2013-08-12T16:04:20-05:00 2012-12-31 420714325 MCGLADREY LLP PO BOX 5946 MADISON WI 537050946 990 2012-01-01 391264667 COMMUNITY CARE INC COMM 4143856610 1555 S LAYTON BLVD MILWAUKEE WI 53215 LAWRENCE J PAPLHAM 2622079370 2013-07-11 1 JAMES G GRAHAM P00006111 6088332612 2012 2016-02-25 16:41:14Z KENNETH MUNSON 1555 S LAYTON BLVD MILWAUKEE WI 53215 336967863 0 X WWW.COMMUNITYCAREINC.ORG X 1977 WI COMMUNITY CARE'S MISSION IS TO DEVELOP AND DEMONSTRATE INNOVATIVE, FLEXIBLE, COMMUNITY-BASED APPROACHES TO CARE FOR AT-RISK ADULTS, IN ORDER TO OPTIMIZE THEIR QUALITY OF LIFE AND OPTIMIZE THE ALLOCATION OF COMMUNITY RESOURCES. 16 16 1238 59 0 0 117153 1533 322164906 333730857 236905 190505 2955 52560 322521919 333975455 0 0 275401473 283187571 27690871 31457713 0 0 0 8349591 8234004 311441935 322879288 11079984 11096167 74313428 85234208 41567726 41520641 32745702 43713567 X COMMUNITY CARE DEMONSTRATES AND MANAGES INNOVATIVE, FLEXIBLE COMMUNITY-BASED PROGRAMS TO CARE FOR AT-RISK ADULTS IN ORDER TO ENHANCE THEIR QUALITY OF LIFE AND OPTIMIZE THE ALLOCATION OF COMMUNITY RESOURCES. 0 0 310266732 333652669 FAMILY CARE: PROVIDES CASE MANAGEMENT AND ADDITIONAL LONG-TERM CARE SERVICES TO SENIORS AND ADULTS WITH PHYSICAL OR DEVELOPMENTAL DISABILITIES. THE OBJECTIVE IS TO HELP MEMBERS COORDINATE VARIOUS INDEPENDENT SPECIAL SERVICES RELATING TO THEIR NEEDS WITH FAMILY CARE SERVICES ENABLING MEMBERS TO RECEIVE THESE SERVICES IN THEIR PERSONAL RESIDENCES. 123420 83482 AFH CERTIFICATION - CERTIFIES ADULT FAMILY HOMES (AFH) TO ENSURE THAT THEY COMPLY WITH STATE AND FEDERAL REGULATIONS. 134534 28426 TECHNICAL ASSISTANCE - THE PROGRAM PROVIDES TECHNICAL ASSISTANCE TO NEW, START UP, OR TRANSITIONING PACE PROGRAMS. 18840 OTHER PROGRAM SERVICES INCLUDE: 1) SIOUXLAND PACE AND 2) BUSINESS DEVELOPMENTSIOUXLAND PACE IS AN OPERATING PACE PROGRAM IN SIOUX CITY, IA, THAT IS CONDUCTED AS A JOINT EQUITY PARTNERSHIP WITH ST. LUKE'S HEALTH SYSTEM. BUSINESS DEVELOPMENT IS A PROGRAM THAT SEARCHES FOR OTHER OPPORTUNITIES TO FURTHER THE ORGANIZATION'S MISSION. EXAMPLES INCLUDE GRANT-FUNDED OPPORTUNITIES THROUGH THE ACA AND DEVELOPMENT OF CO-SPONSOR MODELS FOR NEW PACE PROGRAMS IN OTHER MARKETS. 18840 310524686 1 0 0 1 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1055 0 1 1238 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X LAWRENCE J PAPLHAM 2622079370 205 BISHOPS WAY BROOKFIELD WI 53005 ROBERT GOLDSTEIN 1.00 X X 0 0 0 DORIS CHORTEK 1.00 X 0 0 0 ED CORRIGAN 1.00 X 0 0 0 EDMUND DUTHIE 1.00 X 0 0 0 BRENDA GRAY 1.00 X 0 0 0 STEVEN M DZIEDZIC 1.00 X X 0 0 0 ROBERT HARRIS 1.00 X X 0 0 0 BEN GREENEBAUM 1.00 X 0 0 0 ANNE KIEKHOFER 1.00 X 0 0 0 JOHN PLANT 1.00 X 0 0 0 JOANNE MACINNES 1.00 X 0 0 0 ROBERT SPEER 1.00 X X 0 0 0 RICHARD THEADO 1.00 X 0 0 0 STEPHEN C VANDERBLOEMEN 1.00 X 0 0 0 VIRGINIA THOMAS 