WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC: Form 990, tax year 2011
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- Organization
- WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC (EIN 39-1407034)
- Tax period
- 2011-04-01 to 2012-03-31
- Filed
- 2012-11-14
- IRS object ID
- 201213199349303456
- Schema version
- 2011v1.2
- 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 | 2012-11-14T12:17:42-06:00 | Timestamp |
| Tax Period End Date | 2012-03-31 | 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 | PO BOX 8700 | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 537088700 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391407034 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WISC | NameControl |
| Phone | 6082777477 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5290 EASTPARK BLV NO 109 | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 53718 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEPHANIE HARRISON | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 6082777477 | Phone |
| Date Signed | 2012-11-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN HEMMING | Name |
| PTIN | P00856805 | PTIN |
| Phone | 6082741980 | Phone |
| Date Prepared | 2012-11-02 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STEPHANIE HARRISON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5290 EASTPARK BLV NO 109 | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 53718 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2133034 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WPHCA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 23 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 23 | NbrIndependentVotingMembers |
| Total Nbr Employees | 50 | TotalNbrEmployees |
| Total Nbr Volunteers | 2 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1429250 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1744003 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 302837 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 386221 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5170 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2810 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1737257 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2133034 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 225505 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 39430 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 972344 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1238233 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 10835 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 505883 | OtherExpensePriorYear |
| Other Expenses Current Year | 839887 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1703732 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2117550 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 33525 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 15484 | RevenuesLessExpensesCY |
| Total Assets BOY | 932795 | TotalAssetsBOY |
| Total Assets EOY | 792617 | TotalAssetsEOY |
| Total Liabilities BOY | 412415 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 256753 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 520380 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 535864 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 658648 | Expense |
| Description | NONFINANCIAL TECHNICAL ASSISTANCE -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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 365782 | Expense |
| Revenue | 125589 | Revenue |
| Description | 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 555750 | Expense |
| Description | HEALTH INFORMATION TECHNOLOGY INNOVATIONS-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. | Description |
Activity Other ActivityOther (9 entries)
| ExpenseExpense | RevenueRevenue | DescriptionDescription | GrantsGrants |
|---|---|---|---|
| 399 | 67865 | H1N1: PUBLIC HEALTH EMERGENCY RESPONSE PHASE 3 | |
| 128269 | HPSA DESIGNATIONS: PROVIDE COORDINATION OF THE HEALTH PROFESSIONAL SHORTAGE AREAS DESIGNATIONS | ||
| 1957 | 37060 | HPSA MCW | |
| 10205 | ARRA RETENTION | ||
| 81033 | DIABETES PROGRAM: PROVIDE CLINICAL SUPPORT TO ENSURE QUALITY IN DIABETIC PROGRAMS FOR CLINICS WITH MEDICALLY UNDERSERVED POPULATIONS | 20041 | |
| 42005 | CANCER AND TOBACCO: ASSIST IN QUALITY IMPROVEMENT TO INCREASE SCREENING RATES IN BREAST, CERVICAL AND COLERACTAL CANCERS. ASSIST CHC'S IN QUALITY IMPROVEMENT FOR PREVENTION OF TOBACCO USE. | 19389 | |
| 28866 | EMERGENCY MANAGEMENT | ||
| 13892 | INCUBATOR | ||
| 155707 | ADVOCACY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 306626 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 39430 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 260632 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 1886806 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | 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 | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 15 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 50 | 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 | 23 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 23 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | 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
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KHADIJA EDDACHACH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6082777477 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5202 EASTPARK BLVD STE 109 | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 53718 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MARI FREIBERG | |||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| REBA RICE | |||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| BONNIE KUHR | |||||||
| SECRETARY/TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| RICHARD A PERRY | |||||||
| PAST PRESIDENT | 1.00 | X | 0 | 0 | 0 | ||
| JOHN BARTKOWSKI DRPH | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| N LEE CARROLL | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| GREG NYCZ | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LAURA SCUDIERE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JENNI SEVENICH | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| KRISTENE STACKER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JACK WATERS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| TED KAY | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BYRON J CROUSE MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MAVIS BREHM | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MARTY SCHALLER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| TIM SIZE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JULIE SCHULLER MD MPH | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| GRETCHEN DAHLEN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| KEN LOVING MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| TITO IZARD MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| SHELLY WHITE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVID HUGHES | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOY R TAPPER MPA | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| STEPHANIE HARRISON | |||||||
| EXECUTIVE DIRECTOR | 45.00 | X | 104325 | 0 | 17136 | ||
| KHADIJA ELDACHACH | |||||||
| BUSINESS OPERATIONS MANAGER | 45.00 | X | 11538 | 0 | 1078 | ||
| DANIEL PETERSON | |||||||
| HIT DIRECTOR | 45.00 | 123723 | 0 | 4157 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 239586 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 22371 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 1718821 | GovernmentGrants |
| All Other Contributions | 25182 | AllOtherContributions |
| Total Contributions | 1744003 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEMBERSHIP - FEES | 561499 | 131243 | 131243 |
| CHC SUPPORT - AMERICOR | 900099 | 125589 | 125589 |
| FEE SERVICE | 900099 | 67865 | 67865 |
| CONFERENCE REVENUE | 900099 | 37060 | 37060 |
| OTHER INCOME | 900099 | 24464 | 24464 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 386221 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2810 | TotalRevenueColumn |
| Exclusion | $2,810 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2133034 | TotalRevenueColumn |
| Related Or Exempt Function Income | 386221 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,810 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39430 | Total |
| Program Services | 39430 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145007 | Total |
| Program Services | 25124 | ProgramServices |
| Management And General | 109733 | ManagementAndGeneral |
| Fundraising | 10150 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 886089 | Total |
| Program Services | 886089 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17482 | Total |
| Program Services | 17482 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114401 | Total |
| Program Services | 114401 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75254 | Total |
| Program Services | 68056 | ProgramServices |
| Management And General | 6513 | ManagementAndGeneral |
| Fundraising | 685 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5467 | Total |
| Management And General | 5467 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15950 | Total |
| Management And General | 15950 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 489651 | Total |
| Program Services | 483045 | ProgramServices |
| Management And General | 6606 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67884 | Total |
| Program Services | 57303 | ProgramServices |
| Management And General | 10581 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105578 | Total |
| Program Services | 95608 | ProgramServices |
| Management And General | 9970 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44690 | Total |
| Program Services | 33563 | ProgramServices |
| Management And General | 11127 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63444 | Total |
| Program Services | 30655 | ProgramServices |
| Management And General | 32789 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7644 | Total |
| Program Services | 1902 | ProgramServices |
| Management And General | 5742 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10777 | Total |
| Program Services | 9884 | ProgramServices |
| Management And General | 893 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| OTHER | 11158 | 9863 | 1295 |
| BOARD EXPENSES | 10080 | 9770 | 310 |
| DUES AND SUBSCRIPTIONS | 5216 | 2473 | 2743 |
| RECRUITMENT | 2348 | 2158 | 190 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2117550 | Total |
| Program Services | 1886806 | ProgramServices |
| Management And General | 219909 | ManagementAndGeneral |
| Fundraising | 10835 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 436818 | BOY |
| EOY | 389562 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 332994 | BOY |
| EOY | 188484 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45311 | BOY |
| EOY | 68645 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17020 | BOY |
| EOY | 22495 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 44384 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 17830 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3945 | BOY |
| EOY | 26554 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96707 | BOY |
| EOY | 96877 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 932795 | BOY |
| EOY | 792617 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 277879 | BOY |
| EOY | 94406 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134536 | BOY |
| EOY | 162347 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 412415 | BOY |
| EOY | 256753 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 520380 | BOY |
| EOY | 514960 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 20904 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 520380 | BOY |
| EOY | 535864 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 932795 | BOY |
| EOY | 792617 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 15484 | ReconcilationRevenueExpenses |
| 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 960950 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1161000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1086555 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1429250 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1744003 | CurrentTaxYear |
| Total | 6381758 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 960950 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1161000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1086555 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1429250 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1744003 | CurrentTaxYear |
| Total | 6381758 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 6381758 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 21584 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4561 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2808 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5170 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2810 | CurrentTaxYear |
| Total | 36933 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 95383 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 15436 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 118764 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 302837 | CurrentTaxYearMinus1Year |
| Current Tax Year | 386221 | CurrentTaxYear |
| Total | 918641 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 7337332 | TotalSupport |
| Gross Receipts From Admissions Etc | 1007296 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.86980 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.87750 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GROSS RECEIPTS | GeneralExplanation |
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
Total Grassroots Lobbying TotalGrassrootsLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 66120 | FilingOrganizationsTotals |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 5447 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 71567 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 2045983 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 2117550 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 255878 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 63970 | FilingOrganizationsTotals |
Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 2150 | FilingOrganizationsTotals |
Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed | 1 | Form4720Filed |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus1 | 237013 | CurrentYearMinus1 |
| Current Year | 255878 | CurrentYear |
| Total | 492891 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $739,337 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus1 | 48216 | CurrentYearMinus1 |
| Current Year | 71567 | CurrentYear |
| Total | 119783 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus1 | 59253 | CurrentYearMinus1 |
| Current Year | 63970 | CurrentYear |
| Total | 123223 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $184,835 | GrassrootsCeilingAmount |
Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus1 | 32736 | CurrentYearMinus1 |
| Current Year | 66120 | CurrentYear |
| Total | 98856 | Total |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5540 | OtherCostOrOtherBasis |
| Depreciation | 528 | Depreciation |
| Book Value | 5012 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 38844 | OtherCostOrOtherBasis |
| Depreciation | 17302 | Depreciation |
| Book Value | 21542 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 26554 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CERTIFICATES OF DEPOSIT | Description |
| Book Value | 96877 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 96877 | TotalOfBookValueSecurities |
| Total Revenue | 2133034 | TotalRevenue |
| Total Expenses | 2117550 | TotalExpenses |
| Excess Or Deficit For Year | 15484 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 15484 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 2133034 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 2133034 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2133034 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2117550 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2117550 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2117550 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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 2009, AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
| No Grant More Than5000 | X | NoGrantMoreThan5000 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: WISCONSIN PRIMARY HEALTH CARE ASSOCIATION MAINTAINS RECORDS OF WHICH ORGANIZATIONS RECEIVE GRANTS AND FINANCIAL ASSISTANCE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 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 WPHC 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 | THE ASSOCIATION CONTRACTED WITH AN INDEPENDENT PARTY TO PROVIDE SALARY RECOMMENDATIONS. A COMPENSATION SCHEDULE WAS DEVELOPED USING LOCAL AND STATE WIDE DATA OF SIMILAR POSITIONS. THESE RECOMMENDATIONS WERE BROUGHT BEFORE THE BOARD'S PERSONNEL COMMITTEE AND BOARD OF DIRECTORS FOR APPROVAL. |
| 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. |
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