2012-08-14T11:01:52-05:00 2011-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2011-01-01 391931089 COMMUNITY HEALTH PARTNERSHIP INC COMM 8008421814 2240 EAST RIDGE CENTER EAU CLAIRE WI 54701 PAUL COOK 8008421814 2012-08-14 1 JAY ADKISSON CPA P01360892 4144319300 2012-08-02 2011 2016-02-24 21:20:13Z PAUL COOK 2240 EAST RIDGE CENTER EAU CLAIRE WI 54701 29793118 0 X WWW.COMMUNITYHEALTHPARTNERSHIP.COM X 1997 WI PROVIDE INDIVIDUALIZED CARE FOR FRAIL ELDERLY & ADULTS WITH PHYSICAL OR DEVELOPMENTAL DISABILITIES. 11 11 462 11 0 0 43679 27371 35710006 29273219 70142 36795 0 0 35823827 29337385 0 350 0 0 29570522 24919961 0 0 0 5880473 4793504 35450995 29713815 372832 -376430 18219407 16892817 4143680 3198344 14075727 13694473 COMMUNITY HEALTH PARTNERSHIP, INC., THROUGH CREATIVE TEAMWORK, FACILITATES QUALITY CHOICES THAT EMPOWER PEOPLE TO LIVE AS INDEPENDENTLY AS POSSIBLE. 0 0 16726062 350 29273219 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. 16726062 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 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 1 1 1 0 0 1 39 0 1 462 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JAMES WITHERS 7158587011 2240 EASTRIDGE CENTER EAU CLAIRE WI 54701 DEB SVIHOVEC 1.00 X X 0 0 0 SCOTT POLENZ 1.00 X X 0 0 0 LYNN THOMPSON 1.00 X X 0 0 0 RUTH ADIX 1.00 X 0 0 0 STEVEN BYRD 1.00 X 0 0 0 RICK LAMBRECHT 1.00 X 0 0 0 PETER NIED 1.00 X 0 0 0 LAURA PLUMMER 1.00 X 0 0 0 JOHN WESOLEK 1.00 X 0 0 0 BEVERLY WICKSTROM 1.00 X 0 0 0 RICK SCHEMM 1.00 X 0 0 0 PAUL COOK 40.00 X 180873 0 7382 BRENT BAUMAN 40.00 X 127225 0 23272 THEODORE REGALIA 40.00 X 110225 0 23859 DONNA MARTEN 40.00 X 108854 0 23929 MICHAEL LYNCH 32.00 X 106696 0 15086 633873 0 93528 5 0 1 0 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 350 BURNHAMTHORPE RD W STE 1000 MISSISSAUGA ON CA L5B 3J1 SOFTWARE IMPLEMENTATION 113030 3 15871 11500 27371 MISC REVENUE 900099 29273219 29273219 29273219 33491 33491 456277 2760 452966 2767 3311 -7 3304 3304 29337385 29273219 0 36795 350 350 287496 287496 17929537 12218432 5711105 580761 389794 190967 4373789 2944014 1429775 1748378 1173472 574906 40645 40645 35825 35825 48349 48349 74899 74899 144589 144589 597174 597174 646420 646420 1696475 1696475 352153 352153 30750 30750 422 422 846672 846672 159139 159139 MEDICAL EQUIPMENT AND S 64411 64411 MEMBERSHIPS, DUES, SUBS 32823 32823 OTHER EXPENSES 22758 22758 29713815 16726062 12987753 0 1156370 717125 1002246 107843 6017478 5396530 280114 216720 10945332 5037980 5241487 5907352 1244756 1267285 3276956 3279962 18219407 16892817 4143680 3198344 4143680 3198344 X 14075727 13694473 14075727 13694473 18219407 16892817 X -376430 -4824 X X 0 1 1 X 0 X 44913 43679 27371 115963 24737166 34011550 38797441 35710006 29273219 162529382 24737166 34011550 38842354 35753685 29300590 162645345 0 0 0 162645345 365987 247820 79300 61685 33491 788283 365987 247820 79300 61685 33491 788283 25103153 34259370 38921654 35815370 29334081 163433628 0.99520 0.99250 0.00480 0.00750 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 0 1 41449 41449 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: 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. 1549237 1328058 221179 5555406 3709922 1845484 3840689 3840689 5907352 INVESTMENT IN PHP 1800000 INVESTMENT IN CHP-LTS 1200000 CD SELF FUNDED STATE UNEMPLOYMENT FUND 279962 3279962 29337385 29713815 -376430 -4824 -4824 -381254 29337392 7 7 29337385 0 29337385 29713822 7 7 29713815 0 29713815 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. X X 0 0 0 0 0 0 0 0 0 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -4,824. 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. 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 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 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