EXECUTIVE DIRECTOR

2012-05-15T13:10:17-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2011-01-01 203493804 WISCONSIN HEALTH INFORMATION ORGANIZATION INC WISC 6082106655 5510 NOBEL DRIVE NO 200 FITCHBURG WI 53711 JOSEPHINE MUSSER EXECUTIVE DIRECTOR 6082106655 2012-05-15 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2011 2016-02-24 21:20:13Z JOSEPHINE MUSSER 5510 NOBEL DRIVE NO 200 FITCHBURG WI 53711 1940455 0 X N/A X 2005 WI TO PROVIDE QUALITY INFORMATION SHARING. 15 15 0 0 0 0 994048 1616870 428500 323551 649 34 2219 0 1425416 1940455 0 0 0 0 0 0 0 0 0 1266997 2541263 1266997 2541263 158419 -600808 3770956 2938928 1776815 1545595 1994141 1393333 THE HEALTHCARE STAKEHOLDERS OF WISCONSIN HEALTH INFORMATION ORGANIZATION ARE COMMITTED TO DEVELOPING A CENTRALIZED HEALTHCARE DATA REPOSITORY FOR THE PURPOSES OF QUALITY IMPROVEMENT, PROVIDER PERFORMANCE MEASUREMENT, AND PUBLIC REPORTING. 0 0 2218073 323551 THE ORGANIZATION WAS ESTABLISHED FOR THE CREATION AND MAINTENANCE OF A CENTRALIZED HEALTHCARE DATA REPOSITORY. THE REPOSITORY IS TO BE USED FOR THE IMPROVEMENT OF THE QUALITY OF HEALTHCARE, MEASUREMENT OF THE PERFORMANCE OF HEALTHCARE PROVIDERS, AND TO MAKE AVAILABLE TO THE GENERAL PUBLIC UNIFIED REPORTS ON HEALTHCARE QUALITY, AFFORDABILITY, SAFETY AND EFFICIENCY. 2218073 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 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 0 0 0 0 0 1 6 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 WI X LINDA SYTH 6082106655 WISCONSIN MEDICAL SOCIETY 330 EAST MADISON WI 53715 JOHN TOUSSAINT DIRECTOR 1.00 X 0 0 0 MARK XISTRIS DIRECTOR 1.00 X 0 0 0 STEVE BRENTON VICE CHAIR 1.00 X X 0 0 0 LINDA SYTH DIRECTOR 1.00 X 0 0 0 JOHN FOLEY TREASURER 1.00 X X 0 0 0 DIANNE KIEHL DIRECTOR 1.00 X 0 0 0 JIM RIORDAN DIRECTOR 1.00 X 0 0 0 LARRY RAMBO BOARD CHAIR 1.00 X X 0 0 0 BRUCE WEISS DIRECTOR 1.00 X 0 0 0 BOB PHILLIPS DIRECTOR 1.00 X 0 0 0 LISA ELLINGER SECRETARY 1.00 X X 0 0 0 MARK MOODY DIRECTOR 1.00 X 0 0 0 LON SPRECHER DIRECTOR 1.00 X 0 0 0 DENISE WEBB DIRECTOR 1.00 X 0 0 0 CHRIS QUERAM DIRECTOR 1.00 X 0 0 0 JULIE BARTELS EXECUTIVE DIRECTOR 40.00 X 305242 0 0 305242 0 0 1 0 1 0 INGENIX PO BOX 271256 SALT LAKE CITY UT 841271256 SOFTWARE CONSTRUCTION AND MAINTENANCE 1259684 THEDACARE 122 EAST COLLEGE AVENUE APPLETON WI 549128025 LEASED EMPLOYEE 338426 LABYRINTH HEALTH SOLUTIONS LLC 3233 MEADOW ROAD VERONA WI 53593 CONSULTING 180505 WISCONSIN HOSPITAL ASSOCIATION PO BOX 259038 MADISON WI 537259038 CONSULTING 128927 4 1328370 288500 1616870 OTHER PROGRAM REIMBURS 518210 300000 300000 MEMBER SUBSCRIPTIONS 518210 13687 13687 CONFERENCES 518210 9864 9864 323551 34 34 1940455 323551 0 34 448470 358913 89557 18513 14811 3702 6575 3287 3288 1281786 1098886 182900 9899 8002 1897 10573 5964 4609 702975 702975 30423 30423 EDUCATION 16914 11452 5462 SALES & MARKETING 8439 7757 682 COMPUTER SUPPLIES AND S 6696 6026 670 2541263 2218073 323190 0 625944 518205 554500 534956 7720 5950 3514875 1635058 2582792 1879817 3770956 2938928 816418 578568 960397 967027 1776815 1545595 X 1994141 1393333 1994141 1393333 3770956 2938928 -600808 0 X 0 1 0 X 0 X 500000 1050000 389054 994048 1616870 4549972 500000 1050000 389054 994048 1616870 4549972 1543203 3006769 26742 13689 3717 649 34 44831 2219 2219 4597022 0.65410 0.51040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3514875 1635058 1879817 1879817 1940455 2541263 -600808 -600808 1940455 0 1940455 0 1940455 2541263 0 2541263 0 2541263 X 0 0 0 0 0 0 0 0 0 JULIE BARTELS 269242 0 36000 0 0 0 0 0 0 0 305242 0 0 0 SUPPLEMENTAL INFORMATION PART III JULIE BARTELS HAS RECEIVED COMPENSATION OF $305,242 IN 2011 FROM THEDACARE (UNRELATED ORGANIZATION) AS A LEASED EMPLOYEE TO WISCONSIN HEALTH INFORMATION ORGANIZATION FOR SERVING AS EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 11 THE EXECUTIVE DIRECTOR AND BOARD TREASURER REVIEW THE 990. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE EVALUATES THE PERFORMANCE AND LEADERSHIP SUCCESSION PLANNING OF THE EXECUTIVE DIRECTOR AT LEAST ANNUALLY. THE COMMITTEE REPORTS ITS EVALUATION AND RECOMMENDS COMPENSATION ADJUSTMENTS TO THE BOARD. THE BOARD THEN APPROVES THE COMPENSATION ADJUSTMENT BASED ON THE PERFORMANCE REVIEW CONDUCTED BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE EXECUTIVE DIRECTOR OR BOARD MEMBER OF THE ORGANIZATION WOULD MAKE ITS DOCUMENTS AVAILABLE TO PUBLIC UPON REQUEST.