2020-08-07T12:18:42-05:00 2019-09-30 390747409 REILLY PENNER & BENTON LLP 1233 NORTH MAYFAIR ROAD SUITE 302 MILWAUKEE WI 532263255 990 2018-10-01 391958089 GERALD L IGNACE INDIAN HEALTH CENTER INC GERA 4143839526 930 W HISTORIC MITCHELL ST MILWAUKEE WI 53204 DR LYLE A IGNACE MD MPH EXECUTIVE DIRECTOR 4143839526 2020-07-17 1 BRIAN MECHENICH P00976753 4142717800 2020-07-17 107.133.53.121 2020-07-17 13:53:03 CD P 78EB549AE6B71E77BACA88D940E1F2BE6655E1B2 21878475B3424AFB26FBE6A04D20D1883E01478E 2018 2020-09-23 17:36:50Z DR LYLE A IGNACE MD 930 W HISTORIC MITCHELL ST MILWAUKEE WI 53204 8436162 0 X WWW.GLIIHC.NET X 1999 WI TO PROVIDE HEALTH CARE AND RELATED SERVICES PRIMARILY TO AMERICAN INDIANS RESIDING IN SOUTHEASTERN WISCONSIN. IT'S MISSION IS TO IMPROVE THE HEALTH, PEACE AND WELFARE OF MILWAUKEE'S URBAN INDIAN COMMUNITY. 9 9 85 9 0 0 6265321 5510153 2066610 2777967 37299 37727 41303 83976 8410533 8409823 64498 73878 0 0 4075459 4375418 0 0 25698 4275421 4852324 8415378 9301620 -4845 -891797 6140499 5358983 2543180 2653461 3597319 2705522 TO PROVIDE MEDICAL, DENTAL, PHARMACEUTICAL, MENTAL HEALTH AND RELATED SERVICES PRIMARILY TO AMERICAN INDIANS RESIDING IN SOUTHEASTERN WISCONSIN. MISSION IS TO IMPROVE THE HEALTH, PEACE AND WELFARE OF MILWAUKEE'S URBAN INDIAN COMMUNITY. 0 0 9098128 73878 2777967 WE PROVIDE MEDICAL, MENTAL HEALTH, SUBSTANCE ABUSE, DENTAL AND PHARMACEUTICAL SERVICES, SOCIAL SERVICES, HEALTH EDUCATION, FAMILY PLANNING, A DIABETES PROGRAM AND SOME LABORATORY SERVICES AT OUR CLINIC LOCATION. WE ALSO PROVIDE ENABLING SERVICES SUCH AS PERSONAL CARE AND HOUSEHOLD ITEMS, CLOTHING, TRANSPORTATION FOR MEDICAL SERVICES, ASSISTANCE WITH MEDICAL PRESCRIPTIONS, CAREER ASSISTANCE AND SUPPORT GROUPS. REFERRALS FOR SPECIALTY CARE AND OTHER LABORATORY SERVICES ARE ALSO PROVIDED. 9098128 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 28 0 1 85 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X CHERRIE DYETT 4143839526 930 W HISTORIC MITCHELL STREET MILWAUKEE WI 53204 STEVE NINHAM CHAIRPERSON 1.00 X X 0 0 0 ANNE EGAN-WAUKAU VICE CHAIRPERSON 1.00 X X 0 0 0 SIOBHAN KALMANSON MARKS SECRETARY 1.00 X X 0 0 0 CANDICE ZIELINSKI MEMBER 1.00 X 0 0 0 SUSAN DAVIDS MEMBER 1.00 X 0 0 0 BRIAN PIERSON MEMBER 1.00 X 0 0 0 KIRK RITCHIE MEMBER 1.00 X 0 0 0 JODI SOWINSKI TREASURER 1.00 X X 0 0 0 MARK THIEL MEMBER 1.00 X 0 0 0 DR LYLE IGNACE EXECUTIVE DIRECTOR 40.00 X 175344 0 31749 EUGENE BRAAKSMA EMPLOYEE 40.00 X 104099 0 33557 PAUL GINKEL EMPLOYEE 40.00 X 110447 0 19040 HUGO GOITIA EMPLOYEE 40.00 X 114198 0 38215 GEORGETTE LUCEY-DURRANI EMPLOYEE 40.00 X 106169 0 39764 610257 0 162325 7 0 1 0 0 5341686 168467 26333 5510153 CLINICAL REVENUE 624100 2775685 2775685 OTHER PROGRAM REVENUE 624100 2282 2282 2777967 37727 37727 11173 0 11173 11173 11173 61551 26339 35212 35212 ADMINISTRATIVE REVENUE 624100 37591 37591 37591 8409823 2777967 0 121703 X 73878 73878 232536 210927 21609 3140761 3119843 20918 704592 703989 603 297529 294246 3283 68508 68237 271 40586 36528 4058 933835 907447 26388 258 258 437371 434135 2829 407 564504 498882 65622 67449 67059 