Civic Intelligence

Mountain States Foundation

990 • Fiscal year 2014 • EIN 58-1418862

Jul 01, 2013 to Jun 30, 2014 • Filed on May 13, 2015

Organization ProfileWWW.MSHAFOUNDATION.ORG
2335 Knob Creek Road No 10137604

(423) 302-3131

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

35th percentile

0.11x

Higher debt load relative to assets than 35% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Liabilities / Revenue

61st percentile

0.40x

Higher debt load relative to revenue than 61% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Net Margin

11th percentile

-16%

Higher net margin than 11% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Top Officer Pay

97th percentile

$1,126,396

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 26.5% of source-year revenue.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Asset Growth

35th percentile

0.1%

Faster asset growth than 35% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Balance Sheet
Liabilities / Assets35th percentile

Assets

Up

$14,847,747

Up $13,754 (+0.1%) from 2013

Net Assets

Down

$13,158,569

Down $522,531 (-3.8%) from 2013

Liabilities

Up

$1,689,178

Up $536,285 (+47%) from 2013

Revenue And Expenses
Liabilities / Revenue61st percentileNet Margin11th percentile

Revenue

$4,245,192

No earlier filing loaded for comparison.

Expenses

Up

$4,931,121

Up $1,866,263 (+61%) from 2013

Net Income

-$685,929

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth35th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0Assets 2010: $101,907,709Liabilities 2010: $90,886,689Net Assets 2010: $11,021,0202010Assets 2011: $103,790,985Liabilities 2011: $92,848,980Net Assets 2011: $10,942,0052011Assets 2012: $12,214,745Liabilities 2012: $154,783Net Assets 2012: $12,059,9622012Assets 2013: $14,833,993Liabilities 2013: $1,152,893Net Assets 2013: $13,681,1002013Assets 2014: $14,847,747Liabilities 2014: $1,689,178Net Assets 2014: $13,158,5692014Assets 2015: $14,869,354Liabilities 2015: $665,326Net Assets 2015: $14,204,0282015Assets 2016: $15,575,460Liabilities 2016: $748,002Net Assets 2016: $14,827,4582016Assets 2017: $15,712,146Liabilities 2017: $798,111Net Assets 2017: $14,914,0352017Assets 2018: $15,499,241Liabilities 2018: $805,460Net Assets 2018: $14,693,7812018

Highlighted filing

2014

Assets$14,847,747
Liabilities$1,689,178
Net Assets$13,158,569
Open 2014 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $3,114,4952010Expenses 2011: $3,459,0342011Expenses 2012: $3,164,1832012Expenses 2013: $3,064,8582013Revenue 2014: $4,245,192Expenses 2014: $4,931,121Net Income 2014: -$685,9292014Revenue 2015: $3,533,962Expenses 2015: $2,394,652Net Income 2015: $1,139,3102015Revenue 2016: $3,810,485Expenses 2016: $3,603,323Net Income 2016: $207,1622016Revenue 2017: $2,043,945Expenses 2017: $2,412,852Net Income 2017: -$368,9072017Revenue 2018: $1,121,008Expenses 2018: $1,446,792Net Income 2018: -$325,7842018

Highlighted filing

2014

Revenue$4,245,192
Expenses$4,931,121
Net Income-$685,929
Open 2014 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 13, 2015
Return Version
2013v4.0
Gross Receipts
$4,732,474
Mission and Program Overview

Mission

Mountain states foundation ("msf") supports mountain states health alliance in healthcare and bringing loving care to healthcare. Msf's vision is to generate public support and awareness, encourage financial support, build endowments, and enlist the philanthropic efforts of other organizations. Through the efforts of friends, volunteers, and team members, msf provides support to a number of causes that are important to the people of northeast tennessee. Helping bring health to life, mountain states foundation advances quality healthcare in the northeast tennessee region by linking friends with mountain states health alliance and creating a difference through giving.

