2024-10-10T11:00:02-05:00 2023-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-01-01 396252984 GROUP HEALTH COOPERATIVE OF EAU CLAIRE GROU 7155524300 PO BOX 3217 EAU CLAIRE WI 547023217 TYLER FADNESS PRESIDENT 7155524300 2024-10-09 1 0 MICHAEL J PETERSON CPA P01833529 2187224705 2024-10-09 2023 2024-10-15 13:58:12Z TYLER FADNESS PO BOX 3217 EAU CLAIRE WI 547023217 266014107 0 X WWW.GROUP-HEALTH.COM X NONSTOCK COOPERATIVE 1972 WI OPTIMIZE HEALTHCARE OF MEMBERS THROUGH POOLING OF HEALTH-RELATED RESOURCES. 12 12 70 12 0 0 0 0 177077972 246203225 308639 2404125 0 0 177386611 248607350 16319 5706 0 0 5310427 6170239 0 0 0 168749580 246507625 174076326 252683570 3310285 -4076220 98377112 101219197 39355526 48007018 59021586 53212179 X THE PURPOSE OF THIS ORGANIZATION SHALL BE TO PROVIDE: (A) A MEANS FOR SUBSCRIBERS TO SECURE FOR THEMSELVES, THEIR FAMILIES, AND THEIR DEPENDENTS COMPREHENSIVE PREPAID PREVENTATIVE AS WELL AS CURATIVE HEALTH CARE; (B) A MEANS TO EMPHASIZE DISEASE PREVENTION AND EARLY CARE; (C) INCENTIVES FOR HOLDING DOWN COSTS AND FOR INCREASING THE PRODUCTIVITY OF RESOURCES; (D) A MEANS TO IMPROVE BOTH THE QUALITY OF CARE AND ITS GEOGRAPHIC DISTRIBUTION. 1 0 228673757 5706 246203225 THE COOPERATIVE OFFERS INSURANCE COVERAGE FOR COMMERCIAL, MEDICAID AND SSI MEMBERS. IN 2023, THE COOPERATIVE HAD APPROXIMATELY 181,127 COMMERCIAL MEMBER MONTHS, 667,274 MEDICAID MEMBER MONTHS, 40,098 SSI MEMBER MONTHS AND 10 MEDICARE MEMBER MONTHS. ALONG WITH INSURANCE COVERAGE, THE COOPERATIVE ALSO HELPS MEMBERS WITH MEDICAL MANAGEMENT AND COORDINATION OF CARE. 228673757 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 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 0 0 0 0 1 1163 0 70 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ROBERT W TANNER 7155524300 2503 N HILLCREST PKWY ALTOONA WI 54720 X ROBERT LEE ASSISTANT MEDICAL DIRECTOR 40.00 X 238746 0 11450 DAKOTA T RAU PHARMACIST 40.00 X 130846 0 16201 SARAH NORTH GENERAL MANAGER AND CEO 40.00 X 0 0 0 BOB TANNER CHIEF FINANCIAL OFFICER 40.00 X 0 0 0 JEFFREY BOWE TREASURER 0.30 X X 0 0 0 DOUGLAS HOFFER PRESIDENT 0.30 X X 0 0 0 TYLER FADNESS FIRST VICE PRESIDENT 0.30 X X 0 0 0 BRIAN LANNERS SECOND VICE PRESIDENT 0.30 X X 0 0 0 CORRISSA WOLNIAK SECRETARY 0.30 X X 0 0 0 KENNETH ANIBAS DIRECTOR 0.30 X 0 0 0 GEORGIA CROWNHART DIRECTOR 0.30 X 0 0 0 SUSAN MARCOTT DIRECTOR 0.30 X 0 0 0 MICHAEL MCHORNEY DIRECTOR 0.30 X 0 0 0 DEBRA STANTON DIRECTOR 0.30 X 0 0 0 DEREK THOMAS DIRECTOR 0.30 X 0 0 0 MATTHEW THOMPSON DIRECTOR 0.30 X 0 0 0 369592 0 27651 2 0 1 0 MCHS HOSPITALS INC 611 N SAINT JOSEPH AVE MARSHFIELD WI 54449 MEDICAL SERVICES & ACCESS PAYMENT 31619982 KMTSJ INC PO BOX 3217 EAU CLAIRE WI 54702 MGMT SERVICES 20235241 SACRED HEART HOSPITAL 1109 W CLAIREMONT AVE EAU CLAIRE WI 54701 MEDICAL SERVICES & ACCESS PAYMENT 7728825 LAKEVIEW MEDICAL CENTER INC OF RICE LAKE 1700W STOUT ST RICE LAKE WI 54868 MEDICAL SERVICES & ACCESS PAYMENT 4300458 MEMORIAL MEDICAL CENTER 1615 MAPLE LANE ASHLAND WI 54806 MEDICAL SERVICES & ACCESS PAYMENT 4026678 137 MED & HOSP PREMIUM 524114 230277906 230277906 SSI & MA CAPITATION 524114 15925319 15925319 246203225 2935330 2935330 16875552 17406757 -531205 -531205 -531205 248607350 246203225 0 2404125 X 5706 5706 3195326 2583960 611366 80433 65245 15188 2664719 2426756 237963 229761 187100 42661 20235241 20235241 403083 403083 509161 239242 269919 222658900 220960039 1698861 146166 146166 197093 45661 151432 1883234 1881234 2000 54852 47619 7233 68 68 318661 4318 314343 225994 225994 73801 73801 PCORI TAX EXPENSE 15111 15111 INCOME TAX EXPENSE -221905 -221905 8165 815 7350 252683570 228673757 24009813 0 2138835 1579745 86665802 91548133 5890857 2651008 1112159 1211807 2115647 520883 385758 1594764 1561465 1551067 622236 1082673 98377112 101219197 38263295 47158903 1092231 848115 39355526 48007018 X 1430 1430 1001422 1001422 58018734 52209327 59021586 53212179 98377112 101219197 X -4076220 35211 -1768398 X 0 1 X 1 0 X 148535909 159432571 167398769 177077972 246203225 898648446 148535909 159432571 167398769 177077972 246203225 898648446 0 0 0 898648446 1141394 1100054 1271236 1783431 2935330 8231445 1560 1560 3120 1142954 1101614 1271236 1783431 2935330 8234565 149678863 160534185 168670005 178861403 249138555 906883011 0.99090 0.99240 0.00910 0.00760 X 2115647 520883 1594764 1594764 UNEARNED PREMIUM REVENUE 848115 848115 248607350 0 248607350 0 248607350 252683570 0 252683570 0 252683570 0 0 0 0 0 0 0 0 0 ROBERT LEE ASSISTANT MEDICAL DIRECTOR 238346 0 400 0 0 0 7252 0 4198 0 250196 0 0 0 FORM 990, PART III, LINE 2 DURING THE YEAR, THE ORGANIZATION ADDED INSURANCE COVERAGE FOR MEDICARE. THIS IS A DUAL ELIGIBLE SPECIAL NEEDS PLAN (D-SNP). FORM 990, PART VI, SECTION A, LINE 3 KMTSJ, AN UNRELATED CORPORATION, IS CONTRACTED TO PROVIDE SERVICE AS GENERAL MANAGER, ALONG WITH ACCOUNTING, MARKETING, CLAIMS PROCESSING, HUMAN RESOURCES, PAYROLL, AND DATA PROCESSING SERVICES. THE SERVICES OF CEO AND CFO ARE AMONG THESE PURCHASED THROUGH KMTSJ AND THE AMOUNT PAID IN TOTAL FOR THE CALENDAR YEAR IS REPRESENTED ON PART VII, SECTION B. FORM 990, PART VI, SECTION A, LINE 7A INDIVIDUALS COVERED UNDER GROUP HEALTH COOPERATIVE OF EAU CLAIRE'S INSURANCE POLICIES ARE CONSIDERED TO BE MEMBERS OF THE COOPERATIVE AND ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION REVIEWED FORM 990 IN THE FOLLOWING MANNER: EACH MEMBER OF THE BOARD OF DIRECTORS RECEIVED A COPY OF FORM 990 FOR REVIEW. A HIGH-LEVEL REVIEW WAS COMPLETED WITH THE BOARD OF DIRECTORS AT A BOARD MEETING, AND ANY QUESTIONS OR CONCERNS WERE ADDRESSED PRIOR TO THE BOARD'S APPROVAL TO FILE THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THE FOLLOWING MANNER: MEMBERS OF THE BOARD OF DIRECTORS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST ATTESTATION ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT HAVE A PROCESS FOR DETERMINING COMPENSATION FOR THE CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL OR KEY EMPLOYEES, AS THESE POSITIONS ARE CONTRACTED THROUGH AN UNRELATED CORPORATION. ADDITIONALLY, OFFICERS OF THE ORGANIZATION ARE NOT COMPENSATED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION A, LINE 8B ORGANIZATION HAS AN EXECUTIVE COMMITTEE IN ADDITION TO BOARD OF DIRECTORS. EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS AND SUCH ADDITIONAL DIRECTORS AS THE BOARD MAY DETERMINE. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON ANY MATTER REQUIRING ATTENTION BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART IX, LINE 11G REFERRALS - FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 162,892,748. MANAGEMENT AND GENERAL EXPENSES 4,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 162,896,748. BENEFITS - FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 41,756,182. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,756,182. CONTRACT SERVICES - MEDICAL: PROGRAM SERVICE EXPENSES 16,311,109. MANAGEMENT AND GENERAL EXPENSES 67,872. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,378,981. OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,626,989. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,626,989. FORM 990, PART XI, LINE 9: CHANGE IN NONADMITTED ASSETS -1,768,398.