2017-02-28T08:33:42-06:00 2014-12-31 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2014-01-01 391572880 SECURITY HEALTH PLAN OF WISCONSIN INC % JULIE BRUSSOW SECU 7152219500 PO Box 8000 Marshfield WI 544498000 GORDON T EDWARDS SHP CFO 2017-03-31 Monroe J Gierl P01413237 6123055000 2017-03-01 2014 2021-01-29 14:40:06Z X JULIE BRUSSOW CEO PO BOX 8000 MARSHFIELD WI 54449 1109847975 false X www.securityhealth.org X 1986 WI ENSURE OUR MEMBERS CAN GET THE CARE THEY NEED WHEN THEY NEED IT, HELP OUR MEMBERS RETAIN A STRONG VOICE IN THEIR HEALTH CARE, & KEEP QUALITY OF CARE & SERVICE HIGH AND COST LOW. 8 4 0 0 0 0 0 0 1001787206 1098011394 5859859 8619826 3286075 3263681 1010933140 1109894901 0 0 0 0 0 28000 0 0 0 1036890165 1080906351 1036890165 1080934351 -25957025 28960550 311385087 346497044 130889129 135103376 180495958 211393668 X Security Health Plan's Mission is to ensure our members can get the care they need when they need it, Help our members retain a strong voice in their health care, and Keep Quality of care and service high, and costs low. false false 1040142936 1098011394 See Schedule O 1040142936 false false false false false false false false false true true false false true true true true false false true false false false false false false false false true false false false false false false false false false false false false false true false false true X 8057 0 true 0 false false false false false false X 8 4 false false true false false true false true true false false true true true true true true true false false WI X JULIE BRUSSOW 7152219859 1515 ST JOSEPH AVE MARSHFIELD WI 54449 X DOUGlas REDING MD VICE PRESIDENT 1.0 55.0 X X 0 583837 53093 BRIAN EWERT MD PRESIDENT 1.0 55.0 X X 0 548739 46069 IVAN SCHALLER MD Secretary 1.0 55.0 X X 0 271237 52086 MATTHEW THOMAS MD DIRECTOR 1.0 55.0 X X 0 535366 46909 MICHAEL J LUEBKE Chair 1.0 0.0 X X 8000 13000 0 ROBERT A CHRIST DIRECTOR 1.0 0.0 X 10000 0 0 TIMOTHY PETERSON Treasurer 1.0 0.0 X X 10000 3000 0 NARAYANA S MURALI MD MC Executive Director 1.0 55.0 X 0 405870 31838 PETER C MEYER MD DIRECTOR 1.0 55.0 X 0 196498 46971 Daniel R Erickson MD Vice Chair 1.0 55.0 X X 0 229251 47444 Nandita Bhattacharjee MD Director 1.0 55.0 X 0 356185 57048 Terry Frankland Director 1.0 0.0 X 0 0 0 MARK LEPAGE MD SHP Medical Officer 55.0 0.0 X 0 363055 48132 STEVEN YOUSO SHP CAO 55.0 0.0 X 0 200334 37098 TIMOTHY SCHULTZ SHP CFO 55.0 0.0 X 0 93815 7437 JULIE BRUSSOW SHP Chief Executive Officer 55.0 0.0 X 0 220876 44569 ALAN MARSHALL SYSTEM INTERIM CFO 1.0 55.0 X 0 367640 49509 JOHN KELLY Chief Marketing & Oper Officer 55.0 0.0 X 0 209110 46907 David Marksteiner Chief Information Officer 55.0 0.0 X 0 165576 37393 JANE Wolf shp QUALITY OFFICER 55.0 0.0 X 0 137623 33868 Sue Turney MD MCHS CEO 0.0 40.0 X 0 368821 97042 CHRIS BRUNI DIRECTOR OF CONSUMER SALES 