COMMUNITY HEALTH PARTNERSHIP INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH PARTNERSHIP INC (EIN 39-1931089)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-26
IRS object ID
201132999349301038
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-10-26T18:18:49-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110000 INNOVATION DRIVE SUITE 250AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code532264837ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391931089EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH PARTNERSHIP INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone8008421814Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12240 EAST RIDGE CENTERAddressLine1
CityEAU CLAIRECity
StateWIState
ZIP Code54701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAUL COOKName
TitlePRESIDENT OF BOARD & CEOTitle
Phone8008421814Phone
Date Signed2011-10-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4144319300Phone
Date Prepared2011-10-17DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPAUL COOKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12240 EAST RIDGE CENTERAddressLine1
CityEAU CLAIRECity
StateWIState
ZIP Code54701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts37419338GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COMMUNITYHEALTHPARTNERSHIP.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE INDIVIDUALIZED CARE FOR FRAIL ELDERLY AND ADULTS WITH PHYSICAL & DEVELOPMENTAL DISABILITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees573TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year44913ContributionsGrantsPriorYear
Contributions Grants Current Year43679ContributionsGrantsCurrentYear
Program Service Revenue Prior Year38797441ProgramServiceRevenuePriorYear
Program Service Revenue CY35710006ProgramServiceRevenueCY
Investment Income Prior Year80488InvestmentIncomePriorYear
Investment Income Current Year70142InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year38922842TotalRevenuePriorYear
Total Revenue Current Year35823827TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year32346840SalariesEtcPriorYear
Salaries Etc Current Year29570522SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6556068OtherExpensePriorYear
Other Expenses Current Year5880473OtherExpensesCurrentYear
Total Expenses Prior Year38902908TotalExpensesPriorYear
Total Expenses Current Year35450995TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19934RevenuesLessExpensesPriorYear
Revenues Less Expenses CY372832RevenuesLessExpensesCY
Total Assets BOY16088572TotalAssetsBOY
Total Assets EOY18219407TotalAssetsEOY
Total Liabilities BOY2376618TotalLiabilitiesBOY
Total Liabilities EOY4143680TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13711954NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14075727NetAssetsOrFundBalancesEOY
Mission DescriptionCOMMUNITY HEALTH PARTNERSHIP, INC., THROUGH CREATIVE TEAMWORK, FACILITATES QUALITY CHOICES THAT EMPOWER PEOPLE TO LIVE AS INDEPENDENTLY AS POSSIBLE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense26007653Expense
Revenue35710006Revenue
DescriptionCOMMUNITY HEALTH PARTNERSHIP, INC. (CHP) IS A NON-PROFIT ORGANIZATION WHICH PROVIDES AS ITS SOLE PROGRAM SERVICE MEDICAL AND PERSONAL CARE TO FRAIL ELDERLY, DEVELOPMENTALLY DISABLED, AND PHYSICALLY DISABLED MEMBERS IN CHIPPEWA, EAU CLAIRE, DUNN, PIERCE, AND ST. CROIX COUNTIES. IN 2010, CHP PROVIDED 54,234 VISITS BY CARE MANAGEMENT AS WELL AS 62,810 PERSONAL AND SUPPORTIVE HOME CARE VISITS. IN TOTAL, CHP STAFF PROVIDED 65,101 HOURS OF PERSONAL AND SUPPORTIVE HOME CARE SERVICES TO ITS MEMBERS.Description
Total Program Service Expense26007653TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109644NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees573NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJAMES WITHERSNamePerson
Telephone Number7158587011TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12240 EASTRIDGE CENTERAddressLine1
CityEAU CLAIRECity
StateWIState
ZIP Code54701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
LAURA PLUMMER
CHAIRPERSON1.00XX000
MARK DEYO-SVENDSEN
TREASURER1.00XX000
DEB SVIHOVEC
VICE CHAIRPERSON & SECRETARY1.00XX000
PETER NIED
BOARD MEMBER1.00X000
RUTH ADIX
BOARD MEMBER1.00X000
SCOTT POLENZ
BOARD MEMBER1.00X000
BEVERLY WICKSTROM
BOARD MEMBER1.00X000
RICK SCHEMM
BOARD MEMBER1.00X000
LYNN THOMPSON
BOARD MEMBER1.00X000
JON WESOLEK
BOARD MEMBER1.00X000
RICK LAMBRECHT
BOARD MEMBER1.00X000
KAREN BULLOCK
FORMER CEO40.00X196199012336
PAUL COOK
CEO40.00X17884808232
JAMES WITHERS
DIRECTOR OF FINANCE40.00X84430019878
MICHAEL LYNCH
MEDICAL DIRECTOR32.00192502028296X
BRENT BAUMAN
ADMINISTRATOR40.00127016024155X
THEODORE REGALIA
PHARMACY PROGRAM DIRECTOR40.00110372023116X
DONNA MARTEN
ADMINISTRATOR40.00109106023149X
FieldValueIRS element (for citing)
Total Reportable Comp From Org998473TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation139162TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ALLSCRIPTS-MISYS LLC
8529 SIX FORKS ROAD FORUM IVRALEIGHNC27615COMPUTER SOFTWARE IMPLEMENTATION1561092
HYLAND SOFTWARE
28500 CLEMES ROADWESTLAKEOH44145COMPUTER SOFTWARE IMPLEMENTATION513068
FLEX STAFF
4423 GOLF TERRACEEAU CLAIREWI54701TEMPORARY EMPLOYEE SERVICES108598
SEABURY AVIATION & AEROSPACE LLC
730 2ND AVENUE SOUTH SUITE 370MINNEAPOLISMN55402CONSULTANT104352
MODERN JANITORIAL LLC
PO BOX 913MARSHFIELDWI54449JANITORIAL SERVICES102095
