Civic Intelligence

Lchc Qalicb Inc.

990 • Fiscal year 2022 • EIN 81-5453995

Jun 01, 2021 to May 31, 2022 • Filed on Feb 23, 2023

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

97th percentile

1.28x

Higher debt load relative to assets than 97% of similar nonprofits.

2022 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2022

Liabilities / Revenue

99th percentile

72.29x

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

2022 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2022

Net Margin

2nd percentile

-283%

Higher net margin than 2% of similar nonprofits.

2022 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2022

Top Officer Pay

73rd percentile

$187,408

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 195.2% of source-year revenue.

2022 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2022

Asset Growth

31st percentile

-4.6%

Faster asset growth than 31% of similar nonprofits.

2022 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2021 to 2022

Revenue Growth

26th percentile

-11%

Faster revenue growth than 26% of similar nonprofits.

2022 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / Assets97th percentile

Assets

Down

$5,427,254

Down $259,360 (-4.6%) from 2021

Net Assets

Down

-$1,513,220

Down $271,683 (-22%) from 2021

Liabilities

Up

$6,940,474

Up $12,323 (+0.2%) from 2021

Revenue And Expenses
Liabilities / Revenue99th percentileNet Margin2nd percentile

Revenue

Down

$96,006

Down $12,012 (-11%) from 2021

Expenses

Down

$367,689

Down $41,811 (-10%) from 2021

Net Income

Up

-$271,683

Up $29,799 (+9.9%) from 2021

Historical Trend

Balance Sheet Trend

Asset Growth31st percentile

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

2022

Assets$5,427,254
Liabilities$6,940,474
Net Assets-$1,513,220
Open 2022 Filing

Operations Trend

Revenue Growth26th percentile

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

2022

Revenue$96,006
Expenses$367,689
Net Income-$271,683
Open 2022 Filing
Jump To
Filing Snapshot
Filing Period
Jun 1, 2021 to May 31, 2022
Signed
Feb 23, 2023
Return Version
2021v4.2
Gross Receipts
$96,006
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$5,638,948$5,374,662▼ $264,286
Savings and Temporary Cash Investments$47,666$52,238▲ $4,572
Total Assets$5,686,614$5,427,254▼ $259,360
Other Assets Total$0$354▲ $354
Liabilities
Mortgage Notes Payable Secured by Investment Property$6,928,151$6,940,474▲ $12,323
Total Liabilities$6,928,151$6,940,474▲ $12,323
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-1,241,537$-1,513,220▼ $271,683
Total Net Assets Fund Balance$-1,241,537$-1,513,220▼ $271,683
Total Liabilities and Net Assets / Fund Balance$5,686,614$5,427,254▼ $259,360

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,037,074$747,390$5,784,464
Equipment$252,088$646,370$898,458
Land$85,500-$85,500
Compensation and Service Providers
Top Officer Pay73rd percentile

Board Members and Trustees

NameTitle
Kristin Blanchard StearnsPresident
Cindy DrossBoard Member
Michael BauerBoard Member
Leighanne Matter-jensenSecretary/treasurer
Martin SchallerSecretary/treasurer - Thru August
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$96,000
Investment Income
$6
Other Revenue
$0
Change in Net Assets
$-271,683
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$367,689
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
Depreciation Depletion$223,661$40,625-$264,286
Interest$67,486$27,382-$94,868
Fees for Services Accounting-$8,525-$8,525
Other Expenses-$10-$10
Total Functional Expenses$291,147$76,542$0$367,689
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
No
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
2023-02-23
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
170 N RADNOR-CHESTER RD SUITE 200, RADNOR, PA 19087
Preparer
Solomon Mardakhaev
Phone
6105653930
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 410 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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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt06463
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt15200
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt0450
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt11980
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0KRISTIN BLANCHARD STEARNS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1MARTIN SCHALLER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1SECRETARY/TREASURER - THRU AUGUST
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0187408
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1158704
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
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
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0264321839
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0WI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTH CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt01721 SAEMANN AVENUE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0SHEBOYGAN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0WI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd053081
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd01
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt05686614
IRS990/TotalAssetsEOYAmt05427254
IRS990/TotalAssetsGrp/BOYAmt05686614
IRS990/TotalAssetsGrp/EOYAmt05427254
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0291147
IRS990/TotalFunctionalExpensesGrp/TotalAmt0367689
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt06928151
IRS990/TotalLiabilitiesEOYAmt06940474
IRS990/TotalLiabilitiesGrp/BOYAmt06928151
IRS990/TotalLiabilitiesGrp/EOYAmt06940474
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IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-1513220
IRS990/TotalOtherCompensationAmt064747
IRS990/TotalProgramServiceExpensesAmt0291147
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IRS990/TotalReportableCompFromOrgAmt00
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IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
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IRS990/USAddress/CityNm0SHEBOYGAN
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd053081
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd03
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0KRISTIN BLANCHARD STEARNS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum09207836633
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-02-23
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0LCHC QALICB INC
ReturnHeader/Filer/BusinessNameControlTxt0LCHC
ReturnHeader/Filer/EIN0815453995
ReturnHeader/Filer/PhoneNum09207836633
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ReturnHeader/Filer/USAddress/CityNm0SHEBOYGAN
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
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ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0390758449
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0170 N RADNOR-CHESTER RD SUITE 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0RADNOR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd019087

Document Assets

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Filings

Displayed year

2022 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$5,427,254
Liabilities
$6,940,474
Net assets
-$1,513,220
Revenue
$96,006
Expenses
$367,689
Net income
-$271,683
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