2024-07-30T12:14:36-05:00 2023-09-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2022-10-01 391314542 PROHEALTH CARE FOUNDATION INC PROH 2629282981 725 AMERICAN AVENUE WAUKESHA WI 531885031 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 2629282981 2024-07-26 1 1 DAVID LOWENTHAL P00378651 2483522500 2024-06-28 2022 2024-08-08 14:25:15Z SUSAN EDWARDS 725 AMERICAN AVENUE WAUKESHA WI 531885031 10007239 0 X WWW.PROHEALTHCARE.ORG X 1978 WI TO SUPPORT CHARITABLE AND EDUCATIONAL HEALTH SERVICES. 14 13 0 132 1008314 905683 1353261 1559585 0 0 1393840 882255 479588 1326947 3226689 3768787 2379273 3275176 0 0 0 0 0 0 0 251383 255187 2630656 3530363 596033 238424 33416876 37380735 567953 1152476 32848923 36228259 X PROVIDE FINANCIAL SUPPORT AND PROMOTE ADVOCACY FOR PROHEALTH CARE THROUGH PUBLIC AWARENESS, PHILANTHROPY AND STEWARDSHIP. 0 0 1087612 1087612 GRANTS TO OMH, WMH, PHHC, AND PHC FOR CAPITAL PURCHASES INCLUDING NICU, MUKWONAGO HOSPITAL, HEART & VASCUALR, SURGERY EQUIPMENT, COLLABORATIVE RADIO SYSTEM, GENEXPERT IV MODULE, FUJIFILM SONOSITE, BIONESS INTEGRATED THERAPY SYSTEM, GAIT TRAINER/TREADMILL, VESTIBULAR VIDEO GOGGLES, ANGELSGRACE PATIO, 1SE FLOORING, ICU BED, FLAG POLE AND SLIDE STAINER. 767085 767085 STAFF SUPPORT FOR ANGELSGRACE HOSPICE, INCLUDING FUNDING OF SALARIES. 425000 425000 STAFF SUPPORT FOR THE RESEARCH INSTITUTE, INCLUDING FUNDING OF SALARIES. 995479 995479 PATIENT AND COMMUNITY CARE, ATHLETIC TRAINING OPERATING SUPPORT, EDUCATION & TRAINING, NURSING SCHOLARSHIPS, 5 MED MOBILITY SALARIES, HIGH SCHOOL SCHOLARSHIPS, PROGRAM SUPPLIES, OPERATING SUPPORT, PHARMACY RESIDENCY SALARIES, BILINGUAL PSYCHOTHERAPIST SALARIES & SANE SALARIES. 995479 995479 3275176 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 2 0 1 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X ANDREW GUTIERREZ 2629282453 N17 W24100 RIVERWOOD DRIVE SUITE WAUKESHA WI 531881131 TONY MALLINGER SECRETARY 2.00 0.00 X X 0 0 0 TONY LASZEWSKI TREASURER 2.00 0.00 X X 0 0 0 SUSAN EDWARDS PRESIDENT AND CEO - PHC 2.00 50.00 X X 0 2193635 681826 MICHAEL RODENBAUGH CHAIRPERSON 2.00 0.00 X X 0 0 0 CINDY PAGENKOPF VICE CHAIRPERSON 2.00 0.00 X X 0 0 0 BEN KOSSOW DIRECTOR 2.00 0.00 X 0 0 0 GRACE HANNEKEN DIRECTOR 2.00 0.00 X 0 0 0 RENEE RAMIREZ DIRECTOR 2.00 0.00 X 0 0 0 MIKE ROWE DIRECTOR 2.00 0.00 X 0 0 0 MATT QUEST DIRECTOR 2.00 0.00 X 0 0 0 JACK RIESCH DIRECTOR 2.00 0.00 X 0 0 0 DENISE HARRIS DIRECTOR 2.00 0.00 X 0 0 0 SCOTT KOSS DIRECTOR 2.00 0.00 X 0 0 0 DANIEL GREEN DIRECTOR 2.00 0.00 X 0 0 0 MELISSA THOMPSON - PART YEAR DIRECTOR 2.00 0.00 X 0 0 0 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 515387 142213 JEFFREY SQUIRE CHIEF OF CORPORATE AFFAIRS 2.00 40.00 X 0 593712 203039 0 3302734 1027078 0 0 1 0 0 298533 1100 177955 1081997 100681 1559585 730455 730455 6318867 6167067 151800 151800 151800 45018 298533 71385 -26367 -26367 INVEST. IN METALCRAFT - TAX 310000 1008314 1008314 BOOK/TAX ADJ IN METALCRAFT 310000 345000 345000 1353314 3768787 