To support mountain states health alliance ("msha") in bringing loving care to healthcare.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$6,958,619$7,591,580▲ $632,961
Pledges and Grants Receivable$4,680,374$3,974,789▼ $705,585
Investments in Publicly Traded Securities$1,286,662$1,397,561▲ $110,899
Accounts Receivable$154,100$209,609▲ $55,509
Investments Other Securities$526,054$202,920▼ $323,134
Prepaid Expenses and Deferred Charges$23,727$33,993▲ $10,266
Total Assets$14,833,993$14,847,747▲ $13,754
Other Assets Total$1,204,457$1,437,295▲ $232,838
Liabilities
Other Liabilities$1,024,588$1,601,469▲ $576,881
Accounts Payable and Accrued Expenses$89,255$69,533▼ $19,722
Deferred Revenue$39,050$18,176▼ $20,874
Total Liabilities$1,152,893$1,689,178▲ $536,285
Net Assets / Fund Balance
Temporarily Rstr Net Assets$12,529,767$11,838,795▼ $690,972
Unrestricted Net Assets$1,024,201$1,192,642▲ $168,441
Permanently Rstr Net Assets$127,132$127,132→ $0
Total Net Assets Fund Balance$13,681,100$13,158,569▼ $522,531
Total Liabilities and Net Assets / Fund Balance$14,833,993$14,847,747▲ $13,754

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$85,600--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$127,132---$127,132
2012$127,132---$127,132
2011$127,132---$127,132
2010$127,132---$127,132
2009$177,132--$50,000$127,132
Compensation and Service Providers
Top Officer Pay97th percentile

Board Members and Trustees

NameTitle
Dan MahoneyChairperson
Patricia HoltsclawTrustee/president
Clarinda JeanesVice Chairperson
Dennis VonderfechtFormer Trustee/former Msha CEO
Carroll DaleTrustee
Danny BlackburnTrustee
David a LeonardTrustee
Freddie MullinsTrustee
Greg HarveyTrustee
Helen WhitsonTrustee
John SperopulosTrustee
Minnie MillerTrustee
Alan LevineTrustee/msha CEO
Bob CantlerSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$4,239,696
Program Service Revenue
$0
Investment Income
$98,489
Other Revenue
$-92,993
All Other Contributions
$1,961,795
Change in Net Assets
$-685,929

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table47$58,464Estimated Value
Food Inventory3$37,599Cost
Works of Art2$1,590Estimated Value
Total Noncash Contributions52$97,653-

Audited Revenue Reconciliation

Revenue per Audited Statements
$4,706,264
Revenue Not Reported on Financial Statements
$-461,072
Revenue Not Reported on Form 990
$355,031
Other Revenue Adjustments
$-461,072
Total Revenue per Audited Statements
$5,061,295
Total Revenue per Form 990
$4,245,192
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$3,753,095
Other Expenses$1,178,026
Total Fundraising Expense$60,162
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$3,748,198--$3,748,198
Fees for Service Investment Mgmnt Fees-$20,349-$20,349
Other Expenses-$13,523$60,162$13,523
All Other Expenses-$10,261-$10,261
Grants to Domestic Individuals$4,897--$4,897
Total Functional Expenses$3,753,095$1,117,864$60,162$4,931,121

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$5,583,826
Expenses per Audited Statements$4,931,121
Total Expenses per Form 990$4,931,121
Expenses Not Reported on Form 990$652,705
Expenses Not Reported on Financial Statements$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
62-0476282-501(c)(3)$3,312,848 TO SUPPORT CHILDREN'S HOSPITAL AND OTHER CAPITAL PROJECTS; $343,446 TO VARIOUS OTHER PROGRAMS AS DESCRIBED IN FURTHER DETAIL IN SCHEDULE O.$3,656,294
20-0831149-501(c)(3)Heal Appalachia Program$5,210
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
Yes
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$461,071
Fundraising Gross Income$296,489
Gaming Gross Income$97,800
Gaming Direct Expenses$26,211
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Event 1$629,244$120,240$190,747$-70,507
Event 2$228,528$58,521$89,066$-30,545
Total Events$1,489,599$296,489$461,071$-164,582
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Party$1,601,469
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“Mountain states health alliance is considered a member of the foundation because it approves the appointment of the foundation board and also approves any significant capital campaigns.”

