THE LAKES COMMUNITY HEALTH CENTER INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- THE LAKES COMMUNITY HEALTH CENTER INC (EIN 35-2297925)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-08-28
- IRS object ID
- 202322409349300902
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-28T10:39:18-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352297925 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE LAKES COMMUNITY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 8888344551 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7665 US HIGHWAY 2 | AddressLine1Txt |
| City | IRON RIVER | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54847 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | REBECCA RICE | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 8888344551 | PhoneNum |
| Signature | 2023-08-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | REBECCA | PersonFirstNm |
| Person Last | RICE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2023-08-08 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHLAKES COMMUNITY CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | REBECCA RICE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7665 US HIGHWAY 2 | AddressLine1Txt |
| City | IRON RIVER | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54847 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $42,435,105 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NLCCWI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO RESPOND TO THE HEALTHCARE NEEDS OF OUR COMMUNITIES WITH AN INTEGRATED ARRAY OF QUALITY SERVICES AND ACTIVELY REMOVE BARRIERS TO WELLNESS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 468 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,038,888 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,956,302 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,029,197 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $32,233,210 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,935 | PYInvestmentIncomeAmt |
| CY Investment Income | $51,933 | CYInvestmentIncomeAmt |
| PY Other Revenue | $163,457 | PYOtherRevenueAmt |
| CY Other Revenue | $185,055 | CYOtherRevenueAmt |
| PY Total Revenue | $44,234,477 | PYTotalRevenueAmt |
| CY Total Revenue | $42,426,500 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,769 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,144,072 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,233,863 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,325,811 | PYOtherExpensesAmt |
| CY Other Expenses | $10,076,377 | CYOtherExpensesAmt |
| PY Total Expenses | $39,469,883 | PYTotalExpensesAmt |
| CY Total Expenses | $40,321,009 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,764,594 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,105,491 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $36,144,121 | TotalAssetsBOYAmt |
| Total Assets EOY | $37,730,094 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,545,279 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,025,761 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $23,598,842 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,704,333 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,761,423 | ExpenseAmt |
| Grant | $10,769 | GrantAmt |
| Revenue | $13,445,006 | RevenueAmt |
| Desc | 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 15 CLINICS ACROSS NORTHERN WISCONSIN AND HAD OVER 140,000 PATIENT VISITS IN 2022. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,797,575 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $12,368,563 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,447,607 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $6,465,435 | RevenueAmt |
| Desc | 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 AND VIRTUALLY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $31,006,605 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 45 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 468 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN AHLGREN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7159340707 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15735 US HIGHWAY 63 | AddressLine1Txt |
| City | HAYWARD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54843 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| FRANK SUO | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JANE SNILSBERG | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL FLAHERTY | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| AMY KLEBE | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARY JO BECKER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOANN FLEMING | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PEGGY HIPSHER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PHILOMENA KEBEC | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVE KROCHALK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY MILLER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JUDY POPELKA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LISA PRITZL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DON PRUETER | |||||||
| DIRECTOR (THRU MAY) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DREW RINGWALD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR JOHN SCHROCK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL STAMP | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD THIEDE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SALLY ZOESCH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REBECCA RICE | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $229,584 | $0 | $39,050 | ||
| BRIAN AHLGREN | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $229,624 | $0 | $39,226 | ||
| JASON AKL | |||||||
| CHIEF OPERATIONS OFFICER | 40.00 | Yes (X) | $236,014 | $0 | $18,538 | ||
| DEBORAH DRYER | |||||||
| PHYSICIAN | 40.00 | $261,014 | $0 | $20,386 | Yes (X) | ||
| JENNA INGERSOLL | |||||||
| PHYSICIAN | 40.00 | $156,287 | $0 | $37,802 | Yes (X) | ||
| BRENT KELLEY | |||||||
| PHYSICIAN | 40.00 | $231,536 | $0 | $32,758 | Yes (X) | ||
| NATHAN SCHOEPPACH | |||||||
