WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC (EIN 39-1407034)
Tax period: 2010-04-01 to 2011-03-31
Filed: 2011-11-15
IRS object ID: 201103199349305750
Schema version: 2010v3.4
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 I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-15T12:46:45-06:00	Timestamp
Tax Period End Date	2011-03-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 8700	AddressLine1
City	MADISON	City
State	WI	State
ZIP Code	537088700	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	391407034	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	WISC	NameControl
Phone	6082777477	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5290 EASTPARK BLV NO 109	AddressLine1
City	MADISON	City
State	WI	State
ZIP Code	53718	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	STEPHANIE HARRISON	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	6082777477	Phone
Date Signed	2011-11-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOHN HEMMING	Name
Phone	6082741980	Phone
Date Prepared	2011-11-14	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	X	AddressChange
Name Of Principal Officer Person	STEPHANIE HARRISON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	5290 EASTPARK BLV NO 109	AddressLine1
City	MADISON	City
State	WI	State
ZIP Code	53718	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1737257	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.WPHCA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1982	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	THE MISSION OF THE WISCONSIN PRIMARY HEALTH CARE ASSOCIATION IS TO ADVANCE THE EFFORTS OF WISCONSIN COMMUNITY HEALTH CENTERS IN PROVIDING ACCESS TO COMPREHENSIVE, COMMUNITY-ORIENTED PRIMARY HEALTH CARE SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	21	NbrIndependentVotingMembers
Total Nbr Employees	14	TotalNbrEmployees
Total Nbr Volunteers	25	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1086555	ContributionsGrantsPriorYear
Contributions Grants Current Year	1429250	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	118764	ProgramServiceRevenuePriorYear
Program Service Revenue CY	302837	ProgramServiceRevenueCY
Investment Income Prior Year	2808	InvestmentIncomePriorYear
Investment Income Current Year	5170	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	1208127	TotalRevenuePriorYear
Total Revenue Current Year	1737257	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	110200	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	225505	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	718308	SalariesEtcPriorYear
Salaries Etc Current Year	972344	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	10652	TotalFundrsngExpCurrentYear
Other Expense Prior Year	399065	OtherExpensePriorYear
Other Expenses Current Year	505883	OtherExpensesCurrentYear
Total Expenses Prior Year	1227573	TotalExpensesPriorYear
Total Expenses Current Year	1703732	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-19446	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	33525	RevenuesLessExpensesCY
Total Assets BOY	664084	TotalAssetsBOY
Total Assets EOY	932795	TotalAssetsEOY
Total Liabilities BOY	177229	TotalLiabilitiesBOY
Total Liabilities EOY	412415	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	486855	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	520380	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF THE WISCONSIN PRIMARY HEALTH CARE ASSOCIATION IS TO ADVANCE THE EFFORTS OF WISCONSIN COMMUNITY HEALTH CENTERS IN PROVIDING ACCESS TO COMPREHENSIVE, COMMUNITY-ORIENTED PRIMARY HEALTH CARE SERVICES.	MissionDescription
Significant New Program Services	1	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	706233	Expense
Description	NONFINANCIAL TECHNICAL ASSISTANCE -THIS COOPERATIVE AGREEMENT IS IN PLACE TO PROVIDE TRAINING AND TECHNICAL ASSISTANCE OPPORTUNITIES FOR ALL CHC'S IN WISCONSIN STRATEGIES. THESE INCLUDE ASSISTING CHC'S IN DEVELOPING THEIR HEALTH CARE AND BUSINESS PLANS, ENSURING BOARDS AND STAFF HAVE TOOLS TO COMPLY WITH 330 REQUIREMENTS, PROVIDE ONGOING QUALITY IMPROVEMENT, RISK MANAGEMENT, UDS AND EMERGENCY PREPAREDNESS TRAINING.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	212805	Expense
Revenue	87963	Revenue
Description	AMERICORPS- THIS PROGRAM RECRUITS, PLACES, AND SUPERVISES AMERICORPS MEMBERS IN HEALTH CENTERS AND OTHER PUBLIC HEALTH SITES IN WISCONSIN, WHERE MEMBERS ARE CONDUCTING HEALTH OUTREACH AND EDUCATION IN COMMUNITIES WHERE THERE ARE HIGH NEEDS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	204109	Expense
Description	HEALTH INFORMATION TECHNOLOGY INNOVATIONS-WITH PARTICIPATION IN THIS GRANT, WPHCA IS DEVELOPING A DATA WAREHOUSE OF HEALTH CENTER QUALITY, OUTCOMES AND FINANCIAL INFORMATION FOR THE PURPOSE OF IDENTIFYING BEST PRACTICES, DRIVING QUALITY IMPROVEMENT, AND CONNECTING THE STATEWIDE HEALTH INFORMATION NETWORKS.HPSA DESIGNATIONS: PROVIDE COORDINATION OF THE HEALTH PROFESSIONAL SHORTAGE AREAS DESIGNATIONS.H1N1: PUBLIC HEALTH EMERGENCY RESPONSE PHASE 3	Description

