Civic Intelligence

Unknown Organization

990 • Fiscal year 2012 • EIN 73-1639346

Oct 01, 2011 to Sep 30, 2012 • Filed on Aug 15, 2013

Organization ProfileWWW.COMMUNITYHEALTHNETWORK.ORG
225 Memorial Drive54923
Siviq Scores

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

Liabilities / Assets

25th percentile

0.01x

Higher debt load relative to assets than 25% of similar nonprofits.

2012 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2012

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2012

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2012

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2012

Asset Growth

80th percentile

16%

Faster asset growth than 80% of similar nonprofits.

2012 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2011 to 2012

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Balance Sheet
Liabilities / Assets25th percentile

Assets

Up

$1,139,238

Up $154,911 (+16%) from 2011

Net Assets

Up

$1,123,729

Up $152,527 (+16%) from 2011

Liabilities

Up

$15,509

Up $2,384 (+18%) from 2011

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$146,909

Up $11,767 (+8.7%) from 2011

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth80th percentile

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

$1.5M$1.0M$500K$0Assets 2010: $954,258Liabilities 2010: $10,140Net Assets 2010: $944,1182010Assets 2011: $984,327Liabilities 2011: $13,125Net Assets 2011: $971,2022011Assets 2012: $1,139,238Liabilities 2012: $15,509Net Assets 2012: $1,123,7292012Assets 2013: $1,184,659Liabilities 2013: $10,323Net Assets 2013: $1,174,3362013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2012

Assets$1,139,238
Liabilities$15,509
Net Assets$1,123,729
Open 2012 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$300K$200K$100K$0Expenses 2010: $111,7262010Revenue 2011: $245,342Expenses 2011: $135,142Net Income 2011: $110,2002011Expenses 2012: $146,9092012Revenue 2013: $190,722Expenses 2013: $145,662Net Income 2013: $45,0602013Revenue 2014: $209,105Expenses 2014: $91,171Net Income 2014: $117,9342014

Highlighted filing

2012

Revenue-
Expenses$146,909
Net Income-
Open 2012 Filing
Jump To
Filing Snapshot
Filing Period
Oct 1, 2011 to Sep 30, 2012
Signed
Aug 15, 2013
Return Version
2011v1.5
Gross Receipts
$411,235
Mission and Program Overview

Mission

To support the health and wellness of people living in our service communities.

Filing and Contact Details

Filer

EIN
73-1639346
Raw XML AppendixShowing 400 of 573 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.

