WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC (EIN 39-1407034)
Tax period
2015-04-01 to 2016-03-31
Filed
2017-02-15
IRS object ID
201700469349300940
Schema version
2015v3.0
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)
Return2017-02-15T11:42:45-06:00ReturnTs
Tax Period End2016-03-31TaxPeriodEndDt

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 Begin2015-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391407034EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Wisconsin Primary Health CareBusinessNameLine1Txt
Business Name Line2Association IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlWISCBusinessNameControlTxt
Phone6082777477PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15202 Eastpark Blvd No 109AddressLine1Txt
CityMadisonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53718ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personstephanie harrisonPersonNm
Person TitleChief Executive OfficerPersonTitleTxt
Phone6082777477PhoneNum
Signature2017-02-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn HemmingPreparerPersonNm
PTINP00856805PTIN
Phone6082741980PhoneNum
Preparation2017-02-02PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerStephanie HarrisonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15202 Eastpark Blvd No 109AddressLine1Txt
CityMadisonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53718ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,326,153GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.wphca.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTo help provide access to comprehensive, community-oriented primary health care services.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent22VotingMembersIndependentCnt
Total Employee60TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,078,776PYContributionsGrantsAmt
CY Contributions Grants$1,878,965CYContributionsGrantsAmt
PY Program Service Revenue$687,234PYProgramServiceRevenueAmt
CY Program Service Revenue$443,250CYProgramServiceRevenueAmt
PY Investment Income$2,100PYInvestmentIncomeAmt
CY Investment Income$3,938CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,768,110PYTotalRevenueAmt
CY Total Revenue$2,326,153CYTotalRevenueAmt
PY Grants And Similar Paid$65,456PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$19,125CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,587,582PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,645,436CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$18,250CYTotalFundraisingExpenseAmt
PY Other Expenses$743,785PYOtherExpensesAmt
CY Other Expenses$752,671CYOtherExpensesAmt
PY Total Expenses$2,396,823PYTotalExpensesAmt
CY Total Expenses$2,417,232CYTotalExpensesAmt
PY Revenues Less Expenses$371,287PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$91,079CYRevenuesLessExpensesAmt
Total Assets BOY$1,558,561TotalAssetsBOYAmt
Total Assets EOY$1,196,105TotalAssetsEOYAmt
Total Liabilities BOY$613,856TotalLiabilitiesBOYAmt
Total Liabilities EOY$342,479TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$944,705NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$853,626NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Wisconsin Primary Health Care Association, Inc. is to improve health through the work of community health centers and their partners.The organization's vision is to be recognized as Wisconsin's leader in promoting access to primary health care services by eliminating geographical, financial and cultural barriers, and influencing related health care policy. These actions will lead to the elimination of health disparities in underserved populations.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$691,489ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescNonfinancial 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$399,030ExpenseAmt
Grant$925GrantAmt
Revenue$165,444RevenueAmt
DescAmeriCorps: 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$329,156ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescHealth 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.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$140,736$1,000$0Advocacy
$43,330$0$0KRESGE/STAR PROJECT
$112,463$17,200$0PFIZER/Pain Management & Chronic Pain
$267,921$0$277,806OTHER PROGRAMS - INCLUDES THE FOLLOWING PROGRAMS:HPSA, DIABETES PROGRAM, Bioterrorism hospital prepardness, MEMBERSHIP, FEE FOR SERVICE, CONFERENCES, AND OTHER.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$564,450TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$18,200TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$277,806TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,984,125TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
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 MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee60EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member22IndependentVotingMemberCnt
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 Line1Stephanie HarrisonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6082777477PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15202 EastPark Blvd Suite 109AddressLine1Txt
CitymadisonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53718ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Brian Ahlgren
Director1.00Yes (X)$0$0$0
LIZ BADE MD
Director1.00Yes (X)$0$0$0
Kristin Blanchard Stearns
Director1.00Yes (X)$0$0$0
Mavis Brehm
Director (Thru July)1.00Yes (X)$0$0$0
Mary Coffey
Director1.00Yes (X)$0$0$0
byron crouse md
Director1.00Yes (X)$0$0$0
Lyle Ignace MD MPH
Director1.00Yes (X)$0$0$0
Tito Izard MD
Director1.00Yes (X)$0$0$0
ted Kay
Director (Thru March)1.00Yes (X)$0$0$0
Bonnie Kuhr
Director1.00Yes (X)$0$0$0
KEN Loving MD
Director1.00Yes (X)$0$0$0
GREG NYCZ
Director1.00Yes (X)$0$0$0
Roger Rego
