2013-09-30T10:47:40-05:00 2012-12-31 390758449 WIPFLI LLP 3703 OAKWOOD HILLS PARKWAY PO BOX 690 EAU CLAIRE WI 547020690 990 2012-01-01 396252984 GROUP HEALTH COOPERATIVE OF EAU CLAIRE GROU 7155524300 PO BOX 3217 EAU CLAIRE WI 547023217 MARY STEINKE 7155524300 2013-08-20 1 LINDA FEIRN CPA P00047645 7158323407 2013-08-20 2012 2016-02-25 16:41:14Z MARY STEINKE PO BOX 3217 EAU CLAIRE WI 547023217 222339683 0 X WWW.GROUP-HEALTH.COM X NONSTOCK COOPERATIVE 1972 WI OPTIMIZE HEALTHCARE OF MEMBERS THROUGH POOLING OF HEALTH-RELATED RESOURCES. 12 12 24 0 797117 14941 0 0 274979387 197888915 956580 1416271 672453 857632 276608420 200162818 0 0 0 0 3167333 1911685 0 0 0 282154439 196073781 285321772 197985466 -8713352 2177352 50983604 40634477 39267480 26738548 11716124 13895929 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 181632363 197888915 THE 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. 181632363 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1299 0 1 24 1 1 1 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 PETER C FARROW 7155524300 2503 N HILLCREST PKWY ALTOONA WI 54720 X BARBARA KOSKI 0.30 X 0 0 0 KEN VAN ES 0.30 X 0 0 0 LEAH MOTSCHENBACHER 0.30 X 0 0 0 JOHN HALBLEIB 0.30 X X 0 0 0 MARY BETH STEINKE 0.30 X X 0 0 0 DESSIN CAMPBELL 0.30 X X 0 0 0 SCOTT TRIPPLER 0.30 X 0 0 0 MICHELE WIBERG 0.30 X 0 0 0 RON WALSH 0.30 X 0 0 0 JAN DOLE 0.30 X X 0 0 0 JIM WARD 0.30 X 0 0 0 TIMOTHY BRESSER 0.30 X 0 0 0 JAMES MONTGOMERY 0.30 X 0 0 0 CHERYL GULLICKSRUD 0.30 X 0 0 0 BETTY REINKE 0.30 X X 0 0 0 JAMES JONES 0.30 X 0 0 0 0 0 0 0 0 0 0 LUTHER HOSPITAL 1221 WHIPPLE ST EAU CLAIRE WI 54703 MEDICAL SERVICES 22697651 MIDELFORT CLINIC 733 W CLAIREMONT AVE EAU CLAIRE WI 54701 MEDICAL SERVICES 16618958 KMTSJ INC PO BOX 3217 EAU CLAIRE WI 54702 RENT & MGMT SERVICES 15035805 SACRED HEART HOSPITAL 900 W CLAIREMONT AVE EAU CLAIRE WI 54701 MEDICAL SERVICES 12391018 MARSHFIELD CLINIC EAU CLAIRE CENTER 2116 CRAIG ROAD EAU CLAIRE WI 54701 MEDICAL SERVICES 11590222 182 MED & HOSP PREMIUM 524114 154106232 154106232 SSI & MA CAPITATION 524114 43378964 43378964 DENTAL REVENUE 524114 403719 403719 197888915 374176 374176 60515 0 60515 60515 60515 22220514 998446 22176865 0 43649 998446 1042095 1042095 ADMINISTRATIVE SERVICES REVENUE 524114 797117 797117 797117 200162818 197888915 797117 1476786 1091552 1091552 10118 10118 724735 724735 85280 85280 15020963 15020963 513084 513084 138873 138873 59348 58943 405 113038 113038 543665 1813 541852 45646 45646 5897 5897 97561 97561 21287 21287 29163 7183 21980 50808 50808 UBIT INCOME TAX EXPENSE 975 975 REFERRALS - FEES FOR SE 81827938 81827938 BENEFITS - FEES FOR SER 59825908 59825908 CONTRACT SERVICES - MED 36190945 36190945 1588682 1545806 42876 197985466 181632363 16353103 0 8700115 7311883 38100060 29661914 2107673 1672939 727387 373766 374478 353621 1585000 1585000 116278 49120 50983604 40634477 33706840 21669851 5560640 5068697 39267480 26738548 X 1430 1430 7001422 7001422 4713272 6893077 11716124 13895929 50983604 40634477 X 2177352 2453 X X 0 1 X 1 0 X 205995989 249811705 288844526 275042617 197949430 1217644267 205995989 249811705 288844526 275042617 197949430 1217644267 0 0 0 1217644267 1966976 1179449 1024188 891393 374176 5436182 73020 398018 11689 13125 15941 511793 2039996 1577467 1035877 904518 390117 5947975 208035985 251389172 289880403 275947135 198339547 1223592242 0.99510 0.99360 0.00490 0.00640 X 128064 128064 549110 334749 214361 50213 39017 11196 353621 ACCRUED EXPENSES 93145 UNEARNED PREMIUM REVENUE 4975552 5068697 FORM 990, PART VI, SECTION A, LINE 3 AN 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 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 11 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. AUTHORITY FOR MAKING DECISIONS 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN NONADMITTED ASSETS 2,453. CHANGE IN PROCESS FOR REVIEWING FINANCIAL STATEMENTS FORM 990, PART XI, LINE 2C THE PROCESS FOR REVIEWING FINANCIAL STATEMENTS HAS NOT CHANGED FROM THE PREVIOUS YEAR.