2024-05-10T15:53:36-05:00 2023-06-30 390919055 RITZ HOLMAN LLP 330 E KILBOURN AVE SUITE 550 MILWAUKEE WI 53202 990 2022-07-01 391273248 WAUKESHA FREE CLINIC INC WAUK 2625446777 237 WISCONSIN AVE WAUKESHA WI 53186 AMY VEGA EXECUTIVE DIRECTOR 2625446777 2024-05-10 1 AMY VEGA 999009999 0 KATY L SOMMER P00273273 4142711451 2024-05-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHELLE KRAUSKA 237 WISCONSIN AVE WAUKESHA WI 53186 1046840 0 X WAUKESHAFREECLINIC.ORG X 1977 WI THE CLINIC'S MISSION IS TO SUPPORT THE HEALTH CARE OF UNINSURED AND LOW-INCOME RESIDENTS OF WAUKESHA COUNTY. THE CLINIC PROVIDES ACCESS TO FREE OR DISCOUNTED SERVICES AND MEDICATIONS. 13 13 9 85 0 0 709911 968615 934 524 29609 23329 43519 50916 783973 1043384 0 0 0 0 308922 346793 0 0 67775 289089 440294 598011 787087 185962 256297 1489104 1936787 29572 183859 1459532 1752928 X THE CLINIC'S MISSION IS TO SUPPORT THE HEALTH CARE OF UNINSURED AND LOW-INCOME RESIDENTS OF WAUKESHA COUNTY. THE CLINIC PROVIDES ACCESS TO FREE OR DISCOUNTED SERVICES AND MEDICATIONS. 0 0 603169 981 THE WAUKESHA FREE CLINIC, INC. PROVIDES HEALTHCARE SERVICES TO THE UNINSURED, UNDERINSURED, AND LOW-INCOME FAMILIES AND INDIVIDUALS WHO LIVE, WORK, OR ATTEND SCHOOL IN THE WAUKESHA COUNTY COMMUNITY, WITH A HOUSEHOLD INCOME CRITERIA OF 300% OF FEDERAL POVERTY LIVING GUIDELINES (FPL).THE WAUKESHA FREE CLINIC FOLLOWS A CONTINUITY OF CARE MODEL WHICH INCLUDES: PHYSICAL EXAMS, NURSE TRIAGE, PRESCRIPTION MEDICATION ASSISTANCE, WALK-IN SERVICES, COURTESY VISITS, PHYSICAL THERAPY, PANDEMIC-RELATED SERVICES, AND MORE.THE WAUKESHA FREE CLINIC OFFERS HOMELESS OUTREACH AND HISPANIC HEALTH OUTREACH PROGRAMS. WE ALSO CONTINUE TO PROVIDE SPECIALTY CLINICS INCLUDING WOMEN'S HEALTH, PODIATRY, HEALTH EDUCATION, COVID TESTING, CARDIOLOGY, PULMONOLOGY, REFERRALS TO HEALTH AND HUMAN SERVICE AGENCIES, AND SUPPORT PATIENT NAVIGATION OF COMMUNITY RESOURCES.THE WAUKESHA FREE CLINIC ALSO SERVES AS A SITE LOCATION TO ASSIST WITH HEALTH INSURANCE ENROLLMENT AND VACCINATION APPOINTMENTS. 603169 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 4 0 1 9 1 0 0 0 0 0 1 1 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X X WAUKESHA FREE CLINIC INC 2625446777 237 W WISCONSIN AVE WAUKESHA WI 53186 ELIZABETH DAVIES MD PRESIDENT 1.00 X X 0 0 0 MARY CASEY RN VICE PRESIDENT 1.00 X X 0 0 0 JIM BRANDES SECRETARY 1.00 X X 0 0 0 JUSTIN LAURIA-BANTA TREASURER 1.00 X X 0 0 0 KENNETH SCHELLHASE MD DIRECTOR 1.00 X 0 0 0 THOMAS GALLAGHER MD DIRECTOR 1.00 X 0 0 0 ERIC J FORD MBA DIRECTOR 1.00 X 0 0 0 KIM HOPPE DIRECTOR 1.00 X 0 0 0 NICK LADELL RPH DIRECTOR 1.00 X 0 0 0 KIMBERLY MCELROY DIRECTOR 1.00 X 0 0 0 HOLLY SCHMIDTKE DIRECTOR 1.00 X 0 0 0 MIRANDA SPINDT DIRECTOR 1.00 X 0 0 0 AMY VEGA EXECUTIVE DIR. 40.00 X 80045 0 9876 80045 0 9876 0 0 0 0 0 6866 7775 285796 668178 298395 968615 PROGRAM FEES 900099 524 524 524 23329 23329 