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Nonprofiteer
← LA CLINICA DE LOS CAMPESINOS INC

Form 990 for tax year 2022

Filed by LA CLINICA DE LOS CAMPESINOS INC.

Totals

Total revenue
$31,289,728
Total expenses
$21,537,029
Contributions and grants received
$7,019,299
Grants paid
$10,000
Program service revenue
$24,176,432
Investment income
$93,997
Other revenue
$0
Total assets, end of year
$21,538,371
Total liabilities, end of year
$3,353,259
Net assets or fund balances, end of year
$18,185,112
Program services expenses (Part IX)
$16,623,210
Management and general expenses
$4,913,819
Fundraising expenses
$0
Program service expenses (Part III)
$16,623,210

Program services were 77.2% 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.

  • 1e · Government grants (contributions)

    $7,007,528

  • 1f · All other contributions, gifts and grants

    $11,771

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $23,877,186 · related or exempt $23,877,186

  • 2b · Program service revenue: 340B PROGRAM REVENUE

    total $139,356 · related or exempt $139,356

  • 2f · All other program service revenue

    total $159,890 · related or exempt $159,890

  • 3 · Investment income

    total $93,997 · excluded $93,997

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $10,000 · program services $10,000

  • 5 · Compensation of officers, directors and key employees

    total $537,513 · management and general $537,513

  • 7 · Other salaries and wages

    total $11,592,412 · program services $9,551,785 · management and general $2,040,627

  • 8 · Pension plan contributions

    total $397,432 · program services $326,170 · management and general $71,262

  • 9 · Other employee benefits

    total $2,152,331 · program services $1,740,896 · management and general $411,435

  • 10 · Payroll taxes

    total $862,616 · program services $670,305 · management and general $192,311

  • 11b · Fees: legal

    total $33,280 · management and general $33,280

  • 11c · Fees: accounting

    total $88,463 · management and general $88,463

  • 11g · Fees: other

    total $1,340,803 · program services $872,051 · management and general $468,752

  • 12 · Advertising and promotion

    total $72,717 · program services $21,757 · management and general $50,960

  • 13 · Office expenses

    total $813,520 · program services $666,202 · management and general $147,318

  • 14 · Information technology

    total $547,854 · program services $425,716 · management and general $122,138

  • 16 · Occupancy

    total $520,544 · program services $317,441 · management and general $203,103

  • 17 · Travel

    total $234,707 · program services $156,979 · management and general $77,728

  • 19 · Conferences, conventions and meetings

    total $41,187 · program services $32,005 · management and general $9,182

  • 20 · Interest

    total $45,500 · program services $18,435 · management and general $27,065

  • 22 · Depreciation, depletion and amortization

    total $626,774 · program services $425,318 · management and general $201,456

  • 23 · Insurance

    total $126,453 · program services $20,333 · management and general $106,120

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $812,828 · program services $812,828

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $250,250 · program services $250,250

  • 24c · Other expenses: REPAIRS & MAINTENANCE

    total $204,690 · program services $137,923 · management and general $66,767

  • 24d · Other expenses: 340B EXPENSES

    total $113,556 · program services $113,556

  • 24e · All other expenses

    total $111,599 · program services $53,260 · management and general $58,339

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,621,394 · end of year $10,984,785

  • 2 · Savings and temporary cash investments

    beginning of year $277,483 · end of year $277,853

  • 3 · Pledges and grants receivable

    beginning of year $361,950 · end of year $237,702

  • 4 · Accounts receivable

    beginning of year $1,316,008 · end of year $1,120,692

  • 9 · Prepaid expenses and deferred charges

    beginning of year $23,069 · end of year $169,059

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

    $14,325,522

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

    $6,069,787

  • 10c · Land, buildings and equipment, net

    beginning of year $5,506,128 · end of year $8,255,735

  • 15 · Other assets

    beginning of year $298,351 · end of year $492,545

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,185,652 · end of year $1,513,308

  • 23 · Secured mortgages and notes payable

    beginning of year $761,829 · end of year $1,577,961

  • 25 · Other liabilities

    beginning of year $0 · end of year $261,990

  • 27 · Net assets without donor restrictions

    beginning of year $8,024,424 · end of year $17,813,246

  • 28 · Net assets with donor restrictions

    beginning of year $432,478 · end of year $371,866

Mission and programs · 2022

Mission

TO ENSURE ACCESS TO HIGH QUALITY INTEGRATED HEALTHCARE AND PROMOTE THE WELL-BEING OF OUR PATIENTS, STAFF, AND COMMUNITIES.