Form 990, Part VI, Section A, Line 7A

“Mountain states health alliance is considered a member of the foundation because it approves the appointment of the foundation board and also approves any significant capital campaigns.”

Form 990, Part VI, Section A, Line 7B

“Mountain states health alliance board approves mountain states foundation board of trustees and approves any capital campaigns.”

Form 990, Part VI, Section B, Line 11

“The tax return is prepared by an unrelated, independent accounting firm and then submitted to senior management within accounting for internal review. Paper copies are then provided to the entire board for review.”

Form 990, Part VI, Section B, Line 12C

“Board members are required to update and submit a new conflict of interest statement by january 31 of each year. The chairman of the board, msha president and chief executive officer and the msha corporate ethics and compliance officer shall become familiar with the statements of the board members in order to guide their conduct should a conflict arise. At such time as any matter comes before the board that may potentially result in a conflict of interest, the affected board member shall make known the potential conflict, whether or not disclosed in a written statement. The affected board member may make a presentation to the board or a committee meeting, but after such presentation, he or she must leave the meeting during the discussion of and the vote on the transaction or arrangement considered to be a conflict of interest.”

Form 990, Part VI, Section C, Line 19

“The governing documents of the organization are held as public records of the state of tennessee secretary of state office. As such, these documents are open to the public. The conflict of interest policies and financial statements are not available to the public as this is not a requirement.”

Filing and Contact Details

Filer

EIN
58-1418862
Phone
4233023131

Signing Officer

Name
Patricia Holtsclaw
Title
President
Phone
4233023131
Signed
2015-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Patricia Holtsclaw
Formed
1980
Legal Domicile
Tn
Voting Board Members
13
Independent Board Members
11
Employees
0
Volunteers
951

Preparer

Preparer
Deborah O Ernsberger
Phone
8656730844
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Change in fair value of assets held in trust 49,771.”

Financial Statement Notes

PART V, LINE 4:

“Endowment funds of $100,000 are used for nursing scholarships and nursing education - the income from these funds is recorded in a temporary restricted fund and distributed to assist nursing students. Endowment funds of $17,500 are held for the children's hospital, and the remaining $10,000 is held for pulmonary care.”

PART X, LINE 2:

“The foundation is classified as an organization exempt from federal income taxes under internal revenue code (irc) section 501(c)(3). Accordingly, no provision for income taxes has been included in the accompanying financial statements. In addition, the foundation has been determined by the internal revenue service not to be a "private foundation" within the meaning of section 509(a) of the irc. The foundation has no uncertain tax positions at june 30, 2014 and 2013. As such, no interest or penalties are recognized in the statement of activities related to uncertain tax positions for the years then ended. At june 30, 2014, tax returns for fiscal years 2010 through 2013 are eligible for examination by the internal revenue service.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Change in fair value of assets held in trust 49,771.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Special events expenses -461,072.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Special events expenses 461,072.”

