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Nonprofiteer
← LAKE AREA FREE CLINIC INC

Form 990 for tax year 2022

Filed by LAKE AREA FREE CLINIC INC.

Totals

Total revenue
$2,346,336
Total expenses
$1,777,618
Contributions and grants received
$1,685,543
Grants paid
$0
Program service revenue
$616,936
Investment income
$3,793
Other revenue
$40,064
Total assets, end of year
$2,621,346
Total liabilities, end of year
$470,692
Net assets or fund balances, end of year
$2,150,654
Program services expenses (Part IX)
$1,511,916
Management and general expenses
$170,736
Fundraising expenses
$94,966
Program service expenses (Part III)
$1,511,916

Program services were 85.1% 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.

  • 1c · Fundraising events

    $179,692

  • 1e · Government grants (contributions)

    $380,999

  • 1f · All other contributions, gifts and grants

    $1,124,852

  • 1g · Noncash contributions included above

    $2,169

  • 2a · Program service revenue: DENTAL SERVICES

    total $616,936 · related or exempt $616,936

  • 3 · Investment income

    total $4,925 · excluded $4,925

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

    securities $1,132

  • 7c · Gain or loss

    securities -$1,132

  • 7d · Net gain or loss

    total -$1,132 · excluded -$1,132

  • 8a · Fundraising events: gross income

    $33,161

  • 8a · Fundraising events: contributions included on line 1c

    $179,692

  • 8b · Fundraising events: direct expenses

    $28,680

  • 8c · Net income from fundraising events

    total $4,481 · excluded $4,481

  • 9a · Gaming: gross income

    $6,678

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $6,678 · related or exempt $6,678

  • 11a · Other revenue: INSURANCE PROCEEDS

    total $24,722 · excluded $24,722

  • 11b · Other revenue: OTHER INCOME

    total $4,183 · excluded $4,183

  • 11e · Other revenue, total

    $28,905

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $100,000 · program services $50,000 · management and general $50,000

  • 7 · Other salaries and wages

    total $1,016,426 · program services $879,864 · management and general $69,460 · fundraising $67,102

  • 9 · Other employee benefits

    total $36,626 · program services $18,313 · management and general $18,313

  • 10 · Payroll taxes

    total $88,260 · program services $78,625 · management and general $4,901 · fundraising $4,734

  • 11f · Fees: investment management

    total $954 · management and general $954

  • 11g · Fees: other

    total $123,612 · program services $121,978 · management and general $1,634

  • 12 · Advertising and promotion

    total $20,263 · fundraising $20,263

  • 13 · Office expenses

    total $24,820 · program services $10,666 · management and general $11,287 · fundraising $2,867

  • 16 · Occupancy

    total $104,935 · program services $94,442 · management and general $10,493

  • 17 · Travel

    total $21,468 · program services $21,468

  • 19 · Conferences, conventions and meetings

    total $1,685 · program services $1,685

  • 22 · Depreciation, depletion and amortization

    total $68,891 · program services $68,891

  • 23 · Insurance

    total $14,774 · program services $11,080 · management and general $3,694

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $119,101 · program services $119,101

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $14,976 · program services $14,976

  • 24c · Other expenses: MISCELLANEOUS

    total $10,650 · program services $10,650

  • 24d · Other expenses: DUES AND SUBSCRIPTIONS

    total $10,177 · program services $10,177

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,074,580 · end of year $1,574,615

  • 3 · Pledges and grants receivable

    beginning of year $161,760 · end of year $197,531

  • 4 · Accounts receivable

    beginning of year $11,621 · end of year $28,151

  • 8 · Inventories for sale or use

    beginning of year $19,641 · end of year $18,849

  • 9 · Prepaid expenses and deferred charges

    beginning of year $6,685 · end of year $6,682

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

    $707,194

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

    $342,106

  • 10c · Land, buildings and equipment, net

    beginning of year $395,013 · end of year $365,088

  • 12 · Investments: other securities

    end of year $74,549

  • 15 · Other assets

    beginning of year $0 · end of year $355,881

  • 17 · Accounts payable and accrued expenses

    beginning of year $85,082 · end of year $109,535

  • 25 · Other liabilities

    beginning of year $0 · end of year $361,157

  • 27 · Net assets without donor restrictions

    beginning of year $1,436,398 · end of year $2,041,104

  • 28 · Net assets with donor restrictions

    beginning of year $147,820 · end of year $109,550

Mission and programs · 2022

Mission

THE LAKE AREA FREE CLINIC IS THE MEDICAL AND DENTAL HOME TO LOW-INCOME RESIDENTS OF WAUKESHA COUNTY. THE MISSION IS TO PROVIDE HIGH-QUALITY COMPREHENSIVE HEALTH CARE TO THOSE IN NEED.

Activities or mission (Part I)

PROVIDES HIGH-QUALITY MEDICAL AND DENTAL CARE TO LOW-INCOME RESIDENTS OF WAUKESHA COUNTY.

  • LAKE AREA FREE CLINIC IS THE MEDICAL HOME TO ADULTS AND PROVIDES ACUTE AND CHRONIC CARE SERVICES AND SPECIALITIES INCLUDE: CARDIOLOGY, DERMATOLOGY, INTERNAL MEDICINE, GYNECOLOGY, HEPATOLOGY, HEMATOLOGY, RHEUMATOLOGY, NEPHROLOGY, NEUROLOGY, PHYSICAL THERAPY, MENTAL HEALTH, ORTHOPEDICS, WELLNESS, AND COMPREHENSIVE DIABETES CLINIC. LAFC DENTAL IS THE 7-CHAIR DENTAL HOME FOR THOSE IN NEED OF ACCESS TO BASIC DENTAL, EDUCATIONAL AND REFERRAL SERVICES. LAFC DENTAL SERVES MEDICAID AND UNINSURED ADULTS.

    Expenses $1,511,916 · Revenue $623,614

As filed on the 2022 return.

Listed in Part VII

  • Dr Jay Pludeman

    MEDICAL DIRECTOR

    Total calculated
    $0
    Hours/week
    5
  • Dr Robert Schwade

    DENTAL DIRECTOR

    Total calculated
    $0
    Hours/week
    5
  • Mary Rode

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5
  • Michael Rode

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5
  • Dr Robert Panther

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Dr Eric Ruiz

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Beth Boyer-Ryan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Joe Sorum

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Joyann McChesney

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    5
  • Julie Jackson

    PAST PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Linda Moroney

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Mitzi Cass

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Ramon Aguirre

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Sarah Butz

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Lisa Drew

    PRESIDENT

    Total calculated
    $0
    Hours/week
    5
  • Nancy Bradt

    SECRETARY

    Total calculated
    $0
    Hours/week
    5
  • Peg Koenigs

    TREASURER

    Total calculated
    $0
    Hours/week
    5
  • Bryan Breeser

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Bridget Essma

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Nanine Nelson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Mary Reich

    EXECUTIVE DIRECTOR

    Total calculated
    $100,000
    From this org
    $100,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Pablo Fernandez DDS

    EMPLOYEE

    Total calculated
    $220,579
    From this org
    $220,579
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $220,579
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $220,579

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 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
20 June 2023
IRS schema version
2022v5.0
Source object
202331869349301028

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