SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
ROCK RIVER COMMUNITY CLINIC INC
 
Employer identification number

20-5297560
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 VANESSA MACHADO AND FRANKLIN MACHADO ARE MARRIED. CESAR MACHADO AND FRANKLIN MACHADO ARE BROTHERS.
FORM 990, PART VI, SECTION B, LINE 11B THE BOARD HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE FINANCE COMMITTEE. THE BOARD CHAIR AND TREASURER ARE BOTH PRESENT ON THIS COMMITTEE. EACH MEMBER OF THIS COMMITTEE WILL RECEIVE THE FORM 990 AND WILL REQUIRE THEIR APPROVAL. AT THE FOLLOWING BOARD MEETING THE MEMBERS OF THE BOARD WILL RECEIVE A COPY AND FEEDBACK FROM THE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12C TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAXEXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND ARE THE RESULT OF ARM'S-LENGTH BARGAINING. WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO THE CORPORATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. WHETHER AGREEMENTS TO PROVIDE HEALTH CARE, AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. WHETHER THE CORPORATION'S CONFLICTS OF INTEREST POLICY ADEQUATELY ADDRESSES THE NEEDS OF THE CORPORATION AND IS BEING SUFFICIENTLY COMPLIED WITH BY THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNING BOARD REVIEWS TOP MANAGEMENT COMPENSATION ANNUALLY. IT IS UP TO THEIR DISCRETION AS TO WHAT METHODS TO USE WHICH MAY INCLUDE BUT ARE NOT LIMITED TO AN INDEPENDENT REVIEW, COMPENSATION COMPARISONS, PERFORMANCE REVIEW, ETC. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022
FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023


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