COMMUNITY CARE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY CARE INC (EIN 39-1264667)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-09-12
- IRS object ID
- 201242569349300319
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-09-12T11:15:12-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5946 | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 537050946 | 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 | 391264667 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 4143856610 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1555 S LAYTON BLVD | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 53215 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIRBY G SHOAF | Name |
| Title | PRESIDENT & CEO | Title |
| Phone | 4143856610 | Phone |
| Date Signed | 2012-09-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES G GRAHAM | Name |
| PTIN | P00006111 | PTIN |
| Phone | 6088332612 | Phone |
| 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 | KIRBY G SHOAF | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1555 S LAYTON BLVD | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 53215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 325224943 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COMMUNITYCAREINC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1977 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | COMMUNITY CARE'S MISSION IS TO DEVELOP AND DEMONSTRATE INNOVATIVE, FLEXIBLE, COMMUNITY-BASED APPROACHES TO CARE FOR AT-RISK ADULTS, IN ORDER TO OPTIMIZE THEIR QUALITY OF LIFE AND OPTIMIZE THE ALLOCATION OF COMMUNITY RESOURCES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1180 | TotalNbrEmployees |
| Total Nbr Volunteers | 44 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 464954 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 117153 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 259122086 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 322164906 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 139134 | InvestmentIncomePriorYear |
| Investment Income Current Year | 236905 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12306 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2955 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 259738480 | TotalRevenuePriorYear |
| Total Revenue Current Year | 322521919 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 233020334 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 275401473 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23163267 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 27690871 | 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 | 7690205 | OtherExpensePriorYear |
| Other Expenses Current Year | 8349591 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 263873806 | TotalExpensesPriorYear |
| Total Expenses Current Year | 311441935 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4135326 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 11079984 | RevenuesLessExpensesCY |
| Total Assets BOY | 146694152 | TotalAssetsBOY |
| Total Assets EOY | 74313428 | TotalAssetsEOY |
| Total Liabilities BOY | 127638942 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 41567726 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19055210 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 32745702 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | COMMUNITY CARE DEMONSTRATES AND MANAGES INNOVATIVE, FLEXIBLE COMMUNITY-BASED PROGRAMS TO CARE FOR AT-RISK ADULTS IN ORDER TO ENHANCE THEIR QUALITY OF LIFE AND OPTIMIZE THE ALLOCATION OF COMMUNITY RESOURCES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 300045605 | Expense |
| Revenue | 322032335 | Revenue |
| Description | FAMILY CARE: PROVIDES INTEGRATED TECHNICAL CONSULTING AND ADDITIONAL LONG-TERM CARE SERVICES TO SENIORS AND ADULTS WITH PHYSICAL OR DEVELOPMENTAL DISABILITIES. THE OBJECTIVE IS TO HELP MEMBERS COORDINATE VARIOUS INDEPENDENT SPECIAL SERVICES RELATING TO THEIR NEEDS WITH FAMILY CARE SERVICES ENABLING MEMBERS TO RECEIVE THESE SERVICES IN THEIR PERSONAL RESIDENCES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 171608 | Expense |
| Revenue | 82795 | Revenue |
| Description | AFH CERTIFICATION - THIS PROGRAM MAKE SURE THAT THE ADULT FAMILY HOME(AFH) THAT CCI PLACES MEMBER IN COMPLIES WITH STATE AND FEDERAL REGULATIONS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 86530 | Expense |
| Revenue | 49776 | Revenue |