1.00 X 0 0 0 PATRICIA SCHROEDER 1.00 X 0 0 0 KIRBY SHOAF 40.00 X 258921 101141 13507 LAWRENCE PAPLHAM 40.00 X 183315 71608 8147 MARY GAVINSKI 40.00 X 143300 143299 7845 KALLURU VIJAYABHANU 40.00 X 0 181329 5769 MARILYN SINCABAN 40.00 X 0 228193 7146 GREGORY NIERENGARTEN 40.00 X 0 231920 16926 ALICIA MODJESKA 40.00 X 172291 67002 18439 757827 1024492 77779 35 0 1 0 HOMES FOR INDEPENDENT LIVING OF WI LLC PO BOX 3090 MILWAUKEE WI 532013090 RESIDENTIAL SERVICES 12983862 SOCIETYS ASSETS INC 5200 WASHINGTON AVENUE SUITE 225 RACINE WI 53406 IN-HOME CARE 9587519 ALPHA HOMES OF WISCONSIN INC 6216 WASHINGTON AVENUE SUITE D RACINE WI 53406 RESIDENTIAL SERVICES 6154804 MILWAUKEE CENTER FOR INDEPENDENCE 2020 WEST WELLS STREET MILWAUKEE WI 53233 IN-HOME CARE 5730699 INNOVATIVE SERVICES 445 S MADISON AVENUE GREEN BAY WI 54301 RESIDENTIAL SERVICES 5327669 443 1533 1533 CAPITATION REVENUE 524114 298641384 298641384 PATIENT SERVICES 524114 34941724 34941724 CONTRACT REVENUE 524114 130749 130749 RISK-SHARING REVENUE 524114 17000 17000 333730857 166829 166829 1703589 1312495 1708284 1284124 -4695 28371 23676 23676 OTHER REVENUE 900099 52560 52560 52560 333975455 333783417 0 190505 283187571 283187571 1609570 1609570 23886558 17348419 6538139 535250 407942 127308 3465675 2607898 857777 1960660 1477661 482999 48190 11586 36604 97503 48343 49160 44510 44510 12947 12947 1544146 190676 1353470 110164 110164 300846 167356 133490 475322 117562 357760 783284 735264 48020 35423 12570 22853 57027 3488 53539 830792 90283 740509 118328 1045 117283 ALLOCATED EXPENSE 1456628 1456628 EQUIPMENT RENTAL 1002337 235251 767086 ASSESSMENT EXPENSE 750000 750000 SUPPLIES 367298 42496 324802 199259 23077 176182 322879288 310524686 12354602 0 29891530 39652130 9326334 9104608 216134 318808 1658030 1929386 23159537 9597159 11534249 13562378 21687151 20666898 74313428 85234208 8061203 8282336 0 607705 807143 797923 4545000 4415000 28154380 27417677 41567726 41520641 X 32745702 43713567 32745702 43713567 74313428 85234208 X 11096167 -58629 -69673 X X 0 1 X 1 1 1 X 2637083 1243047 464954 117153 21902 4484139 104494034 161478003 259122086 322164906 333710487 1180969516 107131117 162721050 259587040 322282059 333732389 1185453655 0 0 0 1185453655 651784 101246 150401 275438 166829 1345698 651784 101246 150401 275438 166829 1345698 12306 2955 52561 67822 107782901 162822296 259749747 322560452 333951779 1186867175 0.99880 0.99850 0.00110 0.00150 X 0 0 0 0 0 0 1 44510 0 0 44510 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: COMMUNITY CARE, INC HIRES THIRD PARTIES, BLUMENFELD & ASSOCIATES, LLC AND GIELOW ASSOCIATES, TO LOBBY ON ITS BEHALF. 