MEDICAL CENTER HEALTH SYSTEM FOUNDATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MEDICAL CENTER HEALTH SYSTEM FOUNDATION (EIN 75-1220726)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-05-16
- IRS object ID
- 201621379349302647
- Schema version
- 2014v6.0
- 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) |
|---|---|---|
| Return | 2016-05-16T10:17:49-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 750786316 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEAVER AND TIDWELL LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 W ILLINOIS SUITE 1550 | AddressLine1Txt |
| City | MIDLAND | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 751220726 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER HEALTH SYSTEM FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEDI | BusinessNameControlTxt |
| Phone | 4326401242 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7335 | AddressLine1Txt |
| City | ODESSA | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79760 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JON RIGGS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4326401242 | PhoneNum |
| Signature | 2016-05-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES R FLATT CPA | PreparerPersonNm |
| PTIN | P00444540 | PTIN |
| Phone | 4326835226 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JON RIGGS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7335 | AddressLine1Txt |
| City | ODESSA | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79760 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $998,605 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | TO RECEIVE AND MAINTAIN FUNDS TO USE AND APPLY EXCLUSIVELY FOR THE ECTOR CO HOSPITAL DISTRICT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $668,483 | PYContributionsGrantsAmt |
| CY Contributions Grants | $719,751 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,371 | PYInvestmentIncomeAmt |
| CY Investment Income | $42,143 | CYInvestmentIncomeAmt |
| PY Other Revenue | $270,775 | PYOtherRevenueAmt |
| CY Other Revenue | $102,786 | CYOtherRevenueAmt |
| PY Total Revenue | $947,629 | PYTotalRevenueAmt |
| CY Total Revenue | $864,680 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $221,877 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,073,828 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $76,581 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $63,414 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $0 | PYOtherExpensesAmt |
| CY Other Expenses | $33,079 | CYOtherExpensesAmt |
| PY Total Expenses | $298,458 | PYTotalExpensesAmt |
| CY Total Expenses | $1,170,321 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $649,171 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$305,641 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,766,717 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,289,464 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,129,572 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $980,284 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,637,145 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,309,180 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO RECEIVE AND MAINTAIN FUNDS TO USE AND APPLY EXCLUSIVELY FOR ALL ACTIVITIES NECESSARY, USEFUL OR EXPEDIENT FOR ASSISTING AND MAINTAINING INSTITUTIONS & PROGRAMS FOR THE ECTOR COUNTY HOSPITAL DISTRICT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,137,242 | ExpenseAmt |
| Grant | $1,073,828 | GrantAmt |
| Revenue | $831,601 | RevenueAmt |
| Desc | MEDICAL CENTER HEALTH SYSTEM FOUNDATION IS CONTRACTED WITH THE CHILDREN'S MIRACLE NETWORK AND PARTICIPATES IN THE NATIONAL ORGANIZATION'S TELETHON EVERY JUNE. IN ADDITION, OTHER CMN EVENTS ARE HELD THROUGHOUT THE YEAR TO RAISE ADDITIONAL FUNDS INCLUDING; A RADIO-A-THON, A SPANISH RADIO-A-THON, MIRACLE BALLOON SALES, SPRINGFEST, BOOK FAIR, AND JEWELRY SALES. THE DONATED MONIES ARE USED EXCLUSIVELY FOR THE BENEFIT OF THE ECTOR COUNTY HOSPITAL DISTRICT, EITHER DIRECTLY OR BY CONTRIBUTION TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ITS REGULATIONS. | Desc |
| Total Program Service Expenses | $1,137,242 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JON RIGGS CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4326402402 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 W 4TH STREET | AddressLine1Txt |
| City | ODESSA | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79761 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| DELMA ABALOS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR ROBERT CHAPPELL | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PAT CANTY | ||||||
| MEMBER AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| FRANK DEADERICK | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAN HOLLMANN | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ALFRED KARICKHOFF MD | ||||||
| COMMUNITY DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JON E RIGGS | ||||||
| MCHS SR. VP / CFO | 3.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM WEBSTER | ||||||
| MCHS PRESIDENT / CEO | 3.00 | Yes (X) | $0 | $0 | $0 | |
| WAYNE BORING | ||||||
| CMN COUNCIL CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MIKE GEORGE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT BENNETT MD | ||||||
| COMMUNITY DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAY HENDRICKS | ||||||
| COMMUNITY DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LIBBY CAMPBELL | ||||||
| COMMUNITY DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KATHY MCINTYRE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ABDUL KADIR | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID NELSON | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CASEY MUSE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SUDHIR AMARAM MD | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RAVI SHAKAMURI | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN W WILKINS JR | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID BOUTIN | ||||||
| PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | |
| RENEE EARLS | ||||||
| VICE PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | |
| BETSY TRIPLETT-HURT | ||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $406,078 | FundraisingAmt |
| All Other Contributions | $313,673 | AllOtherContributionsAmt |
| Total Contributions | $719,751 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,143 | TotalRevenueColumnAmt |
| Exclusion | $42,143 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102,786 | TotalRevenueColumnAmt |
| Exclusion | $102,786 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $133,925 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $406,078 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $133,925 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $864,680 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $144,929 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,073,828 | TotalAmt |
| Program Services | $1,073,828 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,414 | TotalAmt |
| Program Services | $63,414 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,079 | TotalAmt |
| Management And General | $33,079 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,170,321 | TotalAmt |
| Program Services | $1,137,242 | ProgramServicesAmt |
| Management And General | $33,079 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,544,150 | BOYAmt |
| EOY | $1,302,046 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,000 | BOYAmt |
| EOY | $200,000 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,311 | BOYAmt |
| EOY | $267,390 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,931,256 | BOYAmt |
| EOY | $1,520,028 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,766,717 | BOYAmt |
| EOY | $3,289,464 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,997 | BOYAmt |
| EOY | $3,528 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $300,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,092,575 | BOYAmt |
