2011-10-26T18:18:49-05:00 2010-12-31 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2010-01-01 391931089 COMMUNITY HEALTH PARTNERSHIP INC COMM 8008421814 2240 EAST RIDGE CENTER EAU CLAIRE WI 54701 PAUL COOK 8008421814 2011-10-19 1 4144319300 2011-10-17 2010 2016-03-07 17:11:31Z PAUL COOK 2240 EAST RIDGE CENTER EAU CLAIRE WI 54701 37419338 0 X WWW.COMMUNITYHEALTHPARTNERSHIP.COM X 1997 WI PROVIDE INDIVIDUALIZED CARE FOR FRAIL ELDERLY AND ADULTS WITH PHYSICAL & DEVELOPMENTAL DISABILITIES. 11 11 573 0 0 0 44913 43679 38797441 35710006 80488 70142 0 0 38922842 35823827 0 0 0 0 32346840 29570522 0 0 0 6556068 5880473 38902908 35450995 19934 372832 16088572 18219407 2376618 4143680 13711954 14075727 COMMUNITY HEALTH PARTNERSHIP, INC., THROUGH CREATIVE TEAMWORK, FACILITATES QUALITY CHOICES THAT EMPOWER PEOPLE TO LIVE AS INDEPENDENTLY AS POSSIBLE. 0 0 26007653 35710006 COMMUNITY 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. 26007653 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 44 0 1 573 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JAMES WITHERS 7158587011 2240 EASTRIDGE CENTER EAU CLAIRE WI 54701 LAURA PLUMMER 1.00 X X 0 0 0 MARK DEYO-SVENDSEN 1.00 X X 0 0 0 DEB SVIHOVEC 1.00 X X 0 0 0 PETER NIED 1.00 X 0 0 0 RUTH ADIX 1.00 X 0 0 0 SCOTT POLENZ 1.00 X 0 0 0 BEVERLY WICKSTROM 1.00 X 0 0 0 RICK SCHEMM 1.00 X 0 0 0 LYNN THOMPSON 1.00 X 0 0 0 JON WESOLEK 1.00 X 0 0 0 RICK LAMBRECHT 1.00 X 0 0 0 KAREN BULLOCK 40.00 X 196199 0 12336 PAUL COOK 40.00 X 178848 0 8232 JAMES WITHERS 40.00 X 84430 0 19878 MICHAEL LYNCH 32.00 X 192502 0 28296 BRENT BAUMAN 40.00 X 127016 0 24155 THEODORE REGALIA 40.00 X 110372 0 23116 DONNA MARTEN 40.00 X 109106 0 23149 998473 0 139162 6 0 1 0 ALLSCRIPTS-MISYS LLC 8529 SIX FORKS ROAD FORUM IV RALEIGH NC 27615 COMPUTER SOFTWARE IMPLEMENTATION 1561092 HYLAND SOFTWARE 28500 CLEMES ROAD WESTLAKE OH 44145 COMPUTER SOFTWARE IMPLEMENTATION 513068 FLEX STAFF 4423 GOLF TERRACE EAU CLAIRE WI 54701 TEMPORARY EMPLOYEE SERVICES 108598 SEABURY AVIATION & AEROSPACE LLC 730 2ND AVENUE SOUTH SUITE 370 MINNEAPOLIS MN 55402 CONSULTANT 104352 MODERN JANITORIAL LLC PO BOX 913 MARSHFIELD WI 54449 JANITORIAL SERVICES 102095 5 43679 43679 COST SHARING & MISC RE 900099 35710006 35710006 35710006 61685 61685 1601568 2400 1589102 6409 12466 -4009 8457 8457 35823827 35710006 0 70142 21473172 17258253 4214919 963217 754812 208405 5312854 4381304 931550 1821279 1165815 655464 67578 67578 41796 18848 22948 38100 38100 50725 60 50665 109255 109255 847029 208559 638470 807340 807340 1868665 362718 1505947 569239 489443 79796 61768 61148 620 977440 977440 254200 254200 OTHER EXPENSES 132596 25456 107140 MEMBERSHIPS, DUES, SUBS 45883 2638 43245 MEDICAL EQUIPMENT AND S 8859 8859 35450995 26007653 9443342 0 1140017 1156370 92371 1002246 5079220 6017478 324901 280114 9453488 4212001 3601828 5241487 1208859 1244756 4641376 3276956 16088572 18219407 2376618 4143680 2376618 4143680 X 13711954 14075727 13711954 14075727 16088572 18219407 X 372832 -9059 X X 0 1 1 X 0 X 44913 43679 88592 17756920 24737166 34011550 38797441 35710006 151013083 17756920 24737166 34011550 38842354 35753685 151101675 0 0 0 151101675 389717 365987 247820 79300 61685 1144509 389717 365987 247820 79300 61685 1144509 18146637 25103153 34259370 38921654 35815370 152246184 0.99250 0.99060 0.00750 0.00940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 0 1 40500 40500 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: ALL 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. 1549237 1091554 457683 5437023 3120447 2316576 2467228 2467228 5241487 INVESTMENT IN PHP 1800000 INVESTMENT IN CHP-LTS 1200000 CD SELF FUNDED STATE UNEMPLOYMENT FUND 276956 3276956 35823827 35450995 372832 -9059 -9059 363773 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN 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. X X 0 0 0 0 0 0 0 0 0 KAREN BULLOCK 196199 0 0 0 0 0 11785 0 551 0 208535 0 0 0 PAUL COOK 178848 0 0 0 0 0 6600 0 1632 0 187080 0 0 0 MICHAEL LYNCH 192502 0 0 0 0 0 9621 0 18675 0 220798 0 0 0 BRENT BAUMAN 127016 0 0 0 0 0 7863 0 16292 0 151171 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 A 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. FORM 990, PART VI, SECTION B, LINE 12C 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 15 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 C, LINE 19 CHP MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -9,059. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE SELECTS THE OUTSIDE ACCOUNTING FIRM. THE AUDIT/FINANCE COMMITTEE REVIEWS THE AUDITED STATEMENTS AND APPROVES THEM. PARTNERSHIP HEALTH PLAN INC 2240 EASTRIDGE CENTER EAU CLAIRE WI 54701 331120199 MEDICARE AND MEDICAID HEALTH MAINTENANCE ORGANIZATION WI 501(C)(3) LINE 11A, I N/A 0 CHP-LTS INC 2240 EASTRIDGE CENTER EAU CLAIRE WI 54701 261603587 MEDICAID MANAGEMENT CARE ORGANIZATION WI 501(C)(3) LINE 11A, I N/A 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 0 CHP-LTS INC A 2744 FAIR MARKET VALUE CHP-LTS INC D 1430130 FAIR MARKET VALUE CHP-LTS INC K 5235356 FAIR MARKET VALUE PARTNERSHIP HEALTH PLAN INC K 27787713 FAIR MARKET VALUE CHP-LTS INC M 466765 FAIR MARKET VALUE PARTNERSHIP HEALTH PLAN INC M 1224799 FAIR MARKET VALUE PARTNERSHIP HEALTH PLAN INC P 111051 FAIR MARKET VALUE