2011-11-14T15:36:55-05:00 2010-12-31 Grant Thornton LLP 100 E Wisconsin Ave Milwaukee WI 53202 990 2010-01-01 391199466 Group Health Cooperative of South Central WI GROU 6082514156 PO Box 44971 Madison WI 537444971 EDWARD PAUTZ 2011-11-09 true 4142898200 X 2010 2016-03-07 17:11:31Z Lawrence Zanoni 1265 JOhn Q Hammons Dr Madison WI 53717 2579053193 false X ghcscw.com X HMO 1972 WI To provide accessible, comprehensive, high quality, health care and outstanding service in an efficient and personalized manner on a prepaid basis in GHC-SCW's service area. 11 9 720 0 0 0 10450 10790 251267558 269158157 2142236 3324006 313779 320613 253734023 272813566 370942 381028 158559629 168747452 47962086 49419248 0 0 0 44904777 50489446 251797434 269037174 1936589 3776392 133514791 147333754 57249676 65347217 76265115 81986537 Group Health Cooperative of South Central Wisconsin (GHC) is a nonstock, not-for-profit, federally qualified health maintenance organization (HMO), licensed under the provisions of Title XIII of the public health services act and section 185.981 of the Wisconsin statutes. false false 243945291 381027 269158157 Group Health Cooperative of South Central Wisconsin (GHC) contracts with business organizations and individuals in the State of Wisconsin to provide comprehensive medical care benefits in exchange for prepaid premiums. Services as defined by the Secretary of the U.S. Department of Health and Human Services are provided to subscribers as needed, and generally without limitation as to time and cost. GHC is a staff-model HMO, whereby the clinic-based physicians are employees of and work exclusively for GHC. GHC operates five clinics in the Madison metropolitan area. GHC's enrollment as of December 31, 2010 was 64,542. In addition to providing HMO benefits and daily patient care, GHC's mission is to contribute to and aid community organizations, perform good deeds and to make Dane County a better place to live. See Also Schedule O for additional program descriptions. 243945291 true true false true false false false false false true false false false true true true false false false false false false false false false false true false true true false false false false false false false false false false false false false false false false false false false false true 2259 0 true 720 false false false false false false false false false false X 11 9 false false false false true true true true true false false true true true true true true true true false X EDWARD PAUTZ 6082514156 1265 JOHN Q HAMMONS DR Madison WI 53717 Kenneth Machtan 5.5 X 24300 0 0 Michael Mullee 4.5 X 16500 0 0 Thomas Schomisch 4.0 X 15300 0 0 Carol Winkler 4.0 X 16800 0 0 James Driscoll 4.0 X 16800 0 0 Fred Trumm 4.0 X 15900 0 0 Bret Clostermery 4.0 X 15900 0 0 Patricia Gadow 4.0 X 18000 0 0 Mary Wright 4.0 X 16200 0 0 Lawrence J Zanoni 50.0 X 1069230 0 53406 Michael Ostrov 50.0 X 323684 0 48495 Edward P Pautz 50.0 X 196147 0 43572 Galen Metz 50.0 X 191188 0 40541 Kassandra L remo 50.0 X 188131 0 39949 Allan Wearing 50.0 X 183558 0 22738 Mark Dalebroux 50.0 X 167741 0 36972 Christine Tock 60.0 X 274889 0 50093 Debra Shenoi 60.0 X 201022 0 39636 Mark Huth 60.0 X 195735 0 40064 Robert Matthew 60.0 X 195038 0 39962 Alison Craig-Shashko 60.0 X 191243 0 39408 3533306 0 494836 109 false true false UNV OF WIS HOSPITAL AND CLINIC AUTH 600 HIGHLAND AVE MADISON WI 53792 Medical Services 52771832 UNIVERSITY OF WIS MEDICAL FOUNDATIO 600 HIGHLAND AVENUE MADISON WI 53792 MEDICAL SERVICES 33147717 St Mary's Hospital 707 South Mills Street MADISON WI 53715 Medical Services 11409034 MERITER HOSPITAL 202 S PARK STREET MADISON WI 53715 MEDICAL SERVICES 10382656 Dental Health Associates 2971 Chapel Valley Road MADISON WI 53711 Dental Health Svcs 4686959 159 10790 10790 SUBSCRIBER PREMIUM 524114 243516408 243516408 MEDICARE/MEDICAID PAYMENTS 524292 17684725 17684725 HEALTH CARE SERVICES 621400 7957024 7957024 269158157 3233194 3233194 0 0 302989 302989 302989 302989 2306330439 0 2306229687 9940 100752 -9940 90812 90812 0 0 0 MISCELLANEOUS REVENUE 900099 17624 17624 17624 272813566 269175781 0 3626995 381028 381028 0 0 168747452 168747452 2761053 2036712 724341 0 30295071 22303365 7991706 3029798 2294998 734800 10867504 7638344 3229160 2465822 1841131 624691 0 