2012-08-14T09:41:46-05:00 2012-02-29 410746749 CLIFTONLARSONALLEN LLP PO BOX 1347 RACINE WI 534011347 990 2011-03-01 391789874 KENOSHA COMMUNITY HEALTH CENTER INC KENO 2626560044 625 57TH STREET SUITE 700 KENOSHA WI 53140 DAVID HUGHES 2626560044 2012-07-31 1 KIMBERLY ANDERSON CPA P00188889 2626379351 2011 2016-02-24 21:20:13Z DAVID HUGHES 625 57TH STREET SUITE 700 KENOSHA WI 53140 12561570 0 X WWW.KENOSHACHC.ORG X 1995 WI TO PROVIDE ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES AND TO REDUCE HEALTH DISPARITIES FOR THE UNDERSERVED PEOPLE OF KENOSHA COUNTY, WI WITHOUT REGARD TO ABILITY TO PAY AND IN A SUSTAINABLE MANNER. 11 11 180 13 0 0 1397441 4007947 6552819 8533323 1461 1029 14079 19271 7965800 12561570 1476 630 0 0 5541633 7053326 0 0 0 2312515 2878898 7855624 9932854 110176 2628716 7462700 10577632 3578411 4064627 3884289 6513005 TO PROVIDE ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES AND TO REDUCE HEALTH DISPARITIES FOR THE UNDERSERVED PEOPLE OF KENOSHA COUNTY, WI WITHOUT REGARD TO ABILITY TO PAY AND IN A SUSTAINABLE MANNER. 0 0 2476693 630 3146099 INCREASING ACCESS TO COMPREHENSIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE FOR MEDICAID ENROLLEES AND THE UNINSURED. 4756342 5406495 TO INCREASE HEALTH OUTCOMES FOR MEDICAID ENROLLEES AND THE UNINSURED. 7233035 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 7 0 1 180 1 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 0 1 1 1 1 1 1 1 0 WI X DAVID HUGHES 2627643607 625 57TH STREET SUITE 700 KENOSHA WI 53140 FRANK LUDOWISE 1.00 X X 0 0 0 WILLIAM ROBERTS 1.00 X X 0 0 0 JACKIE BUSH 1.00 X X 0 0 0 CINDY JOHNSON 1.00 X 0 0 0 JO A WYNN 1.00 X 0 0 0 PAM HALBACH 1.00 X 0 0 0 LATASHA JONES 1.00 X 0 0 0 JAY A CASHMORE 1.00 X X 0 0 0 LORETTE MITCHELL 1.00 X 0 0 0 SHEBANIAH MUHAMAD 1.00 X 0 0 0 DANIEL HEYDEN 1.00 X 0 0 0 JACK WATERS 40.00 X 129494 0 6160 BETH RUHLAND 40.00 X 115270 0 4600 DAVID HUGHES 40.00 X 172204 0 9857 ALESSANDRO SAVAGLIO JR 40.00 X 215122 0 8588 PRZEMYSLAW KOLANKO 40.00 X 152043 0 13361 ELZBIETA KOSLACZ-KOLANKO 40.00 X 118358 0 6157 THOMAS JAZWIECKI 40.00 X 150181 0 6805 UMAIR SHARIH 40.00 X 168561 0 11488 1221233 0 67016 12 0 1 0 0 3971548 36399 4007947 PATIENT SERVICE FEES 621110 8346842 8346842 MEDICARE EHR INCENTIVE 900099 106250 106250 CONSULTING REVENUE 621110 80231 80231 8533323 1029 1029 MISCELLANEOUS INCOME 900099 19271 19271 19271 12561570 8552594 0 1029 630 630 433048 320456 112592 5404068 3999705 1404363 108379 78245 30134 616688 432252 184436 491143 353707 137436 30222 28817 1405 28331 3115 25216 638780 367049 271731 25012 17597 7415 75585 56816 18769 283394 177065 106329 53977 10398 43579 23198 7347 15851 145200 145200 363629 317005 46624 31807 23851 7956 SUPPLIES 508151 491133 17018 REPAIRS AND MAINTENANCE 158208 113342 44866 SMALL EQUIPMENT 145467 117783 27684 RECRUITMENT AND STAFF T 120644 93979 26665 247293 222743 24550 9932854 7233035 2699819 0 16327 704741 976920 164259 95942 296000 1381533 2009635 95712 233396 8534262 1364661 4896266 7169601 7462700 10577632 562263 1055691 16148 8936 3000000 3000000 3578411 4064627 X 3884289 6513005 3884289 6513005 7462700 10577632 2628716 0 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 159200 159200 3690002 389233 3300769 737854 195764 542090 1112728 651104 461624 2834478 128560 2705918 7169601 X X 0 1 0 0 0 0 0 0 0 DAVID HUGHES 103654 0 64430 0 4120 0 6857 0 3000 0 182061 0 0 0 ALESSANDRO SAVAGLIO JR 168270 0 39708 0 7144 0 8588 0 0 0 223710 0 0 0 PRZEMYSLAW KOLANKO 136988 0 0 0 15055 0 6075 0 7286 0 165404 0 0 0 THOMAS JAZWIECKI 127552 0 16708 0 5921 0 6003 0 802 0 156986 0 0 0 UMAIR SHARIH 146770 0 13151 0 8640 0 6736 0 4752 0 180049 0 0 0 PART I, LINE 4B DAVID HUGHES - $6,857 THOMAS JAZWIECKI - $6,003 PRZEMYSLAW KOLANKO - $6,075 ELZBIETA KOSLACZ-KOLANKO - $5,014 BETH RUHLAND - $4,600 ALESSANDRO SAVAGLIO JR. - $8,588 UMAIR SHARIH - $6,736 JOHN WATERS - $5,160 FORM 990, PART VI, SECTION B, LINE 11 THE FORM IS REVIEWED BY THE BOARD FINANCE COMMITTEE BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL NEW BOARD MEMBERS TO SIGN A CONFLICT OF INTEREST STATEMENT. BOARD MEMBERS ARE REQUIRED TO UPDATE THESE STATEMENTS ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES A VARIETY OF REGIONAL AND EXECUTIVE RECRUITING FIRMS FOR KEY EMPLOYEES WHO RECOMMEND COMPENSATION PACKAGES BASED ON MARKET DATA. THE ORGANIZATION ALSO PARTICIPATES IN A VARIETY OF COMPENSATION SURVEYS THROUGH NACHC, WPHCA, AND GENERALIST HR ORGANIZATIONS AND RECEIVE THOSE REPORTS. THERE ARE ALSO PERIODIC SPOT CHECKS LOCALLY FOR SPECIFIC POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART XI, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. KENOSHA COMMUNITY HEALTH CENTER LLC 4536 22ND AVENUE KENOSHA WI 53140 391789874 REAL ESTATE HOLDING WI -4752 3459971 N/A