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Nonprofiteer
← DR JAMES E ALBRECHT FREE CLINIC

Form 990 for tax year 2022

Filed by DR JAMES E ALBRECHT FREE CLINIC.

Totals

Total revenue
$729,767
Total expenses
$620,223
Contributions and grants received
$622,674
Grants paid
$0
Program service revenue
$0
Investment income
$61,803
Other revenue
$45,290
Total assets, end of year
$1,773,827
Total liabilities, end of year
$29,889
Net assets or fund balances, end of year
$1,743,938
Program services expenses (Part IX)
$422,082
Management and general expenses
$139,430
Fundraising expenses
$58,711
Program service expenses (Part III)
$422,082

Program services were 68.1% 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.

  • 1a · Federated campaigns

    $24,923

  • 1f · All other contributions, gifts and grants

    $597,751

  • 1g · Noncash contributions included above

    $8,404

  • 3 · Investment income

    total $18,488 · excluded $18,488

  • 6a · Gross rents

    real property $21,612

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $21,612

  • 6d · Net rental income or loss

    total $21,612 · related or exempt $21,612

  • 7a · Gross sales of assets other than inventory

    securities $275,481 · other assets $69,025

  • 7b · Less cost or other basis and sales expenses

    securities $283,929 · other assets $17,262

  • 7c · Gain or loss

    securities -$8,448 · other assets $51,763

  • 7d · Net gain or loss

    total $43,315 · related or exempt $51,763 · excluded -$8,448

  • 11a · Other revenue: MEDICAID REIMBURSEMENT

    total $23,594 · related or exempt $23,594

  • 11b · Other revenue: MISCELLANEOUS INCOME

    total $84 · excluded $84

  • 11e · Other revenue, total

    $23,678

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $78,494 · management and general $51,022 · fundraising $27,472

  • 7 · Other salaries and wages

    total $316,172 · program services $238,178 · management and general $53,550 · fundraising $24,444

  • 8 · Pension plan contributions

    total $6,705 · program services $1,461 · management and general $3,228 · fundraising $2,016

  • 9 · Other employee benefits

    total $3,868 · program services $2,350 · management and general $1,011 · fundraising $507

  • 10 · Payroll taxes

    total $32,609 · program services $19,811 · management and general $8,526 · fundraising $4,272

  • 11c · Fees: accounting

    total $11,225 · program services $8,980 · management and general $2,245

  • 11f · Fees: investment management

    total $2,811 · management and general $2,811

  • 11g · Fees: other

    total $4,805 · program services $3,844 · management and general $961

  • 12 · Advertising and promotion

    total $1,885 · program services $1,696 · management and general $189

  • 13 · Office expenses

    total $11,216 · program services $10,095 · management and general $1,121

  • 14 · Information technology

    total $29,048 · program services $26,143 · management and general $2,905

  • 16 · Occupancy

    total $32,146 · program services $28,932 · management and general $3,214

  • 22 · Depreciation, depletion and amortization

    total $57,974 · program services $52,177 · management and general $5,797

  • 23 · Insurance

    total $8,706 · program services $6,094 · management and general $2,612

  • 24a · Other expenses: DENTAL SUPPLIES AND SER

    total $11,103 · program services $11,103

  • 24b · Other expenses: MEDICAL SUPPLIES AND SE

    total $4,962 · program services $4,962

  • 24c · Other expenses: OTHER SUPPLIES AND SERV

    total $3,562 · program services $3,562

  • 24d · Other expenses: DUES AND SUBSCRIPTIONS

    total $2,352 · program services $2,117 · management and general $235

  • 24e · All other expenses

    total $580 · program services $577 · management and general $3

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $193,780 · end of year $352,397

  • 2 · Savings and temporary cash investments

    beginning of year $464,368 · end of year $135,509

  • 3 · Pledges and grants receivable

    end of year $119,590

  • 4 · Accounts receivable

    beginning of year $56,975 · end of year $21,150

  • 9 · Prepaid expenses and deferred charges

    beginning of year $5,017 · end of year $4,428

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

    $627,844

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

    $266,975

  • 10c · Land, buildings and equipment, net

    beginning of year $392,336 · end of year $360,869

  • 11 · Investments: publicly traded securities

    beginning of year $472,837 · end of year $779,884

  • 17 · Accounts payable and accrued expenses

    beginning of year $15,937 · end of year $24,889

  • 19 · Deferred revenue

    end of year $5,000

  • 27 · Net assets without donor restrictions

    beginning of year $1,494,376 · end of year $1,541,074

  • 28 · Net assets with donor restrictions

    beginning of year $75,000 · end of year $202,864

Mission and programs · 2022

Mission

TO SERVE INDIVIDUALS WHO LIVE OR WORK IN WASHINGTON COUNTY, WI WHO ARE UNDERINSURED, UNINSURED OR OTHERWISE UNABLE TO AFFORD MEDICAL, DENTAL, OR BEHAVIORAL HEALTH SERVICES.

  • SERVICES PROVIDED INCLUDE: MEDICAL, DENTAL, BEHAVIORAL HEALTH, COMMUNITY NAVIGATOR

    Expenses $422,082 · Revenue $96,969

As filed on the 2022 return.

Listed in Part VII

  • Dale Thoma

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Doug McManus

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Amanda Sacks

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Greg Heberer

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Gary Herdrich

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Tom Albiero

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • James Pauly

    PAST PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Allen Ericson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Tom Hopp

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Tammy Muckerheide

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • John Mutschelknaus

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Eric Ransom

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Claire Rolfs

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Kelly Stueber

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Kimberly Grensavitch

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Ruth Henkle

    EXECUTIVE DIRECTOR

    Total calculated
    $78,494
    From this org
    $77,510
    From related orgs
    $0
    Other
    $984
    Hours/week
    40

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.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
31 October 2023
IRS schema version
2022v5.0
Source object
202323149349300047

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