Skip to content
Nonprofiteer
← LAKESHORE COMMUNITY HEALTH CARE INC

Form 990 for tax year 2022

Filed by LAKESHORE COMMUNITY HEALTH CARE INC.

Totals

Total revenue
$16,764,432
Total expenses
$16,793,658
Contributions and grants received
$4,208,382
Grants paid
$0
Program service revenue
$12,424,643
Investment income
$101,665
Other revenue
$29,742
Total assets, end of year
$15,947,200
Total liabilities, end of year
$4,603,030
Net assets or fund balances, end of year
$11,344,170
Program services expenses (Part IX)
$12,484,617
Management and general expenses
$4,309,041
Fundraising expenses
$0
Program service expenses (Part III)
$12,484,617

Program services were 74.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $3,421

  • 1d · Related organizations

    $39,000

  • 1e · Government grants (contributions)

    $3,813,155

  • 1f · All other contributions, gifts and grants

    $352,806

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $11,539,963 · related or exempt $11,539,963

  • 2b · Program service revenue: PHARMACY REVENUE

    total $866,039 · related or exempt $866,039

  • 2f · All other program service revenue

    total $18,641 · related or exempt $18,641

  • 3 · Investment income

    total $101,665 · excluded $101,665

  • 6a · Gross rents

    real property $32,621

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $32,621

  • 6d · Net rental income or loss

    total $32,621 · excluded $32,621

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $3,421

  • 8b · Fundraising events: direct expenses

    $17,957

  • 8c · Net income from fundraising events

    total -$17,957 · excluded -$17,957

  • 11d · All other revenue

    total $15,078 · excluded $15,078

  • 11e · Other revenue, total

    $15,078

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $492,110 · management and general $492,110

  • 7 · Other salaries and wages

    total $9,038,407 · program services $6,749,677 · management and general $2,288,730

  • 8 · Pension plan contributions

    total $305,658 · program services $225,258 · management and general $80,400

  • 9 · Other employee benefits

    total $1,260,005 · program services $871,340 · management and general $388,665

  • 10 · Payroll taxes

    total $684,855 · program services $489,220 · management and general $195,635

  • 11b · Fees: legal

    total $19,516 · program services $12,628 · management and general $6,888

  • 11c · Fees: accounting

    total $38,230 · management and general $38,230

  • 11g · Fees: other

    total $1,386,022 · program services $1,130,112 · management and general $255,910

  • 12 · Advertising and promotion

    total $49,133 · program services $38,525 · management and general $10,608

  • 13 · Office expenses

    total $63,643 · program services $48,569 · management and general $15,074

  • 14 · Information technology

    total $160,520 · program services $107,406 · management and general $53,114

  • 16 · Occupancy

    total $442,268 · program services $312,913 · management and general $129,355

  • 17 · Travel

    total $95,755 · program services $73,044 · management and general $22,711

  • 19 · Conferences, conventions and meetings

    total $82,494 · program services $51,026 · management and general $31,468

  • 20 · Interest

    total $152,302 · program services $82,273 · management and general $70,029

  • 22 · Depreciation, depletion and amortization

    total $329,695 · program services $274,894 · management and general $54,801

  • 23 · Insurance

    total $44,184 · program services $26,460 · management and general $17,724

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,093,057 · program services $1,093,057

  • 24b · Other expenses: ELECTRONIC HEALTH RECOR

    total $390,695 · program services $390,695

  • 24c · Other expenses: EQUIPMENT

    total $320,892 · program services $294,911 · management and general $25,981

  • 24d · Other expenses: LICENSES & DUES

    total $182,603 · program services $79,889 · management and general $102,714

  • 24e · All other expenses

    total $161,614 · program services $132,720 · management and general $28,894

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $847,388 · end of year $755,607

