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Nonprofiteer
← COMMUNITY OUTPATIENT HEALTH SERVICE

Form 990 for tax year 2022

Filed by COMMUNITY OUTPATIENT HEALTH SERVICE.

Totals

Total revenue
$562,758
Total expenses
$520,309
Contributions and grants received
$562,758
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$477,097
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$477,097
Program services expenses (Part IX)
$520,309
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$520,309

Program services were 100.0% 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.

  • 1d · Related organizations

    $269,962

  • 1f · All other contributions, gifts and grants

    $292,796

  • 1g · Noncash contributions included above

    $290,743

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $203,620 · program services $203,620

  • 13 · Office expenses

    total $1,858 · program services $1,858

  • 14 · Information technology

    total $1,400 · program services $1,400

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $295,010 · program services $295,010

  • 24b · Other expenses: DUES & LICENSES

    total $18,421 · program services $18,421

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $434,393 · end of year $477,097

  • 4 · Accounts receivable

    beginning of year $255 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

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

    $0

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

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $0

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $434,648 · end of year $477,097

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

COMMUNITY OUTPATIENT HEALTH SERVICES IS COMMITTED TO PROVIDING OUTPATIENT MEDICAL SERVICES TO THE INDIGENT IN MENOMONEE FALLS AREA THROUGH ITS FREE CLINIC, COMMUNITY OUTREACH HEALTH CLINIC.

Activities or mission (Part I)

COMMUNITY OUTPATIENT HEALTH SERVICES IS COMMITTED TO PROVIDING OUTPATIENT MEDICAL SERVICES TO THE INDIGENT IN THE MENOMONEE FALLS AREA THROUGH ITS FREE CLINIC, COMMUNITY OUTREACH HEALTH CLINIC.

  • COMMUNITY OUTREACH HEALTH CLINIC PROVIDED 835 PATIENT VISITS TO THE INDIGENT IN THE MENOMONEE FALLS AREA DURING FISCAL YEAR 2023. IN ADDITION, THE CLINIC DISPENSED 2,078 PRESCRIPTIONS, PROVIDED 957 LABORATORY TESTS, 45 RADIOLOGY PROCEDURES, 11 REHABILITATION PROCEDURES, AND 15 CARDIAC DIAGNOSTIC TESTS. CLINIC STAFF REFERRED 36 PATIENTS INTO PHARMACEUTICAL COMPANY PROGRAMS FOR A TOTAL OF 59 PRESCRIPTIONS.

    Expenses $520,309

As filed on the 2022 return.

Listed in Part VII

  • Ehn Diane L

    DIRECTOR & VP/COO & CHAIR

    Total calculated
    $440,922
    From this org
    $0
    From related orgs
    $381,446
    Other
    $59,476
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $251,418 related
    Bonus
    $0 + $101,446 related
    Other
    $0 + $28,582 related
    Deferred
    $0 + $35,760 related
    Nontaxable benefits
    $0 + $23,716 related
    Filer's total
    $0 + $440,922 related

  • Freiberg Kerry Term Aug22

    DIRECTOR & BOD CHAIR/PRESIDENT

    Total calculated
    $437,119
    From this org
    $0
    From related orgs
    $414,064
    Other
    $23,055
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $173,348 related
    Bonus
    $0 + $103,176 related
    Other
    $0 + $137,540 related
    Deferred
    $0 + $14,045 related
    Nontaxable benefits
    $0 + $9,010 related
    Filer's total
    $0 + $437,119 related

  • Malzewski Michael Term Jun23

    DIRECTOR & BOD TREASURER

    Total calculated
    $395,741
    From this org
    $0
    From related orgs
    $352,212
    Other
    $43,529
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $256,759 related
    Bonus
    $0 + $67,118 related
    Other
    $0 + $28,335 related
    Deferred
    $0 + $20,750 related
    Nontaxable benefits
    $0 + $22,779 related
    Filer's total
    $0 + $395,741 related

  • Dresang Andrew

    DIRECTOR (START AUG22)

    Total calculated
    $260,493
    From this org
    $0
    From related orgs
    $218,457
    Other
    $42,036
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $174,958 related
    Bonus
    $0 + $34,852 related
    Other
    $0 + $8,647 related
    Deferred
    $0 + $12,792 related
    Nontaxable benefits
    $0 + $29,244 related
    Filer's total
    $0 + $260,493 related

  • Carran Matt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Levine Brad

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Menkveld Sharon MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Miller Michael MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Zambon Chad DDS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Parker Pamela

    DIRECTOR & BOD SECRETARY

    Total calculated
    $0
    Hours/week
    1

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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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

The filer's explanations (Part III)

PART-I LINE-4B
457(F) DISTRIBUTIONS: EHN, DIANE - $25,135 FREIBERG, KERRY - $121,111 NON-QUALIFIED DISTRIBUTIONS: FREIBERG, KERRY - $12,897 (OF WHICH $0 WAS REPORTED AS DEFERRED ON A PRIOR FORM 990) 457(F) PLAN PARTICIPANTS: EHN, DIANE FREIBERG, KERRY NON-QUALIFIED PARTICIPANTS: FREIBERG, KERRY
PART II, COLUMN (B)(II):
BONUS AND INCENTIVE COMPENSATION AMOUNTS INCLUDE INCENTIVE COMPENSATION PAID.
PART II, COLUMN (B)(III):
OTHER REPORTABLE COMPENSATION INCLUDES 457(F) DEFERRED COMPENSATION PLAN DISTRIBUTIONS PAID TO INDIVIDUALS, AMOUNTS PAID IN LIEU OF 457(F) DEFERRED COMPENSATION PLAN CONTRIBUTIONS, AND OTHER MISCELLANEOUS COMPENSATION.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
7 May 2024
IRS schema version
2022v5.0
Source object
202421289349301617

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