563286 125223 438063 102832 22860 79972 0 0 0 0 5034662 32758 5001904 32687048 30448073 2238975 603900 0 603900 0 1880606 1609110 271496 222672 114099 108573 0 479668 311298 168370 186378 192579 -6201 0 3958716 2722101 1236615 573842 369627 204215 OUTSIDE SERVICES 1816327 1405801 410526 TAXES LICENSES & FEES 1381141 874957 506184 WHEFA EXPENSES 320146 320146 0 BOARDS, BUREAUS, ASSOC. FEES 318591 53379 265212 RECRUITING 100651 4310 96341 258980 95940 163040 269037174 243945291 25091883 0 3642187 -1650433 1529517 8495435 19440607 19246760 1622721 1869746 1987935 1957062 52532189 23336124 29951783 29196065 53815743 80207586 19796076 6399114 1728222 1612419 133514791 147333754 28184347 32540462 19827374 24268859 8500000 7500000 737955 1037896 57249676 65347217 X -6400000 -6400000 82665115 88386537 76265115 81986537 133514791 147333754 X 3776392 1945030 X false true true X false X Group Health Cooperative of South Central Wisconsin is not required to be licensed, registered or similarly recognized by the State of Wisconsin as a hospital and therefore has no Schedule H filing requirement. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 22016 22016 false Form 990, Schedule C, Part II-B, Line 1i Lobbying Expense GHC pays dues to America's Health Insurance Plans, Wisconsin Association of Health Plans, Cooperative Network, and Alliance of Community Health Plans. All of these organizations advocate for their members with various legislative parties for policy development. 3801780 3801780 26861628 6636686 20224942 2823719 1631337 1192382 15808674 14955930 852744 3236388 112171 3124217 29196065 0 DEFERRED TAX LIABILITY 723949 UNREALIZED GAIN/LOSS ON SWAP A 313947 1037896 272813566 269037174 3776392 1945030 1945030 5721422 272802776 272802776 10790 10790 272813566 268871384 268871384 165790 165790 269037174 FIN 48 - Accounting for Uncertainty in Income Taxes SCHEDULE D, PART X, LINE 2 As required by the accounting and financial reporting standards for uncertain tax positions, GHC-SCW 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 GHC-SCW's 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. Form 990, Schedule D, Part XII, Line 4b Other Revenue on Return But not on Books Medical Home Local Capacity Building Grant from the UW Madison Waisman Center - Southern Regional Children and Youth with Special Health Care Needs Center. $10,790 Form 990, Schedule D, Part XIII, Line 4b Other Amounts Included on Form 990, But not on Books Deferred Tax Expense Related to Unrealized Gains (Losses) on Investments. $155,000 Expenses incurred from the Medical Home Local Capacity Building Grant from the UW Madison Waisman Center - Southern Regional Children and Youth with Special Health Care Needs Center. $10,790 true American Red Cross 4860 Sheboygan Avenue Madison WI 53705 530196605 501(C)(3) 56687 Edgewood College 5950 Seminole Centre Court Suite 2 Madison WI 53711 390806202 501(C)(3) 8500 Nursing Sponsor Foundation for Madison's Public Schools 455 Science Drive Suite 130 Madison WI 53711 392043104 501(C)(3) 7500 Russell Hess Fund Community Ground Works 3601 Memorial Drive Suite 4 Madison WI 53704 392024302 501(c)(3) 10350 Gardening Programs 4 0 Process to Monitor Use of Grant Funds Schedule I, Part I, Line 2 The use of grant funds is monitored through the application of a proposal process. Grant-seekers must provide key details of the opportunity, a list of sponsors who have committed to date, a comprehensive list of benefits including how they relate to GHC, a timeline including important deadlines, and credentials of the organization and key subcontractors (publicist, event producer, etc.) X true true X X X X X false false false false false false false false false Lawrence J Zanoni 318304 0 46426 0 704500 0 29682 0 23724 0 1122636 0 0 0 Michael Ostrov 284381 0 39303 0 0 0 29682 0 18813 0 372179 0 0 0 Edward P Pautz 172433 0 23714 0 0 0 22550 0 21022 0 239719 0 0 0 Galen Metz 167566 0 23622 0 0 0 21826 0 18715 0 231729 0 0 0 Kassandra L remo 164542 0 23589 0 0 0 21380 0 18569 0 228080 0 0 0 Allan Wearing 161247 0 22311 0 0 0 20712 0 2026 0 206296 0 0 0 Mark Dalebroux 146465 0 21276 0 0 0 18403 0 18569 0 204713 0 0 0 Christine Tock 274889 0 0 0 0 0 29682 0 20411 0 324982 0 0 0 Debra Shenoi 201022 0 0 0 0 0 23262 0 16374 0 240658 0 