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WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK INC (EIN 27-4344294)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-09-25
IRS object ID
202302689349300115
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-09-25T09:34:05-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8700AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537088700ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN274344294EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN STATEWIDE HEALTH INFORMATIONBusinessNameLine1Txt
Business Name Line2NETWORK INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlWISCBusinessNameControlTxt
Phone6082741820PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 259038AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53725ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOE KACHELSKIPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone6082741820PhoneNum
Signature2023-08-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOEPersonFirstNm
Person LastKACHELSKIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN HEMMING CPAPreparerPersonNm
PTINP00856805PTIN
Phone6082741980PhoneNum
Preparation2023-08-25PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOE KACHELSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 259038AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53725ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,339,670GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WISHIN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO BUILD SUBSTANTIAL HEALTH INFORMATION EXCHANGE CAPACITY STATEWIDE TO SUPPORT HEALTH CARE PROVIDERS' MEANINGFUL USE OF ELECTRONIC HEALTH RECORDS, POPULATION HEALTH IMPROVEMENT & REPORTING OF HEALTH CARE PERFORMANCE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers18TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,140,164PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$3,664,497PYProgramServiceRevenueAmt
CY Program Service Revenue$4,043,012CYProgramServiceRevenueAmt
PY Investment Income$2,130PYInvestmentIncomeAmt
CY Investment Income$20,966CYInvestmentIncomeAmt
PY Other Revenue$259,135PYOtherRevenueAmt
CY Other Revenue$275,692CYOtherRevenueAmt
PY Total Revenue$5,065,926PYTotalRevenueAmt
CY Total Revenue$4,339,670CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,023,709PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,017,815CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,996,632PYOtherExpensesAmt
CY Other Expenses$2,960,010CYOtherExpensesAmt
PY Total Expenses$4,020,341PYTotalExpensesAmt
CY Total Expenses$3,977,825CYTotalExpensesAmt
PY Revenues Less Expenses$1,045,585PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$361,845CYRevenuesLessExpensesAmt
Total Assets BOY$3,172,138TotalAssetsBOYAmt
Total Assets EOY$3,643,860TotalAssetsEOYAmt
Total Liabilities BOY$1,057,295TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,197,837TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,114,843NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,446,023NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK, INC. IS TO DEVELOP AND SUSTAIN A TRUSTED, SECURE STATEWIDE HEALTH INFORMATION NETWORK AND INFORMATION-SHARING SERVICES THAT PROVIDE VALUE TO PARTICIPANTS AND PATIENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,101,932ExpenseAmt
Grant$0GrantAmt
Revenue$4,043,012RevenueAmt
DescHEALTH INFORMATION EXCHANGE (HIE) -HEALTH INFORMATION EXCHANGE (HIE) IS TECHNOLOGY THAT SUPPORTS THE FLOW OF HEALTH INFORMATION AMONG PHYSICIAN PRACTICES, HOSPITALS, LABS, AND OTHERS, REGARDLESS OF THE TYPE OF ELECTRONIC MEDICAL RECORD (EMR) SYSTEMS THEY MAY USE. HIE ALLOWS DELIVERY OF THE RIGHT HEALTH INFORMATION TO THE RIGHT PLACE, AT THE RIGHT TIME - PROVIDING SAFER, MORE TIMELY, AND EFFICIENT PATIENT-CENTERED CARE.WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK, INC. (WISHIN), WISCONSIN'S STATE-DESIGNATED ENTITY FOR HIE, IS RESPONSIBLE FOR DEVELOPING HIE CAPABILITY THROUGHOUT THE STATE. WISHIN'S PRODUCTS AND SERVICES ALLOW HEALTH CARE PROVIDERS TO SECURELY SHARE A PATIENT'S MEDICAL INFORMATION WITH OTHER HEALTH CARE PROVIDERS WHO HAVE SEEN THE PATIENT - EVEN IF THOSE PROVIDERS ARE NOT PART OF THE SAME PRACTICE OR HEALTH SYSTEM.OVER TIME, AS WISCONSIN'S HEALTH CARE PROVIDERS JOIN WISHIN TO SHARE DATA, THE BENEFITS TO PATIENTS AND PROVIDERS WILL BE SUBSTANTIAL. COMBINED WITH THE WIDESPREAD ADOPTION OF EMRS BY HOSPITALS AND PHYSICIANS, HIE IS A CRITICAL COMPONENT OF A TRULY CONNECTED HEALTH CARE DELIVERY SYSTEM.Desc
Total Program Service Expenses$3,101,932TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee7EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOE KACHELSKIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6082741820PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15510 RESEARCH PARK DRIVEAddressLine1Txt
CityFITCHBURGCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JOE KACHELSKI
