OPEN ARMS FREE CLINIC INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: OPEN ARMS FREE CLINIC INC (EIN 45-4475625)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202333199349302088
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T07:26:08-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390747409	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	REILLY PENNER & BENTON LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1233 NORTH MAYFAIR RD SUITE 302	AddressLine1Txt
City	MILWAUKEE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	532263255	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	454475625	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OPEN ARMS FREE CLINIC INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	OPEN	BusinessNameControlTxt
Phone	2623791401	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 678	AddressLine1Txt
City	ELKHORN	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53121	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFFREY BAHR	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	2623791401	PhoneNum
Signature	2023-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JEFFREY	PersonFirstNm
Person Last	BAHR	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRANDON PANKA	PreparerPersonNm
PTIN	P01596345	PTIN
Phone	4142717800	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	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

Field	Value	IRS element (for citing)
Principal Officer	JEFFREY BAHR	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 678	AddressLine1Txt
City	ELKHORN	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53121	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,150,467	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	OPENARMSFREECLINIC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2012	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	TO BETTER UNDERSTAND AND SERVE WITH COMPASSION THE HEALTH AND WELLNESS NEEDS OF UNINSURED RESIDENTS OF WALWORTH COUNTY.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	37	TotalEmployeeCnt
Total Volunteers	225	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,152,876	PYContributionsGrantsAmt
CY Contributions Grants	$1,877,050	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$17,250	PYInvestmentIncomeAmt
CY Investment Income	$28,523	CYInvestmentIncomeAmt
PY Other Revenue	$36,082	PYOtherRevenueAmt
CY Other Revenue	-$48,123	CYOtherRevenueAmt
PY Total Revenue	$1,206,208	PYTotalRevenueAmt
CY Total Revenue	$1,857,450	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$546,623	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$822,500	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$50,998	CYTotalFundraisingExpenseAmt
PY Other Expenses	$277,400	PYOtherExpensesAmt
CY Other Expenses	$789,356	CYOtherExpensesAmt
PY Total Expenses	$824,023	PYTotalExpensesAmt
CY Total Expenses	$1,611,856	CYTotalExpensesAmt
PY Revenues Less Expenses	$382,185	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$245,594	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,627,799	TotalAssetsBOYAmt
Total Assets EOY	$2,800,599	TotalAssetsEOYAmt
Total Liabilities BOY	$46,322	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$75,010	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,581,477	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,725,589	NetAssetsOrFundBalancesEOYAmt
Mission	TO BETTER UNDERSTAND AND SERVE WITH COMPASSION THE HEALTH AND WELLNESS NEEDS OF UNINSURED RESIDENTS OF WALWORTH COUNTY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$921,848	ExpenseAmt
Revenue	$593	RevenueAmt
Desc	MEDICAL SERVICES - VOLUNTEER DOCTORS, NURSES, PHARMACISTS, LAB TECHS, AND INTERPRETERS PROVIDE DIRECT PRIMARY AND SPECIALTY MEDICAL CARE FOR QUALIFIED PATIENTS. MEDICAL SERVICES ARE OFFERED AN AVERAGE OF 4+ DAYS A WEEK, 40 HOURS A WEEK. SERVICES INCLUDE PRIMARY CARE, SPECIALTY CARE, LAB, AND MEDICATIONS. THERE WERE 5,542 PATIENT VISITS THAT INCLUDED 8,540 MEDICATIONS DISPENSED, 3,171 LAB TESTS, 916 VACCINATIONS (COVID AND FLU) FOR 1,185 UNIQUE INDIVIDUALS (936 NEW PATIENTS). WHILE WE CARE FOR ALL AGES, THE MAJORITY (80%) ARE ADULTS AGED 19-64 WITH CHRONIC DISEASES (DIABETES, HEART DISEASE, ASTHMA, MENTAL HEALTH). ALL SERVICES ARE PROVIDED AT NO COST TO THE PATIENT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$375,891	ExpenseAmt
Revenue	$242	RevenueAmt
Desc	DENTAL SERVICES - ORAL HEALTH CARE IS PROVIDED BY VOLUNTEER AND PAID DENTISTS, ASSISTANTS, AND HYGIENISTS. IN 2022, THERE WERE OVER 4,000 DENTAL PROCEDURES COMPLETED, AND 2,042 DENTAL VISITS FOR 804 UNIQUE PATIENTS. 66% OF THE PATIENTS HAVE NO INSURANCE, AND 34% HAVE MEDICAID INSURANCE. OAFC IS THE ONLY MEDICAID GENERAL DENTIST IN WALWORTH COUNTY. EACH PATIENT IS GIVEN AN INITIAL EXAM, THAT INCLUDES X-RAY, BASIC RESTORATIVE TREATMENT, EXTRACTIONS WHEN NEEDED, AND A CLEANING. ALL SERVICES WERE PROVIDED FREE AT NO COST TO PATIENTS, EXCEPT THOSE WHO HAD A MINIMAL CO-PAY WITH THEIR MEDICAID. OAFC IS CONTINUING THE PARTNERSHIP WITH MARQUETTE UNIVERSITY DENTAL SCHOOL AND HAS HOSTED 252 DENTAL STUDENTS TO DATE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$75,570	ExpenseAmt
