2019-05-03T09:47:19-04:00 2018-12-31 420808359 Ohnward Tax and Accounting 203 N Main St Maquoketa IA 52060 990 2018-01-01 391883528 DEWITT COMMUNITY HOSPITAL FOUNDATION DEWI 1118 11TH ST De Witt IA 52742 MARK WITTE CHAIRMAN OF THE 5636594233 2019-04-26 true John Franzen P00050698 5636522491 2019-05-03 165.225.0.80 2019-05-03 09:48:58 4232362019123tg4kw4t 2019-05-03 P CC8C614EA34ACBC127E029A09869F56C9B2B6FDE CC8C614EA34ACBC127E029A09869F56C9B2B6FDE 2018 2019-02-21 02:37:17Z 340678 false X WWW.GENESISHEALTH.COM/GIVE X 1997 IA SEE SCHEDULE O. 20 20 2 20 0 0 100754 51659 0 70625 190502 58304 60210 229683 302371 67726 197826 0 60967 63726 0 35637 49182 34888 177875 296440 51808 5931 1886257 1576023 7806 6525 1878451 1569498 X SEE SCHEDULE O. false false 216976 197826 THE PRIMARY EXEMPT PURPOSE OF THE DEWITT COMMUNITY HOSPITAL FOUNDATION IS TO PROVIDE FUNDING FOR SPECIFIC ITEMS AND OR PROGRAMS OF GENESIS MEDICAL CENTER, DEWITT NOT OTHERWISE PROVIDED FOR BY ITS OPERATIONAL BUDGET. 216976 true false false false false false false false false true false false false false false false false false false false false false false false true false false true true false false false false false false false false false false false false false false false false false false true 0 0 true 2 true false false false false false false false false false false false false false false X 20 20 false false false false false false false true true false false false true true true true true true false false IA X ROBIN KROGMAN 5636594233 1118 11TH ST De Witt IA 52742 MARK WITTE CHAIR 0.50 0.00 X X 0 0 0 MIKE BARNES VICE CHAIR 0.50 0.00 X X 0 0 0 BARRY VOSLER TREASURER 0.50 0.00 X X 0 0 0 PAT HENRICKSEN SECRETARY 0.00 0.00 X X 0 0 0 CORINA ANDERSEN DIRECTOR 0.10 0.00 X 0 0 0 CRAIG BORMANN DIRECTOR 0.10 0.00 X 0 0 0 JEAN BORMANN DIRECTOR 0.10 0.00 X 0 0 0 DIANE CLAEYS DIRECTOR 0.10 0.00 X 0 0 0 ILENE DECKERT DIRECTOR 0.10 0.00 X 0 0 0 ROGER HILL DIRECTOR 0.10 0.00 X 0 0 0 MIKE JACOBS DIRECTOR 0.10 0.00 X 0 0 0 TAMMY LAURSEN DIRECTOR 0.10 0.00 X 0 0 0 TONY MANATT DIRECTOR 0.10 0.00 X 0 0 0 JIM NELSON DIRECTOR 0.10 0.00 X 0 0 0 KATHY ROLLINGS DIRECTOR 0.10 0.00 X 0 0 0 MARY RUETER DIRECTOR 0.10 0.00 X 0 0 0 STEVE THAYER DIRECTOR 0.10 0.00 X 0 0 0 TRACI PAULSEN DIRECTOR 0.10 0.00 X 0 0 0 ADAM GRAVERT DIRECTOR 0.10 0.00 X 0 0 0 MYRNA TUBBS DIRECTOR 0.10 0.00 X 0 0 0 CURT COLEMAN EX OFFICIO-NON VOTE 0.10 0.00 X 0 0 0 ROBIN KROGMAN FOUNDATION DIRECTOR 40.00 0.00 X 57058 0 0 57058 0 0 0 false false false 51659 51659 34473 34473 156029 156029 156029 156029 98517 38307 60210 60210 302371 0 0 250712 176430 176430 21396 21396 57057 28529 28528 581 581 1679 840 839 4409 2205 2204 1041 1041 4066 4066 659 659 15618 15618 OUTSIDE SERVICES 8142 8142 DUES & SUBSCRIPTIONS 1970 1970 OTHER EXPENSES 2489 2489 SUPPLIES 903 903 296440 216976 43827 35637 277673 87959 1608584 1488064 1886257 1576023 2764 1483 5042 5042 7806 6525 X 1345167 813573 533284 755925 1878451 1569498 