PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC (EIN 39-0910727)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-13
IRS object ID: 201332259349302663
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-13T14:47:38-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	381357951	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 307	AddressLine1
City	SOUTHFIELD	City
State	MI	State
ZIP Code	480370307	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	390910727	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	WAUKESHA MEMORIAL HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	WAUK	NameControl
Phone	2629284740	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	725 AMERICAN AVENUE	AddressLine1
City	WAUKESHA	City
State	WI	State
ZIP Code	53188	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID EBEL	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	2629284740	Phone
Date Signed	2013-08-07	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SUSAN MIENCIER	Name
PTIN	P00842339	PTIN
Phone	2483522500	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	SUSAN EDWARDS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	725 AMERICAN AVENUE	AddressLine1
City	WAUKESHA	City
State	WI	State
ZIP Code	53188	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	460640989	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PROHEALTHCARE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1956	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	PROVISION OF INPATIENT AND OUTPATIENT HOSPITAL SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	2900	TotalNbrEmployees
Total Nbr Volunteers	430	TotalNbrVolunteers
Total Gross UBI	8894582	TotalGrossUBI
Net Unrelated Business Txbl Income	297391	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2467085	ContributionsGrantsPriorYear
Contributions Grants Current Year	4208350	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	447897566	ProgramServiceRevenuePriorYear
Program Service Revenue CY	437502571	ProgramServiceRevenueCY
Investment Income Prior Year	8449476	InvestmentIncomePriorYear
Investment Income Current Year	13144261	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5584836	OtherRevenuePriorYear
Other Revenue Current Year	5532710	OtherRevenueCurrentYear
Total Revenue Prior Year	464398963	TotalRevenuePriorYear
Total Revenue Current Year	460387892	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	35100002	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	27193336	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	141727462	SalariesEtcPriorYear
Salaries Etc Current Year	135368239	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	629293	TotalFundrsngExpCurrentYear
Other Expense Prior Year	254046816	OtherExpensePriorYear
Other Expenses Current Year	259795822	OtherExpensesCurrentYear
Total Expenses Prior Year	430874280	TotalExpensesPriorYear
Total Expenses Current Year	422357397	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	33524683	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	38030495	RevenuesLessExpensesCY
Total Assets BOY	686540701	TotalAssetsBOY
Total Assets EOY	750447287	TotalAssetsEOY
Total Liabilities BOY	349906482	TotalLiabilitiesBOY
Total Liabilities EOY	361000320	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	336634219	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	389446967	NetAssetsOrFundBalancesEOY
Mission Description	CONTINUOUSLY IMPROVING THE HEALTH OF OUR COMMUNITY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	335933291	Expense
Grants	27193336	Grants
Revenue	431674314	Revenue
Description	WAUKESHA MEMORIAL HOSPITAL FULFILLS ITS EXEMPT PURPOSE BY PROVIDING CARE AND SERVICES TO ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY. WAUKESHA MEMORIAL HOSPITAL ALSO USES ITS RESOURCES TO ADDRESS VARIOUS COMMUNITY NEEDS. WAUKESHA MEMORIAL HOSPITAL PROVIDED APPROXIMATELY 61,727 DAYS OF INPATIENT CARE AND APPROXIMATELY 267,691 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2012. SEE SCHEDULE H FOR ILLUSTRATION OF ITS PROGRAM SERVICE ACCOMPLISHMENTS.	Description
Total Program Service Expense	335933291	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	224	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2900	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAVID EBEL	NamePerson
Telephone Number	2629284740	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	N17 W24100 RIVERWOOD DRIVE SUITE	AddressLine1
City	WAUKESHA	City
State	WI	State
ZIP Code	531881131	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
BETTY ARNDT
DIRECTOR	2.00	X	0	0	0
DIXON BENZ
DIRECTOR	2.00	X	0	0	0
MARIE KINGSBURY
DIRECTOR	2.00	X	0	0	0
JAMES GANNON
TREASURER	2.00	X	0	0	0	X
E JOHN RAASCH
DIRECTOR	2.00	X	0	0	0
DR DOUGLAS HASTAD
DIRECTOR	2.00	X	0	0	0
RALPH RAMIREZ
DIRECTOR	2.00	X	0	0	0
KENNETH RIESCH
DIRECTOR	2.00	X	0	0	0
JANE NEUMANN MD
DIRECTOR	2.00	X	40000	95100	17630
ARCHEBALD PEQUET MD
SECRETARY	2.00	X	39270	18850	0	X
DAN D'ANGELO DDS
VICE CHAIRMAN	2.00	X	0	0	0	X
THOMAS E DALUM
CHAIRMAN	2.00	X	0	0	0	X
NANINE NELSON
ASSIST. TREASURER/CFO OF PHC	2.00	X	0	494847	344126	X
GARY BEYER MD
DIRECTOR	2.00	X	23250	0	0
JOHN ROBERTSTAD
PRESIDENT - WMH & OMH	32.00	X	513919	104836	457965	X
SUSAN EDWARDS
PRESIDENT & CEO - PHC	2.00		0	1071851	1043530	X
EDWARD OLSON
CHIEF EXTERNAL AFFAIRS OFF (PART YR)	40.00		122534	561893	109540		X
JAMES GARDNER MD
VP - MEDICAL AFFAIRS	40.00		481514	0	189788		X
CATHY RAPP RN
VP - CHIEF NURSING OFFICER	40.00		291978	0	85211		X
KENNETH PRICE
VP - CHIEF OPERATING EX.	40.00		342853	0	142707		X
MARY JO O'MALLEY
VP - OPERATIONS	32.00		214752	43955	105111		X
FREDERICK L SYRJANEN
VP - CONTINUUM OF CARE	40.00		42406	197824	105208			X
MARY JANE REICHART
EXECUTIVE DIRECTOR (PARTIAL YR)	32.00		151461	20000	6363			X
ERIC HENDEE
CHIEF PHYSICIST	40.00		199266	0	49239			X
MOHAMMAD KHARBAT
DIRECTOR PHARMACY	32.00		141966	40358	43988			X
DEAN A REIN
EXECUTIVE DIRECTOR - WMHF	0.10		220452	0	62449			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2825621	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2649514	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2762855	TotalOtherCompensation
Number Individuals GT100 K	77	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
EPIC SYSTEMS
PO BOX 88314	MILWAUKEE	WI	53288	COMPUTER/MAINTENANCE	6509883
MEDICAL COLLEGE OF WI
PO BOX 13308	MILWAUKEE	WI	53213	MEDICAL SERVICES	3415188
LAKE COUNTY PATHOLOGISTS SC
5449 MONCHES RD	COLGATE	WI	53017	MEDICAL SERVICES	2641973
GE HEALTHCARE IITS USA
PO GOX 277475	ATLANTA	GA	30384	MEDICAL SERVICES	2203967
CG SCHMIDT INC
11777 WEST LAKE PARK DRIVE	MILWAUKEE	WI	53224	CONSTRUCTION SERVICES	1975789

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	59	NumberOfContractorsGT100K
Related Organizations	3060860	RelatedOrganizations
All Other Contributions	1147490	AllOtherContributions
Total Contributions	4208350	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REV.	622110	422665576	422665576
MEDICAL SERVICE LAB	621500	8881028		8881028
HOSPITAL JOINT VENTURE	622310	2691918	2691918
SURGERY CENTER	621400	2059863	2059863
ORTHO SURGERY CENTER	621400	1204186	1204186

Field	Value	IRS element (for citing)
Total Program Service Revenue	437502571	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	13219539	TotalRevenueColumn
Exclusion	$13,219,539	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Personal	7041	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Personal	844	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Personal	6197	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	6197	TotalRevenueColumn
Unrelated Business Revenue	6197	UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	176975	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	252253	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-75278	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-75278	TotalRevenueColumn
