2025-10-23T16:07:34-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2024-01-01 237167576 LAKE SUPERIOR COMMUNITY HEALTH CENTER LAKE 2187221497 4325 GRAND AVE DULUTH MN 55807 JAKE KUSCHKE CFO 2187221497 2025-10-20 1 0 RYAN ENGEBRETSON P01585625 6123764500 2025-10-20 2024 2025-03-06 01:10:19Z JAKE KUSCHKE 4325 GRAND AVE DULUTH MN 55807 14999830 0 X WWW.LSCHC.ORG X 1972 MN AS A COMMUNITY HEALTH CENTER, WE ARE DEDICATED TO PROVIDING CARE TO EVERYONE IN NEED, REGARDLESS OF INSURANCE OR ABILITY TO PAY.WE SEEK TO IMPROVE ACCESS TO QUALITY HEALTH CARE FOR ALL BY PROVIDING ACCESS TO QUALITY MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE. DELIVERING COMPREHENSIVE, INTEGRATED AND COST-EFFECTIVE CARE AND STRIVE TO CREATE A BETTER WORLD BY GUIDING INDIVIDUALS, FAMILIES AND COMMUNITIES TO IMPROVED HEALTH AND WELL-BEING. 14 14 152 9 0 0 3502144 2935737 10621971 11721129 242465 324318 17152 18646 14383732 14999830 0 0 0 0 9654609 9475279 0 0 5700 5219714 5140097 14874323 14615376 -490591 384454 16297777 16027916 6260989 5629990 10036788 10397926 X TO IMPROVE ACCESS TO QUALITY HEALTH CARE FOR ALL. 0 0 3738586 0 3959297 MEDICAL - LAKE SUPERIOR COMMUNITY HEALTH CENTER PROVIDES PRIMARY CLINICAL MEDICAL CARE FOR LOW INCOME UNINSURED, UNDERINSURED AND PUBLIC PROGRAM ENROLLED COMMUNITY MEMBERS. THIS CARE INCLUDES ACUTE CARE, MANAGEMENT OR CHRONIC DISEASE, PREVENTATIVE CARE, ASSISTED REFERRALS, CHIROPRACTIC SERVICES AND MENTAL HEALTH COUNSELING. IN 2024, THE CENTER SERVED 4,589 PATIENTS WITH 18,666 IN-PERSON VISITS AND 1,077 VIRTUAL VISITS. 5631220 0 5937216 DENTAL - LAKE SUPERIOR COMMUNITY HEALTH CENTER PROVIDES PRIMARY DENTAL CARE FOR LOW INCOME UNINSURED, UNDERINSURED, AND PUBLIC PROGRAM ENROLLED COMMUNITY MEMBERS. THIS CARE INCLUDES OFFICE EXAMINATIONS, CLEANINGS, FLUORIDE TREATMENTS, X-RAYS, SEALANTS, RESTORATION, ROUTINE EXTRACTIONS, PARTIALS, DENTURES, ROOT CANALS, AND CROWNS. IN 2024, THE CENTER SERVED 6,947 PATIENTS WITH 15,250 VISITS. 894164 0 942752 HEALTH CARE ACCESS OFFICE, INTEGRATED CARE COORDINATION, 340B PHARMACYPROGRAM 836414 0 881864 MEDICAL SOCIAL WORK & ALCOHOL AND OTHER DRUG ABUSE - LAKE SUPERIOR COMMUNITY HEALTH CENTER PROVIDES MEDICAL SOCIAL WORK SERVICES FOR LOW INCOME COMMUNITY MEMBERS. THESE SERVICES INCLUDE ELIGIBILITY SCREENING, APPLICATION ASSISTANCE, AND ADVOCACY FOR THOSE SEEKING ENROLLMENT IN PUBLIC HEALTH COVERAGE PROGRAMS SERVICES ALSO INCLUDE BASIC SOCIAL WORK ASSISTANCE SUCH AS COUNSELING, ADVOCACY, AND ASSISTED REFERRALS. IN 2024, THE CENTER SERVED 329 PATIENTS WITH 2,823 IN-PERSON VISITS AND 953 VIRTUAL VISITS IN BEHAVIORAL HEALTH AND 134 PATIENTS WITH 1,429 IN-PERSON VISITS IN AND 45 VIRTUAL VISITS IN SUBSTANCE USE DISORDER. 