COMMUNITY HEALTH COUNCIL OF WYANDOTTE COUNTY INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH COUNCIL OF WYANDOTTE COUNTY INC (EIN 01-0674969)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-02-28
- IRS object ID
- 201430599349200523
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-02-28T16:52:21-06:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | House Park Dobratz & Wiebler PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 West 47th Street Suite 301 | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 64112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010674969 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Health Council of Wyandotte County | BusinessNameLine1 |
| Business Name Line2 | Inc | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % WYANDOTTE HEALTH FOUNDATION | InCareOfName |
| Name Control | COMM | NameControl |
| Phone | 9133714876 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 755 Minnesota Avenue | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Kansas City | City |
| State | KS | State |
| ZIP Code | 66117 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jerry Jones | Name |
| Title | Executive Director | Title |
| Phone | 9133719298 | Phone |
| Date Signed | 2014-02-28 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Stanley H House | Name |
| Phone | 8169313393 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 98532 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 98532 | ContributionsGiftsGrantsEtc |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Gain Or Loss From Sale Of Assets | 0 | GainOrLossFromSaleOfAssets |
| Special Events Direct Expenses | 0 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 0 | SpecialEventsNetIncomeLoss |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Gro Profit Loss Sales Of Inventory | 0 | GroProfitLossSalesOfInventory |
| Total Revenue | 98532 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 52473 | SalariesOtherCompEmplBenefits |
| Occupancy Rent Utilities And Maint | 2629 | OccupancyRentUtilitiesAndMaint |
| Other Expenses Total | 51521 | OtherExpensesTotal |
| Total Expenses | 106623 | TotalExpenses |
| Excess Or Deficit For Year | -8091 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 104424 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 96333 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98433 | BOY |
| EOY | 106583 | EOY |
Land And Buildings LandAndBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1031 | BOY |
| EOY | 1536 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7000 | BOY |
| EOY | 8855 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106464 | BOY |
| EOY | 116974 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2040 | BOY |
| EOY | 20641 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104424 | BOY |
| EOY | 96333 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | TO IMPROVE ACCESS TO HEALTHCARE FOR THE UNISURED AND UNDERINSURED, TO ENHANCE HEALTH MAINTENANCE AND PREVENTION OF HEALTH PROBLEMS, AND TO FACILITATE COORDINATION OF COMMUNITY HEALTH SERVICES AND HEALTH EDUCATION INITIATIVES. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | See attachment 5 | DescriptionProgramServiceAccom |
| Program Service Expenses | 106623 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 106623 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (11 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|
| Joseph Connor | ||||
| Board member | 1.0 | 0 | 0 | 0 |
| Chris Hansen | ||||
| Board member | 1.0 | 0 | 0 | 0 |
| Amy Falk | ||||
| Chair | 1.0 | 0 | 0 | 0 |
| Bill Epperheimer | ||||
| Board member | 1.0 | 0 | 0 | 0 |
| Mary Redmon | ||||
| Vice Chair | 1.0 | 0 | 0 | 0 |
| Wendell Maddox | ||||
| Board Member | 1.0 | 0 | 0 | 0 |
| Naimish Patel | ||||
| Board Member | 1.0 | 0 | 0 | 0 |
| Peter Zevenbergen | ||||
| Board Member | 1.0 | 0 | 0 | 0 |
| Jo Stueve | ||||
| Secretary/Treasurer | 1.0 | 0 | 0 | 0 |
| Stewart Babbott | ||||
| Board Member | 1.0 | 0 | 0 | 0 |
| Randy Nyp | ||||
| Board Member | 1.0 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Initiation Fees And Capital Contri | 0 | InitiationFeesAndCapitalContri |
| Gross Receipts For Public Use | 0 | GrossReceiptsForPublicUse |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | WYANDOTTE HEALTH FOUNDATION | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 755 MINNESOTA | AddressLine1 |
| City | Kansas City | City |
| State | KS | State |
| ZIP Code | 66117 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9133714032 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 162784 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 187000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 116875 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 117500 | CurrentTaxYearMinus1Year |
| Current Tax Year | 98532 | CurrentTaxYear |
| Total | 682691 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 162784 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 187000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 116875 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 117500 | CurrentTaxYearMinus1Year |
| Current Tax Year | 98532 | CurrentTaxYear |
| Total | 682691 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 682691 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 925 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3950 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1950 | CurrentTaxYearMinus2Years |
| Total | 6825 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 163709 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 190950 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 118825 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 117500 | CurrentTaxYearMinus1Year |
| Current Tax Year | 98532 | CurrentTaxYear |
| Total | 689516 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99010 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99095 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00000 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER EXPENSES SCHEDULE | FORM 990EZ PART I LINE 16 | Description:OTHER EXPENSES Amount:2937 |
| OTHER EXPENSES SCHEDULE | FORM 990EZ PART I LINE 16 | Description:PROFESSIONAL FEES Amount:42251 |
| OTHER EXPENSES SCHEDULE | FORM 990EZ PART I LINE 16 | Description:INSURANCE Amount:3612 |
| OTHER EXPENSES SCHEDULE | FORM 990EZ PART I LINE 16 | Description:OTHER |
| OTHER ASSETS SCHEDULE | FORM 990EZ PART II LINE 24 | Description:OTHER RECEIVABLES EOY Amount:8855 |
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