Path#Value
IRS990/AccountantCompileOrReview00
IRS990/AccountsPayableAccruedExpenses/BOY013125
IRS990/AccountsPayableAccruedExpenses/EOY015509
IRS990/ActivitiesConductedPartnership00
IRS990/ActivityOrMissionDescription0PARTNERS HEALTH SYSTEM FOUNDATION, INC. (THE FOUNDATION) PROGRAM SERVICES CONSIST OF MAKING GRANTS TO INDIVIDUALS AND FAMILIES IN THE COMMUNITY, EXPERIENCING FINANCIAL HARDSHIPS DUE TO HEALTH RELATED CONDITIONS. SERVICES INCLUDE FINANCIAL ASSISTANCE WITH MEDICAL BILLS, PRESCRIPTIONS, TRANSPORTATION, LODGING OR OTHER ESSENTIAL LIVING EXPENSES AS THEY RELATE TO THE RECIPIENTS' HEALTH ISSUES. IN ADDITION TO MAKING GRANTS TO FAMILIES AND INDIVIDUALS IN THE COMMUNITY, THE FOUNDATION PROVIDES FINANCIAL SUPPORT TO COMMUNITY ORGANIZATIONS AND MAKES REFERRALS TO OTHER SOCIAL AGENCIES IN THE TRI-COUNTY AREA.
IRS990/AddressPrincipalOfficerUS/AddressLine10225 MEMORIAL DRIVE
IRS990/AddressPrincipalOfficerUS/City0BERLIN
IRS990/AddressPrincipalOfficerUS/State0WI
IRS990/AddressPrincipalOfficerUS/ZIPCode054923
IRS990/AllOtherContributions0120401
IRS990/AnnualDisclosureCoveredPersons01
IRS990/BenefitsPaidToMembersCY00
IRS990/BenefitsPaidToMembersPriorYear00
IRS990/BsnssRltnshpThruFamilyMember00
IRS990/BsnssRltnshpWithOrganization00
IRS990/CashNonInterestBearing/BOY055138
IRS990/CashNonInterestBearing/EOY0117771
IRS990/ChangesToOrganizingDocs00
IRS990/CntrbtnsRprtdFundraisingEvents048725
IRS990/CollectionsOfArt00
IRS990/CompensationFromOtherSources00
IRS990/CompensationProcessCEO00
IRS990/CompensationProcessOther00
IRS990/ConflictOfInterestPolicy01
IRS990/ConservationEasements00
IRS990/ConsolidatedAuditFinancialStmt00
IRS990/ContributionsGrantsCurrentYear0169126
IRS990/ContributionsGrantsPriorYear0148676
IRS990/CreditCounseling00
IRS990/DecisionsSubjectToApproval01
IRS990/DeductibleContributionsOfArt00
IRS990/DeductibleNonCashContributions00
IRS990/DelegationOfManagementDuties00
IRS990/DescribedIn501C301
IRS990/Description0THE FOUNDATION MAKES FUNDS AVAILABLE TO HELP AREA CHILDREN, ADULTS AND FAMILIES WHO ARE DIAGNOSED WITH A SERIOUS MEDICAL, DENTAL OR MENTAL HEALTH CONDITION AND LACK THE FINANCIAL RESOURCES TO HELP THEMSELVES. THE FOUNDATION PROVIDES SUPPORT THROUGH SELECTED FUNDS TO HELP WHEN AN ILLNESS BECOMES A LIFE CHANGING SITUATION. THE FOUNDATION SERVES RESIDENTS OF MARQUETTE, WAUSHARA AND GREEN LAKE COUNTIES.A DESCRIPTION OF THE SERVICES PROVIDED ARE AS FOLLOWS: - THE FOUNDATION NEGOTIATES WITH PROVIDERS ON BEHALF OF THE GRANT RECIPIENTS FOR REDUCED FEES FOR THEIR MEDICAL SERVICES. - THE FOUNDATION PAYS FOR MEDICAL AND DENTAL SERVICES PROVIDED TO QUALIFIED GRANT RECIPIENTS. - THE FOUNDATION PAYS FOR OTHER LIVING EXPENSES, I.E.: UTILITY BILLS, MORTGAGE PAYMENT, ETC. TO QUALIFIED GRANT RECIPIENTS UNABLE TO PAY BECAUSE OF FINANCIAL HARDSHIPS DUE TO MEDICAL ISSUES. - THE FOUNDATION PAYS FOR TRANSPORTATION TO AND FROM PROVIDERS FOR TREATMENTS WHEN THEY CANNOT AFFORD THE TRANSPORTATION COSTS. - THE FOUNDATION REFERS GRANT RECIPIENTS TO OTHER HEALTH ORGANIZATIONS THAT CAN PROVIDE MEDICAL EQUIPMENT SUCH AS CPAP MACHINES FOR LITTLE OR NO COST. THE FOUNDATION ENTERTAINS REQUESTS FOR PROGRAM AND EQUIPMENT NEEDS ON BEHALF OF NON-PROFIT ORGANIZATIONS TO BENEFIT THE HEALTH AND WELLNESS OF THE COMMUNITY, ESPECIALLY CHILDREN'S NEEDS.WHETHER RECEIVING