836414 0 881864 11100384 1 1 0 1 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 32 0 1 152 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN WI X JAKE KUSCHKE 7153955386 4325 GRAND AVE DULUTH MN 55807 BOB LYMAN BOARD CHAIR 2.00 X X 0 0 0 JEDEDIAH JANSON BOARD VICE CHAIR 2.00 X X 0 0 0 KYLE DICKINSON BOARD TREASURER 2.00 X X 280 0 0 COURTNEY KOSTREBA BOARD SECRETRARY 2.00 X X 0 0 0 KIM TERHAAR BOARD MEMBER 2.00 X 0 0 0 SONYA ALSTONE BOARD MEMBER 2.00 X 0 0 0 DIANE HOLLIDAY-WELSH BOARD MEMBER 2.00 X 0 0 0 DYANI BRADDICK BOARD MEMBER 2.00 X 245 0 0 CINDY CAPIN BOARD MEMBER 2.00 X 0 0 0 HOLLY COMPO BOARD MEMBER 2.00 X 0 0 0 ASHLEY LUNA BOARD MEMBER 2.00 X 0 0 0 JESSIE CHRISTOPHERSON BOARD MEMBER 2.00 X 0 0 0 NANCY TARIO BOARD MEMBER 2.00 X 0 0 0 BARBARA HEMENWAY BOARD MEMBER 2.00 X 0 0 0 LEE HOMAN CEO 40.00 X 124937 0 40758 CRYSTAL MEYER CHRO 40.00 X 106395 0 32748 LAURIE HALL COO 40.00 X 75028 0 22726 JAKE KUSCHKE CFO 40.00 X 88723 0 23410 EMILY ANDERSON PHYSICIAN / MEDICAL DIRECTOR 40.00 X 247133 0 55216 JACOB OESTREICH PHYSICIAN 32.00 X 182223 0 64379 RICHARD DEVORAK DDS 40.00 X 190359 0 13615 WENDY PETERSON DDS 40.00 X 178910 0 4728 YIN CAO DDS/DENTAL DIRECTOR 40.00 X 217615 0 34471 1411848 0 292051 16 0 1 0 0 14931 2739936 180870 2935737 DENTAL SERVICE REVENUE 621300 5937216 5937216 MEDICAL SERVICE REVENUE 621110 3959297 3959297 BEHAVIORAL HEALTH REVENUE 621110 942752 942752 340B PROGRAM REVENUE 456110 795950 795950 HEALTH CARE ACCESS OFFICE 624100 85914 85914 11721129 263359 263359 60959 0 60959 60959 60959 MISCELLANEOUS REVENUE 900099 18646 18646 18646 14999830 11721129 0 342964 515250 515250 7380778 6346073 1031403 3302 198501 193265 3180 2056 791489 791489 589261 480117 108802 342 35824 35824 42600 42600 2075 2075 16159 16159 569108 388606 180502 27533 19517 8016 323013 237525 85488 421806 17283 404523 823841 395079 428762 82164 76025 6139 22750 18284 4466 371034 222620 148414 92088 3568 88520 340B CONTRACT FEES 852334 851589 745 BAD DEBT 455213 455213 MEDICAL SUPPLIES 384718 367832 16886 REPAIRS & MAINTENANCE 337674 94630 243044 280163 141669 138494 14615376 11100384 3509292 5700 1000 1000 4977656 5548007 611852 173827 511314 668363 164751 167627 12896210 6575823 7228959 6320387 2450199 2267224 352046 881481 16297777 16027916 1049682 946564 18884 93752 141866 134317 5050557 4455357 6260989 5629990 X 10036788 10397926 10036788 10397926 16297777 16027916 384454 -23316 0 X X 0 1 X 1 1 1 X 4644922 4325742 5115599 3502144 2935737 20524144 4644922 4325742 5115599 3502144 2935737 20524144 201019 20323125 18564 527 13129 234333 263359 529912 93206 16008 17152 18646 145012 21199068 48115669 0.95870 0.97410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2075 2075 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE WISCONSIN PRIMARY HEALTH CARE ASSOCIATION (WPHCA) AND THE MINNESOTA ASSOCIATION OF COMMUNITY HEALTH CENTERS (MNACHC). A PART OF THE MEMBERSHIP DUES PAID TO THESE ORGANIZAITONS IS FOR LOBBYING EXPENDITURES. THE ORGANIZATIONS IN THEIR RESPECTIVE STATES ADVOCATE TO ENSURE THE VOICE OF THEIR MEMBERS AND THEIR PATIENTS ARE HEARD LEGISLATIVELY IN ADDITION TO THE MANY OTHER NON-LOBBYING BENEFITS PROVIDED. 