0 0 Mark Huth 195735 0 0 0 0 0 22490 0 17574 0 235799 0 0 0 Robert Matthew 195038 0 0 0 0 0 22388 0 17574 0 235000 0 0 0 Alison Craig-Shashko 191243 0 0 0 0 0 21834 0 17574 0 230651 0 0 0 Form 990, Schedule J, Line 1 Membership Madison Club - GHC has a membership at the Madison Club which is used for GHC functions such as the annual Board Planning Retreat and Employee Recognition dinners. GHC also occasionally uses the Club for physician recruiting purposes. Although, the membership is in Larry's name, Larry did not make personal use of the club in 2010. In 2010, GHC paid $1,825 in dues and annual member assessment. This included January - October dues @ $145.00 per month, November dues @ $150.00 and the annual member assessment of $225.00. The December 2010 dues payment was made in January 2011. In addition to the monthly dues, GHC made payments of $25,228.37 for various GHC functions including Employee Recognition Dinners, The annual Board Planning Retreat and Physician Recruiting. Rotary Club - GHC pays for Larry's membership in the Rotary Club of Madison. In 2010, GHC paid dues and incidentals of $1,055.00. Wis Health and Education Facilities Authority 97710VUC0 2007-07-29 12000000 Clinic Construction false false false 12000000 12000000 2004 false false true true false false false false true 0.00000 0.00000 0.00000 true false true true M&I Bank 10. false false false false false Schedule K, Part IV, Line 3c Term of Hedge related to Tax Exempt Bond The hedge term with M&I Bank is 10 years and will end June 16, 2015. The hedge is also collateralized by a CD with M&I Bank that is renewed annually. Form 990, Part III, Line 4 Statement of Program Service Accomplishments 2010 GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN REPORT OF COMMUNITY GIVING SUMMARY As a non-profit consumer-sponsored cooperative, Group Health Cooperative of South Central Wisconsin (GHC-SCW) serves its members and the broader community. It is the philosophy of GHC-SCW to invest resources and promote staff volunteerism to non-profit community organizations whose goals and objectives are aligned with the vision, mission and values of GHC-SCW. Our focus is on issues related to health and wellness in Dane county. This commitment is demonstrated through financial support of organizations, programs and events that make this community vibrant. Another part of this commitment includes the dedication of time and expertise to initiatives that contribute to the overall health and well-being of our community. In order to be included in this report, criteria must be met based on the GHC-SCW 501(c)3 community giving policy. In total GHC-SCW employees volunteered 8,400 hours, during work hours, which represents approximately $200,000 in salary, towards community involvement activities. Major activities covering a range of diverse initiatives and involving a broad spectrum of GHC-SCW personnel including the following: GHC-SCW supports access community health center, a community clinic serving the low income and homeless in the Madison area, by assigning one of its full time physicians to act as their medical director. The annual salary and benefits for this physician is approximately $200,000 annually. Badgercare plus began on February 1, 2009 as a new state sponsored health care program that combined family Medicaid, Badgercare and health start into one program. Badgercare plus has three different plans: the standard plan, the benchmark plan and the core plan. Badgercare plus standard provides the same benefits as family Medicaid, Badgercare or Health Start. Badgercare plus benchmark is modeled after a Commercial health insurance plan and provides services in a more limited way than Wisconsin Medicaid or the standard plan. GHC-SCW contracts with the Wisconsin Department of Health Services (DHS) to serve approximately 4,000 Badgercare plus recipients. Individuals are eligible for Badgercare plus if they meet certain federal poverty thresholds. Individuals served are GHC-SCW members, and costs are partially offset by Badgercare plus capitation payments. However, the capitation rates do not cover the average cost of caring for a GHC-SCW member. For example, 2010 Badgercare rates were roughly $110.53 per member per month (pmpm). In contrast, the GHC-SCW