2023-11-29T15:32:05-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 10401 W INNOVATION DR STE 300 WAUWATOSA WI 53226 990 2022-01-01 205297560 ROCK RIVER COMMUNITY CLINIC INC ROCK 2624726839 1461 W MAIN ST SUITE B WHITEWATER WI 53190 ROBERTA FARNAM BOARD TREASURER 2624726839 2023-11-27 1 ROBERTA FARNAM XXX-XX-XXXX 0 KRISTEN DONLEVY P01670215 4144761880 2023-11-27 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROCK RIVER COMMUNITY CLINIC CAROL QUEST 1461 W MAIN ST SUITE B WHITEWATER WI 53190 1881098 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. 13 13 45 2 0 0 881543 1270305 423152 600432 295 245 4162 -4961 1309152 1866021 0 0 0 0 900377 1091952 0 0 12716 713928 922980 1614305 2014932 -305153 -148911 747080 1163285 94390 679165 652690 484120 IMPROVE THE QUALITY AND COORDINATION OF HEALTHCARE SERVICESINCREASE COMMUNITY MEMBER ACCESS TO HEALTHCARE SERVICESIMPROVE HEALTH OUTCOMES FOR LOW-INCOME RESIDENTS 0 0 1721572 600432 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 5,970 APPOINTMENTS AND SERVED 2,776 PATIENTS. 1,460 OF THESE PATIENTS HAD NO INSURANCE AND TYPICALLY WOULD NOT BE ABLE TO RECEIVE CARE. WE WERE ALSO ABLE TO SUCCESSFULLY APPLY 160 PATIENTS FOR PRESCRIPTION DISCOUNTS. 1721572 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 45 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X ABIE MARTINEZ 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 SILVIA VEGA 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 MEDICAL MANAGER 40.00 X 25923 0 0 ROSALINDA MARTINEZ BOARD MEMBER 5.00 X 0 0 0 JOSE HURTADO BOARD MEMBER 5.00 X 0 0 0 AUGIE HERNANDEZ 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 78750 0 0 104673 0 0 0 0 0 0 0 54000 36749 792019 387537 1270305 PATIENT SERVICE REVENU 621300 600432 600432 600432 245 245 2617 0 2617 2617 2617 0 36749 13577 -13577 -13577 5724 1500 4224 4224 OTHER REVENUE 621300 1775 1775 1775 1866021 600432 0 -4716 1004468 857529 135126 11813 87484 59320 27261 903 406576 313851 92725 7205 7205 13370 13370 2394 2394 32520 31351 1169 238456 238456 1912 1912 32 32 53127 41971 11156 17319 17319 PROVISION FOR BAD DEBTS 73796 73796 MEDICAL AND PHARMACY SU 70511 70511 TRAINING AND EDUCATION 3509 3509 MISCELLANEOUS 2253 589 1664 2014932 1721572 280644 12716 191213 239913 85707 159627 23749 27073 37605 37605 10538 16440 808345 536976 286703 271369 111565 411258 747080 1163285 94390 302427 0 376738 94390 679165 X 603900 424063 48790 60057 652690 484120 747080 1163285 -148911 -19659 0 X 0 1 X 1 0 X 108241 149339 1009031 881543 1270305 3418459 501220 537985 351553 423152 600432 2414342 609461 687324 1360584 1304695 1870737 5832801 0 0 0 5832801 202 160 509 295 245 1411 202 160 509 295 245 1411 1642 4162 -4961 843 609663 687484 1362735 1309152 1866021 5835055 0.99960 0.99820 0.00020 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 280895 98862 182033 527450 438114 89336 271369 ASSETS LIMITED AS TO USE 11752 PLEDGE RECEIVABLE - LT 23630 OPERATING LEASE 375876 411258 OPERATING LEASE SHORT TERM 95637 OPERATING LEASE LONG TERM 281101 376738 1993071 127050 127050 1866021 0 1866021 2030009 15077 15077 2014932 0 2014932 PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM DONOR RESTRICTION - OPERATIONS 111,973. FUNDRAISING EXPENSES 15,077. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 15,077. X X X X 0 WI TOUR DA GOOSE BIKE RIDE 36749 36749 488 2666 1500 8923 36749 36749 488 2666 1500 8923 13577 -13577 5724 1500 1 1.00000 5724 1500 1500 4224 WI 1 0 1 0 1.00000 ABIE MARTINEZ 1461 W MAIN ST WHITEWATER WI 53713 0 ABIE MARTINEZ SIGNED UP FOR RAFFLE LICENSE AND HELPED DISTRIBUTE TICKETS AND COLLECT FUNDS. X 0 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.