2011-11-15T12:46:45-06:00 2011-03-31 WIPFLI LLP PO BOX 8700 MADISON WI 537088700 990 2010-04-01 391407034 WISCONSIN PRIMARY HEALTH CARE ASSOCIATION INC WISC 6082777477 5290 EASTPARK BLV NO 109 MADISON WI 53718 STEPHANIE HARRISON 6082777477 2011-11-14 1 JOHN HEMMING 6082741980 2011-11-14 2010 2016-03-07 17:11:31Z X STEPHANIE HARRISON 5290 EASTPARK BLV NO 109 MADISON WI 53718 1737257 0 X WWW.WPHCA.ORG X 1982 WI THE MISSION OF THE WISCONSIN PRIMARY HEALTH CARE ASSOCIATION IS TO ADVANCE THE EFFORTS OF WISCONSIN COMMUNITY HEALTH CENTERS IN PROVIDING ACCESS TO COMPREHENSIVE, COMMUNITY-ORIENTED PRIMARY HEALTH CARE SERVICES. 22 21 14 25 0 0 1086555 1429250 118764 302837 2808 5170 0 0 1208127 1737257 110200 225505 0 0 718308 972344 0 0 10652 399065 505883 1227573 1703732 -19446 33525 664084 932795 177229 412415 486855 520380 X THE MISSION OF THE WISCONSIN PRIMARY HEALTH CARE ASSOCIATION IS TO ADVANCE THE EFFORTS OF WISCONSIN COMMUNITY HEALTH CENTERS IN PROVIDING ACCESS TO COMPREHENSIVE, COMMUNITY-ORIENTED PRIMARY HEALTH CARE SERVICES. 1 0 706233 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. 212805 87963 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. 204109 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 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 82 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. 14282 EMERGENCY MANAGEMENT 12392 12392 HELEN BADER 202400 ADVOCACY 467065 225683 214874 1590212 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 36 0 14 1 0 0 0 0 0 0 0 0 0 0 X 22 21 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X KHADIJA EDDACHACH 6082777477 4600 AMERICAN PARKWAY SUITE 204 MADISON WI 53718 RICHARD A PERRY 1.00 X X 0 0 0 WENDE NELSON 1.00 X X 0 0 0 BONNIE KUHR 1.00 X X 0 0 0 TED A KAY 1.00 X 0 0 0 JOHN BARTKOWSKI DRPH 1.00 X 0 0 0 N LEE CARROLL 1.00 X 0 0 0 MARI FREIBERG 1.00 X 0 0 0 CC HENDERSON 1.00 X 0 0 0 GREG NYCZ 1.00 X 0 0 0 LAURA SCUDIERE 1.00 X 0 0 0 JENNI SEVENICH 1.00 X 0 0 0 KRISTENE STACKER 1.00 X 0 0 0 REBA RICE 1.00 X 0 0 0 JACK WATERS 1.00 X 0 0 0 LAURA WALDVOGEL 1.00 X 0 0 0 GEORGE BARTON 1.00 X 0 0 0 BYRON J CROUSE MD 1.00 X 0 0 0 SHERI JOHNSON 1.00 X 0 0 0 MARTY SCHALLER 1.00 X 0 0 0 TIM SIZE 1.00 X 0 0 0 JULIE SCHULLER MD MPH 1.00 X 0 0 0 TOM LUDWIG 1.00 X 0 0 0 GRETCHEN DAHLEN 1.00 X 0 0 0 KEN LOVING MD 1.00 X 0 0 0 TITO IZARD MD 1.00 X 0 0 0 STEPHANIE HARRISON 45.00 X 100291 0 18437 BEVERLY WILLER 38.00 X 52161 0 14086 152452 0 32523 1 0 0 0 0 1429250 1429250 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 12392 12392 302837 5170 5170 1737257 302837 0 5170 225505 225505 185114 154487 20732 9895 613015 613015 19634 19634 93525 93525 61056 58124 2175 757 35367 32786 2581 61209 56741 4468 137475 114334 23141 63001 41324 21677 84215 82427 1788 54351 38871 15480 42101 37749 4352 7688 7533 155 4361 2907 1454 OTHER 16115 11250 4865 1703732 1590212 102868 10652 246992 436818 293315 332994 3799 45311 17919 17020 20357 16412 6647 3945 95412 96707 664084 932795 70895 277879 106334 134536 177229 412415 X 486855 520380 486855 520380 664084 932795 33525 0 X 0 1 1 X 1 1 X 797032 960950 1161000 1086555 1429250 5434787 797032 960950 1161000 1086555 1429250 5434787 5434787 9127 21584 4561 2808 5170 43250 183039 95383 15436 118764 302837 715459 6193496 715459 0.87750 0.88150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32736 15480 48216 1692041 1740257 237013 59253 0 0 177747 237013 414760 622140 25200 48216 73416 44437 59253 103690 155535 32736 32736 6226 6226 0 14131 10186 3945 3945 CERTIFICATES OF DEPOSIT 96707 C 96707 1737257 1703732 33525 0 33525 1737257 0 1737257 0 1737257 1703732 0 1703732 0 1703732 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: WPHCA IS REQUIRED TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. WPHCA HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. FEDERAL RETURNS FOR THE FISCAL YEARS ENDED 2008 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. 1 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. 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. 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. THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS. 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. 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. 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. THESE GRANTS ARE PROVIDED TO HEALTH CENTERS THAT PARTICIPATE IN THE DIABETES AND CARDIOVASCULAR QUALITY IMPROVEMENT PROGRAMS. 12 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: WISCONSIN PRIMARY HEALTH CARE ASSOCIATION MAINTAINS RECORDS OF WHICH ORGANIZATIONS RECEIVE GRANTS AND FINANCIAL ASSISTANCE. 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.