COMMUNITY HEALTH PARTNERSHIP INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH PARTNERSHIP INC (EIN 39-1931089)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-14
- IRS object ID
- 201242279349301729
- 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 | 2012-08-14T11:01:52-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | 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 | 10000 INNOVATION DRIVE SUITE 250 | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 532264837 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391931089 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH PARTNERSHIP INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 8008421814 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2240 EAST RIDGE CENTER | AddressLine1 |
| City | EAU CLAIRE | City |
| State | WI | State |
| ZIP Code | 54701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAUL COOK | Name |
| Title | PRESIDENT OF BOARD & CEO | Title |
| Phone | 8008421814 | Phone |
| Date Signed | 2012-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAY ADKISSON CPA | Name |
| PTIN | P01360892 | PTIN |
| Phone | 4144319300 | Phone |
| Date Prepared | 2012-08-02 | 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 | PAUL COOK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2240 EAST RIDGE CENTER | AddressLine1 |
| City | EAU CLAIRE | City |
| State | WI | State |
| ZIP Code | 54701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 29793118 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COMMUNITYHEALTHPARTNERSHIP.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE INDIVIDUALIZED CARE FOR FRAIL ELDERLY & ADULTS WITH PHYSICAL OR DEVELOPMENTAL DISABILITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 462 | TotalNbrEmployees |
| Total Nbr Volunteers | 11 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 43679 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 27371 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 35710006 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 29273219 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 70142 | InvestmentIncomePriorYear |
| Investment Income Current Year | 36795 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 35823827 | TotalRevenuePriorYear |
| Total Revenue Current Year | 29337385 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 350 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 29570522 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 24919961 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5880473 | OtherExpensePriorYear |
| Other Expenses Current Year | 4793504 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 35450995 | TotalExpensesPriorYear |
| Total Expenses Current Year | 29713815 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 372832 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -376430 | RevenuesLessExpensesCY |
| Total Assets BOY | 18219407 | TotalAssetsBOY |
| Total Assets EOY | 16892817 | TotalAssetsEOY |
| Total Liabilities BOY | 4143680 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3198344 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 14075727 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13694473 | NetAssetsOrFundBalancesEOY |
| Mission Description | COMMUNITY HEALTH PARTNERSHIP, INC., THROUGH CREATIVE TEAMWORK, FACILITATES QUALITY CHOICES THAT EMPOWER PEOPLE TO LIVE AS INDEPENDENTLY AS POSSIBLE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 16726062 | Expense |
| Grants | 350 | Grants |
| Revenue | 29273219 | Revenue |
| Description | COMMUNITY HEALTH PARTNERSHIP, INC. (CHP) IS A NON-PROFIT ORGANIZATION WHICH PROVIDES, AS ITS SOLE PROGRAM SERVICE, MEDICAL AND PERSONAL CARE TO FRAIL ELDERLY, DEVELOPMENTALLY DISABLED, AND PHYSICALLY DISABLED MEMBERS IN CHIPPEWA, EAU CLAIRE, DUNN, PIERCE, AND ST. CROIX COUNTIES. IN 2011, CHP PROVIDED 47,650 VISITS BY CARE MANAGEMENT AS WELL AS 3,909 PERSONAL AND SUPPORTIVE HOME CARE VISITS. IN TOTAL, CHP STAFF PROVIDED 4,467 HOURS OF PERSONAL AND SUPPORTIVE HOME CARE SERVICES TO ITS MEMBERS. | Description |
| Total Program Service Expense | 16726062 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | 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 | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | 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 | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 39 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 462 | 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 | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | 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 |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JAMES WITHERS | NamePerson |
| Telephone Number | 7158587011 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2240 EASTRIDGE CENTER | AddressLine1 |
| City | EAU CLAIRE | City |
| State | WI | State |
| ZIP Code | 54701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 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 |
