WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK INC (EIN 27-4344294)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-10-16
- IRS object ID
- 202442909349300919
- Schema version
- 2023v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-10-16T10:52:53-05:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2501 W BELTLINE HWY STE 501 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53713 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 274344294 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WISCONSIN STATEWIDE HEALTH INFORMATION | BusinessNameLine1Txt |
| Business Name Line2 | NETWORK INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WISC | BusinessNameControlTxt |
| Phone | 6082741820 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5510 RESEARCH PARK DRIVE | AddressLine1Txt |
| City | FITCHBURG | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53711 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOE KACHELSKI | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 6082741820 | PhoneNum |
| Signature | 2024-09-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | QUINN DUGAN | PreparerPersonNm |
| PTIN | P02267768 | PTIN |
| Phone | 6082741980 | PhoneNum |
| Preparation | 2024-09-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | JOE KACHELSKI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5510 RESEARCH PARK DRIVE | AddressLine1Txt |
| City | FITCHBURG | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53711 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,851,152 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WISHIN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO BUILD SUBSTANTIAL HEALTH INFORMATION EXCHANGE CAPACITY STATEWIDE TO SUPPORT HEALTH CARE PROVIDERS' MEANINGFUL USE OF ELECTRONIC HEALTH RECORDS, POPULATION HEALTH IMPROVEMENT & REPORTING OF HEALTH CARE PERFORMANCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 10 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,043,012 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,651,128 | CYProgramServiceRevenueAmt |
| PY Investment Income | $20,966 | PYInvestmentIncomeAmt |
| CY Investment Income | $86,639 | CYInvestmentIncomeAmt |
| PY Other Revenue | $275,692 | PYOtherRevenueAmt |
| CY Other Revenue | $113,385 | CYOtherRevenueAmt |
| PY Total Revenue | $4,339,670 | PYTotalRevenueAmt |
| CY Total Revenue | $4,851,152 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,017,815 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,298,689 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,960,010 | PYOtherExpensesAmt |
| CY Other Expenses | $3,166,321 | CYOtherExpensesAmt |
| PY Total Expenses | $3,977,825 | PYTotalExpensesAmt |
| CY Total Expenses | $4,465,010 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $361,845 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $386,142 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,643,860 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,158,651 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,197,837 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,190,704 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,446,023 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,967,947 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK, INC. IS TO DEVELOP AND SUSTAIN A TRUSTED, SECURE STATEWIDE HEALTH INFORMATION NETWORK AND INFORMATION-SHARING SERVICES THAT PROVIDE VALUE TO PARTICIPANTS AND PATIENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,766,552 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $4,651,128 | RevenueAmt |
| Desc | HEALTH INFORMATION EXCHANGE (HIE) -HEALTH INFORMATION EXCHANGE (HIE) IS TECHNOLOGY THAT SUPPORTS THE FLOW OF HEALTH INFORMATION AMONG PHYSICIAN PRACTICES, HOSPITALS, LABS, AND OTHERS, REGARDLESS OF THE TYPE OF ELECTRONIC MEDICAL RECORD (EMR) SYSTEMS THEY MAY USE. HIE ALLOWS DELIVERY OF THE RIGHT HEALTH INFORMATION TO THE RIGHT PLACE, AT THE RIGHT TIME - PROVIDING SAFER, MORE TIMELY, AND EFFICIENT PATIENT-CENTERED CARE.WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK, INC. (WISHIN), WISCONSIN'S STATE-DESIGNATED ENTITY FOR HIE, IS RESPONSIBLE FOR DEVELOPING HIE CAPABILITY THROUGHOUT THE STATE. WISHIN'S PRODUCTS AND SERVICES ALLOW HEALTH CARE PROVIDERS TO SECURELY SHARE A PATIENT'S MEDICAL INFORMATION WITH OTHER HEALTH CARE PROVIDERS WHO HAVE SEEN THE PATIENT - EVEN IF THOSE PROVIDERS ARE NOT PART OF THE SAME PRACTICE OR HEALTH SYSTEM.OVER TIME, AS WISCONSIN'S HEALTH CARE PROVIDERS JOIN WISHIN TO SHARE DATA, THE BENEFITS TO PATIENTS AND PROVIDERS WILL BE SUBSTANTIAL. COMBINED WITH THE WIDESPREAD ADOPTION OF EMRS BY HOSPITALS AND PHYSICIANS, HIE IS A CRITICAL COMPONENT OF A TRULY CONNECTED HEALTH CARE DELIVERY SYSTEM. | Desc |
| Total Program Service Expenses | $3,766,552 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 10 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOE KACHELSKI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6082741820 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5510 RESEARCH PARK DRIVE | AddressLine1Txt |
| City | FITCHBURG | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53711 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| TIM BARTHOLOW | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHRIS ELFNER | |||||||
| VICE-CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MATT GIGOT | |||||||
| SECRETARY, DIR. OF POP. HEALTH | 40.00 | Yes (X) | Yes (X) | $115,572 | $0 | $11,329 | |