  • COMMUNITY AND MIGRANT HEALTH CLINIC CENTER THAT PROVIDES PRIMARY MEDICAL, BEHAVIORAL HEALTH, AND DENTAL HEALTH SERVICES TO COMMUNITY RESIDENTS AND MIGRANT PATIENTS. THE WISCONSIN COMMUNITY HEALTH CENTER GRANT ENABLES LA CLINICA TO PROVIDE COMMUNITY AND MIGRANT PATIENTS ACCESS TO MEDICAL AND DENTAL SERVICES. IN ADDITION, BEHAVIORAL HEALTH SERVICES ARE PROVIDED WHICH INCLUDE MEDICATION ASSISTED TREATMENT FOR SUBSTANCE AND ALCOHOL ABUSE.

    Expenses $16,305,094 · Grants $10,000 · Revenue $24,176,432

  • THE WOMEN, INFANT, AND CHILDREN'S GRANT ALLOWS LA CLINICA TO PROVIDE SUPPLEMENTAL NUTRITION AND EDUCATION TO CLIENTS IN THE PROGRAM SERVICES AREA.

    Expenses $318,116

As filed on the 2022 return.

Listed in Part VII

  • Paul Theyel

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Alma Delia Torres

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Amanda Dederich

    SECRETARY (THRU OCT)

    Total calculated
    $0
    Hours/week
    1

  • Aaron Williams

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Sheila Shaw

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Lora Blasius

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Heidi Delgadillo

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Peter Gierach

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Brenda Henke

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Roseanne Henning

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Fred Johannes

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Patsy Mbughuni

    DIRECTOR (THRU MAY)

    Total calculated
    $0
    Hours/week
    1

  • Paul Mott

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Juanita 'Terry' Olivas

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Damaris Thome

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Laura Waldvogel

    PRESIDENT & CEO

    Total calculated
    $293,865
    From this org
    $233,450
    From related orgs
    $0
    Other
    $60,415
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $227,658
    Bonus
    $5,000
    Other
    $792
    Deferred
    $12,250
    Nontaxable benefits
    $48,165
    Filer's total
    $293,865

  • Thomas Kaminski

    CFO

    Total calculated
    $243,648
    From this org
    $193,716
    From related orgs
    $0
    Other
    $49,932
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $176,625
    Bonus
    $5,360
    Other
    $11,731
    Deferred
    $10,067
    Nontaxable benefits
    $39,865
    Filer's total
    $243,648

  • Kevin Thao

    PHYSICIAN

    Total calculated
    $258,067
    From this org
    $213,374
    From related orgs
    $0
    Other
    $44,693
    Hours/week
    28

    Schedule J breakdown matched by us

    Base
    $179,646
    Bonus
    $3,620
    Other
    $30,108
    Deferred
    $7,578
    Nontaxable benefits
    $37,115
    Filer's total
    $258,067

  • Javier Rincon

    PHYSICIAN

    Total calculated
    $234,196
    From this org
    $210,176
    From related orgs
    $0
    Other
    $24,020
    Hours/week
    28

    Schedule J breakdown matched by us

    Base
    $194,724
    Bonus
    $15,452
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $24,020
    Filer's total
    $234,196

  • Tracy Hopkins

    DENTIST

    Total calculated
    $220,587
    From this org
    $187,091
    From related orgs
    $0
    Other
    $33,496
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,775
    Bonus
    $5,000
    Other
    $2,316
    Deferred
    $9,185
    Nontaxable benefits
    $24,311
    Filer's total
    $220,587

  • Savita Bimarthi

    CDO/DENTIST

    Total calculated
    $211,104
    From this org
    $165,700
    From related orgs
    $0
    Other
    $45,404
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $160,484
    Bonus
    $5,000
    Other
    $216
    Deferred
    $8,289
    Nontaxable benefits
    $37,115
    Filer's total
    $211,104

  • Nathan Daily

    DENTIST

    Total calculated
    $210,170
    From this org
    $166,009
    From related orgs
    $0
    Other
    $44,161
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $161,541
    Bonus
    $4,360
    Other
    $108
    Deferred
    $8,518
    Nontaxable benefits
    $35,643
    Filer's total
    $210,170

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.

Provenance

Return type
form_990
Tax year
2022
Filed
19 December 2023
IRS schema version
2022v5.0
Source object
202313549349300516

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