STRATEGY STUDIO / PUBLIC DATA EXPLORER

NORTHERN HEALTH CENTERS INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
NORTHERN HEALTH CENTERS INC (EIN 39-1550213)
Tax period
2017-02-01 to 2018-01-31
Filed
2019-05-14
IRS object ID
201921349349304647
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-14T12:48:56-05:00ReturnTs
Tax Period End2018-01-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-02-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391550213EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHERN HEALTH CENTERS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone7152766321PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 179AddressLine1Txt
CityLAKEWOODCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54138ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELE WHITEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7152766321PhoneNum
Signature2018-11-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP00023289PTIN
Phone7153691040PhoneNum
Preparation2018-11-02PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.83.221.74IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-02IPDt
IP Tm09:23:33IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdAD09AC63139321B3FD3DE7C115A9F3C08AC4C8C5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELE WHITEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 179AddressLine1Txt
CityLAKEWOODCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54138ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,276,275GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NHCMEDDEN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO IMPROVE OUR COMMUNITY HEALTH BY PROVIDING ALL PERSONS A COMPREHENSIVE PROGRAM OF QUALITY FAMILY ORIENTED PRIMARY HEALTH CARE SERVICES REGARDLESS OF ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee69TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,608,671PYContributionsGrantsAmt
CY Contributions Grants$1,659,430CYContributionsGrantsAmt
PY Program Service Revenue$3,619,273PYProgramServiceRevenueAmt
CY Program Service Revenue$3,531,157CYProgramServiceRevenueAmt
PY Investment Income$84PYInvestmentIncomeAmt
CY Investment Income$106CYInvestmentIncomeAmt
PY Other Revenue$1,718PYOtherRevenueAmt
CY Other Revenue$85,582CYOtherRevenueAmt
PY Total Revenue$5,229,746PYTotalRevenueAmt
CY Total Revenue$5,276,275CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,872,731PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,763,470CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,206,793PYOtherExpensesAmt
CY Other Expenses$2,331,293CYOtherExpensesAmt
PY Total Expenses$5,079,524PYTotalExpensesAmt
CY Total Expenses$5,094,763CYTotalExpensesAmt
PY Revenues Less Expenses$150,222PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$181,512CYRevenuesLessExpensesAmt
Total Assets BOY$2,169,115TotalAssetsBOYAmt
Total Assets EOY$2,273,408TotalAssetsEOYAmt
Total Liabilities BOY$1,025,632TotalLiabilitiesBOYAmt
Total Liabilities EOY$948,413TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,143,483NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,324,995NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE OUR COMMUNITY HEALTH BY PROVIDING ALL PERSONS A COMPREHENSIVE PROGRAM OF QUALITY FAMILY ORIENTED PRIMARY HEALTH CARE SERVICES REGARDLESS OF THEIR ABILITY TO PAY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,704,560ExpenseAmt
Grant$0GrantAmt
Revenue$3,616,157RevenueAmt
DescNORTHERN HEALTH CENTERS, INC. IS A FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN NORTHEAST WISCONSIN. WE ARE A COMMUNITY HEALTH CENTER SERVING A MEDICALLY UNDERSERVED POPULATION WITHIN A FIVE COUNTY RADIUS. THE SERVICES PROVIDED TO OUR PATIENT POPULATION ARE MEDICAL, DENTAL, BEHAVIORAL HEALTH CARE AND ENABLING SERVICES. NHC CONTINUES TO PROVIDE PREVENTIVE DENTAL SERVICES TO THE UNDERSERVED CHILDREN THROUGH OUR SEAL-A-SMILE PROGRAM WHICH WAS IMPLEMENTED IN 2010; WE HAVE INCREASED THE NUMBER OF SCHOOLS WE PROVIDE SEALANTS TO FROM 15 TO 24 SCHOOLS IN THREE COUNTIES. DURING THE 2017 FISCAL YEAR THE ORGANIZATION SERVED 7,937 PATIENTS WITH 19,476 TOTAL VISITS.Desc
Total Program Service Expenses$3,704,560TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document34IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee69EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHELE WHITEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7152766321PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115397 HWY 32AddressLine1Txt
CityLAKEWOODCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54138ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PAAL HANSEN
BOARD MEMBER1.00Yes (X)$0$0$0
KATIE HELMSTADLER
BOARD MEMBER1.00Yes (X)$0$0$0
JUDITH POPELKA
BOARD MEMBER (THRU NOVEMBER)1.00Yes (X)$0$0$0
RAY SCHEIFEN
BOARD MEMBER1.00Yes (X)$0$0$0
MARGARAT BLAIR
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
JANICE LIEBSCH
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
JEFFREY WHITING
SECRETARY/TREASURER1.00Yes (X)$0$0$0Yes (X)
MICHELE WHITE
EXECUTIVE DIRECTOR40.00$100,076$0$3,968Yes (X)
HOLLY LIPTACK
FINANCE DIRECTOR40.00$74,244$0$2,143Yes (X)
TED JUNG
DENTIST40.00$176,100$0$7,609Yes (X)
SHARON SHEPICH
DOCTOR40.00$128,774$0$4,550Yes (X)
JOEL SUPITA
DENTIST40.00$139,419$0$0Yes (X)
GRETCHEN TOLSMA
