DEWITT MEDICAL FOUNDATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
DEWITT MEDICAL FOUNDATION (EIN 74-2765845)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-05-08
IRS object ID
201711289349300341
Schema version
2015v3.0
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)
Return2017-05-08T16:59:12-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

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 Begin2015-10-01TaxPeriodBeginDt

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)
PersonDR JOHN FRELSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3615507382PhoneNum
Signature2017-05-08SignatureDt
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)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR JOHN FRELSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 CL DUCKETTAddressLine1Txt
CityCUEROCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77954ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$170,310GrossReceiptsAmt
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$102,119PYContributionsGrantsAmt
CY Contributions Grants$3,985CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$3,743PYInvestmentIncomeAmt
CY Investment Income$8,147CYInvestmentIncomeAmt
PY Other Revenue$346,386PYOtherRevenueAmt
CY Other Revenue-$1,447CYOtherRevenueAmt
PY Total Revenue$452,248PYTotalRevenueAmt
CY Total Revenue$10,685CYTotalRevenueAmt
PY Grants And Similar Paid$797,433PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,706CYGrantsAndSimilarPaidAmt
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$51,186PYOtherExpensesAmt
CY Other Expenses$42,904CYOtherExpensesAmt
PY Total Expenses$848,619PYTotalExpensesAmt
CY Total Expenses$50,610CYTotalExpensesAmt
PY Revenues Less Expenses-$396,371PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$39,925CYRevenuesLessExpensesAmt
Total Assets BOY$490,890TotalAssetsBOYAmt
Total Assets EOY$447,577TotalAssetsEOYAmt
Total Liabilities BOY$22,484TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,096TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$468,406NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$428,481NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE SUPPORT TO CUERO COMMUNITY HOSPITAL TO CARRY OUT HEALTH SERVICESMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,327ExpenseAmt
Grant$7,706GrantAmt
DescPROVIDE SUPPORT TO CUERO COMMUNITY HOSPITAL TO CARRY OUT HEALTH SERVICESDesc
Total Program Service Expenses$11,327TotalProgramServiceExpensesAmt
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 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
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)
PersonSUZIE POSTPersonNm
Phone3612756191PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12550 N ESPLANADEAddressLine1Txt
CityCUEROCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77954ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
SUZANNE BELL
TRUSTEE1.00Yes (X)$0$0$0
JILL CRAIN
TRUSTEE1.00Yes (X)$0$0$0
CLIFF FOULDS
TRUSTEE1.00Yes (X)$0$0$0
RANDY JOCHIM
TRUSTEE1.00Yes (X)$0$0$0
JUDD MILLER JR
TRUSTEE1.00Yes (X)$0$0$0
CHARLES PAPACEK
TRUSTEE1.00Yes (X)$0$0$0
LAURIE POKLUDA
TRUSTEE1.00Yes (X)$0$0$0
DONNA ROEDER
TRUSTEE1.00Yes (X)$0$0$0
MARVIN SAGER
TRUSTEE1.00Yes (X)$0$0$0
CALEY THOMAS
TRUSTEE1.00Yes (X)$0$0$0
JOHN FRELS
PRESIDENT2.00$0$0$0Yes (X)
MARTIN LESKE
VICE-PRESIDENT2.00$0$0$0Yes (X)
SUZIE POST
TREASURER2.00$0$0$0Yes (X)
BETTY SAMPLE
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$3,985AllOtherContributionsAmt
Total Contributions$3,985TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,126TotalRevenueColumnAmt
Related Or Exempt Func Income$5,126RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$136,359SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$133,338SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,021SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,021TotalRevenueColumnAmt
Related Or Exempt Func Income$3,021RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$24,044FundraisingGrossIncomeAmt
Fundraising Direct Expenses$26,287FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,243TotalRevenueColumnAmt
Exclusion-$2,243ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$796TotalRevenueColumnAmt
Related Or Exempt Func Income$796RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$796OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,685TotalRevenueColumnAmt
Related Or Exempt Func Income$8,943RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$2,243ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$7,706TotalAmt
Program Services$7,706ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,880TotalAmt
Management And General$3,880ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,621TotalAmt
Program Services$3,621ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,229TotalAmt
Management And General$1,229ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,190TotalAmt
Management And General$1,190ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$200TotalAmt
Management And General$200ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,340TotalAmt
Management And General$1,340ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
OUTSIDE SERVICES$28,800$28,800
OPERATING SUPPLIES$1,714$1,714
CREDIT CARD FEES/BANK C$466$466
POSTAGE & FREIGHT$273$273

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$191TotalAmt
Management And General$191ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$50,610TotalAmt
Program Services$11,327ProgramServicesAmt
Management And General$39,283ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$103,854BOYAmt
EOY$65,396EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$252,329BOYAmt
EOY$228,229EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$13,500EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$134,707BOYAmt
EOY$140,452EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$490,890BOYAmt
EOY$447,577EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,484BOYAmt
EOY$19,096EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,484BOYAmt
EOY$19,096EOYAmt
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$468,406BOYAmt
EOY$428,481EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$468,406BOYAmt
EOY$428,481EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$490,890BOYAmt
EOY$447,577EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$39,925ReconcilationRevenueExpnssAmt
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$19,096Amt
FieldValueIRS element (for citing)
Total Liability$19,096TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DUELING PIANOSEvent1Nm
Gross Receipts Event1$15,007GrossReceiptsEvent1Amt
Gross Revenue Event1$15,007GrossRevenueEvent1Amt
Entertainment Event1$1,359EntertainmentEvent1Amt
Other Direct Expenses Event1$1,685OtherDirectExpensesEvent1Amt
Event2GALAEvent2Nm
Gross Receipts Event2$8,815GrossReceiptsEvent2Amt
Gross Revenue Event2$8,815GrossRevenueEvent2Amt
Rent Facility Costs Event2$3,765RentFacilityCostsEvent2Amt
Entertainment Event2$2,000EntertainmentEvent2Amt
Other Direct Expenses Event2$311OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$222GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$222GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$17,167OthDirectExpnssOtherEventsAmt
Gross Receipts Total$24,044GrossReceiptsTotalAmt
Gross Revenue Total Events$24,044GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$3,765RentFcltyCostsTotalEventsAmt
Entertainment Total Events$3,359EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$19,163OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$26,287DirectExpenseSummaryEventsAmt
Net Income Summary-$2,243NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11FORM 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.