2025-11-17T15:59:58-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 10401 W INNOVATION DR STE 300 WAUWATOSA WI 53226 990 2024-01-01 813724993 LAKELAND CARE INCORPORATED LAKE 9209065100 N6654 ROLLING MEADOWS DRIVE FOND DU LAC WI 54937 SARA MUHLBAUER CHIEF EXECUTIVE OFFICER 9209065100 2025-11-16 1 1 KRISTEN DONLEVY P01670215 4144761880 2025-11-16 2024 2025-03-06 01:10:19Z SARA MUHLBAUER N6654 ROLLING MEADOWS DRIVE FOND DU LAC WI 54937 425298331 0 X WWW.LAKELANDCAREINC.COM X 2000 WI EMPOWERING INDIVIDUALS. STRENGTHENING COMMUNITIES. INSPIRING FUTURES. LAKELAND CARE PROVIDES CARE MANAGEMENT TO ITS MEMBERS THROUGH A CONTRACT WITH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES. LAKELAND CARE IS A MANAGED CARE ORGANIZATION. 6 6 661 5 0 0 340796193 364076685 39847220 41949193 1703098 1770797 165635 2466 382512146 407799141 0 0 0 0 48050954 48287191 0 0 0 346384862 366633678 394435816 414920869 -11923670 -7121728 81217043 76363186 42251432 44421981 38965611 31941205 X EMPOWERING INDIVIDUALS. STRENGTHENING COMMUNITIES. INSPIRING FUTURES. 0 0 399041188 41949193 LAKELAND CARE, INC. IS A LOCAL, MISSION DRIVEN NON-PROFIT ORGANIZATION THAT PROVIDES THE FAMILY CARE BENEFIT TO ELIGIBLE WISCONSINITES IN 22 COUNTIES ACROSS NORTHEAST AND NORTH CENTRAL WISCONSIN. THE FAMILY CARE PROGRAM SUPPORTS INDIVIDUALS WITH DIFFERENT ABILITIES AND ELDERLY INDIVIDUALS THAT REQUIRE A LEVEL OF SUPPORT TO REMAIN LIVING INDEPENDENTLY IN THEIR COMMUNITY. LAKELAND CARE SUPPORTS MORE THAN 7,199 MEMBERS, CONTRACTS WITH OVER 1,000 PROVIDERS AND EMPLOYS OVER 550 PEOPLE. THE FAMILY CARE PROGRAM IS NOW AN ENTITLEMENT PROGRAM OFFERED THROUGH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND IS A 1915(C) WAIVER THAT ALLOWS STATES TO USE NURSING HOME FUNDING TO SUPPORT INDIVIDUALS IN THEIR COMMUNITY. LAKELAND CARE, INC. PROVIDES THE SERVICE OF CARE MANAGEMENT TO ENROLLED MEMBERS OF THE PROGRAM. CARE MANAGEMENT INCLUDES COORDINATION OF CARE, FINDING SERVICES AND PROVIDERS TO ASSIST IN MEETING INDIVIDUAL NEEDS AS WELL AS COORDINATING NATURAL SUPPORTS FOR AN INDIVIDUAL. LAKELAND CARE, INC. USES APPROXIMATELY $0.98 OF EVERY $1.00 ON MEMBER SERVICES, $0.04 OF EVERY $1.00 ON ADMINISTRATIVE SERVICES. 399041188 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 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 1 1 0 0 0 1 406 0 1 661 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X DAN BIZUB 9209065860 DANBIZUBLAKELANDCAREINCCOM FOND DU LAC WI 54937 BOB ZIEGELBAUER DIRECTOR 1.00 X 0 0 0 JULIE KONS DIRECTOR 1.00 X 350 0 0 TODD MOELY PAST VICE PRESIDENT (THUR OCT) 1.00 X X 400 0 0 JULIE SPANBAUER DIRECTOR 1.00 X 450 0 0 BARB LARSON-HERBER VICE PRESIDENT 1.00 X X 500 0 0 MIKE KONECHNY PRESIDENT 1.00 X