2016-09-15T16:07:39-05:00 2016-01-31 390758449 Wipfli LLP 43A W Davenport Street Rhinelander WI 54501 990 2015-02-01 391550213 NORTHERN HEALTH CENTERS INC NORT 7152766321 PO BOX 179 LAKEWOOD WI 54138 Michele White Executive Director 7152766321 2016-09-15 1 RANDALL H BEARD CPA P00023289 7153691040 2016-09-15 2015 2017-02-10 21:41:12Z MICHELE WHITE PO BOX 179 LAKEWOOD WI 54138 4844355 0 X www.nhcmedden.com X 1986 WI To improve our community health by providing all persons a comprehensive program of quality family oriented primary health care services regardless of ability to pay. 9 9 81 0 0 0 997391 1007556 3774512 3836799 0 0 6455 0 4778358 4844355 0 0 0 0 3608082 3409158 0 0 0 1350232 1614292 4958314 5023450 -179956 -179095 2561773 2199459 1389417 1206198 1172356 993261 TO 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. 0 0 3674228 3836799 Northern 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. 3674228 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 33 0 81 1 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 WI X MICHELE WHITE 7152766321 15397 Hwy 32 LAKEWOOD WI 54138 MaRGARAT BLAIR Vice PRESIDENT 1.00 X X 0 0 0 GERALD GERBERS bOARD MEMBER 1.00 X 0 0 0 JANICE LEIBSH SECRETARY 1.00 X X 0 0 0 JEFFREY WHITING bOARD MEMBER 1.00 X 0 0 0 Bob Brown BOARD MEMBER 1.00 X 0 0 0 paal hansen PRESIDENT 1.00 X X 0 0 0 JUDITH POPELKA BOARD MEMBER 1.00 X 0 0 0 Ray Scheifen Board Member 1.00 X 0 0 0 PATRICIA KUNZ BoaRD MEMBER 1.00 X 0 0 0 MICHELE WHITE EXECUTIVE DIRECTOR 41.00 X 105000 0 12344 HOLLY LIPTACK Finance Director 40.00 X 63523 0 5825 TED JUNG DENTIST 40.00 X 170382 0 19301 STEPHANIE REIMER DENTIST 40.00 X 156868 0 14445 SHARON SHEPICH DOCTOR 40.00 X 144905 0 14442 Lance Orlinski Dentist 40.00 X 123728 0 13388 Jamie Madigo DENTIST 40.00 X 119681 0 10114 884087 0 89859 6 0 1 0 United HealthCare 10701 W Research Drive Milwaukee WI 53226 Health Insurance for Employees 256627 1 997611 9945 1007556 MEDICAL & DENTAL SERVI 621110 2075138 2075138 FQHC Reimbursements 621110 1664625 1664625 Nursing Revenue 621110 97036 97036 3836799 4844355 3836799 0 0 2884792 2018563 866229 281646 173965 107681 242720 148311 94409 24972 8825 16147 23815 23815 429203 411607 17596 24666 24666 29353 10485 18868 26874 24187 2687 41043 32137 8906 38161 38161 161811 145629 16182 42845 42845 MEDICAL & DENTAL SUPPLI 346048 346048 BAD DEBT EXPENSE 175371 175371 SPACE RENT 75357 75357 REPAIRS AND MAINTENANCE 58875 58840 35 115898 44903 70995 5023450 3674228 1349222 0 28302 4175 5368 5370 317164 228280 375904 294395 48908 43842 31499 30579 3088659 1499491 1750978 1589168 3650 3650 2561773 2199459 333816 297814 1055601 908384 1389417 1206198 X 1172356 993261 1172356 993261 2561773 2199459 -179095 0 X 0 1 X 1 1 1 X 768802 749909 862570 980791 997611 4359683 768802 749909 862570 980791 997611 4359683 4359683 403 311 198 142 213 1267 10065 8709 6957 6455 32186 4393136 16481422 0.99240 0.98330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 84293 84293 861149 385278 475871 659355 124050 535305 1483862 990163 493699 1589168 X 4844355 0 4844355 0 4844355 5023450 0 5023450 0 5023450 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. X 0 0 0 0 0 0 0 0 0 TED JUNG DENTIST 170382 0 0 0 0 0 0 0 19301 0 189683 0 0 0 STEPHANIE REIMER DENTIST 156868 0 0 0 0 0 0 0 14445 0 171313 0 0 0 SHARON SHEPICH DOCTOR 144905 0 0 0 0 0 0 0 14442 0 159347 0 0 0 Form 990, Part VI, Section B, line 11 A copy was provided to the Board of Directors for review. The auditing firm also presented comprehensive audit information directly to the Board of Directors. Form 990, Part VI, Section B, line 12c Both staff and Board of Directors are required to complete a conflict of interest statement identifying any conflicts on an annual basis. Staff has received required training on the policy and it is monitored on a monthly basis. 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 15 Compensation is determined by performance coupled with prevailing industry standards and the current NACHC Compensation report. Form 990, Part VI, Section C, line 19 All Staff and Board of Directors members are required to complete a conflict of interest statement annually. Staff receives required training upon hire and at least annually thereafter. There are established policies for reporting and responding to violations of the conflict of interest policy which is part of the larger NHC Corporate Compliant Policy. NHC's Corporate Compliance Officer is responsible for monitoring any conflicts of interest and following established policy to address and reports of violations.