MY CHOICE WISCONSIN INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MY CHOICE WISCONSIN INC (EIN 81-1970070)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202423209349316662
- Schema version
- 2023v5.1
- 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 C
- Schedule D
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T13:51:02-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 S RIVERSIDE PLAZA 9TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 811970070 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MY CHOICE WISCONSIN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MYCH | BusinessNameControlTxt |
| Phone | 4142877600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 131 | AddressLine1Txt |
| City | GREENDALE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 531290131 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARIA LEDGER | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 4142877600 | PhoneNum |
| Signature | 2024-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 3122071040 | PhoneNum |
| Preparation | 2024-11-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | MARIA LEDGER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 131 | AddressLine1Txt |
| City | GREENDALE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 531290131 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $774,877,490 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MYCHOICEWI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | WISCONSIN BASED MANAGED CARE ORGANIZATION. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1247 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $32,386 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,361 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $798,043,063 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $533,257,357 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,579,412 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,233,166 | CYInvestmentIncomeAmt |
| PY Other Revenue | $46,485 | PYOtherRevenueAmt |
| CY Other Revenue | $146,797,523 | CYOtherRevenueAmt |
| PY Total Revenue | $800,701,346 | PYTotalRevenueAmt |
| CY Total Revenue | $686,298,407 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $671,740,571 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $456,229,681 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $66,846,954 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $51,801,148 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,173,653 | PYOtherExpensesAmt |
| CY Other Expenses | $16,949,022 | CYOtherExpensesAmt |
| PY Total Expenses | $762,761,178 | PYTotalExpensesAmt |
| CY Total Expenses | $524,979,851 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $37,940,168 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $161,318,556 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $263,499,865 | TotalAssetsBOYAmt |
| Total Assets EOY | $266,601,317 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $98,984,930 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $164,514,935 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $266,601,317 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE INSPIRE PEOPLE TO EXPERIENCE LIFE AT ITS FULLEST BY ENCOURAGING OWNERSHIP OF HEALTH, FOSTERING INDEPENDENCE, AND SERVING THE WHOLE PERSON; AND DO SO WITH AN UNWAVERING COMMITMENT AS STEWARDS OF MEDICAID FUNDING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $501,834,210 | ExpenseAmt |
| Revenue | $680,022,444 | RevenueAmt |
| Desc | MY CHOICE WISCONSIN, INC. (THE "COMPANY OR "MCW") IS A MANAGED CARE ORGANIZATION (MCO) THAT OPERATES THE STATE OF WISCONSIN FAMILY CARE PROGRAM. FAMILY CARE IS A MEDICAID LONG-TERM CARE PROGRAM WHICH HELPS FRAIL ELDERS AND ADULTS WITH DISABILITIES GET THE SERVICES THEY NEED TO REMAIN IN THEIR HOMES. MCW RECEIVES A PER PERSON PER MONTH PAYMENT (CAPITATION RATE) TO MANAGE CARE FOR THE MEMBERS, WHO MAY BE LIVING IN THEIR OWN HOMES, GROUP HOME LIVING SITUATIONS, OR NURSING FACILITIES. MEMBERS RECEIVING THE FAMILY CARE BENEFIT MAY BE REQUIRED TO PAY A COST SHARE AND/OR A ROOM & BOARD FEE TO MCW. MCW SERVES OVER 15,000 MEMBERS IN THIRTY-NINE WISCONSIN COUNTIES. | Desc |
| Total Program Service Expenses | $501,834,210 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 822 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1247 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARIA LEDGER CEO | PersonNm |
| Phone | 4142877600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 131 | AddressLine1Txt |
| City | GREENDALE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53129 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| THOMAS ORENDORFF | ||||||||
| DIRECTOR AND CHAIR | 2.00 | 2.00 | Yes (X) | Yes (X) | $800 | $0 | $0 | |
