2020-10-16T13:44:58-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 10401 W INNOVATION DR STE 300 WAUWATOSA WI 53226 990 2019-01-01 392006388 LAKE AREA FREE CLINIC INC LAKE 2625694990 856 ARMOUR ROAD OCONOMOWOC WI 53066 PEG KOENIGS TREASURER 2625694990 2020-08-05 1 PAUL SENGER P00005154 4144761880 2020-08-04 67.137.57.251 2020-08-05 17:15:58 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 3F6E8693CA0BB1EFADA380E4528A40AB945ACCCA 2019 2021-01-29 14:40:06Z MARY REICH 856 ARMOUR ROAD OCONOMOWOC WI 53066 1187096 0 X WWW.LAKEAREAFREECLINIC.ORG X 2001 WI PROVIDES HIGH-QUALITY MEDICAL AND DENTAL CARE TO LOW-INCOME RESIDENTS OF WAUKESHA COUNTY. 21 21 25 305 0 0 986391 992565 0 0 3053 1880 109360 164608 1098804 1159053 0 0 0 0 804450 1195260 0 0 104649 389861 435515 1194311 1630775 -95507 -471722 1567016 1312695 23207 35680 1543809 1277015 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. 0 0 1363637 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. LAKE AREA FREE CLINIC IS THE 7-CHAIR DENTAL HOME TO ADULTS WHO ARE UNINSURED OR WHO HAVE MEDICAID. 1363637 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 25 1 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 WI X PEG KOENIGS 2625694990 856 ARMOUR RD OCONOMOWOC WI 53066 BETH BOYER-RYAN DIRECTOR 1.00 X 0 0 0 DR ERIC RUIZ DIRECTOR 1.00 X 0 0 0 DR JAMES HOLMBERG DIRECTOR 1.00 X 0 0 0 DR PETER GEISS MEDICAL DIR 5.00 X 0 0 0 DR ROB PANTHER DIRECTOR 1.00 X 0 0 0 DR ROBERT SCHWADE DENTAL DIRECTOR 5.00 X 0 0 0 JOE SORUM DIRECTOR 1.00 X 0 0 0 JOYANN MCCHESNEY DIRECTOR 1.00 X 0 0 0 JULIE JACKSON DIRECTOR 1.00 X 0 0 0 LINDA MORONEY DIRECTOR 1.00 X 0 0 0 LISA DREW PRESIDENT 5.00 X X 0 0 0 MARY JO O'MALLEY VICE PRESIDENT 5.00 X X 0 0 0 MARY REICH EXECUTIVE DIREC 40.00 X 91515 0 0 MARY RODE DIRECTOR 5.00 X 0 0 0 MEGAN WELSH DIRECTOR 40.00 X 76484 0 0 MICHAEL RODE DIRECTOR 5.00 X 0 0 0 MITZI CASS DIRECTOR 1.00 X 0 0 0 NANCY BRADT SECRETARY 1.00 X X 0 0 0 PEG KOENIGS TREASURER 5.00 X X 0 0 0 RAMON AGUIRRE DIRECTOR 1.00 X 0 0 0 SARAH BUTZ DIRECTOR 1.00 X 0 0 0 TERRY LADWIG DIRECTOR 1.00 X 0 0 0 VICKI DALLMANN-PAPKE DIRECTOR 1.00 X 0 0 0 PABLO FERNANDEZ EMPLOYEE 40.00 X 178106 0 0 346105 0 0 1 0 1 0 0 992565 13811 992565 1898 1898 18 -18 -18 -18 187675 28025 159650 159650 OTHER INCOME 621110 4958 4958 4958 1159053 0 0 166488 1112712 976718 74807 61187 11296 5648 5648 71252 57002 14250 71712 23904 23904 23904 17833 17833 24513 12256 12257 89044 66783 22261 7004 7004 59376 59376 12804 9603 3201 MEDICAL SUPPLIES 97679 97679 TRANSPORTATION 20150 20150 REPAIRS & MAINTENANCE 16189 16189 DUES AND SUBSCRIPTIONS 6152 6152 13059 5173 6161 1725 1630775 1363637 162489 104649 958614 629090 38284 119931 48453 23869 15432 25126 4813 12141 669677 167139 501245 502538 175 0 1567016 1312695 23207 35680 23207 35680 X 1485397 1260293 58412 16722 1543809 1277015 1567016 1312695 X -471722 238497 -33569 X 0 1 X 1 0 X 351239 930796 459959 945210 890732 3577936 351239 930796 459959 945210 890732 3577936 140798 3437138 4501 4531 5670 3053 1898 19653 4958 4958 3602547 0.95410 0.99190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 470771 116425 354346 198906 50714 148192 502538 1397568 238497 238497 1159071 -18 -18 1159053 1630793 0 1630793 -18 -18 1630775 PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS GALA 172376 172376 25426 TRIVIA NIGHT 8512 8512 559 180888 180888 25985 25985 154903 0 0 0 0 0 0 0 0 0 PABLO FERNANDEZ EMPLOYEE 178106 0 0 0 0 0 0 0 0 0 178106 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS SUBMITTED TO & REVIEWED BY THE GOVERNING BODY AT A BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS ARE ADDRESSED AT EVERY BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 EVERY EMPLOYEE RECEIVES A REVIEW. THE EXECUTIVE DIRECTOR MAKES THE SALARY RECOMMENDATIONS WITH INPUT FROM THE MANAGEMENT TEAM. THE EXECUTIVE DIRECTORS PERFORMANCE AND SALARY IS REVIEWED BY THE PRESIDENT OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 ALL DOCUMENTS & STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS & STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: PRIOR PERIOD ADJUSTMENT -33,569.