X 550 0 0 STUART KUZIK TREASURER 1.00 X X 600 0 0 JEN HARRISON CHIEF PROGRAM OFFICER 40.00 X 198431 0 29341 SUZANNE SINJAKOVIC CHIEF ADMINISTRATIVE OFFICER 40.00 X 192522 0 40858 DANIEL BIZUB CHIEF FINANCIAL OFFICER 40.00 X 197682 0 33566 SARA MUHLBAUER CHIEF EXECUTIVE OFFICER 40.00 X 238313 0 38616 MISTY PICKETT MISSION IMPACT & COMMUNITY ENGAGEMENT DIRECTOR 40.00 X 126929 0 27527 CASEY PENROD IT DIRECTOR 40.00 X 129479 0 28566 KATIE CALMES FORMER QUALITY DIRECTOR 40.00 X 131374 0 0 DEANNE WECKER COMPLIANCE & ORG. RISK DIRECTOR 40.00 X 139158 0 10188 NATHAN LUEDKE BUSINESS INTELLIGENCE DIRECTOR 40.00 X 126855 0 28556 1483593 0 237218 9 0 1 0 HOMES FOR INDEPENDANT LIVING PO BOX 278 DOUSMAN WI 531180278 RESIDENTIAL CARE 596608 TLC HOMES 708 ERIE AVE SHEBOYGAN WI 53081 HOME MODIFICATIONS 573159 CLARITY CARE INC 424 WASHINGTON AVE OSHKOSH WI 549015044 RESIDENTIAL CARE 533296 CLIFTON LARSON ALLEN PO BOX 775967 CHICAGO IL 606775967 ACCOUNTING 348661 NETLOGIC COMPUTER SOLUTIONS LLC PO BOX 3127 NASHUA NH 03061 COMPUTER CONSULTING 342010 416 364076685 364076685 ROOM AND BOARD 624100 28641391 28641391 COST SHARE 624100 9110861 9110861 RETRO RATE ADJUSTMENTS 624100 1801978 1801978 CONTRACT REVENUE 624100 1358880 1358880 COST SETTLEMENT 624100 713817 713817 322266 322266 41949193 1449987 1449987 17820000 17499190 320810 320810 320810 MISCELLANEOUS REVENUE 900099 2466 2466 2466 407799141 41949193 0 1773263 972179 145827 826352 33507529 25762869 7744660 1803648 1508935 294713 9623315 7951878 1671437 2380520 1951061 429459 147080 147080 433791 433791 30834 30834 3616414 2849836 766578 77228 77228 235990 235990 1232700 61863 1170837 1498380 1300273 198107 65390 65390 943870 716659 227211 276169 276169 PROVIDER CARE FAMILY SE 355934855 355340775 594080 FURNISHINGS 1537310 932707 604603 SUPPLIES EXPENSE 208132 55969 152163 ORGANIZATIONAL DUES 75617 75617 319918 319918 414920869 399041188 15879681 0 30271325 29077204 29835290 28357011 9741683 9681470 769999 2231063 8669426 6553830 2078520 2115596 7088301 4188420 100000 100000 1331925 612422 81217043 76363186 41376859 44140127 874573 281854 42251432 44421981 X 32554870 23437512 6410741 8503693 38965611 31941205 81217043 76363186 -7121728 97322 0 X 0 1 X 1 0 X 308914796 307134663 343228508 340796193 364076685 1664150845 308914796 307134663 343228508 340796193 364076685 1664150845 1664150845 29256 8294 372186 1614981 1449987 3474704 4746 4746 1574030 4202565 7025 165635 2466 5951721 1673582016 204591273 0.99440 0.99430 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2020 AMOUNT: $ 1,574,030. 2021 AMOUNT: $ 4,202,565. 2022 AMOUNT: $ 7,025. 2023 AMOUNT: $ 165,635. 2024 AMOUNT: $ 2,466. 