2011-07-15T12:46:24-05:00 2011-02-28 CLIFTON GUNDERSON LLP P O BOX 1347 RACINE WI 534011347 990 2010-03-01 391789874 KENOSHA COMMUNITY HEALTH CENTER INC KENO 2626560044 625 57TH STREET SUITE 700 KENOSHA WI 53140 JACK WATERS 2626560044 2011-07-14 1 JOHN D KARLS CPA 2626379351 2010 2016-02-24 21:20:13Z 625 57TH STREET SUITE 700 KENOSHA WI 53140 7965800 0 X WWW.KENOSHACHC.ORG X 1995 WI TO PROVIDE QUALITY, LOW-COST HEALTH AND DENTAL CARE TO THE UNDERSERVED AND UNINSURED PEOPLE IN KENOSHA, WI. 9 9 142 11 0 0 1793227 1397441 4772588 6552819 3671 1461 7268 14079 6576754 7965800 15245 1476 0 0 4076000 5541633 0 0 0 2113359 2312515 6204604 7855624 372150 110176 7379538 7462700 3605425 3578411 3774113 3884289 TO PROVIDE QUALITY, LOW-COST HEALTH AND DENTAL CARE TO THE UNDERSERVED AND UNINSURED PEOPLE IN KENOSHA, WI. 0 0 1864867 1476 2302830 TO PROVIDE QUALITY, LOW-COST HEALTH CARE TO THE UNDERSERVED AND UNINSURED PEOPLE IN KENOSHA, WI 3830334 4264068 TO PROVIDE QUALITY, LOW-COST DENTAL CARE TO THE UNDERSERVED AND UNINSURED PEOPLE IN EKNOSHA, WI 5695201 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 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 9 0 1 142 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X DAVID HUGHES 2626560044 4536 22ND AVENUE KENOSHA WI 53140 FRANK LUDOWISE 1.00 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 AN WYNN 1.00 X 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 KELLY WILKS 1.00 X 0 0 0 JACK WATERS 40.00 X 133937 0 7207 BETH DEN BOER 40.00 X 99676 0 21166 DAVID HUGHES 40.00 X 134543 0 15278 ALESSANDRO SAVAGLIO JR 40.00 X 175104 0 8729 PRZEMYSLAW KOLANKO 40.00 X 138392 0 18955 ELZBIETA KOSLACZ-KOLANKO 40.00 X 130298 0 8137 RACHAEL SCHUTTE 40.00 X 130027 0 1671 UMAIR SHARIH 40.00 X 158458 0 13590 1100435 0 94733 10 0 1 0 0 1384020 13421 1397441 PATIENT SERVICE FEES 621110 6511288 6511288 CONSULTING REVENUE 621110 41531 41531 6552819 1461 1461 MISCELLANEOUS INCOME 900099 14079 14079 14079 7965800 6566898 0 1461 1476 1476 4618965 3408226 1210739 544941 377100 167841 377727 274016 103711 8099 5102 2997 26164 5180 20984 377913 112207 265706 772 772 197975 147243 50732 26792 5135 21657 18971 3789 15182 145476 145476 313480 287056 26424 21563 22476 -913 SUPPLIES 599888 563521 36367 REPAIRS AND MAINTENANCE 253058 204630 48428 LAB FEES 140311 140311 BAD DEBT EXPENSE 47742 47742 TELEPHONE 45479 33339 12140 88832 55880 32952 7855624 5695201 2160423 0 48003 16327 1276196 976920 254028 95942 950126 1381533 4882 32896 95712 5897298 1001032 4813407 4896266 7379538 7462700 574511 562263 30914 16148 3000000 3000000 3605425 3578411 X 3774113 3884289 3774113 3884289 7379538 7462700 110176 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 159200 159200 3690002 296983 3393019 724283 147473 576810 1068995 471292 597703 254818 85284 169534 4896266 7965800 7855624 110176 0 110176 7965800 0 7965800 0 7965800 7855624 0 7855624 0 7855624 X X 0 1 0 0 0 0 0 0 0 ALESSANDRO SAVAGLIO JR 175104 0 0 0 0 0 0 0 0 0 175104 0 0 0 PRZEMYSLAW KOLANKO 138392 0 0 0 0 0 0 0 0 0 138392 0 0 0 UMAIR SHARIH 158458 0 0 0 0 0 0 0 0 0 158458 0 0 0 PART I, LINE 4B PRZEMYSLAW KOLANKO - $3,000 ELZBIETA KOSLACZ-KOLANKO - $2,800 JACK WATERS - $3,946 BETH DENBOER - 3,717 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 -4775 3617455 N/A