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← COMMUNITY OUTPATIENT HEALTH SERVICE

Form 990 for tax year 2023

Filed by COMMUNITY OUTPATIENT HEALTH SERVICE.

Totals

Total revenue
$637,526
Total expenses
$507,334
Contributions and grants received
$637,526
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$601,380
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$601,380
Program services expenses (Part IX)
$507,334
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$507,334

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

    $347,777

  • 1f · All other contributions, gifts and grants

    $289,749

  • 1g · Noncash contributions included above

    $291,534

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $205,410 · program services $205,410

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $1,294 · program services $1,294

  • 14 · Information technology

    total $1,450 · program services $1,450

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $291,831 · program services $291,831

  • 24b · Other expenses: DUES & LICENSES

    total $7,349 · program services $7,349

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 3 · Pledges and grants receivable

    beginning of year $477,097 · end of year $601,380

  • 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

  • 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

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    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

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $477,097 · end of year $601,380

Mission and programs · 2023

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 934 PATIENT VISITS TO THE INDIGENT IN THE MENOMONEE FALLS AREA DURING FISCAL YEAR 2024. IN ADDITION, THE CLINIC DISPENSED 2,449 PRESCRIPTIONS, PROVIDED 971 LABORATORY TESTS, 43 RADIOLOGY PROCEDURES, 19 REHABILITATION PROCEDURES, AND 13 CARDIAC DIAGNOSTIC TESTS. CLINIC STAFF REFERRED 62 PATIENTS INTO PHARMACEUTICAL COMPANY PROGRAMS FOR A TOTAL OF 231 PRESCRIPTIONS.

    Expenses $507,334

As filed on the 2023 return.

Listed in Part VII

  • Andrew Dresang

    Director & VP/COO & V. Chair

    Total calculated
    $294,319
    From this org
    $0
    From related orgs
    $248,699
    Other
    $45,620
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $207,593 related
    Bonus
    $0 + $21,174 related
    Other
    $0 + $19,932 related
    Deferred
    $0 + $14,362 related
    Nontaxable benefits
    $0 + $31,258 related
    Filer's total
    $0 + $294,319 related
  • Diane L Ehn

    Director & VP/COO & BOD Chair

    Total calculated
    $423,224
    From this org
    $0
    From related orgs
    $361,990
    Other
    $61,234
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $273,771 related
    Bonus
    $0 + $58,790 related
    Other
    $0 + $29,429 related
    Deferred
    $0 + $36,107 related
    Nontaxable benefits
    $0 + $25,127 related
    Filer's total
    $0 + $423,224 related
  • Pamela Parker

    Director & BOD Secretary

    Total calculated
    $0
    Hours/week
    1
  • Brad LeVine

    Director

    Total calculated
    $0
    Hours/week
    1
  • Harvey Padek

    Director (Start Jul23)

    Total calculated
    $0
    Hours/week
    1
  • Lula Miller-Mays

    Director (Start Jul23)

    Total calculated
    $0
    Hours/week
    1
  • Matt Carran

    Director

    Total calculated
    $0
    Hours/week
    1
  • Michael Miller MD

    Director

    Total calculated
    $0
    Hours/week
    1
  • Nooriya Farheen

    Treasurer (Start Sep23)

    Total calculated
    $144,191
    From this org
    $0
    From related orgs
    $130,421
    Other
    $13,770
    Hours/week
    1 + 49 related
  • Michael Malzewski

    Former - Officer (Treas)

    Total calculated
    $402,491
    From this org
    $0
    From related orgs
    $375,448
    Other
    $27,043
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $178,938 related
    Bonus
    $0 + $28,064 related
    Other
    $0 + $168,446 related
    Deferred
    $0 + $19,155 related
    Nontaxable benefits
    $0 + $7,888 related
    Filer's total
    $0 + $402,491 related

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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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)

Schedule J, Part I, Line 4a Severance or change-of-control payment
SEVERANCE: MALZEWSKI, MICHAEL - $141,825
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
457(F) DISTRIBUTIONS: EHN, DIANE - $25,585 457(F) PLAN PARTICIPANTS: EHN, DIANE
Schedule J, Part II, Column (B)(ii)
BONUS AND INCENTIVE COMPENSATION AMOUNTS INCLUDE INCENTIVE COMPENSATION PAID.
Schedule J, 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
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202531359349304208

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