Civic Intelligence

Unknown Organization

EIN 73-1639346 • 501(c)3

Profile

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

225 Memorial Drive54923

www.communityhealthnetwork.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2014

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

91st percentile

56%

Higher net margin than 91% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

45th percentile

-5.2%

Faster revenue growth than 45% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2011 to 2014

Assets

Down

$0

Down $1,184,659 (-100%) from 2013

Liabilities

Down

$0

Down $10,323 (-100%) from 2013

Net Assets

Down

$0

Down $1,174,336 (-100%) from 2013

Revenue

Up

$209,105

Up $18,383 (+9.6%) from 2013

Expenses

Down

$91,171

Down $54,491 (-37%) from 2013

Net Income

Up

$117,934

Up $72,874 (+162%) from 2013

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$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

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest 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

2014

Revenue$209,105
Expenses$91,171
Net Income$117,934

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2013 to Sep 30, 2014
Signed
Aug 12, 2015
Return Version
2013v4.0
Gross Receipts
$365,831
Mission and Program Overview

Mission

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

Partners 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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$857,828$0▼ $857,828
Cash and Non-Interest-Bearing Accounts$126,125$0▼ $126,125
Prepaid Expenses and Deferred Charges$706$0▼ $706
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$1,184,659$0▼ $1,184,659
Other Assets Total$200,000$0▼ $200,000
Liabilities
Accounts Payable and Accrued Expenses$10,323--
Total Liabilities$10,323$0▼ $10,323
Net Assets / Fund Balance
Temporarily Rstr Net Assets$1,011,350$0▼ $1,011,350
Unrestricted Net Assets$162,986$0▼ $162,986
Total Net Assets Fund Balance$1,174,336$0▼ $1,174,336
Total Liabilities and Net Assets / Fund Balance$1,184,659$0▼ $1,184,659

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$1,011,050$139,756▲ $7,186$2,019-
2013$1,010,141$142,801-$16,097$1,011,050
2012$900,375$189,790-$19,742$1,010,141
2011$799,950$161,466-$9,312$900,375
2010$738,181$90,649-$6,223$799,950
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Barry Rogers MdBoard Member-$110,238$110,238
Brian FloeterSecretary/treasurer-$83,807$83,807
Karen SimolonDirectorFT$49,200$49,200
Russ KuehnChairman-$4,600$4,600

Board Members and Trustees

NameTitle
Peter MauelVice Chairman
Carol WilliamsBoard Member
Ed KlingerBoard Member
John FeeneyBoard Member
Lois KrausBoard Member
Mary KunaschBoard Member
Wendy SeamanBoard Member
Tom KrystowiakCFO
Revenue and Support

Revenue Composition

Contributions and Grants
$138,106
Program Service Revenue
$0
Investment Income
$58,142
Other Revenue
$12,857
All Other Contributions
$105,046
Change in Net Assets
$117,934
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$53,710
Other Expenses$37,461
Total Fundraising Expense$29,399
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$29,412--$29,412
Grants to Domestic Individuals$24,298--$24,298
Fees for Services Other$2,880--$2,880
Office Expenses$1,884--$1,884
All Other Expenses$1,717--$1,717
Travel$1,446--$1,446
Other Expenses$135-$29,399$135
Total Functional Expenses$61,772$0$29,399$91,171
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
39-6005759-501(c)(3)TO PROVIDE FUNDS FOR THE PURCHASE OF AED'S.$15,000
39-0806359-501(c)(3)To Provide Funds for Program Services.$6,085
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$38,667
Fundraising Direct Expenses$25,810
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Event 1$54,687$21,627$3,289$18,338
Event 2$17,040$17,040$1,716$15,324
Total Events$71,727$38,667$25,810$12,857
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The corporate member is partners health system, inc.

Form 990, Part VI, Section A, Line 7A

The corporate member, partners health system, inc. Has the ability to appoint after nomination by the corporation's nominating committee and remove at the members discretion but after consultation with the corporation's board chair the members of the board of directors of the corporation.