Raw XML AppendixShowing 400 of 841 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0MOUNTAIN STATES FOUNDATION ("MSF") IS A 501(C)(3) NOT-FOR-PROFIT ORGANIZATION THAT SUPPORTS MOUNTAIN STATES HEALTH ALLIANCE ("MSHA"), A 501(C)(3) ORGANIZATION INVOLVED IN HEALTHCARE AND HEALTHCARE RELATED SERVICES. MSF'S VISION IS TO GENERATE PUBLIC SUPPORT AND AWARENESS, ENCOURAGE FINANCIAL SUPPORT, BUILD ENDOWMENTS, AND ENLIST THE PHILANTHROPIC EFFORTS OF OTHER ORGANIZATIONS. THIS IS ESSENTIAL TO HELP ASSURE CONTINUED EXCELLENCE IN HEALTHCARE AND TO HELP LESSEN THE BURDEN ON PATIENT CHARGES FOR THE FUNDING OF NEW FACILITIES, EQUIPMENT, SERVICES, MEDICAL EDUCATION AND INDIGENT CARE. THROUGH THE EFFORTS OF FRIENDS, VOLUNTEERS, AND STAFF MEMBERS, MSF PROVIDES SUPPORT TO A NUMBER OF CAUSES THAT ARE VERY IMPORTANT TO THE PEOPLE OF NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. THE NISWONGER CHILDREN'S HOSPITALNISWONGER CHILDREN'S HOSPITAL SERVES A POPULATION OF MORE THAN 200,000 CHILDREN IN A 29-COUNTY REGION. THE HOSPITAL WAS DESIGNED TO PROVIDE FOR THE UNIQUE NEEDS OF CHILDREN AND COMBINES COMPASSIONATE, PERSONALIZED CARE WITH STATE-OF-THE-ART TECHNOLOGY. THE FOUNDATION PROVIDES FUNDING TO THE NISWONGER CHILDREN'S HOSPITAL EACH YEAR. MSHA'S PLANS FOR THE NISWONGER CHILDREN'S HOSPITAL INCLUDED THE FOLLOWING FEATURES:- EXPANDED NEW SERVICES TO INCREASE THE CURRENT 21,000 SQUARE FEET TO 80,000 SQUARE FEET- PRIVATE PEDIATRIC INTENSIVE CARE UNITS WITH INPATIENT ROOMS TO INCLUDE A DAYBED FOR FAMILY MEMBERS- PEDIATRIC EMERGENCY DEPARTMENT- TWO DEDICATED PEDIATRIC SURGICAL SUITES WITH PEDIATRIC PREOPERATIVE AND POSTOPERATIVE ROOMS- INCREASED CAPACITY IN ST. JUDE RESEARCH AFFILIATE CLINIC- SEVEN PRIVATE TRANSITIONAL ROOMS FOR THE FAMILIES OF THE NEONATAL INTENSIVE CARE UNIT PATIENTS- PEDIATRIC RADIOLOGY OCCUPATIONAL THERAPY AND PHYSICAL THERAPY- FAMILY LEARNING CENTER- LEARNING AND PLAY AREAS- CHAPELTHE FOUNDATION CONTINUES TO PROVIDE ADDITIONAL PIECES OF EQUIPMENT AND OTHER HEALTH-RELATED NEEDS IN ITS ONGOING EFFORT TO PROVIDE PATIENT-CENTERED CARE TO THE PEDIATRIC PATIENTS.MSF ALSO PROVIDES SUPPORT FOR GROWING HEALTHY AND YOUNG MOMS AND DADS. GROWING HEALTHY IS AN ELEMENTARY SCHOOL HEALTH CURRICULUM DESIGNED FOR KINDERGARTEN THROUGH THIRD GRADES. EACH YEAR MORE THAN 7,500 STUDENTS IN THE REGION LEARN HEALTHIER HABITS FOR LIFE. YOUNG MOMS AND DADS IS DESIGNED TO HELP TEENAGE MOTHERS AND FATHERS DEAL WITH EARLY PREGNANCIES. AMONG THE GOALS ARE HEALTHY MOTHER AND CHILD, COMPLETION OF EDUCATION, AND REDUCED RATE OF SECOND PREGNANCIES. WELLNESS SERVICES/EDUCATIONTHE WELLNESS SERVICES/EDUCATION PROGRAMS ASSIST CHURCHES, PASTORAL CARE, AND DIABETES PATIENTS IN THE REGION. THE PARISH NURSE PROGRAM ASSISTS PARISHIONERS AND OTHERS TO REACH AN OPTIMAL LEVEL OF WHOLE-PERSON HEALTH BY UTILIZING REGISTERED NURSES WHO FUNCTION AS MEMBERS OF A CHURCH'S MINISTERIAL TEAM. THROUGH SUPPORT OF PARISH NURSING EDUCATION AND RESOURCE NEEDS, MORE THAN 20 CHURCHES CAN PROVIDE A NURSE TO ASSIST THEIR PARISHIONERS WITH THEIR HEALTHCARE NEEDS. MSF PROVIDES FUNDING FOR EDUCATION AND RESOURCES FOR PASTORAL CARE, WHICH MEETS THE NEEDS OF PATIENTS AND FAMILIES IN THE HOSPITAL FACILITIES OF MOUNTAIN STATES HEALTH ALLIANCE. THE PASTORAL CARE PROGRAM COORDINATES ACTIVITIES AND EVENTS TO HELP CAREGIVERS AND MINISTERS LEARN UNIFIED APPROACHES TO PATIENTS' BODY, MIND, EMOTIONS, CULTURES, RELIGIOUS FAITHS, AND SPIRITUALITY. SCHOLARSHIPS AND OTHER EDUCATIONAL SUPPORT IS PROVIDED TO MSHA CAREGIVERS AND FUTURE CAREGIVERS. THIS SUPPORT IS ESPECIALLY CRITICAL IN HARD TO FILL POSITIONS SUCH AS NURSING.EMERGENCY FUNDTHE EMERGENCY FUND IS A PROGRAM SUPPORTED BY MSHA TEAM MEMBERS TO SUPPORT OTHER TEAM MEMBERS WHO MAY SUFFER FAMILY TRAGEDIES AND NEED SHORT-TERM SUPPORT. MSHA HAS CREATED A FUND TO PROVIDE FOR THESE NEEDS.WOMEN'S HEALTHTHE WOMEN'S HEALTH PROGRAM IS FOCUSED UPON BREAST CANCER AND RESOURCES TO ENHANCE THE BREAST CARE PROGRAM IN ALL MSHA FACILITIES. THIS IS ACCOMPLISHED THROUGH THE ACQUISITION OF EQUIPMENT, PROVISION OF EDUCATION FOR CAREGIVERS, AND OFFERING OF EDUCATION FOR
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IRS990/Form990PartVIISectionAGrp/PersonNm9JOHN SPEROPULOS
IRS990/Form990PartVIISectionAGrp/PersonNm10MINNIE MILLER
