2024-08-12T09:40:14-05:00 2023-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-01-01 352297925 THE LAKES COMMUNITY HEALTH CENTER INC LAKE 8888344551 7665 US HIGHWAY 2 IRON RIVER WI 54847 REBECCA RICE CHIEF EXECUTIVE OFFICER 8888344551 2024-08-07 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2024-08-07 2023 2024-08-08 14:25:15Z NORTHLAKES COMMUNITY CLINIC REBECCA RICE 7665 US HIGHWAY 2 IRON RIVER WI 54847 46163834 0 X WWW.NLCCWI.ORG X 2007 WI TO RESPOND TO THE HEALTHCARE NEEDS OF OUR COMMUNITIES WITH AN INTEGRATED ARRAY OF QUALITY SERVICES AND ACTIVELY REMOVE BARRIERS TO WELLNESS. 11 11 484 17 0 0 9956302 8313585 32233210 37458331 51933 326043 185055 65875 42426500 46163834 10769 5864 0 0 30233863 34659255 0 0 0 10076377 12047316 40321009 46712435 2105491 -548601 37730094 38118408 12025761 12962676 25704333 25155732 X TO RESPOND TO THE HEALTHCARE NEEDS OF OUR COMMUNITIES WITH AN INTEGRATED ARRAY OF QUALITY SERVICES AND ACTIVELY REMOVE BARRIERS TO WELLNESS. THE LAKES COMMUNITY HEALTH CENTER, INC. IS PROUD TO BE A COMMUNITY HEALTH CENTER (CHC) WORKING TO IMPROVE THE HEALTH OF OUR COMMUNITIES. AS A CHC, THE LAKES COMMUNITY HEALTH CENTER, INC. IS A NON-PROFIT ORGANIZATION GOVERNED BY A PATIENT MAJORITY BOARD OF DIRECTORS. THE LAKES COMMUNITY HEALTH CENTER, INC. PROVIDES CARE TO EVERYONE, INCLUDING THOSE WITH PRIVATE INSURANCE, THOSE WITH MEDICAID AND MEDICARE (GOVERNMENT INSURANCE), AND THOSE WITHOUT INSURANCE. IN ADDITION, THE LAKES COMMUNITY HEALTH CENTER, INC. PROVIDES COMPREHENSIVE, INTEGRATED, WHOLE PERSON CARE INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH, RECOVERY, CHIROPRACTIC, OPTOMETRY, OT/ST/PT THERAPIES, DIETETIC AND PRESCRIPTION SERVICES. 0 0 17638201 5864 15360973 MEDICAL:THE ORGANIZATION PROVIDES MEDICAL CARE SERVICES INCLUDING: PREVENTATIVE CARE, ACUTE CARE, AND CHRONIC DISEASE MANAGEMENT FOR THE WHOLE FAMILY. LAB AND X-RAY SERVICES ARE AVAILABLE AS WELL. INCLUDED WITHIN THE MEDICAL PROGRAM ARE OPTOMETRY, CHIROPRACTIC CARE, OSTEOPATHIC CARE, MEDICATION-ASSISTED TREATMENT, INTEGRATIVE & HOLISTIC CARE, OCCUPATIONAL, AND SPEECH THERAPY. THE ORGANIZATION OPERATES 18 CLINICS ACROSS NORTHERN WISCONSIN AND HAD OVER 170,000 PATIENT VISITS IN 2023. 11792241 0 13385306 DENTAL:THE ORGANIZATION PROVIDES IN-HOUSE OR CONTRACT DENTAL SERVICES AT SOME CLINIC LOCATIONS. DENTAL CARE INCLUDES: COMPREHENSIVE PREVENTATIVE, RESTORATIVE (FILLINGS, CROWNS, EXTRACTIONS), AND EMERGENCY SERVICES. WE ALSO HAVE AN EXTENSIVE SCHOOL-BASED (DENTAL EXAMS AND SEALANTS) PRACTICE. 6656638 0 8733972 BEHAVIORAL HEALTH:THE ORGANIZATION PROVIDES BEHAVIORAL HEALTH COUNSELING SERVICES, INCLUDING: CHILDREN, ADOLESCENTS, ADULTS, SENIORS, COUPLES, AND FAMILIES. THE TYPES OF SERVICES AVAILABLE ARE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE (AODA - ALCOHOL, AND OTHER DRUG ABUSE). PATIENTS ARE SEEN IN-CLINIC, IN SCHOOLS AND VIRTUALLY. 