| Description | TECHNICAL ASSISTANCE - THE PROGRAM PROVIDE TECHNICAL SUPPORT TO NEW AND/OR START UP PACE PROGRAMS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 167374 | Expense |
| Revenue | 2955 | Revenue |
| Description | OTHER PROGRAM SERVICES INCLUDE: 1) SIOUXLAND PACE, 2) BUSINESS DEVELOPMENT AND 3) PATHWAYS TO INDEPENDENCE.SIOUXLAND PACE IS AN OPERATING PACE PROGRAM IN SIOUX CITY, IA, THAT IS CONDUCTED AS A JOINT EQUITY PARTNERSHIP WITH ST. LUKE'S HEALTH SYSTEM. BUSINESS DEVELOPMENT IS A PROGRAM THAT SEARCHES FOR OTHER OPPORTUNITIES TO FURTHER THE ORGANIZATION'S MISSION. EXAMPLES INCLUDE GRANT-FUNDED OPPORTUNITIES THROUGH THE ACA AND DEVELOPMENT OF CO-SPONSOR MODELS FOR NEW PACE PROGRAMS IN OTHER MARKETS. PATHWAYS TO INDEPENDENCE WAS A PROGRAM OPERATED FROM A SMALL GRANT PROVIDED BY THE WISCONSIN DEPARTMENT OF HEALTH SERVICES TO ASSIST THE ORGANIZATION WITH DEVELOPMENT OF THE NECESSARY INFRASTRUCTURE WITHIN ITS MANAGED CARE ORGANIZATION TO EFFECTIVELY ASSIST MEMBERS WITH PHYSICAL AND DEVELOPMENTAL DISABILITIES WHO WISH TO PURSUE INTEGRATED EMPLOYMENT. THE PROGRAM ENDED SEPTEMBER 30, 2011. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 167374 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 2955 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 300471117 | 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 | 1 | 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 | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1053 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1180 | 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 | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | 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 |
| 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 | LAWRENCE PAPLHAM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4149022370 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1555 S LAYTON BLVD | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 53215 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|
| VIRGINIA THOMAS | |||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 | |
| DORIS CHORTEK | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ED CORRIGAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| EDMUND DUTHIE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| STEVEN M DZIEDZIC | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT GOLDSTEIN | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| ROBERT HARRIS | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| BEN GREENEBAUM | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ANNE KIEKHOFER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOHN PLANT | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CONRAD SOBCZAK | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT SPEER | |||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | |
| RICHARD THEADO | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| STEPHEN C VANDERBLOEMEN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RENEE SARTIN KIRBY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PATRICIA SCHROEDER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KIRBY SHOAF | |||||||
| PRESIDENT & CEO | 40.00 | X | 258475 | 95601 | 20072 | ||
| LAWRENCE PAPLHAM | |||||||
| CFO | 40.00 | X | 176607 | 65320 | 7986 | ||
| MARY GAVINSKI | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | 286017 | 0 | 7700 | X | ||
| ED KOHL | |||||||
| FAMILY CARE PROGRAM OFFICE | 40.00 | 164628 | 0 | 17985 | X | ||
| MARILYN SINCABAN | |||||||
| ASSOC MEDICAL DIRECTOR | 40.00 | 214747 | 0 | 6762 | X | ||
| GREGORY NIERENGARTEN | |||||||
| DOCTOR | 40.00 | 191079 | 0 | 18917 | X | ||
| ALICIA MODJESKA | |||||||
| CHIEF OPERATIONS OFFICER | 40.00 | 168248 | 0 | 10122 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1459801 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 160921 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 89544 | TotalOtherCompensation |
| Number Individuals GT100 K | 29 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HOMES FOR INDEPENDENT LIVING OF WI LLC | |||||
| PO BOX 3090 | MILWAUKEE | WI | 532013090 | RESIDENTIAL SERVICES | 13788113 |
| SOCIETYS ASSETS INC | |||||
| 5200 WASHINGTON AVENUE SUITE 225 | RACINE | WI | 53406 | IN-HOME CARE | 9442419 |
| MILWAUKEE CENTER FOR INDEPENDENCE | |||||
| 2020 WEST WELLS STREET | MILWAUKEE | WI | 53233 | IN-HOME CARE | 6477035 |
| ALPHA HOMES OF WISCONSIN INC | |||||
| 6216 WASHINGTON AVENUE SUITE D | RACINE | WI | 53406 | RESIDENTIAL SERVICES | 6346769 |
| INNOVATIVE SERVICES | |||||
