DYERSVILLE HEALTH FOUNDATION INC: Form 990EZ, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- DYERSVILLE HEALTH FOUNDATION INC (EIN 20-5383271)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-11
- IRS object ID
- 201141319349201264
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-11T12:17:17-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205383271 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DYERSVILLE HEALTH FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DYER | NameControl |
| Phone | 5638752933 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 3RD STREET SW | AddressLine1 |
| City | DYERSVILLE | City |
| State | IA | State |
| ZIP Code | 52040 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Elizabeth Lechtenberg | Name |
| Title | executive director | Title |
| Phone | 5638752933 | Phone |
| Date Signed | 2011-05-11 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Web Site | www.mercydubuque.com/body.cfm?id=106 | WebSite |
| Organization501c | X | Organization501c |
| Gross Receipts | 151252 | GrossReceipts |
| Contributions Gifts Grants Etc | 72622 | ContributionsGiftsGrantsEtc |
| Membership Dues | 3380 | MembershipDues |
| Investment Income | 7555 | InvestmentIncome |
| Is Any Revenue From Gaming | X | IsAnyRevenueFromGaming |
| Special Events Gross Revenue | 3584 | SpecialEventsGrossRevenue |
| Special Events Direct Expenses | 1078 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 2506 | SpecialEventsNetIncomeLoss |
| Gross Sales Of Inventory | 62489 | GrossSalesOfInventory |
| Cost Of Goods Sold | 43040 | CostOfGoodsSold |
| Gro Profit Loss Sales Of Inventory | 19449 | GroProfitLossSalesOfInventory |
| Other Revenue Total | 1622 | OtherRevenueTotal |
| Total Revenue | 107134 | TotalRevenue |
| Grants And Similar Amounts Paid | 170132 | GrantsAndSimilarAmountsPaid |
| Other Expenses Total | 3928 | OtherExpensesTotal |
| Total Expenses | 174060 | TotalExpenses |
| Excess Or Deficit For Year | -66926 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 642423 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 72975 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 648472 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91448 | BOY |
| EOY | 123022 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 626986 | BOY |
| EOY | 610176 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 718434 | BOY |
| EOY | 733198 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76011 | BOY |
| EOY | 84726 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 642423 | BOY |
| EOY | 648472 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | TO SUPPORT THE HEALING AND SERVICE TO THE SICK AND POOR AND TO FURTHER THE MISSION OF TRINITY HEALTH CORPORATION AND MERCY HEALTH SERVICES, IOWA, CORP. (D/B/A MERCY MEDICAL CENTER - DYERSVILLE). | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | PROVIDED VOLUNTEER HEALING AND NURSING SERVICES FOR OAK CREST manor NURSING HOME, MERCY HOSPITAL, AND THE ELLEN KENNEDY LIVING CENTER; PROVIDED NURSING SCHOLARSHIPS; SERVES TO SUPPORT MERCY MEDICAL CENTER-DYERSVILLE THROUGH VOLUNTEER AND FUNDRAISING ACTIVITIES. | DescriptionProgramServiceAccom |
| Grants And Allocations | 170132 | GrantsAndAllocations |
| Program Service Expenses | 174060 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 174060 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (19 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| ROBERT MCCABE | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | CHAIR | 0.50 | 0 | 0 | 0 |
| DAVID SCHROEDER | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | VICE CHAIR | 0.50 | 0 | 0 | 0 |
| AL WESSELS | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | SECRETARY | 0.50 | 0 | 0 | 0 |
| TOM LUCAS | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | TREASURER | 0.50 | 0 | 0 | 0 |
| LAVERN BIRD | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| MICHELLE CARTON | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| ANGELA ENGLISH | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| GARY GUETZKO | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| DORIS KOOPMANN | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| KAREN KRAMER | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| JANE MCCLEAN | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| STEVE SALTER | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR until 12/09 | 0.50 | 0 | 0 | 0 |
| MARY UNGS-SOGAARD | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| DAN TAUKE | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| JULIE UNGS | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| KARI WITTMEYER | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR | 0.50 | 0 | 0 | 0 |
| DIANE THieR | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR AS OF 2/10 | 0.50 | 0 | 0 | 0 |
| JULIE WIENEKE | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | DIRECTOR AS OF 2/10 | 0.50 | 0 | 0 | 0 |
| JEANETTE DIGMANN | ||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | EXECUTIVE DIRECTOR until 4/10 | 40.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | elizabeth lechtenberg | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 3rd street sw | AddressLine1 |
| City | dyersville | City |
| State | IA | State |
| ZIP Code | 52040 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5638752933 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Tot Num Cntrct Pd Over100 K Prof Ser | 0 | TotNumCntrctPdOver100KProfSer |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| ELLEN KENNEDY LIVING CENTER | |||||
| 421472720 | 9 | 1 | 1 | 1 | $0 |
| MERCY HEALTH SERVICES-IOWA CORP (DBA MERCY MEDICAL CENTER-DYERSVILLE) | |||||
| 311373080 | 3 | 1 | 1 | 1 | $168,932 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 168932 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | The organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract. | Declaration |