| MICHAEL MAYO SR | ||||||||
| DIRECTOR AND VICE CHAIR | 1.00 | 2.00 | Yes (X) | Yes (X) | $800 | $0 | $0 | |
| MARIA RODRIGUEZ | ||||||||
| DIRECTOR AND TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $600 | $0 | $0 | |
| KENNETH BYOM DO | ||||||||
| DIRECTOR AND SECRETARY | 1.00 | 2.00 | Yes (X) | Yes (X) | $400 | $0 | $0 | |
| LYNDA KRELLWITZ | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $400 | $0 | $0 | ||
| LEE S SEESE | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $800 | $0 | $0 | ||
| THOMAS BERGERUD | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $200 | $0 | $0 | ||
| KATHRYN BRIETZMAN | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $600 | $0 | $0 | ||
| JOHN HINTZE | ||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $800 | $0 | $0 | ||
| MARIA LEDGER | ||||||||
| CHIEF EXECUTIVE OFFICER | 25.00 | 25.00 | Yes (X) | $610,937 | $0 | $8,495 | ||
| JAMES HODSON | ||||||||
| CHIEF FINANCIAL OFFICER | 30.00 | 20.00 | Yes (X) | $493,698 | $0 | $12,552 | ||
| KEVIN COLLINS | ||||||||
| CHIEF COMPLIANCE OFFICER | 25.00 | 25.00 | Yes (X) | $360,904 | $0 | $18,621 | ||
| BETSY VAN HEESCH | ||||||||
| CHIEF OPERATIONS OFFICER | 25.00 | 20.00 | Yes (X) | $276,145 | $0 | $27,307 | ||
| BRION BEAUCHENE | ||||||||
| CHIEF INFORMATION OFFICER | 25.00 | 25.00 | Yes (X) | $215,270 | $0 | $17,376 | ||
| BRIAN HENRIKSEN | ||||||||
| DIRECTOR ACCOUNTING/FINANCE | 33.00 | 17.00 | $144,429 | $0 | $22,047 | Yes (X) | ||
| NICOLE PAGLIARO | ||||||||
| DIRECTOR PROVIDER SERVICES | 40.00 | 10.00 | $141,353 | $0 | $5,650 | Yes (X) | ||
| EMILY FAHEY | ||||||||
| DIRECTOR REGULATORY AFFAIRS | 13.00 | 37.00 | $140,018 | $0 | $5,598 | Yes (X) | ||
| JONATHAN PEKELNICKY | ||||||||
| DIRECTOR APPLICATION DEVELOPMENT | 25.00 | 25.00 | $126,817 | $0 | $21,327 | Yes (X) | ||
| JEFF WALSH | ||||||||
| LEAD DEVELOPER ARCHITECT | 21.00 | 21.00 | $124,910 | $0 | $14,767 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,639,881 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $153,740 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HOMES FOR INDEPENDENT LIVING OF WI LLC | |||||
| PO BOX 278 | DOUSMAN | WI | 53188 | MEMBER SERVICES | $5,030,011 |
| ST COLETTA OF WISCONSIN INC | |||||
| N4637 CO RD Y | JEFFERSON | WI | 535499720 | MEMBER SERVICES | $4,473,761 |
| KPI INC (DBA KATHI PAPA INC) | |||||
| 139 E WISCONSIN AVE | OCONOMOWOC | WI | 53066 | MEMBER SERVICES | $3,081,144 |
| LORI KNAPP RICHLAND INC | |||||
| 106 S BEAUMONT RD | PRAIRIE DU CHIEN | WI | 53821 | MEMBER SERVICES | $2,876,176 |
| CREATIVE COMMUNITY LIVING SERVICES INC | |||||
| 500 E MAIN ST | WATERTOWN | WI | 53094 | MEMBER SERVICES | $2,250,076 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 343 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $10,361 | AllOtherContributionsAmt |
| Total Contributions | $10,361 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID REVENUE | 624120 | $471,290,678 | $471,290,678 |
| COST SHARE/ROOM & BOARD | 624120 | $56,141,893 | $56,141,893 |
| INTERCOMPANY REVENUE | 561499 | $3,934,054 | $3,934,054 |
| MEDICAID ADJUSTMENTS | 624120 | $1,824,065 | $1,824,065 |
| HOSTING REVENUE | 624120 | $66,667 | $66,667 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $533,257,357 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,407,598 | TotalRevenueColumnAmt |
| Exclusion | $6,407,598 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $88,396,051 | SecuritiesAmt |
| Other | $8,600 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $88,579,083 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$183,032 | SecuritiesAmt |
| Other | $8,600 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$174,432 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,600 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$183,032 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| GAIN ON SALE OF OPERATIONS | 900099 | $146,678,030 | $146,678,030 | |
| EMPLOYEE BENEFIT REFUNDS/DIVIDEND | 900099 | $78,337 | $78,337 | |
| ALL OTHER REVENUE | 900099 | $41,036 | $41,036 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $120 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $120 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $146,797,523 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $686,298,407 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $680,022,444 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,265,602 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $456,229,681 | TotalAmt |
| Program Services | $456,229,681 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,065,031 | TotalAmt |
| Management And General | $2,065,031 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,074,302 | TotalAmt |
| Program Services | $29,194,153 | ProgramServicesAmt |
