2012-11-14T12:17:42-06:00 2012-03-31 390758449 WIPFLI LLP PO BOX 8700 MADISON WI 537088700 990 2011-04-01 391407034 WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC WISC 6082777477 5290 EASTPARK BLV NO 109 MADISON WI 53718 STEPHANIE HARRISON 6082777477 2012-11-02 1 JOHN HEMMING P00856805 6082741980 2012-11-02 2011 2016-02-24 21:20:13Z STEPHANIE HARRISON 5290 EASTPARK BLV NO 109 MADISON WI 53718 2133034 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. 23 23 50 2 0 0 1429250 1744003 302837 386221 5170 2810 0 0 1737257 2133034 225505 39430 0 0 972344 1238233 0 0 10835 505883 839887 1703732 2117550 33525 15484 932795 792617 412415 256753 520380 535864 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 658648 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. 365782 125589 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. 555750 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. 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 20041 DIABETES PROGRAM: PROVIDE CLINICAL SUPPORT TO ENSURE QUALITY IN DIABETIC PROGRAMS FOR CLINICS WITH MEDICALLY UNDERSERVED POPULATIONS 42005 19389 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. 28866 EMERGENCY MANAGEMENT 13892 INCUBATOR 155707 ADVOCACY 306626 39430 260632 1886806 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 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 0 0 1 15 0 50 1 0 0 0 0 0 0 0 0 0 0 X 23 23 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X KHADIJA EDDACHACH 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 RICHARD A PERRY 1.00 X 0 0 0 JOHN BARTKOWSKI DRPH 1.00 X 0 0 0 N LEE CARROLL 1.00 X 0 0 0 GREG NYCZ 1.00 X 0 0 0 LAURA SCUDIERE 1.00 X 0 0 0 JENNI SEVENICH 1.00 X 0 0 0 KRISTENE STACKER 1.00 X 0 0 0 JACK WATERS 1.00 X 0 0 0 TED KAY 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 TIM SIZE 1.00 X 0 0 0 JULIE SCHULLER MD MPH 1.00 X 0 0 0 GRETCHEN DAHLEN 1.00 X 0 0 0 KEN LOVING MD 1.00 X 0 0 0 TITO IZARD MD 1.00 X 0 0 0 SHELLY WHITE 1.00 X 0 0 0 DAVID HUGHES 1.00 X 0 0 0 JOY R TAPPER MPA 1.00 X 0 0 0 STEPHANIE HARRISON 45.00 X 104325 0 17136 KHADIJA ELDACHACH 45.00 X 11538 0 1078 DANIEL PETERSON 45.00 X 123723 0 4157 239586 0 22371 2 0 0 0 0 1718821 25182 1744003 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 386221 2810 2810 2133034 386221 0 2810 39430 39430 145007 25124 109733 10150 886089 886089 17482 17482 114401 114401 75254 68056 6513 685 5467 5467 15950 15950 489651 483045 6606 67884 57303 10581 105578 95608 9970 44690 33563 11127 63444 30655 32789 7644 1902 5742 10777 9884 893 OTHER 11158 9863 1295 BOARD EXPENSES 10080 9770 310 DUES AND SUBSCRIPTIONS 5216 2473 2743 RECRUITMENT 2348 2158 190 2117550 1886806 219909 10835 436818 389562 332994 188484 45311 68645 17020 22495 44384 17830 3945 26554 96707 96877 932795 792617 277879 94406 134536 162347 412415 256753 X 520380 514960 20904 520380 535864 932795 792617 15484 0 X X 0 1 1 X 1 1 X 960950 1161000 1086555 1429250 1744003 6381758 960950 1161000 1086555 1429250 1744003 6381758 6381758 21584 4561 2808 5170 2810 36933 95383 15436 118764 302837 386221 918641 7337332 1007296 0.86980 0.87750 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GROSS RECEIPTS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 66120 5447 71567 2045983 2117550 255878 63970 2150 0 1 237013 255878 492891 739337 48216 71567 119783 59253 63970 123223 184835 32736 66120 98856 5540 528 5012 38844 17302 21542 26554 CERTIFICATES OF DEPOSIT 96877 C 96877 2133034 2117550 15484 15484 2133034 0 2133034 0 2133034 2117550 0 2117550 0 2117550 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. 1 X 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. 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.