ASSISTANCE WITH THEIR MEDICAL BILLS, TRANSPORTATION, LODGING OR OTHER ESSENTIAL LIVING EXPENSES, GRANT RECIPIENTS GAIN THE PEACE OF MIND THEY NEED TO FOCUS FIRST AND FOREMOST ON THEIR HEALTH OR THE HEALTH OF THEIR LOVED ONE, RATHER THAN WORRYING ABOUT THOSE RESPONSIBILITIES.THERE ARE THREE FUNDS ESTABLISHED FOR ASSISTANCE; THE "LUCILLE SCHULTZ CARING FOR KIDS" FUND WHICH HELPS CHILDREN AND THEIR FAMILIES; THE "MICHAEL D. CHIER MEMORIAL FUND" PROVIDES FINANCIAL ASSISTANCE AND SUPPORTIVE SERVICES TO ADULTS WITH SERIOUS MEDICAL CONDITIONS; AND THE "HELPING HANDS FOR CANCER FUND" PROVIDES FOR CANCER RELATED NEEDS. IN ADDITION THERE ARE SPECIFIC RESTRICTED FUNDS AND AN UNRESTRICTED FUND FOR OTHER NEEDS THAT MAY ARISE.
IRS990/DisregardedEntity00
IRS990/DocumentRetentionPolicy00
IRS990/DonorAdvisedFunds00
IRS990/ElectionOfBoardMembers01
IRS990/ExcessBenefitTransaction00
IRS990/Expense0126763
IRS990/FamilyOrBusinessRelationship00
IRS990/FederalGrantAuditRequired00
IRS990/FeesForServicesOther/ProgramServices02198
IRS990/FeesForServicesOther/Total02198
IRS990/FollowSFAS1170X
IRS990/ForeignActivities00
IRS990/ForeignFinancialAccount00
IRS990/ForeignOffice00
IRS990/Form8282PropertyDisposedOf00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek00.50
IRS990/Form990PartVIISectionA/AverageHoursPerWeek10.50
IRS990/Form990PartVIISectionA/AverageHoursPerWeek20.50
IRS990/Form990PartVIISectionA/AverageHoursPerWeek30.50
IRS990/Form990PartVIISectionA/AverageHoursPerWeek40.50
IRS990/Form990PartVIISectionA/AverageHoursPerWeek50.50
IRS990/Form990PartVIISectionA/AverageHoursPerWeek60.50
IRS990/Form990PartVIISectionA/AverageHoursPerWeek70.50
IRS990/Form990PartVIISectionA/AverageHoursPerWeek80.50
IRS990/Form990PartVIISectionA/AverageHoursPerWeek940.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek1040.00
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector0X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector1X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector2X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector3X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector4X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector5X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector6X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector7X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector8X
IRS990/Form990PartVIISectionA/NamePerson0RUSS KUEHN
IRS990/Form990PartVIISectionA/NamePerson1PETER MAUEL
IRS990/Form990PartVIISectionA/NamePerson2TOM KRYSTOWIAK
IRS990/Form990PartVIISectionA/NamePerson3WENDY SEAMAN
IRS990/Form990PartVIISectionA/NamePerson4BARRY ROGERS MD
IRS990/Form990PartVIISectionA/NamePerson5LOIS KRAUS
IRS990/Form990PartVIISectionA/NamePerson6CAROL WILLIAMS
IRS990/Form990PartVIISectionA/NamePerson7ED KLINGER
IRS990/Form990PartVIISectionA/NamePerson8BRIAN FLOETER
IRS990/Form990PartVIISectionA/NamePerson9LYNN KLEMAN
IRS990/Form990PartVIISectionA/NamePerson10KAREN SIMOLON
IRS990/Form990PartVIISectionA/Officer0X
IRS990/Form990PartVIISectionA/Officer1X
IRS990/Form990PartVIISectionA/Officer2X
IRS990/Form990PartVIISectionA/Officer3X
IRS990/Form990PartVIISectionA/Officer4X
IRS990/Form990PartVIISectionA/OtherCompensation00
IRS990/Form990PartVIISectionA/OtherCompensation10
IRS990/Form990PartVIISectionA/OtherCompensation228960
