MY CHOICE WISCONSIN HEALTH PLAN INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MY CHOICE WISCONSIN HEALTH PLAN INC (EIN 27-0093404)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-14
IRS object ID: 201123189349302997
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 D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-14T12:36:07-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	100 E Wisconsin Ave	AddressLine1
City	Milwaukee	City
State	WI	State
ZIP Code	53202	ZIPCode

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	270093404	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Care Wisconsin Health Plan Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CARE	NameControl
Phone	6082400020	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 14017	AddressLine1
City	Madison	City
State	WI	State
ZIP Code	537080017	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	BECKY DORSCHEID	Name
Title	INTERIM CHIEF FINANCIAL OFFICER	Title
Date Signed	2011-10-31	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	4142898200	Phone
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KAREN MUSSER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 14017	AddressLine1
City	MADISON	City
State	WI	State
ZIP Code	537080017	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	79507126	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.carewisconsinhealthplan.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2004	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	CARE WISCONSIN HEALTH PLAN, INC. IS A HEALTH MAINTENANCE ORGANIZATION. ITS PRIMARY PURPOSE IS PROVIDING HEALTH AND LONG-TERM MANAGEMENT AND CARE SERVICES TO ELIGIBLE MEMBERS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	6	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	5	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	67378340	ProgramServiceRevenuePriorYear
Program Service Revenue CY	70713147	ProgramServiceRevenueCY
Investment Income Prior Year	515524	InvestmentIncomePriorYear
Investment Income Current Year	934300	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	67893864	TotalRevenuePriorYear
Total Revenue Current Year	71647447	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	52220459	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	57788162	BenefitsPaidToMembersCY
Salaries Etc Prior Year	0	SalariesEtcPriorYear
Salaries Etc Current Year	0	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	14364077	OtherExpensePriorYear
Other Expenses Current Year	10507538	OtherExpensesCurrentYear
Total Expenses Prior Year	66584536	TotalExpensesPriorYear
Total Expenses Current Year	68295700	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1309328	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3351747	RevenuesLessExpensesCY
Total Assets BOY	23962278	TotalAssetsBOY
Total Assets EOY	39748154	TotalAssetsEOY
Total Liabilities BOY	11000538	TotalLiabilitiesBOY
Total Liabilities EOY	23781656	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	12961740	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	15966498	NetAssetsOrFundBalancesEOY
Mission Description	CARE WISCONSIN HEALTH PLAN, INC. (CWHP) PROVIDES HEALTH AND LONG-TERM MAINTENANCE ORGANIZATION INSURANCE TO NURSING HOME ELIGIBLE MEMBERS UNDER THE STATE OF WISCONSIN FAMILY CARE PARTNERSHIP PROGRAM. CWHP'S ENROLLMENT AT THE END OF 2010 WAS 1,171 MEMBERS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	62903864	Expense
Revenue	70713147	Revenue
Description	Care Wisconsin Health Plan, Inc. (CWHP) is a health maintenance organization under Section 613 of the Wisconsin statutes. It has been formed for the primary purpose of providing health and long-term management and care services to the elderly and adults with disabilities under a health maintenance organization license issued by the Wisconsin office of the Commissioner of Insurance. CHWP's enrollment at the end of 2010 was 1171 members.	Description
Total Program Service Expense	62903864	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	269	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	6	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	BECKY DORSCHEID	NamePerson
Telephone Number	6082453433	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 14017	AddressLine1
City	Madison	City
State	WI	State
ZIP Code	537080017	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
KAREN MUSSER
PRESIDENT	1.0	X	X	0	242766	16646
JAMES JAEGER
DIRECTOR	1.0	X		0	0	0
ROBERT MUCCI
DIRECTOR	1.0	X		0	0	0
DENNIS CARLSON
DIRECTOR	1.0	X		0	0	0
PEG SMELSER
DIRECTOR	1.0	X		0	0	0
Steve Cable
Director	1.0	X		0	0	0
MICHAEL TEGLER
TREASURER	1.0		X	0	166496	16637
KEN EIMERS
Secretary	1.0		X	0	189245	17945

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	598507	TotalReportableCompFrmRltdOrgs
Total Other Compensation	51228	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
UW HOSPITALS CLINICS
600 HIGHLAND AVENUE	MADISON	WI	53912	MEDICAL	4875049
COMMUNITY LIVING ALLIANCE
1414 MACARTHUR ROAD	MADISON	WI	53714	MEDICAL	4373765
ST MARY'S HOSPITAL ADULT CARE CENTE
707 S MILLS STREET	MADISON	WI	53715	MEDICAL	3819544
MERITER HOSPITAL
202 S PARK STREET	MADISON	WI	53715	MEDICAL	2925917
Belmont Nursing and Rehab Center
110 Belmont Road	MADISON	WI	53714	MEDICAL	1498552

