COMMUNITY BLOOD CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY BLOOD CENTER INC (EIN 39-0906273)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-08-05
IRS object ID: 201342179349300444
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
Form 990
Schedule A
Schedule D
Schedule J
Schedule K
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-05T11:21:00-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	391173131	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCHENCK SC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 E WASHINGTON ST PO BOX 1739	AddressLine1
City	APPLETON	City
State	WI	State
ZIP Code	549121739	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	390906273	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY BLOOD CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl
Phone	9207383131	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4406 W SPENCER STREET	AddressLine1
City	APPLETON	City
State	WI	State
ZIP Code	54914	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RICK HART	Name
Title	PRESIDENT	Title
Phone	9207383131	Phone
Date Signed	2013-07-12	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MIKE VANDEN HOGEN	Name
PTIN	P00499282	PTIN
Phone	9207318111	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RICK HART	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	4406 W SPENCER STREET	AddressLine1
City	APPLETON	City
State	WI	State
ZIP Code	54914	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	17485512	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SAVE3LIVES.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1955	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	THE PURPOSE OF THIS ORGANIZATION SHALL BE TO SUPERVISE AND PERFORM THE COLLECTION, PROCESSING AND DISTRIBUTION OF BLOOD, BLOOD COMPONENTS AND OTHER RELATED PRODUCTS, TO HOSPITALS OR TO OTHER BLOOD CENTERS. TO ENGAGE IN OTHER EXCLUSIVE CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES AND ENDEAVORS INCLUDING PARTICIPATION IN ANY BUSINESS OR ENTERPRISE TO PROCURE FUNDS FOR THE FOREGOING, INCLUDING ALSO THE SOLICITATION OF FUNDS FOR THE FINANCIAL SUPPORT OF ITS PURPOSE AND OBJECTIVES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	188	TotalNbrEmployees
Total Nbr Volunteers	250	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	72516	ContributionsGrantsPriorYear
Contributions Grants Current Year	14137	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	15649916	ProgramServiceRevenuePriorYear
Program Service Revenue CY	17206750	ProgramServiceRevenueCY
Investment Income Prior Year	182826	InvestmentIncomePriorYear
Investment Income Current Year	264625	InvestmentIncomeCurrentYear
Other Revenue Prior Year	17	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	15905275	TotalRevenuePriorYear
Total Revenue Current Year	17485512	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	6881263	SalariesEtcPriorYear
Salaries Etc Current Year	7473545	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	7646986	OtherExpensePriorYear
Other Expenses Current Year	8116386	OtherExpensesCurrentYear
Total Expenses Prior Year	14528249	TotalExpensesPriorYear
Total Expenses Current Year	15589931	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1377026	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1895581	RevenuesLessExpensesCY
Total Assets BOY	18007259	TotalAssetsBOY
Total Assets EOY	20655337	TotalAssetsEOY
Total Liabilities BOY	2275784	TotalLiabilitiesBOY
Total Liabilities EOY	2190660	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	15731475	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	18464677	NetAssetsOrFundBalancesEOY
Mission Description	THE COMMUNITY BLOOD CENTER PROVIDES RELIABLE, HIGH QUALITY BLOOD PRODUCTS AND SERVICES THAT SAVE LIVES IN THE COMMUNITIES WE SERVE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	12868005	Expense
Revenue	17152863	Revenue
Description	COMMUNITY BLOOD CENTER PROVIDES 100% OF THE BLOOD TO 18 HOSPITALS THROUGHOUT NORTHEASTERN WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. IN 2012 WE COLLECTED MORE THAN 51,000 UNITS OF RED BLOOD CELLS THAT WE THEN TESTED, PROCESSED AND DISTRIBUTED TO HOSPITALS FOR BLOOD TRANSFUSION TO PATIENTS IN NEED. WE ARE ALSO ONE OF THE LOWEST COST PROVIDERS OF BLOOD IN THE NATION THROUGH OUR DEDICATION TO COST CONTAINMENT AND EFFICIENCY.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	112698	Expense
Revenue	53887	Revenue
Description	BONE MARROW DONOR MATCHING PROGRAM	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	12980703	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	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	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
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
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	7	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	188	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
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
