2013-09-13T14:36:54-05:00 2013-04-30 450250958 EIDE BAILLY LLP 3999 PENNSYLVANIA AVE SUITE 100 DUBUQUE IA 52002 990 2012-05-01 421340993 BUCHANAN COUNTY HEALTH TRUST INC BUCH 3193347204 1600 1ST STREET EAST INDEPENDENCE IA 506443155 DON SABIN 3193347204 2013-08-22 1 CARMEN KRANTZ P00031958 5635561790 2013-08-22 2012 2016-02-24 21:20:13Z DON SABIN 1600 1ST STREET EAST INDEPENDENCE IA 506443155 48956 0 X WWW.BCHEALTH.INFO/HEALTHTRUST.ASP X 1989 IA ENSURE ALL CITIZENS MAINTAIN ACCESS TO QUALITY HEALTH CARE 11 11 0 11 0 0 30432 25276 0 0 12167 12665 -335 2493 42264 40434 0 0 0 0 15253 19629 0 0 0 3596 1775 18849 21404 23415 19030 1508005 1539674 9805 22444 1498200 1517230 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 19804 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. SINCE ITS INCEPTION, THE TRUST HAS LOANED OR GRANTED FUNDS TO SEVERAL NON-PROFIT ORGANIZATIONS IN BUCHANAN COUNTY PROVIDING HEALTH CARE SERVICES, SUCH AS: - A LOAN TO BUCHANAN COUNTY HEALTH CENTER HELPED WITH CONSTRUCTION COSTS OF THE LONG TERM CARE UNIT. - A GRANT HELPED THE BRANDON FIRST RESPONDERS PURCHASE A JAWS-OF-LIFE UNIT. - A GRANT ASSISTED WITH PHYSICIAN RECRUITMENT. - A GRANT HELPED THE WINTHROP SWIMMING POOL BUY BACKBOARDS AND RESCUE EQUIPMENT. - GRANTS TO HELP THE COUNTY'S SCHOOLS AND FIRST RESPONDER UNITS PURCHASE 12 SEPARATE DEFIBRILLATORS. - GRANTS TO PURCHASE CPR TRAINING EQUIPMENT FOR EAST BUCHANAN, JESUP AND INDEPENDENCE SCHOOL DISTRICTS, AS WELL AS THE BUCHANAN COUNTY CHAPTER OF THE AMERICAN RED CROSS. - GRANTS TO THE BUCHANAN COUNTY VOLUNTEER CO-OP TO SUPPORT CRISIS CHILD CARE SERVICES, MEDICAL ASSISTANCE AND PARENTING CLASSES. - GRANTS TO HELP WITH THE PURCHASE OF EMERGENCY VEHICLES IN INDEPENDENCE, STANLEY AND LAMONT. - GRANTS TO HELP PURCHASE GENERATORS FOR BUCHANAN COUNTY EMERGENCY MANAGEMENT. - GRANTS TO HELP PURCHASE A MAMMOGRAPHY MACHINE, AN AMBULANCE AND THE NEW HELIPAD AT THE BUCHANAN COUNTY HEALTH CENTER. - A MORE THAN $30,000 TOTAL INVESTMENT IN FITNESS EQUIPMENT AT THE THERAPY & WELLNESS CONNECTION, THE AURORA COMET CENTER AND THE INDEPENDENCE HIGH SCHOOL WEIGHT ROOM. - FIRST AID SUPPLIES FOR ST. JOHN'S SCHOOL, INDEPENDENCE, KID'S CORNER DAYCARE, WINTHROP, AND BOY SCOUT TROOP 95, JESUP. - PURCHASED MORE THAN $13,000 WORTH OF VACCINE OVER 5 YEARS ALLOWING HUNDREDS OF UNPROTECTED 7TH AND 8TH GRADERS ACROSS BUCHANAN COUNTY TO RECEIVE THE HEPATITIS B VACCINE SERIES AT NO COST TO THEIR FAMILIES. - TO DATE, THE TRUST HAS PARTNERED WITH LOCAL HEALTH AND HEALTH-RELATED ORGANIZATIONS TO INVEST NEARLY $373,000 IN 90 SEPARATE PROJECTS WHICH IMPROVE HEALTH CARE FOR ALL BUCHANAN COUNTY RESIDENTS. 19804 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X ED COOPER 3193320880 1600 1ST STREET EAST INDEPENDENCE IA 506443155 X DON SABIN 0.30 X X 0 0 0 PAUL GUDENKAUF 0.30 X X 0 0 0 TAMI YOUNG 0.30 X X 0 0 0 SUSIE TOALE 0.30 X 0 0 0 DENISE RORABAUGH 0.30 X 0 0 0 JOHN CHRISTENSEN 0.30 X 0 0 0 DR ERICA SMITH 0.30 X 0 0 0 SHERRI KAVALIER 0.30 X 0 0 0 JUDY FERRETER 0.30 X 0 0 0 SUSIE BEVANS 0.30 X 0 0 0 DANIELLE GEARHART 0.30 X 0 0 0 0 0 0 0 0 0 0 0 24766 510 25276 12665 12665 11015 24766 8522 2493 2493 40434 0 0 15158 14318 14318 4216 4216 1095 1095 1600 1600 175 175 21404 19804 1600 0 1508005 1539674 1508005 1539674 9805 2815 0 19629 9805 22444 X 1498200 1517230 1498200 1517230 1508005 1539674 19030 0 X 0 0 0 X 12604 68531 38822 30432 25276 175665 12604 68531 38822 30432 25276 175665 16726 158939 57038 40603 21883 12167 12665 144356 320021 59830 0.49670 0.42920 X 0 DUE TO PEOPLE'S MEMORIAL HOSPITAL 19629 19629 DINNER/AUCTION 35781 24766 11015 1798 4317 1100 1307 35781 24766 11015 1798 4317 1100 1307 8522 2493 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.