50000 50000 9092884 3522754 5570130 79044 28540 50504 3674282 3024529 649753 6320387 FQHC REIMBURSEMENT RECEIVABLE 881481 881481 LEASE LIABILITY 4455357 4455357 14505142 -23316 -23316 14528458 16159 455213 471372 14999830 14144004 0 14144004 16159 455213 471372 14615376 PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 455,213. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 455,213. X X X X 0 0 0 0 0 0 0 0 0 EMILY ANDERSON PHYSICIAN / MEDICAL DIRECTOR 247133 0 0 0 0 0 11500 0 43716 0 302349 0 0 0 YIN CAO DDS/DENTAL DIRECTOR 217615 0 0 0 0 0 6952 0 27519 0 252086 0 0 0 JACOB OESTREICH PHYSICIAN 182223 0 0 0 0 0 9916 0 54463 0 246602 0 0 0 RICHARD DEVORAK DDS 190359 0 0 0 0 0 0 0 13615 0 203974 0 0 0 WENDY PETERSON DDS 178910 0 0 0 0 0 4728 0 0 0 183638 0 0 0 LEE HOMAN CEO 124937 0 0 0 0 0 3177 0 37581 0 165695 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A ALL COMMITTEE MEMBERS ARE ON THE GOVERNING BODY. EXECUTIVE COMMITTEE IS MADE UP OF THE BOARD CHAIR, SECRETARY, TREASURER AND VICE CHAIR. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CEO AND DIRECTOR OF FINANCE. FOLLOWING THEIR REVIEW, IT IS REVIEWED BY THE FINANCE COMMITTEE WHICH MAKES A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS TO APPROVE. THE BOARD OF DIRECTORS ISSUE FINAL APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 11B LSCHC'S CFO DISTRIBUTES THE FINAL COPY OF THE 990 ALONG WITH A SUMMARY NARRATIVE TO THE COMPLETE BOARD OF DIRECTORS AND FINANCE COMMITTEE PRIOR TO APPROVAL. THE CFO AND FINANCE COMMITTEE REVIEW THE 990 IN DETAIL AND THEN A MOTION TO APPROVE A RESOLUTION TO APPROVE THE 990 AS PRESENTED IS BROUGHT FORTH BY THE FINANCE COMMITTEE TO THE WHOLE BOARD. AT THE FULL BOARD EITHER THE CFO OR A REPRESENTATIVE FROM THE FIRM THAT PREPARED THE 990 WILL REVIEW THE PERTINENT POINTS OF THE 990 WITH THE BOARD. UPON COMPLETION OF THE REVIEW THE BOARD VOTES ON A RESOLUTION TO APPROVE THE 990 AS PRESENTED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATIONS'S BOARD OF DIRECTORS CONDUCT AN ANNUAL REVIEW AND DECLARATION OF THE CONFLICT OF INTEREST POLICY. AT THE TIME OF A CONFLICT, THE INTERESTED DIRECTOR MUST FULLY DISCLOSE TO THE REST OF THE BOARD OF DIRECTORS ANY POTENTIAL CONFLICT OF INTEREST. THE REMAINING BOARD OF DIRECTORS THEN AUTHORIZE, APPROVE, OR RATIFY THE CONTRACT OR TRANSACTION IN GOOD FAITH BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS (WITHOUT INCLUDING THE INTERESTED DIRECTOR) AT A MEETING WHICH THERE IS A QUORUM WITHOUT COUNTING THE INTERESTED DIRECTOR. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION REVIEWS MARKET DATA AND SALARY SURVEYS ON AN ANNUAL BASIS. THIS DATA IS REVIEWED BY THE EXECUTIVE TEAM AND WAGE DECISIONS FOR THE UPCOMING YEAR ARE MADE AS PART OF THE BOARDS APPROVAL OF THE ANNUAL BUDGET. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND STATEMENTS AVAILABLE UPON REQUEST AT THE CENTER'S ADMINISTRATIVE OFFICES IN DULUTH, MN. FORM 990, PART XII, LINCE 2C NO CHANGE IN PROCESS FROM PRIOR YEAR.