Form 990, Part VI, Section A, Line 7B

Approve all amendments, restatements or rescissions to the articles of incorporation, bylaws of this corporation whether such be initiated by the member or recommended by the board of directors. Define from time to time the purpose and philosophy and mission of this corporation. Establish or cause the board to establish long range goals and strategic plans. Review and approve any audited financial reports of this corporation. Initiate or approve the dissolution, merger, transfer or consolidation of this corporation, or the sale, lease or other disposition of all or substantially all of the assets of the corporation. Appoint after nomination by the corporation's nominating committee and remove at the members discretion but after consultation with the corporation's board chair the members of the board of directors of the corporation. Approve the terms of any agreement by which an individual employed by chn assumes the duties as responsibilities of the executive director of the corporation. In conjunction with the bod conduct periodic reviews of the performance of the executive director of the corporation. Initiate or approve selection and retention of the independent auditor and legal counsel. Initiate or approve selection and retention of any financial advisor or investment manager who will provide services. Recommend and/or approve the purchase, sale, lease disposition, encumbrance, of real or personal property in excess of $5000 per transaction. Approve any grants, gifts, contributions or any other transfer of corporation assets to any organization which have an aggregate value within any consecutive 12 month period in excess of $100,000. Approve all major fund drives and the establishment of an endowment.

Form 990, Part VI, Section B, Line 11

The board of directors has delegated the detail review of the form 990 to the management of the foundation. It has been reviewed prior to submission.

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

Each year, each member of the board shall complete and file a statement which identifies any existing or potential conflicts or dualities of interest. Any board member having a duality or conflict of interest on any matter shall not vote or use their personal influence on the matter. These requirements shall not be construed as preventing board members from briefly stating their position on the matter or answering questions. Should a duality of conflict of interest not be disclosed and the board member votes or uses their personal influence on the matter, any member may refer the violation to the attention of the chairperson. The chairperson will then refer the matter to the executive committee for investigation, discussion, and recommendation of a course of action.

Form 990, Part VI, Section B, Line 15

Comparable survey data is used to establish director compensation. Chn cfo reviews compensation with director annually and provides director written performance and salary review.

Form 990, Part VI, Section C, Line 19

The foundation makes governing documents, conflict of interest policy, and finacial statements available to the public upon request.

Filing and Contact Details

Filer

EIN
73-1639346
Phone
9203611313

Signing Officer

Name
Tom Krystowiak
Title
CFO
Phone
9203611313
Signed
2015-08-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tom Krystowiak
Formed
2002
Legal Domicile
Wi
Voting Board Members
10
Independent Board Members
7
Employees
0
Volunteers
25

Preparer

Preparer
Terri Rexrode CPA Mst
Phone
9206620016
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Dissolution distribution -1,289,159.

Financial Statement Notes

PART V, LINE 4:

Endowment funds are to be utilized to support the organization's mission and purpose. All funds were trasnferred to thedacare family foundation in the current year.

