Indianhead Community Healthcare Inc in Shell Lake, Wisconsin (WI)
Table of contents:
| Indianhead Community Healthcare Inc | |
| Employer Identification Number (EIN) | 391666255 |
| Name of Organization | Indianhead Community Healthcare Inc |
| In Care of Name | Judy Bolterman |
| Address | PO BOX 300, Shell Lake, WI 54871-0300 |
| Activities | Community health planning |
| Subsection | Charitable Organization |
| Ruling Date | 08/1990 |
| Deductibility | Contributions are deductible |
| Foundation | Organization that normally receives no more than one third of its support from gross investment income and unrelated business income and at the same time more than one third of its support from contributions, fees, and gross receipts related to exempt purposes |
| Organization | Corporation |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 10/2014 |
| Assets | $25,000 to $99,999 |
| Income | $10,000 to $24,999 |
| Filing Requirement | 990 - Required to file Form 990-N - Income less than $25,000 per year |
| Asset Amount | $93,599 |
| Amount of Income | $23,131 |
| Form 990 Revenue Amount | $23,131 |
| National Taxonomy of Exempt Entities (NTEE) | Health - General and Rehabilitative: Health Treatment Facilities, Primarily Outpatient |
Non-representatives - add comments:
Amount of income in 2014: $23,131 (it was $29,549 in 2013)
| This organization: | $23,131 |
| Other organizations performing similar types of work: | $2,039,395 |
Assets in 2014: $93,599 (it was $95,747 in 2013)
| Indianhead Community Healthcare Inc: | $93,599 |
| Other organizations performing similar types of work: | $1,634,161 |
Expenses in 2013: $26,006
| Indianhead Community Healthcare Inc: | $26,006 |
| Other organizations performing similar types of work: | $1,835,678 |
Income to expenses ratio in 2013: 0.9
| This organization: | 0.9 |
| Other organizations performing similar types of work: | 1.3 |
Grants share in income in 2013: 11.0%
| This organization: | 11.0% |
| Other organizations performing similar types of work: | 79.2% |
Revenue for 2013
Support schedule
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total revenue | $36,171 | $33,886 | $29,549 |
| Contributions, gifts, grants, and similar amounts received | $3,927 | $3,721 | $3,242 |
| Program service revenue including government fees and contracts | $28,428 | $27,688 | $25,634 |
| Membership dues and assessments | $460 | $200 | $370 |
| Investment income | $3,356 | $2,277 | $303 |
| 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 | $43,154 | $40,271 | $26,006 |
| Total net assets | $98,589 | $92,204 | $95,747 |
| Excess/Deficit for the year | $-6,983 | $-6,385 | $3,543 |
| Net assets or fund balances at beginning of year | $105,572 | $98,589 | $92,204 |
| Other changes in net assets or fund balances | $0 | $0 | $0 |
| Net assets or fund balances at end of year | $92,204 | $95,747 | |
| Balance Sheets | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total assets | $98,589 | $92,204 | $95,747 |
| Total liabilities | $0 | $0 | $0 |
| Net assets or fund balances | $98,589 | $92,204 | $95,747 |
| Other Information | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| 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: | An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi) |
| Number of organizations supported | 0 |
| Sum of amounts of support | $0 |
| Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (for 2009 - 2013) | |
| 2009 - 2013 Total | |
|---|---|
| Public Support | $17,234 |
| Subtotal Support | $17,234 |
| Gifts, grants, contributions, and membership fees received | $17,234 |
| Tax revenues levied for the organization's benefit and either paid to or expended on its behalf | $0 |
| The value of services or facilities furnished by a governmental unit to the organization without charge | $0 |
| The portion of total contributions by each person (other than a governmental unit or publicly supported organization) that exceeds 2% of the total support | $0 |
| Total Support | $24,952 |
| Public Support | $17,234 |
| Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources | $7,718 |
| Net income from unrelated business activities, whether or not the business is regularly carried on | $0 |
| Other income. Do not include gain or loss from the sale of capital assets | $0 |
| Gross receipts from related activities, etc. | $160,754 |
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| Organizations performing similar types of work | |||||
| Id | Name | Address | State | Established | Total Income |
|---|---|---|---|---|---|
| 1 | Family Health Center Of Marshfield Inc | 1000 N Oak Ave, Marshfield, WI 54449-5703 | WI | 1991-07 | $150,766,656 |
| 2 | Sun Life Family Health Center Inc | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | AZ | 1977-01 | $29,925,685 |
| 3 | University Of Nevada School Of, Intergrated Clinical Services Corp | 2040 W Charleston Blvd Ste 400, Las Vegas, NV 89102-2249 | NV | 1998-11 | $25,243,736 |
| 4 | Yakima Neighborhood Health Services | 12 S 8th St, Yakima, WA 98901-3020 | WA | 1976-04 | $20,250,141 |
| 5 | Unison Behavioral Health Group Inc | 1425 Starr Ave, Toledo, OH 43605-2456 | OH | 1972-09 | $17,412,827 |
| 6 | Upmc, Mercy Primary Care Inc | 600 Grant St Fl 58, Pittsburgh, PA 15219-2739 | PA | 1983-01 | $12,886,726 |
| 7 | Western Baptist Medical Ventures Inc | 2701 Eastpoint Pkwy, Louisville, KY 40223-4166 | KY | 1997-01 | $12,189,868 |
| 8 | Southwest General Medical Group Inc | 18697 Bagley Rd, Cleveland, OH 44130-3417 | OH | 1997-09 | $11,902,537 |
| 9 | Outreach Community Health Centers Inc | 711 West Capitol Dr, Milwaukee, WI 53206-3328 | WI | 1980-05 | $10,299,867 |
| 10 | Valley Health Team Inc, San Joaquin Health Center | 21890 West Colorado Ave, San Joaquin, CA 93660 | CA | 1973-09 | $9,267,917 |
| 11 | Tri-Hospital Mri Center | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | MI | 1998-09 | $6,348,452 |
| 12 | Healthnet Of Rock County Inc | 23 West Milwaukee Street, Janesville, WI 53548-2981 | WI | 1994-12 | $6,295,310 |
| 13 | Usc Family Medicine Inc | 1975 Zonal Ave Kam B10, Los Angeles, CA 90033 | CA | 1998-01 | $6,218,621 |
| 14 | Lgh Physician Associates Inc | 1 Hospital Dr, Lowell, MA 01852-1311 | MA | 1994-12 | $5,658,399 |
| 15 | Wood River Health Services Inc | 823 Main St, Hope Valley, RI 02832-1920 | RI | 1979-04 | $4,761,915 |
| 16 | Greater Milwaukee Free Clinic Inc | 9330 W Lincoln Avenue, W Allis, WI 53227-2300 | WI | 1995-11 | $55,734 |
| 17 | Indianhead Community Healthcare Inc | PO BOX 300, Shell Lake, WI 54871-0300 | WI | 1990-08 | $23,131 |
| 18 | Fox Cities Community Clinic Inc | 1800 N Appleton Rd, Menasha, WI 54952 | WI | 1997-06 | $0 |
| 19 | Horizon Healthcare Inc | 4425 N Port Washington Road, Glendale, WI 53212 | WI | 1994-06 | $0 |
| 20 | Pathway Community Services Inc | 50 Prairie Ave, Pr Du Sac, WI 53578-1541 | WI | 1992-03 | $0 |
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