55.0 0.0 X 0 259021 38272 LISA BOERO SHP Chief Legal Officer 55.0 0.0 X 0 167620 22952 SUMEDHA PATHAK MD SHP MEDICAL DIRECTOR 28.0 20.0 X 0 246140 49831 ANUPAMA INAGANTI MD SHP MEDICAL DIRECTOR 32.0 20.0 X 0 247545 55013 SREELATHA CHALASANI MD SHP Medical Director 20.0 20.0 X 0 264748 30588 Alpa Shah MD SHP Medical Director 4.0 20.0 X 0 149746 19960 DAVID SIMENSTAD MD FORMER TREASURER 0.0 55.0 X 0 983552 53221 28000 7588205 1053250 40 true true false INOVALON INC 4321 COLLINGTON BOWIE MD 20716 CONSULTANT 4147364 TRIZETTO GROUP INC 1085 MORRIS AVE UNION NJ 07083 SOFTWARE CONSULTANT 1230451 LINDSAY STONE BRIGGS INC ONE SOUTH PINCKNEY ST STE 500 MADISON WI 53703 ADVERTISING 2094560 Connecture Inc PO Box 673454 DETROIT MI 482673454 Software 1015619 Milliman STE 100 15800 W Bluemound RD BROOKFIELD WI 53005 Actuarial Consultant 964371 31 0 FEES FOR PROV OF PREPAID HEALTH 524298 1098011394 1098011394 1098011394 7375106 7375106 0 0 1084484 1084484 0 0 0 95561239 1100 94304428 13191 1256811 -12091 1244720 1244720 0 0 0 ASO ADMIN FEES 561000 3192452 3192452 CREDENTIALING FEES 561000 7440 7440 COMMISSION 561000 13895 13895 49894 49894 3263681 1109894901 1098011394 11883507 X 0 0 0 0 28000 28000 0 0 0 0 0 7521324 6718180 803144 152958 152958 315802 315802 53886 53886 0 238722 238722 4301914 4301914 3263393 3263393 3173716 3173716 7730647 7730647 0 1213992 1213992 264766 264766 0 189325 189325 0 23502781 17903202 5599579 6819221 6819221 249718 249718 HOSPITAL/MEDICAL BENEFITS 878889774 878889774 PRESCRIPTION DRUGS 111782500 111782500 AFFORDABLE CARE ACT FEES 15892673 15892673 COMMISSIONS 8956607 8956607 6392632 6392632 1080934351 1040142936 40791415 0 1250 1150 15656921 18041068 0 0 27186773 50514947 0 0 0 0 0 0 0 0 21110136 20601986 50191404 25114675 29643024 25076729 217786983 140537602 0 91723562 0 0 0 0 0 0 311385087 346497044 93189306 108636229 0 0 27975493 20644282 0 0 0 0 0 0 4199330 3554163 0 0 5525000 2268702 130889129 135103376 X 0 0 0 0 180495958 211393668 180495958 211393668 311385087 346497044 X 28960550 2625933 -688773 X false true X true false 9526962 3860957 5666005 520502 233937 286565 37746988 21019781 16727207 2396952 2396952 25076729 JP MORGAN CORE BOND 36435268 F WESTERN ASSET US CORE BOND 19591208 F RREEF AMERICA REIT II 8685270 F PIMCO BRAVO II 5204648 F OAKTREE SENIOR LOAN FUND 21807168 F 91723562 0 CONTRACT RESERVES 2268702 2268702 X 1098011394 12091 12091 1097999303 11895598 11895598 1109894901 1078371534 700864 700864 1077670670 3263681 3263681 1080934351 Schedule D Part X, Line 2 The SYSTEM APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES (ASC 740), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A MORE-LIKELY THAN-NOT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC 740, TAX POSITIONS WILL BE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND WILL PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. BASED ON AN ANALYSIS PREPARED BY THE SYSTEM, IT WAS DETERMINED THAT THE APPLICATION OF ASC 740 HAD NO MATERIAL EFFECT ON THE SYSTEM AT SEPTEMBER 30, 2014 OR 2013. SCHEDULE D PART XI LINE 2D NET GAIN (LOSS) ON THE SALE OF ASSETS 12,091 Schedule D, Part XI, Line 4B NET GAIN (LOSS) ON THE SALE OF ASSETS 1,256,811 INTEREST INCOME 7,375,106 ASO ADMINISTRATION FEES 3,192,452 CREDENTIALING FEES 7,440 COMMISSION 13,895 Net Reinsurance Recoveries 2,968 MISCELLANEOUS 46,926 ------------- TOTAL 11,895,598 SCHEDULE D PART XII LINE 2D NET GAIN (LOSS) ON THE SALE OF ASSETS 12,091 CHANGE IN RESERVES 688,773 ------------- TOTAL 700,864 SCHEDULE D, PART XII, LINE 4B ASO ADMINISTRATION FEES 3,192,452 CREDENTIALING FEES 7,440 COMMISSIONS 13,895 OTHER RENTAL INCOME 46,926 MISCELLANEOUS 2,968 ------------- TOTAL 3,263,681 Central America and the Caribbean Investments N/A 1475963 1475963 1475963 true false false false true false X X X X true true false true false false false false false DOUGlas REDING MD VICE PRESIDENT 0 580848 0 66 0 2923 0 30147 0 22946 0 636930 0 0 BRIAN EWERT MD PRESIDENT 0 490784 0 52785 0 5170 0 30147 0 15922 0 594808 0 0 DAVID SIMENSTAD MD FORMER TREASURER 0 981595 0 0 0 1957 0 30147 0 23074 0 1036773 0 0 MARK LEPAGE MD SHP Medical Officer 0 362484 0 0 0 571 0 29995 0 18137 0 411187 0 0 IVAN SCHALLER MD Secretary 0 266779 0 1545 0 2913 0 29481 0 22605 0 323323 0 0 STEVEN YOUSO SHP CAO 0 189202 0 0 0 11132 0 27598 0 9500 0 237432 0 0 CHRIS BRUNI DIRECTOR OF CONSUMER SALES 0 226949 0 31622 0 450 0 29409 0 8863 0 297293 0 0 MATTHEW THOMAS MD DIRECTOR 0 526295 0 8500 0 571 0 30147 0 16762 0 582275 0 0 JULIE BRUSSOW SHP Chief Executive Officer 0 220254 0 0 0 622 0 29287 0 15282 0 265445 0 0 NARAYANA S MURALI MD MC Executive Director 0 405089 0 0 0 781 0 30147 0 1691 0 437708 0 0 LISA BOERO SHP Chief Legal Officer 0 167329 0 0 0 291 0 22142 0 810 0 190572 0 0 PETER C MEYER MD DIRECTOR 0 194617 0 0 0 1881 0 28747 0 18224 0 243469 0 0 JOHN KELLY Chief Marketing & Oper Officer 0 208420 0 0 0 690 0 29187 0 17720 0 256017 0 0 SUMEDHA PATHAK MD SHP MEDICAL DIRECTOR 0 233159 0 12225 0 756 0 29263 0 20568 0 295971 0 0 ANUPAMA INAGANTI MD SHP MEDICAL DIRECTOR 0 228816 0 18225 0 504 0 29436 0 25577 0 302558 0 0 SREELATHA CHALASANI MD SHP Medical Director 0 236748 0 27500 0 500 0 29392 0 1196 0 295336 0 0 ALAN MARSHALL SYSTEM INTERIM CFO 0 364718 0 0 0 2922 0 29932 0 19577 0 417149 0 0 Daniel R Erickson MD Vice Chair 0 227326 0 0 0 1925 0 29250 0 18194 0 276695 0 0 Nandita Bhattacharjee MD Director 0 355068 0 0 0 1117 0 29853 0 27195 0 413233 0 0 David Marksteiner Chief Information Officer 0 164973 0 0 0 603 0 21937 0 15456 0 202969 0 0 JANE Wolf shp QUALITY OFFICER 0 136079 0 0 0 1544 0 17170 0 16698 0 171491 0 0 Alpa Shah MD SHP Medical Director 0 149211 0 0 0 535 0 