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.
-
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
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