CHIEF EXECUTIVE OFFICER40.00Yes (X)$236,902$0$39,054
STEVEN ROTTMANN
CHIEF OPERATING OFFICER40.00Yes (X)$153,380$0$33,673
LAURA WIDDER
PROJECT DIRECTOR40.00$147,915$0$21,518Yes (X)
KEITH HOGAN
IMPLEMENTATION SPECIALIST40.00$111,888$0$10,130Yes (X)
TIM BARTHOLOW
CHAIR1.00Yes (X)$0$0$0Yes (X)
CHRIS ELFNER
VICE-CHAIR1.00Yes (X)$0$0$0Yes (X)
MATT GIGOT
SECRETARY1.00Yes (X)$0$0$0Yes (X)
JENNIFER MUELLER
TREASURER1.00Yes (X)$0$0$0Yes (X)
TOMMY FARRELL
DIRECTOR1.00$0$0$0Yes (X)
MELISSA HENDERSON
DIRECTOR1.00$0$0$0Yes (X)
LEON LIPP
DIRECTOR1.00$0$0$0Yes (X)
MARK LODES
DIRECTOR1.00$0$0$0Yes (X)
JIM LORENCE
DIRECTOR1.00$0$0$0Yes (X)
HUONG NGUYEN-HILFIGER
DIRECTOR1.00$0$0$0Yes (X)
TED OSTHELDER
DIRECTOR1.00$0$0$0Yes (X)
DANA RICHARDSON
DIRECTOR1.00$0$0$0Yes (X)
DOUG SHEW
DIRECTOR1.00$0$0$0Yes (X)
KRISTA WILLING
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$650,085TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$104,375TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTH CATALYST
3165 MILLROCK DRIVESALT LAKE CITYUT84121DATA OPERATING PLATFORM AND ANALYTIC SER$1,323,078
J2 INTERACTIVE LLC
2 THIRTEENTH STREETCHARLESTOWNMA02129TECHNICAL STAFF AUGMENTATION$327,941
VENTURA SERVICES LLC
120 W SAGINAW STEAST LANSINGMI48823HEALTH INFORMATION EXCHANGE SOLUTIONS$300,567
KPI NINJA
SUITE 260 2900 SOUTH 70TH STREETLINCOLNNE68506ANALYTIC DATA SUPPORTER$175,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
WISHIN PULSE541900$3,368,322$3,368,322
PAR-P REPORT REVENUE541900$643,282$643,282
PRESCRIPTION DRUG MONITORING PROG541900$25,167$25,167
SECURE NETWORK REVENUE541900$6,241$6,241
FieldValueIRS element (for citing)
Total Program Service Revenue$4,043,012TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,966TotalRevenueColumnAmt
Exclusion$20,966ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$275,692TotalRevenueColumnAmt
Exclusion$275,692ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,339,670TotalRevenueColumnAmt
Related Or Exempt Func Income$4,043,012RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$296,658ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$463,009TotalAmt
Program Services$463,009ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$451,045TotalAmt
Program Services$451,045ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$31,557TotalAmt
Program Services$31,557ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,450TotalAmt
Program Services$14,450ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$57,754TotalAmt
Program Services$57,754ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$36,855TotalAmt
Management And General$36,855ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Management And General$10,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,208TotalAmt
Management And General$6,208ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,199,552TotalAmt
Program Services$1,652,086ProgramServicesAmt
Management And General$547,466ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$83,469TotalAmt
Program Services$83,469ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$52,282TotalAmt
Program Services$2,904ProgramServicesAmt
Management And General$49,378ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$34,557TotalAmt
Management And General$34,557ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,099TotalAmt
Program Services$12,099ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,037TotalAmt
Management And General$1,037ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$297,557TotalAmt
Program Services$297,557ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$190,110TotalAmt
Management And General$190,110ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROFESSIONAL DUES/LICEN$28,588$28,588
MISCELLANEOUS$7,696$7,414$282

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,977,825TotalAmt
Program Services$3,101,932ProgramServicesAmt
Management And General$875,893ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$366,753BOYAmt
EOY$289,636EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,421,980BOYAmt
EOY$968,787EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$325,799BOYAmt
EOY$230,649EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$152,890BOYAmt
EOY$109,812EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,276,815LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,619,124LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$904,716BOYAmt
EOY$657,691EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$1,387,285EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,172,138BOYAmt
EOY$3,643,860EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$275,676BOYAmt
EOY$125,418EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$781,619BOYAmt
EOY$1,072,419EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,057,295BOYAmt
EOY$1,197,837EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,114,843BOYAmt
EOY$2,446,023EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,114,843BOYAmt
EOY$2,446,023EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,172,138BOYAmt