19036 0 924 0 169706 0 0 Sue Turney MD MCHS CEO 0 276791 0 85000 0 7030 0 92384 0 4658 0 465863 0 0 990 Part VII, Line 1 and Schedules J-1 and J-2 MARSHFIELD CLINIC HEALTH SYSTEM IS THE PARENT COMPANY FOR BOTH MARSHFIELD CLINIC AND SECURITY HEALTH PLAN. ALL SECURITY HEALTH PLAN STAFF ARE EMPLOYEES OF THE MARSHFIELD CLINIC AND ALL PAYROLL AND BENEFITS ARE PAID AND ADMINISTERED BY THE MARSHFIELD CLINIC. Schedule J, Part I Line 3 SECURITY HEALTH PLAN RELIED ON MARSHFIELD CLINIC TO ESTABLISH THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, JULIE BRUSSOW. MARSHFIELD CLINIC ESTABLISHED THE COMPENSATION WITH THE USE OF A COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE. Schedule J, Part I Line 4A TIMOTHY SCHULTZ, SHP CFO, RECEIVED A SEVERANCE PAYMENT OF $33,408 UPON HIS VOLUNTARY RESIGNATION FROM SECURITY HEALTH PLAN. BRIAN EWERT, MD, FORMER SHP PRESIDENT, RECEIVED A PHYSICIAN TERMINATION ALLLOWANCE OF $52,293 SCHEDULE J, PART I LINE 4B SUE TURNEY, MD - $60,139 SCHEDULE J, PART I LINE 5A INCENTIVES ARE PAID TO INTERNAL SALES REPRESENTATIVES FOR ACHIEVING AND MAINTAINING MEMBERSHIP GOALS. Form 990, Part III - Program Service, Line 4A SECURITY HEALTH PLAN OF WISCONSIN, INC. (SHP) PROVIDES A NETWORK FOR PREPAID HEALTH CARE SERVICES TO APPROXIMATELY 225,000 MEMBERS. IN 2014, 52% OF SHP ENROLLMENT WAS FROM EMPLOYER GROUPS AND DIRECT PAY SUBSCRIBERS WITHIN THE HEALTHCARE, MANUFACTURING, GOVERNMENT, AND DAIRY INDUSTRIES; 25% FROM MEDICAID; 1% FROM MEDICARE SUPPLEMENT; 22% WAS FROM MEDICARE ADVANTAGE. SHP ALSO OFFERS ADMINISTRATIVE SERVICES ONLY CONTRACTS (ASO)TO SELF INSURED GROUPS. SHP OFFERS COMMUNITY RATING FOR MEDICARE SUPPLEMENT MEMBERS PARTICIPATING IN THE MEDICAID HMO. IN ADDITION, SHP OFFERS COVERAGE TO INDIVIDUALS AND LARGE AND SMALL GROUPS, WITH PORTABILITY UPON LEAVING THE GROUP. SHP PARTICIPATES IN MEDICAL RESEARCH, EDUCATION OF OUR MEMBERS, COMMUNITY EDUCATION, CANCER SCREENING TESTS, AND THE MEDICARE ADVANTAGE PROGRAM. Form 990 Part IV, Line 12 THE AUDITED FINANCIAL STATEMENTS WERE PREPARED USING ACCOUNTING PRACTICES PRESCRIBED OR PERMITTED BY THE STATE OF WISCONSIN OFFICE OF THE COMMISSIONER OF INSURANCE, STATUTORY ACCOUNTING, WHICH DIFFERS FROM U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. Governing Body Election Form 990 Part VI, Line 4 MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. THE GOVERNING BODY INCLUDES A TOTAL OF NINE MEMBERS, THREE AT LARGE INDEPENDENT MEMBERS, TWO AT LARGE INDEPENDENT DIRECTORS OF THE MCHS , ONE MARSHFIELD CLINIC (MC) DIRECTOR, MC EXECUTIVE DIRECTOR, CHAIR AND VICE CHAIR OF THE MC BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7A AND 7B MARSHFIELD CLINIC HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF SECURITY HEALTH PLAN.THERE ARE NINE MEMBERS ON THE SHP BOARD; ONE MEMBER IS AN INDIVIDUAL THEN SERVING ON THE MARSHFIELD