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants43679GovernmentGrants
Total Contributions43679TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCOST SHARING & MISC REDescription
Business Code900099BusinessCode
Total Revenue Column35710006TotalRevenueColumn
Related Or Exempt Function Income35710006RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue35710006TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column61685TotalRevenueColumn
Exclusion$61,685ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1601568Securities
Other2400Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1589102Securities
Other6409Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities12466Securities
Other-4009Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column8457TotalRevenueColumn
Exclusion$8,457ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35823827TotalRevenueColumn
Related Or Exempt Function Income35710006RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$70,142ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21473172Total
Program Services17258253ProgramServices
Management And General4214919ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total963217Total
Program Services754812ProgramServices
Management And General208405ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5312854Total
Program Services4381304ProgramServices
Management And General931550ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1821279Total
Program Services1165815ProgramServices
Management And General655464ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total67578Total
Management And General67578ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total41796Total
Program Services18848ProgramServices
Management And General22948ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total38100Total
Program Services38100ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total50725Total
Program Services60ProgramServices
Management And General50665ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total109255Total
Management And General109255ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total847029Total
Program Services208559ProgramServices
Management And General638470ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total807340Total
Management And General807340ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1868665Total
Program Services362718ProgramServices
Management And General1505947ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total569239Total
Program Services489443ProgramServices
Management And General79796ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total61768Total
Program Services61148ProgramServices
Management And General620ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total977440Total
Program Services977440ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total254200Total
Program Services254200ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER EXPENSES13259625456107140
MEMBERSHIPS, DUES, SUBS45883263843245
MEDICAL EQUIPMENT AND S88598859

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35450995Total
Program Services26007653ProgramServices
Management And General9443342ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1140017BOY
EOY1156370EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY92371BOY
EOY1002246EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5079220BOY
EOY6017478EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY324901BOY
EOY280114EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9453488LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4212001LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3601828BOY
EOY5241487EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1208859BOY
EOY1244756EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4641376BOY
EOY3276956EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16088572BOY
EOY18219407EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2376618BOY
EOY4143680EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2376618BOY
EOY4143680EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13711954BOY
EOY14075727EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13711954BOY
EOY14075727EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16088572BOY
EOY18219407EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses372832ReconcilationRevenueExpenses
Reconcilation Other Changes-9059ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year44913CurrentTaxYearMinus1Year
Current Tax Year43679CurrentTaxYear
Total88592Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17756920CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24737166CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34011550CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38797441CurrentTaxYearMinus1Year
Current Tax Year35710006CurrentTaxYear
Total151013083Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17756920CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24737166CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34011550CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38842354CurrentTaxYearMinus1Year
Current Tax Year35753685CurrentTaxYear
Total151101675Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509151101675PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years389717CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years365987CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years247820CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79300CurrentTaxYearMinus1Year