| 445 S MADISON AVENUE | GREEN BAY | WI | 54301 | RESIDENTIAL SERVICES | 5347832 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 412 | NumberOfContractorsGT100K |
| Government Grants | 19992 | GovernmentGrants |
| All Other Contributions | 97161 | AllOtherContributions |
| Total Contributions | 117153 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CAPITATION REVENUE | 524114 | 290387345 | 290387345 |
| PATIENT SERVICES | 524114 | 31847704 | 31847704 |
| CONTRACT REVENUE | 524114 | 132572 | 132572 |
| RISK-SHARING REVENUE | 524114 | -202715 | -202715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 322164906 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 275438 | TotalRevenueColumn |
| Exclusion | $275,438 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2337400 | Securities |
| Other | 327091 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2342009 | Securities |
| Other | 361015 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -4609 | Securities |
| Other | -33924 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -38533 | TotalRevenueColumn |
| Exclusion | -$38,533 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 2955 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2955 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2955 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 322521919 | TotalRevenueColumn |
| Related Or Exempt Function Income | 322167861 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $236,905 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 275401473 | Total |
| Program Services | 275401473 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1459801 | Total |
| Program Services | 1459801 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21114569 | Total |
| Program Services | 15565039 | ProgramServices |
| Management And General | 5549530 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 389423 | Total |
| Program Services | 264471 | ProgramServices |
| Management And General | 124952 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2987517 | Total |
| Program Services | 2279683 | ProgramServices |
| Management And General | 707834 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1739561 | Total |
| Program Services | 1326268 | ProgramServices |
| Management And General | 413293 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22188 | Total |
| Management And General | 22188 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131468 | Total |
| Program Services | 78870 | ProgramServices |
| Management And General | 52598 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50950 | Total |
| Management And General | 50950 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11090 | Total |
| Management And General | 11090 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1444111 | Total |
| Program Services | 276387 | ProgramServices |
| Management And General | 1167724 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95521 | Total |
| Program Services | 1761 | ProgramServices |
| Management And General | 93760 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 277165 | Total |
| Program Services | 152957 | ProgramServices |
| Management And General | 124208 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 466237 | Total |
| Program Services | 143861 | ProgramServices |
| Management And General | 322376 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 628180 | Total |
| Program Services | 589072 | ProgramServices |
| Management And General | 39108 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41398 | Total |
| Program Services | 16978 | ProgramServices |
| Management And General | 24420 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87500 | Total |
| Program Services | 2287 | ProgramServices |
| Management And General | 85213 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 917531 | Total |
| Program Services | 103438 | ProgramServices |
| Management And General | 814093 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114672 | Total |
| Program Services | 5846 | ProgramServices |
| Management And General | 108826 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| ALLOCATED EXPENSE | 1712659 | 1712659 | |
| EQUIPMENT RENTAL | 1038021 | 404787 | 633234 |
| BAD DEBT EXPENSE | 598737 | 598852 | -115 |
| SUPPLIES | 418201 | 68054 | 350147 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 293962 | Total |
| Program Services | 18573 | ProgramServices |
| Management And General | 275389 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311441935 | Total |
