2025-11-17T16:02:23-06:00 2025-06-30 390919055 RITZ HOLMAN LLP 330 E KILBOURN AVE SUITE 222 MILWAUKEE WI 53202 990 2024-07-01 421299913 HEALTH CARE NETWORK INC HEAL 2626322400 500 WISCONSIN AVE 102 RACINE WI 53403 ALISON SERGIO EXECUTIVE DIRECTOR 2626322400 2025-11-17 1 1 KATY L SOMMER P00273273 4142711451 2025-11-14 2024 2025-03-06 01:10:19Z ALISON SERGIO 500 WISCONSIN AVE 102 RACINE WI 53403 1544605 0 X WWW.HEALTHCARENETWORK.ORG X 1987 WI MISSION IS TO PROVIDE FREE/LOW COST HEALTH CARE TO RESIDENTS OF RACINE COUNTY WHO HAVE NO HEALTH INSURANCE AND ARE OF LIMITED INCOME. ALL HEALTH CARE IS PROVIDED BY VOLUNTEERS. 12 12 13 200 0 0 1029753 1291070 26 0 168811 201873 47029 51662 1245619 1544605 0 0 0 0 735841 824547 0 0 46694 344571 350518 1080412 1175065 165207 369540 5675593 6154896 515942 518797 5159651 5636099 MISSION IS TO PROVIDE FREE/LOW COST HEALTH CARE TO RESIDENTS OF RACINE COUNTY WHO HAVE NO HEALTH INSURANCE AND ARE OF LIMITED INCOME. ALL HEALTH CARE IS PROVIDED BY VOLUNTEERS. 0 0 741320 3611 HEALTH CARE NETWORK, INC. PROVIDES FREE OR LOW COST HEALTH AND DENTAL CARE TO RESIDENTS OF RACINE COUNTY WHO ARE LOW INCOME (UNDER 200% FPL) AND UNINSURED. VOLUNTEER MEDICAL AND DENTAL PROVIDERS DONATE THEIR TIME AND SKILLS TO PROVIDE CARE. THE AGENCY ALSO PROVIDES PRESCRIPTION ASSISTANCE, SYSTEMS NAVIGATION ASSISTANCE AND SOCIAL SERVICES. 741320 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 4 0 1 13 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X RITZHOLMAN CPAS 4142711451 330 E KILBOURN AVE STE 222 MILWAUKEE WI 53202 ALISON SERGIO EXECUTIVE DIR. 40.00 X 113388 0 16099 SAMANTHA ANDEREGG-BOTICKI PRESIDENT 1.00 X X 0 0 0 SARAH HELDING MSN RN VICE PRESIDENT 1.00 X X 0 0 0 DAVID ISAACSON SECRETARY 1.00 X X 0 0 0 ALLISON KIRKLIN TREASURER 1.00 X X 0 0 0 STEVE DONOVAN DIRECTOR 1.00 X 0 0 0 GREG HELDING DIRECTOR 1.00 X 0 0 0 AMANDA KIVENAS DIRECTOR 1.00 X 0 0 0 SCOTT MUNRO DDS DIRECTOR 1.00 X 0 0 0 ADRIENNE SCHULTZ DIRECTOR 1.00 X 0 0 0 AMRINDER SINGH DIRECTOR 1.00 X 0 0 0 ASHLEY CONLEY DIRECTOR 1.00 X 0 0 0 LAURA POWELL DIRECTOR 1.00 X 0 0 0 113388 0 16099 1 0 0 0 0 83798 80500 1126772 94816 1291070 201873 201873 48051 0 48051 48051 MISCELLANEOUS 900099 3611 3611 3611 1544605 3611 0 249924 127427 28671 76851 21905 586571 384076 188382 14113 60113 39678 19098 1337 50436 29477 18525 2434 31370 31370 49613 30503 19110 142053 133825 6603 1625 63321 53823 9498 3867 3867 1007 1007 223 223 19842 16899 2943 9756 9756 DUES 13719 13719 CONTRIBUTED MATERIALS 6920 6782 138 SPECIAL EVENTS 5280 5280 EMPLOYEE RELATIONS 1807 1807 1740 1740 1175065 741320 387051 46694 562173 629140 786802 822228 103137 439719 2110 0 84389 59832 16677 26717 517754 127667 396912 390087 3723393 3787173 5675593 6154896 29617 75847 486325 442950 515942 518797 X 1704292 1731396 3455359 3904703 5159651 5636099 5675593 6154896 X 369540 106908 X 0 1 X 1 0 X 857025 1245102 1109074 1029753 1291070 5532024 857025 1245102 1109074 1029753 1291070 5532024 726860 4805164 765 138940 149212 168811 201873 659601 46124 58273 58807 47029 51662 261895 6453520 156 0.74460 0.74160 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING - 2020 AMOUNT: $ 46,124. 2021 AMOUNT: $ 58,273. 2022 AMOUNT: $ 56,427. 2023 AMOUNT: $ 46,949. 2024 AMOUNT: $ 48,051. MISCELLANEOUS - 2022 AMOUNT: $ 2,380. 2023 AMOUNT: $ 80. 2024 AMOUNT: $ 3,611. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3236780 291738 152590 32241 3343687 3165247 252589 149943 31113 3236780 3044038 301682 148486 31987 3165247 3620173 -402864 138631 34640 3044038 2894228 896171 170226 3620173 1.00000 1 0 423617 61923 361694 94137 65744 28393 390087 SECURITY DEPOSITS 3200 BENEFICIAL INTEREST 3343687 RIGHT OF USE ASSETS 440286 3787173 CAPITAL LEASE 442950 442950 X 1630197 85592 85592 1544605 0 1544605 1260657 85592 85592 1175065 0 1175065 PART V, LINE 4: INTEREST AND GRANTS ARE UNRESTRICTED AND USED FOR AGENCY OPERATIONS. PART X, LINE 2: THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT, NON-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATUTES OF WISCONSIN LAW. THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ONLY ON NET UNRELATED BUSINESS INCOME UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION CURRENTLY HAS NO OBLIGATION FOR UNRELATED BUSINESS INCOME TAX. ACCORDINGLY, NO PROVISIONS FOR FEDERAL OR STATE INCOME TAXES ARE REQUIRED. SUMMER EVENT 48051 48051 48051 48051 48051 X 94816 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 BYLAW AMENDMENTS WERE APPROVED APRIL 2025. FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - THE 990 IS FIRST REVIEWED BY THE FINANCE COMMITTEE AND THEN PRESENTED TO THE FULL BOARD FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY ALL BOARD MEMBERS AT THE FIRST MEETING OF THE NEW FISCAL YEAR. THE POLICY IS MONITORED BY THE EXECUTIVE DIRECTOR AND BOARD PRESIDENT. FORM 990, PART VI, SECTION B, LINE 15 SALARY COMPS ARE REVIEWED ANNUALLY OR AS AVAILABLE BY THE FINANCE COMMITTEE AND AGENCY LEADERSHIP. THE BOARD SETS THE SALARY FOR THE EXECUTIVE DIRECTOR ALONG WITH A SET INCREASE AMOUNT FOR ALL OTHER STAFF, TO BE DIVIDED UP AS SEEN FIT BY AGENCY LEADERSHIP, PARTIALLY DEPENDENT UPON JOB PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 AS A UNITED WAY PARTNER PROVIDER, ALL FINANCIAL DOCUMENTS ALONG WITH THE AUDIT ARE MADE AVAILABLE TO THE UNITED WAY WHICH ARE OPEN TO THE PUBLIC. THE AGENCY WILL HONOR ANY PUBLIC REQUEST FOR RECORDS FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST 106,908.