766896 741409 25487 7902530 5812421 2090109 2115596 OPERATING LEASE LIABILITY 281854 281854 406328566 97322 97322 406231244 1567897 1567897 407799141 414920869 0 414920869 0 414920869 PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME 209,017. NON OPERATING REVENUES 1,358,880. 1 X X X 0 0 0 0 0 0 0 0 0 SARA MUHLBAUER CHIEF EXECUTIVE OFFICER 238313 0 0 0 0 0 10050 0 28566 0 276929 0 0 0 SUZANNE SINJAKOVIC CHIEF ADMINISTRATIVE OFFICER 192522 0 0 0 0 0 12292 0 28566 0 233380 0 0 0 DANIEL BIZUB CHIEF FINANCIAL OFFICER 197682 0 0 0 0 0 5000 0 28566 0 231248 0 0 0 JEN HARRISON CHIEF PROGRAM OFFICER 198431 0 0 0 0 0 18470 0 10871 0 227772 0 0 0 CASEY PENROD IT DIRECTOR 124303 0 0 0 5176 0 0 0 28566 0 158045 0 0 0 NATHAN LUEDKE BUSINESS INTELLIGENCE DIRECTOR 121699 0 0 0 5156 0 0 0 28556 0 155411 0 0 0 MISTY PICKETT MISSION IMPACT & COMMUNITY ENGAGEMEN 121753 0 0 0 5176 0 0 0 27527 0 154456 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CAN ACT ON BEHALF OF THE CORPORATION IN BETWEEN REGULAR MEETINGS OF THE BOARD. THE BOARD THEN MUST RATIFY, AMEND, OR RESCIND THE ACTIONS OF THE EXECUTIVE COMMITTEE AT ITS NEXT REGULAR OR SPECIAL MEETING. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE CHIEF EXECUTIVE OFFICER PRIOR TO SUBMITTING TO CLA. THE GOVERNING BODY, CHIEF PROGRAM OFFICER AND CHIEF ADMINISTRATIVE OFFICER WILL REVIEW PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THROUGH ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE TO STAFF AND BOARD MEMBERS. ALL NEW HIRES RECEIVE UPON HIRE. ADDITIONALLY, THROUGH LCI'S CONFLICT OF INTEREST POLICY, STAFF AND BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTERESTS THAT ARISE DURING THE YEAR. AN AUDIT IS COMPLETED TO ENSURE THAT ALL BOARD AND EMPLOYEES HAVE COMPLETED THE QUESTIONNAIRE. FORM 990, PART VI, SECTION B, LINE 15 1. INCREASE GUIDELINES A. EXECUTIVE SALARY EVALUATIONS SHALL OCCUR BI-ANNUALLY. B. AN INDEPENDENT THIRD-PARTY THAT IS RECOGNIZED TO HAVE THE REQUISITE BACKGROUND, EXPERIENCE, AND QUALIFICATIONS TO PROVIDE AN UNBIASED REPORT TO THE BOARD OF DIRECTORS AND THE CEO, AT LEAST BIANNUALLY. UPON COMPLETION OF SUCH REVIEW BY AN INDEPENDENT THIRD PARTY AND RECEIPT OF THE THIRD-PARTY REPORT, IF ANY, THE BOARD OF DIRECTORS WILL APPROVE THE COMPENSATION OF THE CEO. THE CEO WILL APPROVE THE COMPENSATION OF THE CAO, CFO, AND CPO. 2. EFFECTIVE DATE OF EXECUTIVE SALARY INCREASE A. THE EFFECTIVE DATE OF THE EXECUTIVE SALARY INCREASE IS THE PAY PERIOD CORRESPONDING TO THE FIRST PAY DATE OF JULY. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. LAKELAND CARE PLUS INC N6654 ROLLING MEADOWS DRIVE FOND DU LAC WI 54937 920244112 BUSINESS AND TECHNOLOGY CONSULTING WI LAKELAND CARE INCORPORATED C 1784570 460201 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0