2021-02-16T13:09:58-06:00 2020-03-31 390859910 BAKER TILLY US LLP 777 E WISCONSIN AVENUE 32ND FLOOR MILWAUKEE WI 53202 990 2019-04-01 391407034 WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC WISC 6082777477 5202 EASTPARK BLVD NO 109 MADISON WI 53718 STEPHANIE HARRISON CHIEF EXECUTIVE OFFICER 6082777477 2021-01-20 1 TROY MARINE CPA P00187863 4147775500 2021-01-20 2019 2022-09-23 18:48:47Z STEPHANIE HARRISON 5202 EASTPARK BLVD NO 109 MADISON WI 53718 2753284 0 X WWW.WPHCA.ORG X 1982 WI TO ADVANCE GEOGRAPHIC, FINANCIAL & CULTURAL ACCESS TO COMPREHENSIVE COMMUNITY-ORIENTED PRIMARY HEALTH CARE SERVICES FOR ALL PEOPLE IN WISCONSIN. 23 23 54 70 0 0 2124946 2062662 617616 679779 4499 10843 0 0 2747061 2753284 199134 5600 0 0 1724087 1747662 0 0 14752 849194 927268 2772415 2680530 -25354 72754 1430768 1427793 566409 490680 864359 937113 X THE MISSION OF THE WISCONSIN PRIMARY HEALTH CARE ASSOCIATION, INC. IS TO IMPROVE HEALTH THROUGH THE WORK OF COMMUNITY HEALTH CENTERS AND THEIR PARTNERS. 0 1 750868 NONFINANCIAL TECHNICAL ASSISTANCE (NFTA):UNDER THE NFTA (BASE) GRANT, WISCONSIN PRIMARY HEALTH CARE ASSOCIATION, INC. PROVIDES TRAINING AND TECHNICAL ASSISTANCE TO HEALTH CENTERS AND ENTITIES SEEKING HEALTH CARE ACCESS OPTIONS ON GOVERNANCE AND COMPLIANCE REQUIREMENTS, QUALITY IMPROVEMENT, AND PROGRAM ANALYSIS. 536056 HEALTH CENTER CONTROLLED NETWORK:UNDER THE HEALTH INFORMATION QUALITY GRANT, WISCONSIN PRIMARY HEALTH CARE ASSOCIATION, INC. PROVIDES TRAINING AND TECHNICAL ASSISTANCE TO PARTICIPATING HEALTH CENTERS FOR ACHIEVING MEANINGFUL USE, PATIENT CENTERED MEDICAL HOME RECOGNITION, AND HEALTHY PEOPLE 2020 GOALS PRIORITIZED FOR THE UNIFORM DATA SYSTEM. 415042 AMERICORPS:THE AMERICORPS PROGRAM RECRUITS, PLACES, AND SUPERVISES AMERICORPS MEMBERS IN HEALTH CENTERS AND OTHER PUBLIC HEALTH SITES IN WISCONSIN WHERE MEMBERS ARE CONDUCTING HEALTH OUTREACH AND EDUCATION IN COMMUNITIES WHERE THERE ARE HIGH NEEDS. 458031 5600 679779 ADVOCACY & OTHER PROGRAMS:ADVOCACY, HPSA DESIGNATIONS, DIABETES PROGRAM, BIOTERRORISM HOSPITAL PREPAREDNESS, MEMBERSHIP, FEE FOR SERVICE, CONFERENCES AND WCHCN. 458031 5600 679779 2159997 1 1 0 1 0 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 31 0 54 1 0 0 0 0 0 0 0 0 0 0 0 0 X 23 23 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X STEPHANIE HARRISON 6082777477 5202 EASTPARK BLVD SUITE 109 MADISON WI 53718 STEPHANIE HARRISON CHIEF EXECUTIVE OFFICER 45.00 X 148828 0 17419 LYNSEY RAY CHIEF OPERATING OFFICER 45.00 X 113143 0 24448 TODD SCHROEDER FINANCE DIRECTOR 45.00 X 92731 0 37244 LAURA WALDVOGEL VICE CHAIRPERSON 1.00 X X 0 0 0 MICHAEL MASCHEK SECRETARY/TREASURER 1.00 X X 0 0 0 KRISTIN STEARNS CHAIRPERSON 1.00 X X 0 0 0 BRIAN AHLGREN DIRECTOR 1.00 X 0 0 0 LYLE IGNACE MD MPH DIRECTOR 1.00 X 0 0 0 TITO IZARD MD DIRECTOR 1.00 X 0 0 0 ALLISON KOS MD DIRECTOR 