combined average cost of caring for Badgercare members was approximately $332.41 pmpm during the same period. GHC-SCW employs two Badgercare coordinators that are dedicated primarily to administration surrounding Badgercare plus members. This includes assisting members in scheduling appointments, connecting them with community resources, coordinating cab rides, and advocating on their behalf. Other programs organized by GHC-SCW include: Adopt a School Program, Bridges to Access, Health Care Access Pilot and Primary Access for Kids (PAK) program. Together GHC-SCW has contributed more than $125,000 in medical care and medications. GHC-SCW also partners with other local organizations. Partnership programs include: Alpha Kappa Alpha walk it out, American Red Cross basic aid training, B.A.B.Y Olympics, Caregiver Forum, and Tai Chi at Monona Terrace. For more information regarding GHC-SCW's programs and activities, please visit ghcscw.com and click on the "community" tab. Form 990, Pt VI, Section A, Line 1a Governing Body Voting Rights Members of the governing body do not all have the same voting rights. The GHC Board of Directors includes two practitioner directors. These two practitioner directors are precluded from voting on matters pertaining to that member's compensation. Further, they are precluded from membership on any committee that has jurisdiction over compensation matters. In 2010, these employee board members were Robert Matthews MD and Mark Huth MD. The compensation and hours listed for these individuals are for their services as employees of the organization and not as members of the board. Form 990, Pt VI, Section A, Line 6 Members or Stockholders GHC-SCW is a member owned cooperative. Members of the GHC-SCW Board of Directors are voted into office by the members of the cooperative. Form 990, Pt VI, Section A, Line 7a Members Electing Governing Body Each voting member of GHC-SCW has a vote and is eligible to vote in person or by proxy for each Board of Director. Board of Directors serve a term of three years. Form 990, Pt VI, Section A, Line 7b Governing Body Decisions Approved Changes to the organizational by-laws are subject to approval by the voting members. Further, voting members approve the meeting minutes from each prior membership meeting. Form 990, Pt VI, Section A, Line 11 Filing Process After the Form 990 is prepared by the GHC-SCW's accounting firm and prior to filing the Form 990, the Finance Director performs an extensive review of the return. A copy is made available to the finance committee of the governing board during a board meeting and major points are discussed. Once approved by the committee, a copy of the return is made available to the rest of the governing body and the Form 990 is electronically filed with the Internal Revenue Service. Form 990, Pt VI, Section B, Line 12c Conflict of Interest Monitoring The Finance Director annually reviews a Conflict of Interest Questionnaire that is to be provided to the Board, Officers, and Key Employees. The Finance Director then has the Organization's CPAs and Attorneys review and provide commentary regarding the questionnaire. Next, the Board, Officers, and Key Employees are provided a copy of the questionnaire to read and sign during a meeting. The meeting provides these persons the opportunity to walk thru the questionnaire with knowledgeable facilitators who guide them to pertinent areas and respond to any questions. Form 990, Pt VI, Section B, Line 15b Process for Determining Compensation Human Resources reviews the pay plan of GHC-SCW employees' compensation and benefits and compares various aspects to researched compensation and benefits provided by similar organizations. Approximately every three years, consultants are hired to review physician and senior management compensation. Form 990, Pt VI, Section C, Line 18 Publicly Available Forms GHC-SCW's Form 1023 is made available to those submitting a request form. GHC-SCW's Form 990 is made available at www.guidestar.org, and to those submitting a request form. Form 990, Pt VI, Section C, Line 19 Publicly Disclosed Documents No documents available to the public. Form 990, Part XI, Line 5 Other Changes in Net Assets or Fund Balances Unrealized gain $1,945,030 ------------ Total: $1,945,030