2023-11-15T07:26:08-06:00 2022-12-31 390747409 REILLY PENNER & BENTON LLP 1233 NORTH MAYFAIR RD SUITE 302 MILWAUKEE WI 532263255 990 2022-01-01 454475625 OPEN ARMS FREE CLINIC INC OPEN 2623791401 PO BOX 678 ELKHORN WI 53121 JEFFREY BAHR PRESIDENT 2623791401 2023-11-13 1 JEFFREY BAHR 999009999 1 BRANDON PANKA P01596345 4142717800 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z JEFFREY BAHR PO BOX 678 ELKHORN WI 53121 2150467 0 X OPENARMSFREECLINIC.ORG X 2012 WI TO BETTER UNDERSTAND AND SERVE WITH COMPASSION THE HEALTH AND WELLNESS NEEDS OF UNINSURED RESIDENTS OF WALWORTH COUNTY. 10 10 37 225 0 0 1152876 1877050 0 0 17250 28523 36082 -48123 1206208 1857450 0 0 0 0 546623 822500 0 0 50998 277400 789356 824023 1611856 382185 245594 2627799 2800599 46322 75010 2581477 2725589 TO BETTER UNDERSTAND AND SERVE WITH COMPASSION THE HEALTH AND WELLNESS NEEDS OF UNINSURED RESIDENTS OF WALWORTH COUNTY. 0 0 921848 593 MEDICAL SERVICES - VOLUNTEER DOCTORS, NURSES, PHARMACISTS, LAB TECHS, AND INTERPRETERS PROVIDE DIRECT PRIMARY AND SPECIALTY MEDICAL CARE FOR QUALIFIED PATIENTS. MEDICAL SERVICES ARE OFFERED AN AVERAGE OF 4+ DAYS A WEEK, 40 HOURS A WEEK. SERVICES INCLUDE PRIMARY CARE, SPECIALTY CARE, LAB, AND MEDICATIONS. THERE WERE 5,542 PATIENT VISITS THAT INCLUDED 8,540 MEDICATIONS DISPENSED, 3,171 LAB TESTS, 916 VACCINATIONS (COVID AND FLU) FOR 1,185 UNIQUE INDIVIDUALS (936 NEW PATIENTS). WHILE WE CARE FOR ALL AGES, THE MAJORITY (80%) ARE ADULTS AGED 19-64 WITH CHRONIC DISEASES (DIABETES, HEART DISEASE, ASTHMA, MENTAL HEALTH). ALL SERVICES ARE PROVIDED AT NO COST TO THE PATIENT. 375891 242 DENTAL SERVICES - ORAL HEALTH CARE IS PROVIDED BY VOLUNTEER AND PAID DENTISTS, ASSISTANTS, AND HYGIENISTS. IN 2022, THERE WERE OVER 4,000 DENTAL PROCEDURES COMPLETED, AND 2,042 DENTAL VISITS FOR 804 UNIQUE PATIENTS. 66% OF THE PATIENTS HAVE NO INSURANCE, AND 34% HAVE MEDICAID INSURANCE. OAFC IS THE ONLY MEDICAID GENERAL DENTIST IN WALWORTH COUNTY. EACH PATIENT IS GIVEN AN INITIAL EXAM, THAT INCLUDES X-RAY, BASIC RESTORATIVE TREATMENT, EXTRACTIONS WHEN NEEDED, AND A CLEANING. ALL SERVICES WERE PROVIDED FREE AT NO COST TO PATIENTS, EXCEPT THOSE WHO HAD A MINIMAL CO-PAY WITH THEIR MEDICAID. OAFC IS CONTINUING THE PARTNERSHIP WITH MARQUETTE UNIVERSITY DENTAL SCHOOL AND HAS HOSTED 252 DENTAL STUDENTS TO DATE. 75570 49 BEHAVIORAL HEALTH SERVICES - PATIENTS CAN RECEIVE BOTH MEDICATION AND COUNSELING THERAPEUTIC CARE WITHIN THE CLINIC. IN 2022, OAFC RETAINED TWO BILINGUAL BEHAVIORAL HEALTH COUNSELORS TO PROVIDE 784 COUNSELING VISITS FOR 200 INDIVIDUALS, COUPLES, AND FAMILIES. MEDICATIONS ARE PRESCRIBED BY THE OAFC MEDICAL PROVIDERS, AND A VOLUNTEER PSYCHIATRIST PROVIDED MEDICATION MANAGEMENT AND REVIEW. OAFC INITIATED A STATE-WIDE TELE-BEHAVIORAL HEALTH NETWORK (VIRTUAL THERAPY) TO PROVIDE COUNSELING ACCESS FOR AN ADDITIONAL 5 FREE CLINICS IN WISCONSIN. OAFC HAS BEEN ABLE TO TREAT GENERAL ANXIETY, DEPRESSION, AND MOOD DISORDERS WITH THE AVAILABLE MEDICATIONS IN THE OPEN ARMS DISPENSARY. ALL SERVICES PROVIDED AT NO COST TO THE PATIENT. 