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MATAGORDA REGIONAL MEDICAL CENTER FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MATAGORDA REGIONAL MEDICAL CENTER FOUNDATION (EIN 20-1101495)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-15
IRS object ID
201841359349304064
Schema version
2017v2.3
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

FieldValueIRS element (for citing)
Return2018-05-15T09:53:51-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN760666239PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FRANKSON AND GRIFFITH CPA'SBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12245 AVENUE GAddressLine1Txt
CityBAY CITYCityNm
State AbbreviationTXStateAbbreviationCd
ZIP774145037ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201101495EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MATAGORDA REGIONAL MEDICALBusinessNameLine1Txt
Business Name Line2CENTER FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMATABusinessNameControlTxt
Phone9792416524PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1104 7TH STREETAddressLine1Txt
CityBAY CITYCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77414ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANN SAHAPersonNm
Person TitlePRESPersonTitleTxt
Phone9792415521PhoneNum
Signature2018-05-09SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL D GRIFFITH CPAPreparerPersonNm
PTINP00821386PTIN
Phone9792459236PhoneNum
Preparation2018-05-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.16.49IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-05-15IPDt
IP Tm09:53:51IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdCC70CB69349788BAE73736E6F3617F7207F5C4F9AtSubmissionCreationDeviceId
At Submission Filing Device Id2E30C34C23FC928CE6527A5FD889EDB09BC60595AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANN SAHAPrincipalOfficerNm
Gross Receipts$715,298GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTO BENEFIT, CARRYOUT, SUPPORT, AND/OR PERFORM THE SCIENTIFIC, EDUCATIONAL AND CHARITABLE PURPOSES OF THE MATAGORDA COUNTY HOSPITAL DISTRICT, A GOVERNMENTAL UNIT OF TEXAS DESCRIBED IN IRC 170(B)(1)(A)(V).ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$457,326PYContributionsGrantsAmt
CY Contributions Grants$712,384CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$253PYInvestmentIncomeAmt
CY Investment Income$2,914CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$457,579PYTotalRevenueAmt
CY Total Revenue$715,298CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$58,369CYTotalFundraisingExpenseAmt
PY Other Expenses$881,048PYOtherExpensesAmt
CY Other Expenses$876,130CYOtherExpensesAmt
PY Total Expenses$881,048PYTotalExpensesAmt
CY Total Expenses$876,130CYTotalExpensesAmt
PY Revenues Less Expenses-$423,469PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$160,832CYRevenuesLessExpensesAmt
Total Assets BOY$265,702TotalAssetsBOYAmt
Total Assets EOY$104,870TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$265,702NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$104,870NetAssetsOrFundBalancesEOYAmt
MissionTO BENEFIT, CARRYOUT, SUPPORT, AND/OR PERFORM THE SCIENTIFIC, EDUCATIONAL AND CHARITABLE PURPOSES OF THE MATAGORDA COUNTY HOSPITAL DISTRICT, A GOVERNMENTAL UNIT OF TEXAS DESCRIBED IN IRC 170(B)(1)(A)(V).MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$817,761ExpenseAmt
DescTO BENEFIT, CARRYOUT, SUPPORT, AND/OR PERFORM THE SCIENTIFIC, EDUCATIONAL AND CHARITABLE PURPOSE OF THE MATAGORDA COUNTY HOSPITAL DISTRICT, A GOVENMENTAL UNIT OF THE STATE OF TEXAS DESCRIBED IN IRC 170(B)(1)(A)(V).Desc
Total Program Service Expenses$817,761TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMELANIE BOENINGPersonNm
Phone9792415534PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1104 7TH STAddressLine1Txt
Address Line2104 7TH STAddressLine2Txt
CityBAY CITYCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77414ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ANN SAHA
PRESYes (X)Yes (X)$0$0$0
DAVID TITUS
V PRESYes (X)Yes (X)$0$0$0
SAMANTHA HUDGINS
SECYes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$282,945GovernmentGrantsAmt
All Other Contributions$429,439AllOtherContributionsAmt
Noncash Contributions$16,674NoncashContributionsAmt
Total Contributions$712,384TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,914TotalRevenueColumnAmt
Related Or Exempt Func Income$220RelatedOrExemptFuncIncomeAmt
Exclusion$2,694ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$715,298TotalRevenueColumnAmt
Related Or Exempt Func Income$220RelatedOrExemptFuncIncomeAmt
Exclusion$2,694ExclusionAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,759TotalAmt
Program Services$14,759ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$416TotalAmt
Program Services$416ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,329TotalAmt
Program Services$1,329ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,387TotalAmt
Program Services$1,387ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$965TotalAmt
Program Services$965ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
CAPITAL CAMPAIGN DISPERSE$358,052$358,052
HRSA GRANT DISPERSMENT$257,945$257,945
3D MAMMOGRAPHY EXP$154,435$154,435
POWER OF THE PURSE$49,690$49,690

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$37,152TotalAmt
Program Services$28,473ProgramServicesAmt
Fundraising$8,679FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$876,130TotalAmt
Program Services$817,761ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$58,369FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$249,940BOYAmt
EOY$96,562EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,762BOYAmt
EOY$8,308EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$265,702BOYAmt
EOY$104,870EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$265,702BOYAmt
EOY$65,373EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$39,497EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$265,702BOYAmt
EOY$104,870EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$265,702BOYAmt
EOY$104,870EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$160,832ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations2SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

Business Name Line2SupportedOrganizationName/BusinessNameLine2TxtEINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
MATAGORDA REGIONAL MEDICAL CENTER
MATAGORDA REGIONAL MEDICAL CENTER7460250693Yes (true)$537,052$0
SOUTHEAST TX HEALTHCARE SYS
SOUTHEAST TX HEALTHCARE SYS7525687873Yes (true)$257,945$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$794,997SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsfalseTimelyProvidedDocumentsInd
Officers Close RelationshipYes (true)OfficersCloseRelationshipInd
Supported Org Voice InvestmentfalseSupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Activities TestYes (X)ActivitiesTestInd
Parent Supported OrgYes (X)ParentSupportedOrgInd
Activities Further Exempt PrpsYes (true)ActivitiesFurtherExemptPrpsInd
Activities Engaged Org InvlmntYes (true)ActivitiesEngagedOrgInvlmntInd
Appoint Elect Majority OfficerfalseAppointElectMajorityOfficerInd
Exercise Direction PoliciesfalseExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, SECTION E, LINE 2ATHE FOUNDATION SUPPORTS MATAGORDA REGIONAL MEDICAL CENTER (A COUNTY HOSPITAL)THROUGH SOLICITATION OF PUBLIC FUNDS, GRANTS, AWARDS AND ENDOWMENTS USED TO FUND FACILITIES, HEALTHCARE PROGRAMS AS WELL AS PROMOTE THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PROGRAMS OF THE MATAGORDA COUNTY HOSPITAL DISTRICT AKA MATAGORDA REGIONAL MEDICAL CENTER A POLITICAL SUDIVISION AND GOVERNMENTAL UNIT OF THE STATE OF TEXAS.
PART IV, SECTION E, LINE 2BTHE SUPPORTED ORGANIZATION IS A COUNTY HOSPITAL WITH A BOARD APPOINTED BY COMMISSIONER'S COURT SEPARATE FROM THE FOUNDATION'S BOARD. THE FOUNDATION WAS FORMED FOR THE SPECIFIC INTENT TO CONTRIBUTE TO THE HOSPITAL (MATAGORDA COUNTY HOSPITAL DISTRICT AKA MATAGORDA REGIONAL MEDICAL CENTER).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE DIRECTOR REVIEWS THE RETURN BEFORE FILING
FORM 990, PAGE 6, PART VI, LINE 19UPON WRITTEN REQUEST TO THE OFFICE