| Management And General | $8,880,149 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,663,219 | TotalAmt |
| Program Services | $1,323,571 | ProgramServicesAmt |
| Management And General | $339,648 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,439,375 | TotalAmt |
| Program Services | $5,260,633 | ProgramServicesAmt |
| Management And General | $1,178,742 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,559,221 | TotalAmt |
| Program Services | $2,792,037 | ProgramServicesAmt |
| Management And General | $767,184 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,005 | TotalAmt |
| Management And General | $202,005 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,341 | TotalAmt |
| Management And General | $369,341 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,402 | TotalAmt |
| Management And General | $13,402 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,254 | TotalAmt |
| Management And General | $104,254 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,828,362 | TotalAmt |
| Program Services | $21,552 | ProgramServicesAmt |
| Management And General | $2,806,810 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,222 | TotalAmt |
| Management And General | $532,222 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,025,051 | TotalAmt |
| Program Services | $441,793 | ProgramServicesAmt |
| Management And General | $583,258 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,597,724 | TotalAmt |
| Management And General | $1,597,724 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,330,022 | TotalAmt |
| Program Services | $658,756 | ProgramServicesAmt |
| Management And General | $671,266 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $857,414 | TotalAmt |
| Program Services | $807,245 | ProgramServicesAmt |
| Management And General | $50,169 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,356 | TotalAmt |
| Program Services | $6,911 | ProgramServicesAmt |
| Management And General | $8,445 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,892,495 | TotalAmt |
| Program Services | $517,307 | ProgramServicesAmt |
| Management And General | $1,375,188 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,272,530 | TotalAmt |
| Management And General | $1,272,530 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $4,580,145 | $4,580,145 | |
| LICENSE & REGISTRATION | $146,382 | $234 | $146,148 |
| BANK FEES | $112,497 | $112,497 | |
| DUES & SUBSCRIPTIONS | $69,820 | $192 | $69,628 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $524,979,851 | TotalAmt |
| Program Services | $501,834,210 | ProgramServicesAmt |
| Management And General | $23,145,641 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $579,293 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,817,918 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,842,987 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $785,903 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,233,905 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,444,835 | BOYAmt |
| EOY | $187,973,221 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,526,701 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,331,299 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,937,024 | BOYAmt |
| EOY | $78,628,096 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,499,865 | BOYAmt |
| EOY | $266,601,317 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,330,438 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,654,492 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,984,930 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,514,935 | BOYAmt |
| EOY | $266,601,317 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,514,935 | BOYAmt |
| EOY | $266,601,317 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,499,865 | BOYAmt |
| EOY | $266,601,317 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $161,318,556 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,018,769 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$60,250,943 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,289 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,983 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $274,482 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,386 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,361 | CurrentTaxYearAmt |
| Total | $364,501 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $353,918,086 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $718,046,189 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $710,270,357 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $798,043,063 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $533,344,414 | CurrentTaxYearAmt |