Exclusion	-$75,278	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
INSURANCE PROCEEDS	900099	1408640	$1,408,640
CAFETERIA	722210	1022831	$1,022,831
GIFT SHOP	453220	34914	$34,914

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3060128	TotalRevenueColumn
Related Or Exempt Function Income	3052771	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	7357	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	5526513	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	460387892	TotalRevenueColumn
Related Or Exempt Function Income	431674314	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	8894582	UnrelatedBusinessRevenue
Exclusion	$15,610,646	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	27173336	Total
Program Services	27173336	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	20000	Total
Program Services	20000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2108067	Total
Management And General	2108067	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	104651954	Total
Program Services	101731136	ProgramServices
Management And General	2412316	ManagementAndGeneral
Fundraising	508502	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5487224	Total
Program Services	5258127	ProgramServices
Management And General	202814	ManagementAndGeneral
Fundraising	26283	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15527248	Total
Program Services	14985610	ProgramServices
Management And General	466733	ManagementAndGeneral
Fundraising	74905	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7593746	Total
Program Services	7410110	ProgramServices
Management And General	150180	ManagementAndGeneral
Fundraising	33456	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	222169	Total
Management And General	222169	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	81240	Total
Management And General	81240	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	97076652	Total
Program Services	19012805	ProgramServices
Management And General	77997984	ManagementAndGeneral
Fundraising	65863	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	16378333	Total
Program Services	16364501	ProgramServices
Management And General	10362	ManagementAndGeneral
Fundraising	3470	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4693859	Total
Program Services	4234969	ProgramServices
Management And General	458890	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	12926794	Total
Program Services	12926794	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	35124795	Total
Program Services	35124795	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	36031060	36030888	151	21
DRUGS & PHARMACEUTICALS	20585190	20585190
BAD DEBTS	18472067	18472067
MEDICAID PROVIDER TAXES	14189794	14189794

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4013869	Total
Program Services	2413169	ProgramServices
Management And General	1683907	ManagementAndGeneral
Fundraising	-83207	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	422357397	Total
Program Services	335933291	ProgramServices
Management And General	85794813	ManagementAndGeneral
Fundraising	629293	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	655830	BOY
EOY	516365	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	11479327	BOY
EOY	12792321	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	49923043	BOY
EOY	56245729	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6712048	BOY
EOY	6289663	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5297761	BOY
EOY	4938143	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	635420633	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	377091594	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	256003529	BOY
EOY	258329039	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	226726098	BOY
EOY	273261901	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	8925389	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	129743065	BOY
EOY	129148737	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	686540701	BOY
EOY	750447287	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	41825977	BOY
EOY	46265248	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	241262003	BOY
EOY	201704893	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
EOY	34008321	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	66818502	BOY
EOY	79021858	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	349906482	BOY
EOY	361000320	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	336270386	BOY
EOY	388628994	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	363833	BOY
EOY	817973	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	336634219	BOY
EOY	389446967	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	686540701	BOY
EOY	750447287	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	38030495	ReconcilationRevenueExpenses
Reconcilation Other Changes	14782253	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6625195	BeginningOfYearBalance
Contributions	88002	Contributions
Investment Earnings Or Losses	-2809	InvestmentEarningsOrLosses
End Of Year Balance	6710388	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6542035	BeginningOfYearBalance
Contributions	84926	Contributions
Investment Earnings Or Losses	-1766	InvestmentEarningsOrLosses
End Of Year Balance	6625195	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5498739	BeginningOfYearBalance
Contributions	1045116	Contributions
Investment Earnings Or Losses	-1820	InvestmentEarningsOrLosses
End Of Year Balance	6542035	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5293708	BeginningOfYearBalance
Contributions	236781	Contributions
Investment Earnings Or Losses	-31750	InvestmentEarningsOrLosses
End Of Year Balance	5498739	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15613962	OtherCostOrOtherBasis
Book Value	15613962	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	283223465	OtherCostOrOtherBasis
Depreciation	137223544	Depreciation
Book Value	145999921	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2690728	OtherCostOrOtherBasis
Depreciation	2418714	Depreciation
Book Value	272014	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	323614679	OtherCostOrOtherBasis
Depreciation	237449336	Depreciation
Book Value	86165343	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10277799	OtherCostOrOtherBasis
Book Value	10277799	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	258329039	TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescription	Book ValueBookValue
DEFERRED FINANCING	1332993
DEBT SERVICE RESERVE FUND	-383777
ACCRUED INTEREST RECEIVABLE	585135
DUE FROM AFFILIATES	10598051
OTHER ASSETS	4411685
DEPRECIATION RESERVE	111860629
INSURANCE RECOVERY	744021

Field	Value	IRS element (for citing)
Total Book Value Other Assets	129148737	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
ACCRUED POSTRETIREMENT MEDICAL	$82,450
FAIR VALUE-INTEREST RATE SWAP	$26,675,383
ASSET RETIREMENT OBLIGATION	$593,333
ACCUMULATED MIN PENSION LIABILITY	$50,876,671
INSURANCE LIABILITY	$794,021

Field	Value	IRS element (for citing)
