WISCONSIN HEALTH INFORMATION ORGANIZATION INC: Form 990, tax year 2010
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- Organization
- WISCONSIN HEALTH INFORMATION ORGANIZATION INC (EIN 20-3493804)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-06-29
- IRS object ID
- 201141809349300419
- Schema version
- 2010v3.2
- 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 | 2011-06-29T14:13:36-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTON GUNDERSON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8215 GREENWAY BOULEVARD SUITE 600 | AddressLine1 |
| City | MIDDLETON | City |
| State | WI | State |
| ZIP Code | 53562 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203493804 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WISCONSIN HEALTH INFORMATION ORGANIZATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WISC | NameControl |
| Phone | 6082106655 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5510 NOBEL DRIVE NO 200 | AddressLine1 |
| City | FITCHBURG | City |
| State | WI | State |
| ZIP Code | 53711 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIE BARTELS | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 6082106655 | Phone |
| Date Signed | 2011-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIMBERLY ANDERSON CPA | Name |
| Phone | 6086628600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JULIE BARTELS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5150 NOBEL DRIVE | AddressLine1 |
| City | FITCHBURG | City |
| State | WI | State |
| ZIP Code | 53711 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1425416 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2005 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE QUALITY INFORMATION SHARING. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 389054 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 994048 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 500000 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 428500 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3717 | InvestmentIncomePriorYear |
| Investment Income Current Year | 649 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2219 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 892771 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1425416 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 874373 | OtherExpensePriorYear |
| Other Expenses Current Year | 1266997 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 874373 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1266997 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 18398 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 158419 | RevenuesLessExpensesCY |
| Total Assets BOY | 2429318 | TotalAssetsBOY |
| Total Assets EOY | 3770956 | TotalAssetsEOY |
| Total Liabilities BOY | 593596 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1776815 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1835722 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1994141 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE HEALTHCARE STAKEHOLDERS OF WISCONSIN HEALTH INFORMATION ORGANIZATION ARE COMMITTED TO DEVELOPING A CENTRALIZED HEALTHCARE DATA REPOSITORY FOR THE PURPOSES OF QUALITY IMPROVEMENT, PROVIDER PERFORMANCE MEASUREMENT, AND PUBLIC REPORTING. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 978027 | Expense |
| Revenue | 430719 | Revenue |
| Description | THE ORGANIZATION WAS ESTABLISHED FOR THE CREATION AND MAINTENANCE OF A CENTRALIZED HEALTHCARE DATA REPOSITORY. THE REPOSITORY IS TO BE USED FOR THE IMPROVEMENT OF THE QUALITY OF HEALTHCARE, MEASUREMENT OF THE PERFORMANCE OF HEALTHCARE PROVIDERS, AND TO MAKE AVAILABLE TO THE GENERAL PUBLIC UNIFIED REPORTS ON HEALTHCARE QUALITY, AFFORDABILITY, SAFETY AND EFFICIENCY. | Description |
| Total Program Service Expense | 978027 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicy |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN FOLEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8002580012 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | N17 W24340 RIVERWOOD DR | AddressLine1 |
| City | WAUKESHA | City |
| State | WI | State |
| ZIP Code | 53188 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| JOHN TOUSSAINT | ||||||
| DIRECTOR | 1.00 | X | X | 0 | 0 | 0 |
| MARK XISTRIS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| STEVE BRENTON | ||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| FRED EVERT | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JOHN FOLEY | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| DIANNE KIEHL | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JIM RIORDAN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LARRY RAMBO | ||||||
| BOARD CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| BRUCE WEISS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KAREN TIMBERLAKE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LISA ELLINGER | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| SUSAN TURNEY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JULIE BARTELS | ||||||
| EXECUTIVE DIRECTOR | 40.00 | X | X | 0 | 254545 | 0 |
| LON SPRECHER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| RUSS KUZEL | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 254545 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| INGENIX | |||||
| PO BOX 271256 | SALT LAKE CITY | UT | 841271256 | SOFTWARE CONSTRUCTION AND MAINTENANCE | 817083 |
| THEDACARE | |||||
| 122 EAST COLLEGE AVENUE | APPLETON | WI | 549128025 | MANAGEMENT SERVICES | 276539 |
| LABYRINTH HEALTH SOLUTIONS LLC | |||||
| 3233 MEADOW ROAD | VERONA | WI | 53593 | CONSULTING | 217463 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Membership Dues | 830548 | MembershipDues |
| Government Grants | 163500 | GovernmentGrants |
| Total Contributions | 994048 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| OTHER PROGRAM REIMBURS | 518210 | 425000 | 425000 |
| MEMBER SUBSCRIPTIONS | 518210 | 3500 | 3500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 428500 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 649 | TotalRevenueColumn |
| Exclusion | $649 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | WI PAYMENT REFORM | Description |
| Business Code | 518210 | BusinessCode |
