2012-11-13T21:04:48-06:00 2011-12-31 ERNST & YOUNG US LLP 201 MAIN STREET SUITE 1100 FT WORTH TX 76102 990 2011-01-01 742351158 ST JOSEPH FOUNDATION OF BRYAN TEXAS % LISA MCNAIR CFO STJO 9797762553 2801 FRANCISCAN DRIVE BRYAN TX 77802 Odette Bolano 2012-11-13 8173351900 2011 2016-02-24 21:20:13Z ODETTE BOLANO 2801 FRANCISCAN DRIVE BRYAN TX 77802 1385444 false X WWW.FOUNDATION.ST-JOSEPH.ORG X 1984 TX The St. Joseph Foundation of Bryan, Texas, provides support for the operation of the Health Care Affiliates of St. Joseph Services Corporation through contributions and pledges from the community. 12 11 0 0 0 820589 1229783 0 0 35377 16492 -47491 -14597 808475 1231678 465098 460174 0 0 544134 579034 0 0 0 297094 326179 1306326 1365387 -497851 -133709 2384753 2972171 21350 136 2363403 2972035 THE ST JOSEPH FOUNDATION OF BRYAN, TEXAS PROVIDES SUPPORT FOR THE OPERATION OF THE HEALTH CARE AFFILIATES OF ST. JOSEPH SERVICES CORPORATION THROUGH CONTRIBUTIONS AND PLEDGES FROM THE COMMUNITY. false false 539717 460174 SJF RAISES MONEY FOR TAX-EXEMPT SUBSIDIARIES OF ST JOSEPH SERVICES CORPORATION TO ASSIST WITH PURCHASES OF NEW MEDICAL TECHNOLOGY, CANCER RESEARCH, AND SCHOLARSHIPS TOWARD DEGREES IN THE MEDICAL FIELD. DURING 2011 SJF RECEIVED $101,511 OF IN-KIND DONATIONS IN SUPPORT OF ITS PROGRAMS WHICH ARE NOT INCLUDED IN THE EXPENSE AMOUNT OF $531,188. THESE DONATIONS CONSISTED OF PROFESSIONAL MEDIA SERVICES AND PRODUCTION AND MEDIA EXPENSES. 539717 true true false false false false false false false true true false false true false false false true false false false false false false true false false true false true false false false false false false false false false false false false false true true true false false true 13 0 true 0 false false false false false true true false false false false X 12 11 false false false false true true true true false false true true true true true true false false false X LISA MCNAIR CFO 9797762553 2801 FRANCISCAN DRIVE BRYAN TX 77802 X GEORGE NELSON 1.0 X X 0 0 0 HONEY KUTACH 1.0 X 0 0 0 MALCOLM CLAY GERNGROSS 1.0 X 0 0 0 SUE LEE 1.0 X 0 0 0 JAMES HASSELL 1.0 X 0 0 0 NICOLE DESTEFANO 1.0 X 0 0 0 JULIA GARDNER 1.0 X 0 0 0 KAY HENSARLING 1.0 X 0 0 0 GRANT E HOLT 1.0 X 0 0 0 SR JOAN JURSKI OSF 1.0 X 0 0 0 REV MSGR JOHN MCCAFFREY 1.0 X 0 0 0 ANTHONY D PFITZER 1.0 X X 0 543992 33644 DREW MATTHEWS 1.0 X 0 0 0 MARK SCARMARDO 1.0 X 0 0 0 M L RED CASHION 1.0 X 0 0 0 THOMAS W POOL 40.0 X 0 137126 22486 LISA MCNAIR 1.0 X 0 289852 24583 GRETCHEN KUNZ 36.0 X 0 91881 10887 0 1062851 91600 0 false true false NONE 0 225355 5000 999428 1229783 0 16771 16771 0 0 102690 102969 -279 -279 -279 36200 225355 50797 -14597 -14597 0 0 0 1231678 1895 460174 460174 0 0 0 0 0 484996 484996 0 94038 94038 0 0 0 20900 20900 0 0 0 59180 59180 0 139529 139529 0 87 87 7200 7200 4322 4322 0 0 0 0 2313 2313 860 860 EXPENSES REIMB TO AFFILIATE 54899 54899 BAD DEBT EXPENSE 21471 21471 ASSESSMENT FEES 14965 14965 DUES & SUBSCRIPTIONS 440 440 13 13 1365387 539717 825670 0 0 0 340402 655418 922331 1145624 0 0 0 0 0 0 0 0 0 0 10495 25111 86192 67580 19425 18612 559785 563152 842 627 0 0 0 0 531473 563627 2384753 2972171 21350 