Skip to content
Nonprofiteer
← COMMUNITY CARE HEALTH PLAN

Form 990 for tax year 2022

Filed by COMMUNITY CARE HEALTH PLAN.

Totals

Total revenue
$124,554,353
Total expenses
$124,624,319
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$124,407,786
Investment income
$146,567
Other revenue
$0
Total assets, end of year
$31,850,270
Total liabilities, end of year
$13,480,806
Net assets or fund balances, end of year
$18,369,464
Program services expenses (Part IX)
$119,216,109
Management and general expenses
$5,408,210
Fundraising expenses
$0
Program service expenses (Part III)
$119,216,109

Program services were 95.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: CAPITATION REVENUE

    total $118,357,266 · related or exempt $118,357,266

  • 2b · Program service revenue: PATIENT SERVICES

    total $6,049,520 · related or exempt $6,049,520

  • 2c · Program service revenue: OTHER

    total $1,000 · related or exempt $1,000

  • 3 · Investment income

    total $146,567 · excluded $146,567

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $109,766,834 · program services $109,766,834

  • 5 · Compensation of officers, directors and key employees

    total $158,925 · program services $158,925

  • 7 · Other salaries and wages

    total $8,588,134 · program services $5,784,295 · management and general $2,803,839

  • 8 · Pension plan contributions

    total $250,753 · program services $164,216 · management and general $86,537

  • 9 · Other employee benefits

    total $1,324,372 · program services $920,871 · management and general $403,501

  • 10 · Payroll taxes

    total $638,796 · program services $442,799 · management and general $195,997

  • 11b · Fees: legal

    total $32,796 · management and general $32,796

  • 11c · Fees: accounting

    total $44,348 · management and general $44,348

  • 11f · Fees: investment management

    total $26,659 · management and general $26,659

  • 11g · Fees: other

    total $192,538 · program services $16,536 · management and general $176,002

  • 12 · Advertising and promotion

    total $13,761 · program services $7,251 · management and general $6,510

  • 13 · Office expenses

    total $23,583 · program services $330 · management and general $23,253

  • 16 · Occupancy

    total $355,639 · program services $217,755 · management and general $137,884

  • 17 · Travel

    total $65,638 · program services $61,586 · management and general $4,052

  • 19 · Conferences, conventions and meetings

    total $6,114 · program services $2,296 · management and general $3,818

  • 20 · Interest

    total $10,091 · management and general $10,091

  • 22 · Depreciation, depletion and amortization

    total $130,098 · program services $692 · management and general $129,406

  • 23 · Insurance

    total $112,845 · management and general $112,845

  • 24a · Other expenses: ALLOCATED EXPENSE

    total $1,603,329 · program services $1,603,329

  • 24b · Other expenses: SUPPLIES

    total $1,095,681 · program services $32,637 · management and general $1,063,044

  • 24c · Other expenses: IT EQUIPMENT - DATA CAR

    total $21,080 · program services $18,618 · management and general $2,462

  • 24d · Other expenses: EQUIPMENT RENTAL

    total $17,802 · program services $84 · management and general $17,718

  • 24e · All other expenses

    total $144,503 · program services $17,055 · management and general $127,448

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $15,601,357 · end of year $19,631,601

  • 4 · Accounts receivable

    beginning of year $3,581,929 · end of year $3,122,073

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $404,775

  • 11 · Investments: publicly traded securities

    beginning of year $9,217,431 · end of year $8,691,821

  • 17 · Accounts payable and accrued expenses

    beginning of year $454,102 · end of year $642,324

  • 21 · Escrow or custodial account liability

    beginning of year $127,656 · end of year $96,623

  • 25 · Other liabilities

    beginning of year $8,837,435 · end of year $12,741,859

  • 27 · Net assets without donor restrictions

    beginning of year $18,981,524 · end of year $18,369,464

Mission and programs · 2022

Mission

COMMUNITY CARE HEALTH PLAN'S MISSION IS TO DEVELOP AND DEMONSTRATE INNOVATIVE, FLEXIBLE, COMMUNITY-BASED APPROACHES TO CARE FOR AT-RISK ADULTS, IN ORDER TO OPTIMIZE THEIR QUALITY OF LIFE AND OPTIMIZE THE ALLOCATION OF COMMUNITY RESOURCES.

Activities or mission (Part I)

COMMUNITY CARE HEALTH PLAN'S MISSION IS TO DEVELOP AND DEMONSTRATE INNOVATIVE, FLEXIBLE COMMUNITY-BASED APPROACHES TO CARE FOR AT-RISK ADULTS IN ORDER TO OPTIMIZE THEIR QUALITY OF LIFE AND OPTIMIZE THE ALLOCATION OF COMMUNITY RESOURCES.WE ARE A NON-PROFIT ORGANIZATION WITH EXPERIENCE IN HELPING ADULTS WITH LONG-TERM CARE NEEDS LIVE AS INDEPENDENTLY AS POSSIBLE. OUR MEDICARE/MEDICAID LONG-TERM CARE PROGRAMS SERVE THE NEEDS OF OLDER ADULTS AND ADULTS WITH DISABILITIES. WE COORDINATE AND DELIVER A FULL RANGE OF SUPPORTIVE SERVICES THAT HELP THEM LIVE SAFELY, CONFIDENTLY AND WITH DIGNITY.