| Program Services | 300471117 | ProgramServices |
| Management And General | 10970818 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101961545 | BOY |
| EOY | 29891530 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11449218 | BOY |
| EOY | 9326334 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 166122 | BOY |
| EOY | 216134 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1055055 | BOY |
| EOY | 1658030 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 24121294 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 12587045 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12806254 | BOY |
| EOY | 11534249 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19255958 | BOY |
| EOY | 21687151 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146694152 | BOY |
| EOY | 74313428 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7172383 | BOY |
| EOY | 8868346 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85516764 | BOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4670000 | BOY |
| EOY | 4545000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30279795 | BOY |
| EOY | 28154380 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127638942 | BOY |
| EOY | 41567726 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19055210 | BOY |
| EOY | 32745702 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19055210 | BOY |
| EOY | 32745702 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146694152 | BOY |
| EOY | 74313428 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 11079984 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2610508 | 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 | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
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 Minus4 Years | 2831514 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2637083 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1243047 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 464954 | CurrentTaxYearMinus1Year |
| Current Tax Year | 117153 | CurrentTaxYear |
| Total | 7293751 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 37287279 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 104494034 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 161478003 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 259122086 | CurrentTaxYearMinus1Year |
| Current Tax Year | 322164906 | CurrentTaxYear |
| Total | 884546308 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 40118793 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 107131117 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 162721050 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 259587040 | CurrentTaxYearMinus1Year |
| Current Tax Year | 322282059 | CurrentTaxYear |
| Total | 891840059 | 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 | 891840059 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 173592 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 651784 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 101246 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 150401 | CurrentTaxYearMinus1Year |
| Current Tax Year | 275438 | CurrentTaxYear |
| Total | 1352461 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 173592 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 651784 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 101246 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 150401 | CurrentTaxYearMinus1Year |
| Current Tax Year | 275438 | CurrentTaxYear |
| Total | 1352461 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 12306 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2955 | CurrentTaxYear |
| Total | 15261 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 40292385 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 107782901 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 162822296 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 259749747 | CurrentTaxYearMinus1Year |
| Current Tax Year | 322560452 | CurrentTaxYear |
| Total | 893207781 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99850 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99780 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00150 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00220 | 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 | $50,950 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 50950 | 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 | COMMUNITY CARE, INC HIRES THIRD PARTIES, BLUMENFELD & ASSOCIATES, LLC AND GIELOW ASSOCIATES, TO LOBBY ON ITS BEHALF. MANAGEMENT ALSO HAS DIRECT CONTACT WITH LEGISLATORS AND ITS STAFF. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 685309 | OtherCostOrOtherBasis |