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	80	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SUBSCRIBER PREMIUM	524114	942681	942681
CAPITATION REVENUE	524114	69780589	69780589
RISK SHARE REVENUE	524292	-10123	-10123

Field	Value	IRS element (for citing)
Total Program Service Revenue	70713147	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	517442	TotalRevenueColumn
Exclusion	$517,442	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	8276537	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	7859679	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	416858	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	416858	TotalRevenueColumn
Exclusion	$416,858	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	71647447	TotalRevenueColumn
Related Or Exempt Function Income	70713147	RelatedOrExemptFunctionIncome
Exclusion	$934,300	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	57788162	Total
Program Services	57788162	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	0	Total

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	0	Total

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	116138	Total
Management And General	116138	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	44573	Total
Management And General	44573	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	74729	Total
Program Services	74729	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5295	Total
Program Services	5295	ProgramServices

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	0	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	890472	Total
Program Services	890472	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	931	Total
Management And General	931	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	0	Total

Insurance Insurance

Field	Value	IRS element (for citing)
Total	0	Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
ALLOCATED ADMINISTRATION FEES	8515897	3552324	4963573
ADMINISTRATIVE FEES	388178	388178
STATE TAXES PAID	178288	178288
INSURANCE	178242		178242
FEES AND DUES	44849	14132	30717

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	69946	Total
Program Services	12284	ProgramServices
Management And General	57662	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	68295700	Total
Program Services	62903864	ProgramServices
Management And General	5391836	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	8236437	BOY
EOY	24889052	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	3020896	BOY
EOY	1162635	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	15680	BOY
EOY	185070	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	12490711	BOY
EOY	13018608	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	198554	BOY
EOY	492789	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	23962278	BOY
EOY	39748154	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	10962221	BOY
EOY	9869399	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1584	BOY
EOY	13912257	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	36733	BOY
EOY	0	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	11000538	BOY
EOY	23781656	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12961740	BOY
EOY	15966498	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	12961740	BOY
EOY	15966498	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	23962278	BOY
EOY	39748154	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	3351747	ReconcilationRevenueExpenses
Reconcilation Other Changes	-346989	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	0	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	15166256	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	41832655	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	57465779	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	67378340	CurrentTaxYearMinus1Year
Current Tax Year	70713147	CurrentTaxYear
Total	252556177	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	15166256	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	41832655	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	57465779	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	67378340	CurrentTaxYearMinus1Year
Current Tax Year	70713147	CurrentTaxYear
Total	252556177	Total

Field	Value	IRS element (for citing)
Public Support Total509	252556177	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	483462	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	732855	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	691250	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	591307	CurrentTaxYearMinus1Year
Current Tax Year	517442	CurrentTaxYear
Total	3016316	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	483462	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	732855	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	691250	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	591307	CurrentTaxYearMinus1Year
Current Tax Year	517442	CurrentTaxYear
Total	3016316	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4892	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	4892	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	15654610	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	42565510	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	58157029	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	67969647	CurrentTaxYearMinus1Year
Current Tax Year	71230589	CurrentTaxYear
Total	255577385	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.98818	PublicSupportPercentage509
Prior Year Support Percentage	0.98713	PriorYearSupportPercentage
Investment Income Percentage	0.01180	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01285	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Land		Land
Buildings		Buildings
Leasehold Improvements		LeaseholdImprovements
Equipment		Equipment
Other Land Buildings		OtherLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability
Total Of Amounts	0	TotalOfAmounts
Total Revenue	71647447	TotalRevenue
Total Expenses	68295700	TotalExpenses
Excess Or Deficit For Year	3351747	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-96989	NetUnrealizedGLOnInvestments
Total Adjustments	-96989	TotalAdjustments
Excess Or Deficit Per FS	3254758	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	71614728	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-96989	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	-96989	RevenueNotRptdF990
Revenue Subtotal	71711717	RevenueSubtotal
Investment Expenses Not Included	74729	InvestmentExpensesNotIncluded
Other Revenues Not Included	-138999	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-64270	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	71647447	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	68359970	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	68359970	ExpensesSubtotal
Investment Expenses Not Included2	74729	InvestmentExpensesNotIncluded2
Other Expenses Not Included	-138999	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	-64270	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	68295700	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ASC 740 FOOTNOTE	SCHEDULE D, PART X, LINE 2	AS REQUIRED BY THE ACCOUNTING AND FINANCIAL REPORTING STANDARDS FOR UNCERTAIN TAX POSITIONS, CARE WISCONSIN HEALTH PLAN 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 TAX POSITIONS MEETING 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 ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN THAT HAVE BEEN RECORDED ON THE FINANCIAL STATEMENTS FOR THE YEARS ENDED DECEMBER 31, 2010 AND 2009 AS IT WAS DETERMINED THAT ALL TAX POSITIONS TAKEN MEET THE MORE-LIKELY-THAN-NOT THRESHOLD.
RECONCILIATION OF REVENUE AND EXPENSES	PART XII AND XIII, QUESTION 4B	COST SHARE PREMIUM SPENDDOWN (MEDICAID CAPITATION INCOME RECLASS TO EXPENSES) - ($138,999)

