2018-11-12T09:33:29-06:00 2017-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2017-01-01 270093404 CARE WISCONSIN HEALTH PLAN INC CARE 6082400020 1617 SHERMAN AVENUE MADISON WI 53704 JANETTE TOWNSEND CHIEF FINANCIAL OFFICER 6082400020 2018-11-09 1 MELISSA TORGERSON P00637070 4144319300 2018-11-09 207.250.78.130 2018-11-09 13:17:05 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D482E504488B33FE332F9841DC0BE60818D7B9FD 2017 2019-02-21 02:37:17Z APRIL GOLENOR 1617 SHERMAN AVENUE MADISON WI 53704 140257612 0 X WWW.CAREWISCONSINHEALTHPLAN.ORG X 2004 WI 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 OUT 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. 8 7 0 7 0 0 0 0 125440558 132638298 456492 1314909 2000 0 125899050 133953207 0 0 0 0 0 0 0 0 0 119696988 126651421 119696988 126651421 6202062 7301786 43533946 52677425 14799015 16877450 28734931 35799975 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 OUT 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. 1 0 102084238 0 118612300 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. CHWP'S PARTNERSHIP PROGRAM ENROLLMENT AT THE END OF 2017 WAS 1,578 MEMBERS. 13939218 0 12447210 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 1,745 MEMBERS AS THE END OF 2017. 1387710 0 1578788 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 160 MEMBERS AT THE END OF 2017. 117411166 1 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 492 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X JANETTE TOWNSEND 6082453083 1617 SHERMAN AVENUE MADISON WI 53704 STEVE CABLE DIRECTOR 1.00 1.00 X 0 0 0 DENISE DELONG DIRECTOR 1.00 1.00 X 0 0 0 ROLF HANSON DIRECTOR 1.00 1.00 X 0 0 0 GLENN JOHNSTON DIRECTOR 1.00 1.00 X 0 0 0 MELVIN MCCARTNEY DIRECTOR 1.00 1.00 X 0 0 0 ROBERT MUCCI DIRECTOR 1.00 X 0 0 0 GREG THOMAS DIRECTOR 1.00 1.00 X 0 0 0 KAREN MUSSER PRESIDENT & CEO (THRU 2/2018) 1.00 40.00 X X 0 576447 34155 KEN EIMERS CHIEF OPERATING & INFORMATION OFFICER 1.00 40.00 X 0 308616 28554 JANETTE TOWNSEND CHIEF FINANCIAL OFFICER 1.00 40.00 X 0 300633 37498 KEVIN PARK CHIEF MEDICAL OFFICER 1.00 40.00 X 0 303792 19528 AMY ACKERMAN VP - HUMAN RESOURCES 1.00 40.00 X 0 184785 16253 SUSAN CROWLEY VP - GOVERNMENT SERVICES 1.00 40.00 X 0 203500 28562 MYRA ENLOE VP - PERFORMANCE EXCELLENCE (THRU 9/2017) 1.00 40.00 X 0 162000 16691 GINA GROSKOPF EXECUTIVE DIRECTOR OF LTC SERVICES 1.00 40.00 X 0 151853 6767 CHRISTINE BRIESKE DIRECTOR OF HEALTH PLAN SERVICES 1.00 40.00 X 0 129226 16255 REBECCA DORSCHEID DIRECTOR OF FINANCE 1.00 40.00 X 0 130003 20751 LESTER LACHUK DIRECTOR OF PHARMACY 1.00 40.00 X 0 169822 39297 LANI SHEA-HOLMES PHARMACY SERVICES MANAGER 1.00 40.00 X 0 124746 25228 ANGELA SEIDL COMPLIANCE OFFICER 1.00 40.00 X 0 138219 4637 0 2883642 294176 0 0 1 0 UNIVERSITY OF WISCONSIN HOSPITALS AND CL 600 HIGHLAND AVENUE MADISON WI 53792 ACUTE AND PRIMARY SERVICES 11973293 SSM HEALTH CARE OF WISCONSIN INC PO BOX 681090 MILWAUKEE WI 53268 ACUTE AND PRIMARY SERVICES 5769083 MERITER HOSPITAL INC 202 S PARK STREET MADISON WI 53715 ACUTE AND PRIMARY SERVICES 4868623 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATI PO BOX 44287 MADISON WI 53744 ACUTE AND PRIMARY SERVICES 3114107 FISCAL ASSISTANCE EMPLOYER AGENT 124 W HOLUM STREET DE FOREST WI 53532 LTC MEMBER SERVICES 2789114 146 MEDICARE/MEDICAID PREMIUM REVENUE 624100 127137545 127137545 FAMILY CARE REVENUE 624100 5523880 5523880 INSURANCE RECOVERIES 624100 -26127 -26127 3000 3000 132638298 688880 688880 6930434 6304405 626029 626029 626029 133953207 132638298 0 1314909 X 279253 279253 99129 99129 52230 52230 89281394 88487107 794287 413720 413720 ALLOCATED ADMINISTRATIO 18314736 