MY CHOICE WISCONSIN HEALTH PLAN INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MY CHOICE WISCONSIN HEALTH PLAN INC (EIN 27-0093404)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-09-22
IRS object ID
201532659349300318
Schema version
2014v5.0
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)
Return2015-09-22T11:26:31-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Line110000 INNOVATION DRIVE SUITE 250AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP532264837ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270093404EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CARE WISCONSIN HEALTH PLAN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAREBusinessNameControlTxt
Phone6082400020PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 14017AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537080017ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKAREN MUSSERPersonNm
Person TitlePRESIDENT, CEOPersonTitleTxt
Phone6082400020PhoneNum
Signature2015-09-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAY ADKISSON CPAPreparerPersonNm
PTINP01360892PTIN
Phone4144319300PhoneNum
Preparation2015-09-08PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKAREN MUSSERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 14017AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537080017ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$110,910,141GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CAREWISCONSINHEALTHPLAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionCARE 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. THE MISSION IS 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.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$92,933,503PYProgramServiceRevenueAmt
CY Program Service Revenue$102,772,504CYProgramServiceRevenueAmt
PY Investment Income$493,714PYInvestmentIncomeAmt
CY Investment Income$495,992CYInvestmentIncomeAmt
PY Other Revenue$100PYOtherRevenueAmt
CY Other Revenue$5,300CYOtherRevenueAmt
PY Total Revenue$93,427,317PYTotalRevenueAmt
CY Total Revenue$103,273,796CYTotalRevenueAmt
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$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$88,844,245PYOtherExpensesAmt
CY Other Expenses$111,675,335CYOtherExpensesAmt
PY Total Expenses$88,844,245PYTotalExpensesAmt
CY Total Expenses$111,675,335CYTotalExpensesAmt
PY Revenues Less Expenses$4,583,072PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$8,401,539CYRevenuesLessExpensesAmt
Total Assets BOY$30,300,221TotalAssetsBOYAmt
Total Assets EOY$30,042,131TotalAssetsEOYAmt
Total Liabilities BOY$9,551,226TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,405,029TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,748,995NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,637,102NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCARE 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. THE MISSION IS 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.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$100,361,220ExpenseAmt
Grant$0GrantAmt
Revenue$96,512,706RevenueAmt
DescCARE WISCONSIN HEALTH PLAN, INC. (CWHP) IS A HEALTH MAINTENANCE ORGANIZATION UNDER SECTION 613 OF THE WISCONSIN STATUTES. IT HAS BEEN FORMED FOR THE PRIMARY PURPOSE OF PROVIDING HEALTH AND LONG-TERM MANAGEMENT AND CARE SERVICES TO THE ELDERLY AND ADULTS WITH DISABILITIES UNDER A HEALTH MAINTENANCE ORGANIZATION LICENSE ISSUED BY THE WISCONSIN OFFICE OF THE COMMISSIONER OF INSURANCE. CHWP'S PARTNERSHIP'S ENROLLMENT AT THE END OF 2014 WAS 1,492 MEMBERS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,199,991ExpenseAmt
Grant$0GrantAmt
Revenue$6,259,798RevenueAmt
DescIN 2014 CARE WISCONSIN HEALTH PLAN, INC. (CWHP) BEGAN OFFERING MEDICAID SSI, A HEALTH INSURANCE PROGRAM FOR INDIVIDUALS WITH A DISABILITY WHO QUALIFY FOR FEDERAL SSI. THE SSI PROGRAM HAD 1,392 MEMBERS AS THE END OF 2014.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$106,561,211TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document396IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 Line1TERRY METZGERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6082453083PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 14017AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537080017ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerInd
DENNIS CARLSON
DIRECTOR1.00Yes (X)$0$0$0
IRIS CHRISTENSON
DIRECTOR1.00Yes (X)$0$0$01.00
SHAWN LIVERSEED
DIRECTOR1.00Yes (X)$0$0$01.00
MELVIN MCCARTNEY
DIRECTOR1.00Yes (X)$0$0$01.00
ROBERT MUCCI
DIRECTOR1.00Yes (X)$0$0$0
ANDREA PAFF
DIRECTOR1.00Yes (X)$0$0$01.00
TERRENCE SCHADEBERG
DIRECTOR1.00Yes (X)$0$0$01.00
GREG THOMAS
DIRECTOR1.00Yes (X)$0$0$01.00
KAREN MUSSER
PRESIDENT, CEO1.00Yes (X)$0$297,780$25,76040.00Yes (X)
