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GROUP HEALTH CO-OPERATIVE OF EAU CLAIRE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GROUP HEALTH CO-OPERATIVE OF EAU CLAIRE (EIN 39-6252984)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-07
IRS object ID
201112809349300026
Schema version
2010v3.4
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)
Timestamp2011-10-07T14:11:09-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-09-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLINDA FEIRN CPAName
Phone7158323407Phone
Date Prepared2011-09-27DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts316164525GrossReceipts
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees68TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI609467TotalGrossUBI
Net Unrelated Business Txbl Income22087NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year249764637ProgramServiceRevenuePriorYear
Program Service Revenue CY288783506ProgramServiceRevenueCY
Investment Income Prior Year2223604InvestmentIncomePriorYear
Investment Income Current Year993854InvestmentIncomeCurrentYear
Other Revenue Prior Year824730OtherRevenuePriorYear
Other Revenue Current Year590647OtherRevenueCurrentYear
Total Revenue Prior Year252812971TotalRevenuePriorYear
Total Revenue Current Year290368007TotalRevenueCurrentYear
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 Year3777012SalariesEtcPriorYear
Salaries Etc Current Year3312068SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year245890201OtherExpensePriorYear
Other Expenses Current Year295544030OtherExpensesCurrentYear
Total Expenses Prior Year249667213TotalExpensesPriorYear
Total Expenses Current Year298856098TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3145758RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-8488091RevenuesLessExpensesCY
Total Assets BOY58524671TotalAssetsBOY
Total Assets EOY91830693TotalAssetsEOY
Total Liabilities BOY35662124TotalLiabilitiesBOY
Total Liabilities EOY71393672TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22862547NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20437021NetAssetsOrFundBalancesEOY
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
Expense276209001Expense
Revenue288783506Revenue
DescriptionTHE COOPERATIVE OFFERS INSURANCE COVERAGE FOR COMMERCIAL, MEDICAID AND SSI MEMBERS. IN 2010, THE COOPERATIVE HAD APPROXIMATELY 282,014 COMMERCIAL MEMBER MONTHS, 504,897 MEDICAID MEMBER MONTHS AND 21,800 SSI MEMBER MONTHS. ALONG WITH INSURANCE COVERAGE, THE COOPERATIVE ALSO HELPS MEMBERS WITH MEDICAL MANAGEMENT AND COORDINATION OF CARE.Description
Total Program Service Expense276209001TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 With10961774NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees68NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
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 (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BARBARA JO ANN KOSKI
DIRECTOR0.30X000
BRENT LEE PICKARD
DIRECTOR0.30X000
DANIEL MARK RIEBE
DIRECTOR0.30X000
DOROTHY ANN NELSON
TREASURER0.30X000X
LINDA ELAINE WENDT
FIRST VICE PRESIDENT0.30X000X
GREG LA VERNE HAGENESS
SECOND VICE PRESIDENT0.30X000X
LAURIE JEAN KLOMSTAD
DIRECTOR0.30X000
JOHN CHARLES HALBLEIB
SECRETARY0.30X000X
MARY BETH STEINKE
PRESIDENT0.30X000X
MICHAEL JOHN MOCH
DIRECTOR0.30X000
JAN MARIE DOLE
DIRECTOR0.30X000
JILL CHRISTINE HOLMLUND
DIRECTOR0.30X000
SCOTT THOMAS TRIPPLER
DIRECTOR0.30X000
MICHELE RENEE WIBERG
DIRECTOR0.30X000
RONALD JOSEPH WALSH
DIRECTOR0.30X000
TIMOTHY ALLAN BRESSER
DIRECTOR0.30X000
BRADLEY LINDSTEDT
DENTIST33.00195844031860XX
LESLIE SPANGLER
DENTIST33.00254105034509XX
GREGORY STROZINSKY
DENTIST33.00170120026135XX
JODI SLOMINSKY
DENTIST25.0013858106740X
FieldValueIRS element (for citing)
Total Reportable Comp From Org758650TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation99244TotalOtherCompensation
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 SERVICES27681089
KMTSJ INC
PO BOX 3217EAU CLAIREWI54702RENT & MGMT SERVICES21964310
MIDELFORT CLINIC
733 W CLAIREMONT AVEEAU CLAIREWI54701MEDICAL SERVICES19260684
SACRED HEART HOSPITAL
900 W CLAIREMONT AVEEAU CLAIREWI54701MEDICAL SERVICES18992381
MARSHFIELD CLINIC EAU CLAIRE CENTER
2116 CRAIG ROADEAU CLAIREWI54701MEDICAL SERVICES14384410
FieldValueIRS element (for citing)
Number Of Contractors GT100 K164NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MED & HOSP PREMIUM524114230174340230174340
SSI & MA CAPITATION5241145548402355484023
DENTAL REVENUE52411431240463124046
FEE FOR SERVICE52411410971097
FieldValueIRS element (for citing)
Total Program Service Revenue288783506TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1024188TotalRevenueColumn
Exclusion$1,024,188ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real61020Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real54840Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real6180Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column6180TotalRevenueColumn
Exclusion$6,180ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities25686344Securities
Other25000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities25741678Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-55334Securities
Other25000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-30334TotalRevenueColumn
Unrelated Business Revenue25000UnrelatedBusinessRevenue
Exclusion-$55,334ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionADMINISTRATIVE SERVICEDescription
Business Code524114BusinessCode
Total Revenue Column584467TotalRevenueColumn
Unrelated Business Revenue584467UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue584467TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column290368007TotalRevenueColumn
Related Or Exempt Function Income288783506RelatedOrExemptFunctionIncome
Unrelated Business Revenue609467UnrelatedBusinessRevenue
Exclusion$975,034ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total857894Total
Program Services857894ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1617951Total
Program Services1617951ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total99285Total
Program Services99285ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total577192Total
Program Services577192ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total159746Total
Program Services159746ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total21395761Total
Management And General21395761ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total991489Total
Program Services991489ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total128795Total
Program Services128795ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total56884Total
Program Services56552ProgramServices
Management And General332ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total150187Total
Program Services144899ProgramServices
Management And General5288ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total386035Total
Program Services9787ProgramServices
Management And General376248ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total109286Total
Program Services109286ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total2067Total
Program Services2067ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total102166Total
Program Services5070ProgramServices
Management And General97096ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total54741Total
Management And General54741ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total41257Total
Program Services19277ProgramServices
Management And General21980ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total49071Total
Management And General49071ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REFERRALS - FEES FOR SE135674419135674419
UBIT INCOME TAX EXPENSE34643464
BENEFITS - FEES FOR SER8573266285732662
CONTRACT SERVICES - MED4823946048239460
REINSURANCE13013281301328

