2011-11-14T12:36:07-06:00 2010-12-31 Grant Thornton LLP 100 E Wisconsin Ave Milwaukee WI 53202 990 2010-01-01 270093404 Care Wisconsin Health Plan Inc CARE 6082400020 PO BOX 14017 Madison WI 537080017 BECKY DORSCHEID 2011-10-31 4142898200 X 2010 2016-02-24 21:20:13Z KAREN MUSSER PO BOX 14017 MADISON WI 537080017 79507126 false X www.carewisconsinhealthplan.org X 2004 WI 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. 6 5 0 5 0 0 0 0 67378340 70713147 515524 934300 0 0 67893864 71647447 0 0 52220459 57788162 0 0 0 0 0 14364077 10507538 66584536 68295700 1309328 3351747 23962278 39748154 11000538 23781656 12961740 15966498 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. false false 62903864 70713147 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. 62903864 true false false false false false false false false false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 269 0 true 0 false false false false false false false false false false false X 6 5 false false false false false false false true true false false true true true true true true true false false X BECKY DORSCHEID 6082453433 PO BOX 14017 Madison WI 537080017 X KAREN MUSSER 1.0 X X 0 242766 16646 JAMES JAEGER 1.0 X 0 0 0 ROBERT MUCCI 1.0 X 0 0 0 DENNIS CARLSON 1.0 X 0 0 0 PEG SMELSER 1.0 X 0 0 0 Steve Cable 1.0 X 0 0 0 MICHAEL TEGLER 1.0 X 0 166496 16637 KEN EIMERS 1.0 X 0 189245 17945 0 598507 51228 0 false true false 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 80 0 SUBSCRIBER PREMIUM 524114 942681 942681 CAPITATION REVENUE 524114 69780589 69780589 RISK SHARE REVENUE 524292 -10123 -10123 70713147 517442 517442 0 0 8276537 7859679 416858 416858 416858 0 0 0 0 71647447 70713147 934300 0 0 0 57788162 57788162 0 0 0 0 0 0 0 116138 116138 44573 44573 0 0 0 74729 74729 0 0 5295 5295 0 0 0 890472 890472 0 0 931 931 0 0 0 ALLOCATED ADMINISTRATION FEES 8515897 3552324 4963573 ADMINISTRATIVE FEES 388178 388178 STATE TAXES PAID 178288 178288 INSURANCE 178242 178242 FEES AND DUES 44849 14132 30717 69946 12284 57662 68295700 62903864 5391836 0 8236437 24889052 3020896 1162635 15680 185070 12490711 13018608 198554 492789 23962278 39748154 10962221 9869399 1584 13912257 36733 0 11000538 23781656 X 12961740 15966498 12961740 15966498 23962278 39748154 X 3351747 -346989 X false true true X false X 0 0 0 0 0 0 15166256 41832655 57465779 67378340 70713147 252556177 15166256 41832655 57465779 67378340 70713147 252556177 252556177 483462 732855 691250 591307 517442 3016316 483462 732855 691250 591307 517442 3016316 4892 0 0 0 0 4892 15654610 42565510 58157029 67969647 71230589 255577385 0.98818 0.98713 0.01180 0.01285 X 0 0 71647447 68295700 3351747 -96989 -96989 3254758 71614728 -96989 -96989 71711717 74729 -138999 -64270 71647447 68359970 68359970 74729 -138999 -64270 68295700 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) X X false false false false false false false false false 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 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 CARE WISCONSIN FIRST INC 2802 INTERNATIONAL LANE MADISON WI 53704 391245329 CARE MGMT WI 501(c)(3) PUBLIC NA false false false false false false false false false false false true true true false false false false CARE WISCONSIN FIRST INC l 4963573 CARE WISCONSIN FIRST INC M 4616772 CARE WISCONSIN FIRST INC N 9461519