1.00 X 0 0 0 BONNIE KUHR DIRECTOR 1.00 X 0 0 0 KEN LOVING DIRECTOR 1.00 X 0 0 0 GREG NYCZ DIRECTOR 1.00 X 0 0 0 CONNIE PALMER DIRECTOR 1.00 X 0 0 0 DAYLE PATTERSON DIRECTOR 1.00 X 0 0 0 JULIE SCHULLER MD MPH FACP DIRECTOR 1.00 X 0 0 0 JENNI SEVENICH DIRECTOR 1.00 X 0 0 0 TIM SIZE DIRECTOR 1.00 X 0 0 0 JEN SMITH DIRECTOR 1.00 X 0 0 0 PHILIP ROBINSON DIRECTOR 1.00 X 0 0 0 MARY OIUMET DIRECTOR 1.00 X 0 0 0 MARY BETH JOHNSON DIRECTOR 1.00 X 0 0 0 JOY R TAPPER DIRECTOR 1.00 X 0 0 0 KRISTENE STACKER DIRECTOR 1.00 X 0 0 0 MARI FREIBERG DIRECTOR 1.00 X 0 0 0 REBA RICE PAST CHAIRPERSON 1.00 X 0 0 0 354702 0 79111 3 0 1 0 ST JOHNS PROPERTIES INC 1020 JAMES DR SUITE G HARTLAND WI 53029 OFFICE LEASE 117049 1 2062662 2062662 MEMBERSHIP DUES 900099 551996 551996 FEE FOR SERVICE INCOME 561499 122562 122562 5221 5221 679779 10843 10843 2753284 679779 0 10843 X 5600 5600 492836 393336 99500 576660 530141 35016 11503 39834 30186 9416 232 533309 470126 60936 2247 105023 84978 19275 770 1484 1484 23817 23817 415769 383370 32399 49179 25628 23551 61373 18849 42524 134643 24971 109672 102154 101109 1045 71354 69953 1401 13445 13445 32218 3971 28247 DUES AND SUBSCRIPTIONS 14072 13290 782 MISCELLANEOUS 5878 1123 4755 RECRUITMENT 1882 1882 2680530 2159997 505781 14752 99953 238675 983569 894389 202288 214978 85182 25740 26110 33790 124023 103802 33666 20221 1430768 1427793 193534 234196 147134 192229 225741 64255 566409 490680 X 864359 937113 864359 937113 1430768 1427793 72754 0 X 0 1 X 1 1 1 X 1878965 1945804 1840249 2124946 2062662 9852626 1878965 1945804 1840249 2124946 2062662 9852626 13269 9839357 3938 2224 2095 4499 10843 23599 9876225 2996928 0.99630 0.97620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 153187 153187 2006810 2159997 258000 64500 0 0 254501 247560 265445 258000 1025506 1538259 183432 160406 121381 153187 618406 63625 61890 66361 64500 256376 384564 937 937 0 1 X 21310 19433 1877 102713 84369 18344 20221 X 2753284 0 2753284 0 2753284 2680530 0 2680530 0 2680530 PART IV, LINE 2B: FUNDS HELD FOR OTHERS REPRESENTS AMOUNTS RECEIVED FROM MEMBER COMMUNITY HEALTH CENTERS FOR FUTURE PHASES OF THE DATA REPORTING AND VISUALIZATION SYSTEM (DRVS) PROJECT IMPLEMENTATION. IT ALSO INCLUDES AMOUNTS RECEIVED FROM MILWAUKEE HEALTH CARE PARTNERSHIP FOR CAPACITY BUILDING PLANNING. WISCONSIN PRIMARY HEALTH CARE ASSOCIATION, INC. PROCESSES PROJECT INVOICES USING THE FUNDS HELD, NEITHER THE RECEIPT NOR THE DISBURSEMENT OF THE FUNDS IS RECOGNIZED AS AN OPERATING ACTIVITY IN THE FINANCIAL STATEMENTS. PART X, LINE 2: AS A NONPROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, WPHCA IS EXEMPT FROM FEDERAL AND WISCONSIN INCOME TAXES. WCHCN IS SOLELY OWNED BY WPHCA AND THEREFORE IS TREATED AS A DISREGARDED ENTITY FOR TAX PURPOSES. THE ORGANIZATION IS REQUIRED TO ASSESS 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 CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. 