2017-10-04T12:05:20-05:00 2017-01-31 390758449 Wipfli LLP 43A W Davenport Street Rhinelander WI 54501 990 2016-02-01 391550213 NORTHERN HEALTH CENTERS INC NORT 7152766321 PO BOX 179 LAKEWOOD WI 54138 Michele White Executive Director 7152766321 2017-10-04 1 RANDALL H BEARD CPA P00023289 7153691040 2017-10-04 66.191.108.154 2017-10-04 10:00:50 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A03AD71F789DF62B7A6AC3CD9D1855D6E645BECC 2016 2021-01-29 14:40:06Z MICHELE WHITE PO BOX 179 LAKEWOOD WI 54138 5229746 0 X www.nhcmedden.com X 1986 WI To improve our community health by providing all persons a comprehensive program of quality family oriented primary health care services regardless of ability to pay. 7 7 71 0 1802 0 1007556 1608671 3836799 3619273 0 84 0 1718 4844355 5229746 0 0 0 0 3409158 2872731 0 0 0 1614292 2206793 5023450 5079524 -179095 150222 2199459 2169115 1206198 1025632 993261 1143483 TO IMPROVE OUR COMMUNITY HEALTH BY PROVIDING ALL PERSONS A COMPREHENSIVE PROGRAM OF QUALITY FAMILY ORIENTED PRIMARY HEALTH CARE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. 0 0 3699443 3621075 Northern Health Centers, Inc. is a Federally Qualified Health Center located in Northeast Wisconsin. We are a Community Health Center serving a medically underserved population within a five county radius. The services provided to our patient population are medical, dental, behavioral health care and enabling services. NHC continues to provide preventive dental services to the underserved children through our Seal-A-Smile program which was implemented in 2010; we have increased the number of schools we provide sealants to from 15 to 24 schools in three counties. 3699443 1 1 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 0 0 1 29 0 71 1 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X MICHELE WHITE 7152766321 15397 Hwy 32 LAKEWOOD WI 54138 MaRGARAT BLAIR PRESIDENT 1.00 X X 0 0 0 JANICE LIEBSCH Vice President 1.00 X X 0 0 0 JEFFREY WHITING Secretary/Treasurer 1.00 X 0 0 0 paal hansen PRESIDENT 1.00 X X 0 0 0 JUDITH POPELKA BOARD MEMBER 1.00 X 0 0 0 Ray Scheifen Board Member 1.00 X 0 0 0 Katie Helmstadler BOARD MEMBER 1.00 X 0 0 0 MICHELE WHITE EXECUTIVE DIRECTOR 41.00 X 98376 0 7725 HOLLY LIPTACK Finance Director 40.00 X 70227 0 2922 TED JUNG DENTIST 40.00 X 172686 0 24983 SHARON SHEPICH DOCTOR 40.00 X 177479 0 18154 Gretchen Tolsma Nurse Practitioner 40.00 X 103485 0 12896 Joel Supita DENTIST 40.00 X 116760 0 0 739013 0 66680 4 0 1 0 Barton Associates PO Box 417844 Boston MA 022417844 Locum Tenan Provider 532156 United HealthCare 10701 W Research Drive Milwaukee WI 53226 Health Insurance for Employees 237208 2 1608671 1608671 MEDICAL & DENTAL SERVI 621110 1833250 1833250 FQHC Reimbursements 621110 1786023 1786023 3619273 84 84 Miscellaneous Revenue 621300 1718 1718 1718 5229746 3619273 1802 0 X 164546 164546 2285152 1655497 629655 248867 96798 152069 174166 116484 57682 17229 5386 11843 24500 24500 1000022 985207 14815 30805 30805 60424 20774 39650 30292 27263 3029 39272 31121 8151 33173 33173 160420 144378 16042 34210 34210 MEDICAL & DENTAL SUPPLI 321822 321822 Recruiting Expense 119301 119301 SPACE RENT 106113 106113 BAD DEBT EXPENSE 85804 85804 143406 102796 40610 5079524 3699443 1380081 0 4175 29040 5370 5385 228280 447630 294395 169409 43842 42421 30579 34238 3097252 1659910 1589168 1437342 3650 3650 2199459 2169115 297814 317557 908384 708075 1206198 1025632 X 993261 1143483 993261 1143483 2199459 2169115 150222 0 X 0 1 X 1 1 1 X 749909 862570 980791 997611 1608671 5199552 749909 862570 980791 997611 1608671 5199552 5199552 311 198 142 213 1799 2663 8709 6957 6455 22121 5224336 17275424 0.99530 0.99240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 84293 84293 861149 406807 454342 659355 139620 519735 1492455 1113483 378972 1437342 X 5229746 0 5229746 0 5229746 5079524 0 5079524 0 5079524 Part X, Line 2: The Organization is a non-profit organization as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal tax on related income pursuant to Section 501(a) of the Code. The Organization is also exempt from state income taxes. The Organization assesses whether it is more likely than not that a tax position will be sustained upon examination of the technical merits or 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 the tax position is not recognized in the financial statements. X 0 0 0 0 0 0 0 0 0 TED JUNG DENTIST 172686 0 0 0 0 0 3500 0 21483 0 197669 0 0 0 SHARON SHEPICH DOCTOR 177479 0 0 0 0 0 12430 0 5724 0 195633 0 0 0 Gretchen Tolsma Nurse Practitioner 103485 0 0 0 0 0 3108 0 9788 0 116381 0 0 0 Joel Supita DENTIST 116760 0 0 0 0 0 0 0 0 0 116760 0 0 0 Form 990, Part VI, Section B, line 11b A copy was provided to the Board of Directors for review. The auditing firm also presented comprehensive audit information directly to the Board of Directors. Form 990, Part VI, Section B, line 12c Both staff and Board of Directors are required to complete a conflict of interest statement identifying any conflicts on an annual basis. Staff has received required training on the policy and it is monitored on a monthly basis. The corporate compliance officer is responsible for monitoring any conflicts of interest and addressing any issues as a result of the conflict. Form 990, Part VI, Section B, line 15 Compensation is determined by performance coupled with prevailing industry standards and the current NACHC Compensation report. Form 990, Part VI, Section C, line 19 All Staff and Board of Directors members are required to complete a conflict of interest statement annually. Staff receives required training upon hire and at least annually thereafter. There are established policies for reporting and responding to violations of the conflict of interest policy which is part of the larger NHC Corporate Compliant Policy. NHC's Corporate Compliance Officer is responsible for monitoring any conflicts of interest and following established policy to address and reports of violations. Form 990, Part IX, line 11g Contracted Services: Program service expenses 985,207. Management and general expenses 7,707. Fundraising expenses 0. Total expenses 992,914. Dues and memberships: Program service expenses 0. Management and general expenses 7,108. Fundraising expenses 0. Total expenses 7,108.