CHILDRENS COMMUNITY HEALTH PLAN INC
PO BOX 1997 MS 900, MILWAUKEE, WI 532011997 childrenscommunityhealthplan.org

Total Revenue
$365,734,131
Total Expenses
$337,390,130
Net Assets
$102,889,044

Organizations Filed Purposes: CHILDREN'S COMMUNITY HEALTH PLAN, 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.

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, DOOR, FOND DU LAC, FOREST, GREEN LAKE, LINCOLN, JEFFERSON, KENOSHA, KEWAUNEE, MANITOWOC, MARINETTE, MILWAUKEE, OCONTO, ONEIDA, OUTAGAMIE, OZAUKEE, RACINE, ROCK, SHAWANO, SHEBOYGAN, VILAS, WALWORTH, WAUKESHA, WAUSHARA, WASHINGTON, WAUPACA, AND WINNEBAGO COUNTIES IN WISCONSIN. THE MEDICAID ENROLLMENT AT THE END OF DECEMBER 2019 WAS 120,827 MEMBERS, AND THERE WERE 10,135 INPATIENT ADMISSIONS, 403,232 AMBULATORY ENCOUNTERS, AND 2,856 DELIVERIES IN 2019. THE PLAN ALLOWS MEMBERS TO CHOOSE FROM A LARGE NETWORK OF PROVIDERS, WHICH INCLUDED MORE THAN 9,000 PHYSICIANS, 8,000 NON PHYSICIANS, AND OVER 60 HOSPITALS IN 2019. IN ADDITION, CCHP OFFERS HOME CARE, MEDICAL EQUIPMENT PROVIDERS AND THE CCHP NURSELINE FOR ITS MEMBERS.

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 10,068 MEMBERS ENROLLED AT THE END OF DECEMBER 2019. APPROXIMATELY 75 PERCENT OF THE POLICY HOLDERS RECEIVED AN ADVANCE PREMIUM TAX CREDIT (APTC), AND THESE CREDITS ACCOUNTED FOR 62 PERCENT OF THE PREMIUM REVENUE FROM MEMBERS. ADDITIONALLY, APPROXIMATELY 34 PERCENT OF THE ENROLLMENT MONTHS WERE ON SILVER PLANS THAT QUALIFIED FOR COST SUBSIDY REIMBURSEMENT (CSR), ALTHOUGH CMS NO LONGER PAYS THE SUBSIDY.

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 3,214 FOSTER CHILDREN IN CARE4KIDS AT THE END OF DECEMBER 2019.

Executives Listed on Filing

Total Salary includes financial earnings, benefits, and all related organization earnings listed on tax filing

NameTitleHours Per WeekTotal Salary
Lynn MaskelMEDICAL DIR CLINICAL SERVICES28$176,551
Lynn KryfkeEXEC DIR HEALTH PLAN CLIN SVCS40$149,847
James SlawsonCHIEF MEDICAL OFFICER CCHP40$137,522
Julie AntholineDIR HEALTH PLAN OPERATIONS40$132,721
Michael BoederEXEC DIR HEALTH PLAN OPS40$123,640
Michael SilverDIRECTOR1$0
Clark SlipherDIRECTOR1$0
James PurkoDIRECTOR/CHAIR1$0
Thomas PreciaDIRECTOR1$0
Ben MelsonDIRECTOR1$0
David DruryDIRECTOR1$0
Mark RakowskiVP CCHP0$0
Michelle MettnerSECRETARY0$0
Marc CadieuxTREASURER0$0
Robert DuncanDIRECTOR/PRESIDENT0$0
Margaret TroyDIRECTOR/CHHS PRESIDENT0$0

Data for this page was sourced from XML published by IRS (public 990 form dataset) from: https://s3.amazonaws.com/irs-form-990/202023189349306732_public.xml