2023-07-05T07:51:30-05:00 2022-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-01-01 396252984 GROUP HEALTH COOPERATIVE OF EAU CLAIRE GROU 7155524300 PO BOX 3217 EAU CLAIRE WI 547023217 DOUGLAS HOFFER PRESIDENT 7155524300 2023-06-30 1 DOUGLAS HOFFER 999009999 0 MICHAEL J PETERSON CPA P01833529 2187224705 2023-06-30 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DOUGLAS HOFFER PO BOX 3217 EAU CLAIRE WI 547023217 199046171 0 X WWW.GROUP-HEALTH.COM X NONSTOCK COOPERATIVE 1972 WI OPTIMIZE HEALTHCARE OF MEMBERS THROUGH POOLING OF HEALTH-RELATED RESOURCES. 11 11 69 11 0 0 0 0 167398769 177077972 1378984 308639 0 0 168777753 177386611 773700 16319 0 0 4697288 5310427 0 0 0 151043940 168749580 156514928 174076326 12262825 3310285 86702714 98377112 31432247 39355526 55270467 59021586 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. 0 0 156532764 16319 177077972 THE COOPERATIVE OFFERS INSURANCE COVERAGE FOR COMMERCIAL, MEDICAID AND SSI MEMBERS. IN 2022, THE COOPERATIVE HAD APPROXIMATELY 60,439 COMMERCIAL MEMBER MONTHS, 677,753 MEDICAID MEMBER MONTHS, AND 41,388 SSI MEMBER MONTHS. ALONG WITH INSURANCE COVERAGE, THE COOPERATIVE ALSO HELPS MEMBERS WITH MEDICAL MANAGEMENT AND COORDINATION OF CARE. 156532764 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 895 0 69 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 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 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 GERALDINE SEGAL DIRECTOR (THRU JUNE) 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 SARAH NORTH GENERAL MANAGER AND CEO 40.00 X 0 0 0 BOB TANNER CHIEF FINANCIAL OFFICER 40.00 X 0 0 0 DAKOTA T RAU PHARMACIST 40.00 X 126374 0 18478 ROBERT LEE ASSISTANT MEDICAL DIRECTOR 40.00 X 232286 0 12005 SANDRA ARMITSTEAD MANAGER OF CASE MANAGEMENT 40.00 X 122201 0 23959 480861 0 54442 3 0 1 0 KMTSJ INC PO BOX 3217 EAU CLAIRE WI 54702 RENT & MGMT SERVICES 16524001 MCHS HOSPITALS INC 611 N SAINT JOSEPH AVE MARSHFIELD WI 55486 MEDICAL SERVICES & ACCESS PAYMENT 10371157 SACRED HEART HOSPITAL 1109 W CLAIREMONT AVE EAU CLAIRE WI 54701 MEDICAL SERVICES & ACCESS PAYMENT 6628891 MEMORIAL MEDICAL CENTER 1615 MAPLE LANE ASHLAND WI 54806 MEDICAL SERVICES & ACCESS PAYMENT 3633925 MAYO CLINIC HEALTH SYSTEM - NW REGION 1221 WHIPPLE STREET EAU CLAIRE WI 54703 MEDICAL SERVICES & ACCESS PAYMENT 3515345 103 MED & HOSP PREMIUM 524114 159189513 159189513 SSI & MA CAPITATION 524114 17888459 17888459 177077972 1783431 1783431 20184768 21659560 -1474792 -1474792 -1474792 177386611 177077972 0 308639 X 16319 16319 2542569 2008520 534049 52361 38581 13780 2540716 2327791 212925 174781 138870 35911 15429828 15429828 224825 224825 366279 150723 215556 150499226 150412807 86419 59820 59820 174975 47481 127494 1164979 1112046 52933 52287 45272 7015 368 368 274658 6842 267816 50 50 226882 226882 69368 69368 INCOME TAX EXPENSE 185169 185169 PCORI TAX EXPENSE 14908 14908 5958 580 5378 174076326 156532764 17543562 0 5396091 2138835 72316106 86665802 4995208 5890857 1283539 1112159 680647 294889 612640 385758 1579389 1561465 519741 622236 86702714 98377112 30308101 38263295 1124146 1092231 31432247 39355526 X 1430 1430 1001422 1001422 54267615 58018734 55270467 59021586 86702714 98377112 X 3310285 -813 441647 X 0 1 X 1 0 X 163705413 148535909 159432571 167398769 177077972 816150634 163705413 148535909 159432571 167398769 177077972 816150634 0 0 0 816150634 966122 1141394 1100054 1271236 1783431 6262237 1560 1560 1560 4680 967682 1142954 1101614 1271236 1783431 6266917 164673095 149678863 160534185 168670005 178861403 822417551 0.99240 0.99340 0.00760 0.00660 X 680647 294889 385758 385758 UNEARNED PREMIUM REVENUE 1092231 1092231 177386611 0 177386611 0 177386611 174076326 0 174076326 0 174076326 0 EAU CLAIRE DOWNTOWN FARMERS MARKET 300 RIVERFRONT TERRACE EAU CLAIRE WI 54703 753137134 N/A 8000 0 MARKET MATCHING PROGRAM DONATION 1 0 0 0 0 0 0 0 0 0 ROBERT LEE ASSISTANT MEDICAL DIRECTOR 231786 0 500 0 0 0 7751 0 4254 0 244291 0 0 0 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 108,570,783. MANAGEMENT AND GENERAL EXPENSES 4,333. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,575,116. BENEFITS - FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 32,799,031. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,799,031. CONTRACT SERVICES - MEDICAL: PROGRAM SERVICE EXPENSES 9,042,993. MANAGEMENT AND GENERAL EXPENSES 82,086. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,125,079. FORM 990, PART XI, LINE 9: CHANGE IN NONADMITTED ASSETS 441,647.