Civic Intelligence

Lchc Qalicb Inc.

990 • Fiscal year 2017 • EIN 81-5453995

Dec 31, 2016 to May 31, 2017 • Filed on Apr 06, 2018

Organization ProfileN/A
1721 Saemann AvenueSheboygan, WI 53081

(920) 783-6633

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

93rd percentile

1.03x

Higher debt load relative to assets than 93% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2017

Liabilities / Revenue

99th percentile

26.66x

Higher debt load relative to revenue than 99% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2017

Net Margin

3rd percentile

-80%

Higher net margin than 3% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2017

Top Officer Pay

52nd percentile

$123,575

Higher top officer pay than 52% of similar nonprofits.

Top officer pay equals 47.8% of source-year revenue.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2017

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2017

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2017

Balance Sheet
Liabilities / Assets93rd percentile

Assets

$6,687,273

No earlier filing loaded for comparison.

Net Assets

-$207,021

No earlier filing loaded for comparison.

Liabilities

$6,894,294

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / Revenue99th percentileNet Margin3rd percentile

Revenue

$258,570

No earlier filing loaded for comparison.

Expenses

$465,591

No earlier filing loaded for comparison.

Net Income

-$207,021

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0-$5.0MAssets 2017: $6,687,273Liabilities 2017: $6,894,294Net Assets 2017: -$207,0212017Assets 2018: $6,581,652Liabilities 2018: $6,915,129Net Assets 2018: -$333,4772018Assets 2019: $6,254,031Liabilities 2019: $6,903,507Net Assets 2019: -$649,4762019Assets 2020: $5,975,774Liabilities 2020: $6,915,829Net Assets 2020: -$940,0552020Assets 2021: $5,686,614Liabilities 2021: $6,928,151Net Assets 2021: -$1,241,5372021Assets 2022: $5,427,254Liabilities 2022: $6,940,474Net Assets 2022: -$1,513,2202022Assets 2023: $5,191,435Liabilities 2023: $6,952,796Net Assets 2023: -$1,761,3612023Assets 2024: $0Liabilities 2024: $0Net Assets 2024: $02024Assets 2025: $0Liabilities 2025: $0Net Assets 2025: $02025

Highlighted filing

2017

Assets$6,687,273
Liabilities$6,894,294
Net Assets-$207,021
Open 2017 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2017: $258,570Expenses 2017: $465,591Net Income 2017: -$207,0212017Revenue 2018: $444,038Expenses 2018: $313,135Net Income 2018: $130,9032018Revenue 2019: $517,343Expenses 2019: $371,212Net Income 2019: $146,1312019Revenue 2020: $76,298Expenses 2020: $366,877Net Income 2020: -$290,5792020Revenue 2021: $108,018Expenses 2021: $409,500Net Income 2021: -$301,4822021Revenue 2022: $96,006Expenses 2022: $367,689Net Income 2022: -$271,6832022Revenue 2023: $112,358Expenses 2023: $360,499Net Income 2023: -$248,1412023Revenue 2024: $2,458,172Expenses 2024: $256,202Net Income 2024: $2,201,9702024Revenue 2025: $0Expenses 2025: $0Net Income 2025: $02025

Highlighted filing

2017

Revenue$258,570
Expenses$465,591
Net Income-$207,021
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Dec 31, 2016 to May 31, 2017
Signed
Apr 6, 2018
Return Version
2016v3.0
Gross Receipts
$258,570
Mission and Program Overview

Mission

To support the mission of lakeshore community health care, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$0$5,657,575▲ $5,657,575
Savings and Temporary Cash Investments$0$1,029,698▲ $1,029,698
Total Assets$0$6,687,273▲ $6,687,273
Liabilities
Tax Exempt Bond Liabilities$0$6,878,863▲ $6,878,863
Other Liabilities$0$15,431▲ $15,431
Total Liabilities$0$6,894,294▲ $6,894,294
Net Assets / Fund Balance
Unrestricted Net Assets$0$-207,021▼ $207,021
Total Net Assets Fund Balance$0$-207,021▼ $207,021
Total Liabilities and Net Assets / Fund Balance$0$6,687,273▲ $6,687,273

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,723,527$53,469$4,776,996
Equipment$848,548$49,910$898,458
Land$85,500-$85,500
Compensation and Service Providers
Top Officer Pay52nd percentile

Employees

NameTitleOtherTotal
Kristin Blanchard StearnsPresident$123,575$123,575

Board Members and Trustees

NameTitle
Barbara DodgeBoard Member
Cindy DrossBoard Member
Michael BauerBoard Member
Martin SchallerSecretary/Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$257,359
Program Service Revenue
$0
Investment Income
$1,211
Other Revenue
$0
Change in Net Assets
$-207,021
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$465,591
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$334,981--$334,981
Depreciation Depletion$103,379--$103,379
Interest$15,431--$15,431
Information Technology$9,742--$9,742
All Other Expenses$2,058--$2,058
Total Functional Expenses$465,591$0$0$465,591
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Lakeshore Community Health Care, Inc.$15,431
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11B

“Board members are given copies to review before filing with the internal revenue service.”