| Total | $3,113,622,109 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $353,933,375 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $718,078,172 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $710,544,839 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $798,075,449 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $533,354,775 | CurrentTaxYearAmt |
| Total | $3,113,986,610 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $3,113,986,610 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,623,940 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,135,990 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,905,210 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,495,173 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,407,598 | CurrentTaxYearAmt |
| Total | $14,567,911 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,623,940 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,135,990 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,905,210 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,495,173 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,407,598 | CurrentTaxYearAmt |
| Total | $14,567,911 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,835 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,969 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $560,149 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46,485 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,036 | CurrentTaxYearAmt |
| Total | $687,474 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $355,571,150 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $719,240,131 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $714,010,198 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $800,617,107 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $539,803,409 | CurrentTaxYearAmt |
| Total | $3,129,241,995 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99510 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99660 | PublicSupportPY509Pct |
| Investment Income CY | 0.00470 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00320 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER - 2019 AMOUNT: $ 13,835. 2020 AMOUNT: $ 25,969. 2021 AMOUNT: $ 560,149. 2022 AMOUNT: $ 46,485. 2023 AMOUNT: $ 41,036. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteer Hours | 0 | VolunteerHoursCnt |
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $13,402 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,402 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE WISCONSIN ASSOCIATION OF HEALTH PLANS REPRESENTS COMMUNITY HEALTH PLANS IN WISCONSIN. THE REPORTED AMOUNT IS THE PORTION OF DUES PAID TO THE WISCONSIN ASSOCIATION OF HEALTH PLANS THAT IS ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| FUNDS HELD IN ESCROW | $30,008,960 |
| RECEIVABLE FROM SALE | $48,619,136 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $78,628,096 | TotalBookValueOtherAssetsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARIA LEDGER | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $555,937 | $0 | $55,000 | $0 | $0 | $0 | $8,016 | $0 | $479 | $0 | $619,432 | $0 | $0 | $0 |
| JAMES HODSON | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $458,698 | $0 | $35,000 | $0 | $0 | $0 | $7,096 | $0 | $5,456 | $0 | $506,250 | $0 | $0 | $0 |
| KEVIN COLLINS | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $325,904 | $0 | $35,000 | $0 | $0 | $0 | $13,165 | $0 | $5,456 | $0 | $379,525 | $0 | $0 | $0 |
| BETSY VAN HEESCH | ||||||||||||||
| CHIEF OPERATIONS OFFICER | $268,645 | $0 | $7,500 | $0 | $0 | $0 | $11,316 | $0 | $15,991 | $0 | $303,452 | $0 | $0 | $0 |
| BRION BEAUCHENE | ||||||||||||||
| CHIEF INFORMATION OFFICER | $190,270 | $0 | $25,000 | $0 | $0 | $0 | $7,801 | $0 | $9,575 | $0 | $232,646 | $0 | $0 | $0 |
| BRIAN HENRIKSEN | ||||||||||||||
| DIRECTOR ACCOUNTING/FINANCE | $126,429 | $0 | $18,000 | $0 | $0 | $0 | $6,056 | $0 | $15,991 | $0 | $166,476 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | AS INDICATED IN SCHEDULE J, PART II, SEVERAL OFFICERS OF THE ORGANIZATION RECEIVED A BONUS BASED ON PERFORMANCE AND OVERALL FINANCIAL RESULTS OF THE ORGANIZATION. THESE BONUSES WERE APPROVED BY THE FINANCE COMMITTEE OF THE BOARD. | ExplanationTxt |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail (2 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| MY CHOICE FOUNDATION HOLDINGS INC | |||||||||
| CASH AND INVESTMENT SECURITIES | 2023-09-01 | $60,250,943 | INVEST FMV ON DATE OF TRANSFER | 871303591 | PO BOX 131 | GREENDALE | WI | 53129 | 501(C)(3) |
| MOLINA HEALTHCARE INC | |||||||||