EOY$3,643,860EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$361,845ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$30,665NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,250CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,252CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,932CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,140,164CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$1,217,598TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,250CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,252CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,932CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,140,164CurrentTaxYearMinus1YearAmt
Total$1,217,598TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,217,598PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,183CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$105,435CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$238,949CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$261,265CurrentTaxYearMinus1YearAmt
Current Tax Year$296,658CurrentTaxYearAmt
Total$904,490TotalAmt
FieldValueIRS element (for citing)
Total Support$2,122,088TotalSupportAmt
Gross Receipts Rltd Activities$16,369,269GrossReceiptsRltdActivitiesAmt
Public Support CY1700.57380PublicSupportCY170Pct
Public Support PY1700.68090PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,276,815OtherCostOrOtherBasisAmt
Depreciation$2,619,124DepreciationAmt
Book Value$657,691BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$657,691TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,302,797TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$30,665NetUnrealizedGainsInvstAmt
Revenue Not Reported-$30,665RevenueNotReportedAmt
Revenue Subtotal$4,333,462RevenueSubtotalAmt
Investment Expenses Not Incld$6,208InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$6,208RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,339,670TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,971,617TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,971,617ExpensesSubtotalAmt
Investment Expenses Not Incld2$6,208InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$6,208ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,977,825TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationWISCONSIN STATEWIDE HEALTH INFORMATION NETWORK, INC. (WISHIN) ASSESSES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. WISHIN HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOE KACHELSKI
CHIEF EXECUTIVE OFFICER$212,993$0$19,272$0$4,637$0$17,708$0$21,346$0$275,956$0$0$0
STEVEN ROTTMANN
CHIEF OPERATING OFFICER$151,654$0$1,500$0$226$0$12,712$0$20,961$0$187,053$0$0$0
LAURA WIDDER
PROJECT DIRECTOR$143,290$0$1,500$0$3,125$0$11,772$0$9,746$0$169,433$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK, INC. HAS ONE CLASS OF MEMBERS, THE FOUNDING MEMBERS OF THE CORPORATION. FOUNDING MEMBERS OF THE CORPORATION INCLUDE WISCONSIN MEDICAL SOCIETY, INC., WISCONSIN HOSPITAL ASSOCIATION, INC., WISCONSIN HEALTH INFORMATION ORGANIZATION, INC., AND WISCONSIN COLLABORATIVE FOR HEALTHCARE QUALITY, INC.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS SHALL EXERCISE THEIR RIGHT TO VOTE THROUGH A DESIGNATED REPRESENTATIVE. EACH MEMBER SHALL DESIGNATE ITS REPRESENTATIVE IN WRITING EXECUTED BY THE MEMBER'S CHIEF EXECUTIVE OFFICER AND DELIVER TO THE CHIEF EXECUTIVE OFFICER OR SECRETARY OF WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK, INC. (WISHIN), WHICH SHALL BE RETAINED BY WISHIN. A MEMBER MAY CHANGE ITS DESIGNATED REPRESENTATIVE AT ANY TIME AND FROM TIME TO TIME IN THE SAME MANNER.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL BEFORE FILING OF THE RETURN WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CWHENEVER ANY MATTER COMES BEFORE THE CORPORATION, THE BOARD OF DIRECTORS OR COMMITTEE FOR APPROVAL OR ADMINISTRATION WHICH PRESENTS OR MAY PRESENT A CONFLICT OF INTEREST, THE INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST OR OTHER PERSONAL BUSINESS INTEREST TO THE WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK CHIEF EXECUTIVE OFFICER (IN THE CASE OF AN AGENT OR EMPLOYEE, OTHER THAN THE CHIEF EXECUTIVE OFFICER), TO THE CHAIRPERSON OF THE BOARD (IN THE CASE OF THE CHIEF EXECUTIVE OFFICER OR OTHER OFFICER), TO THE DIRECTORS (IN THE CASE OF BOARD MEMBERS) OR TO THE OTHER COMMITTEE MEMBERS (IN THE CASE OF COMMITTEE MEMBER). NO INTERESTED PERSON IS ALLOWED TO PARTICIPATE IN THE AWARD OR ADMINISTRATION OF ANY CONTRACT OR ARRANGEMENT FOR WHICH THE INTERESTED PERSON HAS A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS BASED ON MARKET STUDIES. ANNUALLY, THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND APPROVES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GTECHNICAL SERVICES: PROGRAM SERVICE EXPENSES 1,652,086. MANAGEMENT AND GENERAL EXPENSES 547,466. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,199,552.

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