2019-11-14T06:57:48-06:00 2018-12-31 Grant Thornton LLP 100 E Wisconsin Ave Milwaukee WI 53202 990 2018-01-01 270093404 Care Wisconsin Health Plan Inc % KEVIN PARK CARE 6082400020 1617 Sherman Avenue Madison WI 53704 AMY ACKERMANN VP-Employee Experien 2019-11-13 true Michelle L Weber P00556798 4142898200 2019-11-11 65.229.9.138 39529020193185000000 2019-11-14 P 6098D55FF0E7CCF9C3E403A7CE8C578524A243B8 31F2CC775A50E5BBFB63142B31C55EB72CDC3053 2018 2020-01-14 16:20:31Z Amy Ackermann 1617 Sherman Avenue Madison WI 53704 169847178 false X www.carewisconsinhealthplan.org X 2004 WI Our mission is to Promote the qualitiy of life of our communities by empowering others long term care needs. 8 7 0 7 0 63225 0 0 132638298 154735248 1314909 1245619 0 4073130 133953207 160053997 0 0 0 110845059 0 0 0 0 0 126651421 45734432 126651421 156579491 7301786 3474506 52677425 59849900 16877449 24948409 35799976 34901491 X Care Wisconsin Health Plan, Inc. is a nonprofit managed care organization that matches frail seniors and people with physical and intellectual disabilities to the health care and long-term supports and services they need. We offer government-funded (Medicare and Medicaid) programs and partner with providers to create strong, local provider networks. We are dedicated to our missions and values to promote the quality of life of our communities by empowering others and working together to creatively solve unique health and long-term care needs. false false 121507493 129144105 Care Wisconsin Health Plan, Inc. (CWHP) offers the partnership program, which provides health and long-term management and care services to the elderly and adults with disabilities. CWHP's partnership program enrollment at the end of 2018 was 1,898 members. 17165330 18558209 Care Wisconsin Health Plan, Inc. (CWHP) offers the Medicaid SSI program, a health insurance program for individuals with a disability who qualify for Federal SSI. The SSI program had 2,827 members at the end of 2018. 7531934 7007017 Care Wisconsin Health Plan, Inc. (CWHP) began offering a Medicare Dual Advantage Program on January 1, 2017, for individuals who have both medicare and medicaid. The Medicare Dual Advantage Program had 469 members at the end of 2018. 18917 INSURANCE RECOVERIES 7000 OTHER PROGRAM SERVICE REVENUE 25917 146204757 true false false true false false false false false false false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 591 0 true 0 true true false false false false false false false false false false false X 8 7 false false false false true true true true true false false true true true true true true true true false X KEVIN PARK 6082453008 1617 SHERMAN AVENUE Madison WI 53704 Steve Cable Director 1.0 1.0 X 0 0 0 Robert Mucci Director 1.0 1.0 X 0 0 0 Rolf Hanson Director 1.0 1.0 X 0 0 0 Glenn Johnston Director 1.0 1.0 X 0 0 0 Greg Thomas Director 1.0 1.0 X 0 0 0 John Hintze Director (as of 01/2018) 1.0 1.0 X 0 0 0 Tom Bergerud Director (as of 01/2018) 1.0 1.0 X 0 0 0 Karen Musser President, CEO (until 02/2018) 12.0 28.0 X X 0 347292 7109 April Golenor President, CEO 12.0 28.0 X X 0 364373 28443 Melvin McCartney Director (until 01/2018) 1.0 1.0 X 0 0 0 Ken Eimers Chief Operating & Info Officer 12.0 28.0 X 0 326555 25521 Janette Townsend Chief Financial Officer 12.0 28.0 X 0 302999 41371 Kevin Park Chief medical Officer 12.0 28.0 X 0 379227 39183 Amy Ackerman VP of Employee Experience 12.0 28.0 X 0 187180 20911 Susan Crowley VP - Government Services 12.0 28.0 X 0 207500 27251 Lisa Morse-Heinz Senior Sales Account Executive 39.0 1.0 X 0 126369 19442 Marsha Cohen Nurse Pratitioner 39.0 