD FARR CHIEF FINANCIAL OFFICER 2629282981 2020-08-04 1 DAVID LOWENTHAL P00378651 2483522500 2020-08-04 23.115.208.127 2020-08-04 13:56:26 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 FCE63C9ACA429A8EBBC88AAEF1E6C98C05692D1C 2018 2020-09-22 18:59:49Z SUSAN EDWARDS N17 W24100 RIVERWOOD DRIVE NO 200 WAUKESHA WI 531881131 169430566 0 X WWW.PROHEALTHCARE.ORG X 1983 WI MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND OTHER HEALTHCARE DELIVERY ENTITIES. 15 13 1309 450 168790 31394 12505600 2371240 132237670 126266246 51265125 16206013 2005059 709418 198013454 145552917 0 0 0 0 84950823 90041292 0 0 0 41461827 49947560 126412650 139988852 71600804 5564065 1379383736 1433997641 481398188 466832994 897985548 967164647 CONTINUOUSLY IMPROVING THE HEALTH OF OUR COMMUNITY. 0 0 29700549 126097456 PROHEALTH CARE PROVIDES SUPPORT TO WAUKESHA MEMORIAL AND OCONOMOWOCMEMORIAL, OUR HOSPITALS, IN ADDITION TO MEDICAL CENTERS, ASSISTEDLIVING/LONG-TERM CARE, HOME HEALTH AND HOSPICE, FITNESS, AND OTHERHEALTHCARE SERVICES. AMONG THE SERVICES PROVIDED ARE ADMINISTRATION,FINANCIAL AND PATIENT ACCOUNTING, DECISION SUPPORT, INFORMATIONSYSTEMS, PUBLIC RELATIONS, HUMAN RESOURCES, MATERIALS AND FACILITIESMANAGEMENT, AND EDUCATION. 29700549 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 1 162 0 1 1309 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 15 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X RONALD FARR 2629284740 N17 W24100 RIVERWOOD DRIVE SUITE WAUKESHA WI 531881131 SUSAN EDWARDS PRESIDENT & CEO 40.00 12.00 X X 8750430 0 41015 E JOHN RAASCH CHAIRPERSON 2.00 8.00 X X 0 0 0 MIKE ERWIN VICE CHAIRPERSON 2.00 8.00 X X 0 0 0 BETTY ARNDT SECRETARY 2.00 8.00 X X 0 0 0 JULIE SCHROEDER TREASURER 2.00 8.00 X X 0 0 0 MARK MOHR DIRECTOR 2.00 8.00 X 0 0 0 SUE BELLEHUMEUR DIRECTOR 2.00 8.00 X 0 0 0 GARY BEYER DIRECTOR 2.00 8.00 X 0 0 0 KEN RIESCH DIRECTOR 2.00 8.00 X 0 0 0 JIM GANNON DIRECTOR 2.00 8.00 X 0 0 0 RALPH RAMIREZ DIRECTOR 2.00 8.00 X 0 0 0 DAVID ROELKE DIRECTOR 2.00 8.00 X 0 0 0 JOHN HALLETT DIRECTOR 2.00 8.00 X 0 0 0 EMERY HARLAN DIRECTOR 2.00 8.00 X 0 0 0 DAN MATOLA DIRECTOR 2.00 8.00 X 0 0 0 RONALD FARR CHIEF FINANCIAL OFFICER 40.00 12.00 X 1173201 0 174567 KENNETH PRICE CHIEF OPERATING OFFICER 40.00 10.00 X 842770 0 94746 JOHN ROBERTSTAD CHIEF COMMUNITY LIAISON 20.00 28.00 X 703259 0 57803 PETER BACON CHIEF BUS DEVELOPMENT OFFICER 40.00 8.00 X 682932 0 27504 JEFFREY SQUIRE CHIEF CORPORATE AFFAIRS OFFICER 40.00 2.00 X 545937 0 86767 PHILIP KUBOW CHIEF HR OFFICER 40.00 8.00 X 673197 0 88068 STEVEN KULICK CHIEF MEDICAL OFFICER 40.00 8.00 X 278449 0 8540 RALPH TOPINKA CHIEF LEGAL OFFICER 40.00 8.00 X 659686 0 129701 MARY BAKER CHIEF CLINICAL OPS OFFICER 40.00 8.00 X 428106 0 43330 ARTHUR COFFEY CHIEF PHYSICIAN OPS OFFICER 25.00 25.00 X 478219 592756 39709 STEPHANIE ORZECHOWSKI CHIEF ADMINISTRATIVE OFFICER 50.00 0.00 X 246918 0 15395 JAMES GARDNER VP PHYSICIAN INTEGRATION 32.00 0.00 X 462832 0 55661 CURTIS GLAUNERT VP REVENUE CYCLE 50.00 0.00 X 349803 0 30641 DONALD REICHERT CIO/VP INFORMATION SERVICE 50.00 0.00 X 381136 0 41100 JULIET UGRATE HOPKINS PHYSICIAN ADVISOR 50.00 0.00 X 287180 0 43689 BRADLEY TREICHEL VP ADMIN & ANALYTICS 50.00 0.00 X 273185 0 35048 FREDERICK MEIER VP MATERIALS MANAGEMENT 50.00 0.00 X 270679 0 40786 17487919 592756 1054070 104 0 1 0 MAESTRO STRATEGIES LLC PO BOX 767069 ROSWELL GA 30076 PROFESSIONAL SERVICES 3203913 BVK 190 S LASALLE ST STE 2900 MILWAUKEE WI 53217 PRINTING SERVICE 2765665 TALON OF NC LLC 201 NORTH BROAD ST 301 WINSTONSALEM NC 27101 PROFESSIONAL SERVICES 1765911 ESCOM PROPERTIES