2013-08-15T13:35:30-05:00 2013-03-31 390758449 WIPFLI LLP PO BOX 8700 MADISON WI 537088700 990 2012-04-01 391407034 WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC WISC 6082777477 5202 EASTPARK BLVD NO 109 MADISON WI 53718 STEPHANIE HARRISON 6082777477 2013-08-14 1 JOHN HEMMING P00856805 6082741980 2013-08-14 2012 2016-02-25 16:41:14Z STEPHANIE HARRISON 5202 EASTPARK BLVD NO 109 MADISON WI 53718 2192334 0 X WWW.WPHCA.ORG X 1982 WI THE MISSION OF THE WISCONSIN PRIMARY HEALTH CARE ASSOCIATION IS TO ADVANCE THE EFFORTS OF WISCONSIN COMMUNITY HEALTH CENTERS IN PROVIDING ACCESS TO COMPREHENSIVE, COMMUNITY-ORIENTED PRIMARY HEALTH CARE SERVICES. 22 22 41 1 0 0 1744003 1789204 386221 399795 2810 3335 0 0 2133034 2192334 39430 45008 0 0 1238233 1239277 0 0 20669 839887 895618 2117550 2179903 15484 12431 792617 1782465 256753 1234170 535864 548295 X THE MISSION OF THE WISCONSIN PRIMARY HEALTH CARE ASSOCIATION IS TO ADVANCE THE EFFORTS OF WISCONSIN COMMUNITY HEALTH CENTERS IN PROVIDING ACCESS TO COMPREHENSIVE, COMMUNITY-ORIENTED PRIMARY HEALTH CARE SERVICES. 0 0 658553 NONFINANCIAL TECHNICAL ASSISTANCE (NFTA) -UNDER THE NFTA (BASE) GRANT, WPHCA PROVIDES TRAINING AND TECHNICAL ASSISTANCE TO HEALTH CENTERS AND ENTITIES SEEKING HEALTH CARE ACCESS OPTIONS ON GOVERNANCE AND COMPLIANCE REQUIREMENTS, QUALITY IMPROVEMENT, AND PROGRAM ANALYSIS. 276071 99301 AMERICORPS- THE AMERICORPS PROGRAM RECRUITS, PLACES, AND SUPERVISES AMERICORPS MEMBERS IN HEALTH CENTERS AND OTHER PUBLIC HEALTH SITES IN WISCONSIN, WHERE MEMBERS ARE CONDUCTING HEALTH OUTREACH AND EDUCATION IN COMMUNITIES WHERE THERE ARE HIGH NEEDS. 478578 5733 HEALTH INFORMATION TECHNOLOGY INNOVATIONS (HIT) -UNDER THE HIT INNOVATIONS GRANT, WPHCA IS DEVELOPING A DATA WAREHOUSE OF HEALTH CENTER QUALITY, OUTCOMES AND FINANCIAL INFORMATION FOR THE PURPOSE OF IDENTIFYING BEST PRACTICES, DRIVING QUALITY IMPROVEMENT, AND CONNECTING THE STATEWIDE HEALTH INFORMATION NETWORKS. 61236 HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) 15311 4254 HEALTH PROFESSIONAL SHORTAGE AREA - MEDICAL COLLEGE OF WISCONSIN 11755 AMERICAN RECOVERY AND REINVESTMENT ACT - RETENTION 67000 40008 DIABETES PREVENTION 21393 CANCER AND TOBACCO 45481 COMMUNITY HEALTH CENTER NETWORKS 21269 EMERGENCY MANAGEMENT 259116 5000 17269 FOUNDATIONS 273238 OTHER MISSION RELATED PROGRAMS 502561 45008 294761 1915763 1 1 0 1 0 0 0 0 0 0 1 1 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 10 0 1 41 1 0 0 0 0 0 0 0 0 0 0 X 22 22 1 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X KHADIJA ELDACHACH 6082777477 5202 EASTPARK BLVD STE 109 MADISON WI 53718 MARI FREIBERG 1.00 X X 0 0 0 REBA RICE 1.00 X X 0 