Total Of Amounts	79021858	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	TO SUPPORT WAUKESHA MEMORIAL HOSPITAL IN ITS CHARITABLE MISSION.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	FIN48 DISCLOSURE: FEDERAL INCOME TAX - PHC, WMH, OMH, NATIONAL REGENCY, AND PHHC ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. ALL OF THESE ENTITIES ARE, HOWEVER, SUBJECT TO FEDERAL AND STATE INCOME TAXES ON ANY UNRELATED BUSINESS INCOME UNDER THE PROVISIONS OF SECTION 511 OF THE CODE. WHS IS A FOR-PROFIT STOCK CORPORATION AND IS SUBJECT TO INCOME TAXES. WHS ACCOUNTS FOR INCOME TAXES UNDER THE ASSET AND LIABILITY METHOD. UNDER THIS METHOD, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED RELATED TO THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE ACCOUNTING STANDARD THAT REFERS TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED ON THE CONSOLIDATED FINANCIAL STATEMENTS. COMPANIES MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE STANDARD ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURES. THE CORPORATION IS SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. CURRENTLY THE WHS AND SUBSIDIARIES 2011 TAX RETURN IS BEING AUDITED BY THE INTERNAL REVENUE SERVICE. MANAGEMENT BELIEVES THE CORPORATION IS NOT SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2009.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	0	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	0	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4166719	TotalCommunityBenefitExpense
Net Community Benefit Expense	4166719	NetCommunityBenefitExpense
Percent Of Total Expense	0.01020	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38109402	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25103366	DirectOffsettingRevenue
Net Community Benefit Expense	13006036	NetCommunityBenefitExpense
Percent Of Total Expense	0.03170	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	42276121	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25103366	DirectOffsettingRevenue
Net Community Benefit Expense	17172755	NetCommunityBenefitExpense
Percent Of Total Expense	0.04190	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	31	NumberOfActivitiesOrPrograms
Persons Served	77115	PersonsServed
Total Community Benefit Expense	2932347	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3882	DirectOffsettingRevenue
Net Community Benefit Expense	2928465	NetCommunityBenefitExpense
Percent Of Total Expense	0.00710	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	2018	PersonsServed
Total Community Benefit Expense	5461452	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3591421	DirectOffsettingRevenue
Net Community Benefit Expense	1870031	NetCommunityBenefitExpense
Percent Of Total Expense	0.00460	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	6877081	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2593563	DirectOffsettingRevenue
Net Community Benefit Expense	4283518	NetCommunityBenefitExpense
Percent Of Total Expense	0.01040	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	229960	TotalCommunityBenefitExpense
Net Community Benefit Expense	229960	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	28974	PersonsServed
Total Community Benefit Expense	1394412	TotalCommunityBenefitExpense
Net Community Benefit Expense	1394412	NetCommunityBenefitExpense
Percent Of Total Expense	0.00350	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	51	NumberOfActivitiesOrPrograms
Persons Served	108107	PersonsServed
Total Community Benefit Expense	16895252	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6188866	DirectOffsettingRevenue
Net Community Benefit Expense	10706386	NetCommunityBenefitExpense
Percent Of Total Expense	0.02620	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	51	NumberOfActivitiesOrPrograms
Persons Served	108107	PersonsServed
Total Community Benefit Expense	59171373	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31292232	DirectOffsettingRevenue
Net Community Benefit Expense	27879141	NetCommunityBenefitExpense
Percent Of Total Expense	0.06810	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	200	PersonsServed
Total Community Building Expense	4750	TotalCommunityBuildingExpense
Net Community Building Expense	4750	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	14610	TotalCommunityBuildingExpense
Net Community Building Expense	14610	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	38342	TotalCommunityBuildingExpense
Net Community Building Expense	38342	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	17	PersonsServed
Total Community Building Expense	4263	TotalCommunityBuildingExpense
Net Community Building Expense	4263	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	480	PersonsServed
Total Community Building Expense	7503	TotalCommunityBuildingExpense
Net Community Building Expense	7503	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	71	PersonsServed
Total Community Building Expense	1073	TotalCommunityBuildingExpense
Net Community Building Expense	1073	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	768	PersonsServed
Total Community Building Expense	70541	TotalCommunityBuildingExpense
Net Community Building Expense	70541	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$18,483,524	BadDebtExpenseAmount
Amount Attributable To	5545057	AmountAttributableTo
Amount Reimbursed By Medicare	90225690	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	144718929	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-54493239	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 PROHEALTH ALIGNED LLC
AMBULATORY SURGERY CENTER	0.51000	0.49000
2 THE ORTHOPEDIC SURGERY CENTER LLC
ORTHOPEDIC SURGICAL SERVICES	0.30000	0.70000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er OtherErOther	OtherOther
WAUKESHA MEMORIAL HOSPITAL INC
1	725 AMERICAN AVENUE	WAUKESHA	WI	53188	X	X	X	X
REHABILITATION HOSPITAL OF WISCONSIN LLC
2	1625 COLDWATER CREEK DRIVE	WAUKESHA	WI	53188	X				INPATIENT REHABILITATION

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Uninsured DiscountUninsuredDiscount	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Permit Other ActionsPermitOtherActions	Used Other MethodUsedOtherMethod
WAUKESHA MEMORIAL HOSPITAL INC
1	1	1	200.000000000000	1	400.000000000000	1	X	X	X	1	1	X	X	X	1	0	1	X	0	0
REHABILITATION HOSPITAL OF WISCONSIN LLC
2	1	1	200.000000000000	1	350.000000000000	1	X	X	X	1	1		X		1	0	1		0	0	X	X	X	X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	3	NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
REHAB HOSPITAL OF WI OUTPATIENT CLINIC
1625 COLDWATER CREEK DRIVE	WAUKESHA	WI	53188	OUTPATIENT REHABILATION CLINIC
PROHEALTH ALIGNED LLC
1111 DELAFIELD ST SUITE 100	WAUKESHA	WI	53188	AMBULATORY SURGERY CENTER
THE ORTHOPEDIC SURGERY CENTER LLC
W238 N 1610 BUSSE ROAD SUITE 100	WAUKESHA	WI	53188	ORTHOPEDIC SURGERY CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: N/A
PART I, LINE 6A: PROHEALTH CARE, INC.
PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE AMOUNTS ON LINES 7A-7D. THIS WAS CALCULATED BY USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE HOSPITAL'S FINANCIAL COST REPORTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS ON LINES 7E-7I
PART I, LINE 7G: N/A
PART I, L7 COL(F): $18,472,067 OF BAD DEBT EXPENSES FROM WAUKESHA MEMORIAL HOSPITAL, INC. WAS INCLUDED ON FORM 990, PART, IX, LINE 25. ADDITIONALLY, THERE WAS BAD DEBT EXPENSE OF $11,457 RELATED TO REHABILITATION HOSPITAL OF WISCONSIN, LLC. BOTH AMOUNTS WERE SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE.
PART II: WAUKESHA MEMORIAL HOSPITAL HAS PARTNERSHIPS WITH VARIOUS ORGANIZATIONS THROUGHOUT THE COMMUNITIES WE SERVE. ONE EXAMPLE IS THE PARTNERSHIPS WE HAVE WITH THE LOCAL CHAMBERS OF COMMERCE WITHIN OUR SERVICE AREA BY PROVIDING LEADERSHIP AND HEALTH RELATED OUTREACH TOWARDS STRENGTHENING COMMUNITY DEVELOPMENT. WE ARE THE MAJOR SPONSOR FOR "LEADERSHIP WAUKESHA", A PROGRAM THAT FOCUSES ON THE DEVELOPMENT OF EMERGING LEADERS IN OUR COUNTY. ADDITIONALLY, WE PROVIDE LAND, RESOURCES AND EXPERTISE FOR LOCAL COMMUNITY GARDENS. WE PROVIDE DELIVERY OF EMERGENCY CARE IN THE COMMUNITY AND OFFER/SUPPORT NUMEROUS SERVICES AIMED AT OUR YOUTH INCLUDING SPONSORSHIP OF SAFE "AFTER PROM" ACTIVITIES. WE SUPPORT AREA HOMELESS SHELTERS AND ARE ACTIVE MEMBERS OF THE HOUSING ACTION COALITION AND HISPANIC COLLABORATIVE NETWORK.