Current Tax Year61685CurrentTaxYear
Total1144509Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years389717CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years365987CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years247820CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79300CurrentTaxYearMinus1Year
Current Tax Year61685CurrentTaxYear
Total1144509Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18146637CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25103153CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34259370CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38921654CurrentTaxYearMinus1Year
Current Tax Year35815370CurrentTaxYear
Total152246184Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99250PublicSupportPercentage509
Prior Year Support Percentage0.99060PriorYearSupportPercentage
Investment Income Percentage0.00750InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00940PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$0DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$40,500OtherActivitiesAmount
Total Lobbying Expenditures IIB40500TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationALL OR A PORTION OF ANNUAL DUES PAID TO NATIONAL HEALTH POLICY GROUP AND AMERICAN HEALTH INSURANCE PLANS WERE USED FOR LOBBYING EXPENSES. BLUMENFELD & ASSOCIATES WAS PAID AS A DIRECT LOBBYIST FOR WISCONSIN FAMILY CARE ASSOCIATION.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1549237OtherCostOrOtherBasis
Depreciation1091554Depreciation
Book Value457683BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5437023OtherCostOrOtherBasis
Depreciation3120447Depreciation
Book Value2316576BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2467228OtherCostOrOtherBasis
Book Value2467228BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5241487TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN PHP1800000
INVESTMENT IN CHP-LTS1200000
CD SELF FUNDED STATE UNEMPLOYMENT FUND276956
FieldValueIRS element (for citing)
Total Book Value Other Assets3276956TotalBookValueOtherAssets
Total Revenue35823827TotalRevenue
Total Expenses35450995TotalExpenses
Excess Or Deficit For Year372832ExcessOrDeficitForYear
Net Unrealized GL On Investments-9059NetUnrealizedGLOnInvestments
Total Adjustments-9059TotalAdjustments
Excess Or Deficit Per FS363773ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationIN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES 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 CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITION SIN 2010 OR 2009. TAX RETURNS FOR TAX YEARS 2007 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KAREN BULLOCK
196199000001178505510208535000
PAUL COOK
178848000006600016320187080000
MICHAEL LYNCH
1925020000096210186750220798000
BRENT BAUMAN
1270160000078630162920151171000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11A COPY OF FORM 990 WAS DELIVERED TO MEMBERS OF THE FINANCE COMMITTEE FOR A DETAIL REVIEW. THE FINANCE COMMITTEE THEN DISCUSSED ITS FINDINGS WITH THE BOARD, AND FORM 990 WAS APPROVED IN THE BOARD MINUTES.
ALL NEW EMPLOYEES RECEIVE TRAINING REGARDING CONFLICT OF INTEREST DURING NEW EMPLOYEE ORIENTATION. THEY RECEIVE A COPY OF THE POLICY AND SIGN AN ACKNOWLEDGEMENT FORM THAT THEY RECEIVED, ALONG WITH INDICATING ANY POTENTIAL CONFLICTS THEY MIGHT HAVE. CHP'S POLICY IS ALSO IN THE EMPLOYEE HANDBOOK FOR EMPLOYEE'S REVIEW/REFERENCE. THE EMPLOYEE HANDBOOK IS ON THE COMPANY INTRANET. TOPIC IS COVERED DURING ANNUAL COMPLIANCE TRAINING. PERIODIC TRAINING WHEN QUESTIONS OR ISSUES ARISE. FOR THE BOARD OF DIRECTORS, THE POLICY IS REVIEWED ANNUALLY, WITH BOARD MEMBERS SIGNING A FORM INDICATING UNDERSTANDING AND IDENTIFICATION OF ANY POTENTIAL CONFLICTS. A COMPLIANCE HOTLINE AND COMPLIANCE EVENT REPORTING SYSTEM ARE AVAILABLE FOR EMPLOYEES TO REPORT ANY CONFLICT OF INTEREST CONCERNS OR ISSUES.FORM 990, PART VI, SECTION B, LINE 12C
CHP HAS AN EXECUTIVE COMMITTEE CONSISTING OF BOARD MEMBERS WHICH REVIEW THE CHIEF EXECUTIVE OFFICER'S COMPENSATION EVERY AUGUST UNDER THE COUNSEL AND ADVICE OF DONNA MARTEN. FOR ALL OTHER OFFICERS OR KEY EMPLOYEES, COMPENSATION IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER THROUGH AN ANNUAL REVIEW.FORM 990, PART VI, SECTION B, LINE 15
CHP MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -9,059.FORM 990, PART XI, LINE 5:
THE AUDIT COMMITTEE SELECTS THE OUTSIDE ACCOUNTING FIRM. THE AUDIT/FINANCE COMMITTEE REVIEWS THE AUDITED STATEMENTS AND APPROVES THEM.FORM 990, PART XII, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
PARTNERSHIP HEALTH PLAN INC
2240 EASTRIDGE CENTEREAU CLAIREWI54701331120199MEDICARE AND MEDICAID HEALTH MAINTENANCE ORGANIZATIONWI501(C)(3)LINE 11A, IN/A0
CHP-LTS INC
2240 EASTRIDGE CENTEREAU CLAIREWI54701261603587MEDICAID MANAGEMENT CARE ORGANIZATIONWI501(C)(3)LINE 11A, IN/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHP-LTS INC
A2744FAIR MARKET VALUE
CHP-LTS INC
D1430130FAIR MARKET VALUE
CHP-LTS INC
K5235356FAIR MARKET VALUE
PARTNERSHIP HEALTH PLAN INC
K27787713FAIR MARKET VALUE
CHP-LTS INC
M466765FAIR MARKET VALUE
PARTNERSHIP HEALTH PLAN INC
M1224799FAIR MARKET VALUE
PARTNERSHIP HEALTH PLAN INC
P111051FAIR MARKET VALUE

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