Revenue	$49	RevenueAmt
Desc	BEHAVIORAL HEALTH SERVICES - PATIENTS CAN RECEIVE BOTH MEDICATION AND COUNSELING THERAPEUTIC CARE WITHIN THE CLINIC. IN 2022, OAFC RETAINED TWO BILINGUAL BEHAVIORAL HEALTH COUNSELORS TO PROVIDE 784 COUNSELING VISITS FOR 200 INDIVIDUALS, COUPLES, AND FAMILIES. MEDICATIONS ARE PRESCRIBED BY THE OAFC MEDICAL PROVIDERS, AND A VOLUNTEER PSYCHIATRIST PROVIDED MEDICATION MANAGEMENT AND REVIEW. OAFC INITIATED A STATE-WIDE TELE-BEHAVIORAL HEALTH NETWORK (VIRTUAL THERAPY) TO PROVIDE COUNSELING ACCESS FOR AN ADDITIONAL 5 FREE CLINICS IN WISCONSIN. OAFC HAS BEEN ABLE TO TREAT GENERAL ANXIETY, DEPRESSION, AND MOOD DISORDERS WITH THE AVAILABLE MEDICATIONS IN THE OPEN ARMS DISPENSARY. ALL SERVICES PROVIDED AT NO COST TO THE PATIENT.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,373,309	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	0	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	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	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	Yes (1)	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	11	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	37	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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	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	0	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	0	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	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	SARA NICHOLS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2623791401	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 678	AddressLine1Txt
City	ELKHORN	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53121	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
JEFFREY BAHR MD
PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
DONNA NESHEK RN
VICE PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
NICK VORPAGEL
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
GERARD MAKOVEC
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
THOMAS HARTZ
DIRECTOR	1.00	Yes (X)		$0	$0	$0
STEVEN JENSEN
DIRECTOR	1.00	Yes (X)		$0	$0	$0
KAREN LITTIG
DIRECTOR	1.00	Yes (X)		$0	$0	$0
JAMES LOVELL
DIRECTOR	1.00	Yes (X)		$0	$0	$0
ROBERT YOUNGQUIST DDS
DIRECTOR	1.00	Yes (X)		$0	$0	$0
REV DANIEL SANDERS
DIRECTOR	1.00	Yes (X)		$0	$0	$0
SARA NICHOLS
EXECUTIVE DIRECTOR	40.00		Yes (X)	$83,168	$0	$2,082

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$83,168	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,082	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Fundraising	$308,975	FundraisingAmt
Government Grants	$586,789	GovernmentGrantsAmt
All Other Contributions	$981,286	AllOtherContributionsAmt
Noncash Contributions	$413,696	NoncashContributionsAmt
Total Contributions	$1,877,050	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,287	TotalRevenueColumnAmt
Exclusion	$18,287	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$154,805	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$144,569	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,236	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,236	TotalRevenueColumnAmt
Exclusion	$10,236	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$84,316	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$308,975	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$140,498	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$56,182	TotalRevenueColumnAmt
Exclusion	-$56,182	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$15,125	GamingGrossIncomeAmt
Gaming Direct Expenses	$7,950	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,175	TotalRevenueColumnAmt
Exclusion	$7,175	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$884	TotalRevenueColumnAmt
Related Or Exempt Func Income	$884	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$884	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,857,450	TotalRevenueColumnAmt
Related Or Exempt Func Income	$884	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$20,484	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$87,005	TotalAmt
Program Services	$67,040	ProgramServicesAmt
Management And General	$17,556	ManagementAndGeneralAmt
Fundraising	$2,409	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$651,339	TotalAmt
Program Services	$501,444	ProgramServicesAmt
Management And General	$133,026	ManagementAndGeneralAmt
Fundraising	$16,869	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,245	TotalAmt
Program Services	$3,420	ProgramServicesAmt
Management And General	$691	ManagementAndGeneralAmt
Fundraising	$134	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,196	TotalAmt
Program Services	$19,505	ProgramServicesAmt
Management And General	$1,435	ManagementAndGeneralAmt
Fundraising	$3,256	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$55,715	TotalAmt
