2015-09-22T11:26:31-05:00 2014-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2014-01-01 270093404 CARE WISCONSIN HEALTH PLAN INC CARE 6082400020 PO BOX 14017 MADISON WI 537080017 KAREN MUSSER PRESIDENT, CEO 6082400020 2015-09-08 1 JAY ADKISSON CPA P01360892 4144319300 2015-09-08 2014 2016-04-25 22:37:26Z KAREN MUSSER PO BOX 14017 MADISON WI 537080017 110910141 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. 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. 9 9 0 9 0 0 0 0 92933503 102772504 493714 495992 100 5300 93427317 103273796 0 0 0 0 0 0 0 0 0 88844245 111675335 88844245 111675335 4583072 -8401539 30300221 30042131 9551226 17405029 20748995 12637102 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. 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. 1 0 100361220 0 96512706 CARE 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. 6199991 0 6259798 IN 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. 106561211 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 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 1 396 0 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X TERRY METZGER 6082453083 PO BOX 14017 MADISON WI 537080017 DENNIS CARLSON DIRECTOR 1.00 X 0 0 0 IRIS CHRISTENSON DIRECTOR 1.00 1.00 X 0 0 0 SHAWN LIVERSEED 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 ANDREA PAFF DIRECTOR 1.00 1.00 X 0 0 0 TERRENCE SCHADEBERG DIRECTOR 1.00 1.00 X 0 0 0 GREG THOMAS DIRECTOR 1.00 1.00 X 0 0 0 KAREN MUSSER PRESIDENT, CEO 1.00 40.00 X X 0 297780 25760 KEN EIMERS COO, SECRETARY 1.00 40.00 X 0 213913 19251 TERRY METZGER TREASURER & CFAO 1.00 40.00 X 0 191542 25506 0 703235 70517 0 0 1 0 UW HOSPITALS AND CLINICS 600 HIGHLAND AVE MADISON WI 53792 ACUTE AND PRIMARY SERVICES 6642021 ST MARY'S HOSPITAL PO BOX 681090 MILWAUKEE WI 53268 ACUTE AND PRIMARY SERVICES 4216830 MERITER HOSPITAL INC 202 S PARK STREET MADISON WI 53715 ACUTE AND PRIMARY SERVICES 3458333 COMMUNITY LIVING ALLIANCE INC 1414 MACARTHUR ROAD MADISON WI 53714 ACUTE AND PRIMARY SERVICES 2406209 BETHESDA LUTHERAN COMMUNITIES INC 600 HOFFMANN DRIVE WATERTOWN WI 53094 LTC 2378870 127 MEDICARE/MEDICAID 624100 97651675 97651675 WI FAMILY CARE PARTNERSHIP PROGRA 624100 4652860 4652860 INSURANCE RECOVERIES 624100 467969 467969 102772504 446732 446732 7685605 7636345 49260 49260 49260 5300 5300 5300 103273796 102772504 0 501292 X 883742 883742 46989 46989 22962 22962 74108795 74084708 24087 501 501 187417 187417 145724 145724 MEDICAL EQUIP/SUPPLIES 16947147 16947147 ALLOCATED ADMINSTRATION 14818135 10265052 4553083 PREMIUM RESERVE 5241342 5241342 DEFERRED TAX EXPENSE -721218 -721218 -6201 -6201 111675335 106561211 5114124 0 13591080 10704523 1336856 2149027 15274 15370707 16043890 1578 1129417 30300221 30042131 9541402 17398508 9824 6521 9551226 17405029 X 20748995 12637102 20748995 12637102 30300221 30042131 -8401539 289646 0 X 0 1 X 1 1 1 X 70713147 79423175 93759812 92933503 102772504 439602141 70713147 79423175 93759812 92933503 102772504 439602141 0 0 0 439602141 517442 449670 400461 417679 446732 2231984 517442 449670 400461 417679 446732 2231984 71230589 79872845 94160273 93351182 103219236 441834125 0.99490 0.99420 0.00510 0.00580 X 0 0 0 0 0 0 0 0 1 46989 46989 0 PART II-B, LINE 1: NATIONAL 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. 0 X 103540480 289646 289646 103250834 22962 22962 103273796 111652373 0 111652373 22962 22962 111675335 PART X, LINE 2: IN 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. 0 0 0 0 0 0 0 0 0 KAREN MUSSER PRESIDENT, CEO 0 295633 0 0 0 2147 0 8658 0 17102 0 323540 0 0 KEN EIMERS COO, SECRETARY 0 212500 0 0 0 1413 0 4147 0 15104 0 233164 0 0 TERRY METZGER TREASURER & CFAO 0 191265 0 0 0 277 0 5884 0 19622 0 217048 0 0 FORM 990, PART III, LINE 2 IN 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 11 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. AT THE NEXT BOARD MEETING KEY COMPONENTS OF THE 990 RETURN ARE DISCUSSED. 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 RECORDS 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 11G OTHER 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. CARE WISCONSIN FIRST INC PO BOX 14017 MADISON WI 53708 391245329 CARE MANAGEMENT WI 501(C)(3) LINE 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0