1.0 X 0 114232 35605 Elizabeth King Nurse Practitioner 39.0 1.0 X 0 111677 14361 Lani Schea-Holmes Pharmacy Services Manager 39.0 1.0 X 0 126722 24572 Katherine Stodola Director of Clinical Services 39.0 1.0 X 0 111564 3200 0 2705690 286969 0 false true false University of Wisconsin Hospitals a 600 Highland Avenue MADISON WI 53792 Acute & Primary 12743540 SSM Health Care of Wisconsin Inc Box 681090 MILWAUKEE WI 53268 Acute & Primary 7315632 Meriter Hospital Inc 202 S Park Street MADISON WI 53715 Acute & Primary 6324855 Fiscal Assistant Employer Agent 124 W Holum Street DEFOREST WI 53532 Long Term Care 3519940 University of Wisconsin Medical Fou PO Box 44287 MADISON WI 53744 Acute & Primary 3373142 181 0 MEDICARE/MEDICAID REVENUE 624100 147185328 147185328 FAMILY CARE REVENUE 624100 7524003 7524003 INSURANCE RECOVERIES 624100 18917 18917 OTHER PROGRAM SERVICE REVENUE 624100 7000 7000 154735248 929297 929297 0 0 0 0 0 10109503 9793181 316322 316322 316322 0 0 0 0 0 0 0 0 0 CLOSE OUT PAYMENT FROM CLOSED PLAN 900099 4073130 4073130 4073130 160053997 154735248 5318749 0 0 0 110845059 110845059 0 0 0 0 0 0 321494 321494 0 0 84096 84096 0 57037 57037 1017817 1017817 0 0 0 0 0 0 0 0 0 0 0 525181 525181 MEDICAL EQUIP/SUPPLIES 22066129 22066129 ALLOCATED ADMINISTRATION 21279875 13293569 7986306 BAD DEBT EXPENSE 196772 196772 DEFERRED TAX EXPENSE 186031 186031 156579491 146204757 10374734 0 0 0 23940534 30699525 0 0 2325282 2593222 0 0 0 0 0 0 0 0 660138 845734 0 0 25701471 25586419 0 0 0 0 0 0 50000 125000 52677425 59849900 16307183 20906945 0 0 20246 26733 0 0 0 0 0 0 0 0 0 0 550020 4014731 16877449 24948409 X 35799976 34901491 0 0 0 0 35799976 34901491 52677425 59849900 X 3474506 -990851 -3382140 X false true X true false X 0 0 0 0 0 0 102772504 119137950 125440558 132638298 154735248 634724558 0 0 0 102772504 119137950 125440558 132638298 154735248 634724558 0 0 0 634724558 446732 481109 485740 688880 929297 3031758 0 446732 481109 485740 688880 929297 3031758 0 4073130 4073130 103219236 119619059 125926298 133327178 159737675 641829446 0.98893 0.99560 0.00472 0.00440 X false false false false false false false false true 84096 84096 false Lobbying Activities B (Schedule C, Part ii-B SNP Alliance ($32,376) represents SNP and the unique needs of SNP members and the Wisconsin Association of Health Plans ($51,720) represents Community Health Plans in Wisconsin; these amounts include the lobby portion of dues to SNP Alliance and the Wisconsin Association of Health Plans. 0 PREMIUM DEFICIENCY RESERVE 3928660 INCOME TAXES PAYABLE 86071 4014731 X 159006109 -990851 -990851 159996960 57037 57037 160053997 159904594 3382140 3382140 156522454 57037 57037 156579491 Part X, Line 2 The Company is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The Company is subject to the State of Wisconsin property, income, and franchise taxes, which are included in general and administrative expenses. On December 22, 2017, the United States enacted tax reform legislation commonly known as the Tax Cuts and Jobs Act (the Act), resulting in significant modifications to existing law. The Company completed the accounting for the effects of the Act during 2017 and there was no significant impact in 2018. Part XII, Line 2D Change in Premium Deficiency Reserve $3,382,140 true false false false false false false false false Karen Musser President, CEO (until 02/2018) 0 62328 0 8410 0 276554 0 3194 0 3915 0 354401 0 0 Kevin Park Chief medical Officer 0 363740 0 250 0 15237 0 11627 0 27556 0 418410 0 0 Ken Eimers Chief Operating & Info Officer 0 324192 0 250 0 2113 0 4393 0 21128 0 352076 0 0 Janette