IRS990/Form990PartVIISectionAGrp/PersonNm11PATRICIA HOLTSCLAW
IRS990/Form990PartVIISectionAGrp/PersonNm12ALAN LEVINE
IRS990/Form990PartVIISectionAGrp/PersonNm13DENNIS VONDERFECHT
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt11207868
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt131058015
IRS990/Form990PartVIISectionAGrp/TitleTxt0SECRETARY/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE CHAIRPERSON
IRS990/Form990PartVIISectionAGrp/TitleTxt3CHAIRPERSON
IRS990/Form990PartVIISectionAGrp/TitleTxt4TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt7TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt8TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt9TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt10TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE/PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt12TRUSTEE/MSHA CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt13FORMER TRUSTEE/FORMER MSHA CEO
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01980
IRS990/FormerOfcrEmployeesListedInd01
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd01
IRS990/FundraisingAmt01193110
IRS990/FundraisingDirectExpensesAmt0461071
IRS990/FundraisingGrossIncomeAmt0296489
IRS990/GainOrLossGrp/SecuritiesAmt034272
IRS990/GamingActivitiesInd01
IRS990/GamingDirectExpensesAmt026211
IRS990/GamingGrossIncomeAmt097800
IRS990/GoverningBodyVotingMembersCnt013
IRS990/GrantAmt03753095
IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt04897
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt04897
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt03748198
IRS990/GrantsToDomesticOrgsGrp/TotalAmt03748198
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt034272
IRS990/GrossReceiptsAmt04732474
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt011
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt064217
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt064217
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt0526054
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0202920
IRS990/InvestmentsPubTradedSecGrp/BOYAmt01286662
IRS990/InvestmentsPubTradedSecGrp/EOYAmt01397561
IRS990/IRPDocumentCnt013
IRS990/IRPDocumentW2GCnt01
IRS990/LegalDomicileStateCd0TN
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0MOUNTAIN STATES FOUNDATION ("MSF") SUPPORTS MOUNTAIN STATES HEALTH ALLIANCE IN HEALTHCARE AND BRINGING LOVING CARE TO HEALTHCARE. MSF'S VISION IS TO GENERATE PUBLIC SUPPORT AND AWARENESS, ENCOURAGE FINANCIAL SUPPORT, BUILD ENDOWMENTS, AND ENLIST THE PHILANTHROPIC EFFORTS OF OTHER ORGANIZATIONS. THROUGH THE EFFORTS OF FRIENDS, VOLUNTEERS, AND TEAM MEMBERS, MSF PROVIDES SUPPORT TO A NUMBER OF CAUSES THAT ARE IMPORTANT TO THE PEOPLE OF NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. HELPING BRING HEALTH TO LIFE, MOUNTAIN STATES FOUNDATION ADVANCES QUALITY HEALTH CARE IN THE NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA REGIONS BY LINKING FRIENDS WITH MOUNTAIN STATES HEALTH ALLIANCE AND CREATING A DIFFERENCE THROUGH GIVING.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt013681100
IRS990/NetAssetsOrFundBalancesEOYAmt013158569
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt034272
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt034272
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-164582
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-164582
IRS990/NetIncomeFromGamingGrp/ExclusionAmt071589
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt071589
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0113627
IRS990/NoncashContributionsAmt097652
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt01204457
IRS990/OtherAssetsTotalGrp/EOYAmt01437295
IRS990/OtherChangesInNetAssetsAmt049771
IRS990/OtherExpensesGrp/Desc0GIFT IN KIND
IRS990/OtherExpensesGrp/Desc1MISCELLANEOUS
IRS990/OtherExpensesGrp/Desc2FUNDRAISING
IRS990/OtherExpensesGrp/Desc3BANK FEES
IRS990/OtherExpensesGrp/FundraisingAmt060162
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0906413
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1167318
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt213523
IRS990/OtherExpensesGrp/TotalAmt0906413
IRS990/OtherExpensesGrp/TotalAmt1167318
IRS990/OtherExpensesGrp/TotalAmt260162
IRS990/OtherExpensesGrp/TotalAmt313523
IRS990/OtherLiabilitiesGrp/BOYAmt01024588
IRS990/OtherLiabilitiesGrp/EOYAmt01601469
IRS990/PartialLiquidationInd00
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt0127132
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt0127132
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt04680374
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt03974789
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt023727
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt033993
IRS990/PrincipalOfficerNm0PATRICIA HOLTSCLAW
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt04628156
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt01942978
IRS990/PYInvestmentIncomeAmt0110616
IRS990/PYOtherExpensesAmt01121880
IRS990/PYOtherRevenueAmt0-72338
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt01601576
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt03064858
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt04666434
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-685929
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RelatedOrganizationsAmt01084791
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt06958619
IRS990/SavingsAndTempCashInvstGrp/EOYAmt07591580
IRS990ScheduleA/CertificationInd0X
IRS990ScheduleA/Contribution35ControlledInd00
IRS990ScheduleA/ContributionControllerInd00
IRS990ScheduleA/ContributionFamilyInd00
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0620476282
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc03
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt03656294
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine10MOUNTAIN STATES HEALTH ALLIANCE
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrgNotifiedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd01
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt03656294
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/BoardDesignatedBalanceEOYPct01.00000
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt0127132
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt0127132
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt0127132
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0127132
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0127132
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0127132
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0127132
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0127132
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0177132
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0127132
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/OtherExpendituresAmt050000
IRS990ScheduleD/DonatedServicesAndUseFcltsAmt0191633
IRS990ScheduleD/DonatedServicesUseFcltsAmt0191633
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/ExpensesNotReportedAmt0652705
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt04931121
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0113627
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt01351695
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt185600
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0INTEREST IN CHARITABLE REMAINDER TRUST
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1ASSETS HELD FOR SALE
IRS990ScheduleD/OtherExpensesIncludedAmt0461072
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt01601469
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO RELATED PARTY
IRS990ScheduleD/OtherRevenueAmt049771
IRS990ScheduleD/OtherRevenuesNotIncludedAmt0-461072
IRS990ScheduleD/RevenueNotReportedAmt0355031
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt0-461072
IRS990ScheduleD/RevenueSubtotalAmt04706264