KEN EIMERS
COO, SECRETARY1.00$0$213,913$19,25140.00Yes (X)
TERRY METZGER
TREASURER & CFAO1.00$0$191,542$25,50640.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$703,235TotReportableCompRltdOrgAmt
Total Other Compensation$70,517TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UW HOSPITALS AND CLINICS
600 HIGHLAND AVEMADISONWI53792ACUTE AND PRIMARY SERVICES$6,642,021
ST MARY'S HOSPITAL
PO BOX 681090MILWAUKEEWI53268ACUTE AND PRIMARY SERVICES$4,216,830
MERITER HOSPITAL INC
202 S PARK STREETMADISONWI53715ACUTE AND PRIMARY SERVICES$3,458,333
COMMUNITY LIVING ALLIANCE INC
1414 MACARTHUR ROADMADISONWI53714ACUTE AND PRIMARY SERVICES$2,406,209
BETHESDA LUTHERAN COMMUNITIES INC
600 HOFFMANN DRIVEWATERTOWNWI53094LTC$2,378,870
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K127CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID624100$97,651,675$97,651,675
WI FAMILY CARE PARTNERSHIP PROGRA624100$4,652,860$4,652,860
INSURANCE RECOVERIES624100$467,969$467,969
FieldValueIRS element (for citing)
Total Program Service Revenue$102,772,504TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$446,732TotalRevenueColumnAmt
Exclusion$446,732ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,685,605SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,636,345SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$49,260SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,260TotalRevenueColumnAmt
Exclusion$49,260ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,300TotalRevenueColumnAmt
Exclusion$5,300ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,300OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$103,273,796TotalRevenueColumnAmt
Related Or Exempt Func Income$102,772,504RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$501,292ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$883,742TotalAmt
Management And General$883,742ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$46,989TotalAmt
Management And General$46,989ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$22,962TotalAmt
Program Services$22,962ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$74,108,795TotalAmt
Program Services$74,084,708ProgramServicesAmt
Management And General$24,087ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$501TotalAmt
Management And General$501ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$187,417TotalAmt
Management And General$187,417ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$145,724TotalAmt
Management And General$145,724ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL EQUIP/SUPPLIES$16,947,147$16,947,147
ALLOCATED ADMINSTRATION$14,818,135$10,265,052$4,553,083
PREMIUM RESERVE$5,241,342$5,241,342
DEFERRED TAX EXPENSE-$721,218-$721,218

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$6,201TotalAmt
Management And General-$6,201ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$111,675,335TotalAmt
Program Services$106,561,211ProgramServicesAmt
Management And General$5,114,124ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$13,591,080BOYAmt
EOY$10,704,523EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,336,856BOYAmt
EOY$2,149,027EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$15,274EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$15,370,707BOYAmt
EOY$16,043,890EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,578BOYAmt
EOY$1,129,417EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,300,221BOYAmt
EOY$30,042,131EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,541,402BOYAmt
EOY$17,398,508EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$9,824BOYAmt
EOY$6,521EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,551,226BOYAmt
EOY$17,405,029EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,748,995BOYAmt
EOY$12,637,102EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,748,995BOYAmt
EOY$12,637,102EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,300,221BOYAmt
EOY$30,042,131EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$8,401,539ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$289,646NetUnrlzdGainsLossesInvstAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$70,713,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$79,423,175CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$93,759,812CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$92,933,503CurrentTaxYearMinus1YearAmt
Current Tax Year$102,772,504CurrentTaxYearAmt
Total$439,602,141TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$70,713,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$79,423,175CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$93,759,812CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$92,933,503CurrentTaxYearMinus1YearAmt