0 1 X 495309 495309 9490766 2109263 7381503 9627248 7457191 2170057 3546214 30705 3515509 13562378 OTHER ASSETS 156675 RESERVE FUND 3868397 DUE FROM CCHP 599813 INVESTMENT IN CCHP 16069206 INVESTMENT IN CC HUD HOUSING, INC. -27193 20666898 IBNR FUND 27004970 UNPAID CLAIMS 412707 27417677 X 333730857 0 333730857 244598 244598 333975455 322116341 0 322116341 12947 750000 762947 322879288 PART IV, LINE 2B: CCI PROVIDES REPRESENTATIVE PAYEE SERVICES FOR SOME OF ITS MEMBERS. THE CUSTODIAL ACCOUNTS ARE MEMBER COLLECTIVE FUNDS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION FOLLOWS THE PROVISIONS OF ASC 740, INCOME TAXES. AS REQUIRED BY THE UNCERTAIN TAX POSITION GUIDANCE IN ASC 740, THE ORGANIZATION RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. FOR POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT THRESHOLD, THE AMOUNT RECOGNIZED IN THE FINANCIAL STATEMENTS IS THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT WITH THE RELEVANT TAX AUTHORITY. THERE WERE NO SIGNIFICANT MATTERS DETERMINED BY MANAGEMENT TO BE UNRECOGNIZED TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN THAT HAVE BEEN RECORDED ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011. TAX YEARS OPEN UNDER THE FEDERAL STATUTE OF LIMITATIONS INCLUDE 2009 THROUGH 2012. TAX YEARS OPEN UNDER THE STATE OF WISCONSIN STATUTE INCLUDE 2008 THROUGH 2012. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT INCOME 162,134. OTHER REVENUE 82,464. PART XII, LINE 4B - OTHER ADJUSTMENTS: ASSESSMENT EXPENSE 750,000. X X X X 0 0 0 0 0 0 0 0 0 KIRBY SHOAF 258921 101141 0 0 0 0 714 279 8999 3515 268634 104935 0 0 LAWRENCE PAPLHAM 183315 71608 0 0 0 0 5393 2107 465 182 189173 73897 0 0 MARY GAVINSKI 143300 143299 0 0 0 0 3750 3750 173 172 147223 147221 0 0 KALLURU VIJAYABHANU 0 181329 0 0 0 0 0 5401 0 368 0 187098 0 0 MARILYN SINCABAN 0 228193 0 0 0 0 0 6801 0 345 0 235339 0 0 GREGORY NIERENGARTEN 0 231920 0 0 0 0 0 7075 0 9851 0 248846 0 0 ALICIA MODJESKA 172291 67002 0 0 0 0 0 0 13276 5163 185567 72165 0 0 A WI HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 97710V4R6 2007-09-01 5000000 IMPROVEMENT OF FACILITIES 0 0 0 A 585000 5000000 144674 4855326 2007 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 1 1 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11 THE CFO AND FINANCE COMMITTEE COMPLETE A DETAIL REVIEW OF FORM 990. A COPY OF FORM 990 IS SAVED TO THE BOARD WEB PORTAL FOR REVIEW BEFORE IT IS FILED ELECTRONICALLY. FORM 990, PART VI, SECTION B, LINE 12C COMMUNITY CARE REQUIRES THE MEMBERS OF THE BOARD OF DIRECTORS TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST ANNUALLY AND WHENEVER A NEW ISSUE ARISES. SHOULD THE ORGANIZATION BECOME AWARE OF ANY UNREPORTED POTENTIAL CONFLICTS, THE CONCERNS ARE RAISED WITH THE INDIVIDUAL TO DETERMINE THE EXISTENCE OF ANY SUCH ISSUE. THE DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER AND THE BOARD CHAIRPERSON TO DETERMINE IF ANY MITIGATION IS REQUIRED. THE BOARD OF DIRECTORS IS PROVIDED