2015-09-15T13:02:51-05:00 2015-04-30 450250958 EIDE BAILLY LLP 1545 ASSOCIATES DR STE 101 DUBUQUE IA 52002 990 2014-05-01 421340993 Buchanan County Health Trust Inc BUCH 3193347204 1600 1st Street East Independence IA 506443155 Susie Bevans President 3193347204 2015-09-15 1 Carmen Krantz P00031958 5635561790 2015-09-15 2014 2016-04-25 22:37:26Z Susie Bevans 1600 1st Street East Independence IA 506443155 265663 0 X n/a X 1989 IA Ensure all citizens maintain access to quality health care 8 8 0 10 0 0 25380 243778 0 0 38401 18115 -265 -4646 63516 257247 0 9885 0 0 14213 15627 0 0 0 3048 3657 17261 29169 46255 228078 1584914 1811370 21429 16916 1563485 1794454 X Buchanan County Health Trust is organized exclusively to benefit and support the medical and health care needs for persons within Buchanan County and other exempt organizations. 0 0 26065 9885 Buchanan County Health Trust originated with the foresight of providing funds for health-related projects across Buchanan County. Gifts help ensure that all citizens maintain access to quality health care. Gifts to the Health Trust are not spent, but instead added to our endowment. The interest generated is then used to support organizations that are dedicated to improving the health of all Buchanan County citizens.Since its inception, the total fund balance has grown to approximately $1.75 million. To date, the Trust has provided approximately $475,000 in grants to more than 130 health-related projects.The Buchanan County Health Trust holds an annual dinner and auction fundraiser. In 2014, the event had gross receipts over $20,000. 26065 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X Ben Stevens 3193320880 1600 1st Street East Independence IA 506443155 X Judy Ferreter President 0.30 X X 0 0 0 Paul Gudenkauf Vice President 0.30 X X 0 0 0 Sherri Kavalier Secretary/Treasurer 0.30 X X 0 0 0 Ann Kegler Director 0.30 X 0 0 0 Denise Rorabaugh Director 0.30 X 0 0 0 Dr Erica Smith Director until January 2015 0.30 X 0 0 0 Tammy Young Director until January 2015 0.30 X 0 0 0 Stephanie Berns Director 0.30 X 0 0 0 Don Sabin Director 0.30 X 0 0 0 Susie Bevans Director 0.30 X 0 0 0 0 0 0 0 0 0 0 0 16853 226925 243778 18115 18115 3770 16853 8416 -4646 -4646 257247 0 0 13469 9885 9885 15627 15627 1815 1815 553 553 1289 1289 29169 26065 3104 0 1432181 1651137 152733 160233 1584914 1811370 18614 16916 2815 21429 16916 X 1563485 1794454 1563485 1794454 1584914 1811370 228078 2891 0 X 0 0 0 X 38822 30432 25276 25380 243778 363688 38822 30432 25276 25380 243778 363688 191209 172479 21883 12167 12665 38401 18115 103231 466919 40707 0.36940 0.54620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED Dinner/Auction 20623 16853 3770 2068 3770 1000 1578 20623 16853 3770 2068 3770 1000 1578 8416 -4646 1 Peoples Memorial Hospital 1600 First St East Independence IA 50644 420727498 501(c)(3) 9885 Grant for equipment and expenses 1 Part I, Line 2: Buchanan County Health Trust, Inc. gives support to Peoples Memorial Hospital, a 501(c)(3) organization. Providing funds for health-related projects to ensure citizens maintain access to quality health care is fulfilling the exempt purpose of the Trust. The board determines the amount of the funds. Form 990, Part VI, Section A, line 8b The Organization does not have committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11 The Form 990 is presented and reviewed by all board members before it is filed. The 990 is also reviewed by the Associate Administrator - CFO of Buchanan County Health Center. Form 990, Part VI, Section B, line 12c All board members are required to annually complete a conflict of interest form and disclose to the board any interest in a contract or other transactions that could cause a conflict of interest. The board then determines by majority vote whether the disclosure shows that a conflict of interest exists or can reasonably be construed to exist. If a conflict exists, the board member is not allowed to vote on or use personal influence or participate in the discussion or deliberations with respect to the contract or transaction. The board member may be asked to leave the meeting and the discussion and determination is documented in the minutes. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request.