Civic Intelligence

Mountain States Foundation

990 • Fiscal year 2017 • EIN 58-1418862

Jul 01, 2016 to Jun 30, 2017 • Filed on May 09, 2018

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

27th percentile

0.05x

Higher debt load relative to assets than 27% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Liabilities / Revenue

62nd percentile

0.39x

Higher debt load relative to revenue than 62% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Net Margin

11th percentile

-18%

Higher net margin than 11% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Top Officer Pay

97th percentile

$1,142,849

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 55.9% of source-year revenue.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Asset Growth

36th percentile

0.9%

Faster asset growth than 36% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Revenue Growth

4th percentile

-46%

Faster revenue growth than 4% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Assets

Up

$15,712,146

Up $136,686 (+0.9%) from 2016

Net Assets

Up

$14,914,035

Up $86,577 (+0.6%) from 2016

Liabilities

Up

$798,111

Up $50,109 (+6.7%) from 2016

Revenue

Down

$2,043,945

Down $1,766,540 (-46%) from 2016

Expenses

Down

$2,412,852

Down $1,190,471 (-33%) from 2016

Net Income

Down

-$368,907

Down $576,069 (-278%) from 2016

Historical Trend

Balance Sheet Trend

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

2017

Assets$15,712,146
Liabilities$798,111
Net Assets$14,914,035

Operations Trend

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

2017

Revenue$2,043,945
Expenses$2,412,852
Net Income-$368,907
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 9, 2018
Return Version
2016v3.0
Gross Receipts
$2,914,821
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$8,785,646$9,871,891▲ $1,086,245
Pledges and Grants Receivable$3,117,038$1,826,115▼ $1,290,923
Investments in Publicly Traded Securities$1,598,466$1,775,245▲ $176,779
Accounts Receivable$430,115$239,479▼ $190,636
Prepaid Expenses and Deferred Charges$15,111$10,702▼ $4,409
Total Assets$15,575,460$15,712,146▲ $136,686
Other Assets Total$1,629,084$1,988,714▲ $359,630
Liabilities
Other Liabilities$577,678$603,342▲ $25,664
Accounts Payable and Accrued Expenses$135,459$169,219▲ $33,760
Deferred Revenue$34,865$25,550▼ $9,315
Total Liabilities$748,002$798,111▲ $50,109
Net Assets / Fund Balance
Temporarily Rstr Net Assets$13,504,082$13,497,688▼ $6,394
Unrestricted Net Assets$1,296,244$1,389,215▲ $92,971
Permanently Rstr Net Assets$27,132$27,132→ $0
Total Net Assets Fund Balance$14,827,458$14,914,035▲ $86,577
Total Liabilities and Net Assets / Fund Balance$15,575,460$15,712,146▲ $136,686

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$415,000--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$127,132---$127,132
2015$127,132---$127,132
2014$127,132---$127,132
2013$127,132---$127,132
2012$127,132---$127,132
Compensation and Service Providers

Board Members and Trustees

NameTitle
Clarinda JeanesChairperson
Patricia Holtsclawtrustee/President
Bob Cantlervice chairperson
Carroll DaleTrustee
Dan MahoneyTrustee
Freddie Mullinstrustee
Heidi DulebohnTrustee
Minnie MillerTrustee
Morris Seligman MdTrustee
david a leonardtrustee
greg harveytrustee
Alan LevineTrustee/MSHA CEO
John SperopulosSeCRETARY/TREASURER
Revenue and Support

Revenue Composition

Contributions and Grants
$2,441,391
Program Service Revenue
$0
Investment Income
$47,184
Other Revenue
$-444,630
All Other Contributions
$1,135,350
Change in Net Assets
$-368,907

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 Table21$374,413estimated value
Cars and Other Vehicles1$30,000Cost
Works of Art1$10,050Cost
Total Noncash Contributions23$414,463-

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,043,945
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$2,236,972
Total Revenue per Audited Statements
$4,280,917
Total Revenue per Form 990
$2,043,945
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,570,960
Other Expenses$841,892
Total Fundraising Expense$755,654
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,564,960--$1,564,960
Other Expenses-$17,680$92,389$17,680
Fees for Service Investment Mgmnt Fees-$16,435-$16,435
Grants to Domestic Individuals$6,000--$6,000
Total Functional Expenses$1,570,960$86,238$755,654$2,412,852

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$4,194,340
Expenses per Audited Statements$2,412,852
Total Expenses per Form 990$2,412,852
Expenses Not Reported on Form 990$1,781,488
Expenses Not Reported on Financial Statements$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Mountain States Health Alliancejohnson city, TN501(c)(3)$1,231,054 to support capital projects; $4,623 for growing healthy; and $305,008 on miscellaneous other projects$1,540,685
Leconte Medical CenterSevierville, TN501(c)(3)Providing support for Gatlinburg Emergency Relief Wildfire Fund$11,525
Smyth County Community HospitalJohnson city, TN501(c)(3)Providing support for the Stepping Out Camp Program$5,023
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
Yes
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$830,670
Fundraising Gross Income$297,546
Gaming Gross Income$128,700
Gaming Direct Expenses$40,206
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Spirit Gala$298,676$83,597$174,141$-90,544
Golf Classic$674,980$83,588$257,630$-174,042
Total Events$1,551,373$297,546$830,670$-533,124
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$603,342
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 11B

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
Clay Rolston
Title
Executive Director
Phone
4239523110
Signed
2018-05-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Todd Norris
Formed
1980
Legal Domicile
Tn
Voting Board Members
13
Independent Board Members
9
Employees
0
Volunteers
787

Preparer

Firm
Pya 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 51,234. Loss on uncollectible pledges -228,765. Partnership Income 3,583.

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, 2017 and 2016. As such, no interest or penalties are recognized in the Statements of Activities related to uncertain tax positions for the years then ended. At June 30, 2017, informational tax returns for fiscal years 2014 through 2016 are eligible for examination by the Internal Revenue Service.

Part XI, Line 2D - Other Adjustments:

change in fair value of assets held in trust 51,234. Special Events Expenses 870,876. Loss on Uncollectible Pledges -228,765. Partnership Income 3,558.

Part XII, Line 2D - Other Adjustments:

Special Events Expenses 870,876. Partnership Expense -26.

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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.The Washington County FoundationThe Washington County Foundation continues to provide support for the surrounding hospitals in the following capacities: Johnson City Medical Center - The Foundation is currently seeking support for a new ICU Healing Garden. Franklin Woods Community Hospital - The Foundation continues to support them through our Helping Hands program. Woodridge Hospital - The Foundation provided funds for the Expressive Therapy program. Expressive therapy, at Woodridge Hospital, helps adult and pediatric patients, from small children to seniors, develop coping skills and learn new ways to express their emotions more productively to alleviate symptoms of depression and anxiety. These tools teach patients skills so they can continue to further their treatment even after their time at Woodridge. Expressive therapy uses art, music, movement, creative writing and nature as part of the patient's treatment plan.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.Parish Nursing ProgramThe parish nurses provide individual/family health counseling sessions, health educational programs and make referrals to the health/social community. The nurses also assist the parishioners in navigating a complicated healthcare system, as well as being an advocate to them.Team Member Emergency FundThe Team Member Emergency Fund is a program supported by MSHA employees to support other team members who may suffer family tragedies and need short-term support. MSHA has created a fund to provide for thes
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Chairperson
IRS990/Form990PartVIISectionAGrp/TitleTxt1vice chairperson
IRS990/Form990PartVIISectionAGrp/TitleTxt2Trustee/MSHA CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt4Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt5trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt6trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt7trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt8Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt9SeCRETARY/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt10Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt11Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt12trustee/President
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01980
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd01
IRS990/FundraisingAmt01253827
IRS990/FundraisingDirectExpensesAmt0830670
IRS990/FundraisingGrossIncomeAmt0297546
IRS990/GainOrLossGrp/SecuritiesAmt012856
IRS990/GamingActivitiesInd01
IRS990/GamingDirectExpensesAmt040206
IRS990/GamingGrossIncomeAmt0128700
IRS990/GoverningBodyVotingMembersCnt013
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IRS990/GrantsToDomesticOrgsGrp/TotalAmt01564960
IRS990/GrantsToIndividualsInd01
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
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IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
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IRS990/InvestmentInJointVentureInd00
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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/NetAssetsOrFundBalancesBOYAmt014827458
IRS990/NetAssetsOrFundBalancesEOYAmt014914035
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt012856
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt012856
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-533124
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-533124
IRS990/NetIncomeFromGamingGrp/ExclusionAmt088494
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt088494
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0151108
IRS990/NoncashContributionsAmt0414463
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt01629084
IRS990/OtherAssetsTotalGrp/EOYAmt01988714
IRS990/OtherChangesInNetAssetsAmt0-173948
IRS990/OtherExpensesGrp/Desc0Special Events
IRS990/OtherExpensesGrp/Desc1Fundraising
IRS990/OtherExpensesGrp/Desc2Bad Debt
IRS990/OtherExpensesGrp/Desc3bank charges
IRS990/OtherExpensesGrp/FundraisingAmt0663265
IRS990/OtherExpensesGrp/FundraisingAmt192389
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt052123
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt117680
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IRS990/OtherExpensesGrp/TotalAmt192389
IRS990/OtherExpensesGrp/TotalAmt252123
IRS990/OtherExpensesGrp/TotalAmt317680
IRS990/OtherLiabilitiesGrp/BOYAmt0577678
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IRS990/PartialLiquidationInd00
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IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt027132
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt027132
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt03117038
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IRS990/PrincipalOfficerNm0Todd Norris
IRS990/ProfessionalFundraisingInd00
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IRS990/PYBenefitsPaidToMembersAmt00
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IRS990/PYInvestmentIncomeAmt041030
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IRS990/PYOtherRevenueAmt0-338495
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0207162
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt03603323
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt03810485
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-368907
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RelatedOrganizationsAmt052214
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt08785646
IRS990/SavingsAndTempCashInvstGrp/EOYAmt09871891
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/SupportAmt01540685
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0Mountain States Health Alliance
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt01540685
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
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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/DonatedServicesAndUseFcltsAmt01388961
IRS990ScheduleD/DonatedServicesUseFcltsAmt0910638
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/ExpensesNotReportedAmt01781488
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt02412852
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0151108
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt01554419
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt119295
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt2415000
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0interest in charitable remainder trust
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1Other Assets
IRS990ScheduleD/OtherAssetsOrgGrp/Desc2Assets held for Resale
IRS990ScheduleD/OtherExpensesIncludedAmt0870850
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0603342
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0due to related party
IRS990ScheduleD/OtherRevenueAmt0696903
IRS990ScheduleD/RevenueNotReportedAmt02236972
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt02043945
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, 2017 and 2016. As such, no interest or penalties are recognized in the Statements of Activities related to uncertain tax positions for the years then ended. At June 30, 2017, informational tax returns for fiscal years 2014 through 2016 are eligible for examination by the Internal Revenue Service.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2change in fair value of assets held in trust 51,234. Special Events Expenses 870,876. Loss on Uncollectible Pledges -228,765. Partnership Income 3,558.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3Special Events Expenses 870,876. Partnership Expense -26.
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
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IRS990ScheduleD/TotalExpensesPerForm990Amt02412852
IRS990ScheduleD/TotalLiabilityAmt0603342
IRS990ScheduleD/TotalRevenuePerForm990Amt02043945
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt04280917
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt04194340
IRS990ScheduleG/CharitableDistributionRqrInd01
IRS990ScheduleG/CntrctWith3rdPrtyForGameRevInd00
IRS990ScheduleG/DistributedAmt088494
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IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt0215079
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriOtherEventsAmt0447356
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt0830670
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0Golf Classic
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0Spirit Gala
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IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt0298676
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsOtherEventsAmt0577717
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IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt083588
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt083597
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueOtherEventsAmt0130361
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt0297546
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-533124
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt0298428
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt0730199
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt0257630
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt0174141
IRS990ScheduleG/FundraisingEventInformationGrp/OtherEventsTotalCnt018
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IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt05796
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsOtherEventsAmt029675

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