2023-08-28T10:39:18-05:00 2022-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-01-01 352297925 THE LAKES COMMUNITY HEALTH CENTER INC LAKE 8888344551 7665 US HIGHWAY 2 IRON RIVER WI 54847 REBECCA RICE CHIEF EXECUTIVE OFFICER 8888344551 2023-08-09 1 REBECCA RICE 999009999 0 MICHAEL J PETERSON CPA P01833529 2187224705 2023-08-08 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z NORTHLAKES COMMUNITY CLINIC REBECCA RICE 7665 US HIGHWAY 2 IRON RIVER WI 54847 42435105 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. 17 17 468 17 0 0 15038888 9956302 29029197 32233210 2935 51933 163457 185055 44234477 42426500 0 10769 0 0 30144072 30233863 0 0 0 9325811 10076377 39469883 40321009 4764594 2105491 36144121 37730094 12545279 12025761 23598842 25704333 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 14761423 10769 13445006 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. 10797575 0 12368563 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. 5447607 0 6465435 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. 31006605 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 45 0 468 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 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 FRANK SUO PRESIDENT 1.00 X X 0 0 0 JANE SNILSBERG VICE PRESIDENT 1.00 X X 0 0 0 MICHAEL FLAHERTY TREASURER 1.00 X X 0 0 0 AMY KLEBE SECRETARY 1.00 X X 0 0 0 MARY JO BECKER DIRECTOR 1.00 X 0 0 0 JOANN FLEMING DIRECTOR 1.00 X 0 0 0 PEGGY HIPSHER DIRECTOR 1.00 X 0 0 0 PHILOMENA KEBEC 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 LISA PRITZL DIRECTOR 1.00 X 0 0 0 DON PRUETER DIRECTOR (THRU MAY) 1.00 X 0 0 0 DREW RINGWALD DIRECTOR 1.00 X 0 0 0 DR JOHN SCHROCK DIRECTOR 1.00 X 0 0 0 MICHAEL STAMP DIRECTOR 1.00 X 0 0 0 RICHARD THIEDE DIRECTOR 1.00 X 0 0 0 SALLY ZOESCH DIRECTOR 1.00 X 0 0 0 REBECCA RICE CHIEF EXECUTIVE OFFICER 40.00 X 229584 0 39050 BRIAN AHLGREN CHIEF FINANCIAL OFFICER 40.00 X 229624 0 39226 JASON AKL CHIEF OPERATIONS OFFICER 40.00 X 236014 0 18538 DEBORAH DRYER PHYSICIAN 40.00 X 261014 0 20386 JENNA INGERSOLL PHYSICIAN 40.00 X 156287 0 37802 BRENT KELLEY PHYSICIAN 40.00 X 231536 0 32758 NATHAN SCHOEPPACH PHYSICIAN 40.00 X 245330 0 9813 DODSON THOMPSON PHYSICIAN 40.00 X 221953 0 41736 1811342 0 239309 49 0 1 0 BOLDT CONSTRUCTION 2525 N ROEMER RD PO BOX 419 APPLETON WI 549110419 CONSTRUCTION SERVICES 1481411 OCHIN INC PO BOX 5426 PORTLAND OR 972285426 IT AND EHR SOLUTIONS SERVICES 777324 NASI CONSTRUCTION 700 GRANITE ST HURLEY WI 54534 CONSTRUCTION SERVICES 101635 3 8727578 1228724 9956302 DENTAL SERVICE REVENUE 621400 12368563 12368563 MEDICAL SERVICE REVENUE 621400 10373218 10373218 BEHAVIORAL HEALTH REVENUE 621400 6465435 6465435 PHARMACY REVENUE 456110 2896785 2896785 129209 129209 32233210 60538 60538 8605 -8605 -8605 -8605 INCENTIVE PAYMENTS 900099 45794 45794 139261 139261 185055 42426500 32279004 0 191194 10769 10769 792037 792037 22283057 18260694 4022363 813010 665349 147661 4696056 3251431 1444625 1649703 1316193 333510 48209 36442 11767 88576 88576 1327223 1003260 323963 245712 14003 231709 558767 422377 136390 1280327 567067 713260 807028 491357 315671 237208 94992 142216 73620 55650 17970 346977 262283 84694 1280725 968111 312614 173720 131316 42404 MED. & DENTAL SUPPLIES 1837219 1814718 22501 PHARMACY SUPPLIES 1013005 1013005 BAD DEBT EXPENSE 223534 223534 DUES & SUBSCRIPTIONS 105030 79393 25637 429497 324661 104836 40321009 31006605 9314404 0 4874 2748 13700985 11221619 1104683 739366 1542436 1244179 318575 357977 69486 183514 27985974 7015027 17533385 20970947 1869697 3009744 36144121 37730094 3599278 2609709 0 1918 0 6000 8940788 8764959 5213 643175 12545279 12025761 X 23443842 25704333 155000 0 23598842 25704333 36144121 37730094 2105491 0 X 0 1 X 1 1 1 X 5083288 6671733 14288873 15038888 10111302 51194084 5083288 6671733 14288873 15038888 10111302 51194084 51194084 17690 19016 5493 2935 60778 105912 29323 29323 51329319 132582169 0.99740 0.99830 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 1169935 1169935 20321569 2778941 17542628 842779 307988 534791 4874647 3423138 1451509 777044 504960 272084 20970947 DUE FROM THIRD PARTY REIMBURSEMENT PROGRAMS 2330598 COOP EQUITY 261 RIGHT TO USE ASSET - OPERATING LEASES 640284 SECURITY DEPOSITS 38601 3009744 OPERATING LEASE OBLIGATIONS 637962 SECURITY DEPOSITS 5213 643175 42357966 -378534 -378534 42736500 0 42736500 40097475 0 40097475 223534 223534 40321009 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. X 0 0 0 0 0 0 0 0 0 DEBORAH DRYER PHYSICIAN 215853 0 35864 0 9297 0 10328 0 10058 0 281400 0 0 0 BRIAN AHLGREN CHIEF FINANCIAL OFFICER 215450 0 4671 0 9503 0 9174 0 30052 0 268850 0 0 0 REBECCA RICE CHIEF EXECUTIVE OFFICER 215930 0 4671 0 8983 0 9172 0 29878 0 268634 0 0 0 BRENT KELLEY PHYSICIAN 217373 0 4667 0 9496 0 8446 0 24312 0 264294 0 0 0 DODSON THOMPSON PHYSICIAN 208243 0 4512 0 9198 0 9210 0 32526 0 263689 0 0 0 NATHAN SCHOEPPACH PHYSICIAN 224850 0 6450 0 14030 0 9813 0 0 0 255143 0 0 0 JASON AKL CHIEF OPERATIONS OFFICER 221840 0 4671 0 9503 0 9533 0 9005 0 254552 0 0 0 JENNA INGERSOLL PHYSICIAN 138777 0 10532 0 6978 0 5750 0 32052 0 194089 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.