Community Clinic Of Door County In
- Assets
- $0.0
- Revenue
- $6.7k
- Investments
- $0.0
- Employees
- 3
- Location
- Sturgeon Bay, WI
- Founding
- Data as of
- 12/2016
- EIN
- 22-3905485
Organization Overview
Community Clinic Of Door County In is located in Sturgeon Bay, WI. As of 12/2016, Community Clinic Of Door County In employed 3 individuals. Community Clinic Of Door County In is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
For the year ending 12/2016, Community Clinic Of Door County In generated $6.7k in total revenue. All expenses for the organization totaled $59.8k during the year ending 12/2016.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2016
Describe the Organization's Mission:
Part 3 - Line 1
PROVIDE AFFORDABLE HIGH QUALITY NON-EMERGENCY PRIMARY HEALTH CARE, INCLUDING CHRONIC DISEASE MANAGEMENT, MENTAL HEALTH COUNSELING, INTEGRATIVE CARE, FAMILY PLANNING & REPRODUCTIVE HEALTH, AND PRESENT HEALTH CARE INFORMATION TO PATIENTS UNABLE TO AFFORD SUFFICIENT INSURANCE.
Describe the Organization's Program Activity:
Part 3 - Line 4a
PROVIDE AFFORDABLE HIGH QUALITY NON-EMERGENCY PRIMARY HEALTH CARE, INCLUDING CHRONIC DISEASE MANAGEMENT, MENTAL HEALTH COUNSELING, INTEGRATIVE HEALTH CARE, FAMILY PLANNING AND REPRODUCTIVE HEALTH, AND PRESENT HEALTH CARE INFORMATION DURING 1,600 PATIENT VISITS FOR PATIENTS WHO WERE UNABLE TO AFFORD SUFFICIENT HEALTH CARE INSURANCE.
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PDF Copies of 990 Filings
Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Jane Herlitz Executive Di | OfficerTrustee | 40 | $6,773 |
Josephine Guenzel RN Board Member | Trustee | 5 | $0 |
Grace Rossman President | OfficerTrustee | 5 | $0 |
Dave Miller Treasurer | OfficerTrustee | 5 | $0 |
Financial Statements
| Statement of Revenue | |
|---|---|
| Federated campaigns | $0 |
| Membership dues | $0 |
| Fundraising events | $0 |
| Related organizations | $0 |
| Government grants | $0 |
| All other contributions, gifts, grants, and similar amounts not included above | $3,585 |
| Noncash contributions included in lines 1a–1f | $0 |
| Total Revenue from Contributions, Gifts, Grants & Similar | $3,585 |
| Total Program Service Revenue | $3,320 |
| Investment income | $2 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | $0 |
| Net Gain/Loss on Asset Sales | -$168 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | $6,739 |
| Statement of Expenses | |
|---|---|
| Grants and other assistance to domestic organizations and domestic governments. | $0 |
| Grants and other assistance to domestic individuals. | $0 |
| Grants and other assistance to Foreign Orgs/Individuals | $0 |
| Benefits paid to or for members | $0 |
| Compensation of current officers, directors, key employees. | $6,773 |
| Compensation of current officers, directors, key employees. | $1,354 |
| Compensation to disqualified persons | $0 |
| Other salaries and wages | $9,151 |
| Pension plan accruals and contributions | $0 |
| Other employee benefits | $129 |
| Payroll taxes | $1,447 |
| Fees for services: Management | $0 |
| Fees for services: Legal | $675 |
| Fees for services: Accounting | $400 |
| Fees for services: Lobbying | $0 |
| Fees for services: Fundraising | $0 |
| Fees for services: Investment Management | $0 |
| Fees for services: Other | $0 |
| Advertising and promotion | $0 |
| Office expenses | $10,301 |
| Information technology | $2,726 |
| Royalties | $0 |
| Occupancy | $2,247 |
| Travel | $167 |
| Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
| Conferences, conventions, and meetings | $28 |
| Interest | $0 |
| Payments to affiliates | $0 |
| Depreciation, depletion, and amortization | $1,769 |
| Insurance | $2,766 |
| All other expenses | $289 |
| Total functional expenses | $59,803 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $0 |
| Savings and temporary cash investments | $0 |
| Pledges and grants receivable | $0 |
| Accounts receivable, net | $0 |
| Loans from Officers, Directors, or Controlling Persons | $0 |
| Loans from Disqualified Persons | $0 |
| Notes and loans receivable | $0 |
| Inventories for sale or use | $0 |
| Prepaid expenses and deferred charges | $0 |
| Net Land, buildings, and equipment | $0 |
| Investments—publicly traded securities | $0 |
| Investments—other securities | $0 |
| Investments—program-related | $0 |
| Intangible assets | $0 |
| Other assets | $0 |
| Total assets | $0 |
| Accounts payable and accrued expenses | $0 |
| Grants payable | $0 |
| Deferred revenue | $0 |
| Tax-exempt bond liabilities | $0 |
| Escrow or custodial account liability | $0 |
| Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
| Secured mortgages and notes payable | $0 |
| Unsecured mortgages and notes payable | $0 |
| Other liabilities | $0 |
| Total liabilities | $0 |
| Unrestricted restricted net Assets | $0 |
| Temporarily restricted net Assets | $0 |
| Permanently restricted net Assets or current funds | $0 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Total net assets or fund balances | $0 |