2024-11-08T17:45:08-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 10401 W INNOVATION DR STE 300 WAUWATOSA WI 53226 990 2023-01-01 205297560 ROCK RIVER COMMUNITY CLINIC INC ROCK 2624726839 1461 W MAIN ST SUITE B WHITEWATER WI 53190 ROBERTA FARNAM BOARD TREASURER 2624726839 2024-11-07 1 0 KRISTEN DONLEVY P01670215 4144761880 2024-11-04 2023 2024-10-15 13:58:12Z ROCK RIVER COMMUNITY CLINIC CAROL QUEST 1461 W MAIN ST SUITE B WHITEWATER WI 53190 2586036 0 X HTTPS://ROCKRIVERCOMMUNITYCLINIC.COM/ X 2006 WI MISSION: TO PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE FOR ALL. PROVIDING EQUITABLE MEDICAL AND DENTAL CARE TO THE COMMUNITY. WE OFFER SERVICES TO ALL WITH ADDITIONAL RESOURCES FOR THE UNINSURED AND UNDERINSURED POPULATIONS. 11 11 47 31 0 0 1270305 1658706 600432 905446 245 681 -4961 10787 1866021 2575620 0 0 0 0 1091952 1292828 0 0 14533 922980 842217 2014932 2135045 -148911 440575 1163285 1781449 679165 789917 484120 991532 IMPROVE THE QUALITY AND COORDINATION OF HEALTHCARE SERVICESINCREASE COMMUNITY MEMBER ACCESS TO HEALTHCARE SERVICESIMPROVE HEALTH OUTCOMES FOR LOW-INCOME RESIDENTS 0 0 1848209 905446 PROVIDING MEDICAL AND DENTAL CARE TO OUR COMMUNITY AND PROVIDING ADDITIONAL EDUCATION AND RESOURCES TO THE UNDERINSURED AND UNINSURED. BETWEEN OUR CLINICS WE PROVIDED CARE AT 8795 APPOINTMENTS AND SERVED 3163 PATIENTS. 1194 OF THESE PATIENTS HAD NO INSURANCE AND TYPICALLY WOULD NOT BE ABLE TO RECEIVE CARE. WE WERE ALSO ABLE TO SUCCESSFULLY APPLY 182 PATIENTS FOR PRESCRIPTION DISCOUNTS. 1848209 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 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 0 0 0 0 0 1 0 0 47 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X OLIVIA NICHOLS 9205634372 1461 W MAIN ST WHITEWATER WI 53190 CAROL QUEST CHAIR 5.00 X X 0 0 0 DONENE ROWE VICE CHAIR 5.00 X X 0 0 0 ROBERTA FARNAM TREASURER 5.00 X X 0 0 0 ELIZABETH CHILSEN SECRETARY 5.00 X X 0 0 0 CESAR MACHADO BOARD MEMBER 5.00 X 0 0 0 VANNESSA MACHADO BOARD MEMBER 5.00 X 0 0 0 FRANKLIN MACHADO BOARD MEMBER 5.00 X 0 0 0 MARIA MEIJA FRANCO BOARD MEMBER 5.00 X 0 0 0 ROSALINDA MARTINEZ BOARD MEMBER 5.00 X 0 0 0 JOSE HURTADO BOARD MEMBER 5.00 X 0 0 0 MARK BROMLEY BOARD MEMBER 5.00 X 0 0 0 OLIVIA NICHOLS EXECUTIVE DIRECTOR 40.00 X 93600 0 0 DR LE'ERIN VOSS DOCTOR 40.00 X 121790 0 0 215390 0 0 1 0 0 0 0 28575 27253 1256256 346622 1658706 PATIENT SERVICE REVENU 621300 905446 905446 905446 681 681 3204 0 3204 3204 3204 17508 27253 10416 7092 7092 OTHER REVENUE 621300 491 491 491 2575620 905446 0 11468 93600 93600 1100558 998123 88935 13500 98670 63663 33974 1033 318583 284862 33721 3000 3000 21325 21325 622 622 37507 34447 3060 228563 228563 27 27 49047 38747 10300 19285 19285 MEDICAL AND PHARMACY SU 112795 112795 PROVISION FOR BAD DEBTS 42711 42711 MISCELLANEOUS 5064 5064 TRAINING AND EDUCATION 3688 3688 2135045 1848209 272303 14533 239913 596193 159627 381398 27073 223409 37605 16202 16440 14392 817849 586023 271369 231826 411258 318029 1163285 1781449 302427 508816 376738 281101 679165 789917 X 424063 939502 60057 52030 484120 991532 1163285 1781449 440575 66837 0 X 0 1 X 1 0 X 149339 1009031 881543 1270305 1743051 5053269 537985 351553 423152 600432 905446 2818568 687324 1360584 1304695 1870737 2648497 7871837 0 0 0 7871837 160 509 295 245 3885 5094 160 509 295 245 3885 5094 1642 3163 4392 491 9688 687484 1362735 1308153 1875374 2652873 7886619 0.99810 0.99960 0.00060 0.00020 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 1,642. 2021 AMOUNT: $ 3,163. 2022 AMOUNT: $ 4,392. 2023 AMOUNT: $ 491. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 280895 113869 167026 536954 472154 64800 231826 ASSETS LIMITED AS TO USE 17270 OPERATING LEASE 281101 IK CONTRIBUTION RECEIVABLE 19658 318029 OPERATING LEASE SHORT TERM 37346 OPERATING LEASE LONG TERM 243755 281101 2660900 66837 18443 85280 2575620 0 2575620 2145460 10415 10415 2135045 0 2135045 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 10,416. RELEASE FRM NET ASSETS 8,027. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 10,416. ROUNDING -1. TOUR DA GOOSE BIKE RIDE 44761 27253 17508 1092 6314 3010 44761 27253 17508 1092 6314 3010 10416 7092 FORM 990, PART VI, SECTION A, LINE 2 VANESSA MACHADO AND FRANKLIN MACHADO ARE MARRIED. CESAR MACHADO AND FRANKLIN MACHADO ARE BROTHERS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE FINANCE COMMITTEE. THE BOARD CHAIR AND TREASURER ARE BOTH PRESENT ON THIS COMMITTEE. EACH MEMBER OF THIS COMMITTEE WILL RECEIVE THE FORM 990 AND WILL REQUIRE THEIR APPROVAL. AT THE FOLLOWING BOARD MEETING THE MEMBERS OF THE BOARD WILL RECEIVE A COPY AND FEEDBACK FROM THE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAXEXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND ARE THE RESULT OF ARM'S-LENGTH BARGAINING. WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO THE CORPORATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. WHETHER AGREEMENTS TO PROVIDE HEALTH CARE, AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. WHETHER THE CORPORATION'S CONFLICTS OF INTEREST POLICY ADEQUATELY ADDRESSES THE NEEDS OF THE CORPORATION AND IS BEING SUFFICIENTLY COMPLIED WITH BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNING BOARD REVIEWS TOP MANAGEMENT COMPENSATION ANNUALLY. IT IS UP TO THEIR DISCRETION AS TO WHAT METHODS TO USE WHICH MAY INCLUDE BUT ARE NOT LIMITED TO AN INDEPENDENT REVIEW, COMPENSATION COMPARISONS, PERFORMANCE REVIEW, ETC. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022 FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.