INC 3700 74TH AVE NORTH BROOKLYN PARK MN 55443 PROPERTY MANAGEMENT SERVICES 1221530 MCKINSEY & COMPANY INC 889 WINSLOW ST SUITE 300 REDWOOD CITY CA 94063 PROFESSIONAL SERVICES 1100000 61 2267747 103493 2371240 SUPPORT SERVICES 561000 126097456 126097456 TRANSPORTATION 480000 122909 122909 MARKETING FEES 561000 45881 45881 126266246 12877412 12877412 27032924 173326 23877649 0 3155275 173326 3328601 3328601 INVESTMENT IN JV 900099 709418 709418 709418 145552917 126097456 168790 16915431 X 9852265 9852265 58311852 20951496 37360356 3009419 3009419 14244549 1360 14243189 4623207 1486142 3137065 1133761 1133761 365356 365356 15246 15246 31014470 4583049 26431421 3847041 48197 3798844 2992752 658895 2333857 2957841 291698 2666143 223541 138617 84924 454540 179810 274730 204278 204278 2478303 2872 2475431 130872 39222 91650 BILLING & COLLECTION 1856620 1856620 REPAIRS & MAINTENANCE 1024751 1022324 2427 PATIENT CARE SUPPLIES 663769 20959 642810 DUES & SUBSCRIPTIONS 406053 40328 365725 178366 31302 147064 139988852 29700549 110288303 0 2053378 2817503 42178656 0 2894527 2462312 59729787 15330015 28178386 44399772 703405261 740523317 4280000 5760679 205477445 231159863 268982 268982 390647101 406605213 1379383736 1433997641 40275667 30644929 104265 36277 388386422 386908660 29628701 26078231 20950688 20420208 2052445 2744689 481398188 466832994 X 897985548 967164647 897985548 967164647 1379383736 1433997641 X 5564065 10320203 53294831 X X 0 1 X 1 0 X X 5 WAUKESHA MEMORIAL HOSPITAL INC 390910727 3 1 0 0 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 CARE MEDICAL ASSOCIATES 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 15246 15246 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. 4826582 4826582 21342830 2307083 19035747 14381671 7230626 7151045 9927390 5792306 4135084 9251314 9251314 44399772 INVESTMENT IN WHS/OCC/MA 223665689 C INVESTMENT IN ABOUTHEALTH 100000 C INVESTMENT IN MEC 7394174 C 231159863 INTERCOMPANY NOTE RECEIVABLE 389795095 DUE FROM AFFILIATES 15108481 DEFERRED COMPENSATION 501606 SERP TRUST 888701 INSURANCE RECOVERY 282500 OTHER 28830 406605213 DEFERRED COMPENSATION 501606 ACCRUED MINIMUM SERP LIABILITY 333944 INSURANCE LIABILITY 499000 OTHER LONG - TERM LIABILITIES 1410139 2744689 X X X X 1 1 0 0 0 1 1 0 0 SUSAN EDWARDS PRESIDENT & CEO 968387 0 1135064 0 6646979 0 12250 0 28765 0 8791445 0 6646979 0 RONALD FARR CHIEF FINANCIAL OFFICER 504384 0 562659 0 106158 0 127423 0 47144 0 1347768 0 106158 0 KENNETH PRICE CHIEF OPERATING OFFICER 376345 0 428979 0 37446 0 55933 0 38813 0 937516 0 37446 0 JOHN ROBERTSTAD CHIEF COMMUNITY LIAISON 477369 0 225890 0 0 0 15320 0 42483 0 761062 0 0 0 PETER BACON CHIEF BUS DEVELOPMENT OFFICER 343295 0 334040 0 5597 0 17847 0 9657 0 710436 0 5597 0 JEFFREY SQUIRE CHIEF CORPORATE AFFAIRS OFFICER 288819 0 223554 0 33564 0 43814 0 42953 0 632704 0 33564 0 PHILIP KUBOW CHIEF HR OFFICER 329454 0 311028 0 32715 0 44965 0 43103 0 761265 0 32715 0 STEVEN KULICK CHIEF MEDICAL OFFICER 130341 0 0 0 148108 0 4536 0 4004 0 286989 0 0 0 RALPH TOPINKA CHIEF LEGAL OFFICER 346953 0 264099 0 48634 0 87952 0 41749 0 789387 0 48634 0 MARY BAKER CHIEF CLINICAL OPS OFFICER 288725 0 139381 0 0 0 12250 0 31080 0 471436 0 0 0 ARTHUR COFFEY CHIEF PHYSICIAN OPS OFFICER 303015 592756 151384 0 23820 0 0 0 38441 1268 516660 594024 0 0 STEPHANIE ORZECHOWSKI CHIEF ADMINISTRATIVE OFFICER 190551 0 56367 0 0 0 11347 0 4048 0 262313 0 0 0 JAMES GARDNER VP PHYSICIAN INTEGRATION 322938 0 139894 0 0 0 15837 0 39824 0 518493 0 0 0 CURTIS GLAUNERT VP REVENUE CYCLE 251475 0 98328 0 0 0 12250 0 18391 0 380444 0 0 