| Total Revenue Column | 2219 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2219 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2219 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1425416 | TotalRevenueColumn |
| Related Or Exempt Function Income | 430719 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $649 | ExclusionAmount |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 267059 | Total |
| Program Services | 216150 | ProgramServices |
| Management And General | 50909 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8841 | Total |
| Program Services | 7138 | ProgramServices |
| Management And General | 1703 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6400 | Total |
| Program Services | 3200 | ProgramServices |
| Management And General | 3200 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325804 | Total |
| Program Services | 143860 | ProgramServices |
| Management And General | 181944 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35596 | Total |
| Program Services | 27620 | ProgramServices |
| Management And General | 7976 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5257 | Total |
| Program Services | 2683 | ProgramServices |
| Management And General | 2574 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 563735 | Total |
| Program Services | 563735 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38057 | Total |
| Management And General | 38057 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SALES & MARKETING | 8647 | 7846 | 801 |
| EDUCATION | 6504 | 4807 | 1697 |
| COMPUTER SUPPLIES AND S | 1097 | 988 | 109 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1266997 | Total |
| Program Services | 978027 | ProgramServices |
| Management And General | 288970 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 363517 | BOY |
| EOY | 625944 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 295749 | BOY |
| EOY | 554500 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15925 | BOY |
| EOY | 7720 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3514875 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 932083 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1754127 | BOY |
| EOY | 2582792 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2429318 | BOY |
| EOY | 3770956 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 167650 | BOY |
| EOY | 816418 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 425946 | BOY |
| EOY | 960397 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 593596 | BOY |
| EOY | 1776815 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1835722 | BOY |
| EOY | 1994141 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1835722 | BOY |
| EOY | 1994141 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2429318 | BOY |
| EOY | 3770956 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 158419 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 533161 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 500000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1050000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 389054 | CurrentTaxYearMinus1Year |
| Current Tax Year | 994048 | CurrentTaxYear |
| Total | 3466263 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 533161 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 500000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1050000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 389054 | CurrentTaxYearMinus1Year |
| Current Tax Year | 994048 | CurrentTaxYear |
| Total | 3466263 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 1664564 | AmountsSubstContributorsTotal |
| Public Support Total170 | 1801699 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16898 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 26742 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13689 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3717 | CurrentTaxYearMinus1Year |
| Current Tax Year | 649 | CurrentTaxYear |
| Total | 61695 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 2219 | CurrentTaxYear |
| Total | 2219 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3530177 | TotalSupport |
| Gross Receipts From Admissions Etc | 428500 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.51040 | PublicSupportPertcentage170 |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 D IRS990ScheduleD
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3514875 | OtherCostOrOtherBasis |
| Depreciation | 932083 | Depreciation |
| Book Value | 2582792 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2582792 | TotalOfBookValueLandBuildings |
| Total Revenue | 1425416 | TotalRevenue |
| Total Expenses | 1266997 | TotalExpenses |
| Excess Or Deficit For Year | 158419 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 158419 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1425416 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 1425416 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1425416 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1266997 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1266997 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1266997 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JULIE BARTELS | NamePerson |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 254545 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 254545 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | JULIE BARTELS HAS RECEIVED COMPENSATION OF $254,545 IN 2010 FROM THEDA CARE (UNRELATED ORGANIZATION) FOR SERVING AS EXECUTIVE DIRECTOR. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE EXECUTIVE DIRECTOR AND BOARD TREASURER REVIEW THE 990. | |
| THE EXECUTIVE COMMITTEE EVALUATES THE PERFORMANCE AND LEADERSHIP SUCCESSION PLANNING OF THE EXECUTIVE DIRECTOR AT LEAST ANNUALLY. THE COMMITTEE REPORTS ITS EVALUATION AND RECOMMENDS COMPENSATION ADJUSTMENTS TO THE BOARD. THE BOARD THEN APPROVES THE COMPENSATION ADJUSTMENT BASED ON THE PERFORMANCE REVIEW CONDUCTED BY THE EXECUTIVE COMMITTEE. | FORM 990, PART VI, SECTION B, LINE 15A | |
| THE EXECUTIVE DIRECTOR OR BOARD MEMBER OF THE ORGANIZATION WOULD MAKE ITS DOCUMENTS AVAILABLE TO PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 |
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