390 26780 22688 4092 76109 76109 215054 210673 4381 45632 44345 1287 BAD DEBT EXPENSE 2016573 2016573 EQUIPMENT & SOFTWARE PU 73160 71908 1252 BANK CHARGES & PAYROLL 52454 47438 5016 EMPLOYEE WELFARE 44367 40018 4349 189684 152947 11446 25291 9301620 9098128 177794 25698 69521 190622 658731 392633 434943 358235 3370491 2998361 118105 71100 96203 100367 1637693 599181 1241505 1038512 151000 209153 6140499 5358983 624790 678060 727 68175 1917663 1907226 2543180 2653461 X 3597319 2705522 3597319 2705522 6140499 5358983 -891797 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 933459 218286 715173 704234 380895 323339 1038512 X 8409823 0 8409823 0 8409823 9301620 0 9301620 0 9301620 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS IMPLEMENTED ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THIS STANDARD DESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DERECOGNIZING, INTEREST, PENALTIES AND DISCLOSURE REQUIRED. MANAGEMENT EVALUATES THE UNCERTAIN TAX POSITIONS TAKEN REGARDING UNRELATED BUSINESS INCOME TAXES, IF ANY, AND CONSULTS WITH OUTSIDE COUNSEL AS DEEMED NECESSARY. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX LIABILITIES IN INCOME TAX EXPENSE. GALA 61551 0 61551 22976 3363 0 61551 61551 22976 3363 26339 35212 0 CLOTHING AND HOUSEHOLD GOODS 1250 73878 FMV CLOTHING, HOUSEHOLD GOODS AND PERSONAL CARE ITEMS. X X X 0 0 0 0 0 0 0 0 0 DR LYLE IGNACE EXECUTIVE DIRECTOR 175344 0 0 0 0 0 900 0 30849 0 207093 0 0 0 HUGO GOITIA EMPLOYEE 114198 0 0 0 0 0 0 0 38215 0 152413 0 0 0 X 26333 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE FINANCE COMMITTEE AND PRESENTED TO THE BOARD BY THE TREASURER. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST IS MONITORED BY THE BOARD PRESIDENT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS, USING NON-PROFIT COMPENSATION SURVEY, AN ANNUAL EMPLOYEE REVIEW, AND SALARY STUDY. FINAL APPROVAL OF THE DECISION IS MADE BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 ALL REQUESTS ARE MADE THROUGH THE EXECUTIVE ASSISTANT WHO THEN CONFERS WITH THE EXECUTIVE DIRECTOR. COPIES OF THESE DOCUMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 816,274. MANAGEMENT AND GENERAL EXPENSES 16,835. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 833,109. OUTSIDE LAB FEES: PROGRAM SERVICE EXPENSES 13,762. MANAGEMENT AND GENERAL EXPENSES 1,276. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,038. CONSULTING: PROGRAM SERVICE EXPENSES 3,611. MANAGEMENT AND GENERAL EXPENSES 77. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,688. FINANCIAL CONSULTING: PROGRAM SERVICE EXPENSES 73,800. MANAGEMENT AND GENERAL EXPENSES 8,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,000. FORM 990, PART XI, LINE 2C: THE PROCESS FOR THE OVERSIGHT OF THE AUDIT HAS NOT CHANGED SINCE THE PRIOR YEAR. PHOENIX MITCHELL LLC 1818 N FARWELL AVENUE MILWAUKEE WI 53202 OWNERSHIP OF BUILDING THE ORGANIZATION RENTS WI RENT 0 1 0.25000 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 PHOENIX MITCHELL LLC F 36000 AMOUNT RECEIVED PHOENIX MITCHELL LLC K 420000 FMV PHOENIX MITCHELL LLC P 71966 FMV