DEWITT MEDICAL FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
DEWITT MEDICAL FOUNDATION (EIN 74-2765845)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-09
IRS object ID
201922219349301652
Schema version
2017v2.3
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)
Return2019-08-09T15:47:02-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

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 Begin2017-10-01TaxPeriodBeginDt

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
Signature2019-08-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonILENE B GOHMERTPreparerPersonNm
PTINP00579148PTIN
Phone3612756142PhoneNum
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.253.50.18IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-09IPDt
IP Tm15:46:08IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8E6354FDFC66700265F5D66C79FA1E173E3A84E1AtSubmissionCreationDeviceId
At Submission Filing Device IdD8897D8782E6063E8926F17BE2B6CF4C1613CCADAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$272,624GrossReceiptsAmt
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 Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$101,470PYContributionsGrantsAmt
CY Contributions Grants$3,775CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$15,348PYInvestmentIncomeAmt
CY Investment Income$14,383CYInvestmentIncomeAmt
PY Other Revenue$182,643PYOtherRevenueAmt
CY Other Revenue$6,985CYOtherRevenueAmt
PY Total Revenue$299,461PYTotalRevenueAmt
CY Total Revenue$25,143CYTotalRevenueAmt
PY Grants And Similar Paid$130,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,000CYGrantsAndSimilarPaidAmt
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$45,996PYOtherExpensesAmt
CY Other Expenses$44,393CYOtherExpensesAmt
PY Total Expenses$175,996PYTotalExpensesAmt
CY Total Expenses$47,393CYTotalExpensesAmt
PY Revenues Less Expenses$123,465PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$22,250CYRevenuesLessExpensesAmt
Total Assets BOY$567,436TotalAssetsBOYAmt
Total Assets EOY$545,361TotalAssetsEOYAmt
Total Liabilities BOY$15,490TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,652TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$551,946NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$533,709NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE SUPPORT TO CUERO REGIONAL HOSPITAL TO CARRY OUT HEALTH SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$32,347ExpenseAmt
Grant$3,000GrantAmt
DescPROVIDE SUPPORT TO CUERO REGIONAL HOSPITAL TO CARRY OUT HEALTH SERVICES.Desc
Total Program Service Expenses$32,347TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
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
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
MICHAEL CHAVEZ
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)
CLIFF FOULDS
VICE-PRESIDENT2.00$0$0$0Yes (X)
RANDALL JOCHIM
TREASURER2.00$0$0$0Yes (X)
SUZANNE BELL
SECRETARY2.00$0$0$0Yes (X)
LYNN FALCONE
EXECUTIVE DIRECTOR2.00$0$0$0Yes (X)
NIKKI LANTZ
COORDINATOR10.00$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$3,775AllOtherContributionsAmt
Total Contributions$3,775TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,357TotalRevenueColumnAmt
Related Or Exempt Func Income$6,357RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$245,179SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$237,153SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$8,026SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,026TotalRevenueColumnAmt
Related Or Exempt Func Income$8,026RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$17,313FundraisingGrossIncomeAmt
Fundraising Direct Expenses$10,328FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,985TotalRevenueColumnAmt
Exclusion$6,985ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,143TotalRevenueColumnAmt
Related Or Exempt Func Income$14,383RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,985ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,000TotalAmt
Program Services$3,000ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,460TotalAmt
Management And General$3,460ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,627TotalAmt
Management And General$4,627ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,277TotalAmt
Management And General$1,277ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$886TotalAmt
Management And General$886ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,477TotalAmt
Management And General$4,477ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OUTSIDE SERVICES$29,347$29,347
CREDIT CARD FEES/BANK C$312$312
POSTAGE & FREIGHT$7$7

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$47,393TotalAmt
Program Services$32,347ProgramServicesAmt
Management And General$15,046ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$123,073BOYAmt
EOY$91,958EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$197,606BOYAmt
EOY$90,083EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$246,757BOYAmt
EOY$363,320EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$567,436BOYAmt
EOY$545,361EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,490BOYAmt
EOY$11,652EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,490BOYAmt
EOY$11,652EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

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$551,946BOYAmt
EOY$533,709EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$551,946BOYAmt
EOY$533,709EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$567,436BOYAmt
EOY$545,361EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$22,250ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,013NetUnrlzdGainsLossesInvstAmt
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 D IRS990ScheduleD

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

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescREUSS ANNUITYDesc
Amt$11,652Amt
FieldValueIRS element (for citing)
Total Liability$11,652TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$1,875GrossReceiptsEvent1Amt
Gross Revenue Event1$1,875GrossRevenueEvent1Amt
Food And Beverage Event1$1,340FoodAndBeverageEvent1Amt
Entertainment Event1$3,250EntertainmentEvent1Amt
Other Direct Expenses Event1$1,105OtherDirectExpensesEvent1Amt
Event2DUELING PIANOSEvent2Nm
Gross Receipts Event2$15,338GrossReceiptsEvent2Amt
Gross Revenue Event2$15,338GrossRevenueEvent2Amt
Rent Facility Costs Event2$3,079RentFacilityCostsEvent2Amt
Entertainment Event2$1,000EntertainmentEvent2Amt
Other Direct Expenses Event2$554OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$100GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$100GrossRevenueOtherEventsAmt
Gross Receipts Total$17,313GrossReceiptsTotalAmt
Gross Revenue Total Events$17,313GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$3,079RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,340FoodAndBeverageTotalEventsAmt
Entertainment Total Events$4,250EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$1,659OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$10,328DirectExpenseSummaryEventsAmt
Net Income Summary$6,985NetIncomeSummaryAmt

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.

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