0 1008314 1200888 3234926 3234926 40250 40250 23263 23263 3500 3500 UBI FEDERAL TAXES 185950 185950 BAD DEBT 42474 42474 3530363 3275176 255187 0 1750 2870133 4091432 380225 410119 18816 14712 29199114 31948837 881000 881000 67588 32885 33416876 37380735 502853 1111496 19277 0 45823 40980 567953 1152476 X 19664946 22517755 13183977 13710504 32848923 36228259 33416876 37380735 238424 3140912 0 X X 0 1 X 1 1 1 X 2931978 2064168 1972344 1353261 1559585 9881336 2931978 2064168 1972344 1353261 1559585 9881336 182340 9698996 615344 628722 855225 574524 730455 3404270 431079 429679 766959 973032 1007314 3608063 126804 42060 20280 22950 390018 602112 17495781 0.55440 0.58240 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GAMING RECEIPTS FUNDRAISING ACTIVITIES AND OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17331767 367638 1238448 860760 18077093 18752920 327441 -985271 763323 17331767 16142616 590611 2494675 474982 18752920 15141171 156803 1202042 357400 16142616 14665890 634932 386185 545836 15141171 0.47940 0.37130 0.14930 0 0 0 SPLIT INTEREST AGREEMENT PAYABLE 40980 40980 7995587 3140912 1037766 71385 4250063 3745524 23263 23263 3768787 4616251 1037766 71385 1109151 3507100 23263 23263 3530363 PART V, LINE 4: TO SUPPORT PROHEALTH CARE, INC. IN ITS CHARITABLE MISSION. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES REPORTED ON PART VIII 71,385. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES REPORTED ON PART VIII 71,385. CANCER WALKS 225774 180756 45018 0 789 8121 600 61875 0 ON ANGELS WINGS 117777 117777 0 0 0 0 0 0 343551 298533 45018 789 8121 600 61875 71385 -26367 1 PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC 725 AMERICAN AVENUE WAUKESHA WI 53188 390910727 501(C)(3) 1545434 0 N/A N/A TO AID THE ORGANIZATION IN ITS CHARITABLE MISSION. PROHEALTH HOME CARE INC N17 W24100 RIVERWOOD DRIVE SUITE 130 WAUKESHA WI 53188 200067392 501(C)(3) 873503 0 N/A N/A TO AID THE ORGANIZATION IN ITS CHARITABLE MISSION. PROHEALTH CARE INC N17 W24100 RIVERWOOD DRIVE SUITE 130 WAUKESHA WI 53188 391486873 501(C)(3) 552900 0 N/A N/A TO AID THE ORGANIZATION IN ITS CHARITABLE MISSION. PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC 791 SUMMIT AVE OCONOMOWOC WI 53066 390794174 501(C)(3) 196800 0 N/A N/A TO AID THE ORGANIZATION IN ITS CHARITABLE MISSION. PROHEALTH MEDICAL GROUP INC N17 W24100 RIVERWOOD DRIVE SUITE 130 WAUKESHA WI 53188 391083015 501(C)(3) 64330 0 N/A N/A TO AID THE ORGANIZATION IN ITS CHARITABLE MISSION. 5 0 HIGH SCHOOL SCHOLARSHIPS 11 26000 N/A N/A EMPLOYEE EMERGENCY GRANT 16 14250 N/A N/A PART I, LINE 2: ALL GRANTS ARE APPROVED AND PROCESSED BY THE ORGANIZATION'S MANAGEMENT. SCHOLARSHIP CHECKS ARE PAID BY SCHOLARSHIP AMERICA. SCHOLARSHIP AMERICA MAKES THE CHECKS PAYABLE TO THE INSTITUTION ATTENDED BY THE STUDENT. PHCF MANAGEMENT CONFIRMS THE USE AND DISTRIBUTION OF THE RELATED GRANTS TO ENSURE THEY MEET THE DONOR SPECIFIED PURPOSES OF THE INITIAL FUND'S PROCEEDS. 