Activity Other ActivityOther (7 entries)

ExpenseExpense	GrantsGrants	DescriptionDescription	RevenueRevenue
173475	169395	H1N1: PUBLIC HEALTH EMERGENCY RESPONSE PHASE 3
100420	178	HPSA DESIGNATIONS: PROVIDE COORDINATION OF THE HEALTH PROFESSIONAL SHORTAGE AREAS DESIGNATIONS
94836	33150	DIABETES PROGRAM: PROVIDE CLINICAL SUPPORT TO ENSURE QUALITY IN DIABETIC PROGRAMS FOR CLINCS WITH MEDICALLY UNDERSERVED POPULATIONS
71660	22960	CANCER AND TOBACCO PROJECT: ASSIST IN QUALITY IMPROVEMENT TO ICNREASE SCREENING RATES IN BREAST, CERVICAL AND COLERACTAL CANCERS. ASSIST CHC'S IN QUALITY IMPROVEMENT FOR PREVENTION OF TOBACCO USE.	82
14282		EMERGENCY MANAGEMENT
12392		HELEN BADER	12392
		ADVOCACY	202400

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	467065	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	225683	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	214874	TotalOfOtherProgramServiceRev
Total Program Service Expense	1590212	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	36	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	14	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	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	21	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	KHADIJA EDDACHACH	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6082777477	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4600 AMERICAN PARKWAY SUITE 204	AddressLine1
City	MADISON	City
State	WI	State
ZIP Code	53718	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
RICHARD A PERRY
PRESIDENT	1.00	X	X	0	0	0
WENDE NELSON
VICE PRESIDENT	1.00	X	X	0	0	0
BONNIE KUHR
SECRETARY/TREASURER	1.00	X	X	0	0	0
TED A KAY
PAST PRESIDENT	1.00	X		0	0	0
JOHN BARTKOWSKI DRPH
BOARD MEMBER	1.00	X		0	0	0
N LEE CARROLL
BOARD MEMBER	1.00	X		0	0	0
MARI FREIBERG
BOARD MEMBER	1.00	X		0	0	0
CC HENDERSON
BOARD MEMBER (FORMER)	1.00	X		0	0	0
GREG NYCZ
BOARD MEMBER	1.00	X		0	0	0
LAURA SCUDIERE
BOARD MEMBER	1.00	X		0	0	0
JENNI SEVENICH
BOARD MEMBER	1.00	X		0	0	0
KRISTENE STACKER
BOARD MEMBER	1.00	X		0	0	0
REBA RICE
BOARD MEMBER	1.00	X		0	0	0
JACK WATERS
BOARD MEMBER	1.00	X		0	0	0
LAURA WALDVOGEL
BOARD MEMBER	1.00	X		0	0	0
GEORGE BARTON
BOARD MEMBER (FORMER)	1.00	X		0	0	0
BYRON J CROUSE MD
BOARD MEMBER	1.00	X		0	0	0
SHERI JOHNSON
BOARD MEMBER	1.00	X		0	0	0
MARTY SCHALLER
BOARD MEMBER	1.00	X		0	0	0
TIM SIZE
BOARD MEMBER	1.00	X		0	0	0
JULIE SCHULLER MD MPH
BOARD MEMBER	1.00	X		0	0	0
TOM LUDWIG
BOARD MEMBER (FORMER)	1.00	X		0	0	0
GRETCHEN DAHLEN
BOARD MEMBER	1.00	X		0	0	0
KEN LOVING MD
BOARD MEMBER	1.00	X		0	0	0
TITO IZARD MD
BOARD MEMBER	1.00	X		0	0	0
STEPHANIE HARRISON
EXECUTIVE DIRECTOR	45.00		X	100291	0	18437
BEVERLY WILLER
DIRECTOR OF ADMIN SERVICES	38.00		X	52161	0	14086