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1124958Total
Program Services481842ProgramServices
Management And General643116ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total298856098Total
Program Services276209001ProgramServices
Management And General22647097ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3985127BOY
EOY32170402EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY49514966BOY
EOY48446830EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3070104BOY
EOY2535526EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY6250000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY21722BOY
EOY21832EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis809292LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec378711LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY425209BOY
EOY430581EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1155000BOY
EOY1555000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY352543BOY
EOY420522EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY58524671BOY
EOY91830693EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29548733BOY
EOY36224820EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6113391BOY
EOY35168852EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY35662124BOY
EOY71393672EOY
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)
BOY1001422BOY
EOY7001422EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY21859695BOY
EOY13434169EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22862547BOY
EOY20437021EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY58524671BOY
EOY91830693EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-8488091ReconcilationRevenueExpenses
Reconcilation Other Changes6062565ReconcilationOtherChanges
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 Years146792764CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years171595816CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years205995989CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year249811705CurrentTaxYearMinus1Year
Current Tax Year288844526CurrentTaxYear
Total1063040800Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years146792764CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years171595816CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years205995989CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year249811705CurrentTaxYearMinus1Year
Current Tax Year288844526CurrentTaxYear
Total1063040800Total

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 Total5091063040800PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1619477CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2122444CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1966976CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1179449CurrentTaxYearMinus1Year
Current Tax Year1024188CurrentTaxYear
Total7912534Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85887CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years43366CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years73020CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year398018CurrentTaxYearMinus1Year
Current Tax Year11689CurrentTaxYear
Total611980Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1705364CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2165810CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2039996CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1577467CurrentTaxYearMinus1Year
Current Tax Year1035877CurrentTaxYear
Total8524514Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years148498128CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years173761626CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years208035985CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year251389172CurrentTaxYearMinus1Year
Current Tax Year289880403CurrentTaxYear
Total1071565314Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99200PublicSupportPercentage509
Prior Year Support Percentage0.99070PriorYearSupportPercentage
Investment Income Percentage0.00800InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00930PriorYrInvestIncomePercentage
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
Depreciation290789Depreciation
Book Value258320BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis132119OtherCostOrOtherBasis
Depreciation87922Depreciation
Book Value44197BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings430581TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED EXPENSES$378,377
UNEARNED PREMIUM REVENUE$34,790,475
FieldValueIRS element (for citing)
Total Of Amounts35168852TotalOfAmounts

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
180297015547000108050210550227704000
LESLIE SPANGLER
237500016605000141060204030288614000
GREGORY STROZINSKY
15658501353500089840171510196255000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION RECEIVES MANAGEMENT AND ADMINISTRATIVE SERVICES UNDER AN AGREEMENT WITH AN UNAFFILIATED CORPORATION.
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.
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 12C
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.
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
AUTHORITY FOR MAKING DECISIONSORGANIZATION 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.FORM 990, PART VI, SECTION A, LINE 8B
CHANGES IN NET ASSETS OR FUND BALANCES:CHANGE IN NONADMITTED ASSETS 62,565. CHANGE IN SURPLUS NOTE 6,000,000. TOTAL TO FORM 990, PART XI, LINE 5: 6,062,565.FORM 990, PART XI, LINE 5:
CHANGE IN PROCESS FOR REVIEWING FINANCIAL STATEMENTSTHE PROCESS FOR REVIEWING FINANCIAL STATEMENTS HAS NOT CHANGED FROM THE PREVIOUS YEAR.FORM 990, PART XI, LINE 2C