  • 2 · Savings and temporary cash investments

    beginning of year $3,373,881 · end of year $2,854,592

  • 3 · Pledges and grants receivable

    beginning of year $36,260 · end of year $39,795

  • 4 · Accounts receivable

    beginning of year $716,560 · end of year $917,150

  • 7 · Other notes and loans receivable

    beginning of year $4,955,250 · end of year $4,955,250

  • 8 · Inventories for sale or use

    beginning of year $98,154 · end of year $76,924

  • 9 · Prepaid expenses and deferred charges

    beginning of year $114,485 · end of year $146,281

  • 10a · Land, buildings and equipment: cost or other basis

    $7,612,386

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,448,804

  • 10c · Land, buildings and equipment, net

    beginning of year $5,748,439 · end of year $6,163,582

  • 15 · Other assets

    beginning of year $10,688 · end of year $38,019

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,075,711 · end of year $1,225,536

  • 19 · Deferred revenue

    beginning of year $0 · end of year $22,028

  • 23 · Secured mortgages and notes payable

    beginning of year $3,432,673 · end of year $3,327,653

  • 25 · Other liabilities

    beginning of year $19,327 · end of year $27,813

  • 27 · Net assets without donor restrictions

    beginning of year $10,655,341 · end of year $10,687,793

  • 28 · Net assets with donor restrictions

    beginning of year $718,053 · end of year $656,377

Mission and programs · 2022

Mission

LAKESHORE COMMUNITY HEALTH CARE PROVIDES ACCESS TO COMPREHENSIVE, INTEGRATED HEALTH CARE, REGARDLESS OF ABILITY TO PAY, ELIMINATING HEALTH DISPARITIES AMONG THE UNDERSERVED.

Activities or mission (Part I)

LCHC STRIVES TO CREATE COMMUNITIES WHERE ALL PEOPLE LIVE HEALTHY, ACTIVE, AND PROSPEROUS LIVES. LCHC ASPIRES TO BE A PREFERRED PROVIDER AND AN EMPLOYER OF CHOICE.

  • LAKESHORE COMMUNITY HEALTH CARE, INC. PROVIDES HEALTH CARE SERVICES TO PEOPLE WHO STRUGGLE TO FIND A DOCTOR, DENTIST, OR A COUNSELOR FOR CARE. THE ORGANIZATION ALSO PROVIDES PHARMACY AND CHIROPRACTIC SERVICES. THE ORGANIZATION WORKS WITH OUR COMMUNITY PARTNERS TO REFER PATIENTS FOR ANY SERVICES THE ORGANIZATION IS UNABLE TO PROVIDE. THE ORGANIZATION WORKS VERY HARD TO MAKE SURE PATIENTS GET WHAT THEY NEED AND PROVIDES UP TO 90% DISCOUNTS FOR ANYONE WHO CANNOT AFFORD TO PAY FOR THESE SERVICES.LAKESHORE PROVIDED SERVICES TO 11,774 UNDUPLICATED PATIENTS IN OUR FY2023. THESE PATIENTS WERE SEEN FOR 26,938 DENTAL VISITS (3,514 OF THOSE THROUGH OUR SCHOOL-BASED DENTAL PROGRAM), 5,955 MEDICAL VISITS, 8,684 BEHAVIORAL HEALTH VISITS (5,043 OF THOSE THROUGH OUR SCHOOL-BASED PATH PROGRAM), AND 3,997 CHIROPRACTIC VISITS. LAKESHORE ALSO PROVIDED 28,897 PRESCRIPTIONS TO OUR PATIENTS THROUGH OUR 340B PHARMACY PROGRAM.