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	1	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	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	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	LORI GLYNN	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	9207383131	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4406 W SPENCER STREET	AddressLine1
City	APPLETON	City
State	WI	State
ZIP Code	54914	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
CULLEN H HENSHAW MD TERM 2015
MEMBER	1.00	X	0	0	0
BEN VOGEL TERM END 2014
MEMBER	1.00	X	0	0	0
JOHN M WOLLNER TERM END 2015
EXECUTIVE CHAIR	1.00	X	0	0	0	X
MARGI MANN TERM END 2014
MEMBER	1.00	X	0	0	0
CURT DETJEN TERM END 2013
MEMBER	1.00	X	0	0	0
DAN FLANNERY TERM END 2013
MEMBER	1.00	X	0	0	0
MARY HAYES TERM END 2012
MEMBER	1.00	X	0	0	0
THERESA MOORE TERM END 2013
MEMBER	1.00	X	0	0	0
STEVE SEIFERT TERM END 2015
MEMBER	1.00	X	0	0	0
MICHAEL WISE TERM END 2013
MEMBER	1.00	X	0	0	0
NANCY JOHNSHOY TERM END 2015
PAST CHAIR	1.00	X	0	0	0
MARK KEHRBERG MD TERM END 2015
MEMBER	1.00	X	0	0	0
JO ANN LANG TERM END 2015
SECRETARY	1.00	X	0	0	0	X
RICK SCHINLER TERM END 2013
TREASURER	1.00	X	0	0	0	X
JIM VANDERMISSEN TERM END 2015
VICE CHAIR	1.00	X	0	0	0	X
RICK HART
PRESIDENT	40.00	X	200851	0	24507	X
LORI GLYNN
DIRECTOR OF FINANCE	40.00		96465	0	24034	X
ANDREA MICHAUD
V.P.COLLECTIONS	40.00		122252	0	25547		X
MATT MCCARTER
V.P.CUSTOMER RELATIONS AND LAB OPERATIONS	40.00		148153	0	10292		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	567721	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	84380	TotalOtherCompensation
Number Individuals GT100 K	3	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LIFESOURCE DONOR TESTING
FIVE PARKWAY CENTER 875 GREENTREE	PITTSBURG	PA	15220	BLOOD TESTING SERVICES	231438
PROPHIT MARKETING INC
154 N BROADWAY	GREEN BAY	WI	54303	MARKETING	177783
E-FREIGHT COURIER
PO BOX 13885	WAUWATOSA	WI	532130885	COURIER SERVICES	143629
FEDEX
PO BOX 94515	PALATINE	IL	600944515	COURIER SERVICES	132344

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
All Other Contributions	14137	AllOtherContributions
Total Contributions	14137	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RED BLOOD CELLS	621500	9700682	9700682
APHERESIS PROCEDURES	621500	4796333	4796333
RECOVERED PLASMA	621500	1364153	1364153
COMPONENTS	621500	744408	744408
OTHER TESTING AND FEES	621500	505049	505049

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	96125	TotalRevenueColumn
Related Or Exempt Function Income	96125	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	17206750	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	264075	TotalRevenueColumn
Exclusion	$264,075	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	550	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	550	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	550	TotalRevenueColumn
Exclusion	$550	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	17485512	TotalRevenueColumn
Related Or Exempt Function Income	17206750	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$264,625	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	345857	Total
Management And General	345857	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5631887	Total
Program Services	4394152	ProgramServices
Management And General	1237735	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	217888	Total
Program Services	172154	ProgramServices
Management And General	45734	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	789739	Total
Program Services	599275	ProgramServices
Management And General	190464	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	488174	Total
Program Services	298485	ProgramServices
Management And General	189689	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	9583	Total
Management And General	9583	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	62425	Total
Management And General	62425	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2606401	Total
Program Services	2525407	ProgramServices
Management And General	80994	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	163463	Total
Program Services	156978	ProgramServices
Management And General	6485	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	123154	Total
Program Services	106497	ProgramServices
Management And General	16657	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	294254	Total
Program Services	291829	ProgramServices
Management And General	2425	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	197455	Total
Program Services	141725	ProgramServices
Management And General	55730	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	201895	Total
Program Services	161019	ProgramServices
Management And General	40876	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	41990	Total
Program Services	26255	ProgramServices
Management And General	15735	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	13912	Total
Management And General	13912	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	290121	Total
Program Services	175676	ProgramServices