36087080 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 57 0 484 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X BRIAN AHLGREN 7159340707 15735 US HIGHWAY 63 HAYWARD WI 54843 AMY KLEBE PRESIDENT 1.00 X X 0 0 0 JOANN FLEMING VICE PRESIDENT 1.00 X X 0 0 0 MICHAEL FLAHERTY TREASURER 1.00 X X 0 0 0 MICHAEL STAMP SECRETARY 1.00 X X 0 0 0 MARY JO BECKER DIRECTOR 1.00 X 0 0 0 LISA KINGFISHER DIRECTOR 1.00 X 0 0 0 NIKOLAI ELIOT DIRECTOR 1.00 X 0 0 0 DAVE KROCHALK DIRECTOR 1.00 X 0 0 0 NANCY MILLER DIRECTOR 1.00 X 0 0 0 JUDY POPELKA DIRECTOR 1.00 X 0 0 0 JASON MARTELL DIRECTOR 1.00 X 0 0 0 REBECCA RICE CHIEF EXECUTIVE OFFICER 40.00 X 237815 0 36583 BRIAN AHLGREN CHIEF FINANCIAL OFFICER 40.00 X 237373 0 37025 JASON AKL CHIEF OPERATIONS OFFICER 40.00 X 244206 0 22218 ANA TOCHTERMAN SENIOR DIRECTOR OF OPERATIONS 40.00 X 142788 0 5993 DEBORAH DRYER PHYSICIAN 40.00 X 290272 0 24573 RENA CHRISTMAN PHYSICIAN 32.00 X 225074 0 42333 BRENT KELLEY PHYSICIAN 40.00 X 261561 0 44761 NATHAN SCHOEPPACH PHYSICIAN 40.00 X 281890 0 12283 DODSON THOMPSON PHYSICIAN 40.00 X 240960 0 31902 2161939 0 257671 46 0 1 0 IEI GENERAL CONTRACTORS PO BOX 5067 DEPERE WI 54115 CONSTRUCTION SERVICES 1304066 OCHIN INC PO BOX 5426 PORTLAND OR 972285426 IT AND EHR SOLUTIONS SERVICES 736496 WIPFLI LLP PO BOX 3160 MILWAUKEE WI 53201 ACCOUNTING & CONSULTING SERVICES 136267 PAYLOCITY 1400 AMERICAN LN SCHAUMBURG IL 60173 HCM/PAYROLL SERVICES 108874 BOLDT CONSTRUCTION 2525 N ROEMER RD PO BOX 419 APPLETON WI 549110419 CONSTRUCTION SERVICES 104869 5 7176639 1136946 8313585 DENTAL SERVICE REVENUE 621400 13385306 13385306 MEDICAL SERVICE REVENUE 621400 12316551 12316551 BEHAVIORAL HEALTH REVENUE 621400 8733972 8733972 PHARMACY REVENUE 456110 2945787 2945787 76715 76715 37458331 326043 326043 12740 0 12740 12740 12740 INCENTIVE PAYMENTS 900099 21920 21920 31215 31215 53135 46163834 37480251 0 369998 5864 5864 963999 963999 25913692 20925210 4988482 906088 735201 170887 5000717 3960508 1040209 1874759 1465115 409644 40946 31773 9173 115148 115148 1354254 1050867 303387 322805 35079 287726 609618 473048 136570 1492782 573877 918905 877318 539599 337719 397196 135374 261822 78432 60861 17571 432578 335670 96908 1497558 1162067 335491 202615 157224 45391 MED. & DENTAL SUPPLIES 2506377 2456619 49758 PHARMACY SUPPLIES 1315699 1315699 BAD DEBT EXPENSE 194395 194395 DUES & SUBSCRIPTIONS 155624 120760 34864 453971 352270 101701 46712435 36087080 10625355 0 2748 2702 11221619 6369802 739366 357413 1244179 1463391 357977 365249 183514 155110 30405406 7692558 20970947 22712848 0 2076547 0 750000 3009744 3865346 37730094 38118408 2609709 3547207 1918 2713 6000 6000 8764959 8559769 643175 846987 12025761 12962676 X 