Form 990 for tax year 2022
Filed by SHALOM HOLISTIC HEALTH SERVICES INC.
Totals
- Total revenue
- $127,943
- Total expenses
- $100,758
- Contributions and grants received
- $127,774
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $169
- Other revenue
- $0
- Total assets, end of year
- $192,138
- Total liabilities, end of year
- $2,863
- Net assets or fund balances, end of year
- $189,275
- Program services expenses (Part IX)
- $93,458
- Management and general expenses
- $7,300
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Program services were 92.8% 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
$720
-
1f · All other contributions, gifts and grants
$127,054
-
3 · Investment income
total $169 · related or exempt $169
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $49,632 · program services $44,669 · management and general $4,963
-
10 · Payroll taxes
total $3,797 · program services $3,417 · management and general $380
-
11c · Fees: accounting
total $2,628 · program services $2,365 · management and general $263
-
12 · Advertising and promotion
total $1,557 · program services $1,557
-
13 · Office expenses
total $832 · program services $749 · management and general $83
-
16 · Occupancy
total $6,600 · program services $5,940 · management and general $660
-
22 · Depreciation, depletion and amortization
total $10,901 · program services $10,901
-
23 · Insurance
total $2,839 · program services $2,555 · management and general $284
-
24a · Other expenses: CONTINUING EDUCATION
total $250 · program services $250
-
24b · Other expenses: FEES PERMITS AND LICENSES
total $1,094 · program services $985 · management and general $109
-
24c · Other expenses: INTERPRETOR SERVICES
total $3,953 · program services $3,953
-
24d · Other expenses: DENTAL SUPPLIES
total $8,388 · program services $8,388
-
24e · All other expenses
total $8,287 · program services $7,729 · management and general $558
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $74,901 · end of year $64,878
-
2 · Savings and temporary cash investments
end of year $30,169
-
9 · Prepaid expenses and deferred charges
beginning of year $1,904 · end of year $1,033
-
10a · Land, buildings and equipment: cost or other basis
$121,039
-
10b · Land, buildings and equipment: accumulated depreciation
$24,981
-
10c · Land, buildings and equipment, net
beginning of year $88,446 · end of year $96,058
-
17 · Accounts payable and accrued expenses
beginning of year $3,161 · end of year $2,863
-
31 · Retained earnings, endowment or other funds
beginning of year $162,090 · end of year $189,275
Mission and programs · 2022
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 11 BOARD MEMBERS CONTRIBUTED 1,406 HOURS OF SERVICE.
As filed on the 2022 return.
Listed in Part VII
-
Barry VerdeganBARRY VERDEGAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 5
-
Amy HermesAMY HERMES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 5
-
Christine ClementCHRISTINE CLEMENT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 5
-
Richard AlbrightRICHARD ALBRIGHT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 5
-
Julie SerstadJULIE SERSTAD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 5
-
Anglea Rowin TippitANGLEA ROWIN TIPPIT
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 5
-
Tina DegrootTINA DEGROOT
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 5
-
Jane FischerJANE FISCHER
SECRETARY
- Total calculated
- $0
- Hours/week
- 5
-
Stacey WrightSTACEY WRIGHT
TREASURER
- Total calculated
- $0
- Hours/week
- 5
-
Terry TinkleTERRY TINKLE
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
- 2022
- Filed
- 29 July 2024
- IRS schema version
- 2022v5.0
- Source object
- 202402409349301410
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