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← CHORUS COMMUNITY HEALTH PLANS INC

Form 990 for tax year 2024

Filed by CHORUS COMMUNITY HEALTH PLANS INC.

Totals

Total revenue
$448,739,819
Total expenses
$461,702,734
Contributions and grants received
$0
Grants paid
$16,612
Program service revenue
$441,042,022
Investment income
$7,667,211
Other revenue
$30,586
Total assets, end of year
$258,666,022
Total liabilities, end of year
$90,561,578
Net assets or fund balances, end of year
$168,104,444
Program services expenses (Part IX)
$446,999,415
Management and general expenses
$14,703,319
Fundraising expenses
$0
Program service expenses (Part III)
$446,999,415

Program services were 96.8% 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: PREMIUM REVENUE

    total $423,338,298 · related or exempt $423,338,298

  • 2b · Program service revenue: FOSTER CARE MEDICAL HOME PIHP

    total $17,703,724 · related or exempt $17,703,724

  • 3 · Investment income

    total $7,667,561 · excluded $7,667,561

  • 7a · Gross sales of assets other than inventory

    securities $10,000

  • 7b · Less cost or other basis and sales expenses

    securities $10,350

  • 7c · Gain or loss

    securities -$350

  • 7d · Net gain or loss

    total -$350 · excluded -$350

  • 11a · Other revenue: OTHER REVENUE

    total $30,586 · related or exempt $30,586

  • 11e · Other revenue, total

    $30,586

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $16,612 · program services $16,612

  • 4 · Benefits paid to or for members

    total $391,298,661 · program services $391,298,661

  • 5 · Compensation of officers, directors and key employees

    total $380,879 · management and general $380,879

  • 7 · Other salaries and wages

    total $11,187,702 · program services $7,242,856 · management and general $3,944,846

  • 8 · Pension plan contributions

    total $546,390 · program services $358,755 · management and general $187,635

  • 9 · Other employee benefits

    total $1,437,242 · program services $902,869 · management and general $534,373

  • 10 · Payroll taxes

    total $794,594 · program services $514,416 · management and general $280,178

  • 11a · Fees: management

    total $3,091,408 · management and general $3,091,408

  • 11c · Fees: accounting

    total $78,527 · management and general $78,527

  • 11d · Fees: lobbying

    total $38,950 · management and general $38,950

  • 11f · Fees: investment management

    total $137,331 · management and general $137,331

  • 11g · Fees: other

    total $29,931,073 · program services $24,440,380 · management and general $5,490,693

  • 12 · Advertising and promotion

    total $142,965 · management and general $142,965

  • 13 · Office expenses

    total $9,054 · program services $3,443 · management and general $5,611

  • 14 · Information technology

    total $1,287,779 · program services $39,185 · management and general $1,248,594

  • 16 · Occupancy

    total $11,970 · program services $11,970

  • 17 · Travel

    total $23,470 · program services $9,823 · management and general $13,647

  • 19 · Conferences, conventions and meetings

    total $2,232 · program services $589 · management and general $1,643

  • 22 · Depreciation, depletion and amortization

    total $89,660 · management and general $89,660

  • 24a · Other expenses: FOSTER CARE MEDICAL HOM

    total $17,053,658 · program services $17,053,658

  • 24b · Other expenses: PREMIUM RESERVE DEFICIE

    total $4,283,000 · program services $4,283,000

  • 24c · Other expenses: OTHER EXPENSES

    total $1,049,991 · program services $823,198 · management and general $226,793

  • 24d · Other expenses: DEF ST INC TAX BENEFIT

    total -$1,190,414 · management and general -$1,190,414

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $507,966 · end of year $745,410

  • 2 · Savings and temporary cash investments

    beginning of year $176,234,454 · end of year $160,481,671

  • 4 · Accounts receivable

    beginning of year $65,138,170 · end of year $67,063,381

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,274,925 · end of year $1,198,783