PART III, LINE 4: BAD DEBT EXPENSE FOOTNOTE FOR WAUKESHA MEMORIAL HOSPITAL, INC: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ARE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. THE BAD DEBT COST WAS REVIEWED BY THE HOSPITAL'S REVENUE CYCLE TEAM AND THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS WHO WOULD HAVE QUALIFIED UNDER OUR FINANCIAL ASSISTANCE PROGRAM IS 30% OF TOTAL BAD DEBTS.THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON PART III LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON FORM 990 PART IX FOR WAUKESHA MEMORIAL HOSPITAL PLUS ITS SHARE OF THE BAD DEBT EXPENSE OF REHABILITATION HOSPITAL OF WISCONSIN LLC.BAD DEBT EXPENSE FOOTNOTE FOR REHABILITATION HOSPITAL OF WISCONSIN LLC:ACCOUNTS RECEIVABLE PRIMARILY CONSIST OF AMOUNTS DUE FROM THIRD-PARTY PAYORS AND PATIENTS. THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING RECEIVABLES IS CRITICAL TO ITS RESULTS OF OPERATIONS AND CASH FLOWS. TO PROVIDE FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE, THE HOSPITAL ESTABLISHES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THE PRIMARY UNCERTAINTY OF SUCH ALLOWANCES LIES WITH UNINSURED PATIENT RECEIVABLES AND DEDUCTIBLES, CO-PAYMENTS OR OTHER AMOUNTS DUE FROM INDIVIDUAL PATIENTS. THE HOSPITAL'S POLICY TO RECORD AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON A PERCENTAGE OF NET RECEIVABLES BY AGE OF BALANCE AFTER DISCHARGE DATE.THE HOSPITAL HAS AN ESTABLISHED PROCESS TO DETERMINE THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS THAT RELIES ON A NUMBER OF ANALYTICAL TOOLS AND BENCHMARKS TO ARRIVE AT A REASONABLE ALLOWANCE. NO SINGLE STATISTIC OR MEASUREMENT DETERMINES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SOME OF THE ANALYTICAL TOOLS THAT THE HOSPITAL UTILIZES INCLUDE, BUT ARE NOT LIMITED TO, HISTORICAL CASH COLLECTION EXPERIENCE, REVENUE TRENDS BY PAYOR CLASSIFICATION AND REVENUE DAYS IN ACCOUNTS RECEIVABLE. INDIVIDUAL PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL'S POLICIES.BAD DEBT EXPENSE IS RECORDED FOR FINANCIAL STATEMENT PURPOSES BASED ON UNCOLLECTED REVENUE, BUT THE RELATED COST COULD BE DETERMINED BY APPLYING COST TO CHARGE RATIOS FROM THE MEDICARE COST REPORT. DISCOUNTS ARE RECORDED TO AN APPROPRIATE CONTRA REVENUE ACCOUNT INCLUDING CHARITY CARE WHEN APPLICABLE; PAYMENTS RECEIVED AFTER AN ACCOUNT HAS BEEN WRITTEN OFF WOULD DECREASE BAD DEBT EXPENSE. MOST OF THE PATIENTS FOR WHICH BAD DEBT EXPENSE IS RECORDED WOULD PROBABLY QUALIFY FOR SOME LEVEL OF FINANCIAL ASSISTANCE ACCORDING TO HOSPITAL POLICIES, BUT MANY CHOOSE NOT TO COMPLETE THE NECESSARY FINANCIAL ASSISTANCE APPLICATION SO THAT THIS CAN BE PROPERLY DETERMINED.
PART III, LINE 8: THE SHORTFALL ON LINE 7 SHOULD NOT BE TREATED AS COMMUNITY BENEFIT. COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO AS REPORTED ON THE MEDICARE COST REPORT.
PART III, LINE 9B: PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE WILL HAVE A CHARITY DISCOUNT APPLIED TO THEIR BALANCES AT THE TIME OF BILLING. IF THIS RESULTS IN NO BALANCE DUE FORM THE PATIENT, THEN THE PATIENT WILL NOT RECEIVE A STATEMENT. IF A BALANCE REMAINS AFTER THE DISCOUNT PERCENTAGE IS APPLIED, THE PATIENT WILL RECEIVE A STATEMENT FOR THE BALANCE DUE. THE STATEMENT CYCLE IS CONSISTENT FOR ALL PATIENTS.
PART V, SECTION B, LINE 13G: THE POLICY IS AVAILABLE UPON REQUEST OR ON OUR WEBSITE. A PHONE NUMBER IS PROVIDED ON OUR BILLING STATEMENTS, AND IN THE EMERGENCY DEPARTMENT AND ADMITTING AREAS FOR A PATIENT TO CALL IF THEY HAVE A FINANCIAL NEED.	WAUKESHA MEMORIAL HOSPITAL, INC
PART V, SECTION B, LINE 19D: THE HOSPITAL HAS NEVER HAD AN EMERGENCY CARE SITUATION REQUIRING THE DETERMINATION OF AN AMOUNT TO BE BILLED FOR SERVICES TO A PATIENT IN THESE CIRCUMSTANCES. IF SUCH A CASE ARISES, THE HOSPITAL WILL CONSULT WITH WAUKESHA MEMORIAL HOSPITAL TO DETERMINE APPROPRIATE EMERGENCY CARE CHARGES AND THEN APPLY PROCEDURES ACCORDING TO CHARITY CARE AND PRIVATE PAY DISCOUNT POLICIES IF THE PATIENT IS ELIGIBLE.	REHABILITATION HOSPITAL OF WISCONSIN LLC
PART VI, LINE 2: COMMUNITY NEEDS ARE IDENTIFIED BASED UPON A REVIEW OF STATE, COUNTY AND COMMUNITY HEALTH DATA AND ASSESSMENTS. THIS INCLUDES SUCH DOCUMENTS AS: THE STATE HEALTH PLAN, THE COUNTY HEALTH REPORT CARD, THE WAUKESHA COMMUNITY HEALTH SURVEY, THE HEALTHY PEOPLE 2020 PLAN AND VARIOUS OTHER NEEDS ASSESSMENTS, SUCH AS THE UNITED WAY/UNIVERSITY OF WISCONSIN SURVEY OF WAUKESHA COUNTY. ADDITIONALLY, WE HAVE ACTIVELY PARTNERED WITH OUR COUNTY HEALTH DEPARTMENT IN THEIR COMMUNITY HEALTH IMPROVEMENT PLAN AND PROCESS (CHIPP) ASSESSMENT. TO COMPLEMENT ALL OF THESE DATA SOURCES, WE ALSO PERIODICALLY PERFORM A SERVICE GAP ANALYSIS WITH OUR EMPLOYED COMMUNITY OUTREACH NURSES AS WELL AS LOCAL NON-PROFIT AGENCIES WITH WHICH WE PARTNER. WE THEN ANALYZE THE DATA, IDENTIFY THE PRESSING NEEDS, AND PROACTIVELY PLAN AND IMPLEMENT COMMUNITY BENEFIT INITIATIVES TO ADDRESS THESE NEEDS. WE ARE CURRENTLY COLLECTING AND ANALYZING PRIMARY DATA FOR OUR FORMAL CHNA AS REQUIRED BY THE AFFORDABLE CARE ACT.
