2020-01-30T10:25:14-06:00 2019-03-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 777 E WISCONSIN AVENUE 32ND FLOOR MILWAUKEE WI 53202 990 2018-04-01 391958810 PROGRESSIVE COMMUNITY HEALTH CENTERS INC PROG 4149358000 3522 WEST LISBON AVENUE MILWAUKEE WI 53208 JENNIFER SEVENICH CEO 4149358000 2020-01-22 1 TROY MARINE CPA P00187863 4147775500 2020-01-22 71.159.58.30 2020-01-22 21:13:16 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AE93E721A4DD0EED093D4162907705053E696DB9 2018 2020-09-23 17:36:50Z JENNIFER SEVENICH 3522 WEST LISBON AVENUE MILWAUKEE WI 53208 13857385 0 X WWW.PROGRESSIVECHC.ORG X 1999 WI 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. 12 12 144 12 0 0 4616239 4002949 8041380 9720378 84475 85763 69975 35725 12812069 13844815 0 0 0 0 8121096 8332284 0 0 169930 2721658 2493152 10842754 10825436 1969315 3019379 12939946 15937916 1636432 1615023 11303514 14322893 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. 0 0 7402199 9720378 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. 7402199 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15 0 1 144 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X PROGRESSIVE COMMUNITY HEALTH CENTERS 4149358000 3522 WEST LISBON AVENUE MILWAUKEE WI 53208 JOHN BALZER CHAIR 0.50 X X 0 0 0 DIANE CHAMNESS SECRETARY 0.50 X X 0 0 0 JOHN GRANDBERRY VICE CHAIR 0.50 X X 0 0 0 DARCY ALATALO TREASURER 0.50 X X 0 0 0 JANICE HARRELL MEMBER 0.50 X 0 0 0 JOHN SIEGER MEMBER 0.50 X 0 0 0 EVAN GOYKE MEMBER 0.50 X 0 0 0 JESSICA GINSTER MEMBER 0.50 X 0 0 0 TIFFANY CASTANGO MEMBER 0.50 X 0 0 0 ALBERT COOPER MEMBER 0.50 X 0 0 0 DIANNE BOLDEN MEMBER 0.50 X 0 0 0 TERRELL MORGAN MEMBER 0.50 X 0 0 0 BARB ZAK COO-(STARTED 3/6/18) 40.00 X 91706 0 14735 CANDICE COLE CFO 40.00 X 127411 0 9289 ALLISON KOS MD CMO 40.00 X 216920 0 16668 JENNIFER SEVENICH CEO 40.00 0.50 X 205638 0 26566 MICHAEL BELETE INTERNAL MEDICINE 40.00 X 212757 0 5866 LALEH KARIMI OB/GYN 40.00 X 226644 0 6503 LAURA SUKOWATY FAMILY PRACTICE 40.00 X 197062 0 5108 MADELAINE TULLY FAMILY PRACTICE 40.00 X 196402 0 26191 JYOTHI VEERAMACHANENI FAMILY PRACTICE 40.00 X 174088 0 18083 1648628 0 129009 21 0 1 0 OCHIN 1881 SW NATIO PKWY PORTLAND OR 972015195 ELECTRONIC MEDICAL RECORD SERVICE PROVID 414293 ACCOUNTEMPS 12400 COLLECTIONS CENTER DR CHICAGO IL 60693 TEMPORARY SERVICES - ACCOUNTING 171289 2 3686377 316572 4002949 PATIENT REVENUES 621110 9674283 9674283 OTHER PROGRAM REVENUE 621110 31556 31556 MEDICAL RECORDS REQUEST 621110 14539 14539 9720378 85763 85763 35452 12570 22882 22882 MISCELLANEOUS 900099 12843 12843 12843 13844815 9720378 0 121488 708933 382824 326109 6207760 4445378 1636018 126364 122716 84809 35724 2183 783290 493276 279398 10616 509585 352176 148344 9065 1005777 613340 380135 12302 317748 157070 158455 2223 342744 319911 21696 1137 40046 39497 549 49017 47697 1320 40680 40680 MEDICAL EXPENSES 243802 243802 OTHER ADMINISTRATIVE 238462 107398 127416 3648 BAD DEBT EXPENSE 179018 179018 OTHER CONTRACTED SERVIC 35858 23197 