COMMUNITY HEALTH COUNCIL OF WYANDOTTE COUNTY INC: Form 990EZ, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH COUNCIL OF WYANDOTTE COUNTY INC (EIN 01-0674969)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-02-12
IRS object ID
201330439349200423
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-02-12T11:02:30-06:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1House Park Dobratz & Wiebler PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1605 West 47th Street Suite 301AddressLine1
CityKansas CityCity
StateMOState
ZIP Code64112ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010674969EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Community Health Council of Wyandotte CountyBusinessNameLine1
Business Name Line2IncBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% WYANDOTTE HEALTH FOUNDATIONInCareOfName
Name ControlCOMMNameControl
Phone9133714876Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1755 Minnesota AvenueAddressLine1
CityKansas CityCity
StateKSState
ZIP Code66117ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameChris HansenName
TitleBoard ChairTitle
Date Signed2013-01-21DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameStanley H HouseName
Phone8169313393Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Organization501c3XOrganization501c3
Gross Receipts117500GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc117500ContributionsGiftsGrantsEtc
Total Revenue117500TotalRevenue
Salaries Other Comp Empl Benefits69274SalariesOtherCompEmplBenefits
Occupancy Rent Utilities And Maint4184OccupancyRentUtilitiesAndMaint
Other Expenses Total14039OtherExpensesTotal
Total Expenses87497TotalExpenses
Excess Or Deficit For Year30003ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY74421NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY104424NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIXInfoInScheduleOPartII

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY65066BOY
EOY98433EOY

Land And Buildings LandAndBuildings

FieldValueIRS element (for citing)
BOY437BOY
EOY1031EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14000BOY
EOY7000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY79503BOY
EOY106464EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY5082BOY
EOY2040EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY74421BOY
EOY104424EOY
FieldValueIRS element (for citing)
Primary Exempt PurposeTO 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

FieldValueIRS element (for citing)
Description Program Service AccomSee attachment 5DescriptionProgramServiceAccom
Program Service Expenses87497ProgramServiceExpenses
FieldValueIRS element (for citing)
Total Program Service Expenses87497TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
Joseph Connor
755 Minnesota AvenueKansas CityKS66117Vice Chair1.0000
Chris Hansen
755 Minnesota AvenueKansas CityKS66117Chair1.0000
Amy Falk
755 Minnesota AvenueKansas CityKS66117Board Member1.0000
Bill Epperheimer
755 Minnesota AvenueKansas CityKS66117Secretary1.0000
Mary Redmon
755 Minnesota AvenueKansas CityKS66117Board Member1.0000
George Noonan
755 Minnesota AvenueKansas CityKS66117Board Member1.0000
Wendell Maddox
755 Minnesota AvenueKansas CityKS66117Board Member1.0000
Irene Cadullio
755 Minnesota AvenueKansas CityKS66117Board Member1.0000
Peter Zevenbergen
755 Minnesota AvenueKansas CityKS66117Board Member1.0000
Jo Stueve
755 Minnesota AvenueKansas CityKS66117Treasurer1.0000
Michael Mayberry
755 Minnesota AvenueKansas CityKS66117Executive Director40.0278552231
Stewart Babbott
755 Minnesota AvenueKansas CityKS66117Board Member1.0000
Steven Stites
755 Minnesota AvenueKansas CityKS66117Board Member1.0000
Juanita Roy
755 Minnesota AvenueKansas CityKS66117Board Member1.0000
Jimmy Brown
755 Minnesota AvenueKansas CityKS66117Board Member1.0000
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc DocfalseMadeChangesToOrgnzngEtcDoc
Organization Had UBIfalseOrganizationHadUBI
Subject To Proxy TaxfalseSubjectToProxyTax
Organization Dissolved EtcfalseOrganizationDissolvedEtc
Did Org File Form1120 POL This YearfalseDidOrgFileForm1120POLThisYear
Made Loans To From OfficersfalseMadeLoansToFromOfficers
Initiation Fees And Capital Contri0InitiationFeesAndCapitalContri
Gross Receipts For Public Use0GrossReceiptsForPublicUse
Tax Imposed Under IRC49110TaxImposedUnderIRC4911
Tax Imposed Under IRC49120TaxImposedUnderIRC4912
Tax Imposed Under IRC49550TaxImposedUnderIRC4955
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTrans
Amount Of Tax Imposed On Org Mgr0AmountOfTaxImposedOnOrgMgr
Amount Of Tax Reimbursed By Org0AmountOfTaxReimbursedByOrg
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWYANDOTTE HEALTH FOUNDATIONNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1755 MINNESOTAAddressLine1
CityKansas CityCity
StateKSState
ZIP Code66117ZIPCode
FieldValueIRS element (for citing)
Telephone Number9133714032TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccount
Foreign OfficefalseForeignOffice
Maintain Any Donor Advised FundsfalseMaintainAnyDonorAdvisedFunds
Does Org Have HospitalfalseDoesOrgHaveHospital
Tanning Services ProvidedfalseTanningServicesProvided
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction With Control EntityfalseTransactionWithControlEntity
Engage Political Cmpgn ActivitiesfalseEngagePoliticalCmpgnActivities
Engage In Lobbying ActivitiesfalseEngageInLobbyingActivities
Operating SchoolfalseOperatingSchool
Trnsfrs Exempt Non Char Related OrgfalseTrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Tot Number Of Oth Empl Paid Over100k0TotNumberOfOthEmplPaidOver100k
Tot Num Cntrct Pd Over100 K Prof Ser0TotNumCntrctPdOver100KProfSer
Filed Schedule AtrueFiledScheduleA

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years194950CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years162784CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years187000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year116875CurrentTaxYearMinus1Year
Current Tax Year117500CurrentTaxYear
Total779109Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11925CurrentTaxYearMinus4Years
Total11925Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years206875CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years162784CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years187000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year116875CurrentTaxYearMinus1Year
Current Tax Year117500CurrentTaxYear
Total791034Total
FieldValueIRS element (for citing)
Public Support Total509791034PublicSupportTotal509

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years401CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years925CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3950CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1950CurrentTaxYearMinus1Year
Total7226Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years207276CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years163709CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years190950CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year118825CurrentTaxYearMinus1Year
Current Tax Year117500CurrentTaxYear
Total798260Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99095PublicSupportPercentage509
Prior Year Support Percentage0.99273PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part IVPart IVSee Attachment 6
OTHER EXPENSES SCHEDULEFORM 990EZ PART I LINE 16Description:SUPPLIES Amount:2096
OTHER EXPENSES SCHEDULEFORM 990EZ PART I LINE 16Description:PROFESSIONAL FEES Amount:4783
OTHER EXPENSES SCHEDULEFORM 990EZ PART I LINE 16Description:INSURANCE Amount:3755
OTHER EXPENSES SCHEDULEFORM 990EZ PART I LINE 16Description:DEPRECIATION Amount:437
OTHER EXPENSES SCHEDULEFORM 990EZ PART I LINE 16Description:OTHER Amount:2968

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