Program Services	$42,901	ProgramServicesAmt
Management And General	$11,477	ManagementAndGeneralAmt
Fundraising	$1,337	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$16,090	TotalAmt
Management And General	$16,090	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,887	TotalAmt
Management And General	$1,887	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$792	TotalAmt
Program Services	$610	ProgramServicesAmt
Management And General	$163	ManagementAndGeneralAmt
Fundraising	$19	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,301	TotalAmt
Program Services	$3,037	ProgramServicesAmt
Fundraising	$1,264	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$34,348	TotalAmt
Program Services	$19,783	ProgramServicesAmt
Management And General	$1,122	ManagementAndGeneralAmt
Fundraising	$13,443	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,945	TotalAmt
Program Services	$6,720	ProgramServicesAmt
Fundraising	$9,225	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,362	TotalAmt
Program Services	$19,362	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$8,216	TotalAmt
Program Services	$6,030	ProgramServicesAmt
Management And General	$2,186	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,532	TotalAmt
Program Services	$37,890	ProgramServicesAmt
Management And General	$428	ManagementAndGeneralAmt
Fundraising	$214	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$14,348	TotalAmt
Program Services	$13,411	ProgramServicesAmt
Management And General	$937	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
DONATED MEDICATIONS	$339,547	$339,547
PATIENT CARE	$226,654	$226,654
REPAIRS AND MAINTENANCE	$22,704	$22,704
STUDENT HOUSING SUPPORT	$13,191	$13,191

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$33,439	TotalAmt
Program Services	$30,060	ProgramServicesAmt
Management And General	$551	ManagementAndGeneralAmt
Fundraising	$2,828	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,611,856	TotalAmt
Program Services	$1,373,309	ProgramServicesAmt
Management And General	$187,549	ManagementAndGeneralAmt
Fundraising	$50,998	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$702,685	BOYAmt
EOY	$145,307	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$652,300	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$155,395	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$132,173	BOYAmt
EOY	$32,675	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,990	BOYAmt
EOY	$22,544	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$974,724	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$253,592	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$775,256	BOYAmt
EOY	$721,132	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$998,695	BOYAmt
EOY	$1,033,707	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$37,539	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,627,799	BOYAmt
EOY	$2,800,599	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$46,322	BOYAmt
EOY	$37,670	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$37,340	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$46,322	BOYAmt
EOY	$75,010	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	$2,386,180	BOYAmt
EOY	$2,616,627	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$195,297	BOYAmt
EOY	$108,962	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,581,477	BOYAmt
EOY	$2,725,589	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,627,799	BOYAmt
EOY	$2,800,599	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$245,594	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$67,659	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$33,823	PriorPeriodAdjustmentsAmt
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	0	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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	$124,828	OtherCostOrOtherBasisAmt
Book Value	$124,828	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$524,220	OtherCostOrOtherBasisAmt
Depreciation	$47,680	DepreciationAmt
Book Value	$476,540	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$294,703	OtherCostOrOtherBasisAmt
Depreciation	$202,775	DepreciationAmt
Book Value	$91,928	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,973	OtherCostOrOtherBasisAmt
Depreciation	$3,137	DepreciationAmt
Book Value	$27,836	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$721,132	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OPERATING LEASE LIABILITY	Desc
Amt	$37,340	Amt

Field	Value	IRS element (for citing)
Total Liability	$37,340	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$2,673,929	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$67,659	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$861,132	DonatedServicesAndUseFcltsAmt
Revenue Not Reported	$793,473	RevenueNotReportedAmt
Revenue Subtotal	$1,880,456	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,887	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$24,893	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$23,006	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,857,450	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,495,994	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$861,132	DonatedServicesUseFcltsAmt