| PHYSICIAN | 40.00 | $245,330 | $0 | $9,813 | Yes (X) | ||
| DODSON THOMPSON | |||||||
| PHYSICIAN | 40.00 | $221,953 | $0 | $41,736 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,811,342 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $239,309 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 49 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BOLDT CONSTRUCTION | |||||
| 2525 N ROEMER RD PO BOX 419 | APPLETON | WI | 549110419 | CONSTRUCTION SERVICES | $1,481,411 |
| OCHIN INC | |||||
| PO BOX 5426 | PORTLAND | OR | 972285426 | IT AND EHR SOLUTIONS SERVICES | $777,324 |
| NASI CONSTRUCTION | |||||
| 700 GRANITE ST | HURLEY | WI | 54534 | CONSTRUCTION SERVICES | $101,635 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,727,578 | GovernmentGrantsAmt |
| All Other Contributions | $1,228,724 | AllOtherContributionsAmt |
| Total Contributions | $9,956,302 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DENTAL SERVICE REVENUE | 621400 | $12,368,563 | $12,368,563 |
| MEDICAL SERVICE REVENUE | 621400 | $10,373,218 | $10,373,218 |
| BEHAVIORAL HEALTH REVENUE | 621400 | $6,465,435 | $6,465,435 |
| PHARMACY REVENUE | 456110 | $2,896,785 | $2,896,785 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,209 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $129,209 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $32,233,210 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,538 | TotalRevenueColumnAmt |
| Exclusion | $60,538 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,605 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$8,605 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,605 | TotalRevenueColumnAmt |
| Exclusion | -$8,605 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INCENTIVE PAYMENTS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $45,794 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $45,794 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $139,261 | TotalRevenueColumnAmt |
| Exclusion | $139,261 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $185,055 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,426,500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,279,004 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $191,194 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,769 | TotalAmt |
| Program Services | $10,769 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $792,037 | TotalAmt |
| Management And General | $792,037 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,283,057 | TotalAmt |
| Program Services | $18,260,694 | ProgramServicesAmt |
| Management And General | $4,022,363 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $813,010 | TotalAmt |
| Program Services | $665,349 | ProgramServicesAmt |
| Management And General | $147,661 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,696,056 | TotalAmt |
| Program Services | $3,251,431 | ProgramServicesAmt |
| Management And General | $1,444,625 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,649,703 | TotalAmt |
| Program Services | $1,316,193 | ProgramServicesAmt |
| Management And General | $333,510 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,209 | TotalAmt |
| Program Services | $36,442 | ProgramServicesAmt |
| Management And General | $11,767 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,576 | TotalAmt |
| Management And General | $88,576 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,327,223 | TotalAmt |
| Program Services | $1,003,260 | ProgramServicesAmt |
| Management And General | $323,963 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,712 | TotalAmt |
| Program Services | $14,003 | ProgramServicesAmt |
| Management And General | $231,709 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $558,767 | TotalAmt |
| Program Services | $422,377 | ProgramServicesAmt |
| Management And General | $136,390 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,280,327 | TotalAmt |
| Program Services | $567,067 | ProgramServicesAmt |
| Management And General | $713,260 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $807,028 | TotalAmt |
| Program Services | $491,357 | ProgramServicesAmt |
| Management And General | $315,671 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,208 | TotalAmt |
| Program Services | $94,992 | ProgramServicesAmt |
| Management And General | $142,216 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,620 | TotalAmt |
| Program Services | $55,650 | ProgramServicesAmt |
| Management And General | $17,970 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,977 | TotalAmt |
| Program Services | $262,283 | ProgramServicesAmt |
| Management And General | $84,694 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,280,725 | TotalAmt |
| Program Services | $968,111 | ProgramServicesAmt |
| Management And General | $312,614 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,720 | TotalAmt |
| Program Services | $131,316 | ProgramServicesAmt |
| Management And General | $42,404 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MED. & DENTAL SUPPLIES | $1,837,219 | $1,814,718 | $22,501 |
| PHARMACY SUPPLIES | $1,013,005 | $1,013,005 | |
| BAD DEBT EXPENSE | $223,534 | $223,534 | |
| DUES & SUBSCRIPTIONS | $105,030 | $79,393 | $25,637 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $429,497 | TotalAmt |
| Program Services | $324,661 | ProgramServicesAmt |
| Management And General | $104,836 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,321,009 | TotalAmt |
| Program Services | $31,006,605 | ProgramServicesAmt |
| Management And General | $9,314,404 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,874 | BOYAmt |
| EOY | $2,748 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,700,985 | BOYAmt |
| EOY | $11,221,619 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,104,683 | BOYAmt |
| EOY | $739,366 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,542,436 | BOYAmt |
| EOY | $1,244,179 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,575 | BOYAmt |
| EOY | $357,977 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,486 | BOYAmt |
