MEDICAL CENTER HEALTH SYSTEM FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MEDICAL CENTER HEALTH SYSTEM FOUNDATION (EIN 75-1220726)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-14
- IRS object ID
- 201442269349304204
- Schema version
- 2012v2.1
- 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 | 2014-08-14T15:47:12-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 750786316 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEAVER AND TIDWELL LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 W ILLINOIS SUITE 1550 | AddressLine1 |
| City | MIDLAND | City |
| State | TX | State |
| ZIP Code | 79701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 751220726 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER HEALTH SYSTEM FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEDI | NameControl |
| Phone | 4326401242 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7335 | AddressLine1 |
| City | ODESSA | City |
| State | TX | State |
| ZIP Code | 79760 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JON RIGGS | Name |
| Title | CFO | Title |
| Phone | 4326401242 | Phone |
| Date Signed | 2014-08-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES R FLATT CPA | Name |
| PTIN | P00444540 | PTIN |
| Phone | 4326835226 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JON RIGGS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7335 | AddressLine1 |
| City | ODESSA | City |
| State | TX | State |
| ZIP Code | 79760 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 990380 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1963 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | TO RECEIVE AND MAINTAIN FUNDS TO USE AND APPLY EXCLUSIVELY FOR THE ECTOR CO HOSPITAL DISTRICT. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 595521 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 702628 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 8706 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8281 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 122516 | OtherRevenuePriorYear |
| Other Revenue Current Year | 117494 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 726743 | TotalRevenuePriorYear |
| Total Revenue Current Year | 828403 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 666668 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 199670 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 66215 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 51373 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 43474 | OtherExpensePriorYear |
| Other Expenses Current Year | 2922 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 776357 | TotalExpensesPriorYear |
| Total Expenses Current Year | 253965 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -49614 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 574438 | RevenuesLessExpensesCY |
| Total Assets BOY | 1445164 | TotalAssetsBOY |
| Total Assets EOY | 2052331 | TotalAssetsEOY |
| Total Liabilities BOY | 33685 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 78948 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1411479 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1973383 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 251043 | Expense |
| Grants | 199670 | Grants |
| Description | 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. | Description |
| Total Program Service Expense | 251043 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicy |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JON RIGGS CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4326402402 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 W 4TH STREET | AddressLine1 |
| City | ODESSA | City |
| State | TX | State |
| ZIP Code | 79761 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| DELMA ABALOS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DAVID BOUTIN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR ROBERT CHAPPELL | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| PAT CANTY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| FRANK DEADERICK | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| RENEE EARLS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KIRK EDWARDS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| TOBY EOFF | ||||||
| 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 | |
| JACK WOOD | ||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | |
| JON E RIGGS | ||||||
| EX-OFFICIO MCHS CFO | 3.00 | X | 0 | 0 | 0 | |
| WILLIAM WEBSTER | ||||||
| EX-OFFICIO MCHS CEO | 3.00 | 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 | |
| LINDA TERRELL | ||||||
| SECRETARY / TREASURER | 3.00 | 0 | 0 | 0 | X | |
| WAYNE BORING | ||||||
| PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| DANA SCHUFF | ||||||
| VICE PRESIDENT | 3.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 403963 | FundraisingEvents |
| All Other Contributions | 298665 | AllOtherContributions |
| Total Contributions | 702628 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8281 | TotalRevenueColumn |
| Exclusion | $8,281 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 117494 | TotalRevenueColumn |
| Exclusion | $117,494 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 161977 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 403963 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 161977 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 828403 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $125,775 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199670 | Total |
| Program Services | 199670 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51373 | Total |
| Program Services | 51373 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1009 | Total |
| Management And General | 1009 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 360 | Total |
| Management And General | 360 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral |
|---|---|---|
| MISCELLANEOUS & OTHER F | 1484 | 1484 |
| RENT | 69 | 69 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 253965 | Total |
| Program Services | 251043 | ProgramServices |
| Management And General | 2922 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 401572 | BOY |
| EOY | 892558 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200000 | BOY |
| EOY | 200000 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110976 | BOY |
| EOY | 161200 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 732616 | BOY |
| EOY | 798573 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1445164 | BOY |
| EOY | 2052331 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33685 | BOY |
| EOY | 78948 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33685 | BOY |
| EOY | 78948 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 952067 | BOY |
| EOY | 981902 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 459412 | BOY |
| EOY | 991481 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1411479 | BOY |
| EOY | 1973383 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1445164 | BOY |
| EOY | 2052331 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 574438 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -12534 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 285159 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 243106 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 315481 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 595521 | CurrentTaxYearMinus1Year |
| Current Tax Year | 702628 | CurrentTaxYear |
| Total | 2141895 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 42101 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 41171 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 125941 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 176049 | CurrentTaxYearMinus1Year |
| Current Tax Year | 161977 | CurrentTaxYear |
| Total | 547239 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 327260 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 284277 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 441422 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 771570 | CurrentTaxYearMinus1Year |
| Current Tax Year | 864605 | CurrentTaxYear |
| Total | 2689134 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 2689134 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 89768 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 85905 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 148348 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 131222 | CurrentTaxYearMinus1Year |
| Current Tax Year | 125775 | CurrentTaxYear |
| Total | 581018 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 89768 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 85905 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 148348 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 131222 | CurrentTaxYearMinus1Year |
| Current Tax Year | 125775 | CurrentTaxYear |
| Total | 581018 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 417028 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 370182 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 589770 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 902792 | CurrentTaxYearMinus1Year |
| Current Tax Year | 990380 | CurrentTaxYear |
| Total | 3270152 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.82230 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.78150 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.17770 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.21850 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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 |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 359673 | BeginningOfYearBalance |
| Contributions | 79498 | Contributions |
| Investment Earnings Or Losses | 5199 | InvestmentEarningsOrLosses |
| End Of Year Balance | 444370 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 338544 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 21129 | InvestmentEarningsOrLosses |
| End Of Year Balance | 359673 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 333840 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 4704 | InvestmentEarningsOrLosses |
| End Of Year Balance | 338544 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 255354 | BeginningOfYearBalance |
| Contributions | 61028 | Contributions |
| Investment Earnings Or Losses | 17458 | InvestmentEarningsOrLosses |
| End Of Year Balance | 333840 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 239195 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 16159 | InvestmentEarningsOrLosses |
| End Of Year Balance | 255354 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.64880 | BoardDesignatedEOYBalance |
| Term Endowment EOY Balance | 0.35120 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| FOUNDATION PROSPERITY ENDOWMENT FUND | 148184 |
| CMN PROSPERITY ENDOWMENT FUND | 273789 |
| CMN OIL INVESTMENT | 376600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 798573 | TotalBookValueOtherAssets |
| Tot Revenue Etc Audited Fincl Stmt | 977846 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -12534 | NetUnrealizedGainsInvestments |
| Other Revenues | 161977 | OtherRevenues |
| Revenue Not Rptd F990 | 149443 | RevenueNotRptdF990 |
| Revenue Subtotal | 828403 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 828403 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 415942 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 161977 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 161977 | ExpensesNotRptdF990 |
| Expenses Subtotal | 253965 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 253965 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE |
| FUNDRAISING EXPENSES $167,977 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | TELE/RADIO-A-THON/CMN | NameOfEvent1 |
| Gross Receipts Event1 | 524854 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 369345 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 155509 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 155509 | OtherDirectExpensesEvent1 |
| Name Of Event2 | JEWELRY SALES | NameOfEvent2 |
| Gross Receipts Event2 | 28586 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 22118 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 6468 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 6468 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 6 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 12500 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 12500 | CharitableContribOtherEvents |
| Gross Receipts Total | 565940 | GrossReceiptsTotal |
| Charitable Contributions Total | 403963 | CharitableContributionsTotal |
| Gross Revenue Total Events | 161977 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 161977 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 161977 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Gaming Rec Keeper Person | MEDICAL CENTER HEALTH SYSTEM FOUNDA | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 W 4TH STREET | AddressLine1 |
| City | ODESSA | City |
| State | TX | State |
| ZIP Code | 79760 | ZIPCode |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|
| MEDICAL CENTER HOSPITAL | ||||||
| 500 W 4TH ST | ODESSA | TX | 79760 | 752302928 | 100000 | RONALD MCDONALD CARE MOBILE |
| MEDICAL CENTER HOSPITAL | ||||||
| 500 W 4TH ST | ODESSA | TX | 79760 | 752302928 | 70246 | 2 OMNI GIRAFFE BEDS |
| MEDICAL CENTER HOSPITAL | ||||||
| 500 W 4TH ST | ODESSA | TX | 79760 | 752302928 | 4706 | AV VEIN FINDER |
| MEDICAL CENTER HOSPITAL | ||||||
| 500 W 4TH ST | ODESSA | TX | 79760 | 752302928 | 4996 | PEGUIN BREAST MILK WARMERS |
| MEDICAL CENTER HOSPITAL | ||||||
| 500 W 4TH ST | ODESSA | TX | 79760 | 752302928 | 19722 | TRAINING, CERTIFICATIONS & OTHER |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | |
| FORM 990, PART XII, LINE 2C | NO CHANGES WERE MADE. | FINANCIAL STATEMENTS AND REPORTING |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER HOSPITAL | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 W 4TH STREET | AddressLine1 |
| City | ODESSA | City |
| State | TX | State |
| ZIP Code | 79760 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752302928 | EIN |
| Primary Activities | HOSPITAL | PrimaryActivities |
| Legal Domicile State | TX | LegalDomicileState |
| Exempt Code Section | 501(C) | ExemptCodeSection |
| Public Charity Status | LINE 3 | PublicCharityStatus |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MEDICAL CENTER HOSPITAL | ||
| B | 199670 | FMV |
| MEDICAL CENTER HOSPITAL | ||
| K | 4227 | FMV |
| MEDICAL CENTER HOSPITAL | ||
| P | 51373 | FMV |
| MEDICAL CENTER HOSPITAL | ||
| C | 4227 | FMV |
Comments