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MATAGORDA REGIONAL MEDICAL CENTER FOUNDATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MATAGORDA REGIONAL MEDICAL CENTER FOUNDATION (EIN 20-1101495)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-16
IRS object ID
201641379349301839
Schema version
2015v2.1
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

FieldValueIRS element (for citing)
Return2016-05-16T09:21:51-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-05-12SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL D GRIFFITH CPAPreparerPersonNm
PTINP00821386PTIN
Phone9792459236PhoneNum
Preparation2016-05-12PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANN SAHAPrincipalOfficerNm
Gross Receipts$906,295GrossReceiptsAmt
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 Employee1TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$262,765PYContributionsGrantsAmt
CY Contributions Grants$905,817CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$429PYInvestmentIncomeAmt
CY Investment Income$478CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$263,194PYTotalRevenueAmt
CY Total Revenue$906,295CYTotalRevenueAmt
PY Grants And Similar Paid$65,655PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$57,058CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,121PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,416CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$49,404CYTotalFundraisingExpenseAmt
PY Other Expenses$57,568PYOtherExpensesAmt
CY Other Expenses$627,642CYOtherExpensesAmt
PY Total Expenses$150,344PYTotalExpensesAmt
CY Total Expenses$695,116CYTotalExpensesAmt
PY Revenues Less Expenses$112,850PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$211,179CYRevenuesLessExpensesAmt
Total Assets BOY$477,992TotalAssetsBOYAmt
Total Assets EOY$689,171TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$477,992NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$689,171NetAssetsOrFundBalancesEOYAmt
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$645,712ExpenseAmt
Grant$57,058GrantAmt
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$645,712TotalProgramServiceExpensesAmt
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 OrganizationsYes (true)GrantsToOrganizationsInd
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
Employee1EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
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$511,758GovernmentGrantsAmt
All Other Contributions$394,059AllOtherContributionsAmt
Total Contributions$905,817TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$478TotalRevenueColumnAmt
Related Or Exempt Func Income$478RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$906,295TotalRevenueColumnAmt
Related Or Exempt Func Income$478RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$57,058TotalAmt
Program Services$57,058ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,416TotalAmt
Program Services$10,416ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,364TotalAmt
Program Services$6,364ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$64,917TotalAmt
Program Services$64,917ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,013TotalAmt
Program Services$3,013ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,960TotalAmt
Program Services$3,960ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,928TotalAmt
Program Services$2,928ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
SETH GRANT DISPERSEMENT$249,662$249,662
TSSI PROJECT DISPERSEMENT$236,400$236,400
GOLF TOURNAMENT EXP$19,507$19,507
POP DONATED MERCH$10,922$10,922

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$29,969TotalAmt
Program Services$10,994ProgramServicesAmt
Fundraising$18,975FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$695,116TotalAmt
Program Services$645,712ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$49,404FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$439,854BOYAmt
EOY$552,614EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,138BOYAmt
EOY$136,557EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$477,992BOYAmt
EOY$689,171EOYAmt

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$477,992BOYAmt
EOY$689,171EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$477,992BOYAmt
EOY$689,171EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$477,992BOYAmt
EOY$689,171EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$211,179ReconcilationRevenueExpnssAmt
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)$236,400$57,058
SOUTHEAST TX HEALTHCARE SYS
SOUTHEAST TX HEALTHCARE SYS7525687873Yes (true)$249,662$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$486,062SupportSumAmt
Other Support Sum$57,058OtherSupportSumAmt

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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MATAGORDA COUNTY HOSPITAL DISTRICTBusinessNameLine1Txt
Business Name Line2MATAGORDA COUNTY HOSPITAL DISTRICTBusinessNameLine2Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1104 SEVENTH STAddressLine1Txt
Address Line2104 SEVENTH STAddressLine2Txt
CityBAY CITYCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77414ZIPCd
FieldValueIRS element (for citing)
Recipient EIN746025069RecipientEIN
Non Cash Assistance$57,058NonCashAssistanceAmt
Valuation Method UsedFMV-COSTValuationMethodUsedDesc
Non Cash AssistanceMEDICAL EQUIPNonCashAssistanceDesc
Purpose Of GrantPURCHASE EQUIPMENTPurposeOfGrantTxt

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