2024-05-09T12:06:45-05:00 2023-06-30 390974031 WEGNER CPAS LLP 101 E MILWAUKEE STREET JANESVILLE WI 53545 990 2022-07-01 391778804 HEALTHNET OF ROCK COUNTY INC HEAL 6087564638 113 S FRANKLIN STREET JANESVILLE WI 53548 KERRY SAWNSON CHIEF EXECUTIVE OFFICER 6087564638 2024-05-08 1 KERRY SAWNSON 999009999 0 MIKE HABLEWITZ CPA P01259157 6087564020 2024-04-24 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KERRY SAWNSON 113 S FRANKLIN STREET JANESVILLE WI 53548 6040624 0 X HEALTHNET-ROCK.ORG X 1993 WI DEDICATED TO EXCELLENCE AND INNOVATION IN THE PROVISION OF PRIMARY HEALTH AND DENTAL CARE AND HEALTH EDUCATION, DELIVERED FREE OR AT LOW COST, TO ENHANCE THE QUALITY OF LIFE FOR THE UNDERSERVED RESIDENTS OF ROCK COUNTY, WISCONSIN. 14 14 47 65 0 0 5453731 5453013 355915 489516 1781 860 39408 27680 5850835 5971069 1820038 2158310 0 0 1292576 2076652 0 0 132047 678313 1340761 3790927 5575723 2059908 395346 3479885 3783785 523795 499680 2956090 3284105 X HEALTHNET OF ROCK COUNTY INC. IS DEDICATED TO EXCELLENCE AND INNOVATION IN THE PROVISION OF PRIMARY HEALTH AND DENTAL CARE AND HEALTH EDUCATION, DELIVERED FREE OR AT LOW COST, TO ENHANCE THE QUALITY OF LIFE FOR THE UNDERSERVED RESIDENTS OF ROCK COUNTY, WISCONSIN. 0 0 4667699 2158310 489516 HEALTHNET OF ROCK COUNTY INC PROVIDED NUMEROUS MEDICAL, DENTAL, BEHAVIORAL HEALTH AND VISION CLINICS ON BEHALF OF PATIENTS. MEDICAL CLINICS PROVIDE GENERAL PRIMARY CARE, WHICH INCLUDES COMPLETE PHYSICAL EXAMS, TREATMENT FOR ACUTE AND CHRONIC HEALTH CONDITIONS, NECESSARY LAB WORK AND X-RAYS, AND SPECIALTY CONSULT VISITS. DENTAL CLINICS INCLUDE CLEANINGS, X-RAYS, TREATMENT PLANS, FILLINGS, FLOURIDE AND SEALANT TREATMENTS, EXTRACTIONS, EXPOSED WISDOM TEETH REMOVAL, ROOT CANALS, AND FRONT TEETH TRANSITIONAL PARTIALS. THE ORGANIZATION ALSO PROVIDES A SCHOOL-BASED SEALANT PROGRAM, WHICH PROVIDES FLOURIDE VARNISH AND SEALANTS TO CHILDREN FROM GRADES PRE-K TO 8TH GRADE. BEHAVIORAL HEALTH CLINICS HAVE BEEN ESTABLISHED TO PROVIDE INDIVIDUAL COUNSELING, GROUP COUNSELING, PSYCHIATRIC PRESCRIBING, AND SUBSTANCE USE TREATMENT AND MEDICATION ASSISTED TREATMENT. VISION CARE INCLUDES EYE EXAMS, PRESCRIPTION GLASSES AND MEDICATIONS. 4667699 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 47 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X X TODD JACOT 6087564638 113 S FRANKLIN STREET JANESVILLE WI 53548 MICHAEL DAVIS JD PRESIDENT 1.00 1.00 X X 0 0 0 JENNY WUNN DIRECTOR 1.00 X X 0 0 0 THOMAS PENDELL TREASURER 1.00 X X 0 0 0 ERIC POPP DDS VICE PRESIDENT/DENTAL ADVISOR 1.00 X X 0 0 0 JANET BARKHOU MD MEDICAL ADVISOR 1.00 X X 0 0 0 BEKKI KENNEDY DIRECTOR 1.00 X 0 0 0 MICHAEL JACKSON DIRECTOR 1.00 X 0 0 0 CHRISTI NEWELL DIRECTOR 1.00 X 0 0 0 JOSEPH BACHMEYER DIRECTOR 1.00 X 0 0 0 JAMIE MURRAY RPH DIRECTOR 1.00 X 0 0 0 GARY BERSELL SECRETARY 1.00 X X 0 0 0 MITCHELL KOPNICK MD DIRECTOR 1.00 X 0 0 0 KERRY SWANSON DIRECTOR 1.00 X 0 0 0 MATT KEALEY DIRECTOR 1.00 X 0 0 0 IAN HEDGES CHIEF EXECUTIVE OFFICER 40.00 1.00 X 100963 0 6637 100963 0 6637 1 0 0 0 0 73867 194041 1947369 3237736 2105577 5453013 MEDICAID PAYMENTS 621400 489516 489516 489516 860 860 20177 194041 69555 -49378 -49378 554 0 554 554 76504 76504 76504 5971069 489516 0 28540 2158310 2158310 116854 104000 12854 1720846 1341677 314578 64591 9667 7058 2202 407 98242 71725 22377 4140 131043 95673 29848 5522 19626 19626 97336 54686 