Form 990, Part VI, Section B, line 12C

“Every member of the organization signs a conflict of interest statement annually. Administration monitors this with the use of a checklist. Each individual shall disclose to the organization, any personal interest that he or she may have in any matter pending before the organization and shall refrain from participation in any decision on such matter.”

Form 990, Part VI, Section C, line 19

“Governing documents, conflict of interest policy and financial statements are made available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
LCHC QALICB Inc
EIN
81-5453995
Phone
9207836633
Address
1721 Saemann Avenue, Sheboygan, WI 53081

Signing Officer

Name
Kristin Blanchard Stearns
Title
CEO
Phone
9207836633
Signed
2018-04-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kristin Blanchard Stearns
Formed
2017
Legal Domicile
Wi
Voting Board Members
4
Independent Board Members
3
Employees
0
Volunteers
3

Preparer

Firm
Wipfli LLP
Address
10000 Innovation Drive Suite 250, Milwaukee, WI 53226-4837
Preparer
Dave Globig
Phone
4144319300
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

“The Organization recognizes the benefits of a tax position only after determining whether it is more likely than not that the taxing authority would sustain the tax position upon examination of the technical merits of the tax position, assuming the taxing authority has full knowledge of all information. The orgnaization recorded no assets or liabilities related to uncertain tax positions.”

Raw XML Appendix367 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Every member of the organization signs a conflict of interest statement annually. Administration monitors this with the use of a checklist. Each individual shall disclose to the organization, any personal interest that he or she may have in any matter pending before the organization and shall refrain from participation in any decision on such matter.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Governing documents, conflict of interest policy and financial statements are made available to the public upon request.
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IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondLiabilitiesGrp/BOYAmt00
IRS990/TaxExemptBondLiabilitiesGrp/EOYAmt06878863
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsEOYAmt06687273
IRS990/TotalAssetsGrp/BOYAmt00
IRS990/TotalAssetsGrp/EOYAmt06687273
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0257359
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0465591
IRS990/TotalFunctionalExpensesGrp/TotalAmt0465591
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt06894294
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt06894294
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-207021
IRS990/TotalOtherCompensationAmt019177
IRS990/TotalProgramServiceExpensesAmt0465591
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt01211
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0258570
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt03
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt06687273
IRS990/TotReportableCompRltdOrgAmt0104398
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt00
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0-207021
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01721 Saemann Avenue
IRS990/USAddress/CityNm0Sheboygan
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd053081
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReasonableCauseExplanation/ExplanationTxt0The organization is requesting abatement of any assessed late filing fees. The organization relied upon the systems enlisted from their certified public accountant to track the preparation and filing of the extension to file as well as the 990. During the audit of the May 31 fiscal year of its parent Lakeshore Community Health Care, Inc., it was discovered that an extension of time to file the Form 990 was inadvertently missed for the newly created organization. Upon discovery that an extension to file the Form 990 was not timely filed the organization worked with their certified public account to file the Form 990 as soon as possible. The organization respectfully requests that the Internal Revenue Service accept this explanation as reasonable cause for late filing.
ReturnHeader/BuildTS02018-03-14 21:41:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Kristin Blanchard Stearns
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum09207836633
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-04-06
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0LCHC QALICB Inc
ReturnHeader/Filer/BusinessNameControlTxt0LCHC
ReturnHeader/Filer/EIN0815453995
ReturnHeader/Filer/PhoneNum09207836633
ReturnHeader/Filer/USAddress/AddressLine1Txt01721 Saemann Avenue
ReturnHeader/Filer/USAddress/CityNm0Sheboygan
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd053081
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId051EE487FFA723F16933CF5B8BD3577F2E9FFA893
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0D482E504488B33FE332F9841DC0BE60818D7B9FD
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0207.250.78.130
ReturnHeader/FilingSecurityInformation/IPDt02018-04-06
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm011:24:08
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0390758449
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Wipfli LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt010000 Innovation Drive Suite 250
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Milwaukee
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0532264837
ReturnHeader/PreparerPersonGrp/PhoneNum04144319300
ReturnHeader/PreparerPersonGrp/PreparationDt02018-04-04
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DAVE GLOBIG
ReturnHeader/ReturnTs02018-04-11T13:49:06-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-12-31
ReturnHeader/TaxPeriodEndDt02017-05-31
ReturnHeader/TaxYr02016

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$6,687,273
Liabilities
$6,894,294
Net assets
-$207,021
Revenue
$258,570
Expenses
$465,591
Net income
-$207,021
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2024Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$2.46$0.26$2.20
2023Detailed filing. Detailed filing data is available for this year.$5.19$6.95$1.76$0.11$0.36$0.25
2022Detailed filing. Detailed filing data is available for this year.$5.43$6.94$1.51$0.10$0.37$0.27
2021Detailed filing. Detailed filing data is available for this year.$5.69$6.93$1.24$0.11$0.41$0.30
2020Detailed filing. Detailed filing data is available for this year.$5.98$6.92$0.94$0.08$0.37$0.29
2019Detailed filing. Detailed filing data is available for this year.$6.25$6.90$0.65$0.52$0.37$0.15
2018Detailed filing. Detailed filing data is available for this year.$6.58$6.92$0.33$0.44$0.31$0.13
2017Detailed filing. Detailed filing data is available for this year.$6.69$6.89$0.21$0.26$0.47$0.21