CARE WISCONSIN FIRST INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CARE WISCONSIN FIRST INC (EIN 39-1245329)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-09-10
- IRS object ID
- 201312539349300681
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-09-10T15:15:19-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390758449 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10000 INNOVATION DRIVE SUITE 250 | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 532264837 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391245329 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE WISCONSIN FIRST INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CARE | NameControl |
| Phone | 6082400020 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 14017 | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 537080017 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KAREN MUSSER | Name |
| Title | PRESIDENT, CEO | Title |
| Phone | 6082400020 | Phone |
| Date Signed | 2013-09-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAY ADKISSON CPA | Name |
| PTIN | P01360892 | PTIN |
| Phone | 4144319300 | Phone |
| Date Prepared | 2013-08-20 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KAREN MUSSER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 14017 | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 537080017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 178249176 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CAREWISC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1976 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE HEALTH, SOCIAL, INFORMATIONAL AND RELATED SUPPORT SERVICES TO ELIGIBLE MEMBERS AND THEIR FAMILIES OR OTHER CARE GIVERS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 549 | TotalNbrEmployees |
| Total Nbr Volunteers | 13 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 238072 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 101680 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 171083766 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 177305394 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 118127 | InvestmentIncomePriorYear |
| Investment Income Current Year | 259877 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3535616 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 174975581 | TotalRevenuePriorYear |
| Total Revenue Current Year | 177666951 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 127439801 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31435450 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 30804839 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7957171 | OtherExpensePriorYear |
| Other Expenses Current Year | 137642746 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 166832422 | TotalExpensesPriorYear |
| Total Expenses Current Year | 168447585 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8143159 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9219366 | RevenuesLessExpensesCY |
| Total Assets BOY | 26648111 | TotalAssetsBOY |
| Total Assets EOY | 35260841 | TotalAssetsEOY |
| Total Liabilities BOY | 18216603 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 17604817 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8431508 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 17656024 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVIDE HEALTH, SOCIAL, INFORMATIONAL AND RELATED SUPPORT SERVICES TO ELIGIBLE MEMBERS AND THEIR FAMILIES OR OTHER CARE GIVERS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 143419349 | Expense |
| Revenue | 159773417 | Revenue |
| Description | FAMILY CARE PROGRAM - PROVIDES CARE MANAGEMENT AND A MEDICAID BENEFIT AND SERVICE PACKAGE. FOCUS IS ON ELIMINATING WAIT LISTS AND MEETING MEMBERS' DESIRED HEALTH AND LONG-TERM CARE OUTCOMES THROUGH EFFECTIVE AND COST-EFFECTIVE CARE PLANS. FAMILY CARE HAD 3,624 MEMBERS ENROLLED AT THE END OF 2012. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 13265746 | Expense |
| Revenue | 17378940 | Revenue |
| Description | PARTNERSHIP PROGRAM - PROVIDES COORDINATED HEALTH CARE AND LONG-TERM SUPPORT SERVICES FOR MEDICAID ELIGIBLE MEMBERS WHO HAVE CONDITIONS REQUIRING NURSING HOME LEVEL OF CARE. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 78441 | Expense |
| Revenue | 64800 | Revenue |
| Description | ADULT DAY CENTERS - BRIGHT AND VIBRANT PLACES WHERE OLDER PERSONS WITH MEDICAL, PHYSICAL OR COGNITIVE DISABILITIES CAN ACTIVELY AND ENJOYABLY SPEND THE DAYTIME. BEGAN PURCHASING THESE SERVICES INSTEAD OF PROVIDING THIS SERVICE IN JULY 2012. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 312526 | Expense |
| Revenue | 88237 | Revenue |
| Description | OTHER HEALTH AND LONG-TERM CARE SERVICES PROVIDED INCLUDE TRANSPORTATION, REHAB, AND DENTAL. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 312526 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 88237 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 157076062 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 395 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 549 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TERRY METZGER | NamePerson |
| Telephone Number | 6082453066 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 14017 | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 53708 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| BRIAN HELLMER | |||||||
| DIRECTOR TERM:1/10-12/12 | 1.00 | X | 0 | 0 | 0 | ||
| DIANE KRUEGER | |||||||
| DIRECTOR TERM:1/11-12/13 | 1.00 | X | 0 | 0 | 0 | ||
| IRIS CHRISTENSON | |||||||
| DIRECTOR TERM:1/11-12/13 | 1.00 | X | 0 | 0 | 0 | ||
| ANDRE PAFF | |||||||
| DIRECTOR TERM:1/12-12/14 | 1.00 | X | 0 | 0 | 0 | ||
| KAREN PAULSON | |||||||
