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Nonprofiteer
← CHIPPEWA VALLEY HEALTH CLINIC INC

Form 990 for tax year 2022

Filed by CHIPPEWA VALLEY HEALTH CLINIC INC.

Totals

Total revenue
$1,045,111
Total expenses
$516,349
Contributions and grants received
$996,626
Grants paid
$0
Program service revenue
$0
Investment income
$13,976
Other revenue
$34,509
Total assets, end of year
$2,688,045
Total liabilities, end of year
$7,163
Net assets or fund balances, end of year
$2,680,882
Program services expenses (Part IX)
$401,892
Management and general expenses
$100,276
Fundraising expenses
$14,181
Program service expenses (Part III)
$401,892

Program services were 77.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $47,773

  • 1e · Government grants (contributions)

    $96,797

  • 1f · All other contributions, gifts and grants

    $852,056

  • 1g · Noncash contributions included above

    $31,135

  • 3 · Investment income

    total $13,976 · excluded $13,976

  • 6a · Gross rents

    real property $34,249

  • 6c · Rental income or loss

    real property $34,249

  • 6d · Net rental income or loss

    total $34,249 · excluded $34,249

  • 8a · Fundraising events: gross income

    $18,497

  • 8a · Fundraising events: contributions included on line 1c

    $47,773

  • 8b · Fundraising events: direct expenses

    $18,497

  • 11a · Other revenue: MISCELLANEOUS INCOME

    total $260 · related or exempt $260

  • 11e · Other revenue, total

    $260

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $103,578 · program services $67,326 · management and general $25,894 · fundraising $10,358

  • 7 · Other salaries and wages

    total $201,531 · program services $163,087 · management and general $37,204 · fundraising $1,240

  • 10 · Payroll taxes

    total $26,487 · program services $20,123 · management and general $5,377 · fundraising $987

  • 11g · Fees: other

    total $25,668 · program services $23,101 · management and general $2,567

  • 13 · Office expenses

    total $8,073 · program services $7,479 · management and general $594

  • 16 · Occupancy

    total $8,256 · program services $3,136 · management and general $4,936 · fundraising $184

  • 17 · Travel

    total $1,544 · management and general $1,544

  • 22 · Depreciation, depletion and amortization

    total $33,991 · program services $16,996 · management and general $16,995

  • 23 · Insurance

    total $3,749 · program services $3,375 · management and general $374

  • 24a · Other expenses: REPAIRS AND MAINTENANCE

    total $36,136 · program services $32,523 · management and general $3,613

  • 24b · Other expenses: MEDICATION EXPENSES

    total $32,936 · program services $32,936

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $18,614 · program services $18,614

  • 24d · Other expenses: TRANSCRIPTION EXPENSE

    total $7,930 · program services $7,930

  • 24e · All other expenses

    total $7,856 · program services $5,266 · management and general $1,178 · fundraising $1,412

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $389,986 · end of year $197,187

  • 2 · Savings and temporary cash investments

    beginning of year $584,053 · end of year $1,308,419

  • 3 · Pledges and grants receivable

    beginning of year $26,724 · end of year $30,757

  • 8 · Inventories for sale or use

    beginning of year $15,631 · end of year $26,253

  • 10a · Land, buildings and equipment: cost or other basis

    $1,175,222

  • 10b · Land, buildings and equipment: accumulated depreciation

    $191,323

  • 10c · Land, buildings and equipment, net

    beginning of year $1,011,632 · end of year $983,899

  • 11 · Investments: publicly traded securities

    beginning of year $127,862 · end of year $141,530

  • 17 · Accounts payable and accrued expenses

    beginning of year $13,748 · end of year $7,163

  • 27 · Net assets without donor restrictions

    beginning of year $2,137,840 · end of year $2,670,882

  • 28 · Net assets with donor restrictions

    beginning of year $4,300 · end of year $10,000

Mission and programs · 2022

Mission

PROVIDE QUALITY HEALTH CARE AND ADVOCACY FOR INDIVIDUALS OF THE CHIPPEWA VALLEY WHO HAVE NO REASONABLE HEALTH CARE ALTERNATIVE. ESTABLISHED IN 1997, IT IS A PRIMARY CARE CLINIC THAT DEPENDS ON VOLUNTEERS AND GENEROUS COMMUNITY SUPPORT. IT SERVES ALL PATIENTS WITHOUT REGARD TO PERSONAL, SOCIAL, POLITICAL, OR FAMILIAL BELIEFS AND CHARACTERISTICS. THE CLINIC'S VISION IS TO BE THE HEALTH CARE SAFETY NET FOR THE UNINSURED, UNDERINSURED, AND VULNERABLE POPULATIONS OF THE CHIPPEWA VALLEY. ITS MISSION AND VISION ARE GUIDED BY THE FOLLOWING VALUES: HEALTH IS A HUMAN RIGHT, RESPECT, DIGNITY, ACCOUNTABILITY, RELIABILITY, STEWARDSHIP, AND EXCELLENCE.

Activities or mission (Part I)

PROVIDE HEALTH RELATED, SOCIAL SERVICE NEEDS AND HEALTH EDUCATION TO PERSONS IN FINANCIAL NEED.

  • MEDICAL VOLUNTEERS EACH WEEK PROVIDED HEALTH SCREENINGS, DENTAL & VISION CARE, AND PRIMARY HEALTH CARE REFERRAL FOR HEALTH RELATED OR SOCIAL SERVICE NEEDS AND HEALTH EDUCATION TO PERSONS WHOSE FINANCIAL STATUS IMPAIRS THEIR ACCESS TO HEALTH AND MEDICAL SERVICES.

    Expenses $401,892 · Revenue $260

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Maribeth Woodford

    EXECUTIVE DI

    Total calculated
    $103,578
    From this org
    $103,578
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Travis Christman

    DIRECTOR (BE

    Total calculated
    $0
    Hours/week
    1

  • Corey Conrath

    DIRECTOR (EN

    Total calculated
    $0
    Hours/week
    1

  • Mel Jahnke

    DIRECTOR (EN

    Total calculated
    $0
    Hours/week
    1

  • Thomas Misfeldt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • John Panzigrau

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Daniel Pohnl

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Hanna Richard

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Lisa Schiller

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Penny Svee

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Sean Tarpenning

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Victoria Vandezande

    VICE-PRESIDE

    Total calculated
    $0
    Hours/week
    1

  • Scott Webb

    DIRECTOR (BE

    Total calculated
    $0
    Hours/week
    1

  • Steve Weiss

    DIRECTOR (EN

    Total calculated
    $0
    Hours/week
    1

  • Lori Whitis

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
28 November 2023
IRS schema version
2022v5.0
Source object
202343499349300809

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