RURAL HEALTH CLINIC ASSOCIATION OF WASHINGTON: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- RURAL HEALTH CLINIC ASSOCIATION OF WASHINGTON (EIN 91-1721047)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-12
- IRS object ID
- 201342249349201024
- Schema version
- 2012v2.1
- 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 | 2013-08-12T13:46:26-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390758449 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1 |
| City | GREEN BAY | City |
| State | WI | State |
| ZIP Code | 543072237 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911721047 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RURAL HEALTH CLINIC ASSOCIATION OF WASHINGTON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RURA | NameControl |
| Phone | 5099822614 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 510 E AMENDE DR PO BOX 190 | AddressLine1 |
| City | ODESSA | City |
| State | WA | State |
| ZIP Code | 991590190 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARBARA SCHLIMMER | Name |
| Title | TREASURER | Title |
| Phone | 5099822614 | Phone |
| Date Signed | 2013-08-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TERRI REXRODE CPA MST | Name |
| PTIN | P00096513 | PTIN |
| Phone | 9206620016 | Phone |
| Date Prepared | 2013-08-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | WWW.RHCAW.NET | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 67687 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Program Service Revenue | 38293 | ProgramServiceRevenue |
| Membership Dues | 29155 | MembershipDues |
| Investment Income | 239 | InvestmentIncome |
| Total Revenue | 67687 | TotalRevenue |
| Other Expenses Total | 114694 | OtherExpensesTotal |
| Total Expenses | 114694 | TotalExpenses |
| Excess Or Deficit For Year | -47007 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 124449 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 77442 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124449 | BOY |
| EOY | 77442 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124449 | BOY |
| EOY | 77442 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124449 | BOY |
| EOY | 77442 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | MAINTAIN ACCESS TO HEALTH CARE IN RURAL AREAS AND PROVIDE A VOICE FOR RURAL HEALTH CLINICS, TO CITIZENS, LEGISLATORS, AS WELL AS STATE AND FEDERAL AGENCIES. CONTINUAL IMPROVEMENT OF THE HEALTHCARE IN RURAL COMMUNITIES BY PROMOTING COLLABORATION AND EDUCATION. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | THE ASSOCIATION SPONSORS AN ANNUAL CONFERENCE CONCERNING RURAL HEALTHCARE CLINIC ISSUES. THE ASSOCIATION ALSO PROVIDES EDUCATIONAL PROGRAMS PERIODICALLY TO MEMBERS AND NON-MEMBERS. | DescriptionProgramServiceAccom |
| Grants And Allocations | 0 | GrantsAndAllocations |
| Program Service Expenses | 40659 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 40659 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (6 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|
| PAMELA SCHLAUDERAFF | ||||
| MEMBER AT LARGE | 1.00 | 0 | 0 | 0 |
| KAREN PAULSEN | ||||
| SECRETARY | 1.00 | 0 | 0 | 0 |
| BARBARA SCHLIMMER | ||||
| TREASURER | 1.00 | 0 | 0 | 0 |
| DARLA WESTENBERG | ||||
| MEMBER AT LARGE | 1.00 | 0 | 0 | 0 |
| CINDY ROBERTSON | ||||
| VICE PRESIENT | 1.00 | 0 | 0 | 0 |
| BARB BERG | ||||
| PRESIDENT | 1.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARBARA L SCHLIMMER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 510 E AMENDE DR PO BOX 190 | AddressLine1 |
| City | ODESSA | City |
| State | WA | State |
| ZIP Code | 991590190 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5099822614 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | 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 | 26355 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25250 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 29648 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26310 | CurrentTaxYearMinus1Year |
| Current Tax Year | 29155 | CurrentTaxYear |
| Total | 136718 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 26355 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25250 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 29648 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26310 | CurrentTaxYearMinus1Year |
| Current Tax Year | 29155 | CurrentTaxYear |
| Total | 136718 | 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 | 136718 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3694 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1692 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 575 | CurrentTaxYearMinus1Year |
| Current Tax Year | 239 | CurrentTaxYear |
| Total | 12200 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3694 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1692 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 575 | CurrentTaxYearMinus1Year |
| Current Tax Year | 239 | CurrentTaxYear |
| Total | 12200 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29144 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 40130 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 41340 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 38730 | CurrentTaxYearMinus1Year |
| Current Tax Year | 38293 | CurrentTaxYear |
| Total | 187637 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 61499 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 69074 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 72680 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 65615 | CurrentTaxYearMinus1Year |
| Current Tax Year | 67687 | CurrentTaxYear |
| Total | 336555 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.40620 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.40320 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.03620 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.05070 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | INTEREST MONEY MARKET 239.. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: CONFERENCES. AMOUNT: 40,659. DESCRIPTION: DSHS ENHANCEMENT. AMOUNT: 70,778. DESCRIPTION: MISCELLANEOUS. AMOUNT: 2,134. DESCRIPTION: SUPPLIES. AMOUNT: 1,123. TOTAL TO FORM 990-EZ, LINE 16: 114,694. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | Declaration |
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