Management And General	114445	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	242797	Total
Program Services	205729	ProgramServices
Management And General	37068	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES AND PURCHASED	2900969	2895777	5192
REPAIRS AND MAINTENANCE	324536	195748	128788
SHIPPING AND HANDLING	313404	313404

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	330027	Total
Program Services	320593	ProgramServices
Management And General	9434	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	15589931	Total
Program Services	12980703	ProgramServices
Management And General	2609228	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	207	BOY
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1574904	BOY
EOY	737472	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1971437	BOY
EOY	2092588	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	420058	BOY
EOY	411817	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	174892	BOY
EOY	225454	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	10025164	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3615052	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	6236538	BOY
EOY	6410112	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	7374491	BOY
EOY	10205072	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	170475	BOY
EOY	480802	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	84257	BOY
EOY	92020	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	18007259	BOY
EOY	20655337	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	892678	BOY
EOY	982574	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	1383106	BOY
EOY	1208086	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2275784	BOY
EOY	2190660	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	15724621	BOY
EOY	18448180	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6854	BOY
EOY	16497	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	15731475	BOY
EOY	18464677	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	18007259	BOY
EOY	20655337	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1895581	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	822819	ReconciliationUnrealizedInvest
Reconcilation Other Changes	14802	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

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	95379	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	45748	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	63568	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	72516	CurrentTaxYearMinus1Year
Current Tax Year	68024	CurrentTaxYear
Total	345235	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	16067597	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	17366362	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	15878330	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	15649916	CurrentTaxYearMinus1Year
Current Tax Year	17152863	CurrentTaxYear
Total	82115068	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	16162976	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	17412110	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	15941898	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	15722432	CurrentTaxYearMinus1Year
Current Tax Year	17220887	CurrentTaxYear
Total	82460303	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)
Current Tax Year Minus1 Year	10966712	CurrentTaxYearMinus1Year
Current Tax Year	11721187	CurrentTaxYear
Total	22687899	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	10966712	CurrentTaxYearMinus1Year
Current Tax Year	11721187	CurrentTaxYear
Total	22687899	Total

Field	Value	IRS element (for citing)
Public Support Total509	59772404	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	-210162	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	106800	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	178861	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	176478	CurrentTaxYearMinus1Year
Current Tax Year	264075	CurrentTaxYear
Total	516052	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	-210162	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	106800	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	178861	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	176478	CurrentTaxYearMinus1Year
Current Tax Year	264075	CurrentTaxYear
Total	516052	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1098	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	70	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	17	CurrentTaxYearMinus1Year
Total	1195	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	15953912	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	17518920	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	16120829	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	15898927	CurrentTaxYearMinus1Year
Current Tax Year	17484962	CurrentTaxYear
Total	82977550	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.72030	PublicSupportPercentage509
Prior Year Support Percentage	0.85640	PriorYearSupportPercentage