12138 523 10825436 7402199 3253307 169930 2193379 5865138 735812 76415 1365932 1475512 8305000 8305000 160774 85819 1096079 966047 179049 130032 12939946 15937916 651547 742538 76827 30241 844317 746546 63741 95698 1636432 1615023 X 11190838 14282730 112676 40163 11303514 14322893 12939946 15937916 3019379 0 X 0 1 X 1 1 1 X 5746853 2719908 4360813 4616239 4002949 21446762 5746853 2719908 4360813 4616239 4002949 21446762 21446762 114435 113115 95738 94075 85763 503126 716 22380 24331 34809 12843 95079 22044967 31797410 0.97290 0.97620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 605468 487408 118060 490611 478639 11972 130032 DUE TO RELATED ENTITY 95698 95698 X 13918971 61586 61586 13857385 -12570 -12570 13844815 10899592 61586 61586 10838006 -12570 -12570 10825436 PART X, LINE 2: PROGRESSIVE COMMUNITY HEALTH CENTERS, INC. HAS RECEIVED NOTIFICATION THAT IT QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE AND CORRESPONDING PROVISIONS OF STATE LAW AND, ACCORDINGLY, IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAX. PCHC SUPPORTING CORPORATION HAS RECEIVED NOTIFICATION THAT IT QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(2) OF THE UNITED STATES INTERNAL REVENUE CODE AND CORRESPONDING PROVISIONS OF STATE LAW AND, ACCORDINGLY, IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAX. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. PROGRESSIVE COMMUNITY HEALTH CENTERS, INC. AND PCHC SUPPORTING CORPORATION TAX RETURNS FOR THE YEARS ENDED MARCH 31, 2016 TO THE PRESENT REMAIN SUBJECT TO EXAMINATION BY THE FEDERAL TAXING AUTHORITIES AND MARCH 31, 2015 FOR STATE TAXING AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -12,570. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -12,570. MILWAUKEE GOSPEL JUBILEE 35452 35452 12570 35452 35452 12570 12570 22882 X X X X 1 0 0 1 0 0 0 0 0 ALLISON KOS MD CMO 187524 0 5167 0 24229 0 4405 0 12263 0 233588 0 0 0 JENNIFER SEVENICH CEO 162858 0 20000 0 22780 0 3887 0 22679 0 232204 0 0 0 MICHAEL BELETE INTERNAL MEDICINE 189412 0 0 0 23345 0 4287 0 1579 0 218623 0 0 0 LALEH KARIMI OB/GYN 187619 0 0 0 39025 0 4534 0 1969 0 233147 0 0 0 LAURA SUKOWATY FAMILY PRACTICE 171952 0 0 0 25110 0 0 0 5108 0 202170 0 0 0 MADELAINE TULLY FAMILY PRACTICE 174598 0 0 0 21804 0 4043 0 22148 0 222593 0 0 0 JYOTHI VEERAMACHANENI FAMILY PRACTICE 144067 0 0 0 30021 0 0 0 18083 0 192171 0 0 0 PART I, LINE 4A CONNIE DEBBINK RECEIVED A SEVERANCE PAYMENT OF $7,983. PART I, LINE 5 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. FORM 990, PART VI, SECTION A, LINE 4 THE DEVELOPMENT COMMITTEE WAS DISSOLVED DURING THE YEAR END THE BYLAWS OF THE ORGANIZATION WERE UPDATED ACCORDINGLY. 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. PCHC SUPPORTING CORPORATION 3522 W LISBON AVE MILWAUKEE WI 53208 463905712 HOLD TITLE AND MANAGE OF PROPERTY FOR PROGRESSIVE COMMUNITY HEALTH CENTER WI 501(C)(2) N/A NONE 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 PCHC SUPPORTING CORPORATION K 100000 FMV