| DIRECTOR TERM:1/11-12/13 | 1.00 | X | 0 | 0 | 0 | ||
| MEL MCCARTNEY | |||||||
| DIRECTOR TERM:1/12-12/14 | 1.00 | X | 0 | 0 | 0 | ||
| MARSHA TESAR | |||||||
| DIRECTOR TERM:1/11-12/13 | 1.00 | X | 0 | 0 | 0 | ||
| ELAINE TAYLOR | |||||||
| DIRECTOR TERM:1/12-12/14 | 1.00 | X | 0 | 0 | 0 | ||
| BARB BOWERS | |||||||
| DIRECTOR TERM:1/10-12/12 | 1.00 | X | 0 | 0 | 0 | ||
| STEVE CABLE | |||||||
| DIRECTOR TERM:1/10-12/12 | 1.00 | X | 0 | 0 | 0 | ||
| TERRY SCHADEBERG | |||||||
| DIRECTOR TERM:8/10-12/12 | 1.00 | X | 0 | 0 | 0 | ||
| DENISE DELONG | |||||||
| DIRECTOR TERM:1/12-12/14 | 1.00 | X | 0 | 0 | 0 | ||
| KAREN MUSSER | |||||||
| PRESIDENT, CEO | 40.00 | X | 255113 | 0 | 20721 | X | |
| TERRY METZGER | |||||||
| TREASURER, CF&AO | 40.00 | X | 163878 | 0 | 17890 | X | |
| KEN EIMERS | |||||||
| SECRETARY AND CFO | 40.00 | X | 199132 | 0 | 20007 | X | |
| RITA WELLS | |||||||
| ASSISTANT SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |
| SCOTT JOHNSON | |||||||
| EXECUTIVE VICE PRESIDENT | 40.00 | 169263 | 0 | 4841 | X | ||
| PATRICIA NEELY | |||||||
| VP OF PROGRAMS | 40.00 | 141265 | 0 | 13624 | X | ||
| MYRA ENLOE | |||||||
| AVP, PERFORMANCE EXCELLENCE | 40.00 | 128608 | 0 | 13242 | X | ||
| KRISTIN JEFFRIES | |||||||
| VP PLANNING & COMMUNICATIONS | 40.00 | 142961 | 0 | 14570 | X | ||
| RITA SEAVER | |||||||
| DIRECTOR OF IS AND CLAIMS | 40.00 | 113564 | 0 | 9641 | X | ||
| AMY PEELER | |||||||
| AVP, HUMAN RESOURCES | 40.00 | 124936 | 0 | 5499 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1438720 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 120035 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| OCONOMOWOC RESIDENTIAL PROGRAMS INC | |||||
| PO BOX 3090 | MILWAUKEE | WI | 53201 | LONG TERM CARE SERVICES | 6638454 |
| BETHESDA LUTHERAN COMMUNITIES INC | |||||
| 600 HOFFMAN DRIVE | WATERTOWN | WI | 53094 | LONG TERM CARE SERVICES | 6311402 |
| ST COLETTA OF WISCONSIN DAC | |||||
| N4637 COUNTY ROAD Y | JEFFERSON | WI | 53549 | LONG TERM CARE SERVICES | 4865144 |
| CREATIVE COMMUNITY LIVING SERVICES INC | |||||
| 314 E MAIN ST | WATERTOWN | WI | 53094 | LONG TERM CARE SERVICES | 3901175 |
| ABILITIES INC | |||||
| 700 HIGHLAND | FORT ATKINSON | WI | 53538 | LONG TERM CARE SERVICES | 3606738 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 221 | NumberOfContractorsGT100K |
| Federated Campaigns | 23591 | FederatedCampaigns |
| Government Grants | 74514 | GovernmentGrants |
| All Other Contributions | 3575 | AllOtherContributions |
| Total Contributions | 101680 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE PREMIUMS | 624100 | 142172287 | 142172287 |
| FAMILY CARE | 624100 | 17601130 | 17601130 |
| CARE WISCONSIN HEALTH PLAN CONTRA | 624100 | 17378940 | 17378940 |
| TRANSPORTATION | 624100 | 88237 | 88237 |
| ADULT DAY CENTER | 624100 | 64800 | 64800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 177305394 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6855 | TotalRevenueColumn |
| Exclusion | $6,855 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5271 | Securities |
| Other | 829976 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4257 | Securities |
| Other | 577968 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1014 | Securities |
| Other | 252008 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 253022 | TotalRevenueColumn |
| Exclusion | $253,022 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 177666951 | TotalRevenueColumn |
| Related Or Exempt Function Income | 177305394 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $259,877 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 864206 | Total |
| Management And General | 864206 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24266654 | Total |
| Program Services | 17283063 | ProgramServices |
| Management And General | 6983591 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 417190 | Total |
| Program Services | 281634 | ProgramServices |
| Management And General | 135556 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3346935 | Total |
| Program Services | 2604940 | ProgramServices |
| Management And General | 741995 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1909854 | Total |
| Program Services | 1375474 | ProgramServices |
| Management And General | 534380 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73951 | Total |
| Management And General | 73951 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86000 | Total |
| Management And General | 86000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37176 | Total |
| Management And General | 37176 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 712 | Total |
| Management And General | 712 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128027345 | Total |
| Program Services | 127595801 | ProgramServices |
| Management And General | 431544 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5869 | Total |
| Management And General | 5869 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1398336 | Total |
| Program Services | 861721 | ProgramServices |
| Management And General | 536615 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1988876 | Total |
| Program Services | 781 | ProgramServices |
| Management And General | 1988095 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 710915 | Total |
| Program Services | 653810 | ProgramServices |
| Management And General | 57105 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7806 | Total |
| Program Services | 2552 | ProgramServices |
| Management And General | 5254 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25379 | Total |
| Management And General | 25379 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1074237 | Total |
