2023-11-14T09:48:43-06:00 2022-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2022-01-01 391200636 NEW COMMUNITY CLINIC LTD NEWC 9204379773 610 NORTH BROADWAY GREEN BAY WI 54303 KIM FRANZEN CFO 9204379773 2023-11-14 1 KIM FRANZEN 999009999 1 TERRI REXRODE CPA MST P00096513 9206620016 2023-11-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KEITH SZERKINS 610 NORTH BROADWAY GREEN BAY WI 54303 8076691 0 X WWW.NEWCOMMUNITYCLINIC.ORG X 1971 WI PROVIDE ACCESS TO CARE WHERE THERE ARE GAPS IN THE AREA'S HEALTHCARE DELIVERY SYSTEM. 11 11 91 22 0 0 5961648 7028641 686632 1044103 88 3293 0 654 6648368 8076691 0 0 0 0 3807837 5138802 0 0 0 1397504 2379212 5205341 7518014 1443027 558677 10560326 11074494 850705 910599 9709621 10163895 X THE MISSION OF N.E.W. COMMUNITY CLINIC, LTD. IS TO PROVIDE ACCESS TO QUALITY, COMPREHENSIVE AND COMPASSIONATE HEALTH CARE TO THE UNDERSERVED IN OUR COMMUNITY. 0 0 2518544 0 285499 COMMUNITY HEALTH CENTER PROGRAM- MEDICAL, DENTAL, MENTAL HEALTH AND SUBSTANCE USE DISORDER USE SERVICES THE PATIENTS THAT ARE LOW INCOME. 1354687 0 682522 DENTAL CLINIC: PROVIDES DENTAL CARE FOR LOW-INCOME UNINSURED/UNDERINSURED FAMILIES AND INDIVIDUALS.OUR DENTAL PROGRAM IS STAFFED BY LICENSED DENTISTS, HYGIENISTS AND SUPPORTING STAFF, AND EQUIPPED WITH MODERN DENTAL TECHNOLOGY. WE PROVIDE QUALITY CARE WITH COMPASSION IN A SAFE AND WELCOMING ENVIRONMENT. SERVICES INCLUDE: EMERGENCY EXAMS FOR DENTAL PAIN, COMPLETE EXAMS AND DIGITAL X-RAYS, CLEANINGS AND PREVENTIVE CARE, TOOTH REMOVAL, FILLINGS, ROOT CANAL TREATMENT.NO PATIENT IS TURNED AWAY DUTY TO INABILITY TO PAY. UNINSURED LOW-INCOME PATIENTS ARE BILLED ON A SLIDING FEE DISCOUNT PROGRAM PENDING QUALIFICATIONS BASED ON FEDERAL POVERTY LEVELS. 929065 0 58795 HEALTH CARE FOR THE HOMELESS:THIS PROGRAM PROVIDES ACCESS TO PRIMARY HEALTH CARE, MEDICAL CASE MANAGEMENT AND SUBSTANCE ABUSE/MENTAL HEALTH REFERRALS FOR HOMELESS INDIVIDUALS AND FAMILIES. TO QUALIFY THE PERSON MUST BE LIVING IN A SHELTER, LIVING ON THE STREET, LIVING IN A ROOM WITHOUT KITCHEN FACILITIES, TEMPORARILY LIVING WITH A FRIEND OR RELATIVE BECAUSE THEY CANNOT AFFORD TO LIVE ALONE OR HAVE BEEN SERVED AN EVICTION NOTICE. THE FOLLOWING SERVICES ARE PROVIDED: URGENT AND PRIMARY HEALTH CARE; PREVENTATIVE HEALTH CARE; WELL-CHILD PHYSICALS AND IMMUNIZATIONS; HIV AND STD TESTING REFERRALS; ALCOHOL AND DRUG REFERRALS; MENTAL HEALTH REFERRALS; HELP WITH EMERGENCY DENTAL CARE; HELP WITH EMERGENCY EYE CARE; HELP WITH FINDING RESOURCES IN THE COMMUNITY; ADVOCACY. 