25704333 25155732 25704333 25155732 37730094 38118408 -548601 0 X 0 1 X 1 1 1 X 6671733 14288873 15038888 10111302 8313585 54424381 6671733 14288873 15038888 10111302 8313585 54424381 54424381 19016 5493 2935 60778 338783 427005 54851386 150391468 0.99220 0.99740 X PART 1 & 2: WHILE THE ORGANIZATION'S PUBLIC CHARITY STATUS FOR IRS PURPOSES IS AS A HOSPITAL, THE ORGANIZATION IS NOT CONSIDERED A HOSPITAL UNDER THE STATE STATUTES OF WISCONSIN. THEREFORE, THE ORGANIZATION HAS COMPLETED PART II OF SCHEDULE A TO MOST ACCURATELY SHOW THAT THEY ARE PUBLICLY SUPPORTED EVEN THOUGH THEY ARE NOT REQUIRED TO DO SO. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1182935 1182935 22463425 3290312 19173113 842779 327470 515309 5072513 3426395 1646118 843754 648381 195373 22712848 DUE FROM THIRD PARTY REIMBURSEMENT PROGRAMS 2969913 COOP EQUITY 261 RIGHT TO USE ASSET - OPERATING LEASES 854771 SECURITY DEPOSITS 40401 3865346 OPERATING LEASE OBLIGATIONS 846287 SECURITY DEPOSITS 700 846987 45969439 -194395 -194395 46163834 0 46163834 46518040 0 46518040 194395 194395 46712435 PART XI, LINE 2D - OTHER ADJUSTMENTS: BED DEBT EXPENSE -194,395. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 194,395. X 0 0 0 0 0 0 0 0 0 DEBORAH DRYER PHYSICIAN 247852 0 31408 0 11012 0 10545 0 14028 0 314845 0 0 0 BRENT KELLEY PHYSICIAN 251561 0 10000 0 0 0 9419 0 35342 0 306322 0 0 0 NATHAN SCHOEPPACH PHYSICIAN 266568 0 5308 0 10014 0 7702 0 4581 0 294173 0 0 0 REBECCA RICE CHIEF EXECUTIVE OFFICER 237707 0 108 0 0 0 9861 0 26722 0 274398 0 0 0 BRIAN AHLGREN CHIEF FINANCIAL OFFICER 237265 0 108 0 0 0 9861 0 27164 0 274398 0 0 0 DODSON THOMPSON PHYSICIAN 240852 0 108 0 0 0 2085 0 29817 0 272862 0 0 0 RENA CHRISTMAN PHYSICIAN 209966 0 15108 0 0 0 9343 0 32990 0 267407 0 0 0 JASON AKL CHIEF OPERATIONS OFFICER 244098 0 108 0 0 0 9230 0 12988 0 266424 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS AVAILABLE TO THE BOARD OF DIRECTORS FOR REVIEW FROM THE CHIEF EXECUTIVE OFFICER PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, AND DURING THE YEAR AS NEEDED, EACH BOARD MEMBER COMPLETES THE DIRECTORS AND OFFICERS DISCLOSURE FORM. PRIOR TO ANY VOTE ON A MATTER OF INTEREST WHERE A CONFLICT OF INTEREST COULD EXIST, THE INTERESTED DIRECTOR SHALL DISCLOSE THE POTENTIAL OR ACTUAL CONFLICT TO THE ENTIRE BOARD OF DIRECTORS. WHEN A CONFLICT ARISES, THE BOARD MEMBER ABSTAINS FROM VOTING ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEW AND APPROVE THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. ANNUALLY THE EXECUTIVE COMMITTEE WILL DISTRIBUTE AND COMPILE EVALUATION FORMS FOR THE CEO, AND WILL MAKE A RECOMMENDATION TO THE BOARD REGARDING EVALUATION CONTENT AND SALARY ADJUSTMENTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND FORM 990 ARE MADE AVAILABLE TO THE PUBLIC.