42650 2585 2232 244 109 236953 172996 53971 9986 212527 157631 46325 8571 321725 234887 73280 13558 7873 5748 1793 332 21090 15397 4804 889 16362 16362 82727 60398 18843 3486 21072 15384 4800 888 DENTAL CLINIC SUPPLIES 124160 124160 MEDICAL CLINIC SUPPLIES 33758 33758 BAD DEBT 5256 5256 137711 115979 15018 6714 5575723 4667699 775977 132047 677053 46384 367238 74089 568751 588762 6580 0 419 419 3173006 101387 1857934 3071619 1910 2512 3479885 3783785 523795 128890 0 370790 523795 499680 X 1329521 2754355 1626569 529750 2956090 3284105 3479885 3783785 X 395346 -83 -67248 X 0 1 X 1 1 1 X 2281930 2468689 3011632 5453731 5453013 18668995 2281930 2468689 3011632 5453731 5453013 18668995 376713 18292282 2488 1263 737 1781 860 7129 18676124 1912103 0.97940 0.92750 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1910 802 200 2512 2393 -283 200 1910 15525 -12932 200 2393 14988 682 145 15525 14468 920 400 14988 1.00000 0.00000 0.00000 1 0 125700 125700 2781348 76637 2704711 265958 24750 241208 3071619 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT CONSISTS OF ONE ENDOWMENT FUND AT CFSW. THE ENDOWMENT IS DESIGNATED BY THE BOARD OF DIRECTORS TO SUPPORT THE MISSION OF THE ORGANIZATION. PAIRINGS THAT PLEASE 195190 181655 13535 31148 2560 12045 75 9898 SW CONFERENCE 10010 6815 3195 1147 3885 1 9018 5571 3447 860 1693 214218 194041 20177 31148 2560 14052 75 15476 63311 -43134 1 MEDICATIONS 417 2158310 FMV PRESCRIPTION MEDICATIONS PROVIDED TO CLINIC PATIENTS PART I, LINE 2: THE ORGANIZATION DOCUMENTS ALL RELEVANT INFORMATION PERTAINING TO THE MEDICAL ASSISTANCE GIVEN IN THE PATIENT'S CHARTS AS PART OF THEIR PERMANENT RECORD. X 47 2105577 COST OF DONATED PROP 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B). FORM 990, PART VI, SECTION B, LINE 11B THE OPERATIONS DIRECTOR AND THE CHIEF EXECUTIVE OFFICER REVIEW THE FORM 990. THE FORM 990 IS THEN GIVEN TO THE TREASURER FOR THEIR APPROVAL WHO THEN SUBMITS IT TO THE BOARD OF DIRECTORS IN ADVANCE OF A SCHEDULED BOARD OF DIRECTORS MEETING FOR THE BOARD TO REVIEW AND APPROVE AT THE MEETING PRIOR TO FORMAL FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR HAS AN OBLIGATION TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST. IF A POTENTIAL CONFLICT ARISES THE OTHER DIRECTORS DETERMINE IF A CONFLICT TRULY EXISTS. IF A CONFLICT EXISTS THE AFFECTED DIRECTOR IS NOT ALLOWED TO VOTE ON THAT PARTICULAR MATTER. ANNUALLY, DIRECTORS SIGN A CONFLICT OF INTEREST STATEMENT AFFIRMING THAT THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST STATEMENT, READ AND UNDERSTAND THE POLICY, AND AGREE TO COMPLY WITH THE POLICY AND UNDERSTAND THE ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS IS RESPONSIBLE FOR DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER. THE PROCESS INCLUDES, BUT IS NOT LIMITED TO, AN ANNUAL REVIEW AND ESTABLISHMENT OF GOALS, AND ANY INCREASE IS DETERMINED UPON THE SUCCESSFUL COMPLETION OF THE GOALS. AN AREA WAGE SALARY IS ALSO AVAILABLE TO THE BOARD OF DIRECTORS WHEN ESTABLISHING COMPENSATION. 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: LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT -67,248. HEALTHNET FOUNDATION INC 113 S FRANKLIN STREET JANESVILLE WI 53548 873225927 TO SUPPORT THE MISSION OF HEALTHNET OF ROCK COUNTY INC. WI 501(C)(2) HEALTHNET OF ROCK COUNTY INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0