| EOY | $676,756 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,129,572 | BOYAmt |
| EOY | $980,284 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $902,252 | BOYAmt |
| EOY | $233,369 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,734,893 | BOYAmt |
| EOY | $2,075,811 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,637,145 | BOYAmt |
| EOY | $2,309,180 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,766,717 | BOYAmt |
| EOY | $3,289,464 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$305,641 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$26,966 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $4,642 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $315,481 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $595,521 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $702,628 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $668,483 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $719,751 | CurrentTaxYearAmt |
| Total | $3,001,864 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $125,941 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $176,049 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $161,977 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $199,380 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $133,925 | CurrentTaxYearAmt |
| Total | $797,272 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $441,422 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $771,570 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $864,605 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $867,863 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $853,676 | CurrentTaxYearAmt |
| Total | $3,799,136 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $3,799,136 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $148,348 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $131,222 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $125,775 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $279,146 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $144,929 | CurrentTaxYearAmt |
| Total | $829,420 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $148,348 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $131,222 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $125,775 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $279,146 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $144,929 | CurrentTaxYearAmt |
| Total | $829,420 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $589,770 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $902,792 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $990,380 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,147,009 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $998,605 | CurrentTaxYearAmt |
| Total | $4,628,556 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.82080 | PublicSupportCY509Pct |
| Public Support PY509 | 0.80740 | PublicSupportPY509Pct |
| Investment Income CY | 0.17920 | InvestmentIncomeCYPct |
| Investment Income PY | 0.19260 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $509,478 | BeginningYearBalanceAmt |
| End Year Balance | $509,478 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $444,370 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | $15,108 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $509,478 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $359,673 | BeginningYearBalanceAmt |
| Contributions | $79,498 | ContributionsAmt |
| Investment Earnings Or Losses | $5,199 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $444,370 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $338,544 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $21,129 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $359,673 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $333,840 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,704 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $338,544 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| FOUNDATION PROSPERITY ENDOWMENT FUND | $155,004 |
| CMN PROSPERITY ENDOWMENT FUND | $333,868 |
| CMN OIL INVESTMENT | $354,400 |
| LTACH LOAN RECEIVABLE - ODESSA | $675,000 |
| FOUNDATION INT RECEIVABLE LTACH - ODESSA | $1,756 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,520,028 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LTACH LOAN - ODESSA | $675,000 |
| FOUNDATION INT PAYABLE LTACH JUNE 2015 | $1,756 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $676,756 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $976,281 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$26,966 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $4,642 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $133,925 | OtherRevenueAmt |
| Revenue Not Reported | $111,601 | RevenueNotReportedAmt |
| Revenue Subtotal | $864,680 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $864,680 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,304,246 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $133,925 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $133,925 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,170,321 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,170,321 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CMN & RADIOTHON | Event1Nm |
| Gross Receipts Event1 | $536,128 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $402,203 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $133,925 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $4,227 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $129,698 | OtherDirectExpensesEvent1Amt |
| Event2 | FALLFEST & JEANS/JERSEY DAY | Event2Nm |
| Gross Receipts Event2 | $3,875 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $3,875 | CharitableContriEvent2Amt |
| Gross Receipts Total | $540,003 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $406,078 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $133,925 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,227 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $129,698 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $133,925 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Individual With Books | MEDICAL CENTER HEALTH SYSTEM FOUNDA | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 W 4TH STREET | AddressLine1Txt |
| City | ODESSA | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79760 | ZIPCd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 W 4TH ST | AddressLine1Txt |
| City | ODESSA | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79760 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 752302928 | RecipientEIN |
| Cash Grant | $1,073,829 | CashGrantAmt |
| Purpose Of Grant | EQUIPMENT & UPDATES | PurposeOfGrantTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | SCHEDULE I - PART I GRANTS APPROVED MEDICAL CENTER HOSPITAL SUBMITS A LIST OF NECESSARY EQUIPMENT PURCHASES TO THE FOUNDATION FOR REVIEW. THE HOSPITAL RECEIVES A GRANT FROM THE FOUNDATION UPON APPROVAL. PURCHASES ARE LATER VIEWED BY THE BOARD & DOCUMENTED IN THEIR MEETING NOTES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 IS PRESENTED & REVIEWED BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | ORGANIZATIONAL DOCUMENTS CAN BE MADE AVAILABLE FOR VIEWING UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 W 4TH STREET | AddressLine1Txt |
| City | ODESSA | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79760 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752302928 | EIN |
| Primary Activities | HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Exempt Code Section | 501(C) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 3 | PublicCharityStatusTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEDICAL CENTER HOSPITAL | ||
| B | $1,073,289 | FMV |
| MEDICAL CENTER HOSPITAL | ||
| K | $4,227 | FMV |
| MEDICAL CENTER HOSPITAL | ||
| P | $63,414 | FMV |
| MEDICAL CENTER HOSPITAL | ||
| C | $0 | FMV |
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