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GROUP HEALTH CO-OPERATIVE OF EAU CLAIRE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GROUP HEALTH CO-OPERATIVE OF EAU CLAIRE (EIN 39-6252984)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-09-30
IRS object ID
201332739349300658
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-09-30T10:47:40-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13703 OAKWOOD HILLS PARKWAY PO BOXAddressLine1
Address Line2690AddressLine2
CityEAU CLAIRECity
StateWIState
ZIP Code547020690ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN396252984EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GROUP HEALTH COOPERATIVE OF EAU CLAIREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGROUNameControl
Phone7155524300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3217AddressLine1
CityEAU CLAIRECity
StateWIState
ZIP Code547023217ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARY STEINKEName
TitlePRESIDENTTitle
Phone7155524300Phone
Date Signed2013-08-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLINDA FEIRN CPAName
PTINP00047645PTIN
Phone7158323407Phone
Date Prepared2013-08-20DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY STEINKENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 3217AddressLine1
CityEAU CLAIRECity
StateWIState
ZIP Code547023217ZIPCode
FieldValueIRS element (for citing)
Gross Receipts222339683GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GROUP-HEALTH.COMWebSite
Type Of Organization OtherXTypeOfOrganizationOther
Type Of Org Other DescriptionNONSTOCK COOPERATIVETypeOfOrgOtherDescription
Year Formation1972YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionOPTIMIZE HEALTHCARE OF MEMBERS THROUGH POOLING OF HEALTH-RELATED RESOURCES.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees24TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI797117TotalGrossUBI
Net Unrelated Business Txbl Income14941NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year274979387ProgramServiceRevenuePriorYear
Program Service Revenue CY197888915ProgramServiceRevenueCY
Investment Income Prior Year956580InvestmentIncomePriorYear
Investment Income Current Year1416271InvestmentIncomeCurrentYear
Other Revenue Prior Year672453OtherRevenuePriorYear
Other Revenue Current Year857632OtherRevenueCurrentYear
Total Revenue Prior Year276608420TotalRevenuePriorYear
Total Revenue Current Year200162818TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3167333SalariesEtcPriorYear
Salaries Etc Current Year1911685SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year282154439OtherExpensePriorYear
Other Expenses Current Year196073781OtherExpensesCurrentYear
Total Expenses Prior Year285321772TotalExpensesPriorYear
Total Expenses Current Year197985466TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-8713352RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2177352RevenuesLessExpensesCY
Total Assets BOY50983604TotalAssetsBOY
Total Assets EOY40634477TotalAssetsEOY
Total Liabilities BOY39267480TotalLiabilitiesBOY
Total Liabilities EOY26738548TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11716124NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13895929NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense181632363Expense
Revenue197888915Revenue
DescriptionTHE COOPERATIVE OFFERS INSURANCE COVERAGE FOR COMMERCIAL, MEDICAID AND SSI MEMBERS. IN 2012, THE COOPERATIVE HAD APPROXIMATELY 153,464 COMMERCIAL MEMBER MONTHS, 662,225 MEDICAID MEMBER MONTHS AND 22,797 SSI MEMBER MONTHS. ALONG WITH INSURANCE COVERAGE, THE COOPERATIVE ALSO HELPS MEMBERS WITH MEDICAL MANAGEMENT AND COORDINATION OF CARE.Description
Total Program Service Expense181632363TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961299NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees24NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPETER C FARROWNamePerson
Telephone Number7155524300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12503 N HILLCREST PKWYAddressLine1
CityALTOONACity
StateWIState
ZIP Code54720ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
BARBARA KOSKI
DIRECTOR0.30X000
KEN VAN ES
DIRECTOR0.30X000
LEAH MOTSCHENBACHER
DIRECTOR0.30X000
JOHN HALBLEIB
SECRETARY0.30X000X
MARY BETH STEINKE
PRESIDENT0.30X000X
DESSIN CAMPBELL
TREASURER0.30X000X
SCOTT TRIPPLER
DIRECTOR0.30X000
MICHELE WIBERG
DIRECTOR0.30X000
RON WALSH
DIRECTOR0.30X000
JAN DOLE
FIRST VICE PRESIDENT0.30X000X
JIM WARD
DIRECTOR0.30X000
TIMOTHY BRESSER
DIRECTOR0.30X000
JAMES MONTGOMERY
DIRECTOR0.30X000
CHERYL GULLICKSRUD
DIRECTOR0.30X000
BETTY REINKE
SECOND VICE PRESIDENT0.30X000X
JAMES JONES
DIRECTOR0.30X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LUTHER HOSPITAL
1221 WHIPPLE STEAU CLAIREWI54703MEDICAL SERVICES22697651
MIDELFORT CLINIC
733 W CLAIREMONT AVEEAU CLAIREWI54701MEDICAL SERVICES16618958
KMTSJ INC
PO BOX 3217EAU CLAIREWI54702RENT & MGMT SERVICES15035805
SACRED HEART HOSPITAL
900 W CLAIREMONT AVEEAU CLAIREWI54701MEDICAL SERVICES12391018
MARSHFIELD CLINIC EAU CLAIRE CENTER
2116 CRAIG ROADEAU CLAIREWI54701MEDICAL SERVICES11590222
FieldValueIRS element (for citing)
Number Of Contractors GT100 K182NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MED & HOSP PREMIUM524114154106232154106232
SSI & MA CAPITATION5241144337896443378964
DENTAL REVENUE524114403719403719
FieldValueIRS element (for citing)
Total Program Service Revenue197888915TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column374176TotalRevenueColumn
Exclusion$374,176ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real60515Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real60515Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column60515TotalRevenueColumn
Exclusion$60,515ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities22220514Securities
Other998446Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities22176865Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities43649Securities
Other998446Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1042095TotalRevenueColumn
Exclusion$1,042,095ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionADMINISTRATIVE SERVICES REVENUEDescription
Business Code524114BusinessCode
Total Revenue Column797117TotalRevenueColumn
Unrelated Business Revenue797117UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue797117TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column200162818TotalRevenueColumn
Related Or Exempt Function Income197888915RelatedOrExemptFunctionIncome
Unrelated Business Revenue797117UnrelatedBusinessRevenue
Exclusion$1,476,786ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1091552Total
Program Services1091552ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10118Total
Program Services10118ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total724735Total
Program Services724735ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total85280Total