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IRS990/ActivityOrMissionDesc0PARTNERS 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.
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IRS990/Desc0THE 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.
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IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LegalDomicileStateCd0WI
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt0130916
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0TO SUPPORT THE HEALTH AND WELLNESS OF PEOPLE LIVING IN OUR SERVICE COMMUNITIES.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt01174336
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt020424
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt020424
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt012857
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt012857
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-3111
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ProgramServicesAmt01884
IRS990/OfficeExpensesGrp/TotalAmt01884
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0200000
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt0-1289159
IRS990/OtherExpensesGrp/Desc0FUNDRAISING
IRS990/OtherExpensesGrp/Desc1DUES
IRS990/OtherExpensesGrp/FundraisingAmt029399
IRS990/OtherExpensesGrp/ProgramServicesAmt0135
IRS990/OtherExpensesGrp/TotalAmt029399
IRS990/OtherExpensesGrp/TotalAmt1135
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0706
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0TOM KRYSTOWIAK
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0123892
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0124184
IRS990/PYInvestmentIncomeAmt036410
IRS990/PYOtherExpensesAmt021478
IRS990/PYOtherRevenueAmt030420
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt045060
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0145662
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0190722
IRS990/QuidProQuoContributionsInd01
IRS990/QuidProQuoContriDisclInd01
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0117934
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/CertificationInd0X
IRS990ScheduleA/Contribution35ControlledInd00
IRS990ScheduleA/ContributionControllerInd00
IRS990ScheduleA/ContributionFamilyInd00
IRS990ScheduleA/SupportedOrganizationsTotalCnt02
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0390806359
IRS990ScheduleA/SupportedOrgInformationGrp/EIN1396089134
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd11
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc03
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc13
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt06085
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine10COMMUNITY HEALTH NETWORK INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine11WILD ROSE COMMUNITY MEMORIAL HOSPTIAL INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrgNotifiedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrgNotifiedInd11
IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd11
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType2Ind0X
IRS990ScheduleA/SupportSumAmt06085
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt01011050
IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt0139756
IRS990ScheduleD/CYEndwmtFundGrp/GrantsOrScholarshipsAmt01155973
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt07186
IRS990ScheduleD/CYEndwmtFundGrp/OtherExpendituresAmt02019
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt01010141
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/ContributionsAmt0142801
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt01011050
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/GrantsOrScholarshipsAmt0125795
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/OtherExpendituresAmt016097
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0900375
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/ContributionsAmt0189790
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt01010141
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/GrantsOrScholarshipsAmt060282
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/OtherExpendituresAmt019742
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0799950
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt0161466
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0900375
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/GrantsOrScholarshipsAmt051729
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/OtherExpendituresAmt09312
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0738181
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt090649
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0799950
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/GrantsOrScholarshipsAmt022657
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/OtherExpendituresAmt06223
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ENDOWMENT FUNDS ARE TO BE UTILIZED TO SUPPORT THE ORGANIZATION'S MISSION AND PURPOSE. ALL FUNDS WERE TRASNFERRED TO THEDACARE FAMILY FOUNDATION IN THE CURRENT YEAR.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART V, LINE 4:
IRS990ScheduleD/TermEndowmentBalanceEOYPct00.00000
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt033060
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt033060
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt025810
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent1Amt07368
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt07368
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt04203
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt07564
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt011767
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt054687
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt017040
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt071727
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt021627
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt017040
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt038667
IRS990ScheduleG/FundraisingEventInformationGrp/NameOfEvent1Amt0CHARITY GOLF CLASSIC
IRS990ScheduleG/FundraisingEventInformationGrp/NameOfEvent2Amt0WINE/ROSES
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt012857
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt05005
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt03289
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt01716
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt01670
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt01670
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt023798
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt1500
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0MEDICAL SERVICES/INDIGENT CARE
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt1SCHOLARSHIPS
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt017
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt11
IRS990ScheduleI/RecipientTable/CashGrantAmt015000
IRS990ScheduleI/RecipientTable/CashGrantAmt16085
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/IRCSectionDesc1501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0TO PROVIDE FUNDS FOR THE PURCHASE OF AED'S.
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt1TO PROVIDE FUNDS FOR PROGRAM SERVICES.
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine10WAUSHARA COUNTY EMS
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine11COMMUNITY HEALTH NETWORK INC
IRS990ScheduleI/RecipientTable/RecipientEIN0396005759
IRS990ScheduleI/RecipientTable/RecipientEIN1390806359
IRS990ScheduleI/RecipientTable/USAddress/AddressLine10N4386 STATE ROAD 49
IRS990ScheduleI/RecipientTable/USAddress/AddressLine11225 MEMORIAL DRIVE
IRS990ScheduleI/RecipientTable/USAddress/City0POY SIPPI
IRS990ScheduleI/RecipientTable/USAddress/City1BERLIN
IRS990ScheduleI/RecipientTable/USAddress/State0WI
IRS990ScheduleI/RecipientTable/USAddress/State1WI
IRS990ScheduleI/RecipientTable/USAddress/ZIPCode054967
IRS990ScheduleI/RecipientTable/USAddress/ZIPCode154923
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0MONITORING 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/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleI/Total501c3OrgCnt02
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00

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