0 0 BONNIE KUHR 1.00 X X 0 0 0 TED KAY 1.00 X 0 0 0 SHELLY WHITE 1.00 X 0 0 0 BILL JENKINS 1.00 X 0 0 0 LIZ BLADE MD 1.00 X 0 0 0 KEN LOVING MD 1.00 X 0 0 0 GREG NYCZ 1.00 X 0 0 0 BYRON J CROUSE MD 1.00 X 0 0 0 MAVIS BREHM 1.00 X 0 0 0 MARTY SCHALLER 1.00 X 0 0 0 LAURA SCUDIERE 1.00 X 0 0 0 JULIE SCHULLER MD MPH 1.00 X 0 0 0 JENNI SEVENICH 1.00 X 0 0 0 KRISTENE STACKER 1.00 X 0 0 0 TITO IZARD MD 1.00 X 0 0 0 TIM SIZE 1.00 X 0 0 0 DAVID HUGHES 1.00 X 0 0 0 DANIEL BECKER 1.00 X 0 0 0 JOY R TAPPER MPA 1.00 X 0 0 0 GRETCHEN DAHLEN THRU SEPT 2012 1.00 X 0 0 0 LEE CARROLL THRU SEPT 2012 1.00 X 0 0 0 STEPHANIE HARRISON 45.00 X 106777 0 16283 KHADIJA ELDACHACH 45.00 X 60842 0 6826 DANIEL PETERSON 45.00 X 121596 0 4509 289215 0 27618 2 0 0 0 0 1547357 241847 1789204 MEMBERSHIP - FEES 561499 144143 144143 CHC SUPPORT 900099 135384 135384 FEE SERVICE 900099 108950 108950 CONFERENCE REVENUE 900099 8750 8750 OTHER INCOME 900099 2568 2568 399795 3335 3335 2192334 399795 0 3335 45008 45008 188823 45072 141239 2512 838569 807872 16795 13902 15162 14858 304 122531 117145 2454 2932 74192 63195 9674 1323 19386 19386 15250 15250 532914 520714 12200 84447 75380 9067 111749 100422 11327 52856 38122 14734 27351 18108 9243 7761 7761 12481 10990 1491 BOARD EXPENSES 11574 11574 DUES AND SUBSCRIPTIONS 7038 3661 3377 RECRUITMENT 4606 4559 47 8205 4447 3758 2179903 1915763 243471 20669 389562 568146 188484 205625 68645 17985 22495 24844 44384 25591 26554 18793 96877 97072 0 850000 792617 1782465 94406 161928 162347 222242 850000 256753 1234170 X 514960 533808 20904 14487 535864 548295 792617 1782465 12431 0 X X 0 1 X 1 1 1 X 1161000 1086555 1429250 1744003 1789204 7210012 1161000 1086555 1429250 1744003 1789204 7210012 35173 7174839 4561 2808 5170 2810 3335 18684 7228696 1223053 0.99250 0.86980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 39185 84347 123532 2056371 2179903 258995 64749 0 0 237013 255878 258995 751886 1127829 48216 71567 123532 243315 59253 63970 64749 187972 281958 32736 66120 39185 138041 0 1 X 5540 1319 4221 38844 24272 14572 18793 CERTIFICATES OF DEPOSIT 97072 C 97072 MONEY HELD FOR OTHERS 850000 850000 X 2192334 0 2192334 0 2192334 2179903 0 2179903 0 2179903 PART IV, LINE 2B: WISCONSIN PRIMARY HEALTH CARE ASSOCIATION IS HOLDING THE FUNDS FOR THE UNITED WAY. THE FUNDS ARE TO BE DISTRIBUTED TO HEALTH CENTERS ACROSS WISCONSIN. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: WPHCA IS REQUIRED TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. WPHCA HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. FEDERAL RETURNS FOR THE FISCAL YEARS ENDED 2010, AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: WISCONSIN PRIMARY HEALTH CARE ASSOCIATION MAINTAINS RECORDS OF WHICH ORGANIZATIONS RECEIVE GRANTS AND FINANCIAL ASSISTANCE. PART II GRANTS AND OTHER ASSISTANCE TO GOVERNMENTS AND ORGANIZATIONS THE ORGANIZATION DID NOT GIVE ANY GRANTS OR ASSISTANCE TO ORGANIZATIONS IN THE UNITED STATES THAT EXCEEDED $5,000. PAM CROUSE SPOUSE OF BYRON CROUSE, BOARD MEMBER 53344 EMPLOYED BY THE ORGANIZATION - INCLUDES BASE SALARY AND BENFITS. 0 FORM 990, PART VI, SECTION A, LINE 2 BYRON CROUSE, AT-LARGE BOARD MEMBER, IS MARRIED TO PAM CROUSE, STAFF MEMBER. THE BOARD MEMBER RECUSES HIMSELF FROM ANY PERSONNEL MATTERS. FORM 990, PART VI, SECTION A, LINE 4 THE FOLLOWING REPRESENTS THE MAIN CHANGES IN THE BYLAWS AS REVISED JULY 16, 2012: -IDENTIFIED THE FINANCE AND PERSONNEL COMMITTEES AS STANDING COMMITTEES IN ADDITION TO THE EXECUTIVE COMMITTEE. -IDENTIFIED THE MINIMUM COMPOSITION REQUIREMENTS FOR WPHCA COMMITTEES AT LEAST FIVE (5) MEMBERS. THE CHAIRPERSON AND AT LEAST ONE (1) OTHER MEMBER OF EACH COMMITTEE SHALL BE MEMBERS OF THE BOARD OF DIRECTORS. -CROSS REFERENCE WITH WPHCA FINANCE AND ACCOUNTING MANUAL FOR FINANCIAL RELATED ACTIVITIES (CHECK DEPOSITS, PAYMENT AUTHORIZATION, LOANS) -SECTION 4.9: CHANGED THE MINIMUM VOTE TO APPROVE ACTION THROUGH INFORMAL ACTION UNDER SECTION 4.9 OF THE BYLAWS TO 2/3 (FROM "MAJORITY" IN THE EXEC COMM'S VERSION) BECAUSE WISCONSIN STATUTE 181.0821 REQUIRES SUCH ACTION TO BE ACCOMPLISHED THROUGH 2/3 APPROVAL. -CONFLICT OF INTEREST POLICY: EDIT IN THE BYLAWS TO SIMPLY REFER TO WPHCA'S CONFLICTS OF INTEREST POLICY (AS A STANDALONE POLICY), AND TO INCLUDE THE CONFLICTS OF INTEREST POLICY, AS AMENDED, AS EXHIBIT A TO THE BYLAWS. -FISCAL POLICIES AND PROCEDURES TO BE REVIEWED EVERY 3 YEARS (INSTEAD OF ANNUALLY) -THE COMPLETE AUDIT REPORT MUST BE DISTRIBUTED TO THE MEMBERSHIP. -INDEMNIFICATION REPLACED THE LIABILITY ARTICLE FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS MEMBERS WHO MAY ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED IN A SIMILAR MANNER AS THE ANNUAL AUDIT. A DRAFT COPY IS PROVIDED BY THE AUDIT FIRM. THE EXECUTIVE DIRECTOR REVIEWS THIS COPY AND MAKES ANY NECESSARY CORRECTIONS. THE FINAL COPY IS PROVIDED TO THE WPHCA BOARD OF DIRECTOR'S FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND STAFF ANNUALLY SIGN A CONFLICT OF INTEREST DISCLOSURE FORM, WHICH IS THEN REVIEWED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 AT LEAST EVERY THREE YEARS, THE PERSONNEL COMMITTEE OBTAINS AN INDEPENDENT SALARY SCALE TO REVIEW FOR THEIR INPUT, EVALUATION, AND RECOMMENDATION TO THE FULL BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE HAS BEEN NO CHANGE FROM PRIOR YEAR.