2012-10-29T12:47:17-05:00 2011-12-31 390758449 WIPFLI LLP 3703 OAKWOOD HILLS PARKWAY PO BOX 6 EAU CLAIRE WI 547020690 990 2011-01-01 396252984 GROUP HEALTH COOPERATIVE OF EAU CLAIRE GROU 7155524300 PO BOX 3217 EAU CLAIRE WI 547023217 HEIDI LIEDL 7155524300 2012-10-22 1 LINDA FEIRN CPA P00047645 7158323407 2012-10-22 2011 2016-02-24 21:20:13Z MARY STEINKE PO BOX 3217 EAU CLAIRE WI 547023217 324516609 0 X WWW.GROUP-HEALTH.COM X NONSTOCK COOPERATIVE 1972 WI OPTIMIZE HEALTHCARE OF MEMBERS THROUGH POOLING OF HEALTH-RELATED RESOURCES. 14 14 49 0 656273 12125 0 0 288783506 274979387 993854 956580 590647 672453 290368007 276608420 0 0 0 0 3312068 3167333 0 0 0 295544030 282154439 298856098 285321772 -8488091 -8713352 91830693 50983604 71393672 39267480 20437021 11716124 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 1 262637774 274977304 THE 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. 262637774 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1646 0 1 49 1 1 1 0 0 0 0 0 0 0 0 0 X 14 14 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 BARBARA KOSKI 0.30 X 0 0 0 BRENT PICKARD 0.30 X 0 0 0 DOROTHY ANN NELSON 0.30 X X 0 0 0 JOHN CHARLES HALBLEIB 0.30 X X 0 0 0 MARY BETH STEINKE 0.30 X X 0 0 0 MICHAEL MOCH 0.30 X 0 0 0 JAN DOLE 0.30 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 LEAH MOTSCHENBACHER 0.30 X 0 0 0 LINDA ELAINE WENDT 0.30 X X 0 0 0 JIM WARD 0.30 X 0 0 0 TIMOTY ALLAN BRESSER 0.30 X X 0 0 0 BRADLEY LINDSTEDT 33.00 X 156301 0 16334 LESLIE SPANGLER 33.00 X 223039 0 14992 GREGORY STROZINSKY 33.00 X 141332 0 12682 JODI SLOMINSKY 25.00 X 113108 0 1186 633780 0 45194 4 0 1 0 LUTHER HOSPITAL 1221 WHIPPLE ST EAU CLAIRE WI 54703 MEDICAL SERVICES 30774877 KMTSJ INC PO BOX 3217 EAU CLAIRE WI 54702 RENT & MGMT SERVICES 21356932 MIDELFORT CLINIC 733 W CLAIREMONT AVE EAU CLAIRE WI 54701 MEDICAL SERVICES 20888643 SACRED HEART HOSPITAL 900 W CLAIREMONT AVE EAU CLAIRE WI 54701 MEDICAL SERVICES 14261995 MARSHFIELD CLINIC EAU CLAIRE CENTER 2116 CRAIG ROAD EAU CLAIRE WI 54701 MEDICAL SERVICES 13894049 41 MED & HOSP PREMIUM 524114 229009927 229009927 SSI & MA CAPITATION 524114 43435939 43435939 DENTAL REVENUE 524114 2533521 2533521 274979387 891393 891393 63230 47050 16180 16180 16180 47785282 141044 47857556 3583 -72274 137461 65187 -2083 67270 ADMINISTRATIVE SERVICE 524114 656273 656273 656273 276608420 274977304 656273 974843 633780 633780 1559474 1559474 26539 26539 780892 780892 166648 166648 19531236 19531236 1559477 1559477 176159 176159 115652 115652 56267 55580 687 127299 117291 10008 495542 9844 485698 96118 96118 3876 3876 48017 1593 46424 45591 45591 39605 17625 21980 50338 50338 REFERRALS - FEES FOR SE 134922510 134922510 UBIT INCOME TAX EXPENSE 1858 1858 BENEFITS - FEES FOR SER 77345549 77345549 CONTRACT SERVICES - MED 44891231 44891231 2648114 1893572 754542 285321772 262637774 22683998 0 32170402 8700115 48446830 38100060 2535526 2107673 6250000 0 21832 0 727596 353118 430581 374478 1555000 1585000 420522 116278 91830693 50983604 36224820 33706840 35168852 5560640 71393672 39267480 X 1430 1430 7001422 7001422 13434169 4713272 20437021 11716124 91830693 50983604 X -8713352 -7545 X X 0 1 1 X 0 X 171595816 205995989 249811705 288844526 275042617 1191290653 171595816 205995989 249811705 288844526 275042617 1191290653 0 0 0 1191290653 2122444 1966976 1179449 1024188 891393 7184450 43366 73020 398018 11689 13125 539218 2165810 2039996 1577467 1035877 904518 7723668 173761626 208035985 251389172 289880403 275947135 1199014321 0.99360 0.99200 0.00640 0.00800 X 128064 128064 549109 312769 236340 50423 40349 10074 374478 ACCRUED EXPENSES 85677 UNEARNED PREMIUM REVENUE 5474963 5560640 0 0 0 0 0 0 0 0 0 BRADLEY LINDSTEDT 87235 0 15259 0 53807 0 1563 0 14771 0 172635 0 0 0 LESLIE SPANGLER 155629 0 19791 0 47619 0 2000 0 12992 0 238031 0 0 0 GREGORY STROZINSKY 86154 0 13252 0 41926 0 1413 0 11269 0 154014 0 0 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 THE GROUP HEALTH DENTAL PRACTICE WAS SOLD EFFECTIVE 10/31/11. 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: 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. 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 5: CHANGE IN NONADMITTED ASSETS -7,545. TOTAL TO FORM 990, PART XI, LINE 5: -7,545. 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.