2017-02-14T12:50:20-06:00 2016-03-31 390859910 Baker Tilly Virchow Krause LLP 777 E Wisconsin Avenue 32nd Floor Milwaukee WI 53202 990 2015-04-01 391958810 Progressive Community Health Centers Inc PROG 4149358000 3522 West Lisbon Avenue Milwaukee WI 53208 Jennifer Sevenich CEO 4149358000 2017-02-14 1 Troy Marine CPA P00187863 4147775500 2017-02-13 2015 2021-01-29 14:40:06Z Jennifer Sevenich 3522 West Lisbon Avenue Milwaukee WI 53208 7169565 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. 9 9 135 9 0 0 5746853 2719908 4455269 4313262 -112372 103515 10316 32880 10100066 7169565 0 0 0 0 4439014 5677374 0 0 62775 1578561 1551732 6017575 7229106 4082491 -59541 13529582 11871477 4448839 2850275 9080743 9021202 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 4715647 4313262 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. 4715647 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 14 0 1 135 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 WI X Progressive Community Health Centers 4149358000 3522 West Lisbon Avenue Milwaukee WI 53208 James Simaras Treasurer 0.50 X X 0 0 0 John Balzer Chair 0.50 X X 0 0 0 John Sieger Member 0.50 X X 0 0 0 Tiara Joyner Member 0.50 X 0 0 0 John Grandberry Member 0.50 X 0 0 0 Diane Chamness Secretary 0.50 X 0 0 0 Evan Goeke Member 0.50 X 0 0 0 Janice Harrell Member 0.50 X 0 0 0 Muneer Bahauddeen Member 0.50 X 0 0 0 Connie Debbink COO 40.00 X 139970 0 12091 Jennifer Sevenich CEO 40.00 X 198944 0 17877 Allison Kos MD Chief Medical Officer 40.00 X 201431 0 9210 Candice Cole CFO 40.00 X 106097 0 7019 Susan Hunter Director of Human Resource 40.00 X 114359 0 3931 Madelaine Tully Family Practice 40.00 X 181890 0 17922 Michael Belete Family Practice 40.00 X 212099 0 5604 Laleh Karimi OB/GYN 40.00 X 218901 0 9567 Carissa Molina Dentist 40.00 X 125305 0 7432 1498996 0 90653 14 0 1 0 Ochin 3522 W Lisbon Ave Milwaukee WI 53208 Electronic Medical Record Service Provid 123018 1 108653 30536 2537026 43693 2719908 Patient Revenues 621110 4220590 4220590 Other Program Revenue 621110 78842 78842 Medical Records Reques 621110 13830 13830 4313262 103515 103515 9600 0 9600 9600 9600 0 30536 0 0 Miscellaneous 900099 23280 23280 23280 7169565 4313262 0 136395 506472 273495 232977 4213997 3002360 1174770 36867 68010 45935 21548 527 487720 241801 242406 3513 401175 270957 127108 3110 346896 140290 195003 11603 117949 68295 48876 778 277867 188875 88039 953 90118 16420 71938 1760 32234 28570 3664 26271 17452 8819 Medical Expenses 245277 245277 Other Administrative 222095 70255 151840 Other Contracted Servic 178456 119666 58790 Bad Debt Expense 14569 14569 7229106 4715647 2450684 62775 1544996 1125376 1790856 829454 1753998 1334269 8305000 8305000 75007 148077 898941 769640 59725 129301 13529582 11871477 535640 453007 871461 900000 3041738 1425814 0 71454 4448839 2850275 X 7908270 8316104 1172473 705098 9080743 9021202 13529582 11871477 -59541 0 X 0 1 X 1 1 1 X 2534727 4395136 4339618 5746853 2719908 19736242 2534727 4395136 4339618 5746853 2719908 19736242 19736242 12273 11635 32395 114435 113115 283853 716 22380 23096 20043191 18481584 0.98470 0.98970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 898941 769640 129301 129301 Due to related entity 71454 71454 X 7203474 33909 33909 7169565 0 7169565 7263015 33909 33909 7229106 0 7229106 Part X, Line 2: The organization 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. 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 financial statements. The Organization recorded no assets or liabilities related to uncertain tax positions. Tax returns for the years ended March 31, 2013 to present remain subject to examination by the applicable taxing authorities and March 31, 2012 for state taxing authorities. X X X X 0 0 0 1 0 0 0 0 0 Connie Debbink COO 139970 0 0 0 0 0 2799 0 9292 0 152061 0 0 0 Jennifer Sevenich CEO 191944 0 7000 0 0 0 3699 0 14178 0 216821 0 0 0 Allison Kos MD Chief Medical Officer 201431 0 0 0 0 0 4029 0 5181 0 210641 0 0 0 Madelaine Tully Family Practice 181890 0 0 0 0 0 3638 0 14284 0 199812 0 0 0 Michael Belete Family Practice 212099 0 0 0 0 0 4242 0 1362 0 217703 0 0 0 Laleh Karimi OB/GYN 218901 0 0 0 0 0 4378 0 5189 0 228468 0 0 0 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 B, line 11 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 0 1 0 0 0 0 0 0 0 PCHC Supporting Corporation L 11854 Actual Cost