Director1.00Yes (X)$0$0$0
marty Schaller
Director1.00Yes (X)$0$0$0
LAURA SCUDIERE
Director (Thru December)1.00Yes (X)$0$0$0
JENNI SEVENICH
Director1.00Yes (X)$0$0$0
TIM SIZE
Director1.00Yes (X)$0$0$0
Julie Sprecher
Director1.00Yes (X)$0$0$0
Joy Tapper MPA
Director1.00Yes (X)$0$0$0
Laura Waldvogel
Director1.00Yes (X)$0$0$0
Shelly White
Director1.00Yes (X)$0$0$0
Reba Rice
President1.00Yes (X)$0$0$0Yes (X)
Kristene Stacker
Vice President1.00Yes (X)$0$0$0Yes (X)
julie schuller md mph
Secretary/Treasurer1.00Yes (X)$0$0$0Yes (X)
Mari Freilberg
PAST President1.00Yes (X)$0$0$0Yes (X)
stephanie harrison
Chief Executive Officer45.00$130,964$0$13,595Yes (X)
Khadija Eldachach
Finance Director (Thru August)45.00$45,249$0$6,857Yes (X)
Todd Schroeder
Finance Director (Beginning September)45.00$19,788$0$162Yes (X)
LYNSEY rAY
CHIEF OPERATING OFFICER45.00$100,039$0$21,259Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$296,040TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$41,873TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$1,704,876GovernmentGrantsAmt
All Other Contributions$174,089AllOtherContributionsAmt
Total Contributions$1,878,965TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Membership Dues900099$323,365$323,365
Fee for Service income561499$110,138$110,138

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,747TotalRevenueColumnAmt
Related Or Exempt Func Income$9,747RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$443,250TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,938TotalRevenueColumnAmt
Exclusion$3,938ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,326,153TotalRevenueColumnAmt
Related Or Exempt Func Income$443,250RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,938ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$19,125TotalAmt
Program Services$19,125ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$340,373TotalAmt
Program Services$255,645ProgramServicesAmt
Management And General$84,728ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$920,956TotalAmt
Program Services$896,840ProgramServicesAmt
Management And General$9,872ManagementAndGeneralAmt
Fundraising$14,244FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$17,658TotalAmt
Program Services$17,469ProgramServicesAmt
Management And General$189ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$267,414TotalAmt
Program Services$261,829ProgramServicesAmt
Management And General$2,866ManagementAndGeneralAmt
Fundraising$2,719FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$99,035TotalAmt
Program Services$92,553ProgramServicesAmt
Management And General$5,195ManagementAndGeneralAmt
Fundraising$1,287FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,252TotalAmt
Program Services$8,252ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,000TotalAmt
Program Services$14,000ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$311,302TotalAmt
Program Services$139,445ProgramServicesAmt
Management And General$171,857ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$58,095TotalAmt
Program Services$36,567ProgramServicesAmt
Management And General$21,528ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$120,830TotalAmt
Program Services$91,571ProgramServicesAmt
Management And General$29,259ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$66,850TotalAmt
Program Services$44,718ProgramServicesAmt
Management And General$22,132ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$87,995TotalAmt
Program Services$55,903ProgramServicesAmt
Management And General$32,092ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,900TotalAmt
Program Services$7,317ProgramServicesAmt
Management And General$2,583ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$29,817TotalAmt
Program Services$22,594ProgramServicesAmt
Management And General$7,223ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Dues and Subscriptions$19,314$11,305$8,009
Board Expenses$10,581$3,236$7,345
Bad Debt Expense$6,334$0$6,334
Recruitment$3,089$2,508$581

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,312TotalAmt
Program Services$3,248ProgramServicesAmt
Management And General$3,064ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,417,232TotalAmt
Program Services$1,984,125ProgramServicesAmt
Management And General$414,857ManagementAndGeneralAmt
Fundraising$18,250FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$280,381BOYAmt
EOY$157,839EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$938,102BOYAmt
EOY$711,584EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$158,336BOYAmt
EOY$223,468EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$125,818BOYAmt
EOY$16,189EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,432BOYAmt
EOY$61,433EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$79,120LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$53,528LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$35,492BOYAmt
EOY$25,592EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,558,561BOYAmt
EOY$1,196,105EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$183,807BOYAmt
EOY$172,743EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$430,049BOYAmt
EOY$169,736EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$613,856BOYAmt
EOY$342,479EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$940,496BOYAmt
EOY$852,029EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,209BOYAmt
EOY$1,597EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$944,705BOYAmt
EOY$853,626EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,558,561BOYAmt
EOY$1,196,105EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$91,079ReconcilationRevenueExpnssAmt