| Book Value | 685309 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13239768 | OtherCostOrOtherBasis |
| Depreciation | 5232635 | Depreciation |
| Book Value | 8007133 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10009609 | OtherCostOrOtherBasis |
| Depreciation | 7332106 | Depreciation |
| Book Value | 2677503 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 186608 | OtherCostOrOtherBasis |
| Depreciation | 22304 | Depreciation |
| Book Value | 164304 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11534249 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS | 161923 |
| RESERVE FUND | 5314656 |
| DUE FROM CCHP | 71696 |
| INVESTMENT IN CCHP | 16138876 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 21687151 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| IBNR FUND | $27,736,569 |
| UNPAID CLAIMS | $417,811 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 28154380 | TotalOfAmounts |
| Total Revenue | 322521919 | TotalRevenue |
| Total Expenses | 311441935 | TotalExpenses |
| Excess Or Deficit For Year | 11079984 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -12486 | NetUnrealizedGLOnInvestments |
| Other | $2,622,994 | OtherAmount |
| Total Adjustments | 2610508 | TotalAdjustments |
| Excess Or Deficit Per FS | 13690492 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 322282059 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -12486 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -12486 | RevenueNotRptdF990 |
| Revenue Subtotal | 322294545 | RevenueSubtotal |
| Investment Expenses Not Included | 11090 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 216284 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 227374 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 322521919 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 311430845 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 311430845 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 11090 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 11090 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 311441935 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ORGANIZATION FOLLOWS THE PROVISIONS OF ASC 740, INCOME TAXES. AS REQUIRED BY THE UNCERTAIN TAX POSITION GUIDANCE IN ASC 740, THE ORGANIZATION RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. FOR POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT THRESHOLD, THE AMOUNT RECOGNIZED IN THE FINANCIAL STATEMENTS IS THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT WITH THE RELEVANT TAX AUTHORITY. THERE WERE NO SIGNIFICANT MATTERS DETERMINED BY MANAGEMENT TO BE UNRECOGNIZED TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN THAT HAVE BEEN RECORDED ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010. TAX YEARS OPEN UNDER THE FEDERAL STATUTE OF LIMITATIONS INCLUDE 2008 THROUGH 2011. TAX YEARS OPEN UNDER THE STATE OF WISCONSIN STATUTE INCLUDE 2007 THROUGH 2011. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | INVESTMENT IN CURRENT YEAR EARNINGS OF CCHP 2,259,565. REVERSAL OF PREMIUM DEFICIENCY RESERVE 363,429. TOTAL TO SCHEDULE D, PART XI, LINE 8: 2,622,994. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT INCOME 247,253. OTHER REVENUE -30,969. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIRBY SHOAF | |||||||||||||
| 258475 | 95601 | 0 | 0 | 0 | 0 | 5366 | 1984 | 9287 | 3435 | 273128 | 101020 | 0 | 0 |
| LAWRENCE PAPLHAM | |||||||||||||
| 176607 | 65320 | 0 | 0 | 0 | 0 | 5354 | 1980 | 476 | 176 | 182437 | 67476 | 0 | 0 |
| MARY GAVINSKI | |||||||||||||
| 286017 | 0 | 0 | 0 | 0 | 0 | 7350 | 0 | 350 | 0 | 293717 | 0 | 0 | 0 |
| ED KOHL | |||||||||||||
| 164628 | 0 | 0 | 0 | 0 | 0 | 5062 | 0 | 12923 | 0 | 182613 | 0 | 0 | 0 |
| MARILYN SINCABAN | |||||||||||||
| 214747 | 0 | 0 | 0 | 0 | 0 | 6412 | 0 | 350 | 0 | 221509 | 0 | 0 | 0 |
| GREGORY NIERENGARTEN | |||||||||||||
| 191079 | 0 | 0 | 0 | 0 | 0 | 5993 | 0 | 12924 | 0 | 209996 | 0 | 0 | 0 |
| ALICIA MODJESKA | |||||||||||||
| 168248 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10122 | 0 | 178370 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WI HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CUSIP Number | 97710V4R6 | CUSIPNumber |
| Date Issued | 2007-09-01 | DateIssued |
