2014-05-14T14:24:56-05:00 2013-12-31 DEWITT BANK AND TRUST CO 607 9TH STREET DEWITT IA 52742 990 2013-01-01 391883528 DEWITT COMMUNITY HOSPITAL FOUNDATION DEWI 5636594233 1118 - 11TH ST DEWITT IA 52742 ANGELA RHEINGANS FOUNDATION DIRECTOR 5636594233 2014-04-24 true GREGORY J CASEL P00100205 5636595175 2014-05-14 2013 2015-11-30 17:44:51Z ANGELA RHEINGANS 1118 - 11TH STREET DEWITT IA 52742 930882 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 1 60 0 115256 822572 0 17833 33583 -7359 38451 125730 894606 54051 95069 0 41682 56550 0 30373 21068 51893 116801 203512 8929 691094 798000 1507890 12349 7109 785651 1500781 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 112400 95069 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. IN 2013, CASH GRANTS WERE DIRECTED TOWARDS: AMBULANCE, TREATMENT RECLINER, VITAL SIGN MACHINES W/STANDS, EXAM TABLES, FURNITURE, LANDSCAPING, COMPUTER UPGRADES, DATA WIRING, CONTINUING HEALTHCARE EDUCATION AND THE COST OF A HOSPITAL VISIT BASED UPON A QUALIFIED NEED. ALSO INCLUDED WERE FUNDS FOR A LOCAL EVENT SPONSORSHIP. 112400 true true 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 false false false false false false false false false false false false false false false false false false false true 1 0 false 1 true false false false false false true true false false false false false false X 24 24 false false false false false false false true true false false true true true true true true false false false X ANGELA RHEINGANS 5636594233 1118 - 11TH STREET DEWITT IA 52742 MARK WITTE CHAIR 0.25 X X 0 0 0 MIKE BARNES VICE CHAIR 0.60 X X 0 0 0 BARRY VOSLER TREASURER 0.19 X X 0 0 0 PAT HENRICKSEN SECRETARY 1.59 X X 0 0 0 CORINA ANDRESEN DIRECTOR 0.19 X 0 0 0 BARB BILLHORN DIRECTOR 0.27 X 0 0 0 DAVE BOECKMANN DIRECTOR 0.23 X 0 0 0 CRAIG BORMANN DIRECTOR 0.45 X 0 0 0 JEAN BORMANN DIRECTOR 0.18 X 0 0 0 DIANE CLAEYS DIRECTOR 0.21 X 0 0 0 ILENE DECKERT DIRECTOR 0.16 X 0 0 0 DEB FOX DIRECTOR 0.09 X 0 0 0 ROGER HILL DIRECTOR 0.14 X 0 0 0 MIKE JACOBS DIRECTOR 0.03 X 0 0 0 STEVE KENT DIRECTOR 0.12 X 0 0 0 TAMMY LAURSEN DIRECTOR 0.33 X 0 0 0 TONY MANATT DIRECTOR 0.18 X 0 0 0 BRANDON MAHER DIRECTOR 0.27 X 0 0 0 JIM NELSON DIRECTOR 0.18 X 0 0 0 DICK POLANSKY DIRECTOR 0.52 X 0 0 0 KATHY ROLLINGS DIRECTOR 0.17 X 0 0 0 MARY RUETER DIRECTOR 0.14 X 0 0 0 STEVE THAYER DIRECTOR 1.16 X 0 0 0 MYRNA TUBBS DIRECTOR 0.28 X 0 0 0 CURT COLEMAN EX OFFICIO-N 0.16 X 0 0 0 ANGELA RHEINGANS FOUND DIR -N 40.00 X 52622 0 0 52622 false false false 822572 822572 7161 7161 26422 26422 26422 26422 74727 36276 38451 894606 33583 89250 89250 5819 5819 52622 26311 26311 3928 1964 1964 2098 2098 561 561 3433 3433 15000 15000 BAD DEBTS 17832 17832 OUTSIDE SERVICES 6280 6280 OTHER EXPENSES 4358 4358 DUES & SUBSCRIPTIONS 2331 2331 203512 112400 60739 30373 509937 1183856 4445 13178 582 270440 323452 798000 1507890 7904 1873 4445 5236 12349 7109 X 557480 1110748 228171 390033 785651 1500781 798000 1507890 691094 24036 X false false X 119841 142149 109739 115256 822572 1309557 119841 142149 109739 115256 822572 1309557 1309557 8845 8475 9138 9426 7161 43045 -2612 -4536 -7359 38451 23944 1376546 142289 0.95130 0.94000 X PART II, LINE 10 NET INCOME OR LOSS FROM FUND RAISING 23,944 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 246370 55428 301798 204417 41953 246370 204554 -137 204417 168679 35875 204554 104078 64601 168979 true false SCHEDULE D, PAGE 4, PART XIII PART V LINE 4: DEWITT COMMUNITY HOSPITAL FOUNDATION SEEKS TO ENSURE THE FUTURE VIABILITY OF GENESIS MEDICAL CENTER, DEWITT, THROUGH THE ESTABLISHMENT, GROWTH, AND PROPER USE OF AN UNRESTRICTED ENDOWEMENT FUND. GENESIS MEDICAL CENTER, DEWITT IS LOCATED AT 1118 - 11TH STREET, DEWITT, IA 52742, IS A BUSINESS UNIT OF GENESIS HEALTH SYSTEM (EIN42-1418847) LOCATED AT 1227 EAST RUSHOLME STREET, DAVENPORT, IA 52803. X X X X X false IA GOLF OUTING 43452 43452 14889 WPFTC 13956 13956 11256 17319 17319 10131 74727 74727 36276 36276 38451 false GENESIS HEALTH SYSTEM-IOWA 1118 - 11TH STREET DEWITT IA 52742 421418847 501 89250 SUPPORT HEALTHCARE 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 19 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, UPON REQUEST.