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	152452	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	32523	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Government Grants	1429250	GovernmentGrants
Total Contributions	1429250	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBERSHIP FEES	561499	122825	122825
CHC SUPPORT - AMERICOR	900099	87963	87963
OTHER INCOME	900099	42164	42164
CONFERENCE REVENUE	900099	24243	24243
VOLUNTARY ASSESSMENTS	900099	13250	13250

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12392	TotalRevenueColumn
Related Or Exempt Function Income	12392	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	302837	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5170	TotalRevenueColumn
Exclusion	$5,170	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1737257	TotalRevenueColumn
Related Or Exempt Function Income	302837	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$5,170	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	225505	Total
Program Services	225505	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	185114	Total
Program Services	154487	ProgramServices
Management And General	20732	ManagementAndGeneral
Fundraising	9895	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	613015	Total
Program Services	613015	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	19634	Total
Program Services	19634	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	93525	Total
Program Services	93525	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	61056	Total
Program Services	58124	ProgramServices
Management And General	2175	ManagementAndGeneral
Fundraising	757	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	35367	Total
Program Services	32786	ProgramServices
Management And General	2581	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	61209	Total
Program Services	56741	ProgramServices
Management And General	4468	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	137475	Total
Program Services	114334	ProgramServices
Management And General	23141	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	63001	Total
Program Services	41324	ProgramServices
Management And General	21677	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	84215	Total
Program Services	82427	ProgramServices
Management And General	1788	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	54351	Total
Program Services	38871	ProgramServices
Management And General	15480	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	42101	Total
Program Services	37749	ProgramServices
Management And General	4352	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7688	Total
Program Services	7533	ProgramServices
Management And General	155	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4361	Total
Program Services	2907	ProgramServices
Management And General	1454	ManagementAndGeneral

Other Expenses OtherExpenses

Field	Value	IRS element (for citing)
Description	OTHER	Description
Total	16115	Total
Program Services	11250	ProgramServices
Management And General	4865	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1703732	Total
Program Services	1590212	ProgramServices
Management And General	102868	ManagementAndGeneral
Fundraising	10652	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	246992	BOY
EOY	436818	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	293315	BOY
EOY	332994	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	3799	BOY
EOY	45311	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	17919	BOY
EOY	17020	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	20357	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	16412	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	6647	BOY
EOY	3945	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	95412	BOY
EOY	96707	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	664084	BOY
EOY	932795	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	70895	BOY
EOY	277879	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	106334	BOY
EOY	134536	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	177229	BOY
EOY	412415	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	486855	BOY
EOY	520380	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	486855	BOY
EOY	520380	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	664084	BOY
EOY	932795	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	33525	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	797032	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	960950	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1161000	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1086555	CurrentTaxYearMinus1Year
Current Tax Year	1429250	CurrentTaxYear
Total	5434787	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	797032	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	960950	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1161000	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1086555	CurrentTaxYearMinus1Year
Current Tax Year	1429250	CurrentTaxYear
Total	5434787	Total