0 ACCESS COMMUNITY HEALTH CENTERS 3434 E WASHINGTON AVE MADISON WI 53704 391391134 501C3 50 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM BRIDGE COMMUNITY HEALTH CLINIC 1810 NORTH 2ND STREET WAUSAU WI 54403 391759404 501C3 500 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM COMMUNITY HEALTH SYSTEMS 690 3RD ST BELOIT WI 53511 391918906 501C3 500 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM FAMILY HEALTH CENTER OF MARSHFIELD 1000 NORTH OAK AVENUE MARSHFIELD WI 54449 391681547 501C3 50 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM GERALD L IGNACE INDIAN HEALTH CENTER 1711 S 11TH STREET MILWAUKEE WI 53204 391958089 501C3 500 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM KENOSHA COMMUNITY HEALTH CENTER 4536 22ND AVENUE KENOSHA WI 53140 391789874 501C3 500 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM LAKE SUPERIOR COMMUNITY HEALTH CENTER 4325 GRAND AVENUE DELUTH MN 55807 237167576 501C3 400 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM LAKESHORE COMMUNITY HEALTH CLINICS 1931 N 8TH ST SHEBOYGAN WI 53081 264321839 501C3 400 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM MILWAUKEE HEALTH SERVICES 2320 N LAKE DR MILWAUKEE WI 53211 391664109 501C3 50 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM NEW COMMUNITY CLINIC 622 BODART ST GREN BAY WI 54301 391200636 501C3 50 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM NORTHLAKES COMMUNITY CLINIC 11128N STATE HIGHWAY 77 HAYWARD WI 54843 352297925 501C3 400 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM OUTREACH COMMUNITY HEALTH CENTERS 711 WEST CAPITAL FRIVE MILWAUKEE WI 53206 391353282 501C3 500 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM PARTNERSHIP COMMUNITY HEALTH CENTER 5471 WATERFORD LANE APPLETON WI 54913 202090446 501C3 500 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM PROGRESSIVE COMMUNITY HEALTH CENTERS 3522 WEST LISBON AVE MILWAUKEE WI 53208 391958810 501C3 400 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM SCENIC BLUFFS COMMUNITY HEALTH CENTER 238 FRONT STREET CASHTON WI 54619 391760445 501C3 400 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM SIXTEENTH STREET COMMUNITY HEALTH CENTER 1337 S CESAR E CHAVEZ DR MILWAUKEE WI 53204 391180475 501C3 400 STIPEND 2019-2020 CHRONIC DISEASE PROGRAM 16 0 X X X 0 0 0 0 0 0 0 0 0 STEPHANIE HARRISON CHIEF EXECUTIVE OFFICER 148828 0 0 0 0 0 6072 0 11347 0 166247 0 0 0 FORM 990, PART III, LINE 3 THE DENTAQUEST PROGRAM ENDED 3/31/2019. FORM 990, PART VI, SECTION A, LINE 6 THERE ARE THREE CATEGORIES OF MEMBERSHIP IN WISCONSIN PRIMARY HEALTH CARE ASSOCIATION, INC. (WPHCA): HEALTH CARE MEMBERSHIP HEALTH CENTER MEMBERSHIP IN WPHCA IS AVAILABLE TO ANY INVITED ORGANIZATION WHICH SUPPORTS THE PURPOSE