  • 10a · Land, buildings and equipment: cost or other basis

    $448,301

  • 10b · Land, buildings and equipment: accumulated depreciation

    $313,811

  • 10c · Land, buildings and equipment, net

    beginning of year $224,150 · end of year $134,490

  • 11 · Investments: publicly traded securities

    beginning of year $24,116,212 · end of year $25,351,002

  • 15 · Other assets

    beginning of year $1,312,518 · end of year $3,691,285

  • 17 · Accounts payable and accrued expenses

    beginning of year $78,861,954 · end of year $84,705,849

  • 19 · Deferred revenue

    beginning of year $1,826,599 · end of year $1,769,326

  • 25 · Other liabilities

    beginning of year $7,183,912 · end of year $4,086,403

  • 27 · Net assets without donor restrictions

    beginning of year $180,935,930 · end of year $168,104,444

Mission and programs · 2024

Mission

CHORUS COMMUNITY HEALTH PLANS, INC. ("CCHP"), A SUBSIDIARY OF CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), IS A HEALTH MAINTENANCE ORGANIZATION DEDICATED TO PROVIDING ACCESS TO THE HIGHEST QUALITY HEALTH CARE AND SERVICES TO MEMBERS.

Activities or mission (Part I)

TO PROVIDE ACCESS TO QUALITY HEALTH CARE AND SERVICES TO ITS MEMBERS IN WI.

  • CCHP'S PURPOSE IS TO PROMOTE ACCESS TO HEALTHCARE SERVICES FOR LOW-INCOME CHILDREN AND CERTAIN OTHER DISADVANTAGED RESIDENTS OF THE STATE OF WISCONSIN, AND TO PROMOTE OR SPONSOR PROGRAMS FURTHERING THE HEALTH OF ITS MEMBERS AND THE LARGER COMMUNITIES SERVED. CCHP IS AN HMO FOR WISCONSIN MEDICAID-ELIGIBLE INDIVIDUALS AND FAMILIES LIVING IN BROWN, CALUMET, DODGE, DOOR, EAU CLAIRE, FOND DU LAC, GRANT, GREEN LAKE, JEFFERSON, KENOSHA, KEWAUNEE, MANITOWOC, MARINETTE, MILWAUKEE, OCONTO, OUTAGAMIE, OZAUKEE, RACINE, ROCK, SHAWANO, SHEBOYGAN, WALWORTH, WASHINGTON, WAUKESHA, WAUPACA, WAUSHARA, AND WINNEBAGO COUNTIES IN WISCONSIN. THE MEDICAID ENROLLMENT AT THE END OF DECEMBER 2024 WAS 117,950 MEMBERS, AND THERE WERE 8,435 INPATIENT ADMISSIONS, 402,726 AMBULATORY ENCOUNTERS, AND 2,213 DELIVERIES IN 2024. THE PLAN ALLOWS MEMBERS TO CHOOSE FROM A LARGE NETWORK OF PROVIDERS, WHICH INCLUDED MORE THAN 11,500 PHYSICIANS, MORE THAN 13,400 NON PHYSICIANS, AND 102 HOSPITALS IN 2024. IN ADDITION, CCHP OFFERS HOME CARE AND MEDICAL EQUIPMENT PROVIDERS.

    Expenses $286,866,934 · Grants $16,612 · Revenue $293,278,205

  • CCHP SELLS INDIVIDUAL COMPREHENSIVE INSURANCE PLANS SUBJECT TO THE AFFORDABLE CARE ACT ON THE FEDERALLY FACILITATED MARKETPLACE AND OFF EXCHANGE DIRECTLY TO CONSUMERS. THERE WERE 13,391 MEMBERS ENROLLED AT THE END OF DECEMBER 2024. APPROXIMATELY 78 PERCENT OF THE POLICY HOLDERS RECEIVED AN ADVANCE PREMIUM TAX CREDIT (APTC), AND THESE CREDITS ACCOUNTED FOR 58 PERCENT OF THE PREMIUM REVENUE FROM MEMBERS. ADDITIONALLY, APPROXIMATELY 32 PERCENT OF THE ENROLLMENT MONTHS WERE ON SILVER PLANS THAT QUALIFIED FOR COST SUBSIDY REIMBURSEMENT (CSR), ALTHOUGH CMS NO LONGER PAYS THE SUBSIDY. CCHP ALSO STARTED TO SELL A STAND-ALONE DENTAL INSURANCE PLAN, WHICH HAD 174 MEMBERS ENROLLED AT THE END OF DECEMBER 2024.