PART VI, LINE 3: EVERY PATIENT WITH A SELF PAY BALANCE RECEIVES A STATEMENT WHICH CONVEYS THE AVAILABILITY OF COMMUNITY (CHARITY) CARE AND A CONTACT NUMBER FOR FURTHER INFORMATION. PATIENTS THAT ARE UNINSURED RECEIVE AN UNINSURED DISCOUNT WHICH IS LISTED ON THE FIRST STATEMENT THAT THEY RECEIVE. PATIENTS RECEIVE A TOTAL OF FOUR STATEMENTS. EACH STATEMENT CONTAINS VERBIAGE REFERENCING THE HOSPITAL'S COMMUNITY CARE PROGRAM AND A CONTACT NUMBER FOR FURTHER INFORMATION. IF SOMEONE HAS BEEN FOUND ELIGIBLE FOR SOME LEVEL OF CHARITY CARE, THE ELIGIBILITY PERIOD IS THREE MONTHS SO ANY SUBSEQUENT ACCOUNTS DURING THAT TIMEFRAME WOULD BE DISCOUNTED AT WHATEVER LEVEL OF CHARITY CARE THE PATIENT IS DEEMED ELIGIBLE. PATIENTS MAY REAPPLY FOR COMMUNITY CARE WHEN THEIR ELIGIBILITY PERIOD HAS EXPIRED. SELF PAY PATIENTS MAY ALSO BE INFORMED OF THE HOSPITAL'S COMMUNITY CARE PROGRAM WHILE THEY ARE INPATIENTS. SOCIAL WORK AND/OR THE BUSINESS OFFICE MAY MAKE CONTACT WITH THESE PATIENTS DURING THEIR STAY TO INFORM THEM OF THE COMMUNITY CARE PROGRAM AND ASSIST THEM WITH COMPLETION OF THE APPLICATION.INFORMATION IS AVAILABLE AT REGISTRATION AREAS RELATED TO OUR COMMUNITY CARE PROGRAM. THIS INFORMATION CONTAINS CONTACT INFORMATION FOR THE HOSPITAL'S CENTRAL BUSINESS OFFICE WHERE PATIENTS CAN RECEIVE ASSISTANCE IN OBTAINING AND COMPLETING APPLICATIONS.
PART VI, LINE 4: PROHEALTH CARE SERVES ABOUT 285,000 PEOPLE EACH YEAR IN WAUKESHA COUNTY AND PORTIONS OF SURROUNDING COUNTIES. IN EVERY FEDERAL POPULATION CENSUS, WAUKESHA COUNTY HAS RECORDED AN INCREASE IN POPULATION. SINCE 1960, THE POPULATION OF THE COUNTY HAS MORE THAN DOUBLED. WAUKESHA COUNTY HAS AN AGING POPULATION WITH 14.7% OVER THE AGE OF 65 AND A MEDIAN AGE OF 42.0 YEARS. THE RATE OF RETIREMENT IS LIKELY TO SURPASS THE RATE OF ENTRY INTO THE WORKFORCE BETWEEN 2015 AND 2020. THE RACIAL MAKEUP OF THE WAUKESHA COUNTY COMMUNITY IS AS FOLLOWS: WHITE 94.2%, HISPANIC OR LATINO 4.3%, ASIAN 2.9%, BLACK 1.4%. MEDIAN HOUSEHOLD INCOME IS $75,845, WITH 4.7% OF PEOPLE LIVING BELOW THE POVERTY LEVEL. UNEMPLOYMENT IN WAUKESHA COUNTY STOOD AT 5.3% ON 12/31/12. THE PRESENCE OF SOME HIGH INCOME COMMUNITIES IN WAUKESHA COUNTY OFTEN GIVES A MISTAKEN IMPRESSION. OFTEN OVERLOOKED IS A GROWING POPULATION OF LOW INCOME, NON-ENGLISH SPEAKING, VULNERABLE AND MARGINALIZED CITIZENS WHO FACE ENORMOUS ODDS IN ACCESSING HEALTH CARE. THE WAUKESHA COUNTY MEDICAID POPULATION HAS NEARLY TRIPLED IN 10 YEARS, FROM ABOUT 9,451 PEOPLE IN 2000 TO MORE THAN 30,000 IN 2011. THE HISPANIC POPULATION HAS SEEN A 42% INCREASE IN THE PAST 8 YEARS. DOWNTOWN WAUKESHA WAS DECLARED A "MEDICALLY UNDERSERVED" AREA AND A "HEALTH-PROFESSIONAL SHORTAGE AREA" BY THE FEDERAL GOVERNMENT IN 2008. AS AN UNDERSERVED AREA, MEDICAL OPTIONS FOR INDIVIDUALS, PARTICULARLY THOSE WITHOUT HEALTH INSURANCE OR WITH PUBLIC INSURANCE, ARE SEVERELY LIMITED BECAUSE PRIVATE SERVICE PROVIDERS OFTEN REFUSE TO CARE FOR THESE INDIVIDUALS. CONSEQUENTLY, PROHEALTH CARE EMBARKED ON A FUND-RAISING INITIATIVE TO SUPPORT THE FORMATION OF AN FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN DOWNTOWN WAUKESHA.
PART VI, LINE 5: BECAUSE OF THE MIXTURE OF BOTH URBAN AND RURAL AREAS IN OUR SERVICE AREA, OUR COMMUNITY BENEFIT PROGRAM MAKES A CONSCIOUS EFFORT TO REACH OUT AND FIND DISADVANTAGED, UNDERSERVED POPULATIONS. THESE TARGET POPULATIONS INCLUDE NON- ENGLISH SPEAKING, UNINSURED OR UNDERINSURED, ISOLATED AND FRAIL ELDERLY, HOMELESS, AND MENTALLY DISABLED. OUR GOVERNING AND COMMUNITY BENEFIT COMMITTEE ARE CHAIRED BY AND CONSIST PRIMARILY OF COMMUNITY MEMBERS. WE ALSO MAKE EXTENSIVE USE OF INDEPENDENT COMMUNITY PARTNER AGENCIES IN PLANNING, DESIGN AND OPERATION OF COMMUNITY BENEFIT PROGRAMS.
PART VI, LINE 6: OUR HOSPITAL IS A MEMBER OF THE PROHEALTH CARE HEALTH SYSTEM WHICH SERVES AS OUR PARENT COMPANY. WHILE COMMUNITY BENEFIT RESPONSIBILITIES RESIDE WITH OUR HOSPITAL BOARD, THE PARENT COMPANY PLAYS A KEY ROLE IN COORDINATING COMMUNITY NEEDS ASSESSMENTS, COMMUNITY BENEFIT PROGRAM PLANNING, AND EVALUATION.A DESCRIPTION OF EACH AFFILIATES ROLE IN PROMOTING HEALTH WITHIN THE COMMUNITIES SERVED IS AS FOLLOWS:PROHEALTH CARE, INC. - HELPS TO MANAGE THE HOSPITALS TO ENSURE THEY CAN PROMOTE HEALTH AND WELLNESS WITHIN THE COMMUNITY.NATIONAL REGENCY OF NEW BERLIN, INC. - OWNS AND OPERATES SENIOR LIVING CENTERS AS A MEANS TO PROMOTE HEALTH WITHIN THE COMMUNITY.PROHEALTH HOME CARE, INC. - PROVIDES HOSPICE AND HOME HEALTH CARE SERVICES AS A MEANS TO PROMOTE HEALTH WITHIN THE COMMUNITY.WAUKESHA MEMORIAL HOSPITAL FOUNDATION, INC. - SUPPORTS THE CHARITABLE MISSION OF WAUKESHA MEMORIAL HOSPITAL SO THAT IT MAY PROVIDE HEALTH SERVICES WITHIN THE COMMUNITY.OCONOMOWOC MEMORIAL HOSPITAL FOUNDATION, INC. - SUPPORTS THE CHARITABLE MISSION OF OCONOMOWOC MEMORIAL HOSPITAL SO THAT IT MAY PROVIDE HEALTH SERVICES WITHIN THE COMMUNITY.OCONOMOWOC MEMORIAL HOSPITAL, INC. - PROVIDES CARE AND SERVICES TO ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY. OCONOMOWOC MEMORIAL HOSPITAL ALSO USES ITS RESOURCES TO ADDRESS VARIOUS COMMUNITY NEEDS. OCONOMOWOC MEMORIAL HOSPITAL PROVIDED APPROXIMATELY 9,905 DAYS OF INPATIENT CARE AND APPROXIMATELY 69,125 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2012.