136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21350 136 X 345186 403260 2018217 2568775 0 0 2363403 2972035 2384753 2972171 X -133709 742341 X false true true X false X X X false false false ST JOSEPH REGIONAL HEALTH CENTER 741282696 03 true true 264671 MADISON ST JOSEPH HEALTH CENTER 742761145 03 true true 54750 BURLESON ST JOSEPH HEALTH CENTER 742759890 03 true true 38315 BURLESON ST JOSEPH MANOR 742913931 09 true true 647 ST JOSEPH MANOR 742847594 09 true true 46578 ST JOSEPH SERVICES CORPORATION 742455161 03 true true 0 ST JOSEPH PHYSICIAN ASSOCIATES 203159302 03 true true 0 7 404961 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2233802 1201698 8601 506544 153197 2784360 493619 493619 476327 17292 493619 0.07743 0.10887 0.81370 false false 86192 67580 18612 18612 INTEREST RECEIVABLE 1335 TREE OF LIFE - CANCER FUND 34859 DUE FROM RELATED PARTIES 527433 563627 ENDOWMENT FUNDS SCHEDULE D, PART V THE INTENT OF THE FOUNDATION IS TO PRESERVE THE HISTORIC DOLLAR VALUE OF ORIGINAL BOARD-DESIGNATED ENDOWMENTS. THE FOUNDATION CLASSIFIED THE HISTORIC VALUE OF BOARD-DESIGNATED ENDOWMENTS TO BE HELD IN PERPETUITY. THE REMAINING ACCUMULATED EARNINGS OF THE BOARD-DESIGNATED ENDOWMENT FUNDS ARE CLASSIFIED AS RESTRICTED. LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740-10 SCHEDULE D, PART X, LINE 2 THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF DECEMBER 31, 2011 OR 2010. SURVIVE&THRIVE 116705 96305 20400 15834 8833 1179 MSJ LUAU 64212 58162 6050 5000 359 700 1221 2 80638 70888 9750 500 1548 9550 1500 4573 261555 225355 36200 5500 17382 9909 11033 6973 50797 -14597 true AMERICAN CANCER SOCIETY 3207 BRIARCREST DR BRYAN TX 77802 741185665 501(c)(3) 13392 HALF OF PROCEEDS FROM S&T EVENT BLINN COLLEGE 902 COLLEGE AVE BRENHAM TX 77833 746000400 501(C)(3) 18116 SCHOLARSHIPS FOR STUDENTS UNIVERSITY OF ALABAMA AT BIRMINGHAM 3RD AVENUE SOUTH BIRMINGHAM TX 35294 636005396 501(C)(3) 7250 EDUCATION-CME FOR EMPLOYEES ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 501(C)(3) 262980 ASSETS, RENOVATIONS CLINICAL NEUROSCIENCE SERVICES 8441 STATE HWY 47 COLLEGE STATION TX 77807 274689636 5967 NEUROLOGICAL SYMPOSIUM - FREE EDUCATION DAVID GRUBIN PRODUCTIONS INC 125 W 94TH ST NEW YORK NY 10025 133113229 7827 NEUROLOGICAL SYMPOSIUM - FREE EDUCATION ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 501(C)(3) 46578 ASSETS, RENOVATIONS BURLESON ST JOSEPH HOSPITAL 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 501(C)(3) 38315 ASSETS, RENOVATIONS MADISON ST JOSEPH HOSPITAL 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 501(C)(3) 54750 ASSETS, RENOVATIONS 7 2 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants ANNUALLY, SJF GIVES GRANTS FOR SCHOLARSHIPS TO TEAM MEMBERS OF SJHS AND INDIVIDUALS OF THE BRAZOS VALLEY AREA. A FORMAL APPLICATION IS REQUESTED ALONG WITH SUPPORTIVE DOCUMENTATION AND THIS IS REVIEWED AT LEAST ANNUALLY BY THE SCHOLARSHIP COMMITTEE OF SJF. RECOMMENDATIONS FOR SCHOLARSHIPS ARE THEN MADE BY THE SCHOLARSHIP COMMITTEE TO THE BOARD OF DIRECTORS OF SJF FOR APPROVAL. WHEN APPROVED AND TUITION FEE IS RECEIVED BY SJF, PAYMENT IS MADE DIRECTLY TO THE UNIVERSITY. false false false false false false