Richland Community Free Clinic in Richland Ctr, Wisconsin (WI)
Table of contents:
| Richland Community Free Clinic | |
| Employer Identification Number (EIN) | 260172439 |
| Name of Organization | Richland Community Free Clinic |
| In Care of Name | Karl Hirsbrunner |
| Address | 301 E 2nd St, Richland Ctr, WI 53581-1900 |
| Subsection | Charitable Organization |
| Ruling Date | 01/2012 |
| Deductibility | Contributions are deductible |
| Foundation | Organization which receives a substantial part of its support from a governmental unit or the general public |
| Organization | Corporation |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 12/2013 |
| Assets | $100,000 to $499,999 |
| Income | $25,000 to $99,999 |
| Filing Requirement | 990 (all other) or 990EZ return |
| Asset Amount | $128,722 |
| Amount of Income | $50,327 |
| Form 990 Revenue Amount | $50,327 |
| National Taxonomy of Exempt Entities (NTEE) | Health - General and Rehabilitative: Ambulatory Health Center, Community Clinic |
Non-representatives - add comments:
Amount of income in 2013: $50,327 (it was $53,974 in 2012)
| This organization: | $50,327 |
| Other organizations performing similar types of work: | $270,653 |
Assets in 2013: $128,722 (it was $116,338 in 2012)
| Richland Community Free Clinic: | $128,722 |
| Other organizations performing similar types of work: | $190,546 |
Expenses in 2013: $37,943
| Richland Community Free Clinic: | $37,943 |
| Other organizations performing similar types of work: | $250,316 |
Income to expenses ratio in 2013: 1.3
| Richland Community Free Clinic: | 1.3 |
| Other organizations performing similar types of work: | 0.9 |
Grants share in income in 2013: 100.0%
| Richland Community Free Clinic: | 100.0% |
| Other organizations performing similar types of work: | 98.8% |
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total revenue | $53,906 | $53,974 | $50,327 |
| Contributions, gifts, grants, and similar amounts received | $53,906 | $53,974 | $50,327 |
| Program service revenue including government fees and contracts | $0 | $0 | $0 |
| Membership dues and assessments | $0 | $0 | $0 |
| Investment income | $0 | $0 | $0 |
| 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 | $35,769 | $47,192 | $37,943 |
| Total net assets | $109,556 | $116,338 | $128,722 |
| Excess/Deficit for the year | $18,137 | $6,782 | $12,384 |
| Net assets or fund balances at beginning of year | $91,419 | $109,556 | $116,338 |
| Other changes in net assets or fund balances | $0 | $0 | $0 |
| Net assets or fund balances at end of year | $116,338 | $128,722 | |
| Balance Sheets | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total assets | $109,556 | $116,338 | $128,722 |
| Total liabilities | $0 | $0 | $0 |
| Net assets or fund balances | $109,556 | $116,338 | $128,722 |
| 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 | $157,691 |
| Subtotal Support | $269,797 |
| Gifts, grants, contributions, and membership fees received | $269,797 |
| 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 | $112,106 |
| Total Support | $269,797 |
| Public Support | $269,797 |
| Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources | $0 |
| 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. | $0 |
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| Organizations performing similar types of work | |||||
| Id | Name | Address | State | Established | Total Income |
|---|---|---|---|---|---|
| 1 | Madison Surgery Center Inc | 7974 Uw Health Ct, Middleton, WI 53562-5531 | WI | 1999-03 | $24,724,644 |
| 2 | West Cecil Health Center Inc | 49 Rock Springs Rd, Conowingo, MD 21918-1352 | MD | 2008-12 | $4,273,877 |
| 3 | Valley Baptist Service Corporation | 2101 Pease St, Harlingen, TX 78550-8307 | TX | 2001-09 | $1,742,623 |
| 4 | Open Arms Free Clinic Inc | PO BOX 678, Elkhorn, WI 53121-0678 | WI | 2012-07 | $530,795 |
| 5 | Watertown Area Cares Clinic Inc | 415 S 8th Street, Watertown, WI 53094 | WI | 2011-11 | $467,127 |
| 6 | Padre Pio Clinic Inc | 1727 S 9th St, Milwaukee, WI 53204-3519 | WI | 2013-06 | $213,252 |
| 7 | The Open Door Clinic | PO BOX 271, Chippewa Fls, WI 54729-0271 | WI | 2006-03 | $142,609 |
| 8 | Madison Dental Initiative Inc | 630 East Washington, Madison, WI 53703 | WI | 2009-11 | $135,380 |
| 9 | Twin Counties Free Clinic Inc | 1301 Cheri Blvd Suite 116, Marinette, WI 54143-4295 | WI | 1999-12 | $75,297 |
| 10 | Fowler Memorial Free Dental Clinic Inc | N3150 Hwy 81, Monroe, WI 53566 | WI | 2009-01 | $52,286 |
| 11 | Richland Community Free Clinic | 301 E 2nd St, Richland Ctr, WI 53581-1900 | WI | 2012-01 | $50,327 |
| 12 | Rice Lake Area Free Clinic Volunteers In Medicine | 1035 North Main Street Suite G02, Rice Lake, WI 54868-1260 | WI | 2010-02 | $47,970 |
| 13 | Granville Neighborhood Health Center Inc | 9550 W Brown Deer Rd, Milwaukee, WI 53224-2012 | WI | 2010-03 | $7,611 |
| 14 | Brentwood Health Organization | 6425 N 60th Street, Milwaukee, WI 53223 | WI | 2013-03 | $1,580 |
| 15 | Back To Basics Community Clinic Inc | 181 E North Water St Suite 115, Neenah, WI 54956 | WI | 2015-04 | $0 |
| 16 | Eagles Wing Free Clinic Inc | Po Box 82, Muskego, WI 53150 | WI | 2013-02 | $0 |
| 17 | Madison Family Wellness Community Clinic Inc | 6425 Normandy Lane, Madison, WI 53719 | WI | 2008-09 | $0 |
| 18 | Open Door Free Clinic Inc | 3965 S Lake Dr, St Francis, WI 53235 | WI | 2006-10 | $0 |
| 19 | San Martin De Porres Mobile Clinic Inc | 3851 E Lunham Ave, Cudahy, WI 53110-1242 | WI | 2014-09 | $0 |
| 20 | St Francis Mission Dental Clinic | 11933 W Burleigh St Ste 100, Wauwatosa, WI 53222-3100 | WI | 2011-01 | $0 |
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