WI	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	PROHEALTH CARE INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	N17 W24100 RIVERWOOD DR STE 200	AddressLine1
City	WAUKESHA	City
State	WI	State
ZIP Code	531881131	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	391486873	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	27173336	AmountOfCashGrant
Amount Of Non Cash Assistance	0	AmountOfNonCashAssistance
Method Of Valuation	N/A	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance
Purpose Of Grant	TO ASSIST WAUKESHA MEMORIAL HOSPITAL IN ITS CHARITABLE MISSION.	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIP	TypeOfGrant
Number Of Recipients	18	NumberOfRecipients
Amount Of Cash Grant	20000	AmountOfCashGrant
Amount Of Non Cash Assistance	0	AmountOfNonCashAssistance
Method Of Valuation	N/A	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: SCHOLARSHIPS CHECKS ARE PAID BY SCHOLARSHIP AMERICA. SCHOLARSHIP AMERICA MAKES THE CHECKS PAYABLE TO THE INSTITUTION ATTENDED BY THE STUDENT.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JANE NEUMANN MD
40000	93909	0	0	0	1191	0	7004	0	10626	40000	112730	0	0
NANINE NELSON
0	334971	0	158924	0	952	0	314384	0	29742	0	838973	0	0
JOHN ROBERTSTAD
292176	97259	218410	0	3333	7577	380662	43103	26075	8125	920656	156064	0	0
SUSAN EDWARDS
0	671679	0	397496	0	2676	0	1025550	0	17980	0	2115381	0	0
EDWARD OLSON
120980	329303	0	226261	1554	6329	2485	69381	8793	28881	133812	660155	0	0
JAMES GARDNER MD
327014	0	136844	0	17656	0	158382	0	31406	0	671302	0	0	0
CATHY RAPP RN
199830	0	82369	0	9779	0	82791	0	2420	0	377189	0	0	0
KENNETH PRICE
233442	0	97958	0	11453	0	115189	0	27518	0	485560	0	0	0
MARY JO O'MALLEY
126865	43125	78131	0	9756	830	81617	5039	14290	4165	310659	53159	0	0
FREDERICK L SYRJANEN
41925	119547	0	69974	481	8303	4881	75075	5259	19993	52546	292892	0	0
MARY JANE REICHART
22976	20000	0	0	128485	0	612	0	5751	0	157824	20000	0	0
ERIC HENDEE
193500	0	5356	0	410	0	25360	0	23879	0	248505	0	0	0
MOHAMMAD KHARBAT
118363	40311	23480	0	123	47	23065	1123	14012	5788	179043	47269	0	0
DEAN A REIN
149980	0	63188	0	7284	0	54714	0	7735	0	282901	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	COUNTRY CLUB MEMBERSHIPS: EDWARD OLSON AND JOHN ROBERTSTAD - BENEFIT WAS NOT INCLUDED IN TAXABLE INCOME AS MEMBERSHIP IS FOR BUSINESS USE ONLY.
PART I, LINES 4A-B	MARY JANE REICHART RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $125,295 DURING FISCAL YEAR 2012. NAME MARY JANE REICHART JAMES GARDNER, MD KENNETH PRICE CATHERINE RAPP MARY JO O'MALLEY FREDERICK SYRJANEN SUSAN EDWARDS NANINE NELSON JOHN ROBERTSTAD EDWARD OLSON PROHEALTH CARE INC. (PHC) MAINTAINS A SUPPLEMENTAL RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF EXECUTIVES OF PHC AND ITS AFFILIATED ENTITIES. THE SERP IS AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THE SERP ARE TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED.
PART III	SCHEDULE J, PART I THIS ENTITY RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR OFFICERS AND DIRECTORS: 1. COMPENSATION COMMITTEE 2. COMPENSATION STUDY 3. APPROVAL OF THE BOARD ANNUALLY APPROVING COMPENSATION AMOUNTS 4. INDEPENDENT COMPENSATION CONSULTANT 5. WRITTEN EMPLOYEMENT CONTRACT	SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
WISCONSIN HEALTH & EDUCATIONAL FACILITIES
391337855	97710BDJ8	2008-08-14	107960000	CURRENT REFUND BONDS ISSUED 4/25/01 & CURRENT REFUND BONDS ISSUED 6/9/04.	0	0	0
WISCONSIN HEALTH & EDUCATIONAL FACILITIES
391337855	97710BGZ9	2009-04-30	66126415	RENOVATION TO HOSPITAL FACILITY & CONSTRUCTION OF PARKING STRUCTURE.	0	0	0
WISCONSIN HEALTH & EDUCATIONAL FACILITIES
391337855	97710BB50	2011-02-16	32039358	CURRENT REFUND BONDS ISSUED 11/14/95 & CURRENT REFUND BONDS ISSUED 5/13/99.	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount In Reserve FundAmountInReserveFund	Capital ExpendituresCapitalExpenditures
5190707	108443475	865989	659057	106918429	2007	1	1	1
5992655	59515749	860774			2010	0	1	1	6029422	58654976
6315000	32039358	597186		31442173	2001	1	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1
1	1	1
1	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	1	0	0	0	1
0	0	0	0	0	1
0	0	0	0	0	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART I, A - COL. C	CUSIP #:	THE CUSIP # OF 97710BDH2 ON FORM 8038 WAS NOT THE NUMBER ON THE BOND OF THE LATEST MATURITY. THE NUMBER FOR THE LATEST MATURITY IS CORRECTLY REPORTED ON SCHEDULE K.
PART I, A - COL. E	ISSUE PRICE:	THE TOTAL ISSUE PRICE ON FORM 8038 IS $122,535,000. THE AMOUNT REPORTED ON SCHEDULE K IS ONLY THE AMOUNT OF THE ISSUE BENEFITING THE REPORTING ORGANIZATION.
PART I, B - COL. C	CUSIP #:	THE CUSIP # OF 97710BGW6 ON FORM 8038 WAS NOT THE NUMBER ON THE BOND OF THE LATEST MATURITY. THE NUMBER FOR THE LATEST MATURITY IS CORRECTLY REPORTED ON SCHEDULE K.