CLINIC, INC. BOARD OF DIRECTORS; ONE MEMBER IS THE VICE CHAIR OF MARSHFIELD CLINIC, INC. BOARD OF DIRECTORS, ONE MEMBER IS EXECUTIVE DIRECTOR OF THE MARSHFIELD CLINIC, INC. BOARD OF DIRECTORS AND ONE MEMBER IS THE CHAIR OF MARSHFIELD CLINIC, INC. BOARD OF DIRECTORS: TWO MEMBERS ARE "INDEPENDENT MEMBERS" OF THE SOLE CORPORATE MEMBER'S BOARD OF DIRECTORS AND THREE MEMBERS ARE "INDEPENDENT" MEMBERS WITHIN THE MEANING OF WIS. ADMIN. CODE INS 50.15(4). FORM 990, PART VI, LINE 11A AFTER AN IN-DEPTH REVIEW BY THE CONTROLLER AS WELL AS OUTSIDE TAX ADVISOR, KPMG, LLP, AND PRIOR TO FILING WITH THE IRS, FORM 990 WILL BE DISTRIBUTED TO EACH BOARD MEMBER. ANY QUESTIONS THAT ARISE FROM THE BOARD OF DIRECTORS ARE ANSWERED BY THE CONTROLLER. FORM 990, PART VI, LINE 12C SECURITY HEALTH PLAN OFFICERS, BOARD OF DIRECTORS, KEY EMPLOYEES, AND OTHER MANAGEMENT PERSONNEL ALL SIGN A CONFLICT OF INTEREST DISCLOSURE FORM EACH YEAR. FORM 990, PART VI, LINE 15A SECURITY HEALTH PLAN RELIED ON MARSHFIELD CLINIC TO ESTABLISH THE COMPENSATION OF THE CEO, JULIE BRUSSOW, AND OTHER TOP MANAGEMENT OFFICIALS. MARSHFIELD CLINIC ESTABLISHED THE COMPENSATION WITH THE USE OF A COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, LINE 19 THE AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE AVAILABLE FOR REVIEW UPON REQUEST. ANNUAL FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST FROM THE WISCONSIN OFFICE OF THE COMMISSIONER OF INSURANCE. FORM 990, PART XI, LINE 9 CHANGE IN RESERVES 688,773 Form 990, Amended Return Security Health Plan of Wisconsin, Inc. is filing an amended Federal Form 990 in order to attach Schedule F and disclose additional information that was not avaialable at the time in which the original Federal Form 990 was filed. MARSHFIELD CLINIC 1000 NORTH OAK AVENUE MARSHFIELD WI 54449 390452970 HEALTHCARE WI 501(C)(3) 3 NA false LAKEVIEW MEDICAL CENTER INC OF RICE LAKE 1100 N MAIN STREET RICE LAKE WI 54868 390837206 HEALTHCARE WI 501(C)(3) 3 NA false THE HERITAGE FOUNDATION 1000 N MAIN STREET MARSHFIELD WI 54449 391865942 Honor Indiv. WI 501(C)(3) 11 - TYPE 1 NA false VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL C 1100 N MAIN STREET RICE LAKE WI 54868 391329084 SUPPORT ORG WI 501(C)(3) 11, III-O NA false FLAMBEAU HOSPITAL INC 98 SHERRY AVE PARK FALLS WI 54552 390973724 HOSPITAL WI 501(C)(3) 3 NA false Marshfield Clinic Health System 1000 North Oak Avenue Marshfield WI 54449 461495343 Support Org WI 501(C)(3) 11, III-0 NA false DIAGNOSTIC TREATMENT CTR 200691634 MEDICAL Services WI NA Related false false Marshfield Food Safety 201056380 Food Testing WI NA Related false false MARSHFIELD CLINIC INFO SYSTEMS INC 1701 N Fig Ave Marshfield WI 54449 463943697 COMPUTER SERVICE WI MFLD CLINIC false false false false true false false false false false true true false true false true true true false false