WITH A SUMMARY OF MEMBER-DISCLOSED CONFLICTS OF INTEREST ANNUALLY AND ANY TIME THE INFORMATION IS CHANGED. ADDITIONALLY, THE COMPLIANCE OFFICER IS AWARE OF THE MEETING AGENDAS AND ENSURES THAT ANY POTENTIAL CONFLICTS OF INTEREST ARE KNOWN AND ADDRESSED PRIOR TO ANY MEETING. SHOULD A CONFLICT BE DISCLOSED OR IDENTIFIED DURING A MEETING THE BOARD CHAIRPERSON OR COMPLIANCE OFFICER WILL IMPLEMENT THE NECESSARY MEASURES TO MITIGATE THE CONCERN. MANAGEMENT AND INDIVIDUALS WITH SPENDING AUTHORITY ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST ANNUALLY AND WHENEVER NEW ISSUES ARE IDENTIFIED. SHOULD THE ORGANIZATION BECOME AWARE OF ANY UNREPORTED POTENTIAL CONFLICTS, THE CONCERNS ARE RAISED WITH THE INDIVIDUAL TO DETERMINE THE EXISTENCE OF ANY SUCH ISSUE. THESE DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER AND THE CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE FOLLOWING DESCRIBES HOW COMMUNITY CARE INC. DETERMINES ITS SALARY AND WAGES. COMMUNITY CARE, INC. ENGAGED THE SERVICES OF THE MANAGEMENT CONSULTING FIRM MCGLADREY LLP TO PROVIDE SALARY RANGE SUGGESTIONS FOR TOP PERSONNEL AND FOR MANAGERS IN THE HUMAN RESOURCES DEPARTMENT. IN 2009, MCGLADREY LLP ANALYZED 34 SUCH POSITIONS BASED ON SCOPE (USING OPERATING REVENUE PROJECTIONS) AND CLOSE SCRUTINY OF THE POSITION DESCRIPTIONS FOR THOSE POSITIONS. INITIAL COMPENSATION IS BASED ON TOTAL YEARS OF RELEVANT EXPERIENCE; ANNUAL MERIT INCREASES ARE GIVEN BASED ON THE INDIVIDUAL'S PERFORMANCE EVALUATION. THE DIRECTOR OF HUMAN RESOURCES REVIEWS THE PERFORMANCE EVALUATION FOR ACCURACY AND CONSISTENCY, AND ASSIGNS A PERCENTAGE INCREASE BASED ON THE TOTAL "POINTS" EARNED BY THE EMPLOYEE ON THE PERFORMANCE EVALUATION. EACH PERFORMANCE EVALUATION IS FIRST SIGNED OFF ON BY THE EXECUTIVE OVERSEEING THE ADMINISTRATOR/DIRECTOR GIVING THE EVALUATION. MANAGERS IN THE HUMAN RESOURCES DEPARTMENT ARE INCLUDED IN THE MCGLADREY LLP STUDY TO AVOID THE PERCEPTION OF CONFLICT OF INTEREST, AS THE DEPARTMENT SETS THE RANGES FOR ALL OTHER POSITIONS IN THE AGENCY. FORM 990, PART VI, SECTION C, LINE 19 RECORDS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST BY MAILING TO: COMMUNITY CARE INC, C/O LAWRENCE PAPLHAM, 205 BISHOPS WAY, BROOKFIELD, WI 53005. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: INVESTMENT IN CURRENT YEAR EARNINGS OF CCHP -69,673. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR. COMMUNITY CARE HEALTH PLAN INC 1555 S LAYTON BLVD MILWAUKEE WI 53215 320124346 HMO WI 501(C)(4) COMMUNITY CARE INC 1 COMMUNITY CARE HUD HOUSING INC 1555 S LAYTON BLVD MILWAUKEE WI 53215 460682226 HEALTH CARE WI 501(C)(3) LINE 7 COMMUNITY CARE INC 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 COMMUNITY CARE HEALTH PLAN N 8968945 ALLOCATED EXPENSE COMMUNITY CARE HEALTH PLAN O 34173739 DIRECT EMPLOYEE EXPENSE