Group Health Cooperative of South Central Wi

Nonprofit profile at a glance

EIN
391199466
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Madison, WI, USA
Phone
6082514156
Rating
81
Verdict
STRONG
Rating confidence
Moderate
Sector
Group Health Practice (Health Maintenance Organizations)

Official website

Reported finances

Revenue
$518,144,018
Expenses
$503,382,472
Assets
$150,968,697
Liabilities
$94,849,787

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

29 people listed

Executive titles in this filing

  • ANN HOYT (PRESIDENT)
  • COLLEEN GULLICKSON (VICE-PRESIDENT)
  • MARK HUTH (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • MARK HUTH (CHIEF EXECUTIVE OFFICER): $701,216 total reported compensation
  • CHRISTIAN KASTMAN MD (CHIEF MEDICAL OFFICER): $571,430 total reported compensation
  • KRISTOPHER DENBY MD (CHIEF DERMATOLOGIST;BOARD MEMBER): $546,929 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Mission: we partner with members and the communities we serve to maximize health and well-being. (continued on schedule o)

What it reported doing in 2024

Group health cooperative of south central Wisconsin (ghc) contracts with business organizations and individuals in the state of Wisconsin to provide comprehensive medical care benefits in exchange for prepaid premiums. Services as defined by the secretary of the u.s. Department of health and human services are provided to subscribers as needed, and generally without limitation as to time and cost. Ghc is a staff-model hmo, whereby the clinic-based physicians are employees of and work exclusively for ghc. Ghc operates six clinics in the madison metropolitan area. Ghc's enrollment as of december 31, 2024 was 73,182. In addition to providing hmo benefits and daily patient care, ghc s mission is to contribute to and aid community organizations, perform good deeds and to make dane county a better place to live. As of december 31, 2024, the deforest clinic was no longer in operation and listed for sale.

Operating model

Revenue model
Earned-program. 99% of the money available for current operations came from fees and other program revenue.
Distribution model
Member-benefit provider. The nonprofit used 76% of its reported program spending for member benefits.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Total assets are small relative to annual expenses; liquid coverage is unknown and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 82
  • Transparency & Controls: 81
  • Accountability: 90
  • Sustainability: 36
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 91.3%; rating input score 91
  • Program expense ratio: 94.2%; rating input score 94
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 90.1%; rating input score 90; 22nd percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 81.8%; rating input score 82; 29th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 2.8%; rating input score 47; 47th percentile among comparable filings
  • Total-asset coverage ratio: 0.3; rating input score 10; 10th percentile among comparable filings
  • Liabilities to assets ratio: 0.63; rating input score 26; 26th percentile among comparable filings
  • Officer compensation ratio: 1.3%; rating input score 68; 68th percentile among comparable filings

Growth

  • Program expense growth: 3.6% per year; rating input score 100; 28th percentile among comparable filings
  • Revenue growth: 4.3% per year; rating input score 100; 35th percentile among comparable filings
  • Asset growth: -0.9% per year; rating input score 0; 6th percentile among comparable filings

Details

  • Where the money goes: 91.3% of revenue deployed · 94.2% of spending went to programs
  • Governance: 9 of 11 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $474.3M in reported program spending
  • Leadership: top reported pay $701K · 29 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $306M reported
  • Consistency: 38 of 39 current checks pass · 1 finding to review
  • Schedules: 6 filed schedules · includes grants and executive pay
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 37 filed money-flow records
  • Related organizations: 9 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Total-asset coverage ratio scored 10/100.
  • Moderate — Sustainability: Operating margin scored 47/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Liabilities to assets ratio scored 26/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.