IRS990/Form990PartVIISectionA/OtherCompensation30
IRS990/Form990PartVIISectionA/OtherCompensation49852
IRS990/Form990PartVIISectionA/OtherCompensation50
IRS990/Form990PartVIISectionA/OtherCompensation60
IRS990/Form990PartVIISectionA/OtherCompensation70
IRS990/Form990PartVIISectionA/OtherCompensation86624
IRS990/Form990PartVIISectionA/OtherCompensation911905
IRS990/Form990PartVIISectionA/OtherCompensation103316
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization00
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization10
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization20
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization30
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization40
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization50
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization60
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization70
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization80
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization90
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization100
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs06400
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs10
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs2168624
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs30
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs476679
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs50
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs60
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs70
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs856125
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs970565
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs1038117
IRS990/Form990PartVIISectionA/Title0CHAIRMAN
IRS990/Form990PartVIISectionA/Title1VICE CHAIRMAN
IRS990/Form990PartVIISectionA/Title2SECRETARY/TREASURER
IRS990/Form990PartVIISectionA/Title3BOARD MEMBER
IRS990/Form990PartVIISectionA/Title4BOARD MEMBER
IRS990/Form990PartVIISectionA/Title5BOARD MEMBER
IRS990/Form990PartVIISectionA/Title6BOARD MEMBER
IRS990/Form990PartVIISectionA/Title7BOARD MEMBER
IRS990/Form990PartVIISectionA/Title8BOARD MEMBER
IRS990/Form990PartVIISectionA/Title9EXECUTIVE DIRECTOR
IRS990/Form990PartVIISectionA/Title10DIRECTOR
IRS990/Form990ProvidedToGoverningBody00
IRS990/FormersListed00
IRS990/FSAudited00
IRS990/FundraisingActivities01
IRS990/FundraisingDirectExpenses035950
IRS990/FundraisingEvents048725
IRS990/FundsToPayPremiums00
IRS990/GainOrLoss/Securities0-7945
IRS990/Gaming00
IRS990/Grants060282
IRS990/GrantsAndSimilarAmntsCY060282
IRS990/GrantsAndSimilarAmntsPriorYear037947
IRS990/GrantsToDomesticIndividuals/ProgramServices051707
IRS990/GrantsToDomesticIndividuals/Total051707
IRS990/GrantsToDomesticOrgs/ProgramServices08575
IRS990/GrantsToDomesticOrgs/Total08575
IRS990/GrantsToIndividuals01
IRS990/GrantsToOrganizations01
IRS990/GrantToRelatedPerson00
IRS990/GrossAmountSalesAssets/Securities0137456
IRS990/GrossIncomeFundraisingEvents072345
IRS990/GrossReceipts0411235
IRS990/GroupReturnForAffiliates00
IRS990/Hospital00
IRS990/IndependentAuditFinancialStmt00
IRS990/IndoorTanningServices00
IRS990/InfoInScheduleOPartIII0X
IRS990/InfoInScheduleOPartVI0X
IRS990/InfoInScheduleOPartVII0X