1886257 1576023 5931 -309071 -5813 0 X false false X 95929 46611 262620 100754 51659 557573 95929 46611 262620 100754 51659 557573 557573 9911 15866 16220 27286 34473 103756 54130 54130 715459 662629 0.77930 0.44880 X Other income Part II line 10 or Part III line 12 NET INCOME OR LOSS FROM FUND RAISING $54,130 373402 -28495 344907 317760 55642 373402 302760 15000 317760 319315 -3868 12687 302760 301798 17517 319315 1.00000 false false GOLF OUTING 60617 60617 19233 WPFTC 29400 29400 19074 1 8500 8500 98517 98517 38307 38307 60210 false GENESIS HEALTH SYSTEM- IOWA 1118 11TH ST De Witt IA 52742 421418847 501 176430 SUPPORT HEALTHCARE EDUCATION ASSISTANCE 13 21396 Form 990 governing body review Part VI line 11 FORM 990, PART VI, LINE 11B - ORGANIZATIONS PROCESS TO REVIEW FORM 990 PRIOR TO FILING FORM 990 RETURN OF ORGANIZAION EXEMPT FROM INCOME TAX. THE RETURN IS REVIEWED BY THE DEWITT COMMUNITY HOSPITAL FOUNDATION EXECUTIVE BOARD. ANY REVISIONS NOTED ARE CORRECTED AND THEN THE FINAL RETURN IS SIGNED BY AN EXECUTIVE OF THE BOARD. Conflict of interest policy compliance Part VI line 12c FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY.ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, MEMBER OF THE BOARD OR BOARD COMMITTEE OF DEWITT COMMUNITY HOSPITAL FOUNDATION (DCHF), SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT COULD BE CONSIDERED A POTENTIAL CONFLICT BY THE DIRECTOR, THE BOARD, OR COMMITTEE OF THE BOARD. COVERED PERSONS ARE REQUIRED ANNUALLY TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILY, OR BUSINESS RELATIONS THAT REASONABLY COULD GIVE RISE TO AN INTEREST OR CONFLICT INVOLVING DCHF, AND ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS FAMILIAR WITH AND IS IN COMPLIANCE WITH THE LETTER AND SPIRIT OF THIS POLICY. ANY COVERED PERSON FOUND TO HAVE A CONFLICT OF INTERST MAY MAKE A FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY- CONTUINUED..PRESENTATION AT THE BOARD OR COMMITTEE MEETING TO PRESENT INFORMATION AND ADDRESS ANY QUESTIONS RAISED BY OTHER DIRECTORS OR COMMITTEE MEMBERS. SAID PERSON SHALL NOT BE ALLOWED TO ACTIVELY AND AGGRESSIVELY ADVOCATE IN HIS OR HER OWN BEHALF NOR SHALL SUCH COMMUNICATION AND DISCUSSION BE WITH/THRU ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE APPLICABLE TRANSACTON OR ARRANGEMENT. CEO executive director top management comp Part VI line 15a COMPENSATION PROCESS FOR THE TOP OFFICIAL IS REVIEWED BY THE EXECUTIVE BOARD OF DIRECTORS. Governing documents etc available to public Part VI line 19 FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION.THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, UPON REQUEST. Part III response or note to any other line in Part III FORM 990 - ORGANIZATIONS MISSIONTHE MISSION OF THE DEWITT COMMUNITY HOSPITAL FOUNDATION IS TO SUPPORT THE MISSION OF GENESIS MEDICAL CENTER, DEWITT AND OTHER HEALTH CARE RELATED NEEDS, BY PROMOTING HEALTH CARE AWARENESS AND CREATING OPPORTUNITIES FOR FINANCIAL GIVING.