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ENDOWMENT FUNDS OF $100,000 ARE USED FOR NURSING SCHOLARSHIPS AND NURSING EDUCATION - THE INCOME FROM THESE FUNDS IS RECORDED IN A TEMPORARY RESTRICTED FUND AND DISTRIBUTED TO ASSIST NURSING STUDENTS. ENDOWMENT FUNDS OF $17,500 ARE HELD FOR THE CHILDREN'S HOSPITAL, AND THE REMAINING $10,000 IS HELD FOR PULMONARY CARE.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1THE FOUNDATION IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. IN ADDITION, THE FOUNDATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE IRC. THE FOUNDATION HAS NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2014 AND 2013. AS SUCH, NO INTEREST OR PENALTIES ARE RECOGNIZED IN THE STATEMENT OF ACTIVITIES RELATED TO UNCERTAIN TAX POSITIONS FOR THE YEARS THEN ENDED. AT JUNE 30, 2014, TAX RETURNS FOR FISCAL YEARS 2010 THROUGH 2013 ARE ELIGIBLE FOR EXAMINATION BY THE INTERNAL REVENUE SERVICE.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2CHANGE IN FAIR VALUE OF ASSETS HELD IN TRUST 49,771.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3SPECIAL EVENTS EXPENSES -461,072.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt4SPECIAL EVENTS EXPENSES 461,072.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART V, LINE 4:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc3PART XI, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc4PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueOtherAssetsAmt01437295
IRS990ScheduleD/TotalExpensesPerForm990Amt04931121
IRS990ScheduleD/TotalLiabilityAmt01601469
IRS990ScheduleD/TotalRevenuePerForm990Amt04245192
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt05061295
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt05583826
IRS990ScheduleG/CharitableDistributionRqrInd01
IRS990ScheduleG/CntrctWith3rdPrtyForGameRevInd00
IRS990ScheduleG/DistributedAmt096609
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesEvent1Amt03000
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesTotalEventsAmt03000
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt01193110
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt0509004
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt0170007
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriOtherEventsAmt0514099
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt0461071
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt0629244
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt0228528
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsOtherEventsAmt0631827
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt01489599
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt0120240
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt058521
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueOtherEventsAmt0117728
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt0296489
IRS990ScheduleG/FundraisingEventInformationGrp/NameOfEvent1Amt0GOLF CLASSIC
IRS990ScheduleG/FundraisingEventInformationGrp/NameOfEvent2Amt0SPIRIT GALA
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-164582
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt0126302
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt0406115
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt0190747
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt089066
IRS990ScheduleG/FundraisingEventInformationGrp/OtherEventsTotalCnt015
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt010971
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt07725
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsOtherEventsAmt033260
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt051956
IRS990ScheduleG/GamingInformationGrp/CashPrizesOtherGamingAmt025000

Document Assets

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Filings

Displayed year

2014 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$14,847,747
Liabilities
$1,689,178
Net assets
$13,158,569
Revenue
$4,245,192
Expenses
$4,931,121
Net income
-$685,929
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2018Detailed filing. Detailed filing data is available for this year.$15.5$0.81$14.7$1.12$1.45$0.33
2017Detailed filing. Detailed filing data is available for this year.$15.7$0.80$14.9$2.04$2.41$0.37
2016Detailed filing. Detailed filing data is available for this year.$15.6$0.75$14.8$3.81$3.60$0.21
2015Detailed filing. Detailed filing data is available for this year.$14.9$0.67$14.2$3.53$2.39$1.14
2014Detailed filing. Detailed filing data is available for this year.$14.8$1.69$13.2$4.25$4.93$0.69
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.8$1.15$13.7$3.06
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.2$0.15$12.1$3.16
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$104$92.8$10.9$3.46
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$102$90.9$11.0$3.11