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.
-
FROEDTERT THEDACARE HEALTH INC
501(c)(3) · MGMT SERVICES · WI
Directly controlled by NA
-
COMMUNITY MEMORIAL HOSPITAL OF MF
501(c)(3) · HOSPITAL · WI
Directly controlled by FTCH INC
-
FROEDTERT MENOMONEE FALLS HOSPITAL FOUNDATION
501(c)(3) · HEALTH PROMO · WI
Directly controlled by CMH INC
-
FROEDTERT WEST BEND HOSPITAL FOUNDATION
501(c)(3) · HEALTH PROMO · WI
Directly controlled by SJH INC
-
FROEDTERT HOSPITAL FOUNDATION INC
501(c)(3) · HEALTH PROMO · WI
Directly controlled by FMLH INC
-
FROEDTERT MEMORIAL LUTHERAN HOSPITAL
501(c)(3) · HOSPITAL · WI
Directly controlled by FTCH INC
-
ST JOSEPH'S COMMUNITY HOSPITAL INC
501(c)(3) · HOSPITAL · WI
Directly controlled by FTCH INC
-
501(c)(3) · HOSPITAL · WI
Directly controlled by FTCH INC
-
FH ENTERPRISE SERVICES HOLDINGS INC
501(c)(3) · HLTHCARE SRVS · WI
Directly controlled by FTCH INC
-
THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE MEDICAL CENTER - NEW LONDON INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE MEDICAL CENTER - WAUPACA INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE MEDICAL CENTER - SHAWANO INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE MEDICAL CENTER - BERLIN INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE MEDCIAL CENTER - WILD ROSE INC
501(c)(3) · HOSPITAL · WI
Directly controlled by THEDACARE INC
-
THEDACARE FAMILY OF FOUNDATIONS INC
501(c)(3) · FOUNDATION · WI
Directly controlled by THEDACARE INC
-
501(c)(3) · HEALTHCARE · WI
Directly controlled by FTCH INC
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 15 May 2025
- IRS schema version
- 2023v6.0
- Source object
- 202531359349304208
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.