| JENNIFER MUELLER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TOMMY FARRELL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MELISSA HENDERSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LEON LIPP | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK LODES | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JIM LORENCE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HUONG NGUYEN-HILFIGER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TED OSTHELDER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DANA RICHARDSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DOUG SHEW | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KRISTA WILLING | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOE KACHELSKI | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $177,836 | $0 | $44,068 | ||
| STEVEN ROTTMANN | |||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $180,228 | $0 | $43,723 | ||
| LAURA WIDDER | |||||||
| PROJECT DIRECTOR | 40.00 | $155,967 | $0 | $25,893 | Yes (X) | ||
| KEITH HOGAN | |||||||
| IMPLEMENTATION SPECIALIST | 40.00 | $115,465 | $0 | $10,460 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $745,068 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $135,473 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HEALTH CATALYST | |||||
| 3165 MILLROCK DRIVE | SALT LAKE CITY | UT | 84121 | DATA OPERATING PLATFORM AND ANALYTIC SER | $2,790,516 |
| J2 INTERACTIVE LLC | |||||
| 2 THIRTEENTH STREET | CHARLESTOWN | MA | 02129 | TECHNICAL STAFF AUGMENTATION | $216,755 |
| VENTURA SERVICES LLC | |||||
| 120 W SAGINAW ST | EAST LANSING | MI | 48823 | HEALTH INFORMATION EXCHANGE SOLUTIONS | $137,515 |
| BACKFLIP FILM PRODUCTIONS LLC | |||||
| 4001 FELLAND ROAD STE 101 | MADISON | WI | 53718 | FILM PRODUCTION & CREATIVE MARKETING | $131,375 |
| HEARTLAND BUSINESS SYSTEMS | |||||
| PO BOX 856846 | MINNEAPOLIS | MN | 554856846 | BUSINESS SYSTEM SERVICES | $107,662 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| WISHIN PULSE | 541900 | $3,849,004 | $3,849,004 |
| PAR-P REPORT REVENUE | 541900 | $775,204 | $775,204 |
| PRESCRIPTION DRUG MONITORING PROG | 541900 | $21,119 | $21,119 |
| SECURE NETWORK REVENUE | 541900 | $5,801 | $5,801 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,651,128 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,639 | TotalRevenueColumnAmt |
| Exclusion | $86,639 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,385 | TotalRevenueColumnAmt |
| Exclusion | $113,385 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,851,152 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,651,128 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $200,024 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,855 | TotalAmt |
| Program Services | $445,855 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $708,034 | TotalAmt |
| Program Services | $708,034 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,803 | TotalAmt |
| Program Services | $48,803 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,151 | TotalAmt |
| Program Services | $18,151 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,846 | TotalAmt |
| Program Services | $77,846 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,347 | TotalAmt |
| Management And General | $26,347 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,500 | TotalAmt |
| Management And General | $11,500 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,190 | TotalAmt |
| Management And General | $13,190 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,295,159 | TotalAmt |
| Program Services | $1,913,283 | ProgramServicesAmt |
| Management And General | $381,876 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,796 | TotalAmt |
| Program Services | $114,796 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,658 | TotalAmt |
| Program Services | $1,680 | ProgramServicesAmt |
| Management And General | $80,978 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,188 | TotalAmt |
| Management And General | $35,188 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,430 | TotalAmt |
| Program Services | $25,430 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,693 | TotalAmt |
| Management And General | $1,693 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,461 | TotalAmt |
| Program Services | $306,461 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,686 | TotalAmt |
| Management And General | $147,686 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| RECRUITMENT | $72,086 | $72,086 |
| PROFESSIONAL DUES/LICEN | $21,800 | $21,800 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,327 | TotalAmt |
| Program Services | $12,327 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,465,010 | TotalAmt |
| Program Services | $3,766,552 | ProgramServicesAmt |
| Management And General | $698,458 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,636 | BOYAmt |
| EOY | $129,036 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $968,787 | BOYAmt |
| EOY | $1,411,362 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,649 | BOYAmt |
| EOY | $330,387 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,812 | BOYAmt |
| EOY | $106,298 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,359,478 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,925,585 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $657,691 | BOYAmt |
| EOY | $433,893 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,387,285 | BOYAmt |
| EOY | $1,747,675 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,643,860 | BOYAmt |
| EOY | $4,158,651 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,418 | BOYAmt |