IRS990/InfoInScheduleOPartXI0X
IRS990/InformationTechnology/ProgramServices03995
IRS990/InformationTechnology/Total03995
IRS990/InvestmentIncomeCurrentYear024363
IRS990/InvestmentIncome/ExclusionAmount032308
IRS990/InvestmentIncomePriorYear073039
IRS990/InvestmentIncome/TotalRevenueColumn032308
IRS990/InvestmentInJointVenture00
IRS990/InvestmentsPubTradedSecurities/BOY0726920
IRS990/InvestmentsPubTradedSecurities/EOY0817936
IRS990/LessCostOthBasisSalesExpenses/Securities0145401
IRS990/LoanToOfficerOrDQP00
IRS990/LobbyingActivities00
IRS990/LocalChapters00
IRS990/MaterialDiversionOrMisuse00
IRS990/MembersOrStockholders01
IRS990/MethodOfAccountingAccrual0X
IRS990/MinutesOfCommittees01
IRS990/MinutesOfGoverningBody01
IRS990/MissionDescription0TO SUPPORT THE HEALTH AND WELLNESS OF PEOPLE LIVING IN OUR SERVICE COMMUNITIES.
IRS990/MoreThan5000KToIndividuals00
IRS990/MoreThan5000KToOrganizations00
IRS990/NameOfPrincipalOfficerPerson0TOM KRYSTOWIAK
IRS990/NbrIndependentVotingMembers08
IRS990/NbrVotingGoverningBodyMembers09
IRS990/NbrVotingMembersGoverningBody09
IRS990/NetAssetsOrFundBalancesBOY0971202
IRS990/NetAssetsOrFundBalancesEOY01123729
IRS990/NetGainOrLossInvestments/ExclusionAmount0-7945
IRS990/NetGainOrLossInvestments/TotalRevenueColumn0-7945
IRS990/NetIncomeFromFundraisingEvents/ExclusionAmount036395
IRS990/NetIncomeFromFundraisingEvents/TotalRevenueColumn036395
IRS990/NetUnrelatedBusinessTxblIncome00
IRS990/NonDeductibleContributions00
IRS990/NumberFormsTransmittedWith109600
IRS990/NumberIndependentVotingMembers08
IRS990/NumberIndividualsGT100K00
IRS990/NumberOfContractorsGT100K00
IRS990/NumberOfEmployees00
IRS990/NumberW2GIncluded00
IRS990/OfficeExpenses/ProgramServices03425
IRS990/OfficeExpenses/Total03425
IRS990/OfficerEntityWithBsnssRltnshp00
IRS990/OfficerMailingAddress00
IRS990/Organization501c30X
IRS990/OtherAssetsTotal/BOY0200000
IRS990/OtherAssetsTotal/EOY0200000
IRS990/OtherEmployeeBenefits/ProgramServices023241
IRS990/OtherEmployeeBenefits/Total023241
IRS990/OtherExpensePriorYear034488
IRS990/OtherExpensesCurrentYear032731
IRS990/OtherExpenses/Description0FUNDRAISING
IRS990/OtherExpenses/Description1OTHER
IRS990/OtherExpenses/Description2DUES
IRS990/OtherExpenses/Fundraising020146
IRS990/OtherExpenses/ProgramServices01566
IRS990/OtherExpenses/ProgramServices1275
IRS990/OtherExpenses/Total020146
IRS990/OtherExpenses/Total11566
IRS990/OtherExpenses/Total2275
IRS990/OtherRevenueCurrentYear036395
IRS990/OtherRevenuePriorYear023627
IRS990/OtherSalariesAndWages/ProgramServices028281
IRS990/OtherSalariesAndWages/Total028281
IRS990/PartialLiquidation00
IRS990/PensionPlanContributions/ProgramServices02374
IRS990/PensionPlanContributions/Total02374
IRS990/PoliticalActivities00
IRS990/PremiumsPaid00
IRS990/PrepaidExpensesDeferredCharges/BOY02269
IRS990/PrepaidExpensesDeferredCharges/EOY03531
IRS990/PriorExcessBenefitTransaction00
IRS990/ProfessionalFundraising00
IRS990/ProgramServiceRevenueCY00
IRS990/ProgramServiceRevenuePriorYear00
IRS990/ProhibitedTaxShelterTrans00
IRS990/QuidProQuoContributions01
IRS990/QuidProQuoDisclosure01
IRS990/ReconcilationOtherChanges069552
IRS990/ReconcilationRevenueExpenses082975
IRS990/RegularMonitoringEnforcement01
IRS990/RelatedEntity01
IRS990/RelatedOrgControlledEntity00
IRS990/ReportFin48Footnote00