    Expenses $142,521,848 · Revenue $130,090,679

  • CCHP RECORDED REVENUE AND EXPENSES FOR CHHS' FOSTER CARE MEDICAL HOME PROGRAM CALLED CARE4KIDS. CARE4KIDS IS A NON-RISK PREPAID INPATIENT HEALTH PLAN CONTRACT BETWEEN CHHS AND WISCONSIN MEDICAID THAT PROVIDES COMPREHENSIVE HEALTHCARE SERVICES FOR QUALIFYING FOSTER CHILDREN IN SOUTHEASTERN WISCONSIN. CCHP PROVIDES UTILIZATION MANAGEMENT AND A PROVIDER NETWORK, AND PROCESSES CLAIMS FOR THE PARTICIPANTS VIA A SUBCONTRACT AGREEMENT WITH CHHS. THERE WERE 2,803 FOSTER CHILDREN IN CARE4KIDS AT THE END OF DECEMBER 2024.

    Expenses $17,610,633 · Revenue $17,703,724

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Margaret Troythrough Aug 2024

    DIRECTOR/PRESIDENT & CEO CHHS

    Total calculated
    $2,658,331
    From this org
    $0
    From related orgs
    $2,589,483
    Other
    $68,848
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,409,156 related
    Bonus
    $0 + $610,262 related
    Other
    $0 + $570,065 related
    Deferred
    $0 + $25,300 related
    Nontaxable benefits
    $0 + $43,548 related
    Filer's total
    $0 + $2,658,331 related

  • Gil Peribeginning Aug 2024

    DIRECTOR/PRESIDENT & CEO CHHS

    Total calculated
    $913,550
    From this org
    $0
    From related orgs
    $743,059
    Other
    $170,491
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $447,226 related
    Bonus
    $0 + $150,000 related
    Other
    $0 + $145,833 related
    Deferred
    $0 + $145,833 related
    Nontaxable benefits
    $0 + $24,658 related
    Filer's total
    $0 + $913,550 related

  • Mark Rakowski

    DIRECTOR/PRESIDENT CCHP AND SVP CHHS

    Total calculated
    $901,675
    From this org
    $0
    From related orgs
    $727,724
    Other
    $173,951
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $498,494 related
    Bonus
    $0 + $125,426 related
    Other
    $0 + $103,804 related
    Deferred
    $0 + $111,766 related
    Nontaxable benefits
    $0 + $62,185 related
    Filer's total
    $0 + $901,675 related

  • James Purko

    DIRECTOR/CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Mary Hannes

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Mark Hogan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Dani Machata

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Ben Melson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Thomas Precia

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Michael Silver

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Clark Slipher

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Ralph Weber

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Marc Cadieux

    TREASURER/SVP & CFO

    Total calculated
    $1,272,574
    From this org
    $0
    From related orgs
    $1,134,229
    Other
    $138,345
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $713,591 related
    Bonus
    $0 + $215,665 related
    Other
    $0 + $204,973 related
    Deferred
    $0 + $137,499 related
    Nontaxable benefits
    $0 + $846 related
    Filer's total
    $0 + $1,272,574 related

  • Leslie Tector

    SECRETARY/SVP & CHIEF LEGAL OFFICER

    Total calculated
    $801,256
    From this org
    $0
    From related orgs
    $694,284
    Other
    $106,972
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $519,906 related
    Bonus
    $0 + $108,594 related
    Other
    $0 + $65,784 related
    Deferred
    $0 + $85,450 related
    Nontaxable benefits
    $0 + $21,522 related
    Filer's total
    $0 + $801,256 related

  • Michael Boeder

    VICE PRESIDENT/COO CCHP

    Total calculated
    $380,880
    From this org
    $350,598
    From related orgs
    $0
    Other
    $30,282
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $263,725
    Bonus
    $50,978
    Other
    $35,895
    Deferred
    $25,300
    Nontaxable benefits
    $4,982
    Filer's total
    $380,880

  • Julie Antholine

    DIR HEALTH PLAN OPERATIONS

    Total calculated
    $264,180
    From this org
    $181,207
    From related orgs
    $0
    Other
    $82,973
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,875
    Bonus
    $17,155
    Other
    $1,177
    Deferred
    $15,139
    Nontaxable benefits
    $67,834
    Filer's total
    $264,180

  • Kelly Hodges MD

    ASSOCIATE CHIEF MEDICAL OFFICER

    Total calculated
    $354,140
    From this org
    $331,932
    From related orgs
    $0
    Other
    $22,208
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $269,575
    Bonus
    $30,026
    Other
    $32,331
    Deferred
    $18,186
    Nontaxable benefits
    $4,022
    Filer's total
    $354,140

