Community Outpatient Health Service, Cedar Falls Clinic in Menomonee Falls, Wisconsin (WI)

Community Outpatient Health Service, Cedar Falls Clinic
Employer Identification Number (EIN)	391743056
Name of Organization	Community Outpatient Health Service
Secondary Name	Cedar Falls Clinic
Address	W180 N8085 Town Hall Road, Menomonee Falls, WI 53051-3518
Activities	Mental health care
Subsection	Charitable Organization
Ruling Date	09/1993
Deductibility	Contributions are deductible
Foundation	Hospital or medical research organization
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	06/2013
Assets	$100,000 to $499,999
Income	$100,000 to $499,999
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$232,891
Amount of Income	$165,499
Form 990 Revenue Amount	$165,499

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Financial snapshot ($)

Revenue for 2013

	2011	2012	2013
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$155,225	$154,901	$165,499
Contributions, gifts, grants, and similar amounts received	$155,158	$154,876	$165,464
Program service revenue including government fees and contracts	$0	$0	$0
Membership dues and assessments	$0	$0	$0
Investment income	$67	$25	$35
Gain/Loss from sale of assets other than inventory	$0	$0	$0
Net income/loss from gaming and fundraising events	$0	$0	$0
Gross profit/loss from sales of inventory	$0	$0	$0
Other revenue	$0	$0	$0
Total expenses	$136,986	$123,391	$132,255
Total net assets	$158,105	$189,615	$222,859
Excess/Deficit for the year	$18,239	$31,510	$33,244
Net assets or fund balances at beginning of year	$139,866	$158,105	$189,615
Other changes in net assets or fund balances	$0	$0	$0
Net assets or fund balances at end of year		$189,615	$222,859

	2011	2012	2013
Balance Sheets
Total assets	$169,050	$199,916	$232,891
Total liabilities	$10,945	$10,301	$10,032
Net assets or fund balances	$158,105	$189,615	$222,859

	2011	2012	2013
Other Information
Did the organization engage in any significant activity not previously reported to the IRS?		No	No
Were any significant changes made to the organizing or governing documents?		No	No
Did the organization have unrelated business gross income of $1,000 or more during the year from business activities	No	No	No
Has the organization filed a Form 990-T for the year?		No	No
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year?		No	No
Amount of political expenditures, direct or indirect		$0	$0
Did the organization file Form 1120-POL for this year?		No	No
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?		No	No
Total amount involved		$0	$0
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ?		No	No
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?		No	No

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported	0
Sum of amounts of support	$0

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