2023-07-25T10:19:28-04:00 2022-12-31 420933516 Ohnward Tax and Accounting 107 East Quarry Street Maquoketa IA 52060 990 2022-01-01 391883528 DEWITT COMMUNITY HOSPITAL FOUNDATION DEWI 1118 11TH ST DE WITT IA 52742 MARK WITTE PRESIDENT 5636594233 2023-05-11 true MARK WITTE John Franzen P00050698 5636527810 2023-07-25 0 00 AAL1 IAL1 2022 2023-04-26 12:10:37Z 213556 false X WWW.GENESISHEALTH.COM/GIVE X 1997 IA SEE SCHEDULE O. 19 19 2 19 0 0 1998292 92963 0 126187 40307 22453 44465 2146932 177735 1565234 832861 0 67106 70405 0 65581 19069 51577 1651409 954843 495523 -777108 3328855 2258267 5284 3536 3323571 2254731 X SEE SCHEDULE O. false false 843021 832861 85292 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. 843021 true true 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 true 2 true false false false false false false false false false false false false false false X 19 19 false false false false false false false true true false false true true true true true true true false false X ROBIN KROGMAN 5636594233 1118 11TH ST DE WITT IA 52742 X MARY RUETER DIRECTOR 0.10 0.00 X 0 0 0 STEVE THAYER DIRECTOR 0.10 0.00 X 0 0 0 KATHY ROLLINGS DIRECTOR 0.10 0.00 X 0 0 0 TONY MANATT DIRECTOR 0.10 0.00 X 0 0 0 JIM NELSON DIRECTOR 0.10 0.00 X 0 0 0 TRACI PAULSEN DIRECTOR 0.10 0.00 X 0 0 0 WILL FROESCHLE DIRECTOR 0.10 0.00 X 0 0 0 HEATHER OHNEMUS DIRECTOR 0.10 0.00 X 0 0 0 CURT COLEMAN EX OFFICIO-NON VOTE 0.10 0.00 X 0 0 0 ADAM GRAVERT DIRECTOR 0.10 0.00 X 0 0 0 MYRNA TUBBS DIRECTOR 0.10 0.00 X 0 0 0 DIANE CLAEYS DIRECTOR 0.10 0.00 X 0 0 0 JEAN BORMANN DIRECTOR 0.10 0.00 X 0 0 0 CORINA ANDERSEN DIRECTOR 0.10 0.00 X 0 0 0 ILENE DECKERT DIRECTOR 0.10 0.00 X 0 0 0 TAMMY LAURSEN DIRECTOR 0.10 0.00 X 0 0 0 MIKE JACOBS DIRECTOR 0.10 0.00 X 0 0 0 ROGER HILL DIRECTOR 0.10 0.00 X 0 0 0 MIKE BARNES VICE CHAIR 0.50 0.00 X X 0 0 0 MARK WITTE CHAIRMAN OF THE BOARD 0.50 0.00 X X 0 0 0 PAT HENRICKSEN SECRETARY 0.50 0.00 X X 0 0 0 BARRY VOSLER TREASURER 0.50 0.00 X X 0 0 0 ROBIN KROGMAN FOUNDATION DIRECTOR 40.00 0.00 X 0 0 0 0 0 0 0 false false false 92963 92963 31138 31138 9169 9169 9169 9169 80286 35821 44465 44465 177735 0 0 84772 824027 824027 8834 8834 60320 30160 30160 3400 3400 1810 905 905 4875 2568 2307 4588 4588 3490 3490 1220 1220 64 64 2770 2327 443 OUTSIDE SERVICES 6549 6549 DUES & SUBSCRIPTIONS 4177 4177 LIFE INS PREMIUMS 28719 28719 954843 843021 46241 65581 596838 339613 1170352 610517 1561665 1308137 3328855 2258267 5284 3536 5284 3536 X 1781736 868636 1541835 1386095 3323571 2254731 3328855 2258267 -777108 -291732 0 X false false false X 51659 214141 1709364 1998292 92963 4066419 51659 214141 1709364 1998292 92963 4066419 4066419 34473 33207 24830 24454 31138 148102 4214521 337364 0.96490 0.85150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 556064 -93872 462192 488501 67563 556064 420667 67834 488501 344907 75760 420667 373402 -28495 344907 false false Endowment funds intended uses (Part V, line 4) THE ENDOWMENT FUNDS INTENDED USES ARE 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. GOLF OUTING 42711 42711 14977 WPFTC 34825 34825 15472 2 2750 2750 5372 80286 80286 35821 35821 44465 false WELLSPIRE LLC 5508 NW 88TH ST STE 120 JOHNSTON IA 50131 833724025 501 778039 SUPPORT HEALTHCARE GENESIS HEALTH SERVICES FOUNDATION 1230 E RUSHOLME ST DAVENPORT IA 52803 421421670 501 15000 PHILANTHROPY SERVICES EDUCATION ASSISTANCE 5 6500 HELMETS FOR KIDS 325 2294 MAMMOGRAM COST PROVIDED TO THOSE IN NEED 10 685 Form 990 governing body review Part VI line 11 FORM 990, PART VI, LINE 11B - ORGANIZATIONS PROCESS TO REVIEW FORM 990 PRIOR TO FILING FORM 990 RETURN OF ORGANIZAION EXEMPT FROM INCOME TAX. THE RETURN IS REVIEWED BY THE DEWITT COMMUNITY HOSPITAL FOUNDATION EXECUTIVE BOARD. ANY REVISIONS NOTED ARE CORRECTED AND THEN THE FINAL RETURN IS SIGNED BY AN EXECUTIVE OF THE BOARD. Conflict of interest policy compliance Part VI line 12c FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY.ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, MEMBER OF THE BOARD OR BOARD COMMITTEE OF DEWITT COMMUNITY HOSPITAL FOUNDATION (DCHF), SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT COULD BE CONSIDERED A POTENTIAL CONFLICT BY THE DIRECTOR, THE BOARD, OR 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 INTERST MAY MAKE A FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY- CONTUINUED..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 BE WITH/THRU ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE APPLICABLE TRANSACTON OR ARRANGEMENT. CEO executive director top management comp Part VI line 15a COMPENSATION PROCESS FOR THE TOP OFFICIAL IS REVIEWED BY THE EXECUTIVE BOARD OF DIRECTORS. Governing documents etc available to public Part VI line 19 FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION.THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, UPON REQUEST. Part III response or note to any other line in Part III FORM 990 - ORGANIZATIONS MISSIONTHE 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.