| Program Services | 484366 | ProgramServices |
| Management And General | 589871 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 292747 | Total |
| Program Services | 32252 | ProgramServices |
| Management And General | 260495 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL EQUIPMENT/SUPPL | 2098837 | 2098837 | |
| EQUIPMENT MAINTENANCE & | 926505 | 161407 | 765098 |
| ASSESSMENT EXPENSE | 750000 | 750000 | |
| BAD DEBT EXPENSE | 113820 | 113820 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24235 | Total |
| Program Services | 2889424 | ProgramServices |
| Management And General | -2865189 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168447585 | Total |
| Program Services | 157076062 | ProgramServices |
| Management And General | 11371523 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1700 | BOY |
| EOY | 1200 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14083596 | BOY |
| EOY | 26032982 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4669845 | BOY |
| EOY | 3103494 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 473762 | BOY |
| EOY | 489041 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 10004629 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6885006 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4196764 | BOY |
| EOY | 3119623 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3222444 | BOY |
| EOY | 2514501 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26648111 | BOY |
| EOY | 35260841 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3238503 | BOY |
| EOY | 3018652 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 604321 | BOY |
| EOY | 26715 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 477742 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13896037 | BOY |
| EOY | 14559450 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18216603 | BOY |
| EOY | 17604817 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8418738 | BOY |
| EOY | 17651994 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8740 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4030 | BOY |
| EOY | 4030 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8431508 | BOY |
| EOY | 17656024 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26648111 | BOY |
| EOY | 35260841 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 9219366 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 5150 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 238618 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 149371 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 172328 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 238072 | CurrentTaxYearMinus1Year |
| Current Tax Year | 101680 | CurrentTaxYear |
| Total | 900069 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 56816726 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 139314898 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 144685778 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 174619382 | CurrentTaxYearMinus1Year |
| Current Tax Year | 177305394 | CurrentTaxYear |
| Total | 692742178 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 57055344 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 139464269 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 144858106 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 174857454 | CurrentTaxYearMinus1Year |
| Current Tax Year | 177407074 | CurrentTaxYear |
| Total | 693642247 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 693642247 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 45372 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 31460 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 32381 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 56925 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6855 | CurrentTaxYear |
| Total | 172993 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 45372 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 31460 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 32381 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 56925 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6855 | CurrentTaxYear |
| Total | 172993 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 57100716 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 139495729 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 144890487 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 174914379 | CurrentTaxYearMinus1Year |
| Current Tax Year | 177413929 | CurrentTaxYear |
| Total | 693815240 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99980 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99940 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00020 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00060 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $37,176 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 37176 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | NATIONAL HEALTH POLICY GROUP ($28,712) REPRESENTS SNP'S (SPECIAL NEEDS PLANS) AND THE UNIQUE NEEDS OF SNP MEMBERS. MICHAEL BLUMENFELD ($8,464) IS RESPONSIBLE FOR AWARENESS AND REPRESENTATION OF THE MANAGED-CARE ORGANIZATIONS AND MEMBERS OF MEDICAID FUNDED LONG-TERM CARE PROGRAMS . | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 63404 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 7364 | InvestmentEarningsOrLosses |
| End Of Year Balance | 70768 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 63535 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -131 | InvestmentEarningsOrLosses |
| End Of Year Balance | 63404 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 56725 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 6810 | InvestmentEarningsOrLosses |