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	X	IndependentConsultant
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 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
KAREN MUSSER
0	242766	0	0	0	0	0	7458	0	9188	0	259412	0	0
MICHAEL TEGLER
0	166496	0	0	0	0	0	4981	0	11656	0	183133	0	0
KEN EIMERS
0	189245	0	0	0	0	0	5584	0	12361	0	207190	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
REVIEW OF FORM 990	FORM 990 PART VI, SECTION B, QUESTION 11B	THE CHIEF FINANCIAL OFFICER PERFORMS AN EXTENSIVE REVIEW PRIOR TO FILING FORM 990 WITH THE INTERNAL REVENUE SERVICE. Prior to the 990 filing with the IRS the form is made available to the members of the board. At the next board meeting key components of the return are discussed.
MONITORING AND ENFORCING COMPLIANCE WITH CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, QUESTION 12C	EACH YEAR, ALL BOARD MEMBERS MUST SIGN THE CONFLICT OF INTEREST DOCUMENT TO CERTIFY THAT THEY ARE IN COMPLIANCE.
PROCESS FOR DETERMINING COMPENSATION	FORM 990 PART VI, SECTION B, QUESTION 15A	All wages are paid by Care Wisconsin First, Inc. which is then reimbursed by Care Wisconsin Health Plan, Inc. The following describes how Care Wisconsin First, Inc. determines its salary and wages. FOR THE EXECUTIVE TEAM, A CONSULTANT HELPS WITH REVIEWING THE MARKET DATA FROM SIMILAR ORGANIZATIONS FOR DETERMINING THE APPROPRIATE PAY RANGES AND PAY RATES FOR THE INCUMBENTS. THE CONSULTANT WILL MAKE THE RECOMMENDATION FOR THE COMPENSATION TO THE CEO FOR THE EXECUTIVE TEAM MEMBERS WHO WILL THEN REVIEW AND APPROVE. FOR THE CEO'S COMPENSATION, THE BOARD RECEIVES THE RECOMMENDATION FROM THE CONSULTANT AND WILL REVIEW/APPROVE.
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS	FORM 990 PART VI, SECTION C, QUESTION 19	RECORDS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST BY MAILING TO CARE WISCONSIN HEALTH PLAN, INC., C/O BECKY DORSCHEID, P.O. BOX 14017, MADISON, WI 53708-0017.
RECONCILIATION OF NET ASSETS	FORM 990, PART XI, LINE 5	THE $(346,989) OF OTHER CHANGES IN NET ASSETS OR FUND BALANCES IS COMPOSED OF THE FOLLOWING: $(96,989) - NET UNREALIZED LOSSES ON INVESTMENTS $(250,000) - SPECIAL DIVIDEND PAID BY CARE WISCONSIN HEALTH PLAN TO CARE WISCONSIN FIRST FOR PURPOSES OF COMPLYING WITH OCI STATUTORY REQUIREMENTS
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KAREN MUSSER TITLE:PRESIDENT HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MICHAEL TEGLER TITLE:TREASURER HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KEN EIMERS TITLE:Secretary HOURS:40

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	CARE WISCONSIN FIRST INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2802 INTERNATIONAL LANE	AddressLine1
City	MADISON	City
State	WI	State
ZIP Code	53704	ZIPCode

Field	Value	IRS element (for citing)
EIN	391245329	EIN
Primary Activities	CARE MGMT	PrimaryActivities
Legal Domicile State	WI	LegalDomicileState
Exempt Code Section	501(c)(3)	ExemptCodeSection
Public Charity Status	PUBLIC	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
CARE WISCONSIN FIRST INC
l	4963573
CARE WISCONSIN FIRST INC
M	4616772
CARE WISCONSIN FIRST INC
N	9461519