DEWITT MEDICAL FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
DEWITT MEDICAL FOUNDATION (EIN 74-2765845)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-11
IRS object ID
202122239349300322
Schema version
2019v5.2
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

FieldValueIRS element (for citing)
Return2021-08-11T08:24:09-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN742556792PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ILENE B GOHMERT CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1117 E CHURCHAddressLine1Txt
CityCUEROCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77954ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN742765845EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEWITT MEDICAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDEWIBusinessNameControlTxt
Phone3612750511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 N ESPLANADEAddressLine1Txt
CityCUEROCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77954ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARTIN LESKEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3612750511PhoneNum
Signature2021-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonILENE B GOHMERTPreparerPersonNm
PTINP00579148PTIN
Phone3612756142PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARTIN LESKEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 N ESPLANADEAddressLine1Txt
CityCUEROCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77954ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$202,565GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionSUPPORT CUERO COMMUNITY HOSPITALActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$119,617PYContributionsGrantsAmt
CY Contributions Grants$29,952CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$17,927PYInvestmentIncomeAmt
CY Investment Income$17,182CYInvestmentIncomeAmt
PY Other Revenue$63,662PYOtherRevenueAmt
CY Other Revenue-$11,434CYOtherRevenueAmt
PY Total Revenue$201,206PYTotalRevenueAmt
CY Total Revenue$35,700CYTotalRevenueAmt
PY Grants And Similar Paid$46,891PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$93,469CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$56,849PYOtherExpensesAmt
CY Other Expenses$48,179CYOtherExpensesAmt
PY Total Expenses$103,740PYTotalExpensesAmt
CY Total Expenses$141,648CYTotalExpensesAmt
PY Revenues Less Expenses$97,466PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$105,948CYRevenuesLessExpensesAmt
Total Assets BOY$638,741TotalAssetsBOYAmt
Total Assets EOY$548,229TotalAssetsEOYAmt
Total Liabilities BOY$7,566TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,216TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$631,175NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$545,013NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE SUPPORT TO CUERO REGIONAL HOSPITAL TO CARRY OUT HEALTH SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$129,958ExpenseAmt
Grant$93,469GrantAmt
DescPROVIDE SUPPORT TO CUERO REGIONAL HOSPITAL TO CARRY OUT HEALTH SERVICES.Desc
Total Program Service Expenses$129,958TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRANDALL JOCHIMPersonNm
Phone3612124759PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12119 VON HAEFEN RDAddressLine1Txt
CityCUEROCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77954ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
LYNN FALCONE
EXECUTIVE DIRECTOR2.00Yes (X)$0$0$0
NIKKI LANTZ
DIRECTOR10.00Yes (X)$0$0$0
LANA BRYSCH
TRUSTEE1.00Yes (X)$0$0$0
MARY SHEPPARD
TRUSTEE1.00Yes (X)$0$0$0
DR JOHN FRELS
TRUSTEE1.00Yes (X)$0$0$0
LEE ANN SOLIS
TRUSTEE1.00Yes (X)$0$0$0
HOLLY HICKEY
TRUSTEE1.00Yes (X)$0$0$0
MARVIN SAGER
TRUSTEE1.00Yes (X)$0$0$0
JUDD MILLER JR
TRUSTEE1.00Yes (X)$0$0$0
CALEY THOMAS
TRUSTEE1.00Yes (X)$0$0$0
CHARLES PAPACEK
TRUSTEE1.00Yes (X)$0$0$0
PAT WESSELS
TRUSTEE1.00Yes (X)$0$0$0
CLIFF FOULDS
TRUSTEE1.00Yes (X)$0$0$0
SUZIE POST
TRUSTEE1.00Yes (X)$0$0$0
CLARENCE WESSELS
TRUSTEE1.00Yes (X)$0$0$0
MARTIN LESKE
PRESIDENT2.00$0$0$0Yes (X)
SUZANNE BELL
VICE-PRESIDENT2.00$0$0$0Yes (X)
RANDALL JOCHIM
TREASURER2.00$0$0$0Yes (X)
MICHAEL CHAVEZ
SECRETARY2.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$29,952AllOtherContributionsAmt
Total Contributions$29,952TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,606TotalRevenueColumnAmt
Related Or Exempt Func Income$10,606RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$155,019SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$148,443SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,576SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,576TotalRevenueColumnAmt
Related Or Exempt Func Income$6,576RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$6,988FundraisingGrossIncomeAmt
Fundraising Direct Expenses$18,422FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,434TotalRevenueColumnAmt
Exclusion-$11,434ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,700TotalRevenueColumnAmt
Related Or Exempt Func Income$17,182RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$11,434ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$93,469TotalAmt
Program Services$93,469ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,640TotalAmt
Management And General$3,640ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,876TotalAmt
Management And General$4,876ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,805TotalAmt
Management And General$1,805ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$375TotalAmt
Management And General$375ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OUTSIDE SERVICES$36,489$36,489
OPERATING SUPPLIES$304$304
CREDIT CARD FEES$288$288
REPAIRS & MAINTENANCE$200$200

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$202TotalAmt
Management And General$202ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$141,648TotalAmt
Program Services$129,958ProgramServicesAmt
Management And General$11,690ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$178,757BOYAmt
EOY$110,582EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$85,190BOYAmt
EOY$74,474EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$374,794BOYAmt
EOY$363,173EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$638,741BOYAmt
EOY$548,229EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,566BOYAmt
EOY$3,216EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,566BOYAmt
EOY$3,216EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$631,175BOYAmt
EOY$545,013EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$631,175BOYAmt
EOY$545,013EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$638,741BOYAmt
EOY$548,229EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$105,948ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$19,786NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescREUSS ANNUITYDesc
Amt$3,216Amt
FieldValueIRS element (for citing)
Total Liability$3,216TotalLiabilityAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CUERO REGIONAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12550 N ESPLANADE STAddressLine1Txt
CityCUEROCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77954ZIPCd
FieldValueIRS element (for citing)
Recipient EIN746075588RecipientEIN
Cash Grant$90,469CashGrantAmt
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED BY THE TREASURER AND BOARD MEMBERS.
FORM 990, PART VI, SECTION C, LINE 19DEWITT MEDICAL FOUNDATION'S MEETINGS ARE OPEN TO THE PUBLIC AND ALL INFORMATION IS AVAILABLE WHEN REQUESTED.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.