990378 0 0 NUTRITION, EDUCATION, AND FOOD:WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC) - WIC IS A SPECIAL SUPPLEMENTAL FOOD PROGRAM FOR QUALIFIED ADULTS. THE GOAL OF THE WIC PROGRAM IS TO HELP PREGNANT, BREAST FEEDING, POST-PARTUM WOMEN, INFANTS, AND YOUNG CHILDREN (UNDER THE AGE OF FIVE) TO ACHIEVE BETTER HEALTH AND NUTRITION. SERVICES ARE FREE AND INCLUDE: INFORMATION ON HOW TO USE WIC FOODS TO IMPROVE HEALTH; CHECKS TO BUY FOODS THAT HELP KEEP PARENTS AND CHILDREN HEALTHY AND STRONG; HELP GET IMMUNIZATIONS FOR CHILDREN; DISCUSSIONS ON FOOD SHOPPING, RECIPES, TAKING CARE OF BABIES AND HOW TO BREASTFEED; INFORMATION ON HEALTHY EATING DURING PREGNANCY AND BREASTFEEDING AND TIPS ON FEEDING CHILDREN; REFERRALS TO DOCTORS AND PROGRAMS LIKE FOODSHARE, HEAD START AND MEDICAID/BADGER CARE PLUS. 456543 0 17287 COMMUNITY CLINIC PROGRAM:THE COMMUNITY CLINIC PROGRAM PROVIDES PRIMARY MEDICAL/HEALTH CARE FOR LOW-INCOME UNINSURED FAMILIES AND INDIVIDUALS IN A HOLISTIC MANNER. THIS IS A COMMUNITY BASED PROGRAM. MANY PROVIDERS ARE ALL VOLUNTEERS. PATIENTS ARE CHARGED FEES FOR SERVICES ON A SLIDING SCALE BASED INCOME. 1446921 0 17287 6249217 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 5 0 91 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X KEITH SZERKINS 9204379773 610 NORTH BROADWAY GREEN BAY WI 54303 KIM FRANZEN CEO 45.00 X 144182 0 41369 PAUL GANSHERT DENTIST 40.00 X 176376 0 1893 SETH MOORE NURSE PRACTITIONER 40.00 X 142384 0 18544 KEITH SZERKINS CFO 45.00 X 126150 0 31468 KATIE COLLINS NURSE PRACTITIONER 40.00 X 129366 0 17803 HOLLY KEMPERS NURSE PRACTITIONER 40.00 X 129366 0 17793 KAYLA GODDARD COO 40.00 X 118033 0 18482 HEIDI SELBERG PRESIDENT 1.00 X X 0 0 0 CHRIS BRABANT VICE PRESIDENT 1.00 X X 0 0 0 TODD BARTELS TREASURER 1.00 X X 0 0 0 JACQULYN JAHNKE SECRETARY 1.00 X X 0 0 0 SHARI CHAPPELL BOARD MEMBER - THRU 09/22 1.00 X 0 0 0 GARY COUILLARD BOARD MEMBER 1.00 X 0 0 0 FELIPE DIAZ BOARD MEMBER 1.00 X 0 0 0 SYLVIA GARRIDO BOARD MEMBER 1.00 X 0 0 0 ALICE HALLETT BOARD MEMBER 1.00 X 0 0 0 CRAIG HERMSEN BOARD MEMBER 1.00 X 0 0 0 RANNETT JACKSON BOARD MEMBER 1.00 X 0 0 0 THOMAS MAYHEW BOARD MEMBER 1.00 X 0 0 0 ANA ORTEGA BOARD MEMBER 1.00 X 0 0 0 965857 0 147352 8 0 1 0 BAY TITLE & ABSTRACT INC 345 S MONROE AVENUE GREEN BAY WI 54301 CONSTRUCTION FOR NEW CLINIC 2486044 BELLIN HEALTH SYSTEMS 744 SOUTH WEBSTER GREEN BAY WI 54305 ELECTRONIC MEDICAL RECORD 186941 2 140000 5536621 1352020 617360 7028641 DENTAL CLINIC 624100 1044103 1044103 1044103 3293 3293 654 654 654 8076691 1044103 0 3947 343169 343169 3750947 3282010 468937 113322 101521 11801 645597 577326 68271 285767 233232 52535 20700 20700 375326 245726 129600 38547 38547 384692 384692 69048 69048 275250 275250 7809 7809 17275 17275 95159 95159 25618 12583 13035 INKIND 569360 569360 MEDICAL SUPPLIES 410300 318599 91701 BAD DEBT EXPENSE 85198 85198 4930 4930 7518014 6249217 1268797 0 160 2950 6366000 3520702 576712 1094037 665638 265857 86693 121868 133476 6891056 1633743 2200061 5257313 629887 536353 0 177113 10560326 11074494 850705 732886 0 177713 850705 