|---|---|---|---|---|---|---|---|
| DEB SVIHOVEC | |||||||
| CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |
| SCOTT POLENZ | |||||||
| VICE CHAIRPERSON/SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| LYNN THOMPSON | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| RUTH ADIX | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| STEVEN BYRD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RICK LAMBRECHT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PETER NIED | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LAURA PLUMMER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOHN WESOLEK | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BEVERLY WICKSTROM | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RICK SCHEMM | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PAUL COOK | |||||||
| CEO | 40.00 | X | 180873 | 0 | 7382 | ||
| BRENT BAUMAN | |||||||
| ADMINISTRATOR | 40.00 | 127225 | 0 | 23272 | X | ||
| THEODORE REGALIA | |||||||
| PROGRAM DIRECTOR | 40.00 | 110225 | 0 | 23859 | X | ||
| DONNA MARTEN | |||||||
| ADMINISTRATOR | 40.00 | 108854 | 0 | 23929 | X | ||
| MICHAEL LYNCH | |||||||
| MEDICAL DIRECTOR | 32.00 | 106696 | 0 | 15086 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 633873 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 93528 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line1AddressOfContractor/AddressForeign/AddressLine1 | CityAddressOfContractor/AddressForeign/City | Province Or StateAddressOfContractor/AddressForeign/ProvinceOrState | CountryAddressOfContractor/AddressForeign/Country | Postal CodeAddressOfContractor/AddressForeign/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|
| ALLSCRIPTS-MISYS LLC | ||||||||||
| 8529 SIX FORKS ROAD FORUM IV | RALEIGH | NC | 27615 | SOFTWARE IMPLEMENTATION | 525836 | |||||
| HYLAND SOFTWARE | ||||||||||
| 28500 CLEMES ROAD | WESTLAKE | OH | 44145 | SOFTWARE IMPLEMENTATION | 406665 | |||||
| PROPHIX SOFTWARE | ||||||||||
| SOFTWARE IMPLEMENTATION | 113030 | 350 BURNHAMTHORPE RD W STE 1000 | MISSISSAUGA | ON | CA | L5B 3J1 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Government Grants | 15871 | GovernmentGrants |
| All Other Contributions | 11500 | AllOtherContributions |
| Total Contributions | 27371 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISC REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 29273219 | TotalRevenueColumn |
| Related Or Exempt Function Income | 29273219 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 29273219 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33491 | TotalRevenueColumn |
| Exclusion | $33,491 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 456277 | Securities |
| Other | 2760 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 452966 | Securities |
| Other | 2767 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3311 | Securities |
| Other | -7 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3304 | TotalRevenueColumn |
| Exclusion | $3,304 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29337385 | TotalRevenueColumn |
| Related Or Exempt Function Income | 29273219 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $36,795 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 350 | Total |
| Program Services | 350 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 287496 | Total |
| Management And General | 287496 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17929537 | Total |
| Program Services | 12218432 | ProgramServices |
| Management And General | 5711105 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 580761 | Total |
| Program Services | 389794 | ProgramServices |
| Management And General | 190967 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4373789 | Total |
| Program Services | 2944014 | ProgramServices |
| Management And General | 1429775 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1748378 | Total |
| Program Services | 1173472 | ProgramServices |
| Management And General | 574906 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40645 | Total |
| Management And General | 40645 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35825 | Total |
| Management And General | 35825 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48349 | Total |
| Management And General | 48349 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74899 | Total |
| Management And General | 74899 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144589 | Total |
| Management And General | 144589 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 597174 | Total |
| Management And General | 597174 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 646420 | Total |
| Management And General | 646420 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1696475 | Total |
| Management And General | 1696475 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 352153 | Total |