| EOY | $183,514 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,985,974 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,015,027 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,533,385 | BOYAmt |
| EOY | $20,970,947 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,869,697 | BOYAmt |
| EOY | $3,009,744 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,144,121 | BOYAmt |
| EOY | $37,730,094 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,599,278 | BOYAmt |
| EOY | $2,609,709 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,918 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $6,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,940,788 | BOYAmt |
| EOY | $8,764,959 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,213 | BOYAmt |
| EOY | $643,175 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,545,279 | BOYAmt |
| EOY | $12,025,761 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,443,842 | BOYAmt |
| EOY | $25,704,333 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,598,842 | BOYAmt |
| EOY | $25,704,333 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,144,121 | BOYAmt |
| EOY | $37,730,094 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,105,491 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,083,288 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,671,733 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,288,873 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,038,888 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,111,302 | CurrentTaxYearAmt |
| Total | $51,194,084 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,083,288 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,671,733 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,288,873 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,038,888 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,111,302 | CurrentTaxYearAmt |
| Total | $51,194,084 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $51,194,084 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,690 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,016 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,493 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,935 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,778 | CurrentTaxYearAmt |
| Total | $105,912 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,323 | CurrentTaxYearMinus4YearsAmt |
| Total | $29,323 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $51,329,319 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $132,582,169 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99740 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99830 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART 1 & 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,169,935 | OtherCostOrOtherBasisAmt |
| Book Value | $1,169,935 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,321,569 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,778,941 | DepreciationAmt |
| Book Value | $17,542,628 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $842,779 | OtherCostOrOtherBasisAmt |
| Depreciation | $307,988 | DepreciationAmt |
| Book Value | $534,791 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,874,647 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,423,138 | DepreciationAmt |
| Book Value | $1,451,509 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $777,044 | OtherCostOrOtherBasisAmt |
| Depreciation | $504,960 | DepreciationAmt |
| Book Value | $272,084 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,970,947 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM THIRD PARTY REIMBURSEMENT PROGRAMS | $2,330,598 |
| COOP EQUITY | $261 |
| RIGHT TO USE ASSET - OPERATING LEASES | $640,284 |
| SECURITY DEPOSITS | $38,601 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,009,744 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE OBLIGATIONS | $637,962 |
| SECURITY DEPOSITS | $5,213 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $643,175 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $42,357,966 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$378,534 | OtherRevenueAmt |
| Revenue Not Reported | -$378,534 | RevenueNotReportedAmt |
| Revenue Subtotal | $42,736,500 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $42,736,500 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $40,097,475 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $40,097,475 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $223,534 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $223,534 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $40,321,009 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BED DEBT EXPENSE -223,534. RELEASE IN NET ASSETS -155,000. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 223,534. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEBORAH DRYER | ||||||||||||||
| PHYSICIAN | $215,853 | $0 | $35,864 | $0 | $9,297 | $0 | $10,328 | $0 | $10,058 | $0 | $281,400 | $0 | $0 | $0 |
| BRIAN AHLGREN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $215,450 | $0 | $4,671 | $0 | $9,503 | $0 | $9,174 | $0 | $30,052 | $0 | $268,850 | $0 | $0 | $0 |
| REBECCA RICE | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $215,930 | $0 | $4,671 | $0 | $8,983 | $0 | $9,172 | $0 | $29,878 | $0 | $268,634 | $0 | $0 | $0 |
| BRENT KELLEY | ||||||||||||||
| PHYSICIAN | $217,373 | $0 | $4,667 | $0 | $9,496 | $0 | $8,446 | $0 | $24,312 | $0 | $264,294 | $0 | $0 | $0 |
| DODSON THOMPSON | ||||||||||||||
| PHYSICIAN | $208,243 | $0 | $4,512 | $0 | $9,198 | $0 | $9,210 | $0 | $32,526 | $0 | $263,689 | $0 | $0 | $0 |
| NATHAN SCHOEPPACH | ||||||||||||||
| PHYSICIAN | $224,850 | $0 | $6,450 | $0 | $14,030 | $0 | $9,813 | $0 | $0 | $0 | $255,143 | $0 | $0 | $0 |
| JASON AKL | ||||||||||||||
| CHIEF OPERATIONS OFFICER | $221,840 | $0 | $4,671 | $0 | $9,503 | $0 | $9,533 | $0 | $9,005 | $0 | $254,552 | $0 | $0 | $0 |
| JENNA INGERSOLL | ||||||||||||||
| PHYSICIAN | $138,777 | $0 | $10,532 | $0 | $6,978 | $0 | $5,750 | $0 | $32,052 | $0 | $194,089 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |