2016-05-16T10:17:49-05:00 2015-09-30 750786316 WEAVER AND TIDWELL LLP 400 W ILLINOIS SUITE 1550 MIDLAND TX 79701 990 2014-10-01 751220726 MEDICAL CENTER HEALTH SYSTEM FOUNDATION MEDI 4326401242 PO BOX 7335 ODESSA TX 79760 JON RIGGS CFO 4326401242 2016-05-06 1 JAMES R FLATT CPA P00444540 4326835226 2014 2016-08-17 19:52:53Z JON RIGGS PO BOX 7335 ODESSA TX 79760 998605 0 X N/A X 1963 TX TO RECEIVE AND MAINTAIN FUNDS TO USE AND APPLY EXCLUSIVELY FOR THE ECTOR CO HOSPITAL DISTRICT. 17 17 0 0 0 0 668483 719751 0 0 8371 42143 270775 102786 947629 864680 221877 1073828 0 0 76581 63414 0 0 0 0 33079 298458 1170321 649171 -305641 3766717 3289464 1129572 980284 2637145 2309180 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. 0 0 1137242 1073828 831601 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. 1137242 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X JON RIGGS CFO 4326402402 500 W 4TH STREET ODESSA TX 79761 DELMA ABALOS BOARD MEMBER 1.00 X 0 0 0 DR ROBERT CHAPPELL BOARD MEMBER 1.00 X 0 0 0 PAT CANTY MEMBER AT LARGE 1.00 X 0 0 0 FRANK DEADERICK BOARD MEMBER 1.00 X 0 0 0 DAN HOLLMANN BOARD MEMBER 1.00 X 0 0 0 ALFRED KARICKHOFF MD COMMUNITY DIRECTOR 1.00 X 0 0 0 JON E RIGGS MCHS SR. VP / CFO 3.00 X 0 0 0 WILLIAM WEBSTER MCHS PRESIDENT / CEO 3.00 X 0 0 0 WAYNE BORING CMN COUNCIL CHAIR 1.00 X 0 0 0 MIKE GEORGE BOARD MEMBER 1.00 X 0 0 0 ROBERT BENNETT MD COMMUNITY DIRECTOR 1.00 X 0 0 0 JAY HENDRICKS COMMUNITY DIRECTOR 1.00 X 0 0 0 LIBBY CAMPBELL COMMUNITY DIRECTOR 1.00 X 0 0 0 KATHY MCINTYRE BOARD MEMBER 1.00 X 0 0 0 ABDUL KADIR BOARD MEMBER 1.00 X 0 0 0 DAVID NELSON BOARD MEMBER 1.00 X 0 0 0 CASEY MUSE BOARD MEMBER 1.00 X 0 0 0 SUDHIR AMARAM MD BOARD MEMBER 1.00 X 0 0 0 RAVI SHAKAMURI BOARD MEMBER 1.00 X 0 0 0 JOHN W WILKINS JR BOARD MEMBER 1.00 X 0 0 0 DAVID BOUTIN PRESIDENT 1.00 X 0 0 0 RENEE EARLS VICE PRESIDENT 1.00 X 0 0 0 BETSY TRIPLETT-HURT SECRETARY 1.00 X 0 0 0 0 0 0 0 0 0 0 0 406078 313673 719751 42143 42143 102786 102786 133925 406078 133925 0 864680 0 0 144929 1073828 1073828 63414 63414 33079 33079 1170321 1137242 33079 0 1544150 1302046 200000 200000 91311 267390 1931256 1520028 3766717 3289464 36997 3528 300000 1092575 676756 1129572 980284 X 902252 233369 1734893 2075811 2637145 2309180 3766717 3289464 -305641 -26966 4642 0 X 0 1 X 1 0 X 315481 595521 702628 668483 719751 3001864 125941 176049 161977 199380 133925 797272 441422 771570 864605 867863 853676 3799136 0 0 0 3799136 148348 131222 125775 279146 144929 829420 148348 131222 125775 279146 144929 829420 589770 902792 990380 1147009 998605 4628556 0.82080 0.80740 0.17920 0.19260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 509478 509478 444370 50000 15108 509478 359673 79498 5199 444370 338544 21129 359673 333840 4704 338544 1.00000 0 0 0 FOUNDATION PROSPERITY ENDOWMENT FUND 155004 CMN PROSPERITY ENDOWMENT FUND 333868 CMN OIL INVESTMENT 354400 LTACH LOAN RECEIVABLE - ODESSA 675000 FOUNDATION INT RECEIVABLE LTACH - ODESSA 1756 1520028 LTACH LOAN - ODESSA 675000 FOUNDATION INT PAYABLE LTACH JUNE 2015 1756 676756 976281 -26966 4642 133925 111601 864680 0 864680 1304246 133925 133925 1170321 0 1170321 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE CMN & RADIOTHON 536128 402203 133925 4227 129698 FALLFEST & JEANS/JERSEY DAY 3875 3875 540003 406078 133925 4227 129698 133925 0 MEDICAL CENTER HEALTH SYSTEM FOUNDA 500 W 4TH STREET ODESSA TX 79760 1 MEDICAL CENTER HOSPITAL 500 W 4TH ST ODESSA TX 79760 752302928 1073829 EQUIPMENT & UPDATES PART I, LINE 2: 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. 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. MEDICAL CENTER HOSPITAL 500 W 4TH STREET ODESSA TX 79760 752302928 HOSPITAL TX 501(C) LINE 3 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 MEDICAL CENTER HOSPITAL B 1073289 FMV MEDICAL CENTER HOSPITAL K 4227 FMV MEDICAL CENTER HOSPITAL P 63414 FMV MEDICAL CENTER HOSPITAL C 0 FMV