| OPERATING ASSETS AND LIABILITIES | 2023-09-01 | $146,678,030 | NET GAIN ON SALE | 134204626 | 200 OCEANGATE STE 100 | LONG BEACH | CA | 90802 | CORPORATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (1) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | Yes (1) | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 2E: | FormAndLineReferenceDesc |
| Explanation | EXPLANATION OF INVOLVEMENT: CERTAIN DIRECTORS OF MY CHOICE WISCONSIN, INC. WERE ALSO DIRECTORS OF MY CHOICE FOUNDATION HOLDINGS BEFORE AND AFTER THE TRANSFER OF ASSETS TO MY CHOICE FOUNDATION. CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF OPERATING OFFICER OF MY CHOICE WISCONSIN INC BECAME OFFICERS OF MOLINA HEALTHCARE WISCONSIN INC. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | EFFECTIVE AUGUST 31, 2023, THE ORGANIZATION COMPLETED THE SALE OF SUBSTANTIALLY ALL OF ITS OPERATING ASSETS AND LIABILITIES TO MOLINA HEALTHCARE, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CHIEF FINANCIAL OFFICER PERFORMS A REVIEW PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. THE FORM IS MADE AVAILABLE TO THE MEMBERS OF THE BOARD AFTER FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY FOR INTERESTED PERSONS THAT ADDRESSES TRANSACTIONS BETWEEN THE ORGANIZATION AND ANY CURRENT OR FORMER OFFICERS, DIRECTORS, COMMITTEE MEMBERS, KEY EMPLOYEE, STAFF MEMBERS, ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION, FAMILY MEMBERS, AND OTHER RELATED ENTITIES. CONFLICTS DISCLOSED ARE ADDRESSED IN ACCORDANCE WITH POLICY SUMMARIZED BELOW. IF AN INTERESTED PERSON HAS ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, THAT INTERESTED PERSON SHALL NOTIFY THE BOARD CHAIR OF SUCH CONFLICT IN WRITING, OR IN THE CASE OF A COMMITTEE MEMBER, THE COMMITTEE CHAIR. THE INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS OR MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS, WHO ARE CONSIDERING THE PROPOSED MATTER THAT PRESENTS THE POTENTIAL CONFLICT. IF ANY STAFF MEMBER HAS ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, HE/SHE SHALL NOTIFY THE CHIEF EXECUTIVE OFFICER OF SUCH CONFLICT IN THE CONTEXT OF HER/HIS SUPERVISORY ROLE OR SHALL HAVE THE DISCRETION TO REFER THE MATTER TO THE BOARD. IF THE BOARD OR COMMITTEE DECIDES A CONFLICT OF INTEREST EXISTS, THE FOLLOWING PROCEDURES SHALL APPLY: 1. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. 2. IF THE CONFLICT IS NOT RESOLVED BY RECUSAL OF THE INTERESTED PERSON, THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, IF APPLICABLE. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 3. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OF COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. ALL CONFLICT OF INTEREST DETERMINATIONS WILL BE REFLECTED IN THE MINUTES OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FINANCE COMMITTEE (THE COMMITTEE) OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE ANNUAL REVIEW OF THE COMPENSATION OF THE PRESIDENT/CEO OF THE ORGANIZATION. ALL MEMBERS OF THE COMMITTEE ARE INDEPENDENT IN DETERMINING THE COMPENSATION OF THE PRESIDENT/CEO. THE COMMITTEE EVALUATES THE CEO'S PERFORMANCE AGAINST PREVIOUSLY AGREED UPON CRITERIA, CONSIDERS COMPARABLE MARKET DATA, THEN DEBATES AND DOCUMENTS ITS RECOMMENDATION OF REASONABLE COMPENSATION. THE PROCESS FOR DETERMINING COMPENSATION OF OFFICERS INCLUDES A MARKET ANALYSIS OF COMPARABLE POSITIONS FROM SIMILAR ORGANIZATIONS FOR BENCHMARKING PURPOSES. THIS INFORMATION IS REVIEWED BY INTERNAL HUMAN RESOURCES PROFESSIONALS AND THE CEO. THE CEO EVALUATES THE OFFICERS PERFORMANCE AGAINST PREVIOUSLY AGREED UPON CRITERIA AND A DECISION IS MADE ON THE OFFICERS' SALARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. SUMMARY FINANCIAL INFORMATION IS AVAILABLE ON THE STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES WEBSITE. |
| FORM 990, PART XI, LINE 9: | TRANSFERS OF CASH AND INVESTMENTS TO MY CHOICE FOUNDATION HOLDINGS INC -60,250,943. |
| FORM 990, PART XII, LINE 2: | THE FILING ORGANIZATION WAS INCLUDED IN CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR THE PERIOD 1/1/2023 TO 9/1/2023. ACTIVITY THAT OCCURRED AFTER 9/1/2023 WAS NOT INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS HOWEVER THIS FORM 990 INCLUDES ACTIVITY FOR A FULL CALENDAR YEAR 2023. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MY CHOICE WISCONSIN HEALTH PLAN INC | ||||||||||
| PO BOX 131 | GREENDALE | WI | 53129 | 270093404 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | MY CHOICE WISCONSIN INC | Yes (1) |
| MY CHOICE FOUNDATION HOLDINGS INC | ||||||||||
| PO BOX 131 | GREENDALE | WI | 53129 | 871303591 | SUPPORTING ORGANIZATION | WI | 501(C)(3) | LINE 12A, I | MY CHOICE WISCONSIN INC | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MY CHOICE WISCONSIN HEALTH PLAN INC | ||
| Q | $13,669,107 | COST |
| MY CHOICE FOUNDATION HOLDINGS INC | ||
| R | $60,250,943 | COST |
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