2011-10-07T14:11:09-05:00 2010-12-31 WIPFLI LLP 3703 OAKWOOD HILLS PARKWAY PO BOX 6 EAU CLAIRE WI 547020690 990 2010-01-01 396252984 GROUP HEALTH COOPERATIVE OF EAU CLAIRE GROU 7155524300 PO BOX 3217 EAU CLAIRE WI 547023217 MARY STEINKE 7155524300 2011-09-27 1 LINDA FEIRN CPA 7158323407 2011-09-27 2010 2016-03-07 17:11:31Z MARY STEINKE PO BOX 3217 EAU CLAIRE WI 547023217 316164525 0 X WWW.GROUP-HEALTH.COM X NONSTOCK COOPERATIVE 1972 WI OPTIMIZE HEALTHCARE OF MEMBERS THROUGH POOLING OF HEALTH-RELATED RESOURCES. 16 16 68 0 609467 22087 0 0 249764637 288783506 2223604 993854 824730 590647 252812971 290368007 0 0 0 0 3777012 3312068 0 0 0 245890201 295544030 249667213 298856098 3145758 -8488091 58524671 91830693 35662124 71393672 22862547 20437021 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 276209001 288783506 THE 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. 276209001 1 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 1774 0 68 1 1 1 0 0 0 0 0 0 0 0 0 X 16 16 0 1 0 0 0 0 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 JO ANN KOSKI 0.30 X 0 0 0 BRENT LEE PICKARD 0.30 X 0 0 0 DANIEL MARK RIEBE 0.30 X 0 0 0 DOROTHY ANN NELSON 0.30 X X 0 0 0 LINDA ELAINE WENDT 0.30 X X 0 0 0 GREG LA VERNE HAGENESS 0.30 X X 0 0 0 LAURIE JEAN KLOMSTAD 0.30 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 JOHN MOCH 0.30 X 0 0 0 JAN MARIE DOLE 0.30 X 0 0 0 JILL CHRISTINE HOLMLUND 0.30 X 0 0 0 SCOTT THOMAS TRIPPLER 0.30 X 0 0 0 MICHELE RENEE WIBERG 0.30 X 0 0 0 RONALD JOSEPH WALSH 0.30 X 0 0 0 TIMOTHY ALLAN BRESSER 0.30 X 0 0 0 BRADLEY LINDSTEDT 33.00 X X 195844 0 31860 LESLIE SPANGLER 33.00 X X 254105 0 34509 GREGORY STROZINSKY 33.00 X X 170120 0 26135 JODI SLOMINSKY 25.00 X 138581 0 6740 758650 0 99244 4 0 1 0 LUTHER HOSPITAL 1221 WHIPPLE ST EAU CLAIRE WI 54703 MEDICAL SERVICES 27681089 KMTSJ INC PO BOX 3217 EAU CLAIRE WI 54702 RENT & MGMT SERVICES 21964310 MIDELFORT CLINIC 733 W CLAIREMONT AVE EAU CLAIRE WI 54701 MEDICAL SERVICES 19260684 SACRED HEART HOSPITAL 900 W CLAIREMONT AVE EAU CLAIRE WI 54701 MEDICAL SERVICES 18992381 MARSHFIELD CLINIC EAU CLAIRE CENTER 2116 CRAIG ROAD EAU CLAIRE WI 54701 MEDICAL SERVICES 14384410 164 MED & HOSP PREMIUM 524114 230174340 230174340 SSI & MA CAPITATION 524114 55484023 55484023 DENTAL REVENUE 524114 3124046 3124046 FEE FOR SERVICE 524114 1097 1097 288783506 1024188 1024188 61020 54840 6180 6180 6180 25686344 25000 25741678 -55334 25000 -30334 25000 -55334 ADMINISTRATIVE SERVICE 524114 584467 584467 584467 290368007 288783506 609467 975034 857894 857894 1617951 1617951 99285 99285 577192 577192 159746 159746 21395761 21395761 991489 991489 128795 128795 56884 56552 332 150187 144899 5288 386035 9787 376248 109286 109286 2067 2067 102166 5070 97096 54741 54741 41257 19277 21980 49071 49071 REFERRALS - FEES FOR SE 135674419 135674419 UBIT INCOME TAX EXPENSE 3464 3464 BENEFITS - FEES FOR SER 85732662 85732662 CONTRACT SERVICES - MED 48239460 48239460 REINSURANCE 1301328 1301328 1124958 481842 643116 298856098 276209001 22647097 0 3985127 32170402 49514966 48446830 3070104 2535526 6250000 21722 21832 809292 378711 425209 430581 1155000 1555000 352543 420522 58524671 91830693 29548733 36224820 6113391 35168852 35662124 71393672 X 1430 1430 1001422 7001422 21859695 13434169 22862547 20437021 58524671 91830693 X -8488091 6062565 X X 0 1 1 X 0 X 146792764 171595816 205995989 249811705 288844526 1063040800 146792764 171595816 205995989 249811705 288844526 1063040800 0 0 0 1063040800 1619477 2122444 1966976 1179449 1024188 7912534 85887 43366 73020 398018 11689 611980 1705364 2165810 2039996 1577467 1035877 8524514 148498128 173761626 208035985 251389172 289880403 1071565314 0.99200 0.99070 0.00800 0.00930 X 128064 128064 549109 290789 258320 132119 87922 44197 430581 ACCRUED EXPENSES 378377 UNEARNED PREMIUM REVENUE 34790475 35168852 0 0 0 0 0 0 0 0 0 BRADLEY LINDSTEDT 180297 0 15547 0 0 0 10805 0 21055 0 227704 0 0 0 LESLIE SPANGLER 237500 0 16605 0 0 0 14106 0 20403 0 288614 0 0 0 GREGORY STROZINSKY 156585 0 13535 0 0 0 8984 0 17151 0 196255 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION RECEIVES MANAGEMENT AND ADMINISTRATIVE SERVICES UNDER AN AGREEMENT WITH AN UNAFFILIATED CORPORATION. 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. 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 62,565. CHANGE IN SURPLUS NOTE 6,000,000. TOTAL TO FORM 990, PART XI, LINE 5: 6,062,565. 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.