IRS990/ReportInvestOthSecurities00
IRS990/ReportLandBldgEquip00
IRS990/ReportOtherAssets01
IRS990/ReportOtherLiabilities00
IRS990/ReportProgRelInvest00
IRS990/Revenue0229884
IRS990/RevenuesLessExpensesCY082975
IRS990/RevenuesLessExpensesPriorYear0110200
IRS990/SalariesEtcCurrentYear053896
IRS990/SalariesEtcPriorYear062707
IRS990ScheduleA/CertificationCheckbox0X
IRS990ScheduleA/ContribBy35ControlledEntity00
IRS990ScheduleA/ContribByControllingIndividual00
IRS990ScheduleA/ContributionByRelatedParty00
IRS990ScheduleA/SumOfAmounts08575
IRS990ScheduleA/SupportedOrgInformation/Amount08575
IRS990ScheduleA/SupportedOrgInformation/Amount10
IRS990ScheduleA/SupportedOrgInformation/EIN0390806359
IRS990ScheduleA/SupportedOrgInformation/EIN1396089134
IRS990ScheduleA/SupportedOrgInformation/ListedInGoverningDoc01
IRS990ScheduleA/SupportedOrgInformation/ListedInGoverningDoc11
IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine10COMMUNITY HEALTH NETWORK INC
IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine11WILD ROSE COMMUNITY MEMORIAL HOSPTIAL INC
IRS990ScheduleA/SupportedOrgInformation/OrganizedInUS01
IRS990ScheduleA/SupportedOrgInformation/OrganizedInUS11
IRS990ScheduleA/SupportedOrgInformation/SupportedOrganizationNotified01
IRS990ScheduleA/SupportedOrgInformation/SupportedOrganizationNotified11
IRS990ScheduleA/SupportedOrgInformation/TypeOfOrganization03
IRS990ScheduleA/SupportedOrgInformation/TypeOfOrganization13
IRS990ScheduleA/SupportingOrg509a3Type20X
IRS990ScheduleA/SupportingOrganization509a30X
IRS990ScheduleA/TotalNumberOfSupportedOrgs02
IRS990ScheduleB/ContributorInfo/AggregateContributions0RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/City0RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/State0RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorNameBusiness/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorNumber0RESTRICTED
IRS990/ScheduleBRequired01
IRS990ScheduleD/CurrentYear/AdministrativeExpenses00
IRS990ScheduleD/CurrentYear/BeginningOfYearBalance0900375
IRS990ScheduleD/CurrentYear/Contributions0189790
IRS990ScheduleD/CurrentYear/EndOfYearBalance01010141
IRS990ScheduleD/CurrentYear/GrantsOrScholarships060282
IRS990ScheduleD/CurrentYear/InvestmentEarningsOrLosses00
IRS990ScheduleD/CurrentYearMinus1Year/AdministrativeExpenses00
IRS990ScheduleD/CurrentYearMinus1Year/BeginningOfYearBalance0799950
IRS990ScheduleD/CurrentYearMinus1Year/Contributions0161466
IRS990ScheduleD/CurrentYearMinus1Year/EndOfYearBalance0900375
IRS990ScheduleD/CurrentYearMinus1Year/GrantsOrScholarships051729
IRS990ScheduleD/CurrentYearMinus1Year/InvestmentEarningsOrLosses00
IRS990ScheduleD/CurrentYearMinus1Year/OtherExpenditures09312
IRS990ScheduleD/CurrentYearMinus2Years/AdministrativeExpenses00
IRS990ScheduleD/CurrentYearMinus2Years/BeginningOfYearBalance0738181
IRS990ScheduleD/CurrentYearMinus2Years/Contributions090649
IRS990ScheduleD/CurrentYearMinus2Years/EndOfYearBalance0799950
IRS990ScheduleD/CurrentYearMinus2Years/GrantsOrScholarships022657
IRS990ScheduleD/CurrentYearMinus2Years/InvestmentEarningsOrLosses00
IRS990ScheduleD/CurrentYearMinus2Years/OtherExpenditures06223
IRS990ScheduleD/CurrentYearMinus3Years/AdministrativeExpenses00
IRS990ScheduleD/CurrentYearMinus3Years/BeginningOfYearBalance0658651
IRS990ScheduleD/CurrentYearMinus3Years/Contributions0104715