Other Expenses Included	$24,893	OtherExpensesIncludedAmt
Expenses Not Reported	$886,025	ExpensesNotReportedAmt
Expenses Subtotal	$1,609,969	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,887	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$1,887	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,611,856	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE ORGANIZATION IS A NONPROFIT ORGANIZATION WHICH IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS IMPLEMENTED ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH U.S.GAAP. THIS STANDARD DESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTABLE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DERECOGNIZING, INTEREST, PENALTIES AND DISCLOSURE REQUIRED. MANAGEMENT OF THE ORGANIZATION EVALUATES THE UNCERTAIN TAX POSITIONS TAKEN, IF ANY, AND CONSULTS WITH OUTSIDE COUNSEL AS DEEMED NECESSARY. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX LIABILITIES IN INCOME TAX EXPENSE. IN MANAGEMENT'S OPINION, THE ORGANIZATION HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, HAS NOT REPORTED A CORRESPONDING LIABILITY IN THE ORGANIZATION'S FINANCIAL STATEMENTS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	FUNDRAISING EVENT EXPENSES -24,893.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISING EVENT EXPENSES 24,893.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	BIRTHDAY DINNER GALA	Event1Nm
Gross Receipts Event1	$341,791	GrossReceiptsEvent1Amt
Charitable Contri Event1	$279,350	CharitableContriEvent1Amt
Gross Revenue Event1	$62,441	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$45,380	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$2,773	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$57,572	FoodAndBeverageEvent1Amt
Entertainment Event1	$8,100	EntertainmentEvent1Amt
Other Direct Expenses Event1	$8,606	OtherDirectExpensesEvent1Amt
Event2	GOLF OUTING	Event2Nm
Gross Receipts Event2	$51,500	GrossReceiptsEvent2Amt
Charitable Contri Event2	$29,625	CharitableContriEvent2Amt
Gross Revenue Event2	$21,875	GrossRevenueEvent2Amt
Cash Prizes Event2	$1,901	CashPrizesEvent2Amt
Rent Facility Costs Event2	$500	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$13,187	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$2,479	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$393,291	GrossReceiptsTotalAmt
Charitable Contributions Tot	$308,975	CharitableContributionsTotAmt
Gross Revenue Total Events	$84,316	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,901	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$45,380	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$3,273	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$70,759	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$8,100	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$11,085	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$140,498	DirectExpenseSummaryEventsAmt
Net Income Summary	-$56,182	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$15,125	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$3,315	CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming	$3,600	NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming	$1,035	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$15,125	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$3,315	CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming	$3,600	NonCashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming	$1,035	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$7,950	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$7,175	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	WI	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	0	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Charitable Distribution Rqr	0	CharitableDistributionRqrInd

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$25,169	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	MEDICATIONS	0	$339,547	FAIR MARKET VALUE
Yes (X)	AUCTION PRIZES	93	$45,380	FAIR MARKET VALUE
Yes (X)	RAFFLE PRIZE	1	$3,600	FAIR MARKET VALUE

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	THE ORGANIZATION AMENDED AND RESTATED ITS BYLAWS ON MAY 18, 2022.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 IS REVIEWED, SIGNED, AND FILED BY THE PRESIDENT WHO THEN PRESENTS A COPY TO EACH MEMBER OF THE BOARD OF DIRECTORS. SHOULD ANY MATERIAL REASON BE FOUND, AMENDMENTS TO THE RETURN WOULD BE MADE UNDER BOARD DIRECTION AND APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990 PART XI LINE 8	PRIOR PERIOD ADJUSTMENT - DURING THE YEAR ENDED DECEMBER 31, 2022, IT WAS DETERMINED THAT THE ORGANIZATION HAD LEASEHOLD IMPROVEMENTS THAT WERE NOT PROPERLY RECORDED AS OF DECEMBER 31, 2021. A PRIOR PERIOD ADJUSTMENT OF NET ASSETS WITHOUT DONOR RESTRICTIONS HAS BEEN MADE FOR THE YEAR ENDED DECEMBER 31, 2022 IN THE AMOUNT OF ($33,823).