Program Services85280ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15020963Total
Management And General15020963ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total513084Total
Management And General513084ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total138873Total
Management And General138873ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total59348Total
Program Services58943ProgramServices
Management And General405ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total113038Total
Program Services113038ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total543665Total
Program Services1813ProgramServices
Management And General541852ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total45646Total
Program Services45646ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total5897Total
Program Services5897ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total97561Total
Program Services97561ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total21287Total
Management And General21287ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total29163Total
Program Services7183ProgramServices
Management And General21980ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total50808Total
Management And General50808ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
UBIT INCOME TAX EXPENSE975975
REFERRALS - FEES FOR SE8182793881827938
BENEFITS - FEES FOR SER5982590859825908
CONTRACT SERVICES - MED3619094536190945

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1588682Total
Program Services1545806ProgramServices
Management And General42876ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total197985466Total
Program Services181632363ProgramServices
Management And General16353103ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8700115BOY
EOY7311883EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY38100060BOY
EOY29661914EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2107673BOY
EOY1672939EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis727387LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec373766LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY374478BOY
EOY353621EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1585000BOY
EOY1585000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY116278BOY
EOY49120EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY50983604BOY
EOY40634477EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY33706840BOY
EOY21669851EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5560640BOY
EOY5068697EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY39267480BOY
EOY26738548EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY1430BOY
EOY1430EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY7001422BOY
EOY7001422EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY4713272BOY
EOY6893077EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11716124BOY
EOY13895929EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY50983604BOY
EOY40634477EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2177352ReconcilationRevenueExpenses
Reconcilation Other Changes2453ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years205995989CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years249811705CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years288844526CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year275042617CurrentTaxYearMinus1Year
Current Tax Year197949430CurrentTaxYear
Total1217644267Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years205995989CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years249811705CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years288844526CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year275042617CurrentTaxYearMinus1Year
Current Tax Year197949430CurrentTaxYear
Total1217644267Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5091217644267PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1966976CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1179449CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1024188CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year891393CurrentTaxYearMinus1Year
Current Tax Year374176CurrentTaxYear
Total5436182Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years73020CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years398018CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11689CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13125CurrentTaxYearMinus1Year
Current Tax Year15941CurrentTaxYear
Total511793Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2039996CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1577467CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1035877CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year904518CurrentTaxYearMinus1Year
Current Tax Year390117CurrentTaxYear
Total5947975Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years208035985CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years251389172CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years289880403CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year275947135CurrentTaxYearMinus1Year
Current Tax Year198339547CurrentTaxYear
Total1223592242Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99510PublicSupportPercentage509
Prior Year Support Percentage0.99360PriorYearSupportPercentage
Investment Income Percentage0.00490InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00640PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis128064OtherCostOrOtherBasis
Book Value128064BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis549110OtherCostOrOtherBasis
Depreciation334749Depreciation
Book Value214361BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis50213OtherCostOrOtherBasis
Depreciation39017Depreciation
Book Value11196BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings353621TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED EXPENSES$93,145
UNEARNED PREMIUM REVENUE$4,975,552
FieldValueIRS element (for citing)
Total Of Amounts5068697TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3AN UNRELATED CORPORATION IS CONTRACTED TO PROVIDE SERVICE AS GENERAL MANAGER, ALONG WITH ACCOUNTING, MARKETING, CLAIMS PROCESSING, HUMAN RESOURCES, PAYROLL, AND DATA PROCESSING SERVICES.
FORM 990, PART VI, SECTION A, LINE 7AINDIVIDUALS 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 11ORGANIZATION 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 12CTHE 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 19THE 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 8BORGANIZATION 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.AUTHORITY FOR MAKING DECISIONS
FORM 990, PART XI, LINE 9:CHANGE IN NONADMITTED ASSETS 2,453.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHE PROCESS FOR REVIEWING FINANCIAL STATEMENTS HAS NOT CHANGED FROM THE PREVIOUS YEAR.CHANGE IN PROCESS FOR REVIEWING FINANCIAL STATEMENTS