NURSE PRACTITIONER40.00$117,574$0$6,959Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$736,187TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$25,229TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BARTON ASSOCIATESBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 417844AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP022417844ZIPCd
FieldValueIRS element (for citing)
ServicesLOCUM TENAN DENTIST PROVIDERServicesDesc
Compensation$980,056CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$1,655,930GovernmentGrantsAmt
All Other Contributions$3,500AllOtherContributionsAmt
Total Contributions$1,659,430TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL & DENTAL SERVI621110$1,925,336$1,925,336
FQHC REIMBURSEMENTS621110$1,605,821$1,605,821
FieldValueIRS element (for citing)
Total Program Service Revenue$3,531,157TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$106TotalRevenueColumnAmt
Exclusion$106ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMEDICAID MEANINGFUL USDesc
Business621110BusinessCd
Total Revenue Column$85,000TotalRevenueColumnAmt
Related Or Exempt Func Income$85,000RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$582TotalRevenueColumnAmt
Exclusion$582ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$85,582OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,276,275TotalRevenueColumnAmt
Related Or Exempt Func Income$3,616,157RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$688ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$209,074TotalAmt
Management And General$209,074ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,125,479TotalAmt
Program Services$1,561,737ProgramServicesAmt
Management And General$563,742ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$32,287TotalAmt
Program Services$23,808ProgramServicesAmt
Management And General$8,479ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$218,225TotalAmt
Program Services$28,496ProgramServicesAmt
Management And General$189,729ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$178,405TotalAmt
Program Services$111,889ProgramServicesAmt
Management And General$66,516ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,248TotalAmt
Management And General$8,248ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,001TotalAmt
Management And General$25,001ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,182,171TotalAmt
Program Services$1,168,929ProgramServicesAmt
Management And General$13,242ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$23,080TotalAmt
Management And General$23,080ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$96,581TotalAmt
Program Services$6,856ProgramServicesAmt
Management And General$89,725ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$108,450TotalAmt
Program Services$108,450ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$155,695TotalAmt
Program Services$152,785ProgramServicesAmt
Management And General$2,910ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$30,678TotalAmt
Program Services$19,757ProgramServicesAmt
Management And General$10,921ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$27,552TotalAmt
Program Services$3,733ProgramServicesAmt
Management And General$23,819ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$26,964TotalAmt
Management And General$26,964ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$138,177TotalAmt
Program Services$124,359ProgramServicesAmt
Management And General$13,818ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$33,566TotalAmt
Management And General$33,566ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL & DENTAL SUPPLI$329,308$329,308
SMALL EQUIPMENT EXPENSE$64,707$42,443$22,264
DUES/MEMBERSHIPS$29,894$681$29,213
RECRUITING EXPENSE$23,534$23,534

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$27,687TotalAmt
Program Services$21,329ProgramServicesAmt
Management And General$6,358ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,094,763TotalAmt
Program Services$3,704,560ProgramServicesAmt
Management And General$1,390,203ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$29,040BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,385BOYAmt
EOY$789EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$447,630BOYAmt
EOY$600,911EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$169,409BOYAmt
EOY$267,449EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$42,421BOYAmt
EOY$41,779EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$34,238BOYAmt
EOY$26,163EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,130,754LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,798,087LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,437,342BOYAmt
EOY$1,332,667EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,650BOYAmt
EOY$3,650EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,169,115BOYAmt
EOY$2,273,408EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$317,557BOYAmt
EOY$338,782EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$708,075BOYAmt
EOY$609,631EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,025,632BOYAmt
EOY$948,413EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,143,483BOYAmt
EOY$1,324,995EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,143,483BOYAmt
EOY$1,324,995EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,169,115BOYAmt
EOY$2,273,408EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$181,512ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$862,570CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$980,791CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$997,611CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,608,671CurrentTaxYearMinus1YearAmt
Current Tax Year$1,659,430CurrentTaxYearAmt
Total$6,109,073TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$862,570CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$980,791CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$997,611CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,608,671CurrentTaxYearMinus1YearAmt
Current Tax Year$1,659,430CurrentTaxYearAmt
Total$6,109,073TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$6,109,073PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$198CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$142CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$213CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,799CurrentTaxYearMinus1YearAmt
Current Tax Year$106CurrentTaxYearAmt
Total$2,458TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,957CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,455CurrentTaxYearMinus3YearsAmt
Total$13,412TotalAmt
FieldValueIRS element (for citing)
Total Support$6,124,943TotalSupportAmt
Gross Receipts Rltd Activities$18,140,509GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99740PublicSupportCY170Pct
Public Support PY1700.99530PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$5,090OtherActivitiesAmt
Total Lobbying Expenditures$5,090TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS A MEMBER OF THE WISCONSIN PRIMARY HEALTH CARE ASSOCIATION (WPHCA). A PART OF THE MEMBERSHIP DUES PAID TO THE ORGANIZATION IS FOR LOBBYING EXPENDITURES. THE ORGANIZATION ADVOCATES TO ENSURE THAT THE VOICE OF THEIR MEMBERS AND THEIR PATIENTS ARE HEARD LEGISLATIVELY IN ADDITION TO THE MANY OTHER NON-LOBBYING BENEFITS PROVIDED.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,293OtherCostOrOtherBasisAmt
Book Value$84,293BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$861,148OtherCostOrOtherBasisAmt
Depreciation$428,336DepreciationAmt
Book Value$432,812BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$659,355OtherCostOrOtherBasisAmt
Depreciation$155,096DepreciationAmt
Book Value$504,259BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,525,958OtherCostOrOtherBasisAmt
Depreciation$1,214,655DepreciationAmt
Book Value$311,303BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,332,667TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,270,854TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$5,270,854RevenueSubtotalAmt
Other Revenues Not Included$5,421OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$5,421RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,276,275TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,089,342TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,089,342ExpensesSubtotalAmt
Other Expenses Not Included$5,421OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,421ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,094,763TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION IS A NON-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL TAX ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES. THE ORGANIZATION ASSESSES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OR THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 5,421.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 5,421.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonTED JUNGPersonNm
TitleDENTISTTitleTxt
Base Compensation Filing Org$176,100BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$3,193DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$4,416NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$183,709TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE AUDITING FIRM PRESENTED COMPREHENSIVE AUDIT INFORMATION DIRECTLY TO THE BOARD OF DIRECTORS. A COPY WAS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. THE BOARD REVIEWS AND APPROVES THE FORM 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CBOTH STAFF AND BOARD OF DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT IDENTIFYING ANY CONFLICTS ON AN ANNUAL BASIS. IF A BOARD MEMBER BELIEVES THAT HE/SHE, A MEMBER OF HIS/HER IMMEDIATE FAMILY OR PARTNER HAS A FINANCIAL INTEREST IN A CONTRACT WITH THE ORGANIZATION, HE/SHE MUST IMMEDIATELY DISCLOSE THIS IN WRITING TO THE BOARD PRESIDENT. NO BOARD MEMBER MAY VOTE ON ANY MATTER WHICH MAY DIRECTLY OR INDIRECTLY RESULT IN FINANCIAL GAIN TO THAT BOARD MEMBER., OR WHICH MAY CONFLICT WITH THAT MEMBER'S OBLIGATIONS TO ANOTHER ORGANIZATION'S BOARD OF DIRECTORS OR TO HI/HER EMPLOYER. THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING ANY CONFLICTS OF INTEREST AND ADDRESSING ANY ISSUES AS A RESULT OF THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS DETERMINED BY PERFORMANCE COUPLED WITH PREVAILING INDUSTRY STANDARDS AND THE CURRENT NACHC COMPENSATION REPORT. THE COMPENSATION OF THE CEO IS APPROVED BY THE BOARD OF DIRECTORS AND COMPARED TO THE NACHC COMPENSATION REPORT ANNUALLY. THE CFO COMPENSATION IS APPROVED BY THE CEO AND COMPARED TO THE NACHC COMPENSATION REPORT ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUEMNTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMETNS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 93,740. MANAGEMENT AND GENERAL EXPENSES 13,242. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,982. LAB SERVICES: PROGRAM SERVICE EXPENSES 89,339. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,339. DENTAL SERVICES: PROGRAM SERVICE EXPENSES 985,850. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 985,850.