1373309 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 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 1 11 0 1 37 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 1 0 0 0 0 1 1 0 0 1 1 0 0 1 1 0 0 0 WI X SARA NICHOLS 2623791401 PO BOX 678 ELKHORN WI 53121 JEFFREY BAHR MD PRESIDENT 1.00 X X 0 0 0 DONNA NESHEK RN VICE PRESIDENT 1.00 X X 0 0 0 NICK VORPAGEL TREASURER 1.00 X X 0 0 0 GERARD MAKOVEC SECRETARY 1.00 X X 0 0 0 THOMAS HARTZ DIRECTOR 1.00 X 0 0 0 STEVEN JENSEN DIRECTOR 1.00 X 0 0 0 KAREN LITTIG DIRECTOR 1.00 X 0 0 0 JAMES LOVELL DIRECTOR 1.00 X 0 0 0 ROBERT YOUNGQUIST DDS DIRECTOR 1.00 X 0 0 0 REV DANIEL SANDERS DIRECTOR 1.00 X 0 0 0 SARA NICHOLS EXECUTIVE DIRECTOR 40.00 X 83168 0 2082 83168 0 2082 0 0 0 0 0 308975 586789 981286 413696 1877050 18287 18287 154805 144569 10236 10236 10236 84316 308975 140498 -56182 -56182 15125 7950 7175 7175 OTHER INCOME 900099 884 884 884 1857450 884 0 -20484 87005 67040 17556 2409 651339 501444 133026 16869 4245 3420 691 134 24196 19505 1435 3256 55715 42901 11477 1337 16090 16090 1887 1887 792 610 163 19 4301 3037 1264 34348 19783 1122 13443 15945 6720 9225 19362 19362 8216 6030 2186 38532 37890 428 214 14348 13411 937 DONATED MEDICATIONS 339547 339547 PATIENT CARE 226654 226654 REPAIRS AND MAINTENANCE 22704 22704 STUDENT HOUSING SUPPORT 13191 13191 33439 30060 551 2828 1611856 1373309 187549 50998 702685 145307 652300 155395 132173 32675 18990 22544 974724 253592 775256 721132 998695 1033707 0 37539 2627799 2800599 46322 37670 0 37340 46322 75010 X 2386180 2616627 195297 108962 2581477 2725589 2627799 2800599 245594 -67659 -33823 0 X 0 1 X 0 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 124828 124828 524220 47680 476540 294703 202775 91928 30973 3137 27836 721132 OPERATING LEASE LIABILITY 37340 37340 X 2673929 -67659 861132 793473 1880456 1887 -24893 -23006 1857450 2495994 861132 24893 886025 1609969 1887 1887 1611856 PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT ORGANIZATION WHICH IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS IMPLEMENTED ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH U.S.GAAP. THIS STANDARD DESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTABLE 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 OF THE ORGANIZATION EVALUATES THE UNCERTAIN TAX POSITIONS TAKEN, 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. IN MANAGEMENT'S OPINION, THE ORGANIZATION HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, HAS NOT REPORTED A CORRESPONDING LIABILITY IN THE ORGANIZATION'S FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES -24,893. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 24,893. BIRTHDAY DINNER GALA 341791 279350 62441 45380 2773 57572 8100 8606 GOLF OUTING 51500 29625 21875 1901 500 13187 2479 393291 308975 84316 1901 45380 3273 70759 8100 11085 140498 -56182 15125 3315 3600 1035 1 1.00000 15125 3315 3600 1035 7950 7175 WI 1 0 0 0 1.00000 0 0 X 3 25169 FAIR MARKET VALUE X MEDICATIONS 0 339547 FAIR MARKET VALUE X AUCTION PRIZES 93 45380 FAIR MARKET VALUE X RAFFLE PRIZE 1 3600 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED AND RESTATED ITS BYLAWS ON MAY 18, 2022. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED, SIGNED, AND FILED BY THE PRESIDENT WHO THEN PRESENTS A COPY TO EACH MEMBER OF THE BOARD OF DIRECTORS. SHOULD ANY MATERIAL REASON BE FOUND, AMENDMENTS TO THE RETURN WOULD BE MADE UNDER BOARD DIRECTION AND APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART XI LINE 8 PRIOR PERIOD ADJUSTMENT - DURING THE YEAR ENDED DECEMBER 31, 2022, IT WAS DETERMINED THAT THE ORGANIZATION HAD LEASEHOLD IMPROVEMENTS THAT WERE NOT PROPERLY RECORDED AS OF DECEMBER 31, 2021. A PRIOR PERIOD ADJUSTMENT OF NET ASSETS WITHOUT DONOR RESTRICTIONS HAS BEEN MADE FOR THE YEAR ENDED DECEMBER 31, 2022 IN THE AMOUNT OF ($33,823).