Field	Value	IRS element (for citing)
Public Support Total170	5434787	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9127	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	21584	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4561	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2808	CurrentTaxYearMinus1Year
Current Tax Year	5170	CurrentTaxYear
Total	43250	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	183039	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	95383	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	15436	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	118764	CurrentTaxYearMinus1Year
Current Tax Year	302837	CurrentTaxYear
Total	715459	Total

Field	Value	IRS element (for citing)
Total Support	6193496	TotalSupport
Gross Receipts From Admissions Etc	715459	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.87750	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.88150	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	32736	FilingOrganizationsTotals

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	15480	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	48216	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	1692041	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	1740257	FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	237013	FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	59253	FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	177747	CurrentYearMinus3
Current Year	237013	CurrentYear
Total	414760	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$622,140	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	25200	CurrentYearMinus3
Current Year	48216	CurrentYear
Total	73416	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	44437	CurrentYearMinus3
Current Year	59253	CurrentYear
Total	103690	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$155,535	GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

Field	Value	IRS element (for citing)
Current Year	32736	CurrentYear
Total	32736	Total

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6226	OtherCostOrOtherBasis
Depreciation	6226	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14131	OtherCostOrOtherBasis
Depreciation	10186	Depreciation
Book Value	3945	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3945	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	CERTIFICATES OF DEPOSIT	Description
Book Value	96707	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	96707	TotalOfBookValueSecurities
Total Revenue	1737257	TotalRevenue
Total Expenses	1703732	TotalExpenses
Excess Or Deficit For Year	33525	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	33525	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1737257	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	1737257	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1737257	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1703732	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	1703732	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1703732	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	WPHCA IS REQUIRED TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. WPHCA HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. FEDERAL RETURNS FOR THE FISCAL YEARS ENDED 2008 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (19 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ACCESS COMMUNITY HEALTH CENTER
3434 E WASHINGTON AVE	MADISON	WI	53704	391180475	501(C)(3)	6110	THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS. HEALTH CENTERS INTERESTED IN PARTICIPATING IN MEDICAID TRANSFORMATION WERE ASKED TO ATTEND A SERIES OF MEETINGS TO IMPROVE MEDICAID BILLING.
(no name)
							THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
COMMUNITY HEALTH SYSTEMS
4000 MERIDIAN BLVD	FRANKLIN	TN	37067	391919806	501(C)(3)	9083	THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
(no name)
							THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
FAMILY HEALTH MEDICAL & DENTAL
400 S TOWNLINE RD	WAUTOMA	WI	54982	391181480	501(C)(3)	6491	THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS. HEALTH CENTERS INTERESTED IN PARTICIPATING IN MEDICAID TRANSFORMATION WERE ASKED TO ATTEND A SERIES OF MEETINGS TO IMPROVE MEDICAID BILLING.
FAMILY HEALTHLA CLINICA
PO BOX 1440	WAUTOMA	WI	54982	391181480	501(C)(3)	6110	THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS. HEALTH CENTERS INTERESTED IN PARTICIPATING IN MEDICAID TRANSFORMATION WERE ASKED TO ATTEND A SERIES OF MEETINGS TO IMPROVE MEDICAID BILLING.
FOX CITIES COMMUNITY HEALTH CENTER
1800 APPELTON RD	MENASHA	WI	54952	202090446	501(C)(3)	5528	THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
HEALTH CARE FOR THE HOMELESS
879 MATHER ST	GREEN BAY	WI	54303	391353282	501(C)(3)	16873	THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
(no name)
							THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
(no name)
							THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
MILWAUKEE HEALTH SERVICES
2555 N DR MARTIN LUTHER KING DR	MILWAUKEE	WI	53212	391664109	501(C)(3)	55559	THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS. FUNDS WERE AVAILABLE TO THOSE HEALTH CENTERS INTERESTED IN INCLUDING A TOBACCO USE QUESTIONAIRE IN THEIR ELECTRONIC MEDICAL RECORDS.
NEW COMMUNITY CLINIC
622 BODART ST	GREEN BAY	WI	54301	391200636	501(C)(3)	23695	THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
(no name)
							THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
NORTHERN HEALTH CENTERS
15379 STATE HIGHWAY 32	LAKEWOOD	WI	54138	391550123	501(C)(3)	34341	THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
(no name)
							THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS. FUNDS WERE AVAILABLE TO THOSE HEALTH CENTERS INTERESTED IN INCLUDING A TOBACCO USE QUESTIONAIRE IN THEIR ELECTRONIC MEDICAL RECORDS.
SIXTEENTH STREET CHC
1032 S SIXTEENTH STREET	MILWAUKEE	WI	53204	391180475	501(C)(3)	26378	THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
THE LAKES COMMUNITY HEALTH CENTER
7665 US HIGHWAY 2	IRON RIVER	WI	54847	352297925	501(C)(3)	5491	THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
WESTSIDE HEALTH CARE
3522 W LISBON AVE	MILWAUKEE	WI	53208	391958810	501(C)(3)	8532	THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.
(no name)
							THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS.