0 1 0 0 0 0 0 0 0 SUSAN EDWARDS PRESIDENT AND CEO - PHC 0 1184879 0 731247 0 277509 0 644097 0 37729 0 2875461 0 277509 JEFFREY SQUIRE CHIEF OF CORPORATE AFFAIRS 0 348919 0 170339 0 74454 0 157043 0 45996 0 796751 0 74454 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 0 342349 0 173038 0 0 0 96614 0 45599 0 657600 0 0 PART I, LINE 3 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 PART I, LINE 4B PROHEALTH CARE INC. (PHC) MAINTAINS A SUPPLEMENTAL RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF EXECUTIVES OF PHC AND ITS AFFILIATED ENTITIES. THIS SERP IS AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THIS SERP ARE TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. SERP PAYMENTS DURING THE YEAR ARE AS FOLLOWS: SUSAN EDWARDS: $277,509 JEFFREY SQUIRE: $74,454 PART I, LINE 7 PROHEALTH CARE HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION AND RELATED ORGANIZATIONS (COLLECTIVELY THE "SYSTEM"). THE PLAN RELATES FINANCIAL REWARD TO THE SYSTEM'S ACHIEVEMENT OF CERTAIN FINANCIAL AND NON-FINANCIAL OBJECTIVES. THE PRIMARY PURPOSE OF THE PLAN IS TO SUPPORT THE SYSTEM'S MISSION TO ACHIEVE CONTINUED GROWTH AND DEMONSTRATE VALUE THROUGH: (1) A SEAMLESS CONTINUUM OF PATIENT CENTERED CARE; (2) NATIONALLY RECOGNIZED OUTCOMES; (3) RESPONSIBLE AND EFFICIENT USE OF HEALTH CARE RESOURCES; AND (4) A FOCUS ON THE HEALTH OF OUR COMMUNITY. X 911 COST X 34114 COST X 1 63486 FMV X JEWELRY & ACCESSORIES 1 1000 COST X HEALTH & WELLNESS 6 715 COST X ELECTRONICS 1 400 COST X MEDICAL EQUIPMENT 1 55 COST 0 1 0 PART I, COLUMN (B): ORGANIZATION IS REPORTING NUMBER OF CONTRIBUTIONS FORM 990, PART VI, SECTION A, LINE 6 PROHEALTH CARE, INC. IS THE SOLE CORPORATE MEMEBER. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS ARE ELECTED ANNUALLY BY THE SOLE CORPORATE MEMBER, PROHEALTH CARE, INC. 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 11B AFTER THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S TAX PREPARERS AND PRIOR TO FILING THE FORM 990, SELECT EXECUTIVE MEMBERS OF THE ORGANIZATION AND THE AUDIT & COMPLIANCE COMMITTEE PERFORMED A REVIEW. THEN THE ORGANIZATION'S TAX PREPARERS MADE A PRESENTATION TO THE AUDIT COMMITTEE, WHO THEN FORMALLY APPROVED THE FORM 990, AND THE BOARD OF DIRECTORS WAS PROVIDED A COPY OF THE RETURN, WHICH WAS SUBSEQUENTLY FILED BY THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, VICE-PRESIDENTS, MANAGERS AND ABOVE, AS WELL AS BOARD MEMBERS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. ALL REPORTED POTENTIAL CONFLICTS OF INTEREST ARE TRACKED IN THE CORPORATE COMPLIANCE DEPARTMENT. THEY ARE REVIEWED AND ANY PERSON IDENTIFIED AS HAVING A POTENTIAL CONFLICT 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, SENIOR EXECUTIVE TEAM EMBERS, AND VICE-PRESIDENTS. 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 2023. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FOR 990, PART XII, LINE 2C THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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