    Expenses $12,484,617 · Revenue $12,424,643

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • KRISTIN BLANCHARD STEARNS

    CEO

    Total calculated
    $230,376
    From this org
    $188,728
    From related orgs
    $0
    Other
    $41,648
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $188,278
    Bonus
    $0
    Other
    $450
    Deferred
    $7,720
    Nontaxable benefits
    $33,928
    Filer's total
    $230,376
  • PAJ NTAUB VANG MD

    FAMILY PHYSICIAN

    Total calculated
    $220,814
    From this org
    $199,123
    From related orgs
    $0
    Other
    $21,691
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,883
    Bonus
    $0
    Other
    $240
    Deferred
    $8,041
    Nontaxable benefits
    $13,650
    Filer's total
    $220,814
  • CASEY WILSON DDS

    DENTAL DIRECTOR

    Total calculated
    $196,005
    From this org
    $176,149
    From related orgs
    $0
    Other
    $19,856
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,879
    Bonus
    $0
    Other
    $270
    Deferred
    $7,357
    Nontaxable benefits
    $12,499
    Filer's total
    $196,005
  • OLAIFA TURNER DDS

    DENTIST

    Total calculated
    $188,166
    From this org
    $174,775
    From related orgs
    $0
    Other
    $13,391
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $174,505
    Bonus
    $0
    Other
    $270
    Deferred
    $3,531
    Nontaxable benefits
    $9,860
    Filer's total
    $188,166
  • DIANA MUELLER

    CHIS MANAGER

    Total calculated
    $174,762
    From this org
    $159,574
    From related orgs
    $0
    Other
    $15,188
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $156,369
    Bonus
    $0
    Other
    $3,205
    Deferred
    $6,315
    Nontaxable benefits
    $8,873
    Filer's total
    $174,762
  • DIANE OPPENEER NP

    NURSE PRACTITIONER

    Total calculated
    $167,535
    From this org
    $151,009
    From related orgs
    $0
    Other
    $16,526
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,319
    Bonus
    $0
    Other
    $690
    Deferred
    $6,152
    Nontaxable benefits
    $10,374
    Filer's total
    $167,535
  • MICHELE SCHMITT

    COO

    Total calculated
    $140,411
    From this org
    $122,400
    From related orgs
    $0
    Other
    $18,011
    Hours/week
    40
  • CALEB JENSEMA

    CFO

    Total calculated
    $115,055
    From this org
    $106,663
    From related orgs
    $0
    Other
    $8,392
    Hours/week
    40
  • RACHEL LABORDE

    PRESIDENT (THRU MAY 2023)

    Total calculated
    $0
    Hours/week
    2
  • LEIGHANNE MATTER-JENSEN

    PRESIDENT (FROM MAY 2023)

    Total calculated
    $0
    Hours/week
    2 + 1 related
  • DIANE LIEBENTHAL

    VICE PRESIDENT (THRU JUNE 2022)

    Total calculated
    $0
    Hours/week
    2
  • DENISE WITTSTOCK

    VICE PRESIDENT (FROM JUNE 2022)

    Total calculated
    $0
    Hours/week
    2
  • GERALYN LEANNAH

    TREASURER (THRU JUNE 2022)

    Total calculated
    $0
    Hours/week
    2
  • WILLIAM PFEFFERKORN

    TREASURER

    Total calculated
    $0
    Hours/week
    2
  • JOE RUPNICK

    TREASURER (THRU MAY 2023)

    Total calculated
    $0
    Hours/week
    2
  • KELYN NETZ

    SECRETARY

    Total calculated
    $0
    Hours/week
    2
  • SHERRIE BOETTCHER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • HEATHER FEEST

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • SCOTT HAYES

    BOARD MEMBER (THRU JUNE 2022)

    Total calculated
    $0
    Hours/week
    2
  • RUTH HENKLE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • SHENITA SALAAM

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • PENNY SENKBEIL

    BOARD MEMBER (THRU NOV 2022)

    Total calculated
    $0
    Hours/week
    2
  • BRENDA SMITH

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • AMALIA VARGAS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • ROBERT ZIEGELBAUER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • LCHC QALICB INC

    501(C)(3) · TO SUPPORT LAKESHORE COMMUNITY HEALTH CARE, INC. · WI · controlled entity

    Directly controlled by LAKESHORE COMMUNITY HEALTH CARE INC

Provenance

Return type
form_990
Tax year
2022
Filed
26 January 2024
IRS schema version
2022v5.0
Source object
202420799349301137

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.