Nonprofit · EIN 84-3749417
ST CLARE HEALTH MISSION OF MONROE COUNTY INC
Tax-exempt · SPARTA, WI 54656
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2025 | 990-EZ | $84,834 | $46,314 | $38,520 | $187,216 | $1,096 | $186,120 |
| December 31, 2024 | 990-EZ | $69,604 | $43,868 | $25,736 | $149,641 | $2,041 | $147,600 |
| December 31, 2023 | 990-EZ | $102,501 | $42,035 | $60,466 | $125,150 | $3,286 | $121,864 |
Financial details: 990-EZ for the year ended December 31, 2025
Revenue
- Contributions, gifts and grants
- $78,779
- Program service revenue
- $0
- Investment income
- $5,294
- Net gain from sales of assets
- $761
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $0
- Compensation of officers, directors and key employees
- $33,959
- Salaries, compensation and benefits (total)
- $35,872
- Printing, publications and postage
- $404
- Other expenses
- $10,038
- Program services (functional)
- $46,314
Balance sheet and other
- Total assets, start of year
- $149,641
- Total assets, end of year
- $187,216
- Total liabilities, end of year
- $1,096
- Net assets, end of year
- $186,120
- Cash, savings and investments
- $187,216
- Gross receipts
- $84,834
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990-EZ for the year ended December 31, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| Anne Berendes | Clinic Coordinator | 20 | $33,959 |
| Michael Saunders | Medical Director | 8 | $0 |
| Lindsey Preston | Board President | 0.25 | $0 |
| Tayna Evenson | Board Vice President | 0.25 | $0 |
| Phil Stuart | Board Treasurer | 0.25 | $0 |
| Jenni Kessler | Board Member | 0.25 | $0 |
| Emily Hayes | Board Member | 0.25 | $0 |
| Andrew Severn | Board Member | 0.25 | $0 |
| Andrew Last | Board Member | 0.25 | $0 |
990-EZ for the year ended December 31, 2024: 9 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| Annie Berendes | Clinic Coordinator | 20 | $28,264 | $2,162 |
| Michael Saunders | Medical Director | 7.25 | $0 | $0 |
| Kevin Fitzgerald | Board President | 0.25 | $0 | $0 |
| Lindsey Preston | Board Vice President | 0.25 | $0 | $0 |
| Phil Stuart | Board Secretary Treasurer | 0.25 | $0 | $0 |
| Jenni Kessler | Board Member | 0.25 | $0 | $0 |
| Tayna Evenson | Board Member | 0.25 | $0 | $0 |
| Emily Hayes | Board Member | 0.25 | $0 | $0 |
| Andrew Severn | Board Member | 0.25 | $0 | $0 |
990-EZ for the year ended December 31, 2023: 9 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| Annie Berendes | Clinic Coordinator | 18.5 | $25,042 | $1,911 |
| Michael Saunders | Medical Director | 6.5 | $0 | $0 |
| Kevin Fitzgerald | Board President | 0.15 | $0 | $0 |
| Lorries Ferries | Board Vice President | 0.15 | $0 | $0 |
| Lindsey Preston | Board Secretary Treasurer | 0.15 | $0 | $0 |
| Emily Hayes | Board member | 0.15 | $0 | $0 |
| Jenni Kessler | Board member | 0.15 | $0 | $0 |
| Tayna Evenson | Board member | 0.15 | $0 | $0 |
| Phil Stuart | Board member | 0.15 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 310 W MAIN ST, SPARTA, WI 54656-2170
- In care of
- % DEBORAH J LUTJEN
- Mailing address (990-N for 2021)
- 310 West Main Street, Sparta WI 54656
- Principal officer (990-N for 2021)
- Amanda Burkhalter, 17146 Holiday Road, Tomah WI 54660
- Signed the 990-EZ
- Lindsey Preston, Board President
- Phone
- (608) 366-5343
Mission
We are a Charitable Clinic and Pharmacy that provides free health care to low income adults (< 200% Federal poverty level) without insurance.
Program accomplishments
- In 2025 we provided: 1) 264 patient visits for 98 unique patients; 2) 94 medical specialty referrals; 3) ordered 143 labs and; 4) filled 584 30-day prescriptions; 5) Pharmacy Expense of $ 3,421 was leveraed by the distribution of an additional $9972 (wholesale value) of pharmaceuticals through participation in various Drug Asssitance Programs and the Wisconsin Drug Repository Program; 6) Efforts are supported by one 0.5 FTE paid Clinic Coordinator, a 0.1 FTE paid Community Healthcare Worker, and over 1200 volunteer hours from nurses, physicians, interpreters, and others.Expenses $46,314
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | 990-EZ on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990-EZ on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990-EZ on file |
IRS record
- EIN
- 84-3749417
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Publicly supported organization (170(b)(1)(A)(vi))
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 2020
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E12)
- Assets (IRS master file)
- $187,216
- Income (IRS master file)
- $84,834
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990-EZ | December 2025 | $84,834 | $46,314 | $187,216 | XML |
| 990-EZ | December 2024 | $69,604 | $43,868 | $149,641 | IRS |
| 990-EZ | December 2023 | $102,501 | $42,035 | $125,150 | XML |
| 990-EZ | December 2022 | – | – | – | IRS |
| 990-N for 2021 Officer: Amanda Burkhalter | December 31, 2021 | ≤ $50,000 receipts | – | – | e-Postcard |
| 990-N for 2020 Officer: Kim Hawthorne | December 31, 2020 | ≤ $50,000 receipts | – | – | e-Postcard |
| 990-N for 2019 Officer: Kim Hawthorne | December 31, 2019 | ≤ $50,000 receipts | – | – | e-Postcard |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 84-3749417).
Questions about ST CLARE HEALTH MISSION OF MONROE COUNTY INC
- What is the EIN of ST CLARE HEALTH MISSION OF MONROE COUNTY INC?
- The employer identification number (EIN) of ST CLARE HEALTH MISSION OF MONROE COUNTY INC is 84-3749417.
- Is ST CLARE HEALTH MISSION OF MONROE COUNTY INC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2020.
- Are donations to ST CLARE HEALTH MISSION OF MONROE COUNTY INC tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does ST CLARE HEALTH MISSION OF MONROE COUNTY INC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of ST CLARE HEALTH MISSION OF MONROE COUNTY INC due?
- The return for tax year 2026 (the year ending December 31, 2026) is due May 17, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did ST CLARE HEALTH MISSION OF MONROE COUNTY INC last file with the IRS?
- The latest return in the IRS public files is the 990-EZ for the year ended December 2025.
- Who is the principal officer of ST CLARE HEALTH MISSION OF MONROE COUNTY INC?
- The 990-N for 2021 names Amanda Burkhalter.
- Who are the officers and directors of ST CLARE HEALTH MISSION OF MONROE COUNTY INC?
- The 990-EZ for the year ended December 31, 2025 lists 9 people; 1 received compensation from the organization, the highest $33,959 (Anne Berendes, Clinic Coordinator).
- How much revenue does ST CLARE HEALTH MISSION OF MONROE COUNTY INC have?
- On its 990-EZ for the year ended December 31, 2025 it reported revenue of $84,834, expenses of $46,314 and total assets of $187,216 at year end.
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