| Management And General | 352153 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30750 | Total |
| Management And General | 30750 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 422 | Total |
| Management And General | 422 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 846672 | Total |
| Management And General | 846672 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159139 | Total |
| Management And General | 159139 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral |
|---|---|---|
| MEDICAL EQUIPMENT AND S | 64411 | 64411 |
| MEMBERSHIPS, DUES, SUBS | 32823 | 32823 |
| OTHER EXPENSES | 22758 | 22758 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29713815 | Total |
| Program Services | 16726062 | ProgramServices |
| Management And General | 12987753 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1156370 | BOY |
| EOY | 717125 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1002246 | BOY |
| EOY | 107843 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6017478 | BOY |
| EOY | 5396530 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 280114 | BOY |
| EOY | 216720 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 10945332 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5037980 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5241487 | BOY |
| EOY | 5907352 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1244756 | BOY |
| EOY | 1267285 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3276956 | BOY |
| EOY | 3279962 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18219407 | BOY |
| EOY | 16892817 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4143680 | BOY |
| EOY | 3198344 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4143680 | BOY |
| EOY | 3198344 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14075727 | BOY |
| EOY | 13694473 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14075727 | BOY |
| EOY | 13694473 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18219407 | BOY |
| EOY | 16892817 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -376430 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -4824 | 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 Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 44913 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 43679 | CurrentTaxYearMinus1Year |
| Current Tax Year | 27371 | CurrentTaxYear |
| Total | 115963 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 24737166 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 34011550 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 38797441 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 35710006 | CurrentTaxYearMinus1Year |
| Current Tax Year | 29273219 | CurrentTaxYear |
| Total | 162529382 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 24737166 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 34011550 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 38842354 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 35753685 | CurrentTaxYearMinus1Year |
| Current Tax Year | 29300590 | CurrentTaxYear |
| Total | 162645345 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 162645345 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 365987 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 247820 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 79300 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 61685 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33491 | CurrentTaxYear |
| Total | 788283 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 365987 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 247820 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 79300 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 61685 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33491 | CurrentTaxYear |
| Total | 788283 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25103153 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 34259370 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 38921654 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 35815370 | CurrentTaxYearMinus1Year |
| Current Tax Year | 29334081 | CurrentTaxYear |
| Total | 163433628 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99520 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99250 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00480 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00750 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $41,449 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 41449 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | ALL OR A PORTION OF ANNUAL DUES PAID TO NATIONAL HEALTH POLICY GROUP AND OTHER VARIOUS ORGANIZATIONS WERE USED FOR LOBBYING EXPENSES. BLUMENFELD & ASSOCIATES WAS PAID AS A DIRECT LOBBYIST FOR WISCONSIN FAMILY CARE ASSOCIATION. | Explanation |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1549237 | OtherCostOrOtherBasis |
| Depreciation | 1328058 | Depreciation |