0 DONALD REICHERT CIO/VP INFORMATION SERVICE 263024 0 103540 0 14572 0 11370 0 29730 0 422236 0 0 0 JULIET UGRATE HOPKINS PHYSICIAN ADVISOR 252987 0 34193 0 0 0 8958 0 34731 0 330869 0 0 0 BRADLEY TREICHEL VP ADMIN & ANALYTICS 194854 0 78331 0 0 0 9250 0 25798 0 308233 0 0 0 FREDERICK MEIER VP MATERIALS MANAGEMENT 194621 0 76058 0 0 0 6754 0 34032 0 311465 0 0 0 PART I, LINES 4A-B PART I LINE 4A: STEVEN KULICK RECEIVED SEVERENCE PAYMENTS TOTALING $148,108 DURING THE TAX YEAR. PAYMENTS ARE MADE IN BIWEEKLY INSTALLMENTS OVER A 14 MONTH PERIOD PER THE AGREEMENT SIGNED BY THE PARTIES ON 04/18/2018. LINE 4B: PROHEALTH CARE INC. (PHC) MAINTAINS TWO SUPPLEMENTAL RETIREMENT PLANS (SERPS) FOR A SELECT GROUP OF EXECUTIVES OF PHC AND ITS AFFILIATED ENTITIES. THESE SERPS ARE UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION PLANS THAT ARE INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THESE SERPS ARE TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. SERP PAYMENTS DURING THE YEAR ARE AS FOLLOWS: RONALD FARR: $106,158 KENNETH PRICE : $37,446 PETER BACON: $5,597 PHILIP KUBOW: $32,715 RALPH TOPINKA: $48,634 JEFFREY SQUIRE: $33,564 SUSAN EDWARDS' DEFERRED COMPENSATION FROM THE DB SERP PLAN HAS BEEN ACCRUED AND REPORTED PROPORTIONATELY OVER THE PAST EIGHT YEARS IN COLUMN C OF SCHEDULE J, PART II. IN THE CURRENT FISCAL 2019 PERIOD, THE DB SERP PLAN BENEFIT VESTED AND WAS PAID OUT IN CALENDAR 2018 WAGES. ACCORDINGLY, THE FEBRUARY 2018 PAYMENT OF $6,646,979 IS REPORTED IN SCHEDULE J, PART II, COLUMN B(III) AND IN COLUMN F. PART I, LINE 6 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 977108T51 2012-05-04 44650000 CURRENT REFUND BONDS ISSUED IN 1999, 2001 & 2009 0 0 0 B WISCONSIN HEALTH & EDUCATIONAL FACILITIES 391337855 97712DKQ8 2015-01-29 133630000 ADVANCED REFUND BONDS ISSUED ON 4/30/2009 0 0 0 C WISCONSIN HEALTH & EDUCATIONAL FACILITIES 391337855 2014-12-18 204800000 SEE PART VI SUPPLEMENTAL INFORMATION 0 0 0 A 5110000 47276592 644599 46631994 2010 1 1 1 1 B 145977595 145977595 1450228 2010 1 1 1 1 C 700000 879063 70000000 133920937 2015 1 1 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 1 0 0 0 0 A 0 B 0 C 0 SCHEDULE K, PART I BOND ISSUES, COLUMN F: CONSTRUCTION OF CERTAIN HEALTHCARE FACILITIES AND ADVANCED REFUNDING OF SERIES 2008A, 2008B (ISSUED 8/14/08) AND 2005 (5/1/05). 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/PRESIDENT, OFFICER, EXECUTIVE DIRECTOR, VICE- PRESIDENT, AND SENIOR 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 2019. 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 IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,853,164. MANAGEMENT AND GENERAL EXPENSES 26,119,643. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,972,807. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 2,729,885. MANAGEMENT AND GENERAL EXPENSES 12,636. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,742,521. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 240,538. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 240,538. EMPLOYEE PHYSICAL EXAMS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 58,604. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,604. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTIONS FROM RELATED ORGANIZATIONS 808,580. PENSION RELATED CHANGES NET PERIODIC BENEFIT COST -118,295. INVESTMENT FUNDING FROM RELATED ORGANIZATIONS 2,054,546. TRANSFER FROM AFFILIATE FOR CENTRALLY MANAGED INVESTMENTS 50,550,000. FORM 990, PART XII, LINE 2C THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. 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