| Issue Price | 5000000 | IssuePrice |
| Description Of Purpose | IMPROVEMENT OF FACILITIES | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 455000 | AmountRetired |
| Total Proceeds | 5000000 | TotalProceeds |
| Issuance Costs From Proceeds | 144674 | IssuanceCostsFromProceeds |
| Capital Expenditures | 4855326 | CapitalExpenditures |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 1 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE CFO AND FINANCE COMMITTEE COMPLETE A DETAIL REVIEW OF FORM 990. A COPY OF FORM 990 IS MAILED TO THE ENTIRE BOARD BEFORE IT IS FILED ELECTRONICALLY. | |
| FORM 990, PART VI, SECTION B, LINE 12C | COMMUNITY CARE REQUIRES THE MEMBERS OF THE BOARD OF DIRECTORS TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST ANNUALLY AND WHENEVER A NEW ISSUE ARISES. SHOULD THE ORGANIZATION BECOME AWARE OF ANY UNREPORTED POTENTIAL CONFLICTS, THE CONCERNS ARE RAISED WITH THE INDIVIDUAL TO DETERMINE THE EXISTENCE OF ANY SUCH ISSUE. THE DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER AND THE BOARD CHAIRPERSON TO DETERMINE IF ANY MITIGATION IS REQUIRED. THE BOARD OF DIRECTORS IS PROVIDED WITH A SUMMARY OF MEMBER-DISCLOSED CONFLICTS OF INTEREST ANNUALLY AND ANY TIME THE INFORMATION IS CHANGED. ADDITIONALLY, THE COMPLIANCE OFFICER IS AWARE OF THE MEETING AGENDAS AND ENSURES THAT ANY POTENTIAL CONFLICTS OF INTEREST ARE KNOWN AND ADDRESSED PRIOR TO ANY MEETING. SHOULD A CONFLICT BE DISCLOSED OR IDENTIFIED DURING A MEETING THE BOARD CHAIRPERSON OR COMPLIANCE OFFICER WILL IMPLEMENT THE NECESSARY MEASURES TO MITIGATE THE CONCERN. MANAGEMENT AND INDIVIDUALS WITH SPENDING AUTHORITY ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST ANNUALLY AND WHENEVER NEW ISSUES ARE IDENTIFIED. SHOULD THE ORGANIZATION BECOME AWARE OF ANY UNREPORTED POTENTIAL CONFLICTS, THE CONCERNS ARE RAISED WITH THE INDIVIDUAL TO DETERMINE THE EXISTENCE OF ANY SUCH ISSUE. THESE DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER AND THE CHIEF EXECUTIVE OFFICER. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FOLLOWING DESCRIBES HOW COMMUNITY CARE INC. DETERMINES ITS SALARY AND WAGES. COMMUNITY CARE, INC. ENGAGED THE SERVICES OF THE MANAGEMENT CONSULTING FIRM MCGLADREY LLP TO PROVIDE SALARY RANGE SUGGESTIONS FOR TOP PERSONNEL AND FOR MANAGERS IN THE HUMAN RESOURCES DEPARTMENT. IN 2009, MCGLADREY LLP ANALYZED 34 SUCH POSITIONS BASED ON SCOPE (USING OPERATING REVENUE PROJECTIONS) AND CLOSE SCRUTINY OF THE POSITION DESCRIPTIONS FOR THOSE POSITIONS. INITIAL COMPENSATION IS BASED ON TOTAL YEARS OF RELEVANT EXPERIENCE; ANNUAL MERIT INCREASES ARE GIVEN BASED ON THE INDIVIDUAL'S PERFORMANCE EVALUATION. THE DIRECTOR OF HUMAN RESOURCES REVIEWS THE PERFORMANCE EVALUATION FOR ACCURACY AND CONSISTENCY, AND ASSIGNS A PERCENTAGE INCREASE BASED ON THE TOTAL "POINTS" EARNED BY THE EMPLOYEE ON THE PERFORMANCE EVALUATION. EACH PERFORMANCE EVALUATION IS FIRST SIGNED OFF ON BY THE EXECUTIVE OVERSEEING THE ADMINISTRATOR/DIRECTOR GIVING THE EVALUATION. MANAGERS IN THE HUMAN RESOURCES DEPARTMENT ARE INCLUDED IN THE MCGLADREY LLP STUDY TO AVOID THE PERCEPTION OF CONFLICT OF INTEREST, AS THE DEPARTMENT SETS THE RANGES FOR ALL OTHER POSITIONS IN THE AGENCY. | |
| FORM 990, PART VI, SECTION C, LINE 19 | RECORDS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST BY MAILING TO: COMMUNITY CARE INC, C/O LAWRENCE PAPLHAM, 1555 S. LAYTON BLVD. MILWAUKEE, WI 53215. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -12,486. INVESTMENT IN CURRENT YEAR EARNINGS OF CCHP 2,259,565. REVERSAL OF PREMIUM DEFICIENCY RESERVE 363,429. TOTAL TO FORM 990, PART XI, LINE 5: 2,610,508. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE HEALTH PLAN INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1555 S LAYTON BLVD | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 53215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320124346 | EIN |
| Primary Activities | HMO | PrimaryActivities |
| Legal Domicile State | WI | LegalDomicileState |
| Exempt Code Section | 501(C)(4) | ExemptCodeSection |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | 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 | 0 | 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 | 0 | 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 (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| COMMUNITY CARE HEALTH PLAN | ||
| M | 12921586 | ALLOCATED EXPENSE |
| COMMUNITY CARE HEALTH PLAN | ||
| N | 22982816 | DIRECT EMPLOYEE EXPENSE |
| COMMUNITY CARE HEALTH PLAN | ||
| P | 35904402 | AMOUNT INVOICED |