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	12	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: WISCONSIN PRIMARY HEALTH CARE ASSOCIATION MAINTAINS RECORDS OF WHICH ORGANIZATIONS RECEIVE GRANTS AND FINANCIAL ASSISTANCE.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
NEW PROGRAM SERVICES	FORM 990, PART III, LINE 2	AMERICORPS- THIS PROGRAM RECRUITS, PLACES, AND SUPERVISES AMERICORPS MEMBERS IN HEALTH CENTERS AND OTHER PUBLIC HEALTH SITES IN WISCONSIN, WHERE MEMBERS ARE CONDUCTING HEALTH OUTREACH AND EDUCATION IN COMMUNITIES WHERE THERE ARE HIGH NEEDS. HEALTH INFORMATION TECHNOLOGY INNOVATIONS- WITH PARTICIPATION IN THIS GRANT, WPHCA IS DEVELOPING A DATA WAREHOUSE OF HEALTH CENTER QUALITY, OUTCOMES AND FINANCIAL INFORMATION FOR THE PURPOSE OF IDENTIFYING BEST PRACTICES, DRIVING QUALITY IMPROVEMENT, AND CONNECTING THE STATEWIDE HEALTH INFORMATION NETWORKS. HPSA DESIGNATIONS: PROVIDE COORDINATION OF THE HEALTH PROFESSIONAL SHORTAGE AREAS DESIGNATIONS.
FORM 990, PART VI, SECTION A, LINE 2		BYRON CROUSE, AT-LARGE BOARD MEMBER, IS MARRIED TO PAM CROUSE, STAFF MEMBER. THE BOARD MEMBER RECUSES HIMSELF FROM ANY PERSONNEL MATTERS.
FORM 990, PART VI, SECTION A, LINE 6		THE ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A		THE ORGANIZATION HAS MEMBERS WHO MAY ELECT THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11		THE 990 IS REVIEWED IN A SIMILAR MANNER AS THE ANNUAL AUDIT. A DRAFT COPY IS PROVIDED BY THE AUDIT FIRM. THE EXECUTIVE DIRECTOR REVIEWS THIS COPY AND MAKES ANY NECESSARY CORRECTIONS. THE FINAL COPY IS PROVIDED TO THE WPHC BOARD OF DIRECTOR'S FOR REVIEW AND APPROVAL.
	FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS AND STAFF ANNUALLY SIGN A CONFLICT OF INTEREST DISCLOSURE FORM, WHICH IS THEN REVIEWED BY THE BOARD OF DIRECTORS.
	FORM 990, PART VI, SECTION B, LINE 15	THE ASSOCIATION CONTRACTED WITH AN INDEPENDENT PARTY TO PROVIDE SALARY RECOMMENDATIONS. A COMPENSATION SCHEDULE WAS DEVELOPED USING LOCAL AND STATE WIDE DATA OF SIMILAR POSITIONS. THESE RECOMMENDATIONS WERE BROUGHT BEFORE THE BOARD'S PERSONNEL COMMITTEE AND BOARD OF DIRECTORS FOR APPROVAL.
	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.