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GROUP HEALTH CO-OPERATIVE OF EAU CLAIRE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GROUP HEALTH CO-OPERATIVE OF EAU CLAIRE (EIN 39-6252984)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-29
IRS object ID
201223039349300227
Schema version
2011v1.2
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)
Timestamp2012-10-29T12:47:17-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 BOX 6AddressLine1
CityEAU CLAIRECity
StateWIState
ZIP Code547020690ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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)
NameHEIDI LIEDLName
TitlePRESIDENTTitle
Phone7155524300Phone
Date Signed2012-10-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLINDA FEIRN CPAName
PTINP00047645PTIN
Phone7158323407Phone
Date Prepared2012-10-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts324516609GrossReceipts
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 Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees49TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI656273TotalGrossUBI
Net Unrelated Business Txbl Income12125NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year288783506ProgramServiceRevenuePriorYear
Program Service Revenue CY274979387ProgramServiceRevenueCY
Investment Income Prior Year993854InvestmentIncomePriorYear
Investment Income Current Year956580InvestmentIncomeCurrentYear
Other Revenue Prior Year590647OtherRevenuePriorYear
Other Revenue Current Year672453OtherRevenueCurrentYear
Total Revenue Prior Year290368007TotalRevenuePriorYear
Total Revenue Current Year276608420TotalRevenueCurrentYear
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 Year3312068SalariesEtcPriorYear
Salaries Etc Current Year3167333SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year295544030OtherExpensePriorYear
Other Expenses Current Year282154439OtherExpensesCurrentYear
Total Expenses Prior Year298856098TotalExpensesPriorYear
Total Expenses Current Year285321772TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-8488091RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-8713352RevenuesLessExpensesCY
Total Assets BOY91830693TotalAssetsBOY
Total Assets EOY50983604TotalAssetsEOY
Total Liabilities BOY71393672TotalLiabilitiesBOY
Total Liabilities EOY39267480TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20437021NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11716124NetAssetsOrFundBalancesEOY
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 Change1SignificantChange
Expense262637774Expense
Revenue274977304Revenue
DescriptionTHE COOPERATIVE OFFERS INSURANCE COVERAGE FOR COMMERCIAL, MEDICAID AND SSI MEMBERS. IN 2011, THE COOPERATIVE HAD APPROXIMATELY 288,598 COMMERCIAL MEMBER MONTHS, 712,502 MEDICAID MEMBER MONTHS AND 19,838 SSI MEMBER MONTHS. ALONG WITH INSURANCE COVERAGE, THE COOPERATIVE ALSO HELPS MEMBERS WITH MEDICAL MANAGEMENT AND COORDINATION OF CARE.Description
Total Program Service Expense262637774TotalProgramServiceExpense
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 Required1ScheduleJRequired
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees49NumberOfEmployees
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 Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BARBARA KOSKI
DIRECTOR0.30X000
BRENT PICKARD
DIRECTOR0.30X000
DOROTHY ANN NELSON
TREASURER0.30X000X
JOHN CHARLES HALBLEIB
SECRETARY0.30X000X
MARY BETH STEINKE
PRESIDENT0.30X000X
MICHAEL MOCH
DIRECTOR0.30X000
JAN DOLE
DIRECTOR0.30X000
SCOTT TRIPPLER
DIRECTOR0.30X000
MICHELE WIBERG
DIRECTOR0.30X000
RON WALSH
DIRECTOR0.30X000
LEAH MOTSCHENBACHER
DIRECTOR0.30X000
LINDA ELAINE WENDT
FIRST VICE PRESIDENT0.30X000X
JIM WARD
DIRECTOR0.30X000
TIMOTY ALLAN BRESSER
SECOND VICE PRESIDENT0.30X000X
BRADLEY LINDSTEDT
DENTIST33.00156301016334X
LESLIE SPANGLER
DENTIST33.00223039014992X
GREGORY STROZINSKY
DENTIST33.00141332012682X
JODI SLOMINSKY
DENTIST25.0011310801186X
FieldValueIRS element (for citing)
Total Reportable Comp From Org633780TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation45194TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
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 SERVICES30774877
KMTSJ INC
PO BOX 3217EAU CLAIREWI54702RENT & MGMT SERVICES21356932
MIDELFORT CLINIC
733 W CLAIREMONT AVEEAU CLAIREWI54701MEDICAL SERVICES20888643
SACRED HEART HOSPITAL
900 W CLAIREMONT AVEEAU CLAIREWI54701MEDICAL SERVICES14261995
MARSHFIELD CLINIC EAU CLAIRE CENTER
2116 CRAIG ROADEAU CLAIREWI54701MEDICAL SERVICES13894049
FieldValueIRS element (for citing)
Number Of Contractors GT100 K41NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MED & HOSP PREMIUM524114229009927229009927
SSI & MA CAPITATION5241144343593943435939
DENTAL REVENUE52411425335212533521
FieldValueIRS element (for citing)
Total Program Service Revenue274979387TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column891393TotalRevenueColumn
Exclusion$891,393ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real63230Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real47050Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real16180Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column16180TotalRevenueColumn
Exclusion$16,180ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities47785282Securities
Other141044Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities47857556Securities
Other3583Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-72274Securities
Other137461Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column65187TotalRevenueColumn
Related Or Exempt Function Income-2083RelatedOrExemptFunctionIncome
Exclusion$67,270ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionADMINISTRATIVE SERVICEDescription
Business Code524114BusinessCode
Total Revenue Column656273TotalRevenueColumn
Unrelated Business Revenue656273UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue656273TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column276608420TotalRevenueColumn
Related Or Exempt Function Income274977304RelatedOrExemptFunctionIncome
Unrelated Business Revenue656273UnrelatedBusinessRevenue
Exclusion$974,843ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total633780Total
Program Services633780ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1559474Total
Program Services1559474ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total26539Total
Program Services26539ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total780892Total
Program Services780892ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total166648Total
Program Services166648ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total19531236Total
Management And General19531236ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1559477Total
Management And General1559477ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total176159Total