PART I, B - COL. E	ISSUE PRICE:	THE TOTAL ISSUE PRICE ON FORM 8038 IS $134,951,867.50. THE AMOUNT REPORTED ON SCHEDULE K IS ONLY THE AMOUNT OF THE ISSUE BENEFITING THE REPORTING ORGANIZATION.
PART I, C - COL. C	CUSIP #:	THE CUSIP # OF 97710BB50 ON FORM 8038 WAS NOT THE NUMBER ON THE BOND OF THE LATEST MATURITY. THE NUMBER FOR THE LATEST MATURITY IS CORRECTLY REPORTED ON SCHEDULE K.
PART I, C - COL. E	ISSUE PRICE:	THE TOTAL ISSUE PRICE ON FORM 8038 IS $35,678,572.65. THE AMOUNT REPORTED ON SCHEDULE K IS ONLY THE AMOUNT OF THE ISSUE BENEFITING THE REPORTING ORGANIZATION.
PART II, A - LINE 3	TOTAL PROCEEDS OF ISSUE:	SALE PROCEEDS OF ISSUE IN AMOUNT OF $108,443,475.00 ALLOCABLE TO REPORTING ORGANIZATION PLUS ZERO INVESTMENT PROCEEDS.
PART II, A - LINE 6	PROCEEDS IN REFUNDING ESCROWS:	PROCEEDS IN THE AMOUNT OF $106,918,428.56 ALLOCABLE TO REPORTING ORGANIZATION DEPOSITED IN REFUNDING ESCROWS ON 8/14/08; BALANCE ON 9/30/12 IS ZERO.
PART II, A - LINE 7	ISSUANCE COSTS FROM PROCEEDS:	$865,989.17 OF PROCEEDS ALLOCABLE TO REPORTING ORGANIZATION USED FOR ISSUANCE COSTS; $659,057.27 USED FOR CREDIT ENHANCEMENT.
PART II, A - LINE 13	YEAR OF SUBSTANTIAL COMPLETION:	YEAR OF SUBSTANTIAL COMPLETION OF PROJECTS FINANCED WITH REFUNDED PRIOR BONDS ISSUED 4/25/01 WAS 2003 AND YEAR OF SUBSTANTIAL COMPLETION OF PROJECTS FINANCED WITH REFUNDED PRIOR BONDS ISSUED 6/09/04 WAS 2007.
PART II, B - LINE 3	TOTAL PROCEEDS OF ISSUE:	SALE PROCEEDS OF ISSUE IN AMOUNT OF $66,126,415.08 ALLOCABLE TO REPORTING ORGANIZATION PLUS $1,975.67 OF INVESTMENT PROCEEDS ALLOCABLE TO REPORTING ORGANIZATION LESS SALE PROCEEDS IN THE AMOUNT OF $6,612,641.51 DEPOSITED IN REASONABLY REQUIRED RESERVE FUND ALLOCABLE TO REPORTING ORGANIZATION.
PART II, C - LINE 3	TOTAL PROCEEDS OF ISSUE:	SALE PROCEEDS OF ISSUE IN AMOUNT OF $32,039,358 PLUS ZERO INVESTMENT PROCEEDS.
PART II, C - LINE 6	PROCEEDS IN REFUNDING ESCROWS:	PROCEEDS IN THE AMOUNT OF $31,442,172.63 ALLOCABLE TO REPORTING ORGANIZATION DEPOSITED IN REFUNDING ESCROWS ON 2/16/11; BALANCE ON 9/30/12 IS ZERO.
PART II, C - LINE 13	YEAR OF SUBSTANTIAL COMPLETION:	YEAR OF SUBSTANTIAL COMPLETION OF PROJECTS FINANCED WITH REFUNDED PRIOR BONDS ISSUED 11/14/95 WAS 1995 AND YEAR OF SUBSTANTIAL COMPLETION OF PROJECTS FINANCED WITH REFUNDED PRIOR BONDS ISSUED 5/13/99 WAS 2001.
		IN 2012, PHC REFUNDED A PORTION OF THE 2009 BOND ISSUE, THE WMH PORTION IS INCLUDED IN THE BONDS RETIRED. ASSOCIATED WITH THE REFUNDING THE 2009 DEBT SERVICE RESERVE FUND WAS REDUCED BY $1,190,243.80 OF WHICH $583,219.46 IS WMH'S ALLOCATED REDUCTION.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
R R INSURANCE
KENNETH RIESCH, DIRECTOR, IS THE PRESIDENT/OWNER OF R&R INSURANCE	2545420	R & R INSURANCE PROVIDES INSURANCE SERVICES TO WAUKESHA MEMORIAL HOSPITAL, INC.	0
WAUKESHA HEALTH SYSTEM INC
BOARD MEMBER, JOHN ROBERTSTAD, IS AN OFFICER OF WAUKESHA HEALTH SYSTEM	11725795	WAUKESHA HEALTH SYSTEM PROVIDES RENT AND REIMBURSEMENT OF EXPENSES TO WMH.	0
THE ORTHOPEDIC SURGERY CENTER
BOARD MEMBER JOHN ROBERTSTAD IS AN OFFICER OF THE ORTHOPEDIC SURGERY CENTER	1223611	INVESTMENT DISTRIBUTIONS	0
PROHEALTH ALIGNED LLC (DBA MSC)
JOHN ROBERTSTAD AND SUSAN EDWARDS ARE DIRECTORS OF PROHEALTH ALIGNED	2104505	INVESTMENT DISTRIBUTIONS	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6	PROHEALTH CARE, INC. IS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	PROHEALTH CARE, INC. HOLDS CERTAIN RESERVED POWERS OVER THE (NON-STOCK) CORPORATION, INCLUDING APPROVAL OF STRATEGIC PLANNING, ANNUAL OPERATING AND CAPITAL BUDGETS, BORROWING, TRANSFER, LEASE, PLEDGE OR SALE OF ASSETS.
FORM 990, PART VI, SECTION B, LINE 11	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 COMMITEE PERFORMED A REVIEW; THEN 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, EXECUTIVE DIRECTOR, VICE-PRESIDENT, SENIOR VICE-PRESIDENT AND ABOVE. 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 2012.
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 WAUKESHA MEMORIAL HOSPITAL, INC. MAY RETAIN ITS EXEMPT STATUS.