Townsend Chief Financial Officer 0 283975 0 250 0 18774 0 9250 0 32121 0 344370 0 0 April Golenor President, CEO 0 283548 0 79980 0 845 0 3635 0 24808 0 392816 0 0 Amy Ackerman VP of Employee Experience 0 186540 0 250 0 390 0 5738 0 15173 0 208091 0 0 Susan Crowley VP - Government Services 0 187506 0 250 0 19744 0 6339 0 20912 0 234751 0 0 Lani Schea-Holmes Pharmacy Services Manager 0 126488 0 0 0 234 0 3731 0 20841 0 151294 0 0 SCHEDULE J, PART I, LINE 3 THE CEO/EXECUTIVE DIRECTOR IS PAID BY A RELATED ORGANIZATION CARE WISCONSIN FIRST, INC. CARE WISCONSIN FIRST, INC. USE THE FOLLOWING TO DETERMINE COMPENSATION: 1. INDEPENDENT COMPENSATION CONSULTANT 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A LINE 6 Care Wisconsin First, Inc. a Wisconsin nonprofit 501(c)(3) corporation is the sole member of the organization. FORM 990, PART VI, SECTION A LINE 7A Each year at its annual meeting, Care Wisconsin First, Inc. as the sole member of the organization, shall elect the directors according to the organization's bylaws. FORM 990, PART VI, SECTION A LINE 7B The following actions require the prior authorization or approval of Care Wisconsin First, Inc. as its sole member: A. Merger, conversion into a stock or mutual corporation, or voluntary dissolution of the Corporation; B. Amendment or restatement of the Articles of Incorporation of the Corporation or of the Bylaws, except as provided in Article XIII; C. A transfer or other disposition of all, or substantially all, the property and assets of the Corporation; or, D. The establishment, formation, acquisition, merger, consolidation or dissolution of any subsidiary corporation of the Corporation. E. Any action that would affect the tax-exempt status of either the Corporation or the voting member. F. Action on any matter that is determined to be under the control of the voting member under the Articles of Incorporation, the Bylaws, or Chapter 613 of the Wisconsin Statutes. FORM 990, PART VI, SECTION B LINE 11A&11B The Chief Financial Officer performs an extensive review prior to filing the Form 990 with the Internal Revenue Service. Prior to filing the 990 with the IRS, the form is made available to the members of the board. FORM 990, PART VI, SECTION B LINE 12B&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 writing. The CEO shall have authority to address that 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 or committee shall determine by a majority vote of the disinterested directors 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 15A & 15B All wages are paid by Care Wisconsin First, Inc. which is then reimbursed by Care Wisconsin Health Plan, Inc. The following describes how Care Wisconsin First, Inc. determines its salary and wages for the executive team. A consultant helps with reviewing the market data for similar organizations for determining the appropriate pay ranges and rates for the incumbents. The consultant will make the recommendation for the compensation to the CEO, for the executive team members, who then reviews and approves for the CEO's compensation. The board receives the recommendation from the consultant and will review and approve. FORM 990, PART VI , SECTION C LINE 19 Governing documents, conflict of interest policy, and financial statements are not made available to the public. FORM 990, PART XI, LINE 9 CHANGE IN PREMIUM DEFICIENCY RESERVE $3,382,140 Care Wisconsin First Inc 1617 Sherman Avenue Madison WI 53708 391245329 Care Mgmt WI 501(c)(3) 10 NA false false false false false false false false false false false false false false true true true false false false