Management And General176159ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total115652Total
Program Services115652ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total56267Total
Program Services55580ProgramServices
Management And General687ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total127299Total
Program Services117291ProgramServices
Management And General10008ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total495542Total
Program Services9844ProgramServices
Management And General485698ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total96118Total
Program Services96118ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total3876Total
Program Services3876ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total48017Total
Program Services1593ProgramServices
Management And General46424ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total45591Total
Management And General45591ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total39605Total
Program Services17625ProgramServices
Management And General21980ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total50338Total
Management And General50338ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REFERRALS - FEES FOR SE134922510134922510
UBIT INCOME TAX EXPENSE18581858
BENEFITS - FEES FOR SER7734554977345549
CONTRACT SERVICES - MED4489123144891231

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2648114Total
Program Services1893572ProgramServices
Management And General754542ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total285321772Total
Program Services262637774ProgramServices
Management And General22683998ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY32170402BOY
EOY8700115EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY48446830BOY
EOY38100060EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2535526BOY
EOY2107673EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY6250000BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY21832BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis727596LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec353118LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY430581BOY
EOY374478EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1555000BOY
EOY1585000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY420522BOY
EOY116278EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY91830693BOY
EOY50983604EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY36224820BOY
EOY33706840EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY35168852BOY
EOY5560640EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY71393672BOY
EOY39267480EOY
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)
BOY13434169BOY
EOY4713272EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20437021BOY
EOY11716124EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY91830693BOY
EOY50983604EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-8713352ReconcilationRevenueExpenses
Reconcilation Other Changes-7545ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years171595816CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years205995989CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years249811705CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year288844526CurrentTaxYearMinus1Year
Current Tax Year275042617CurrentTaxYear
Total1191290653Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years171595816CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years205995989CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years249811705CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year288844526CurrentTaxYearMinus1Year
Current Tax Year275042617CurrentTaxYear
Total1191290653Total

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 Total5091191290653PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2122444CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1966976CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1179449CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1024188CurrentTaxYearMinus1Year
Current Tax Year891393CurrentTaxYear
Total7184450Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43366CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years73020CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years398018CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11689CurrentTaxYearMinus1Year
Current Tax Year13125CurrentTaxYear
Total539218Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2165810CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2039996CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1577467CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1035877CurrentTaxYearMinus1Year
Current Tax Year904518CurrentTaxYear
Total7723668Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years173761626CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years208035985CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years251389172CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year289880403CurrentTaxYearMinus1Year
Current Tax Year275947135CurrentTaxYear
Total1199014321Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99360PublicSupportPercentage509
Prior Year Support Percentage0.99200PriorYearSupportPercentage
Investment Income Percentage0.00640InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00800PriorYrInvestIncomePercentage
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 Basis549109OtherCostOrOtherBasis
Depreciation312769Depreciation
Book Value236340BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis50423OtherCostOrOtherBasis
Depreciation40349Depreciation
Book Value10074BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings374478TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED EXPENSES$85,677
UNEARNED PREMIUM REVENUE$5,474,963
FieldValueIRS element (for citing)
Total Of Amounts5560640TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRADLEY LINDSTEDT
87235015259053807015630147710172635000
LESLIE SPANGLER
155629019791047619020000129920238031000
GREGORY STROZINSKY
86154013252041926014130112690154014000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3THE GROUP HEALTH DENTAL PRACTICE WAS SOLD EFFECTIVE 10/31/11.
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: BOARD OF DIRECTORS MEMBERS 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 MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
AUTHORITY FOR MAKING DECISIONSFORM 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.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:CHANGE IN NONADMITTED ASSETS -7,545. TOTAL TO FORM 990, PART XI, LINE 5: -7,545.
CHANGE IN PROCESS FOR REVIEWING FINANCIAL STATEMENTSFORM 990, PART XI, LINE 2CTHE PROCESS FOR REVIEWING FINANCIAL STATEMENTS HAS NOT CHANGED FROM THE PREVIOUS YEAR.