AND GOALS OF THE CORPORATION AND ACTIVELY ENGAGES IN THE OPERATION OF COMMUNITY-BASED PRIMARY HEALTH CARE SERVICE DELIVERY PURSUANT TO SECTION 330 OF THE PUBLIC HEALTH SERVICE ACT (42 U.S.C. 254B) AS AMENDED, AND UNDER A GRANT FROM THE FEDERAL RESOURCES AND SERVICES ADMINISTRATION. HEALTH CENTER MEMBERS, THROUGH THEIR REPRESENTATIVE DIRECTOR, HAVE ONE VOTE PER HEALTH CENTER FOR ELECTIONS AND OTHER CORPORATION BUSINESS CONDUCTED AT ANNUAL MEETINGS. STAFF EMPLOYEES OF HEALTH CENTER MEMBERS ARE ELIGIBLE TO PARTICIPATE IN CORPORATE COMMITTEES, AND ARE ELIGIBLE TO SERVE IN ONE OF THE ELECTED POSITIONS ON THE CORPORATION'S BOARD OF DIRECTORS. AFFILIATE MEMBERSHIP INDIAN TRIBAL CLINICS (OPERATED UNDER PUBLIC LAW 93-638 OF THE INDIAN SELF-DETERMINATION ACT), FEDERAL QUALIFIED HEALTH CENTER LOOK-ALIKES (OPERATED UNDER SECTION 1905 OF THE SOCIAL SECURITY ACT) OR ANY ENTITY WHICH SUPPORTS THE PURPOSE AND GOALS OF THE CORPORATION AND DOES NOT MEET THE REQUIREMENTS FOR HEALTH CENTER MEMBERSHIP, ARE ELIGIBLE TO BECOME AFFILIATE MEMBERS. AFFILIATE MEMBERS SHALL APPOINT A REPRESENTATIVE TO THE CORPORATION. AFFILIATE MEMBERS OR THEIR REPRESENTATIVES ARE NON-VOTING MEMBERS IN THE ANNUAL MEETING. INDIVIDUAL MEMBERSHIP INDIVIDUAL MEMBERSHIP IN THE ORGANIZATION IS OPEN TO ANY PERSON WHO SUPPORTS THE PURPOSE AND GOALS OF THE CORPORATION. INDIVIDUAL MEMBERS ARE NON-VOTING MEMBERS IN THE ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS MEMBERS WHO MAY ELECT THE GOVERNING BODY. HEALTH CENTER MEMBERS, THROUGH THEIR REPRESENTATIVE DIRECTOR, HAVE ONE VOTE PER HEALTH CENTER FOR GOVERNING BODY ELECTIONS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED IN A SIMILAR MANNER AS THE ANNUAL AUDIT. A DRAFT COPY IS PROVIDED BY THE AUDIT FIRM. THE CHIEF EXECUTIVE OFFICER REVIEWS A COPY OF THE FORM 990 AND MAKES ANY NECESSARY CORRECTIONS. THE FINAL COPY IS PROVIDED TO THE WPHCA BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C WPHCA BOARD MEMBERS AND STAFF SIGN A CONFLICT OF INTEREST DISCLOSURE FORM ON AN ANNUAL BASIS. ANY CONFLICT OF INTEREST IS BROUGHT TO THE BOARD FOR EVALUATION AND DECISION-MAKING. 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 VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 ON AN ANNUAL BASIS, THE PERSONNEL COMMITTEE EVALUATES THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE BASED ON THE MARKET AND THE CHIEF EXECUTIVE OFFICER PERFORMANCE. RECOMMENDATIONS ARE BROUGHT TO THE BOARD FOR EVALUATION AND APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 383,370. MANAGEMENT AND GENERAL EXPENSES 32,399. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 415,769. WISCONSIN COMMUNITY HEALTH CENTER NETWORK LLC 5202 EASTPARK BLVD SUITE 109 MADISON WI 53718 821531486 CLINICALLY INTEGRATED NETWORK WI 94500 104876 WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC