Civic Intelligence

Mountain States Foundation

990 • Fiscal year 2016 • EIN 58-1418862

Jul 01, 2015 to Jun 30, 2016 • Filed on May 12, 2017

Organization ProfileWWW.MSHAFOUNDATION.ORG
2335 Knob Creek Road No 101Johnson City, TN 37604

(423) 952-3110

Siviq Scores

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

Liabilities / Assets

25th percentile

0.05x

Higher debt load relative to assets than 25% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Liabilities / Revenue

44th percentile

0.20x

Higher debt load relative to revenue than 44% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Net Margin

61st percentile

5.4%

Higher net margin than 61% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Top Officer Pay

97th percentile

$1,320,803

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 34.7% of source-year revenue.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Asset Growth

62nd percentile

4.7%

Faster asset growth than 62% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Revenue Growth

64th percentile

7.8%

Faster revenue growth than 64% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets25th percentile

Assets

Up

$15,575,460

Up $706,106 (+4.7%) from 2015

Net Assets

Up

$14,827,458

Up $623,430 (+4.4%) from 2015

Liabilities

Up

$748,002

Up $82,676 (+12%) from 2015

Revenue And Expenses
Liabilities / Revenue44th percentileNet Margin61st percentile

Revenue

Up

$3,810,485

Up $276,523 (+7.8%) from 2015

Expenses

Up

$3,603,323

Up $1,208,671 (+50%) from 2015

Net Income

Down

$207,162

Down $932,148 (-82%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth62nd 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

2016

Assets$15,575,460
Liabilities$748,002
Net Assets$14,827,458
Open 2016 Filing

Operations Trend

Revenue Growth64th percentile

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

2016

Revenue$3,810,485
Expenses$3,603,323
Net Income$207,162
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 12, 2017
Return Version
2015v3.0
Gross Receipts
$4,678,839
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$7,952,493$8,785,646▲ $833,153
Pledges and Grants Receivable$3,427,492$3,117,038▼ $310,454
Investments in Publicly Traded Securities$1,625,351$1,598,466▼ $26,885
Accounts Receivable$324,662$430,115▲ $105,453
Prepaid Expenses and Deferred Charges$18,508$15,111▼ $3,397
Total Assets$14,869,354$15,575,460▲ $706,106
Other Assets Total$1,520,848$1,629,084▲ $108,236
Liabilities
Other Liabilities$563,309$577,678▲ $14,369
Accounts Payable and Accrued Expenses$58,947$135,459▲ $76,512
Deferred Revenue$43,070$34,865▼ $8,205
Total Liabilities$665,326$748,002▲ $82,676
Net Assets / Fund Balance
Temporarily Rstr Net Assets$12,941,524$13,504,082▲ $562,558
Unrestricted Net Assets$1,135,372$1,296,244▲ $160,872
Permanently Rstr Net Assets$127,132$27,132▼ $100,000
Total Net Assets Fund Balance$14,204,028$14,827,458▲ $623,430
Total Liabilities and Net Assets / Fund Balance$14,869,354$15,575,460▲ $706,106

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$125,000--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$127,132---$127,132
2014$127,132---$127,132
2013$127,132---$127,132
2012$127,132---$127,132
2011$127,132---$127,132
Compensation and Service Providers
Top Officer Pay97th percentile

Board Members and Trustees

NameTitle
Clarinda JeanesChairperson
Patricia HoltsclawTrustee/president
Bob CantlerVice Chairperson
Carroll DaleTrustee
Dan MahoneyTrustee
David a LeonardTrustee
Freddie MullinsTrustee
Greg HarveyTrustee
Heidi DulebohnTrustee
John SperopulosTrustee
Minnie MillerTrustee
Morris Seligman MdTrustee
Alan LevineTrustee/msha CEO
Helen WhitsonSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Capital Development ServicesCounseling Services915 W 4TH ST SUITE 100, Winstonsalem, NC 27101$106,735
Revenue and Support

Revenue Composition

Contributions and Grants
$4,107,950
Program Service Revenue
$0
Investment Income
$41,030
Other Revenue
$-338,495
All Other Contributions
$2,240,406
Change in Net Assets
$207,162

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 Table29$447,382Estimated Value
Cars and Other Vehicles1$29,900Cost
Total Noncash Contributions30$477,282-

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,810,485
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$2,390,118
Total Revenue per Audited Statements
$6,200,603
Total Revenue per Form 990
$3,810,485
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$2,328,974
Other Expenses$1,274,349
Total Fundraising Expense$162,032
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$2,322,974--$2,322,974
Other Expenses$77,678$74,044$162,032$74,044
All Other Expenses-$17,975-$17,975
Fees for Service Investment Mgmnt Fees-$15,925-$15,925
Grants to Domestic Individuals$6,000--$6,000
Total Functional Expenses$2,406,652$1,034,639$162,032$3,603,323

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$5,577,173
Expenses per Audited Statements$3,603,323
Total Expenses per Form 990$3,603,323
Expenses Not Reported on Form 990$1,973,850
Expenses Not Reported on Financial Statements$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Mountain States Health AllianceJohnson City, TN501(c)(3)$1,986,833 TO SUPPORT CAPITAL PROJECTS; $22,985 FOR GROWING HEALTHY; AND $276,630 TO OTHER.$2,286,448
Remote Area Medical IncRockford, TN501(c)(3)Scholarship Fund for Health-related Fields$15,000
Friends in Need Healthcare IncKingsport, TN501(c)(3)Mobile Dental Unit$9,000
Chilhowie Elementary SchoolChilhowie, VAGovt.New Playground Equipment$5,000
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
Yes
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$826,139
Fundraising Gross Income$401,489
Gaming Gross Income$128,370
Gaming Direct Expenses$42,215
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Classic$1,176,883$252,786$458,242$-205,456
Spirit Gala$262,428$83,010$78,784$4,226
Total Events$1,979,033$401,489$826,139$-424,650
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$577,678
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

Filer Name
Mountain States Foundation
EIN
58-1418862
Phone
4239523110
Address
2335 KNOB CREEK ROAD NO 101, JOHNSON CITY, TN 37604

Signing Officer

Name
Patricia Holtsclaw
Title
President
Phone
4239523110
Signed
2017-05-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Patricia Holtsclaw
Formed
1980
Legal Domicile
Tn
Voting Board Members
14
Independent Board Members
11
Employees
0
Volunteers
1,018

Preparer

Firm
Pershing Yoakley & Associates P C
Address
2220 SUTHERLAND AVE, KNOXVILLE, TN 37919
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 -16,764.”

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:

“Mountain states foundation, inc. (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, 2016 and 2015. 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, 2016, informational tax returns for fiscal years 2013 through 2015 are eligible for examination by the internal revenue service.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Change in fair value of assets held in trust -16,764. Special events expenses 868,353.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Special events expenses 868,353.”

Raw XML AppendixShowing 400 of 883 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/ActivityOrMissionDesc0TO SUPPORT MOUNTAIN STATES HEALTH ALLIANCE ("MSHA") IN BRINGING LOVING CARE TO HEALTHCARE.
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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.THE WASHINGTON COUNTY FOUNDATIONTHE WASHINGTON COUNTY FOUNDATION CONTINUES TO PROVIDE SUPPORT FOR THE SURROUNDING HOSPITALS IN THE FOLLOWING CAPACITIES: JOHNSON COUNTY MEDICAL CENTER - THE FOUNDATION PROVIDED FUNDS FOR NEW MEDICAL CHAIRS. FRANKLIN WOODS COMMUNITY HOSPITAL - THE FOUNDATION PROVIDED FUNDS FOR EQUIPMENT FOR A TEAM MEMBER WORKOUT ROOM. WOODRIDGE HOSPITAL - THE FOUNDATION PROVIDED FUNDS FOR NEW FURNITURE AND REMODELING OF THE ADOLESCENT "WILLOW UNIT."THE WASHINGTON COUNTY FOUNDATION ALSO PARTICIPATED IN A MATCHING GRANT FOR TELEMEDICINE.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 FOR VARIOUS NEEDS SUCH AS GIRAFFE ISOLLETTES, EEG EQUIPMENT, AND PEDIATRIC AMBULANCES, TO NAME A FEW.THE 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.OTHER PROGRAMS SUPPORTED BY THE FOUNDATION:GROWING HEALTHYGROWING HEALTHY SERVES THE SIX SCHOOL SYSTEMS OF UPPER EAST TENNESSEE. THE PROGRAM IS COMMITTED TO PROMOTING HEALTHY LIFESTYLE CHOICES THROUGH ITS EFFORTS TO HELP SCHOOLS AND COMMUNITIES EFFECTIVELY LINK HEALTH WITH EDUCATIONAL ACHIEVEMENT AND IMPROVE STUDENTS' OVERALL WELL-BEING. GROWING HEALTHY FOCUSED ITS EFFORTS ON HELPING EDUCATORS DEVELOP QUALITY PLANNING/INSTRUCTION LESSONS THAT INTEGRATED HEALTH CONCEPTS WITHIN ALL CURRICULUM AREAS IN ORDER TO IMPROVE STUDENT HEALTH AND ACHIEVEMENT.TRAININGS WERE CONDUCTED FOR SECOND AND THIRD GRADE TEACHERS WHO ATTENDED SEVERAL THREE-DAY IN-SERVICE TRAININGS WHERE THEY RECEIVED INSTRUCTION ON HOW TO INCORPORATE A RESOURCE-RICH HEALTH CURRICULUM THAT USES A VARIETY OF PERIPHERAL MATERIALS TO ENGAGE AND CAPTIVATE THEIR STUDENTS IN THEIR CLASSROOMS. TEACHERS PARTICIPATING RECEIVED TRAINING ON HOW TO ENHANCE AND INCORPORATE THE HEALTH CURRICULUM WITH THE NEW STATE COMMON CORE STANDARDS AND THE INCREASING DEMANDS ON STATE TESTING SCORES.IN 2016, MOUNTAIN STATES FOUNDATION'S SPARK CURRICULUM EXPANDED TRAININGS FOR K-6 PHYSICAL EDUCATION TEACHERS IN THE SULLIVAN COUNTY SCHOOLS AND KINGSPORT CITY SCHOOLS. BY COLLABORATING WITH THE COORDINATORS OF SCHOOL HEALTH IN EACH NEW SCHOOL SYSTEM AND THE PREVIOUS SIX SCHOOL SYSTEMS, A TRAINING WAS SCHEDULED TO TRAIN NEW TEACHERS AS WELL AS REFRESH PREVIOUSLY TRAINED TEACHERS AND NEW HIRES SINCE THE ORIGINAL TRAINING IN 2008. GROWING HEALTH COLLABORATED WITH THE KINGSPORT CITY SCHOOLS TO HOST THE K-2 AND 3-6 SPARK TRAININGS ON JUNE 6-7, 2016, AND SERVED AS THE SHIPPING SITE AND PROVIDED ALL EQUIPMENT NEEDED FOR THE TWO WORKSHOPS.MOUNTAIN STATES FOUNDATION PURCHASED 20 COMPLETE SPARK K-2 AND 3-6 CURRICULUM SETS AND 25 SETS OF SHOULDER FOLDERS. THESE WERE DISTRIBUTED TO THE NEWLY TRAINED TEACHERS AND ADDITIONAL SHOULDER FOLDERS WERE PROVIDED TO SUPPORT PREVIOUS PROGRAMS. DUE TO THE POPULARITY AND LACK OF EQUIPMENT IN THE SCHOOLS FOR THE JUMP BAND ACTIVITY, 25 SETS OF JUMP BANDS W
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1286362
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1318435
IRS990/Form990PartVIISectionAGrp/PersonNm0CLARINDA JEANES
IRS990/Form990PartVIISectionAGrp/PersonNm1BOB CANTLER
IRS990/Form990PartVIISectionAGrp/PersonNm2HELEN WHITSON
IRS990/Form990PartVIISectionAGrp/PersonNm3ALAN LEVINE
IRS990/Form990PartVIISectionAGrp/PersonNm4CARROLL DALE
IRS990/Form990PartVIISectionAGrp/PersonNm5DAN MAHONEY
IRS990/Form990PartVIISectionAGrp/PersonNm6DAVID A LEONARD
IRS990/Form990PartVIISectionAGrp/PersonNm7FREDDIE MULLINS
IRS990/Form990PartVIISectionAGrp/PersonNm8GREG HARVEY
IRS990/Form990PartVIISectionAGrp/PersonNm9HEIDI DULEBOHN
IRS990/Form990PartVIISectionAGrp/PersonNm10JOHN SPEROPULOS
IRS990/Form990PartVIISectionAGrp/PersonNm11MINNIE MILLER
IRS990/Form990PartVIISectionAGrp/PersonNm12MORRIS SELIGMAN MD
IRS990/Form990PartVIISectionAGrp/PersonNm13PATRICIA HOLTSCLAW
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt12648239
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt13214843
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRPERSON
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIRPERSON
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3TRUSTEE/MSHA CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt4TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt7TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt8TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt9TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt10TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt12TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt13TRUSTEE/PRESIDENT
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01980
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd01
IRS990/FundraisingAmt01577544
IRS990/FundraisingDirectExpensesAmt0826139
IRS990/FundraisingGrossIncomeAmt0401489
IRS990/GainOrLossGrp/SecuritiesAmt057
IRS990/GamingActivitiesInd01
IRS990/GamingDirectExpensesAmt042215
IRS990/GamingGrossIncomeAmt0128370
IRS990/GoverningBodyVotingMembersCnt014
IRS990/GrantAmt02328974
IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt06000
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt06000
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt02322974
IRS990/GrantsToDomesticOrgsGrp/TotalAmt02322974
IRS990/GrantsToIndividualsInd01
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt057
IRS990/GrossReceiptsAmt04678839
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt011
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt040973
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt040973
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt01625351
IRS990/InvestmentsPubTradedSecGrp/EOYAmt01598466
IRS990/IRPDocumentCnt025
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. 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.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt014204028
IRS990/NetAssetsOrFundBalancesEOYAmt014827458
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt057
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt057
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-424650
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-424650
IRS990/NetIncomeFromGamingGrp/ExclusionAmt086155
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt086155
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-45206
IRS990/NoncashContributionsAmt0477282
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt01520848
IRS990/OtherAssetsTotalGrp/EOYAmt01629084
IRS990/OtherChangesInNetAssetsAmt0-16764
IRS990/OtherExpensesGrp/Desc0SPECIAL EVENTS
IRS990/OtherExpensesGrp/Desc1FUNDRAISING
IRS990/OtherExpensesGrp/Desc2OTHER EXPENSE
IRS990/OtherExpensesGrp/Desc3BAD DEBT
IRS990/OtherExpensesGrp/FundraisingAmt0162032
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0926695
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt174044
IRS990/OtherExpensesGrp/ProgramServicesAmt077678
IRS990/OtherExpensesGrp/TotalAmt0926695
IRS990/OtherExpensesGrp/TotalAmt1162032
IRS990/OtherExpensesGrp/TotalAmt277678
IRS990/OtherExpensesGrp/TotalAmt374044
IRS990/OtherLiabilitiesGrp/BOYAmt0563309
IRS990/OtherLiabilitiesGrp/EOYAmt0577678
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt0127132
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt027132
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt03427492
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt03117038
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt018508
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt015111
IRS990/PrincipalOfficerNm0PATRICIA HOLTSCLAW
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt03443495
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0810276
IRS990/PYInvestmentIncomeAmt077854
IRS990/PYOtherExpensesAmt01584376
IRS990/PYOtherRevenueAmt012613
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt01139310
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt02394652
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt03533962
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0207162
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RelatedOrganizationsAmt0290000
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt07952493
IRS990/SavingsAndTempCashInvstGrp/EOYAmt08785646
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd01
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0620476282
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt02286448
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0MOUNTAIN STATES HEALTH ALLIANCE
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt02286448
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/BeginningYearBalanceAmt0127132
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0127132
IRS990ScheduleD/DonatedServicesAndUseFcltsAmt01583735
IRS990ScheduleD/DonatedServicesUseFcltsAmt01105497
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/ExpensesNotReportedAmt01973850
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt03603323
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0-45206
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt01487784
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt116300
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt2125000
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0INTEREST IN CHARITABLE REMAINDER TRUST
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1OTHER ASSETS
IRS990ScheduleD/OtherAssetsOrgGrp/Desc2ASSETS HELD FOR RESALE
IRS990ScheduleD/OtherExpensesIncludedAmt0868353
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0577678
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO RELATED PARTY
IRS990ScheduleD/OtherRevenueAmt0851589
IRS990ScheduleD/RevenueNotReportedAmt02390118
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt03810485
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/ExplanationTxt1MOUNTAIN STATES FOUNDATION, INC. (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, 2016 AND 2015. 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, 2016, INFORMATIONAL TAX RETURNS FOR FISCAL YEARS 2013 THROUGH 2015 ARE ELIGIBLE FOR EXAMINATION BY THE INTERNAL REVENUE SERVICE.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2CHANGE IN FAIR VALUE OF ASSETS HELD IN TRUST -16,764. SPECIAL EVENTS EXPENSES 868,353.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3SPECIAL EVENTS EXPENSES 868,353.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART V, LINE 4:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc3PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueOtherAssetsAmt01629084
IRS990ScheduleD/TotalExpensesPerForm990Amt03603323
IRS990ScheduleD/TotalLiabilityAmt0577678
IRS990ScheduleD/TotalRevenuePerForm990Amt03810485
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt06200603
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt05577173
IRS990ScheduleG/CharitableDistributionRqrInd01
IRS990ScheduleG/CntrctWith3rdPrtyForGameRevInd00
IRS990ScheduleG/DistributedAmt086155
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt01577544
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt0924097
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt0179418
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriOtherEventsAmt0474029
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt0826139
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF CLASSIC
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0SPIRIT GALA
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt01176883

Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$15,575,460
Liabilities
$748,002
Net assets
$14,827,458
Revenue
$3,810,485
Expenses
$3,603,323
Net income
$207,162
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