Current Tax Year$102,772,504CurrentTaxYearAmt
Total$439,602,141TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$439,602,141PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$517,442CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$449,670CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$400,461CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$417,679CurrentTaxYearMinus1YearAmt
Current Tax Year$446,732CurrentTaxYearAmt
Total$2,231,984TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$517,442CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$449,670CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$400,461CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$417,679CurrentTaxYearMinus1YearAmt
Current Tax Year$446,732CurrentTaxYearAmt
Total$2,231,984TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$71,230,589CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$79,872,845CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$94,160,273CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,351,182CurrentTaxYearMinus1YearAmt
Current Tax Year$103,219,236CurrentTaxYearAmt
Total$441,834,125TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99490PublicSupportCY509Pct
Public Support PY5090.99420PublicSupportPY509Pct
Investment Income CY0.00510InvestmentIncomeCYPct
Investment Income PY0.00580InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$46,989OtherActivitiesAmt
Total Lobbying Expenditures$46,989TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationNATIONAL HEALTH POLICY GROUP ($30,303) AND THE NATIONAL HEALTH POLICY GROUP ($16,686) REPRESENT SNP AND THE UNIQUE NEEDS OF SNP MEMBERS. MICHAEL BLUMENFELD IS RESPONSIBLE FOR AWARENESS AND REPRESENTATION OF THE MANAGED-CARE ORGANIZATIONS AND MEMBERS OF MEDICAID FUNDED LONG-TERM CARE PROGRAMS. THESE AMOUNTS INCLUDE THE LOBBYPORTION OF DUES TO AHA AND WHA OR AAHSA AND WAAHSA.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$103,540,480TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$289,646NetUnrealizedGainsInvstAmt
Revenue Not Reported$289,646RevenueNotReportedAmt
Revenue Subtotal$103,250,834RevenueSubtotalAmt
Investment Expenses Not Incld$22,962InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$22,962RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$103,273,796TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$111,652,373TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$111,652,373ExpensesSubtotalAmt
Investment Expenses Not Incld2$22,962InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$22,962ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$111,675,335TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationIN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE COMPANY DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF 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 COMPANY RECORED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2014 OR 2013. TAX RETURNS FOR TAX YEARS 2011 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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
KAREN MUSSER
PRESIDENT, CEO$0$295,633$0$0$0$2,147$0$8,658$0$17,102$0$323,540$0$0
KEN EIMERS
COO, SECRETARY$0$212,500$0$0$0$1,413$0$4,147$0$15,104$0$233,164$0$0
TERRY METZGER
TREASURER & CFAO$0$191,265$0$0$0$277$0$5,884$0$19,622$0$217,048$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2IN 2014, CARE WISCONSIN HEALTH PLAN, INC. (CWHP) BEGAN OFFERING MEDICAID SSI, A HEALTH INSURANCE PROGRAM FOR INDIVIDUALS WITH A DISABILITY WHO QUALIFY FOR FEDERAL SSI. THE SSI PROGRAM HAD 1,392 MEMBERS AT THE END OF 2014.
FORM 990, PART VI, SECTION B, LINE 11THE 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. AT THE NEXT BOARD MEETING KEY COMPONENTS OF THE 990 RETURN ARE DISCUSSED.
FORM 990, PART VI, SECTION B, LINE 12CEACH 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 15ALL 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 19RECORDS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST BY MAILING TO CARE WISCONSIN HEALTH PLAN, INC. C/O TERRY METZGER, PO BOX 14017, MADISON, WI 53708-0017.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,087. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,087. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 74,084,708. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,084,708.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CARE WISCONSIN FIRST INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 14017AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53708ZIPCd
FieldValueIRS element (for citing)
EIN391245329EIN
Primary ActivitiesCARE MANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 9PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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