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Governance Register
US nonprofit · EIN 391789874 · Kenosha, WIiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 391789874) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe tenure.Latest return IRS Form 990 series e-file data - 990 for the year to 28 February 2025: assets, liabilities, staff, website, telephone, pay, related organisations (Schedule R).Finances by year IRS Form 990 e-file data - total revenue and total expenses by tax year.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue (us-approach-v4-clean). Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Kenosha Community Health Center Inc's network

13 people4 organisationsi13 people and 4 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (13). Violet dotted lines (4) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

13 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Tenure and departures are observed across annual filings. Observed tenure is a lower bound - a member may have joined before the first year on record. The organisation reported 13 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Anita Rojas-JohnsonBoard Member & Board Pres2025
1 yr
David GeertsenBoard Member & Treasurer2024
2 yrs
Erin GinnBoard Member & Secretary2023
3 yrs
Julia RobinsonBoard Member2025
1 yr
Kate TrudellBoard Member & Board VP2025
1 yr
Katherine EasthonBoard Member2024
2 yrs
Marcus JacksonBoard Member2025
1 yr
Maria MendozaBoard Member2025
1 yr
Ronald TatumBoard Member2024
2 yrs
Stephen NeubergerBoard Member2024
2 yrs
Tony MooreBoard Member2025
1 yr
Valena ColemanBoard Member2025
1 yr
Venkata ThotaBoard Member2021
5 yrs
Under 5 years5 to 6 years6 years or moreShow all 13 →

Officers and senior leadership

32 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Alan MarshallCEO/COO (Through 2/7/20)since 2019
Amalou LIMDentist2024
AMI Prag Through 10419Chief Medical Officer2020
Bharathi PullaPhysician2025
Brent RaffertyChief Executive Officer (Thru 4/18)since 2018
David ConnellDentistsince 2018
Gabriela A QuirinoDentist2023
Gary MossChief Financial Officer (Thru 02/01/24)since 2019
Hazel MooreDentist (Through 12/31/2018)2019
Heather MatejkaDentist2021
Heidi EckelbergNurse Practitioner2023
Jeffery GrantChief Financial Officer (Beg 3/17)2018
Jeffrey GrantCFO (Through 7/31/2019)since 2019
John StampflInterim Chief Financial Officersince 2024
John VaselaneyChief Dental Officer (Thru 01/08/24)since 2023
Jose A VillanuevaDentistsince 2023
Joseph BartaDentistsince 2018
Kendall WilkesDentistsince 2024
Manuel A RiveraPhysician2020
Mary CoffeyChief Executive Officer (Thru 7/17)2018
Mary OuimetChief Executive Officersince 2021
Mathew McCarthyPsychiatristsince 2024
Mihaela PopaDental Directorsince 2018
Nicole MubangaChief Medical Officer (Thru 02/23)since 2021
Patricia SiasPhysician (Through 10/11/2018)2019
Patrycia M WierzbickiDentist2020
Patrycja WierzbickiDentist2021
Sachin VermaDentistsince 2020
Sapna PatelPhysician2018
Sheila MoranInterim Chief Financial Officer (Thru 6/17)2018
Thomas JazwieckiDentist (Through 1/12/2019)since 2018
Timothy SanbornChief Clinical Officer (Start 6/6/23)since 2024

Pay and hours

year to 28 February 2025iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Bharathi PullaPhysician40$286k$13k
Mary OuimetChief Executive Officer40$243k$16k
Mathew McCarthyPsychiatrist40$217k$9k
David ConnellDentist40$200k$7k
Kendall WilkesDentist40$187k$7k
Jose VillanuevaDentist40$178k$6k
John StampflChief Financial Officer40$159k
Timothy SanbornChief Clinical Officer40$150k
Anita Rojas-JohnsonBoard Member & Board Pres1$0
Kate TrudellBoard Member & Board VP1$0
David GeertsenBoard Member & Treasurer1$0
Erin GinnBoard Member & Secretary1$0
Maria MendozaBoard Member1$0
Katherine EasthonBoard Member1$0
Ronald TatumBoard Member1$0
Venkata ThotaBoard Member1$0
Stephen NeubergerBoard Member1$0
Tony MooreBoard Member1$0
Valena ColemanBoard Member1$0
Julia RobinsonBoard Member1$0
Marcus JacksonBoard Member1$0

About

Legal name
Kenosha Community Health Center Inc
EIN
391789874
Address
4006 Washington Rd, Kenosha, WI, 53144-4819
State
Wisconsin
Mission
Kenosha community health center, inc.'s purpose is to provide primary care and referral health services to disadvantaged and underserved populations and promote and ensure that basic primary health services are accessible to uninsured and underinsured residents of kenosha, wisconsin and surrounding communities. (as filed on the Form 990)
Activity (NTEE)
E30 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
8 (IRS master file code)
Formed
1994
Principal officer
Mary Ouimet (as named on the Form 990)
IRS ruling date
1 October 1994
Status
Code 01 (unconditional exemption)
Form 990 filings on record
7, latest 2025
IRS Publication 78
PC (contributions deductible)

Most connected

Longest observed on the filings

≥5years on the filingsVenkata Thota
≥3years on the filingsErin Ginn
≥2years on the filingsDavid Geertsen
≥2years on the filingsKatherine Easthon

Latest return

year to 28 February 2025iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 28 February 2025. US dollars, as filed.
Total assets
$14.2m
Total liabilities
$3.5m
Net assets or fund balances
$10.7m
Contributions and grants received
$3.2m
Program service revenue
$14.9m
Employees
185
Volunteers
15

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2024$18.4m$19mDeficit $594k

As filed on the IRS Form 990. US dollars.