  • THE COMMUNITY CARE PACE PROGRAM IS THE ONLY PACE PLAN IN THE STATE OF WISCONSIN AND HAS BEEN IN OPERATION FOR MORE THAN 25 YEARS. COMMUNITY CARE PACE CURRENTLY SERVES MORE THAN 541 MEMBERS IN MILWAUKEE, WAUKESHA AND RACINE COUNTIES.PACE OFFERS A BENEFIT PACKAGE THAT COMBINES MEDICAL CARE, LONG-TERM CARE AND PRESCRIPTION DRUGS. PACE HELPS FRAIL AND DISABLED INDIVIDUALS AGE 55 AND OLDER LIVE AS INDEPENDENTLY AS POSSIBLE FOR AS LONG AS POSSIBLE WITHIN THE COMMUNITY.

    Expenses $48,234,845 · Revenue $50,685,969

  • COMMUNITY CARE'S FAMILY CARE PARTNERSHIP PROGRAM FOR FRAIL ELDERS AND ADULTS WITH PHYSICAL, INTELLECTUAL OR DEVELOPMENTAL DISABILITIES PROVIDES COMPREHENSIVE MEDICAL AND LONG-TERM CARE.PARTNERSHIP MEMBERS HAVE A TEAM OF PROFESSIONALS THAT WORK TO COORDINATE ALL ASPECTS OF CARE. THE TEAM WILL ASSESS MEMBER NEEDS AND DEVELOP A COST-EFFECTIVE CARE PLAN. PARTNERSHIP MEMBERS HAVE ACCESS TO MEDICAL CARE AND LONG-TERM CARE SERVICES WITHOUT THE WORRY OF INSURANCE BILLS, CO-PAYS, DEDUCTIBLE OR INSURANCE GAPS. AS OF THE END OF 2022 PARTNERSHIP SERVES 778 MEMBERS IN NINE WISCONSIN COUNTIES.

    Expenses $70,981,264 · Revenue $73,721,817

As filed on the 2022 return.

Listed in Part VII

  • Kenneth Munson

    PRESIDENT & CEO

    Total calculated
    $462,749
    From this org
    $52,349
    From related orgs
    $372,558
    Other
    $37,842
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $52,349 + $372,558 related
    Bonus
    $0
    Other
    $0
    Deferred
    $1,503 + $10,697 related
    Nontaxable benefits
    $3,159 + $22,483 related
    Filer's total
    $57,011 + $405,738 related
  • Christy Smith

    SECRETARY/TREASURER - CFO

    Total calculated
    $319,150
    From this org
    $36,472
    From related orgs
    $259,565
    Other
    $23,113
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $36,472 + $259,565 related
    Bonus
    $0
    Other
    $0
    Deferred
    $1,462 + $10,402 related
    Nontaxable benefits
    $1,386 + $9,863 related
    Filer's total
    $39,320 + $279,830 related
  • Anne Kiekhofer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Dennis Purtell

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Lori Stortz

    DIRECTOR - EX-OFFICIO

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Connie Alston

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Edward Kohl

    CHIEF PROGRAM OFFICER

    Total calculated
    $265,160
    From this org
    $21,886
    From related orgs
    $222,248
    Other
    $21,026
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $21,886 + $222,248 related
    Bonus
    $0
    Other
    $0
    Deferred
    $891 + $9,048 related
    Nontaxable benefits
    $994 + $10,093 related
    Filer's total
    $23,771 + $241,389 related
  • Sherrice Harrell

    CHIEF ADMINISTRATIVE OFFIC

    Total calculated
    $249,505
    From this org
    $23,260
    From related orgs
    $191,556
    Other
    $34,689
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $23,260 + $191,556 related
    Bonus
    $0
    Other
    $0
    Deferred
    $980 + $8,068 related
    Nontaxable benefits
    $2,776 + $22,865 related
    Filer's total
    $27,016 + $222,489 related
  • Virginia Kramer

    CHIEF INFORMATION OFFICER

    Total calculated
    $247,535
    From this org
    $24,957
    From related orgs
    $203,521
    Other
    $19,057
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $24,957 + $203,521 related
    Bonus
    $0
    Other
    $0
    Deferred
    $859 + $7,004 related
    Nontaxable benefits
    $1,223 + $9,971 related
    Filer's total
    $27,039 + $220,496 related
  • Shelly Nelson

    PHYSICIAN

    Total calculated
    $248,293
    From this org
    $236,798
    From related orgs
    $0
    Other
    $11,495
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $236,798
    Bonus
    $0
    Other
    $0
    Deferred
    $9,480
    Nontaxable benefits
    $2,015
    Filer's total
    $248,293
  • Kalluru Vijayabhanu

    PHYSICIAN

    Total calculated
    $247,328
    From this org
    $236,740
    From related orgs
    $0
    Other
    $10,588
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $236,740
    Bonus
    $0
    Other
    $0
    Deferred
    $9,167
    Nontaxable benefits
    $1,421
    Filer's total
    $247,328
  • Ed Corrigan

    DIRECTOR - CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Carla Washington

    DIRECTOR - VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE ORGANIZATION RELIES ON COMMUNITY CARE, INC., A RELATED 501(C)(3) ORGANIZATION, TO ESTABLISH THE COMPENSATION FOR ITS CHIEF EXECUTIVE OFFICER. COMMUNITY CARE INC. USES A CONSULTING FIRM TO ASSIST IN ESTABLISHING THE COMPENSATION FOR ITS CHIEF EXECUTIVE OFFICER.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
3 October 2023
IRS schema version
2022v5.0
Source object
202302779349301215

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.