	FORM 990 PART VII: THE FOLLOWING OFFICERS AND DIRECTORS HAVE DEVOTED HOURS TO RELATED ORGANIZATIONS. THESE INDIVIDUALS ARE AS FOLLOWS: OFFICERS/DIRECTORS AVG. HRS. / WEEK DEVOTED TO RELATED ORGANIZATION ---------------------------------------------------------------------- ARCHEBALD PEQUET MD 2.00 HOURS BETTY ARNDT 2.00 HOURS CATHERINE RAPP 2.00 HOURS DAN D'ANGELO, DDS 2.00 HOURS DEAN A REIN GREATER THAN 40.00 DIXON BENZ 2.00 HOURS E. JOHN RAASCH 2.00 HOURS EDWARD OLSON GREATER THAN 40.00 FREDERICK SYRJANEN GREATER THAN 40.00 JAMES GARDNER, M.D. 2.00 HOURS JANE NEUMANN, MD GREATER THAN 40.00 JOHN ROBERTSTAD 8.00 HOURS MARIE KINGSBURY 2.00 HOURS MARY JO O'MALLEY 8.00 HOURS MARY JANE REICHART 8.00 HOURS MOHAMMAD KHARBAT 8.00 HOURS NANINE NELSON GREATER THAN 40.00 SUSAN EDWARDS GREATER THAN 40.00 THOMAS DALUM 2.00 HOURS
FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 32,296,994. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -2,027,056. CHANGE IN MINIMUM PENSION LIABILITY -15,487,685. TOTAL TO FORM 990, PART XI, LINE 5: 14,782,253.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C	THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
OCONOMOWOC MEMORIAL HOSPITAL INC
791 SUMMIT AVENUE	OCONOMOWOC	WI	53066	390794174	HOSPITAL	WI	501(C)(3)	LINE 3	PROHEALTH CARE INC	1
WAUKESHA MEMORIAL HOSPITAL FOUNDATION INC
725 AMERICAN AVENUE	WAUKESHA	WI	53188	391314542	FUNDRAISING	WI	501(C)(3)	LINE 7	WAUKESHA MEMORIAL HOSPITAL INC	1
PROHEALTH HOME CARE INC
N17 W24100 RIVERWOOD DR SUITE 200	WAUKESHA	WI	53188	200067392	HEALTHCARE	WI	501(C)(3)	LINE 3	PROHEALTH CARE INC	1
NATIONAL REGENCY OF NEW BERLIN INC
N17 W24100 RIVERWOOD DR SUITE 200	WAUKESHA	WI	53188	391077992	HEALTHCARE	WI	501(C)(3)	LINE 9	PROHEALTH CARE INC	1
PROHEALTH CARE INC
N17 W24100 RIVERWOOD DR SUITE 200	WAUKESHA	WI	53188	391786873	MANAGEMENT	WI	501(C)(3)	LINE 11C, III-FI		0	N/A
OCONOMOWOC MEMORIAL HOSPITAL FOUNDATION INC
791 SUMMIT AVENUE	OCONOMOWOC	WI	53066	391271647	FUNDRAISING	WI	501(C)(3)	LINE 7	OCONOMOWOC MEMORIAL HOSPITAL INC	1

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
PROHEALTH ALIGNED LLC (DBA MSC)
1111 DELAFIELD STREET STE 100	WAUKESHA	WI	53188	263324572	SURGERY CENTER	WI	WAUKESHA MEMORIAL HOSPITAL INC	RELATED	1848059	4776721	0	1	0.51000
REHABILITATION HOSPITAL OF WISCONSIN LLC
1625 COLDWATER CREEK DRIVE	WAUKESHA	WI	53188	262332250	INPATIENT REHABILITATION	WI	WAUKESHA MEMORIAL HOSPITAL INC	RELATED			0	1	0.49000
THE ORTHOPEDIC SURGERY CENTER LLC
W238 N1610 BUSSE ROAD	WAUKESHA	WI	53188	208356016	ORTHOPEDIC SURGICAL SERVICES	WI	WAUKESHA MEMORIAL HOSPITAL INC	RELATED	1406903	2183700	0	1	0.30000
PROHEALTH SOLUTIONS LLC
2000 PEWAUKEE RD SUITE C	WAUKESHA	WI	53188	273863494	ACCOUNTABLE CARE ORGANIZATION	WI								N/A
LAKE COUNTRY ENDOSCOPY CENTER
1185 CORPORATE CENTER DR	OCONOMOWOC	WI	53066	261572986	ENDOSCOPY SERVICES	WI								N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity
WAUKESHA HEALTH SYSTEM INC
N17 W24100 RIVERWOOD DRIVE SUITE 20	WAUKESHA	WI	53188	391507910	HEALTHCARE	WI	N/A	C
EMPATHIA PACIFIC INC
31416 AGOURA RD STE 180	WESTLAKE VILLAGE	CA	91361	953070501	HEALTHCARE	CA	N/A	C
PROHEALTH CARE MEDICAL ASSOCIATES INC
N17 W24100 RIVERWOOD DRIVE SUITE 20	WAUKESHA	WI	53188	391083015	HEALTHCARE	WI	N/A	C
NATIONAL AVENUE DEVELOPMENT CORPORATION
N17 W24100 RIVERWOOD DRIVE SUITE 20	WAUKESHA	WI	53188	391417226	HEALTHCARE	WI	N/A	C
EMPATHIA INC
N17 W24100 RIVERWOOD DRIVE SUITE 20	WAUKESHA	WI	53188	391567366	HEALTHCARE	WI	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (24 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
WAUKESHA MEMORIAL HOSPITAL FOUNDATION INC
C	3060860	ACTUAL AMOUNT RECEIVED
WAUKESHA HEALTH SYSTEM INC
A	27712	ACTUAL AMOUNT RECEIVED
PROHEALTH CARE MEDICAL ASSOCIATES INC
A	941061	ACTUAL AMOUNT RECEIVED
REHABILITATION HOSPITAL OF WISCONSIN
A	1155838	ACTUAL AMOUNT RECEIVED
PROHEALTH HOME CARE INC
D	500000	ACTUAL COSTS INCURRED
WAUKESHA HEALTH SYSTEM INC
J	84000	ACTUAL COSTS INCURRED
PROHEALTH CARE MEDICAL ASSOCIATES INC
J	452516	ACTUAL COSTS INCURRED
NATIONAL REGENCY OF NEW BERLIN INC
J	644394	ACTUAL COSTS INCURRED
PROHEALTH CARE INC
L	66638117	ACTUAL COSTS INCURRED
PROHEALTH SOLUTIONS
L	455000	ACTUAL COSTS INCURRED
OCONOMOWOC MEMORIAL HOSPITAL INC
O	236312	ACTUAL COSTS INCURRED
PROHEALTH CARE MEDICAL ASSOCIATES INC
O	4165390	ACTUAL COSTS INCURRED
OCONOMOWOC MEMORIAL HOSPITAL INC
P	18656865	ACTUAL AMOUNT RECEIVED
PROHEALTH CARE INC
P	601201	ACTUAL AMOUNT RECEIVED
WAUKESHA HEALTH SYSTEM INC
P	6858736	ACTUAL AMOUNT RECEIVED
PROHEALTH CARE MEDICAL ASSOCIATES INC
P	18681540	ACTUAL AMOUNT RECEIVED
PROHEALTH HOME CARE INC
P	1211711	ACTUAL AMOUNT RECEIVED
EMPATHIA PACIFIC INC
P	1871324	ACTUAL AMOUNT RECEIVED
NATIONAL REGENCY OF NEW BERLIN INC
P	332378	ACTUAL AMOUNT RECEIVED
PROHEALTH CARE INC
B	27173336	ACTUAL COSTS INCURRED
REHABILITATION HOSPITAL OF WISCONSIN
K	142503	ACTUAL AMOUNT RECEIVED
PROHEALTH ALIGNED LLC
R	2101200	ACTUAL AMOUNT RECEIVED
ORTHOPEDIC SURGERY CENTER
R	1223469	ACTUAL AMOUNT RECEIVED
REHABILITATION HOSPITAL OF WISCONSIN
R	961989	ACTUAL AMOUNT RECEIVED