Totals
- Total revenue
- $1,000,886
- Total expenses
- $66,752
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $1,000,886
- Other revenue
- $0
- Total assets, end of year
- $54,725,242
- Total liabilities, end of year
- $19,073
- Net assets or fund balances, end of year
- $54,706,169
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $66,752
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Program services were 0.0% 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.
-
3 · Investment income
total $1,000,886 · excluded $1,000,886
Functional expenses
Part IX, the statement of functional expenses.
-
11b · Fees: legal
total $47,679 · management and general $47,679
-
23 · Insurance
total $19,073 · management and general $19,073
Balance sheet
Part X, book values.
-
11 · Investments: publicly traded securities
beginning of year $0 · end of year $54,725,242
-
17 · Accounts payable and accrued expenses
beginning of year $0 · end of year $19,073
-
27 · Net assets without donor restrictions
beginning of year $0 · end of year $54,706,169
Mission and programs · 2023
Mission
WE INSPIRE PEOPLE TO EXPERIENCE LIFE AT ITS FULLEST BY ENCOURAGING OWNERSHIP OF HEALTH, FOSTERING INDEPENDENCE, AND SERVING THE WHOLE PERSON; AND DO SO WITH AN UNWAVERING COMMITMENT AS STEWARDS OF MEDICAID FUNDING.
Activities or mission (Part I)
TO SUPPORT RELATED 501(C)(3) ORGANIZATIONS, MY CHOICE WISCONSIN, INC AND MY CHOICE WISCONSIN HEALTH PLAN, INC.
-
THE PURPOSE OF THE ORGANIZATION IS TO SUPPORT RELATED 501(C)(3) ORGANIZATIONS, MY CHOICE WISCONSIN, INC AND MY CHOICE WISCONSIN HEALTH PLAN, INC.
As filed on the 2023 return.
Listed in Part VII
-
Maria LedgerMARIA LEDGER
CHIEF EXECUTIVE OFFICER
- Total calculated
- $619,432
- From this org
- $0
- From related orgs
- $610,937
- Other
- $8,495
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $555,937 related
- Bonus
- $0 + $55,000 related
- Other
- $0
- Deferred
- $0 + $8,016 related
- Nontaxable benefits
- $0 + $479 related
- Filer's total
- $0 + $619,432 related
-
Thomas OrendorffTHOMAS ORENDORFF
DIRECTOR AND CHAIR
- Total calculated
- $800
- From this org
- $0
- From related orgs
- $800
- Other
- $0
- Hours/week
- 1 + 3 related
-
Michael Mayo SrMICHAEL MAYO SR
DIRECTOR AND VICE CHAIR
- Total calculated
- $800
- From this org
- $0
- From related orgs
- $800
- Other
- $0
- Hours/week
- 1 + 2 related
-
Lee S SeeseLEE S SEESE
DIRECTOR AND TREASURER
- Total calculated
- $800
- From this org
- $0
- From related orgs
- $800
- Other
- $0
- Hours/week
- 1 + 2 related
-
Kenneth Byom DoKENNETH BYOM DO
DIRECTOR AND SECRETARY
- Total calculated
- $400
- From this org
- $0
- From related orgs
- $400
- Other
- $0
- Hours/week
- 1 + 2 related
-
Maria RodriguezMARIA RODRIGUEZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
John HintzeJOHN HINTZE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
Lynda KrellwitzLYNDA KRELLWITZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Katie BrietzmanKATIE BRIETZMAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Tom BergerudTOM BERGERUD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Kevin CollinsKEVIN COLLINS
CHIEF COMPLIANCE OFFICER
- Total calculated
- $379,525
- From this org
- $0
- From related orgs
- $360,904
- Other
- $18,621
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $325,904 related
- Bonus
- $0 + $35,000 related
- Other
- $0
- Deferred
- $0 + $13,165 related
- Nontaxable benefits
- $0 + $5,456 related
- Filer's total
- $0 + $379,525 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 CEO/EXECUTIVE DIRECTOR IS PAID BY A RELATED ORGANIZATION, MY CHOICE WISCONSIN, INC., WHICH USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: (1) COMPENSATION COMMITTEE (2) COMPENSATION SURVEY OR STUDY AND (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
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.
-
501(C)(3) · CARE MGMT · WI
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by MY CHOICE WISCONSIN INC
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 15 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202403209349316340
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