910599 X 8803419 9617998 906202 545897 9709621 10163895 10560326 11074494 X 558677 -104403 X 0 1 X 1 1 1 X 3911916 4179893 4542457 5961648 7028641 25624555 3911916 4179893 4542457 5961648 7028641 25624555 247074 25377481 45097 84113 12162 88 3293 144753 25769308 4633725 0.98480 0.99370 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 629887 -99988 4415 525484 568950 100 65696 4859 629887 538367 34649 4066 568950 466120 76315 4068 538367 512407 -42246 4041 466120 0.00000 0.47580 0.52420 1 0 466035 466035 4923917 679181 4244736 304658 286843 17815 857901 667719 190182 338545 338545 5257313 RIGHT OF USE OBLIGATION - OPERATING TYPE 177713 177713 X 7992417 105327 -189601 -84274 8076691 0 8076691 7538143 105327 105327 7432816 85198 85198 7518014 PART V, LINE 4: THE ORGANIZATION PLANS TO PRESERVE THE FAIR VALUE OF THE DONOR'S ORIGINAL GIFT IN PERPETUITY AS A PERMANENT ENDOWMENT. THE NET APPRECIATION REALIZED AND UNREALIZED GAIN OR LOSS IN THE FAIR VALUE OF THE ENDOWMENT IS TO BE USED FOR ORDINARY BUSINESS CIRCUMSTANCES. PART X, LINE 2: THE ORGANIZATION IS REQUIRED TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF 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 THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -85,198. CHANGE IN INTNEREST IN GGBCF -104,403. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 85,198. X 0 1 X X 0 0 0 0 0 0 0 0 0 KIM FRANZEN CEO 143589 0 413 0 180 0 7524 0 33845 0 185551 0 0 0 PAUL GANSHERT DENTIST 166075 0 413 0 9888 0 0 0 1893 0 178269 0 0 0 SETH MOORE NURSE PRACTITIONER 141796 0 413 0 175 0 7115 0 11429 0 160928 0 0 0 KEITH SZERKINS CFO 125640 0 413 0 97 0 3542 0 27926 0 157618 0 0 0 SCHEDULE J, PART I, LINE 1A PAUL GANSHERT HAS A HOUSING ALLOWANCE. X SUPPLIES & MATERIALS 2096 570150 FMV X X-RAY MACHINE 1 48000 VALUATION AGREEMENT 0 0 0 0 PART I, COLUMN (B): TOTAL NUMBER OF CONTRIBUTIONS COMES FROM THE INVOICES PROVIDED BY IN-KIND DONORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY MANAGEMENT AND IS PRESENTED TO THE GOVERNING BOARD FOR REVIEW AND ACCEPTANCE BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EVERY YEAR, A LETTER OF INQUIRY IS SENT TO EACH BOARD MEMBER ALONG WITH A COPY OF THE POLICY. EACH BOARD MEMBER SIGNS THIS LETTER STATING THAT THERE HAS BEEN NO CONFLICT OF INTEREST OR INDICATING IF ANY ARE PRESENT. ANY INDIVIDUAL WITH A PERCEIVED OR ACTUAL CONFLICT OF INTEREST ARE RECUSED FROM DISCUSSION AND VOTING ON THE MATTER TO WHICH THE CONFLICT RELATES. FORM 990, PART VI, SECTION B, LINE 15 PERSONNEL COMMITTEE REVIEWS AND RECOMMENDS COMPENSATION LEVELS. THESE RECOMMENDATIONS ARE THEN APPROVED BY THE BOARD OF DIRECTORS. AN ASSESSMENT IS COMPLETED TO DETERMINE IF COMPENSATION IS COMPARABLE IN THE MARKET. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST HELD BY GGBCF -104,403.