false false false THOMAS W POOL 0 130529 0 6597 0 0 0 9643 0 12843 0 159612 0 0 ANTHONY D PFITZER 0 483312 0 52058 0 8622 0 21952 0 11692 0 577636 0 0 LISA MCNAIR 0 268852 0 21000 0 0 0 19839 0 4744 0 314435 0 0 Supplemental Compensation Information ANY COMPENSATED OFFICERS LISTED ARE EMPLOYEES OF ST. JOSEPH REGIONAL HEALTH CENTER (SJRHC) AND ALL COMPENSATION INFORMATION IS REPORTED UNDER EIN: 74-1282696. ST. JOSEPH FOUNDATION (SJF) RELIES ON SJRHC WHICH USES (A) COMPENSATION COMMITTEE, (B) WRITTEN EMPLOYMENT CONTRACT, (C) INDEPENDENT COMPENSATION CONSULTANT, (D) COMPENSATION SURVEY OR STUDY, AND (E) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF TOP MANAGEMENT OFFICIALS. Description of Classes of Members or Stockholders Form 990, Part VI, Question 6 BYLAWS, SECTION 1. THE MEMBERSHIP OF THE FOUNDATION SHALL CONSIST OF ONE (1) CLASS AND THE ONLY MEMBER OF THE FOUNDATION SHALL BE ST. JOSEPH SERVICES CORPORATION, D/B/A ST. JOSEPH HEALTH SYSTEM, A TEXAS NONPROFIT CORPORATION (HEREINAFTER REFERRED TO AS "ST. JOSEPH HEALTH SYSTEM" OR "SJHS" OR THE "MEMBER") Description of Classes of Persons and the Nature of Their Rights Form 990, Part VI, Question 7a & 7b BYLAWS, SECTION 2. RESERVED POWER EXERCISABLE BY MEMBER ALONE IN ADDITION TO, AND NOT IN LIMITATION OF, THE POWERS RESERVED TO MEMBERS OF NONPROFIT CORPORATIONS BY LAW AND PURSUANT TO THE ARTICLES OF INCORPORATION AND OTHER PROVISIONS OF THESE BYLAWS, ACTION BY ST. JOSEPH HEALTH SYSTEM IN ITS CAPACITY AS SOLE MEMBER OF THE CORPORATION AND SUBJECT TO APPROVAL BY THE MEMBER OF SJHS, FRANCISCAN SERVICES CORPORATION ("FSC') WHEN REQUIRED BY THE ARTICLES OF INCORPORATION OR BYLAWS OF SJHS) SHALL BE REQUIRED AND SHALL BE SUFFICIENT: A) TO ADOPT OR CHANGE THE PHILOSOPHY, OBJECTIVES, PURPOSES, OR ETHICAL OR RELIGIOUS STANDARDS OF THE FOUNDATION AND OF ORGANIZATIONS CONTROLLED BY THE FOUNDATION; B) TO APPOINT THE DIRECTORS OF THE FOUNDATION AND TO REMOVE THEM AT WILL, WITH OR WITHOUT CAUSE, AS PROVIDED IN ARTICLE IV, SECTION 2 AND 4 OFTHESE BYLAWS; C) TO APPOINT AND REMOVE THE EXECUTIVE DIRECTOR AS PROVIDED IN ARTICLE VI, SECTION 6 OF THESE BYLAWS; D) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION; E) TO AMEND OR REPEAL THE BYLAWS OF THE FOUNDATION AS PROVIDED IN ARTICLE XIII OF THESE BYLAWS; F) TO DISSOLVE OR TERMINATE THE EXISTENCE OF THE FOUNDATION AND TO DETERMINE THE DISTRIBUTION OF ASSETS UPON SUCH DISSOLUTION OR TERMINATION IN ACCORDANCE WITH THE ARTICLES OF INCORPORATION; AND G) TO TAKE ANY ACTION NECESSARY TO CONFORM THE PURPOSES AND ACTIVITIES OF THE FOUNDATION WITH THE TRADITIONS, TEACHINGS AND CANON LAW OF THE ROMAN CATHOLIC CHURCH AS MAY BE IN EFFECT FROM TIME TO TIME. Describe Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11b 2011 FORM 990 AND ACCOMPANYING SCHEDULES WERE MADE AVAILABLE TO ALL TRUSTEES EITHER ELECTRONICALLY OR BY HARD COPY, DEPENDING UPON THE TRUSTEE'S PREFERENCE, BEFORE THE COMPANY FINALIZED AND SENT THE DOCUMENT TO IRS. THIS DRAFT WAS ALSO AVAILABLE AT THE ADMINISTRATIVE OFFICES OF THE REPORTING ENTITY FOR TRUSTEE'S REVIEW BEFORE THE FINAL 2009 FORM 990 AND ACCOMPANYING SCHEDULES WERE FINALIZED AND SENT TO IRS. THE REVIEW WAS UNDER THE DIRECTION OF THE CFO AND/OR TAX RETURN PREPARERS, ERNST & YOUNG, IF REQUESTED BY TRUSTEE. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c IN ACCORDANCE WITH ST. JOSEPH HEALTH SYSTEM POLICY NO.38,"CONFLICT OF INTEREST," SECTION 6: DISCLOSURE STATEMENT: "A CONFLICT OF INTEREST STATEMENT SHALL BE EXECUTED BY ALL DESIGNATED PERSONS, WHICH WILL BE RETAINED BY THE CORPORATION IN ITS ADMINISTRATIVE OFFICE, THIS STATEMENT SHALL BE RENEWED AT LEAST ANNUALLY AT THE REQUEST OF THE CORPORATION AND AT ANY TIME THAT A CONFLICT OF INTEREST MAY ARISE." TO HELP ENSURE THAT DISCLOSURE STATEMENTS ARE COMPLETED ANNUALLY ALL BOARD OF TRUSTEE MEMBERS, THE CEO'S OFFICE SUMMARIZES ALL CONFLICTS OF INTEREST DISCLOSED BY EACH ENTITY'S TRUSTEES. IN 2011, THE SUMMARY WAS PRESENTED AS AN AGENDA ITEM AT EACH ENTITY'S BOARD OF TRUSTEES MEETING HELD IN APRIL, 2011. THE AGENDA ITEM WAS TITLED, "CONFLICT OF INTEREST DISCLOSURE REVIEW" OR SOME FORM OF THAT PHRASE. THE REVIEW IS PERFORMED BY THE OFFICE OF THE CEO WHERE DISCLOSURE STATEMENTS ARE ALSO FILED FOR TRUSTEES. OTHER DESIGNATED PERSONS DISCLOSURE STATEMENTS ARE FILED IN INDIVIDUAL PERSONNEL FILES IF EMPLOYED BY SJRHC. WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY Form 990, Part VI, Question 13 and 14 THE ORGANIZATION FOLLOWS THE POLICIES OF THE ST JOSEPH HEALTH SYSTEM TO WHICH IT IS AN AFFILIATE. THE WHISTLEBLOWER POLICY AND THE DOCUMENT RETENTION AND DESTRUCTION POLICY ARE DOCUMENTED AND ARE APPROVED BY THE PRESIDENT AND CEO OF THE SYSTEM. THE BYLAWS OF ST JOSEPH HEALTH SYSTEM STATE: "...THE PRESIDENT/CEO SHALL ACT AS A DULY AUTHORIZED REPRESENTATIVE OF THE BOARD AND OF THE CORPORATION IN ALL MATTERS IN WHICH THE BOARD HAS NOT FORMALLY DESIGNATED SOME OTHER PERSON TO ACT..." THEREFORE, THE PRESIDENT/CEO BY THE AUTHORITY GRANTED TO HIM APPROVED THE POLICIES. DURING THE LAST 2011 ST JOSEPH HEALTH SYSTEM BOARD MEETING, THE TWO POLICIES WERE APPROVED BY THE BOARD. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public FORM 990, PART VI, QUESTION 19 NOT MADE AVAILABLE TO PUBLIC Other Changes in Net Assets Form 990, Part XI, Line 5 EQUITY TRANSFER $650,000 CONTRIBUTED SERVICES 101,511 UNREALIZED LOSS (9,170) --------- TOTAL $742,341 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GEORGE NELSON TITLE:BOT CHAIR, SJHS HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANTHONY D PFITZER TITLE:PRESIDENT & CEO, SJHS HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LISA MCNAIR TITLE:TREASURER HOURS:40 ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 GOVERNANCE TX 501(c)(3) 11-TYPE I FSC false ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HEALTH CARE TX 501(c)(3) 3 SJSC true BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HEALTH CARE TX 501(c)(3) 3 SJSC true MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HEALTH CARE TX 501(c)(3) 3 SJSC true ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 NURSING CARE TX 501(c)(3) 9 SJSC true BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 NURSING CARE TX 501(c)(3) 9 SJSC true ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 PHY PRACTICE TX 501(c)(3) 3 SJSC false FRANCISCAN SERVICES CORP 6832 CONVENT