2020-11-16T13:37:50-06:00 2019-12-31 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2019-01-01 481112955 CITIZENS FOUNDATION % RYAN STOVER CITI 7854627511 100 E COLLEGE DRIVE COLBY KS 67701 GREG UNRUH CEO 7854627511 2020-11-15 true SHAWNELL LINOT P01663908 3162652811 167.68.126.162 48010220203215000029 2020-11-16 P 066B6432F8DC24BA6735E6E2B8FCFDB371380179 1E18B200E692A862BC78DEF5BEBFB82C16DD5F39 2019 2021-01-29 14:40:06Z GREG UNRUH 100 E COLLEGE DR COLBY KS 67701 335028 false X WWW.CMCIKS.COM/FOUNDATION X 1991 KS FUNDRAISING FOR THE BENEFIT OF CITIZENS MEDICAL CENTER, INC. 7 7 0 25 0 95889 278053 0 0 16522 32755 -12078 -13941 100333 296867 16260 386000 0 0 0 0 0 0 0 12654 21843 28914 407843 71419 -110976 1938927 2051801 236 811 1938691 2050990 X TO SUPPORT HEALTH CARE, TREATMENT, HEALTH RELATED EDUCATION, AS WELL AS THE PROMOTION OF HEALTH AND WELLNESS FOR NORTHWEST KANSAS. 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Golf Tournament 50055 29435 20620 200 1704 1891 2875 5006 0 50055 29435 20620 200 1704 1891 2875 5006 11676 8944 true CITIZENS MEDICAL CENTER 100 E COLLEGE DRIVE COLBY KS 67701 480892178 501(C)(3) 380000 CAPITAL EQUIPMENT, MINOR EQUIPMENT, AND HEALTH CARE EXPANSION 1 SCHOLARSHIPS 4 6000 SCHEDULE I, PART I, LINE 2 CITIZENS FOUNDATION ONLY MADE GRANTS TO CITIZENS MEDICAL CENTER, INC., A 501(C)(3) ORGANIZATION. THE FUNDS WILL BE MONITORED BY CITIZENS MEDICAL CENTER, INC. CITIZENS FOUNDATION AWARDS FOUR SCHOLARSHIPS ANNUALLY TO INDIVIDUALS WHO ARE STUDYING IN HEALTHCARE FIELDS INCLUDING, BUT NOT LIMITED TO: NURSING, LAB, RADIOLOGY, THERAPY, DIETETICS, MEDICAL RECORDS, TRANSCRIPTION, GERIATRICS, MD, DO, ARNP, PA, PHARMACY, SOCIAL SERVICES, OR HEALTHCARE ADMINISTRATION. CANDIDATES MUST COMPLETE AN APPLICATION AND ARE INTERVIEWED BY THE FOUNDATION EXECUTIVE DIRECTOR AND EDUCATION MANAGER. THE FOUNDATION BOARD AND CEO APPROVE THE FINAL SCHOLARSHIP RECIPIENTS. THE SCHOLARSHIP RECIPIENTS ARE RESPONSIBLE FOR TRACKING THE FUNDS AFTER AWARDS ARE MADE. FORM 990, PART III, LINE 1 TO PROMOTE HEALTH AND WELLBEING OF PEOPLE THROUGH THE DEVELOPMENT, PROMOTION, IMPROVEMENT, AND SUPPORT OF ALL FORMS OF HEALTHCARE SERVICE AND MEANS FOR THE DELIVERY OF SUCH SERVICE AS WELL AS THE SUPPORT AND ENHANCEMENT OF EXISTING HEALTH CARE TREATMENT FACILITIES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAD 7 MEMBERS ON THE BOARD OF DIRECTORS AND 24 VOTING MEMBERS AS OF 12/31/2019. THE VOTING MEMBERS ELECT THE MEMBERS OF THE BOARD OF DIRECTORS AND VOTE ON SUCH OTHER MATTERS AS ARE SUBMITTED TO A VOTE. FORM 990, PART VI, SECTION A, LINE 7A CITIZENS FOUNDATION HAS 24 VOTING MEMBERS RESPONSIBLE FOR ELECTING AND OVERSEEING THE GOVERNING BODY, KNOWN AS THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR MANAGING THE AFFAIRS OF THE FOUNDATION. THE BOARD OF DIRECTORS MAY SUBMIT OTHER MATTERS TO THE VOTING MEMBERS FOR A VOTE. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACOUNTING FIRM PREPARES THE FORM 990. THE ORGANIZATION'S BOARD OF DIRECTORS THEN REVIEWS THE COMPLETE FORM 990 AND ALL REQUIRED SCHEDULES. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST DICLOSURE FORM IS PROVIDED WITH A COPY OF THE CURRENT CONFLICT OF INTEREST POLICY. THE DISCLOSURE FORM IS COMPLETED BY EACH MEMBER UPON ELECTION AND ANNUALLY THEREAFTER. IF A CONFLICT IS DISCOVERED, THE MEMBER CONCERNED IS NOT ALLOWED TO VOTE ON THE RELATED MATTER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.