| Book Value | 221179 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5555406 | OtherCostOrOtherBasis |
| Depreciation | 3709922 | Depreciation |
| Book Value | 1845484 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3840689 | OtherCostOrOtherBasis |
| Book Value | 3840689 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5907352 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENT IN PHP | 1800000 |
| INVESTMENT IN CHP-LTS | 1200000 |
| CD SELF FUNDED STATE UNEMPLOYMENT FUND | 279962 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3279962 | TotalBookValueOtherAssets |
| Total Revenue | 29337385 | TotalRevenue |
| Total Expenses | 29713815 | TotalExpenses |
| Excess Or Deficit For Year | -376430 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -4824 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -4824 | TotalAdjustments |
| Excess Or Deficit Per FS | -381254 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 29337392 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 7 | OtherRevenues |
| Revenue Not Rptd F990 | 7 | RevenueNotRptdF990 |
| Revenue Subtotal | 29337385 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 29337385 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 29713822 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 7 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 7 | ExpensesNotRptdF990 |
| Expenses Subtotal | 29713815 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 29713815 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | CHP, PHP, AND CHP-LTS ARE NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. CHP AND CHP-LTS ARE ALSO EXEMPT FROM WISCONSIN INCOME TAX ON RELATED INCOME. PHP IS SUBJECT TO WISCONSIN FRANCHISE TAXES. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF 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 CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2011 OR 2010. FEDERAL AND STATE TAX RETURNS FOR TAX YEARS 2008 AND 2007, RESPECTIVELY, AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF ASSETS INCLUDED IN EXPENSES 7. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF ASSETS INCLUDED IN EXPENSES 7. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL COOK | |||||||||||||
| 180873 | 0 | 0 | 0 | 0 | 0 | 5740 | 0 | 1642 | 0 | 188255 | 0 | 0 | 0 |
| BRENT BAUMAN | |||||||||||||
| 127225 | 0 | 0 | 0 | 0 | 0 | 5327 | 0 | 17945 | 0 | 150497 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF FORM 990 WAS DELIVERED TO MEMBERS OF THE FINANCE COMMITTEE FOR A DETAIL REVIEW. THE FINANCE COMMITTEE THEN DISCUSSED ITS FINDINGS WITH THE BOARD, AND FORM 990 WAS APPROVED IN THE BOARD MINUTES. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL NEW EMPLOYEES RECEIVE TRAINING REGARDING CONFLICT OF INTEREST DURING NEW EMPLOYEE ORIENTATION. THEY RECEIVE A COPY OF THE POLICY AND SIGN AN ACKNOWLEDGEMENT FORM THAT THEY RECEIVED, ALONG WITH INDICATING ANY POTENTIAL CONFLICTS THEY MIGHT HAVE. CHP'S POLICY IS ALSO IN THE EMPLOYEE HANDBOOK FOR EMPLOYEE'S REVIEW/REFERENCE. THE EMPLOYEE HANDBOOK IS ON THE COMPANY INTRANET. TOPIC IS COVERED DURING ANNUAL COMPLIANCE TRAINING. PERIODIC TRAINING WHEN QUESTIONS OR ISSUES ARISE. FOR THE BOARD OF DIRECTORS, THE POLICY IS REVIEWED ANNUALLY, WITH BOARD MEMBERS SIGNING A FORM INDICATING UNDERSTANDING AND IDENTIFICATION OF ANY POTENTIAL CONFLICTS. A COMPLIANCE HOTLINE AND COMPLIANCE EVENT REPORTING SYSTEM ARE AVAILABLE FOR EMPLOYEES TO REPORT ANY CONFLICT OF INTEREST CONCERNS OR ISSUES. | |
| FORM 990, PART VI, SECTION B, LINE 15 | CHP HAS AN EXECUTIVE COMMITTEE CONSISTING OF BOARD MEMBERS WHICH REVIEW THE CHIEF EXECUTIVE OFFICER'S COMPENSATION ANNUALLY. FOR ALL OTHER OFFICERS OR KEY EMPLOYEES, COMPENSATION IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER THROUGH AN ANNUAL REVIEW. | |
| FORM 990, PART VI, SECTION C, LINE 19 | CHP MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -4,824. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE BOARD OF DIRECTORS MEETS TO APPOINT THE ACTUARY AND THE OUTSIDE AUDITING FIRM, AND ARE THEN REQUIRED TO SIGN OFF ON THE ENGAGEMENT LETTERS FOR THE AUDITING FIRM. THE AUDIT/FINANCE COMMITTEE THEN REVIEWS THE AUDITED STATEMENTS AND APPROVES THEM. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| PARTNERSHIP HEALTH PLAN INC | ||||||||||
| 2240 EASTRIDGE CENTER | EAU CLAIRE | WI | 54701 | 331120199 | MEDICARE AND MEDICAID HEALTH MAINTENANCE ORGANIZATION | WI | 501(C)(3) | LINE 11A, I | N/A | 1 |
| CHP-LTS INC | ||||||||||
| 2240 EASTRIDGE CENTER | EAU CLAIRE | WI | 54701 | 261603587 | MEDICAID MANAGEMENT CARE ORGANIZATION | WI | 501(C)(3) | LINE 11A, I | N/A | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| PARTNERSHIP HEALTH PLAN INC | ||
| K | 20645443 | FAIR MARKET VALUE |
| CHP-LTS INC | ||
| K | 7604996 | FAIR MARKET VALUE |
| PARTNERSHIP HEALTH PLAN INC | ||
| M | 1061049 | FAIR MARKET VALUE |
| CHP-LTS INC | ||
| M | 599097 | FAIR MARKET VALUE |
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