2025-07-29T07:18:32-05:00 2024-09-30 331498605 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2023-10-01 200067392 PROHEALTH HOME CARE INC PROH 2629282981 N17 W24100 RIVERWOOD DR 130 WAUKESHA WI 53188 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 2629282981 2025-07-28 1 1 SAMANTHA L BECKER P01344887 2483522500 2025-07-28 2023 2025-03-06 01:10:19Z ANGELSGRACE HOSPICE SUSAN EDWARDS N17 W24100 RIVERWOOD DR 130 WAUKESHA WI 53188 20370027 0 X WWW.PROHEALTHCARE.ORG X 2003 WI RENDERING HOSPICE AND HOME HEALTH CARE SERVICES. 3 2 221 250 0 0 873503 1022867 18278965 19311345 775 244 36522 35571 19189765 20370027 0 0 0 0 14393985 16343554 0 0 0 4904554 4162934 19298539 20506488 -108774 -136461 6795457 6929831 2177606 2548441 4617851 4381390 X PROHEALTH HOME CARE PROVIDES EXTRAORDINARY HOME CARE SERVICES IN THE COMMUNITIES WE SERVE. 0 0 18026802 19311345 THE CORPORATION HAS BEEN ORGANIZED TO CONDUCT PERPETUALLY A RESIDENTIAL HOSPICE, WHICH IS MAINTAINED AND OPERATED FOR THE CARE OF PERSONS SUFFERING FROM TERMINAL ILLNESSES. THE FACILITIES ARE MADE AVAILABLE ON AN EQUAL BASIS TO ALL PATIENTS REGARDLESS OF RACE, RELIGION, DISABILITY, COLOR, NATIONAL ORIGIN, AGE, SEX, SEXUAL ORIENTATION, FINANCIAL STATUS, OR PLACE OF RESIDENCE. THE RESIDENTIAL HOSPICE FACILITY, ANGELSGRACE, COMMENCED OPERATIONS ON 5/3/2004, AND DURING FY24 PROVIDED APPROXIMATELY 4,085 PATIENT DAYS OF SERVICE. THE CORPORATION ALSO PROVIDES SKILLED NURSING, THERAPY AND HOSPICE SERVICES IN PATIENTS' HOMES, AND CONDUCTS EDUCATIONAL ACTIVITIES RELATING TO RENDERING HOSPICE AND HOME HEALTH CARE. DURING FY24, THE CORPORATION PROVIDED 28,840 ROUTINE DAYS OF HOSPICE SERVICE, 23,611 NURSE VISITS, 1,198 SUPPORT CARE VISITS, AND 28,210 THERAPY VISITS. DURING FY24, $135,895 IN CHARITY CARE WAS PROVIDED. 18026802 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 1 1 0 0 1 19 0 1 221 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 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 DR SUITE 130 WAUKESHA WI 53188 GARY BEYER CHAIRPERSON 2.00 8.00 X X 0 0 0 JOHN HALLETT VICE CHAIRPERSON 2.00 8.00 X X 0 0 0 SUSAN EDWARDS PRESIDENT AND CEO - PHC 2.00 50.00 X X 0 2283498 719577 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 566412 239046 PETER BACON CHIEF BUS DEVELOPMENT OFFICER 2.00 48.00 X 0 718583 239613 KATHLEEN O'BRIEN SORENSEN PT CASE MGR, HOME HEALTH 40.00 0.00 X 115825 0 20466 LISA LIPSKI MGR HOME CARE & HOSPICE 40.00 0.00 X 118416 0 45898 JAYNE JERMIER PT CASE MGR, HOME HEALTH 40.00 0.00 X 128234 0 34390 CHERYL LEE RN - HOME HOSPICE 40.00 0.00 X 108311 0 24283 CYNTHIA PADDOCK RN - INTAKE NURSE 40.00 0.00 X 106690 0 36070 577476 3568493 1359343 13 0 1 0 JH FINDORFF & SON INC PO BOX 1647 MADISON WI 53701 CONSTRUCTION SERVICES 245375 LEE MECHANICAL CONTRACTORS INC 9909 S 57TH ST FRANKLIN WI 53132 PROFESSIONAL SERVICES 206410 JP CULLEN & SONS INC PO BOX 5957 JANESVILLE WI 53547 CONSTRUCTION SERVICES 182092 3 1022867 1022867 HOME HEALTH SERVICES 623990 11028336 11028336 HOSPICE SERVICES 621610 8266621 8266621 NURSING HOME ROOM AND BOARD REIMB 621610 14645 14645 PATIENT SERVICES 621610 1743 1743 19311345 244 244 VISITOR CAFE 722514 35571 35571 35571 20370027 19311345 0 35815 12719696 11294523 1425173 403907 357571 46336 2294362 1929973 364389 925589 819965 105624 1854235 1693425 160810 1220 1220 284878 184250 100628 153320 81696 71624 461926 459085 2841 6902 3335 3567 214988 67506 147482 281606 280845 761 8104 8104 MEDICAL SUPPLIES 463624 458749 4875 DRUGS AND PHARMACY 292518 292518 PROVISIONS 76648 76648 REPAIRS & MAINTENANCE 46093 44031 2062 16872 -25422 42294 20506488 18026802 2479686 0 544215 294390 2318514 2587168 6822 7192 35537 15299 8002702 4176170 3644159 3826532 246210 199250 6795457 6929831 2102199 2450460 75407 97981 2177606 2548441 X 3418863 3399976 1198988 981414 4617851 4381390 6795457 6929831 X -136461 -100000 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 390000 390000 6040782 3136622 2904160 725649 380521 345128 844721 659027 185694 1550 1550 3826532 0 1 0 0 0 0 0 1 0 SUSAN EDWARDS PRESIDENT AND CEO - PHC 0 1232169 0 767535 0 283794 0 681589 0 37988 0 3003075 0 283794 PETER BACON CHIEF BUS DEVELOPMENT OFFICER 0 414955 0 206560 0 97068 0 191051 0 48562 0 958196 0 97068 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 0 355604 0 210808 0 0 0 192295 0 46751 0 805458 0 0 LISA LIPSKI MGR HOME CARE & HOSPICE 109242 0 9174 0 0 0 6288 0 39610 0 164314 0 0 0 JAYNE JERMIER PT CASE MGR, HOME HEALTH 115637 0 12597 0 0 0 6508 0 27882 0 162624 0 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: $283,794 PETER BACON: $97,068 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. FORM 990, PART I, ITEM C DBA: PROHEALTH HOME HOSPICE FORM 990, PART VI, SECTION A, LINE 6 PROHEALTH CARE, INC. IS THE SOLE CORPORATE MEMBER FORM 990, PART VI, SECTION A, LINE 7A ACCORDING TO THE GOVERNING DOCUMENTS, THE BOARD OF THE FILING ORGANIZATION IS THE SAME AS THE BOARD OF 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 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, SENIOR EXECUTIVE TEAM MEMBERS, AND VICE-PRESIDENT. 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 2024. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FORM 990, PART XI, LINE 9: EQUITY TRANSFER TO RELATED ORG - PROHEALTH CARE, INC. -100,000. FORM 990, PART XII, LINE 2C THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. 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