2019-12-12T14:42:45-06:00 2019-01-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2018-02-01 391664109 MILWAUKEE HEALTH SERVICES INC MILW 4143728080 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 TITO IZARD MD PRESIDENT & CEO 4143728080 2019-12-11 1 JULIET URSO CPA P01219682 4144319300 2019-12-11 207.250.78.130 2019-12-11 11:41:06 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2018 2020-04-17 16:48:07Z TITO IZARD MD 2555 N MARTIN LUTHER KING DRIVE MILWAUKEE WI 53212 24454160 0 X WWW.MHSI.ORG X 1989 WI TO PROVIDE MEDICAL AND DENTAL PRIMARY CARE SERVICES TO A MEDICALLY UNDERSERVED POPULATION. 10 10 263 84 0 2291 4480701 4430163 15034619 19808849 191 303 265075 157921 19780586 24397236 4379 37306 0 0 10649560 11721676 0 0 0 7410030 7915436 18063969 19674418 1716617 4722818 12453260 15593559 9268895 7686376 3184365 7907183 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 15497629 37306 19808849 TO PROVIDE MEDICAL AND DENTAL PRIMARY CARE SERVICES TO A MEDICALLY UNDERSERVED POPULATION. 15,766 PATIENTS WERE SERVED DURING THE YEAR. 15497629 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 95 0 263 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 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 KAREN BAKER DIRECTOR 1.00 X 0 0 0 CURTISS HARRIS DIRECTOR 1.00 X 0 0 0 DR PAULA LUCEY DIRECTOR 1.00 X 0 0 0 CASSANDRA MCSHEPHARD DIRECTOR 1.00 X 0 0 0 BRIDGETT MOSS DIRECTOR 1.00 X 0 0 0 CARMEN MURGUIA DIRECTOR 1.00 X 0 0 0 G SPENCER COGGS CHAIRPERSON (THRU 5/18) 1.00 X X 0 0 0 WALTER LANIER CHAIRPERSON (BEG. 5/18) 1.00 X X 0 0 0 THOMAS TERRY VICE-CHAIRPERSON (THRU 11/18) 1.00 X X 0 0 0 GINA GREEN-HARRIS VICE-CHAIRPERSON (BEG. 11/18) 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 DR TITO IZARD PRESIDENT & CEO 40.00 X 323150 0 9149 TANYA STAMPS CHIEF FINANCE OFFICER 40.00 X 116762 0 0 DR ILVA VAN VALKENBURGH DIRECTOR OF BEHAVIORAL HEALTH 40.00 X 303262 0 0 DR ARONICA WILLIAMS CHEIF MEDICAL OFFICER 40.00 X 203221 0 3348 ENID TROTMAN INTERNAL MEDICINE PHYSICIAN 40.00 X 130080 0 7084 DR ARTHUR MINES FAMILY MEDICINE PHYSICIAN 40.00 X 129830 0 3241 DR NICOLE MUBANGA FAMILY MEDICINE PHYSICIAN 40.00 X 127723 0 1841 1334028 0 24663 13 0 1 0 MERINO COMPUTER CONCEPTS INC 1822 W KETTLEMAN LANE SUITE 4 LODI CA 95242 COMPUTER & NETWORKING SERVICES 260250 DR BASIL JACKSON W142 N7967 THORNDELL DRIVE MENOMONEE FALLS WI 53051 MEDICAL PROVIDER 231465 GE HEALTHCARE IITS USA CORP 40 IDX DRIVE SOUTH BURLINGTON VT 05403 MEDICAL RECORDS SERVICES 209066 MAXIM HEALTHCARE SERVICES INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 STAFFING SERVICES 200843 NISHA GROUP LLC 1937 W WINDSOR CIRCLE GLENDALE WI 53209 JANITORIAL SERVICES 152094 8 55190 4132767 242206 4430163 PATIENT SERVICE REVENUE 624100 19808849 19808849 19808849 303 303 14865 55190 56924 -42059 -42059 2998 0 2998 2998 MEDICAL INFORMATION FEES 624100 22270 22270 174712 174712 196982 24397236 19808849 0 158224 37306 37306 449061 358619 90442 8437067 6737811 1699256 2162520 1630188 532332 673028 507354 165674 48384 48384 86136 86136 1455980 1353983 101997 370368 233005 137363 205191 205191 1119389 542456 576933 33472 5105 28367 114984 105363 9621 292780 292780 803483 545272 258211 33389 33389 PHARMACEUTICALS 3128374 3128374 HEALTH PROMOTIONS 113795 62504 51291 DUES AND SUBSCRIPTIONS 16277 4738 11539 93434 40360 53074 19674418 15497629 4176789 0 647797 126116 78236 0 916604 1012401 1253631 5477747 63263 98858 54782 88392 20562521 11772476 9438947 8790045 12453260 15593559 3901880 2731319 16811 5000 5350204 4722776 0 227281 9268895 7686376 X 2904745 7626175 279620 281008 3184365 7907183 12453260 15593559 4722818 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 746728 746728 13450944 6371213 7079731 416893 416893 0 5947956 4984370 963586 8790045 CAPITAL LEASE OBLIGATIONS 227281 227281 24455152 992 992 24454160 -56924 -56924 24397236 19732334 992 56924 57916 19674418 0 19674418 PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -56,924. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRASING EXPENSES 56,924. LAUGHTER FOR THE SOUL 70055 55190 14865 3288 3298 50338 70055 55190 14865 3288 3298 50338 56924 -42059 1 PATIENT ASSISTANCE 74 37306 PART I, LINE 2: THE ORGANIZATION DOCUMENTS ALL RELEVANT INFORMATION PERTAINING TO MEDICAL ASSISTANCE GIVEN IN PATIENT RECORDS. X X X X 0 0 0 0 0 0 0 0 0 DR TITO IZARD PRESIDENT & CEO 250028 0 108 0 73014 0 0 0 9149 0 332299 0 0 0 DR ILVA VAN VALKENBURGH DIRECTOR OF BEHAVIORAL HEALTH 293154 0 10108 0 0 0 0 0 0 0 303262 0 0 0 DR ARONICA WILLIAMS CHEIF MEDICAL OFFICER 187709 0 108 0 15404 0 0 0 3348 0 206569 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.