| End Of Year Balance | 63535 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 46032 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 10693 | InvestmentEarningsOrLosses |
| End Of Year Balance | 56725 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 57840 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -11808 | InvestmentEarningsOrLosses |
| End Of Year Balance | 46032 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3346505 | OtherCostOrOtherBasis |
| Depreciation | 1537859 | Depreciation |
| Book Value | 1808646 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 632833 | OtherCostOrOtherBasis |
| Depreciation | 398159 | Depreciation |
| Book Value | 234674 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1815336 | OtherCostOrOtherBasis |
| Depreciation | 1598399 | Depreciation |
| Book Value | 216937 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4209955 | OtherCostOrOtherBasis |
| Depreciation | 3350589 | Depreciation |
| Book Value | 859366 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3119623 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | TRUSTS | Description |
| Book Value | 2514501 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2514501 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL CLAIMS PAYABLE | Description |
| Amount | $14,559,450 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 14559450 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 177679503 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 5150 | NetUnrealizedGainsInvestments |
| Other Revenues | 8114 | OtherRevenues |
| Revenue Not Rptd F990 | 13264 | RevenueNotRptdF990 |
| Revenue Subtotal | 177666239 | RevenueSubtotal |
| Investment Expenses Not Included | 712 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 712 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 177666951 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 168446247 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 168446247 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 712 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 626 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1338 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 168447585 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE INTENDED USE OF THE BOARD DESIGNATED FUNDS IS SPECIAL PROJECTS AT CARE WISCONSIN FIRST, INC. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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 RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2012 OR 2011. TAX RETURNS FOR YEARS 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTIONS 8,114. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTIONS 626. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAREN MUSSER | ||||||||||||||
| PRESIDENT, CEO | 253412 | 0 | 0 | 0 | 1701 | 0 | 6814 | 0 | 13907 | 0 | 275834 | 0 | 0 | 0 |
| TERRY METZGER | ||||||||||||||
| TREASURER, CF&AO | 163650 | 0 | 0 | 0 | 228 | 0 | 4632 | 0 | 13258 | 0 | 181768 | 0 | 0 | 0 |
| KEN EIMERS | ||||||||||||||
| SECRETARY AND CFO | 198332 | 0 | 0 | 0 | 800 | 0 | 5002 | 0 | 15005 | 0 | 219139 | 0 | 0 | 0 |
| SCOTT JOHNSON | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | 168624 | 0 | 0 | 0 | 639 | 0 | 4158 | 0 | 683 | 0 | 174104 | 0 | 0 | 0 |
| PATRICIA NEELY | ||||||||||||||
| VP OF PROGRAMS | 140502 | 0 | 0 | 0 | 763 | 0 | 3877 | 0 | 9747 | 0 | 154889 | 0 | 0 | 0 |
| KRISTIN JEFFRIES | ||||||||||||||
| VP PLANNING & COMMUNICATIONS | 142473 | 0 | 0 | 0 | 488 | 0 | 3517 | 0 | 11053 | 0 | 157531 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4A | ReturnReference |
| Explanation | SCOTT JOHNSON - $34,328 RITA SEAVER - $24,324 KRISTIN JEFFRIES - $25,410 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE CHIEF FINANCIAL & ADMINISTRATIVE OFFICER PERFORMS AN EXTENSIVE REVIEW PRIOR TO FILING FORM 990 WITH THE INTERNAL REVENUE SERVICE. PRIOR TO THE 990 FILING WITH THE IRS, THE FORM IS MADE AVAILABLE TO THE MEMBERS OF THE BOARD. AT THE NEXT BOARD MEETING, KEY COMPONENTS OF THE RETURN ARE THEN 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 | FOR THE EXECUTIVE TEAM, A CONSULTANT HELPS WITH REVIEWING THE MARKET DATA FROM 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 WILL THEN REVIEW AND APPROVE. FOR THE CEO'S COMPENSATION, THE BOARD RECEIVES THE RECOMMENDATION FROM THE CONSULTANT AND WILL REVIEW/APPROVE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | RECORDS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST BY MAILING TO CARE WISCONSIN, 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 61,412. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,412. CONSULTING FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 370,132. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 370,132. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 127,595,801. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,595,801. | OTHER FEES |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE WISCONSIN HEALTH PLAN | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2802 INTERNATIONAL LANE | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 53704 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 240093404 | EIN |
| Primary Activities | HEALTH CARE | PrimaryActivities |
| Legal Domicile State | WI | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 9 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE WISCONSIN FIRST INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CARE WISCONSIN HEALTH PLAN INC | ||
| P | 11807728 | COST REIMBURSEMENT |
| CARE WISCONSIN HEALTH PLAN INC | ||
| P | 4107712 | COST REIMBURSEMENT |
| CARE WISCONSIN HEALTH PLAN INC | ||
| P | 1463500 | COST REIMBURSEMENT |
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