Civic Intelligence

Lchc Qalicb Inc.

990 • Fiscal year 2020 • EIN 81-5453995

Jun 01, 2019 to May 31, 2020 • Filed on Feb 23, 2021

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

95th percentile

1.16x

Higher debt load relative to assets than 95% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Liabilities / Revenue

100th percentile

90.64x

Higher debt load relative to revenue than 100% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Net Margin

1st percentile

-381%

Higher net margin than 1% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Top Officer Pay

65th percentile

$157,168

Higher top officer pay than 65% of similar nonprofits.

Top officer pay equals 206.0% of source-year revenue.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Asset Growth

13th percentile

-4.4%

Faster asset growth than 13% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2019 to 2020

Revenue Growth

1st percentile

-85%

Faster revenue growth than 1% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2019 to 2020

Assets

Down

$5,975,774

Down $278,257 (-4.4%) from 2019

Net Assets

Down

-$940,055

Down $290,579 (-45%) from 2019

Liabilities

Up

$6,915,829

Up $12,322 (+0.2%) from 2019

Revenue

Down

$76,298

Down $441,045 (-85%) from 2019

Expenses

Down

$366,877

Down $4,335 (-1.2%) from 2019

Net Income

Down

-$290,579

Down $436,710 (-299%) from 2019

Historical Trend

Balance Sheet Trend

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

2020

Assets$5,975,774
Liabilities$6,915,829
Net Assets-$940,055

Operations Trend

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

2020

Revenue$76,298
Expenses$366,877
Net Income-$290,579
Jump To
Filing Snapshot
Filing Period
Jun 1, 2019 to May 31, 2020
Signed
Feb 23, 2021
Return Version
2019v5.2
Gross Receipts
$76,298
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$6,167,518$5,903,233▼ $264,285
Savings and Temporary Cash Investments$86,505$56,376▼ $30,129
Total Assets$6,254,031$5,975,774▼ $278,257
Other Assets Total$8$16,165▲ $16,157
Liabilities
Mortgage Notes Payable Secured by Investment Property$6,903,507$6,915,829▲ $12,322
Total Liabilities$6,903,507$6,915,829▲ $12,322
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-649,476$-940,055▼ $290,579
Total Net Assets Fund Balance$-649,476$-940,055▼ $290,579
Total Liabilities and Net Assets / Fund Balance$6,254,031$5,975,774▼ $278,257

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,326,539$457,925$5,784,464
Equipment$491,194$407,264$898,458
Land$85,500-$85,500
Compensation and Service Providers

Board Members and Trustees

NameTitle
Kristin Blanchard StearnsPresident
Cindy DrossBoard Member
Michael BauerBoard Member
Martin SchallerSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$76,000
Investment Income
$298
Other Revenue
$0
Change in Net Assets
$-290,579
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$351,877
Grants and Similar Amounts Paid$15,000
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$218,825$45,460-$264,285
Interest$52,724$24,333-$77,057
Grants to Domestic Orgs$15,000--$15,000
Fees for Services Accounting-$10,525-$10,525
All Other Expenses-$10-$10
Total Functional Expenses$286,549$80,328$0$366,877
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Lakeshore Community Health Care IncSheboygan, WI501(c)(3)General Support$15,000
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
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 A, Line 8B

The organization does not have any committees.

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

Board members are given copies of the form 990 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
2021-02-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kristin Blanchard Stearns
Formed
2017
Legal Domicile
Wi
Voting Board Members
4
Independent Board Members
2
Employees
0
Volunteers
2

Preparer

Firm
Wipfli Llp
Address
10000 INNOVATION DRIVE SUITE 250, MILWAUKEE, WI 53226-4837
Preparer
Chloe Chiuminatto
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 organization recorded no assets or liabilities related to uncertain tax positions.

Raw XML AppendixShowing 400 of 411 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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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE BALANCE OF QALICB SAVINGS AT THE FISCAL YEAR END IS GIVEN BACK TO LAKESHORE COMMUNITY HEALTH CARE, INC. AS A NON-RESTRICTED DONATION.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT
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IRS990ScheduleJ/SeverancePaymentInd00
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IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MEMBERS ARE GIVEN COPIES OF THE FORM 990 TO REVIEW BEFORE FILING WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EVERY 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/ExplanationTxt3GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
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IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0LAKESHORE COMMUNITY HEALTH CARE INC
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTH CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
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IRS990/SchoolOperatingInd00
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IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt080328
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0286549
IRS990/TotalFunctionalExpensesGrp/TotalAmt0366877
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt06903507
IRS990/TotalLiabilitiesEOYAmt06915829
IRS990/TotalLiabilitiesGrp/BOYAmt06903507
IRS990/TotalLiabilitiesGrp/EOYAmt06915829
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-649476
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-940055
IRS990/TotalOtherCompensationAmt058975
IRS990/TotalProgramServiceExpensesAmt0286549
IRS990/TotalProgramServiceRevenueAmt076000
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0298
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt076000
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt076298
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt02
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt06254031
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt05975774
IRS990/TotReportableCompRltdOrgAmt0250431
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01721 SAEMANN AVENUE
IRS990/USAddress/CityNm0SHEBOYGAN
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd053081
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0KRISTIN BLANCHARD STEARNS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum09207836633
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-02-23
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0LCHC QALICB INC
ReturnHeader/Filer/BusinessNameControlTxt0LCHC
ReturnHeader/Filer/EIN0815453995
ReturnHeader/Filer/PhoneNum09207836633
ReturnHeader/Filer/USAddress/AddressLine1Txt01721 SAEMANN AVENUE
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ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd053081
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0390758449
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WIPFLI LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt010000 INNOVATION DRIVE SUITE 250

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