  • Michael Pelyhes

    HEALTH PLAN PHARMACY DIRECTOR

    Total calculated
    $264,895
    From this org
    $197,668
    From related orgs
    $0
    Other
    $67,227
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $178,635
    Bonus
    $18,809
    Other
    $224
    Deferred
    $8,299
    Nontaxable benefits
    $58,928
    Filer's total
    $264,895

  • James Slawson MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $496,976
    From this org
    $424,218
    From related orgs
    $0
    Other
    $72,758
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $354,240
    Bonus
    $55,138
    Other
    $14,840
    Deferred
    $21,850
    Nontaxable benefits
    $50,908
    Filer's total
    $496,976

  • Jacqueline Whelan

    VP QUALITY AND ANALYTICS

    Total calculated
    $296,072
    From this org
    $218,456
    From related orgs
    $0
    Other
    $77,616
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $180,337
    Bonus
    $23,831
    Other
    $14,288
    Deferred
    $16,802
    Nontaxable benefits
    $60,814
    Filer's total
    $296,072

  • Michelle Mettner

    FORMER OFFICER

    Total calculated
    $173,872
    From this org
    $0
    From related orgs
    $173,846
    Other
    $26
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $173,846 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $26 related
    Filer's total
    $0 + $173,872 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

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
CCHP RELIED UPON CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE CORPORATE MEMBER OF CCHP, TO ESTABLISH THE COMPENSATION OF CCHP'S PRESIDENT. CHHS USED ITS INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, A COMPENSATION SURVEY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION.
PART I, LINE 4B
IN 2024, THERE WAS A CHHS EXECUTIVE FLEXIBLE BENEFIT PLAN IN PLACE WHICH WAS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F) PLAN). THE CORPORATION CONTRIBUTES 10% OF EACH PARTICIPATING EXECUTIVE'S SALARY. THE AMOUNTS OF EMPLOYER CONTRIBUTIONS TO THIS PLAN FOR PARTICIPATING EXECUTIVES IN 2024 WERE AS FOLLOWS: G. PERI, $145,833; M. CADIEUX, $112,199; L. TECTOR, $63,600; AND M. RAKOWSKI $83,016. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2024 WERE: M. CADIEUX, $90,953, AND M. RAKOWSKI, $41,719.
PART I, LINE 7
CERTAIN LEADERS PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT PROVIDES COMPENSATION BASED ON ACHIEVING SPECIFIC PRE-DEFINED GOALS. INCENTIVE CRITERIA ARE COMPRISED OF BOTH SYSTEM LEVEL AND LEADER SPECIFIC COMPONENTS. SUCH CRITERIA PERTAIN TO MATTERS WITHIN THE LEADER'S AREA OF RESPONSIBILITY, AS WELL AS ACHIEVEMENT OF OVERALL STRATEGIC OBJECTIVES OF THE ORGANIZATION AND ITS AFFILIATES IN ALIGNMENT WITH SYSTEM-WIDE BALANCED MEASURES.
FORM 990, PART VII, COLUMN E & SCHEDULE J, PART II:
SALARIES PAID BY RELATED ORGANIZATIONS: 1. GIL PERI, DIRECTOR OF CCHP AND PRESIDENT & CEO OF CHHS (BEGINNING IN AUGUST 2024), MARGARET TROY, DIRECTOR OF CCHP AND PRESIDENT & CEO OF CHHS (THROUGH AUGUST 2024), MARK RAKOWSKI, PRESIDENT AND DIRECTOR OF CCHP AND SVP OF CHHS, MARC CADIEUX, TREASURER OF CCHP AND SVP & CFO OF CHHS, LESLIE TECTOR, SECRETARY OF CCHP AND SVP & CHIEF LEGAL OFFICER OF CHHS, AND MICHELLE METTNER, FORMER SECRETARY OF CCHP - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS. SERVICES BY MS. TROY, MR. PERI, AND MR. RAKOWSKI AS MEMBERS OF THE BOARD OF DIRECTORS OF CCHP WERE PROVIDED AS PART OF THEIR POSITIONS OF CHHS.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • WEST ALLIS PRESCRIPTION CENTER INC

    C · PHARMACY · WI

  • WAUWATOSA PRESCRIPTION CENTER INC SKYWALK PHARMACY

    C · PHARMACY · WI

Provenance

Return type
form_990
Tax year
2024
Filed
12 November 2025
IRS schema version
2024v5.2
Source object
202513189349303226

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