11465844 6848892 MEDICAL EQUIP/SUPPLIES 16859465 16859465 DEFERRED TAX EXPENSE 604868 604868 ASSESSMENT REVERSAL 546520 546520 200106 200106 126651421 117411166 9240255 0 24461675 22839931 2287872 2325282 71449 660138 16712950 2380212 0 24421862 0 50000 43533946 52677425 14782891 16310684 9124 20246 7000 546520 14799015 16877450 X 28734931 35799975 28734931 35799975 43533946 52677425 7301786 -236742 0 X 0 1 X 1 0 X 92933503 102772504 119137950 125440558 132638298 572922813 92933503 102772504 119137950 125440558 132638298 572922813 0 0 0 572922813 417679 446732 481109 485740 688880 2520140 417679 446732 481109 485740 688880 2520140 93351182 103219236 119619059 125926298 133327178 575442953 0.99560 0.99580 0.00440 0.00420 X 0 0 0 0 0 0 0 0 1 99129 99129 0 PART II-B, LINE 1: MICHAEL BEST STRATEGIES ($7,917) REPRESENTED THE ORGANIZATION. SNP ALLIANCE ($32,323) REPRESENTS SNP AND THE UNIQUE NEEDS OF SNP MEMBERS AND THE WISCONSIN ASSOCIATION OF HEALTH PLANS ($58,889) 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 CASH AND CASH EQUIVALENTS 1100603 F CORPORATE BONDS 15734299 F U.S. GOVERNMENT SECURITIES 7586960 F 24421862 PREMIUM DEFICIENCY RESERVE 546520 546520 X 133664235 -236742 -52230 -288972 133953207 0 133953207 126599191 0 126599191 52230 52230 126651421 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE COMPANY'S TAX POSITIONS AND CONCLUDED THE COMPANY HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT EXPENSES -52,230. 0 1 0 0 0 0 0 0 0 KAREN MUSSER PRESIDENT & CEO (THRU 2/2018) 0 570701 0 0 0 5746 0 7387 0 26768 0 610602 0 0 KEN EIMERS CHIEF OPERATING & INFORMATION OFFICE 0 306548 0 0 0 2068 0 4313 0 24241 0 337170 0 0 JANETTE TOWNSEND CHIEF FINANCIAL OFFICER 0 300326 0 0 0 307 0 9000 0 28498 0 338131 0 0 KEVIN PARK CHIEF MEDICAL OFFICER 0 303091 0 0 0 701 0 7899 0 11629 0 323320 0 0 AMY ACKERMAN VP - HUMAN RESOURCES 0 184410 0 0 0 375 0 5575 0 10678 0 201038 0 0 SUSAN CROWLEY VP - GOVERNMENT SERVICES 0 202257 0 0 0 1243 0 5973 0 22589 0 232062 0 0 MYRA ENLOE VP - PERFORMANCE EXCELLENCE (THRU 9/ 0 160143 0 0 0 1857 0 4586 0 12105 0 178691 0 0 GINA GROSKOPF EXECUTIVE DIRECTOR OF LTC SERVICES 0 151327 0 0 0 526 0 4565 0 2202 0 158620 0 0 REBECCA DORSCHEID DIRECTOR OF FINANCE 0 129777 0 0 0 226 0 3971 0 16780 0 150754 0 0 LESTER LACHUK DIRECTOR OF PHARMACY 0 169592 0 0 0 230 0 5355 0 33942 0 209119 0 0 PART I, LINE 4B INDIVIDUAL ELIGIBLE EMPLOYEES MAY PARTICIPATE IN A 457F PLAN THROUGH A RELATED ORGANIZATION. CARE WISCONSIN FIRST, INC. CONTRIBUTED $25,000 TO THE PLAN FOR KAREN MUSSER DURING 2017. FORM 990, PART III, LINE 2 CARE WISCONSIN HEALTH PLAN BEGAN OFFERING MEDICARE DUAL ADVANTAGE PROGRAM IN 2017. 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 THE ORGANIZATIONS 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, THESE BYLAWS, OR CHAPTER 613 OF THE WISCONSIN STATUTES. FORM 990, PART VI, SECTION B, LINE 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 12C EACH YEAR, ALL BOARD MEMBERS AND EXECUTIVE TEAM MEMBERS MUST SIGN THE CONFLICT OF INTEREST DOCUMENT TO CERTIFY THAT THEY ARE IN COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 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 PAY 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 IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 794,287. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 794,287. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 88,487,107. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,487,107. CARE WISCONSIN FIRST INC 1617 SHERMAN AVENUE MADISON WI 53708 391245329 CARE MANAGEMENT WI 501(C)(3) LINE 11 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0