IRS990ScheduleD/CurrentYearMinus3Years/EndOfYearBalance0738181
IRS990ScheduleD/CurrentYearMinus3Years/GrantsOrScholarships018317
IRS990ScheduleD/CurrentYearMinus3Years/InvestmentEarningsOrLosses00
IRS990ScheduleD/CurrentYearMinus3Years/OtherExpenditures06868
IRS990ScheduleD/CurrentYear/OtherExpenditures019742
IRS990ScheduleD/EndowmentsHeldByRelatedOrgs00
IRS990ScheduleD/EndowmentsHeldByUnrelatedOrgs00
IRS990ScheduleD/ExcessOrDeficitForYear082975
IRS990ScheduleD/ExcessOrDeficitPerFS0152527
IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation0ENDOWMENT FUNDS ARE TO BE UTILIZED TO SUPPORT THE ORGANIZATION'S MISSION AND PURPOSE.
IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier0DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference0PART V, LINE 4:
IRS990ScheduleD/NetUnrealizedGLOnInvestments069552
IRS990ScheduleD/OtherAssets/BookValue0200000
IRS990ScheduleD/OtherAssets/Description0REPURCHASE AGREEMENTS
IRS990ScheduleD/TermEndowmentEOYBalance01.00000
IRS990ScheduleD/TotalAdjustments069552
IRS990ScheduleD/TotalBookValueOtherAssets0200000
IRS990ScheduleD/TotalExpenses0146909
IRS990ScheduleD/TotalOfBookValueLandBuildings00
IRS990ScheduleD/TotalRevenue0229884
IRS990ScheduleG/EventsInformation/CharitableContribOtherEvents0372
IRS990ScheduleG/EventsInformation/CharitableContributionsEvent1048353
IRS990ScheduleG/EventsInformation/CharitableContributionsTotal048725
IRS990ScheduleG/EventsInformation/DirectExpenseSummaryEvents035950
IRS990ScheduleG/EventsInformation/FoodAndBeverageEvent105713
IRS990ScheduleG/EventsInformation/FoodAndBeverageEvent205556
IRS990ScheduleG/EventsInformation/FoodAndBeverageOtherEvents01053
IRS990ScheduleG/EventsInformation/FoodAndBeverageTotalEvents012322
IRS990ScheduleG/EventsInformation/GrossReceiptsEvent1069222
IRS990ScheduleG/EventsInformation/GrossReceiptsEvent2021973
IRS990ScheduleG/EventsInformation/GrossReceiptsOtherEvents029875
IRS990ScheduleG/EventsInformation/GrossReceiptsTotal0121070
IRS990ScheduleG/EventsInformation/GrossRevenueEvent1020869
IRS990ScheduleG/EventsInformation/GrossRevenueEvent2021973
IRS990ScheduleG/EventsInformation/GrossRevenueOtherEvents029503
IRS990ScheduleG/EventsInformation/GrossRevenueTotalEvents072345
IRS990ScheduleG/EventsInformation/NameOfEvent10CHARITY GOLF CLASSIC
IRS990ScheduleG/EventsInformation/NameOfEvent20WINE & ROSES
IRS990ScheduleG/EventsInformation/NetIncomeSummary036395
IRS990ScheduleG/EventsInformation/NonCashPrizesEvent104847
IRS990ScheduleG/EventsInformation/NonCashPrizesEvent202204
IRS990ScheduleG/EventsInformation/NonCashPrizesOtherEvents0675
IRS990ScheduleG/EventsInformation/NonCashPrizesTotalEvents07726
IRS990ScheduleG/EventsInformation/OtherDirectExpensesEvent101398
IRS990ScheduleG/EventsInformation/OtherDirectExpensesEvent20905
IRS990ScheduleG/EventsInformation/OtherDirectExpensesOtherEvents055
IRS990ScheduleG/EventsInformation/OtherDirectExpensesTotalEvents02358
IRS990ScheduleG/EventsInformation/RentFacilityCostsEvent1011641
IRS990ScheduleG/EventsInformation/RentFacilityCostsEvent201186
IRS990ScheduleG/EventsInformation/RentFacilityCostsOtherEvents0717
IRS990ScheduleG/EventsInformation/RentFacilityCostsTotalEvents013544
IRS990ScheduleG/EventsInformation/TotalNumberOfOtherEvents01
IRS990ScheduleI/Form990ScheduleIPartIII/AmountOfCashGrant015732