BLVD SYLVANIA OH 43560 341412964 CHURCH ORG OH 501(C)(3) 1 NA false FRANCISCAN CARE CENTER SYLVANIA 4111 HOLLAND SYLVANIA RD TOLEDO OH 43623 341931806 LT CARE FCLT OH 501(c)(3) 9 FLC true FRANCISCAN LIVING COMMUNITIES 6832 CONVENT BLVD SYLVANIA OH 43560 341892096 MGT SUPPORT OH 501(c)(3) 11-TYPE I FSC true FRANCISCAN PROPERTIES INC 6832 CONVENT BLVD SYLVANIA OH 43560 341412966 SR HOUSING OH 501(c)(3) 9 FLC true MADONNA MANOR 2344 AMSTERDAM RD VILLA HILLS KY 41017 610654635 LT CARE FCLT KY 501(c)(3) 9 FLC true PROVIDENCE CARE CENTER 2025 HAYES AVE SANDUSKY OH 44870 341658625 LT CARE FCLT OH 501(c)(3) 9 FLC false PROVIDENCE RESIDENTIAL COMM CORP 5055 PROVIDENCE DR SANDUSKY OH 44870 341896807 INDEPNDT LIV OH 501(c)(3) 9 PCC true THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DR SANDUSKY OH 44870 341826097 ASSISTED LIV OH 501(c)(3) 9 PCC true ROSARY CARE CENTER 6832 CONVENT BLVD SYLVANIA OH 43560 341931795 LT CARE FCLT OH 501(c)(3) 9 FLC true ST LEONARD 8100 CLYO RD CENTERVILLE OH 45458 341940863 LT CARE FCLT OH 501(c)(3) 9 FLC true ST LEONARD FOUNDATION 8100 CLYO RD CENTERVILLE OH 45458 320102715 FUND RAISING OH 501(c)(3) 7 FLC true FRANCISCAN SHELTERS DBA BETHANY HOUSE 6832 CONVENT BLVD SYLVANIA OH 43560 341612437 D.V SHELTER OH 501(c)(3) 1 FSC true SOPHIA CENTER 6832 CONVENT BLVD SYLVANIA OH 43560 341761656 MENTAL HLTH TX 501(c)(3) 9 FSC true SISTERS OF ST FRANCIS 6832 CONVENT BLVD SYLVANIA OH 43560 344450609 RELIGIOUS OH 501(C)(3) RELIGIOUS NA false FRANCISCAN SERVICES CORP SELF INSURANCE 6832 CONVENT BLVD SYLVANIA OH 43560 346895492 SELF INSUR OH 501(c)(3) 11-TYPE II FSC true ST CLARE COMMONS 270163752 LT CARE FCLT OH 501(c)(3) 9 FLC true PROVIDENCE CARE CENTERS 2025 HAYES AVE SANDUSKY OH 44870 341826099 FIN SUPPORT OH 501(C)(3) 7 FLC true TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON OH 44621 275401105 HEALTH CARE OH 501(C)(3) 3 SFH true TRINITY HEALTH SYSTEM 380 SUMMIT AVE STEUBENVILLE OH 43952 341818681 MGT SUPPORT OH 501(C)(3) 11-TYPE I NA false TRINITY HOSPITAL HOLDING COMPANY 380 SUMMIT AVE STEUBENVILLE OH 43952 341842025 HEALTH CARE OH 501(C)(3) 3 THS true TRINITY MEDICAL CENTER EAST 380 SUMMIT AVE STEUBENVILLE OH 43952 340714474 HEALTH CARE OH 501(C)(3) 3 THS true TRINITY MEDICAL CENTER WEST 4000 JOHNSON RD STEUBENVILLE OH 43952 340875691 HEALTH CARE OH 501(C)(3) 3 THS true TRINITY HEALTH SYSTEM FOUNDATION 380 SUMMIT AVE STEUBENVILLE OH 43952 311329423 FUND RAISING OH 501(C)(3) 11-TYPE I THS true ST LEONARD LIMITED PARTNERSHIP 88 EAST BROAD STREET SUITE 1800 CENTERVILLE OH 45458 311481761 LOW INCOME RENTAL OH NA INVESTMENT TAU ENTERPRISES INC 2801 FRANCISCAN DRIVE BRYAN TX 77802 742544009 OFFICE RENTAL TX NA CORPORATION ALLIANCE HEALTH PROVIDERS 2801 FRANCISCAN DRIVE BRYAN TX 77802 742466914 COORD INSURANCE TX NA CORPORATION ST LEONARD CENTER 1 INC 8100 CLYO ROAD CENTERVILLE OH 45458 311481764 LOW INCOME RENTAL OH NA CORPORATION false true true false false false false false false true false false false true true false false true ST JOSEPH REGIONAL HEALTH CENTER B 262980 FMV ST JOSEPH REGIONAL HEALTH CENTER R 650000 FMV MADISON ST JOSEPH B 54750 FMV ST JOSEPH REGIONAL HEALTH CENTER O 625530 FMV