2024-07-30T10:54:01-05:00 2023-09-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2022-10-01 200067392 PROHEALTH HOME CARE INC PROH 2629282981 N17 W24100 RIVERWOOD DR 130 WAUKESHA WI 53188 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 ANGELSGRACE HOSPICE PROHEALTH HOME HOSPICE SUSAN EDWARDS N17 W24100 RIVERWOOD DR 130 WAUKESHA WI 53188 19189765 0 X WWW.PROHEALTHCARE.ORG X 2003 WI RENDERING HOSPICE AND HOME HEALTH CARE SERVICES. 3 2 209 269 0 0 836251 873503 16652217 18278965 -7158 775 28832 36522 17510142 19189765 0 0 0 0 13840717 14393985 0 0 0 4221972 4904554 18062689 19298539 -552547 -108774 6859269 6795457 2332644 2177606 4526625 4617851 X PROHEALTH HOME CARE PROVIDES EXTRAORDINARY HOME CARE SERVICES IN THE COMMUNITIES WE SERVE. 0 0 17297240 18278965 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 FY23 PROVIDED APPROXIMATELY 4,084 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 FY23, THE CORPORATION PROVIDED 26,953 ROUTINE DAYS OF HOSPICE SERVICE, 22,886 NURSE VISITS, 1,374 SUPPORT CARE VISITS, AND 23,716 THERAPY VISITS. DURING FY23, $111,314 IN CHARITY CARE WAS PROVIDED. 17297240 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 21 0 1 209 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 2193635 681826 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 515387 142213 KENNETH PRICE CHIEF OPERATING OFFICER 2.00 48.00 X 0 886988 311188 KATHLEEN O'BRIEN SORENSEN PT CASE MGR, HOME HEALTH 40.00 0.00 X 119422 0 20356 LISA LIPSKI MGR HOME CARE & HOSPICE 40.00 0.00 X 111062 0 44610 JAYNE JERMIER PT CASE MGR, HOME HEALTH 40.00 0.00 X 123682 0 33653 KATHLEEN MULLEN MGR HOSPICE 40.00 0.00 X 115021 0 22683 AMY SIODLARZ PT CASE MGR, HOME HEALTH 40.00 0.00 X 106047 0 2067 575234 3596010 1258596 12 0 1 0 UBES INC 2100 MANCHESTER RD SUITE 601 WHEATON IL 60187 PROFESSIONAL SERVICES 169202 1 873503 873503 HOSPICE SERVICES 623990 9730132 9730132 HOME HEALTH SERVICES 621610 8498013 8498013 NURSING HOME ROOM AND BOARD REIMB 621610 50820 50820 18278965 692 692 83 0 83 83 83 VISITOR CAFE 722514 36522 36522 36522 19189765 18278965 0 37297 X 11002657 9832665 1169992 370450 333723 36727 2221265 1978054 243211 799613 712203 87410 2813763 2684041 129722 235513 158924 76589 145345 76045 69300 411355 408785 2570 3894 3894 204752 59583 145169 269453 265793 3660 9972 9972 MEDICAL SUPPLIES 370983 362942 8041 DRUGS AND PHARMACY 293382 293382 PROVISIONS 74056 74056 REPAIRS & MAINTENANCE 47551 43178 4373 24535 24535 19298539 17297240 2001299 0 563029 544215 2536146 2318514 2422 6822 41834 35537 7567515 3923356 3536738 3644159 179100 246210 6859269 6795457 2252907 2102199 79737 75407 2332644 2177606 X 3110063 3418863 1416562 1198988 4526625 4617851 6859269 6795457 X -108774 200000 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 390000 390000 5844432 2949791 2894641 469819 354063 115756 838698 619502 219196 24566 24566 3644159 0 1 0 0 0 0 0 1 0 SUSAN EDWARDS PRESIDENT AND CEO - PHC 0 1184879 0 731247 0 277509 0 644097 0 37729 0 2875461 0 277509 KENNETH PRICE CHIEF OPERATING OFFICER 0 498039 0 280082 0 108867 0 257829 0 53359 0 1198176 0 108867 ANDREW GUTIERREZ CHIEF FINANCIAL OFFICER 0 342349 0 173038 0 0 0 96614 0 45599 0 657600 0 0 JAYNE JERMIER PT CASE MGR, HOME HEALTH 112217 0 11465 0 0 0 6279 0 27374 0 157335 0 0 0 LISA LIPSKI MGR HOME CARE & HOSPICE 102424 0 8638 0 0 0 5902 0 38708 0 155672 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: $277,509 KENNETH PRICE: $108,867 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 VI, SECTION A, LINE 6 PROHEALTH CARE, INC. IS THE SOLE CORPROATE 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-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 FORM 990, PART IX, LINE 11G AGENCY STAFFING: PROGRAM SERVICE EXPENSES 1,531,443. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,531,443. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 466,863. MANAGEMENT AND GENERAL EXPENSES 129,722. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 596,585. OUTSIDE PATIENT SERVICES: PROGRAM SERVICE EXPENSES 385,276. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 385,276. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 300,459. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 300,459. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM RELATED ORG - PROHEALTH CARE, INC. 200,000. FORM 990, PART XII, LINE 2C THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. 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