53915 7775 3456 50459 50459 OTHER INCOME 900099 457 457 457 1043384 981 0 73788 89921 61527 14995 13399 214442 146728 35759 31955 10174 6961 1697 1516 7983 5462 1331 1190 24273 16608 4048 3617 25014 7028 17663 323 1558 1558 27070 7608 19112 350 12148 10423 1141 584 15034 11566 1809 1659 14226 10300 2745 1181 1422 1150 266 6 1684 1684 16296 11798 3145 1353 14139 10237 2728 1174 INVENTORY WRITE OFF 202837 202837 PROGRAM SUPPLIES 85768 85768 OTHER 11780 7168 4612 EVENT FEES 9468 9468 1850 1850 787087 603169 116143 67775 391415 245144 39583 45564 18188 153171 185398 243745 12863 15510 268066 61034 166696 207032 662843 876226 6137 156376 1489104 1936787 29572 25257 0 158602 29572 183859 X 1228002 1609487 231530 143441 1459532 1752928 1489104 1936787 256297 37099 0 X 0 1 X 1 0 X 374701 494698 909914 699338 960840 3439491 374701 494698 909914 699338 960840 3439491 19363 3420128 5836 11544 16538 29609 21771 85298 36573 30070 2060 400 457 69560 3594349 4127 0.95150 0.95200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 182832 41628 141204 85234 19406 65828 207032 RIGHT OF USE ASSETS 156376 156376 LEASE LIABILITY 158602 158602 X 1445263 37099 571015 608114 837149 1558 204677 206235 1043384 1151867 571015 571015 580852 1558 204677 206235 787087 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -1,616. DIRECT BENEFITS 3,456. INVENTORY WRITE OFF 202,837. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVENTORY WRITE OFF 202,837. FUNDRAISING EXPENSES -1,616. DIRECT BENEFITS 3,456. VIRTUAL GALA 61690 7775 53915 3456 61690 7775 53915 3456 3456 50459 X 298395 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - THE FINANCE COMMITTEE REVIEWS THE 990 FIRST AND THEN IT IS SENT TO BE APPROVED BY THE ENTIRE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD DIRECTOR ANNUALLY COMPLETES A CONFLICT OF INTEREST FORM AFFIRMING THEY HAVE NO CONFLICTS OF INTEREST FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS SET BY THE BOARD (AND EXECUTIVE DIRECTOR FOR OTHER STAFF POSITIONS) AFTER REVIEW OF THE WISCONSIN DEPARTMENT OF WORKFORCE DEVELOPMENT WAGES AND SALARY REPORTS, REVIEW OF OTHER NONPROFIT WAGES AND SALARIES FOR COMPARABLE POSITIONS AND EXPERIENCE. DURING SUBSEQUENT YEARS, THE BOARD AND EXECUTIVE DIRECTOR HAVE REVIEWED COMPENSATION OF STAFF ANNUALLY AS A PART OF THE OVERALL BUDGET APPROVAL PROCESS. COMPENSATION IS SET BY THE BOARD (AND EXECUTIVE DIRECTOR FOR OTHER STAFF POSITIONS) AFTER REVIEW OF THE WISCONSIN DEPARTMENT OF WORKFORCE DEVELOPMENT WAGES AND SALARY REPORTS, REVIEW OF OTHER NONPROFIT WAGES AND SALARIES FOR COMPARABLE POSITIONS AND EXPERIENCE. DURING SUBSEQUENT YEARS, THE BOARD AND EXECUTIVE DIRECTOR HAVE REVIEWED COMPENSATION OF STAFF ANNUALLY AS A PART OF THE OVERALL BUDGET APPROVAL PROCESS. FORM 990, PART VI, SECTION C, LINE 19 ELECTRONIC DOCUMENTS ARE SUBMITTED TO UNITED WAY OF WAUKESHA, SJMDC WEBSITE POSTS 990.