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Nonprofiteer
← PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC

Form 990 for tax year 2023

Filed by PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL INC.

Totals

Total revenue
$138,741,963
Total expenses
$128,482,076
Contributions and grants received
$614,984
Grants paid
$0
Program service revenue
$137,623,192
Investment income
$33,820
Other revenue
$469,967
Total assets, end of year
$115,049,591
Total liabilities, end of year
$97,584,972
Net assets or fund balances, end of year
$17,464,619
Program services expenses (Part IX)
$111,531,483
Management and general expenses
$16,950,593
Fundraising expenses
$0
Program service expenses (Part III)
$111,531,483

Program services were 86.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $610,554

  • 1f · All other contributions, gifts and grants

    $4,430

  • 2a · Program service revenue: PATIENT SERVICES

    total $134,175,839 · related or exempt $134,175,839

  • 2b · Program service revenue: PHARMACY SALES

    total $1,529,874 · related or exempt $197,900 · unrelated business $1,331,974

  • 2c · Program service revenue: LCEC JOINT VENTURE

    total $1,113,811 · related or exempt $1,113,811

  • 2d · Program service revenue: PHS DISTRIBUTION

    total $411,418 · related or exempt $411,418

  • 2e · Program service revenue: NON-PATIENT MEDICAL SERVICES

    total $305,739 · unrelated business $305,739

  • 2f · All other program service revenue

    total $86,511 · related or exempt $86,511

  • 3 · Investment income

    total $14,957 · excluded $14,957

  • 6a · Gross rents

    real property $219,676

  • 6b · Less rental expenses

    real property $117,454

  • 6c · Rental income or loss

    real property $102,222

  • 6d · Net rental income or loss

    total $102,222 · excluded $102,222

  • 7a · Gross sales of assets other than inventory

    other assets $44,885

  • 7b · Less cost or other basis and sales expenses

    other assets $26,022

  • 7c · Gain or loss

    other assets $18,863

  • 7d · Net gain or loss

    total $18,863 · excluded $18,863

  • 11a · Other revenue: CAFETERIA SALES

    total $367,745 · excluded $367,745

  • 11e · Other revenue, total

    $367,745

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $27,336,936 · program services $26,300,839 · management and general $1,036,097

  • 8 · Pension plan contributions

    total $915,818 · program services $894,778 · management and general $21,040

  • 9 · Other employee benefits

    total $3,935,261 · program services $3,922,483 · management and general $12,778

  • 10 · Payroll taxes

    total $2,061,050 · program services $1,995,463 · management and general $65,587

  • 11a · Fees: management

    total $1,072,973 · program services $1,072,973

  • 11g · Fees: other

    total $10,721,908 · program services $10,309,303 · management and general $412,605

  • 13 · Office expenses

    total $1,236,747 · program services $963,393 · management and general $273,354

  • 14 · Information technology

    total $2,594,328 · program services $2,594,328

  • 16 · Occupancy

    total $2,000,149 · program services $1,961,324 · management and general $38,825

  • 17 · Travel

    total $16,215 · program services $16,215

  • 19 · Conferences, conventions and meetings

    total $63,492 · program services $63,492

  • 20 · Interest

    total $2,984,585 · program services $2,984,585

  • 21 · Payments to affiliates

    total $21,613,757 · program services $6,786,720 · management and general $14,827,037

  • 22 · Depreciation, depletion and amortization

    total $8,592,146 · program services $8,579,470 · management and general $12,676

  • 23 · Insurance

    total $304,565 · program services $304,565

  • 24a · Other expenses: DRUGS

    total $11,427,203 · program services $11,427,203

  • 24b · Other expenses: SURGICAL IMPLANTS

    total $9,828,133 · program services $9,828,133

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $6,144,635 · program services $6,144,635

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $3,457,775 · program services $3,457,775

  • 24e · All other expenses

    total $12,174,400 · program services $11,923,806 · management and general $250,594

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,293,036 · end of year $2,906,056

  • 4 · Accounts receivable

    beginning of year $16,970,629 · end of year $15,620,861

  • 8 · Inventories for sale or use

    beginning of year $3,131,958 · end of year $3,033,187

  • 9 · Prepaid expenses and deferred charges

    beginning of year $267,936 · end of year $282,057

  • 10a · Land, buildings and equipment: cost or other basis

    $227,249,693

  • 10b · Land, buildings and equipment: accumulated depreciation

    $136,943,272

  • 10c · Land, buildings and equipment, net

    beginning of year $89,326,664 · end of year $90,306,421

  • 12 · Investments: other securities

    beginning of year $707,264 · end of year $594,078

  • 15 · Other assets

    beginning of year $2,264,948 · end of year $2,306,931

  • 17 · Accounts payable and accrued expenses

    beginning of year $14,425,243 · end of year $14,404,325

  • 19 · Deferred revenue

    beginning of year $10,059 · end of year $7,473

  • 25 · Other liabilities

    beginning of year $96,370,007 · end of year $83,173,174

  • 27 · Net assets without donor restrictions

    beginning of year $3,832,160 · end of year $17,102,972

  • 28 · Net assets with donor restrictions

    beginning of year $324,966 · end of year $361,647

Mission and programs · 2023

Mission

CONTINUOUSLY IMPROVING THE HEALTH OF OUR COMMUNITY.

Activities or mission (Part I)

PROVIDE GENERAL ACUTE CARE AND SUPPORT ACTIVITIES.

  • PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL FULFILLS ITS EXEMPT PURPOSE BY PROVIDING CARE AND SERVICES TO ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY. PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL ALSO USES ITS RESOURCES TO ADDRESS VARIOUS COMMUNITY NEEDS. PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL PROVIDED APPROXIMATELY 8,901 DAYS OF INPATIENT CARE AND APPROXIMATELY 88,130 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024.

    Expenses $111,531,483 · Revenue $135,985,479

As filed on the 2023 return.

Listed in Part VII

  • Susan Edwards

    PRESIDENT AND CEO - PHC

    Total calculated
    $3,003,075
    From this org
    $0
    From related orgs
    $2,283,498
    Other
    $719,577
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,232,169 related
    Bonus
    $0 + $767,535 related
    Other
    $0 + $283,794 related
    Deferred
    $0 + $681,589 related
    Nontaxable benefits
    $0 + $37,988 related
    Filer's total
    $0 + $3,003,075 related

  • Gary Beyer

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    2 + 8 related

  • John Hallett

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    2 + 8 related

  • Andrew Gutierrez

    CHIEF FINANCIAL OFFICER

    Total calculated
    $805,458
    From this org
    $0
    From related orgs
    $566,412
    Other
    $239,046
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $355,604 related
    Bonus
    $0 + $210,808 related
    Other
    $0
    Deferred
    $0 + $192,295 related
    Nontaxable benefits
    $0 + $46,751 related
    Filer's total
    $0 + $805,458 related

  • Kenneth Price

    CHIEF OPERATING OFFICER

    Total calculated
    $1,291,923
    From this org
    $0
    From related orgs
    $945,948
    Other
    $345,975
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $529,317 related
    Bonus
    $0 + $302,184 related
    Other
    $0 + $114,447 related
    Deferred
    $0 + $291,222 related
    Nontaxable benefits
    $0 + $54,753 related
    Filer's total
    $0 + $1,291,923 related

  • Sharon Rehnberg

    MGR PATIENT CARE

    Total calculated
    $165,443
    From this org
    $140,311
    From related orgs
    $0
    Other
    $25,132
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $130,002
    Bonus
    $10,309
    Other
    $0
    Deferred
    $5,745
    Nontaxable benefits
    $19,387
    Filer's total
    $165,443

  • Tara Schwefel

    CRITICAL CARE RESP CARE PRACT

    Total calculated
    $173,752
    From this org
    $167,429
    From related orgs
    $0
    Other
    $6,323
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $140,988
    Bonus
    $26,441
    Other
    $0
    Deferred
    $5,040
    Nontaxable benefits
    $1,283
    Filer's total
    $173,752

  • Shawn Rutka

    PHARMACIST - INPATIENT

    Total calculated
    $203,653
    From this org
    $151,879
    From related orgs
    $0
    Other
    $51,774
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,347
    Bonus
    $1,532
    Other
    $0
    Deferred
    $7,955
    Nontaxable benefits
    $43,819
    Filer's total
    $203,653

  • Aaron Raabe

    CRITICAL CARE RESP CARE PRACT

    Total calculated
    $249,197
    From this org
    $200,695
    From related orgs
    $0
    Other
    $48,502
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $150,420
    Bonus
    $50,275
    Other
    $0
    Deferred
    $8,306
    Nontaxable benefits
    $40,196
    Filer's total
    $249,197

  • Donna Page

    CRITICAL CARE RESP CARE PRACT

    Total calculated
    $155,944
    From this org
    $144,308
    From related orgs
    $0
    Other
    $11,636
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $120,234
    Bonus
    $24,074
    Other
    $0
    Deferred
    $7,375
    Nontaxable benefits
    $4,261
    Filer's total
    $155,944

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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 KENNETH PRICE: $114,447
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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • PROHEALTH ALIGNED LLC (DBA PROHEALTH CARE MORELAND SURGERY CENTER)

    SURGERY CENTER · WI

  • REHABILITATION HOSPITAL OF WISCONSIN LLC

    INPATIENT REHABILITATION · WI

  • THE ORTHOPEDIC SURGERY CENTER LLC

    ORTHOPEDIC SURGICAL SERVICES · WI

  • PROHEALTH SOLUTIONS LLC

    ACCOUNTABLE CARE ORGANIZATION · WI

  • LAKE COUNTRY ENDOSCOPY CENTER

    RELATED · ENDOSCOPY SERVICES · WI · 50% owned · share of income $1,073,405 · share of assets $338,522

    Directly controlled by OCONOMOWOC MEMORIAL HOSPITAL INC

  • PHCOAW CO-MANAGEMENT COMPANY LLC

    MANAGEMENT SERVICES · WI

  • GI SPECIALISTS LLC (DBA MORELAND ENDOSCOPY CENTER)

    ENDOSCOPY SERVICES · WI

  • SOUTHERN LAKES ENDOSCOPY CENTER

    ENDOSCOPY SERVICES · WI

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • WAUKESHA HEALTH SYSTEM INC

    C · HEALTHCARE · WI

  • EMPATHIA PACIFIC INC

    C · HEALTHCARE · CA

  • NATIONAL AVENUE DEVELOPMENT CORPORATION

    C · HEALTHCARE · WI

  • EMPATHIA INC

    C · HEALTHCARE · WI

Provenance

Return type
form_990
Tax year
2023
Filed
28 July 2025
IRS schema version
2023v6.0
Source object
202522109349300207

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