Investment Income Percentage	0.00620	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00600	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	84257	BeginningOfYearBalance
Investment Earnings Or Losses	9160	InvestmentEarningsOrLosses
Administrative Expenses	1397	AdministrativeExpenses
End Of Year Balance	92020	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	86035	BeginningOfYearBalance
Investment Earnings Or Losses	-52	InvestmentEarningsOrLosses
Administrative Expenses	1726	AdministrativeExpenses
End Of Year Balance	84257	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	76685	BeginningOfYearBalance
Investment Earnings Or Losses	10435	InvestmentEarningsOrLosses
Administrative Expenses	1085	AdministrativeExpenses
End Of Year Balance	86035	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	681582	OtherCostOrOtherBasis
Book Value	681582	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5978713	OtherCostOrOtherBasis
Depreciation	1162846	Depreciation
Book Value	4815867	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	64509	OtherCostOrOtherBasis
Depreciation	26957	Depreciation
Book Value	37552	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2395551	OtherCostOrOtherBasis
Depreciation	1806597	Depreciation
Book Value	588954	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	904809	OtherCostOrOtherBasis
Depreciation	618652	Depreciation
Book Value	286157	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	6410112	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	18323133	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	822819	NetUnrealizedGainsInvestments
Other Revenues	14802	OtherRevenues
Revenue Not Rptd F990	837621	RevenueNotRptdF990
Revenue Subtotal	17485512	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	17485512	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	15589931	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	15589931	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	15589931	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	TO SUPPORT THE MISSION OF THE ORGANIZATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		RECOVERY OF RESTITUTION

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
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 (2 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICK HART
PRESIDENT	195757	0	0	0	5094	0	11450	0	13057	0	225358	0	0	0
MATT MCCARTER
V.P.CUSTOMER RELATIONS AND LAB OPERA	148153	0	0	0	0	0	1521	0	8771	0	158445	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 3	ReturnReference
Explanation	ANNUALLY THE DIRECTOR OF HUMAN RESOURCES PROVIDES THE BOARD WITH INDEPENDENT, COMPARABLE DATA TO USE TO MAKE ANY CHANGES TO THE CEO'S COMPENSATION. THE BOARD APPROVES ANY CHANGES TO THE CEO'S COMPENSATION.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	VILLAGE OF LITTLE CHUTE WISCONSIN	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	396006304	IssuerEIN
Date Issued	2009-01-06	DateIssued
Issue Price	3500000	IssuePrice
Description Of Purpose	THE RAZING OF BUILDING, IMPROVEMENTS TO BUILDING, AND PURCHASE OF EQUIPMENT	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	685495	AmountRetired
Total Proceeds	1893581	TotalProceeds
Capital Expenditures	1893581	CapitalExpenditures
Year Of Subst Completion	2009	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	0	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	0	RebateNotDueYet
Exception To Rebate	0	ExceptionToRebate
No Rebate Due	0	NoRebateDue
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	0	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K	Identifier
Return Reference	BOND PROCEEDS	ReturnReference
Explanation	BOND PROCEEDS ARE LESS THAN TOTAL BOND ISSUE BECAUSE CAPITAL EXPENDITURE NEEDS WAS LESS THAN $3.5 MILLION.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	H. CULLEN HENSHAW M.D. AND THERESA MOORE HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11	THE BOARD MEMBERS REVIEW AND APPROVE THE FORM 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY EACH MEMBER OF THE BOARD OF DIRECTORS IS PROVIDED A CONFLICT OF INTEREST QUESTIONAIRE AND ARE REQUIRED TO COMPLETE AND SUBMIT.
FORM 990, PART VI, SECTION B, LINE 15	ANNUALLY THE DIRECTOR OF HUMAN RESOURCES PROVIDES THE BOARD WITH INDEPENDENT, COMPARABLE DATA TO USE TO MAKE ANY CHANGES TO THE CEO'S COMPENSATION. ANNUALLY THE DIRECTOR OF HUMAN RESOURCES DOES A REVIEW OF OUR WAGE RANGES COMPARING THEM TO EXTERNAL SURVEYS AND OTHER DATA TO MAKE SURE WE ARE COMPETITIVE. THIS INFORMATION IS USED TO DETERMINE CHANGES IN KEY EMPLOYEE'S COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS, INCLUDING GOVERNING, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	PROFESSIONAL SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 80,994. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,994. TESTING FEES: PROGRAM SERVICE EXPENSES 2,525,407. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,525,407.	OTHER FEES
FORM 990, PART XI, LINE 9:	RECOVERY OF RESTITUTION 14,802.	CHANGES IN NET ASSETS OR FUND BALANCES: