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Nonprofiteer
← SHALOM HOLISTIC HEALTH SERVICES INC

Form 990 for tax year 2023

Filed by SHALOM HOLISTIC HEALTH SERVICES INC.

Totals

Total revenue
$68,764
Total expenses
$96,208
Contributions and grants received
$67,621
Grants paid
$0
Program service revenue
$0
Investment income
$1,143
Other revenue
$0
Total assets, end of year
$162,864
Total liabilities, end of year
$1,033
Net assets or fund balances, end of year
$161,831
Program services expenses (Part IX)
$86,837
Management and general expenses
$7,882
Fundraising expenses
$1,489
Program service expenses (Part III)
not reported

Program services were 90.3% 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

    $22,597

  • 1f · All other contributions, gifts and grants

    $45,024

  • 3 · Investment income

    total $1,143 · related or exempt $1,143

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $55,000 · program services $49,500 · management and general $5,500

  • 10 · Payroll taxes

    total $4,208 · program services $3,787 · management and general $421

  • 11c · Fees: accounting

    total $3,314 · program services $2,983 · management and general $331

  • 12 · Advertising and promotion

    total $2,331 · program services $842 · fundraising $1,489

  • 13 · Office expenses

    total $788 · program services $709 · management and general $79

  • 16 · Occupancy

    total $7,200 · program services $6,480 · management and general $720

  • 22 · Depreciation, depletion and amortization

    total $12,877 · program services $12,877

  • 23 · Insurance

    total $2,964 · program services $2,668 · management and general $296

  • 24a · Other expenses: FEES PERMITS LICENSES MEMBERSHIPS

    total $1,460 · program services $1,314 · management and general $146

  • 24b · Other expenses: INTERPRETOR SERVICES

    total $1,034 · program services $1,034

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $1,142 · program services $1,142

  • 24d · Other expenses: UTILITIES AND TELEPHONE

    total $3,890 · program services $3,501 · management and general $389

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $64,878 · end of year $46,281

  • 2 · Savings and temporary cash investments

    beginning of year $30,169 · end of year $31,313

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,033 · end of year $2,089

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

    $121,039

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

    $37,858

  • 10c · Land, buildings and equipment, net

    beginning of year $96,058 · end of year $83,181

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,863 · end of year $1,033

  • 31 · Retained earnings, endowment or other funds

    beginning of year $189,275 · end of year $161,831

Mission and programs · 2023

Mission

TO PROVIDE FREE, COMPASSIONATE, NON-EMERGENCY HEALTH CARE TO ADULTS WITH INSUFFICIENT HEALTH INSURANCE COVERAGE IN THE STOUGHTON, WI AREA.

Activities or mission (Part I)

TO PROVIDE FREE, COMPASSIONATE, NON-EMERGENCY HEALTH AND DENTAL CARE TO ADULTS WITH INSUFFICIENT HEALTH INSURANCE COVERAGE IN THE STOUGHTON, WI AREA.

  • FOR THE FISCAL YEAR, 348 MEDICAL APPOINTMENTS WERE MADE. AT COMMUNITY OUTREACH EVENTS, 127 BLOOD PRESSURES WERE TAKEN. THE SERVICES RENDERED SAVED THE PATIENTS APPROXIMATELY $76,800 FOR EMERGENCY ROOM VISITS AND $172,500 FOR HOSPITAL ADMISSIONS. THE 26 MEDICAL AND 9 BOARD MEMBERS CONTRIBUTED 1,406 HOURS OF SERVICE.

As filed on the 2023 return.

Listed in Part VII

  • BARRY VERDEGAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • CHRISTINE CLEMENT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • RICHARD ALBRIGHT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • DANNY CEVILLA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • ANGLEA ROWIN

    PRESIDENT

    Total calculated
    $0
    Hours/week
    5

  • DAWN HAYDEN

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    5

  • JANE FISCHER

    SECRETARY

    Total calculated
    $0
    Hours/week
    5

  • STACEY WRIGHT

    TREASURER

    Total calculated
    $0
    Hours/week
    5

  • GREG LYNCH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

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
2023
Filed
12 March 2025
IRS schema version
2023v6.0
Source object
202520739349302107

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