2016-08-08T08:07:22-05:00 2015-12-31 420216090 DEWITT BANK AND TRUST CO 607 9TH STREET DEWITT IA 52742 990 2015-01-01 391883528 DEWITT COMMUNITY HOSPITAL FOUNDATION DEWI 5636594233 1118 - 11TH ST DEWITT IA 52742 ROBIN KROGMAN FOUNDATION DIRECTOR 5636594233 2016-04-14 true GREGORY J CASEL P00100205 5636595175 2016-04-14 2015 2016-12-15 16:53:06Z ROBIN KROGMAN 1118 - 11TH STREET DEWITT IA 52742 180803 false X WWW.GENESISHEALTH.COM/GIVE X 1997 IA THE 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. 24 24 2 68 0 95929 46611 0 46623 47054 54130 58410 196682 152075 59219 66331 0 58571 59766 0 38357 34569 42316 152359 168413 44323 -16338 1534938 1459311 6981 6985 1527957 1452326 X THE 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. false false 91669 66331 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. 91669 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 2 true false false false false false false false false false false false false X 24 24 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 STREET DEWITT IA 52742 MARK WITTE CHAIR 0.21 X X 0 0 0 MIKE BARNES VICE CHAIR 0.75 X X 0 0 0 BARRY VOSLER TREASURER 0.13 X X 0 0 0 PAT HENRICKSEN SECRETARY 1.74 X X 0 0 0 CORINA ANDRESEN DIRECTOR 0.51 X 0 0 0 BARB BILLHORN DIRECTOR 0.56 X 0 0 0 DAVE BOECKMANN DIRECTOR 0.16 X 0 0 0 CRAIG BORMANN DIRECTOR 0.51 X 0 0 0 JEAN BORMANN DIRECTOR 0.49 X 0 0 0 DIANE CLAEYS DIRECTOR 0.33 X 0 0 0 ILENE DECKERT DIRECTOR 0.17 X 0 0 0 DEB FOX DIRECTOR 0.05 X 0 0 0 ROGER HILL DIRECTOR 0.04 X 0 0 0 MIKE JACOBS DIRECTOR 0.11 X 0 0 0 TAMMY LAURSEN DIRECTOR 0.40 X 0 0 0 TONY MANATT DIRECTOR 0.16 X 0 0 0 JIM NELSON DIRECTOR 0.16 X 0 0 0 DICK POLANSKY DIRECTOR 0.62 X 0 0 0 KATHY ROLLINGS DIRECTOR 0.08 X 0 0 0 MARY RUETER DIRECTOR 0.06 X 0 0 0 STEVE THAYER DIRECTOR 1.11 X 0 0 0 TRACI PAULSEN DIRECTOR 0.07 X 0 0 0 MIKE SELBY DIRECTOR 0.30 X 0 0 0 MYRNA TUBBS DIRECTOR 0.48 X X 0 0 0 CURT COLEMAN EX OFFICIO-N X 0 0 0 ANGELA RHEINGANS FOUND DIR -N 40.00 X 49564 0 0 ROBIN KROGMAN FOUNDATION D 40.00 X 4077 0 0 53641 false false false 46611 46611 15866 15866 31188 31188 31188 31188 87138 28728 58410 152075 31188 15866 54093 54093 12238 12238 53641 26820 26821 2021 -1 1011 1011 4104 2052 2052 8473 8473 2891 2891 18839 18839 OUTSIDE SERVICES 6130 6130 DUES & SUBSCRIPTIONS 2963 2963 OTHER EXPENSES 1563 1563 INVESTMENT FEES 811 811 646 646 168413 91669 38387 38357 583871 533084 145 145 950922 926082 1534938 1459311 1939 1943 5042 5042 6981 6985 X 1084401 999282 443556 453044 1527957 1452326 1534938 1459311 -16338 -59293 X false false X 109739 115256 822572 95929 46611 1190107 109739 115256 822572 95929 46611 1190107 1190107 9138 9426 7161 9911 15866 51502 -4536 -7359 38451 54130 80686 1322295 154700 0.90000 0.91320 X PART II, LINE 10 NET INCOME OR LOSS FROM FUND RAISING 80,686 301798 600000 27440 929238 246370 55428 301798 204417 41953 246370 204554 -137 204417 false false IA GOLF OUTING 41126 41126 13063 WPFTC 26602 26602 14430 1 16958 16958 84686 84686 27493 27493 57193 false GENESIS HEALTH SYSTEM-IOWA 1118 - 11TH STREET DEWITT IA 52742 421418847 501 54093 SUPPORT HEALTHCARE EDUCATION ASSISTANCE 6 12238 FORM 990 - ORGANIZATION'S MISSION THE 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. FORM 990, PAGE 6, PART VI, LINE 11B PRIOR TO FILING FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX THE RETURN IS REVIEWED BY THE DCHF EXECUTIVE BOARD. ANY REVISIONS NOTED ARE CORRECTED AND THEN THE FINAL RETURN IS SIGNED BY AN EXECUTIVE BOARD MEMBER. FORM 990, PAGE 6, PART VI, LINE 12C ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF THE BOARD OR BOARD COMMITTEE OF DEWITT COMMUNITY HOSPITAL FOUNDATION, SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT WILL BE CONSIDERED BY THE DIRECTOR, THE BOARD, OR A 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 INTEREST MAY MAKE A 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 WITH ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE APPLICABLE TRANSACTION OR ARRANGEMENT. FORM 990, PAGE 6, PART VI, LINE 15A REVIEWED BY EXECUTIVE BOARD OF DIRECTORS FORM 990, PAGE 6, PART VI, LINE 19 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, UPON REQUEST.