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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$1,744,003CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,789,204CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,822,623CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,078,776CurrentTaxYearMinus1YearAmt
Current Tax Year$1,878,965CurrentTaxYearAmt
Total$9,313,571TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,744,003CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,789,204CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,822,623CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,078,776CurrentTaxYearMinus1YearAmt
Current Tax Year$1,878,965CurrentTaxYearAmt
Total$9,313,571TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$558,966SubstantialContributorsTotAmt
Public Support Total170$8,754,605PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,810CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,970CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,100CurrentTaxYearMinus1YearAmt
Current Tax Year$3,938CurrentTaxYearAmt
Total$14,153TotalAmt
FieldValueIRS element (for citing)
Total Support$9,327,724TotalSupportAmt
Gross Receipts Rltd Activities$2,285,861GrossReceiptsRltdActivitiesAmt
Public Support CY1700.93860PublicSupportCY170Pct
Public Support PY1700.95290PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$4,154FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$156,718FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$160,872FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,823,253FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,984,125FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$249,206FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$62,302FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$258,995CurrentYearMinus3Amt
Current Year Minus2$244,788CurrentYearMinus2Amt
Current Year Minus1$252,334CurrentYearMinus1Amt
Current Year$249,206CurrentYearAmt
Total$1,005,323TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$1,507,985LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$123,532CurrentYearMinus3Amt
Current Year Minus2$83,013CurrentYearMinus2Amt
Current Year Minus1$107,933CurrentYearMinus1Amt
Current Year$160,872CurrentYearAmt
Total$475,350TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$64,749CurrentYearMinus3Amt
Current Year Minus2$61,197CurrentYearMinus2Amt
Current Year Minus1$63,084CurrentYearMinus1Amt
Current Year$62,302CurrentYearAmt
Total$251,332TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$376,998GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$39,185CurrentYearMinus3Amt
Current Year Minus2$10,092CurrentYearMinus2Amt
Current Year Minus1$5,836CurrentYearMinus1Amt
Current Year$4,154CurrentYearAmt
Total$59,267TotalAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,310OtherCostOrOtherBasisAmt
Depreciation$8,575DepreciationAmt
Book Value$12,735BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,810OtherCostOrOtherBasisAmt
Depreciation$44,953DepreciationAmt
Book Value$12,857BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,592TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,326,153TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,326,153RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,326,153TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,417,232TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,417,232ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,417,232TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationWPHCA 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 financial statements. WPHCA has determined there are no amounts to record as assets or liabilities related to uncertain tax positions.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Scenic Bluffs Health Center IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1238 Front StreetAddressLine1Txt
CityCashtonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54619ZIPCd
FieldValueIRS element (for citing)
Recipient EIN391760445RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$8,600CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantCommunity health center participation supportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationWisconsin Primary Health Care Association, Inc. maintains records of which organizations receive grants and financial assistance. The organization monitors the use of grant funds through compliance with federal funding source monitoring regulations and ongoing onsite monitoring.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonPamela CrousePersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSpouse of Byron Crouse, Board MemberRelationshipDescriptionTxt
Transaction$32,210TransactionAmt
TransactionEmployed by the organization - includes base salary and benefits.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 3The organization ceased conducting WHITEC, the cancer program, and RCHN during the year.
Form 990, Part VI, Section A, line 6There are three categories of membership in WPHCA: Health Center 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 Health 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 on 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), Federally 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 7aThe 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 11THE 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 12cWPHCA 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 the vote on, the transaction or arrangement that results in the conflict of interest.
Form 990, Part VI, Section B, line 15On 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 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part IX, line 11gOther: Program service expenses 139,445. Management and general expenses 171,857. Fundraising expenses 0. Total expenses 311,302.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.