| EOY | $137,033 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,072,419 | BOYAmt |
| EOY | $1,053,671 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,197,837 | BOYAmt |
| EOY | $1,190,704 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,446,023 | BOYAmt |
| EOY | $2,967,947 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,446,023 | BOYAmt |
| EOY | $2,967,947 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,643,860 | BOYAmt |
| EOY | $4,158,651 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $386,142 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $135,782 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,252 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,932 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,140,164 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $1,206,348 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,252 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,932 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,140,164 | CurrentTaxYearMinus2YearsAmt |
| Total | $1,206,348 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,206,348 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $105,435 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $238,949 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $261,265 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $296,658 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $200,024 | CurrentTaxYearAmt |
| Total | $1,102,331 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,308,679 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $17,874,988 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.52250 | PublicSupportCY170Pct |
| Public Support PY170 | 0.57380 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,359,478 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,925,585 | DepreciationAmt |
| Book Value | $433,893 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $433,893 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,973,744 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $135,782 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $135,782 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,837,962 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $13,190 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $13,190 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,851,152 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,451,820 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,451,820 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $13,190 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $13,190 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,465,010 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK, INC. (WISHIN) ASSESSES 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 FINANCIAL STATEMENTS. WISHIN HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN ROTTMANN | ||||||||||||||
| CHIEF OPERATING OFFICER | $168,728 | $0 | $11,500 | $0 | $0 | $0 | $14,084 | $0 | $29,639 | $0 | $223,951 | $0 | $0 | $0 |
| JOE KACHELSKI | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $176,336 | $0 | $1,500 | $0 | $0 | $0 | $14,786 | $0 | $29,282 | $0 | $221,904 | $0 | $0 | $0 |
| LAURA WIDDER | ||||||||||||||
| PROJECT DIRECTOR | $149,467 | $0 | $6,500 | $0 | $0 | $0 | $12,243 | $0 | $13,650 | $0 | $181,860 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK, INC. HAS ONE CLASS OF MEMBERS, THE FOUNDING MEMBERS OF THE CORPORATION. FOUNDING MEMBERS OF THE CORPORATION INCLUDE WISCONSIN MEDICAL SOCIETY, INC., WISCONSIN HOSPITAL ASSOCIATION, INC., WISCONSIN HEALTH INFORMATION ORGANIZATION, INC., AND WISCONSIN COLLABORATIVE FOR HEALTHCARE QUALITY, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS SHALL EXERCISE THEIR RIGHT TO VOTE THROUGH A DESIGNATED REPRESENTATIVE. EACH MEMBER SHALL DESIGNATE ITS REPRESENTATIVE IN WRITING EXECUTED BY THE MEMBER'S CHIEF EXECUTIVE OFFICER AND DELIVER TO THE CHIEF EXECUTIVE OFFICER OR SECRETARY OF WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK, INC. (WISHIN), WHICH SHALL BE RETAINED BY WISHIN. A MEMBER MAY CHANGE ITS DESIGNATED REPRESENTATIVE AT ANY TIME AND FROM TIME TO TIME IN THE SAME MANNER. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL BEFORE FILING OF THE RETURN WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | WHENEVER ANY MATTER COMES BEFORE THE CORPORATION, THE BOARD OF DIRECTORS OR COMMITTEE FOR APPROVAL OR ADMINISTRATION WHICH PRESENTS OR MAY PRESENT A CONFLICT OF INTEREST, THE INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST OR OTHER PERSONAL BUSINESS INTEREST TO THE WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK CHIEF EXECUTIVE OFFICER (IN THE CASE OF AN AGENT OR EMPLOYEE, OTHER THAN THE CHIEF EXECUTIVE OFFICER), TO THE CHAIRPERSON OF THE BOARD (IN THE CASE OF THE CHIEF EXECUTIVE OFFICER OR OTHER OFFICER), TO THE DIRECTORS (IN THE CASE OF BOARD MEMBERS) OR TO THE OTHER COMMITTEE MEMBERS (IN THE CASE OF COMMITTEE MEMBER). NO INTERESTED PERSON IS ALLOWED TO PARTICIPATE IN THE AWARD OR ADMINISTRATION OF ANY CONTRACT OR ARRANGEMENT FOR WHICH THE INTERESTED PERSON HAS A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS BASED ON MARKET STUDIES. ANNUALLY, THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND APPROVES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | TECHNICAL SERVICES: PROGRAM SERVICE EXPENSES 1,913,283. MANAGEMENT AND GENERAL EXPENSES 381,876. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,295,159. |