IRS990ScheduleI/Form990ScheduleIPartIII/NumberOfRecipients01
IRS990ScheduleI/Form990ScheduleIPartIII/TypeOfGrant0MEDICAL ASSISTANCE
IRS990ScheduleI/Form990ScheduleIPartIV/Explanation0SCHEDULE I, PART I, LINE 2: MONITORING USE OF FUNDS - PAYMENTS ARE FOR EXPENSES THAT HAVE ALREADY BEEN INCURRED AND PAYMENT IS PROVIDED DIRECTLY TO THE PROVIDER OR THIRD PARTY. DOCUMENTATION OF EXPENSE IS NEEDED PRIOR TO REIMBURSEMENT. GRANTS ARE LIMITED TO A THREE COUNTY SERVICE AREA, MARQUETTE, GREEN LAKE AND WAUSHARA. THE GRANT COMMITTEE PROVIDES THE OVERSIGHT OF THE FUNDS DISTRIBUTED.
IRS990ScheduleI/Form990ScheduleIPartIV/Identifier0PROCEDURE FOR MONITORING GRANTS IN THE U.S.:
IRS990ScheduleI/Form990ScheduleIPartIV/ReturnReference0PART I, LINE 2:
IRS990ScheduleI/RecipientTable/AddressUS/AddressLine10255 MEMORIAL DR
IRS990ScheduleI/RecipientTable/AddressUS/City0BERLIN
IRS990ScheduleI/RecipientTable/AddressUS/State0WI
IRS990ScheduleI/RecipientTable/AddressUS/ZIPCode054923
IRS990ScheduleI/RecipientTable/AmountOfCashGrant08575
IRS990ScheduleI/RecipientTable/DescriptionOfNonCashAssistance0EQUIPMENT PURCHASE - PANDA WARMERS (OB)
IRS990ScheduleI/RecipientTable/EINOfRecipient0390806359
IRS990ScheduleI/RecipientTable/IRCSection0501(C)(3)
IRS990ScheduleI/RecipientTable/MethodOfValuation0FMV
IRS990ScheduleI/RecipientTable/PurposeOfGrant0TO SUPPORT OPERATIONS AND FACILITY IMPROVEMENT
IRS990ScheduleI/RecipientTable/RecipientNameBusiness/BusinessNameLine10COMMUNITY HEALTH NETWORK INC
IRS990ScheduleI/RecordsMaintained01
IRS990ScheduleI/TotalNbrOf501C3AndGovtGrants01
IRS990ScheduleI/TotalNbrOfOtherOrganizations00
IRS990ScheduleJ/AnyNonFixedPayments00
IRS990ScheduleJ/CompBasedNetEarningsFilingOrg00
IRS990ScheduleJ/CompBasedNetEarningsRelateOrgs00
IRS990ScheduleJ/CompBasedOnRevenueOfFilingOrg00
IRS990ScheduleJ/CompBasedOnRevenueRelatedOrgs00
IRS990ScheduleJ/CompensationCommittee0X
IRS990ScheduleJ/EquityBasedCompArrangement00
IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg00
IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg00
IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs00
IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs0153618
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg00
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs00
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg00
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs08759
IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson0TOM KRYSTOWIAK
IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsFilingOrg00
IRS990ScheduleJ/Form990ScheduleJPartII/NontaxableBenefitsRelatedOrgs020201
IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationFilingOrg00
IRS990ScheduleJ/Form990ScheduleJPartII/OtherCompensationRelatedOrgs015006

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$1,139,238
Liabilities
$15,509
Net assets
$1,123,729
Revenue
-
Expenses
$146,909
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.21$0.09$0.12
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.18$0.01$1.17$0.19$0.15$0.05
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.14$0.02$1.12$0.15
2011Summary only. Only limited summary data is available for this year.$0.98$0.01$0.97$0.25$0.14$0.11
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.95$0.01$0.94$0.11