Mid Coast Health System

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To provide administrative and general management service to facilitate affiliated hospitals, clinics, and healthcare organizations for the purpose of providing efficient and quality healthcare services to texas rural communities.

501(c)(3) charity; gifts are tax-deductible.
80¢ of each $1 spent went to programs.
$2.3M paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

Before you give

FY2024 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Spent on programs
80%
of spending
Looks good: 80% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$2.3M
to officers and key staff · 13% of spending
Looks good: pay to officers and key staff is 13% of spending; 15% or less.
Pt VII · Sec A
<1 mo
of spending, in cash
Concern: 0.0 months of spending in cash; under 2 weeks.
Pt X · Ln 1–2 · Pt I · Ln 18
Liabilities
$2.3M
12% of total assets
Looks good: liabilities are 12% of assets; 50% or less.
Pt X · Ln 26
Independent board members
12
of 12 voting members
Looks good: 12 of 12 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$25.3M
Spent
$17.3M
To programs
80%
Net assets
$17.2M

From the FY2024 Form 990 · see the original

990 PDF Claim

Is it real?

Yes. Revoked May 2022, reinstated. IRS ruling Feb 2025, per the IRS master file. Latest filing on record: FY2024. IRS ruling in Feb 2025.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

80 cents of each dollar spent went to programs.

Program services 80% · $13.9M Management & general 20% · $3.5M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

Something off? Claim to add context

Who runs it and what they're paid

22 people listed on the 990; $2.3M paid to officers and key staff.

Part VII, Section A · reportable compensation
Former CEO
$458,333Pt VII · Sec A
$377,545Pt VII · Sec A
Former CFO
$353,139Pt VII · Sec A
$204,309Pt VII · Sec A
$195,000Pt VII · Sec A
Administrator
$161,392Pt VII · Sec A
Executive Admin Assistant
$148,993Pt VII · Sec A
Pharmacist
$148,179Pt VII · Sec A

Nathan Tudor’s $458K as Former CEO is at the 72nd percentile of top reported officer pay among 2901 $10–100M health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

See Mid Coast Health System executive salaries →

Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aNo

Programs and updates

Supports Texas rural healthcare facilities with management services for efficient, quality care.

Questions for Mid Coast Health System

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Your first name shows with your question. Mid Coast Health System answers here, for everyone.

1 program · $13.9M · in their own filed words · FY2024
01

To provide administrative and general management service to facilitate affiliated hospitals, clinics, and healthcare organizations for the purpose of providing efficient and quality healthcare services to texas rural communities.

$13.9Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Federal money

Single Audit · Federal Audit Clearinghouse · money spent from federal programs
Year ending Dec 2022 · $2.3M federal money spent
Provider Relief FundDepartment of Health and Human Services · ALN 93.498 · Direct$968K
Community Facilities Loans and GrantsDepartment of Agriculture · ALN 10.766 · Direct$663K
Covid-19 Testing for Rural Health ClinicsDepartment of Health and Human Services · ALN 93.697 · Through Texas Department of Agriculture$618K
Small Rural Hospital Improvement Grant ProgramDepartment of Health and Human Services · ALN 93.301 · Through Texas Department of Agriculture$30K

The auditor reported: a material weakness in money controls.

Year ending Dec 2021 · $8.0M federal money spent
Provider Relief FundDepartment of Health and Human Services · ALN 93.498 · Direct$6.4M
Covid-19 Testing for the UninsuredDepartment of Health and Human Services · ALN 93.461 · Direct$1.3M
Covid-19 Testing for Rural Health ClinicsDepartment of Health and Human Services · ALN 93.697 · Direct$198K
Small Rural Hospital Improvement Grant ProgramDepartment of Health and Human Services · ALN 93.301 · Through Texas Department of Agriculture$89K
Aspr Science Preparedness and Reponse GrantsDepartment of Health and Human Services · ALN 93.081 · Through Texas Hospital Association Foundation$17K

The auditor reported: a weakness in money controls.

By the numbers

The FY2024 990, line by line.

1The main four
Money inPt VIII
$25.3M
Ln 12
Fees for servicesLn 2g$18.3M
Investment incomeLn 3$6.4M
Gifts and grantsLn 1h$393K
Money outPt IX
$17.3M
Ln 25
Programscol B$13.9M
Managementcol C$3.5M
Owns and owesPt X
$17.2M
net assets · Ln 32
Cash and savingsLn 1–2$29K
Total assetsLn 16$19.6M
LiabilitiesLn 26$2.3M
PeoplePt VI, VII
22
listed · VII A
PaidVII A10
Voting boardVI 1a12
IndependentVI 1b12
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$393K
Noncash giftsLn 1g$393K
Fees for servicesLn 2g$18.3M
Investment incomeLn 3$6.4M
Other incomeLn 4–11$167K
Gains on assetsLn 7$6.4M
Total revenueLn 12$25.3M
Assets in detailPt X, end of year
CashLn 1$29K
Cash and savings togetherLn 1–2$29K
Accounts receivableLn 4$209K
Notes and loans receivableLn 7$48K
Prepaid expenses and deferred chargesLn 9$38K
Land, buildings, equipmentLn 10c$1.2M
Other assetsLn 15$18.0M
Total assetsLn 16$19.6M
LiabilitiesLn 26$2.3M
Net assetsLn 32$17.2M
OperationsPt I, VI
EmployeesI 5242
VolunteersI 60
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aNo
Whistleblower policyVI 13No
Records policyVI 14No
3More from this return
Abroad and in kindSch F, M
Noncash gifts receivedSch M Pt I$393K
4Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY24End FY24
Cash and savingsLn 1–2$715K$29K
Land, buildings, equipmentLn 10c$1.4M$1.2M
Total assetsLn 16$10.5M$19.6M
LiabilitiesLn 26$1.2M$2.3M
Net assetsLn 32$9.3M$17.2M
5Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Pay of current officers, directors and key staffLn 5$2.3M$1.8M$461K
Other salaries and wagesLn 7$7.8M$6.2M$1.6M
Pension plan contributionsLn 8$588K$470K$118K
Other employee benefitsLn 9$4.0M$3.2M$799K
Payroll taxesLn 10$709K$567K$142K
Other fees for servicesLn 11g$970K$776K$194K
Advertising and promotionLn 12$96K$77K$19K
Office expensesLn 13$5K$4K$901
OccupancyLn 16$307K$246K$61K
TravelLn 17$113K$91K$23K
Conferences, conventions and meetingsLn 19$2K$2K$468
Depreciation, depletion and amortizationLn 22$174K$140K$35K
InsuranceLn 23$34K$27K$7K
Other expenses (24a–d)Ln 24$239K$191K$48K
Total functional expensesLn 25$17.3M$13.9M$3.5M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 Latest ViewingFiled with the IRS Nov 17, 2025 $25.3M$17.3M$7.9M$17.2M 990 PDF

Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support M · Noncash J · Pay O · Explanations
See the full FY2024 990 (6 parts)
Part I · Summary $25,269,907 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $1,812,265$393,050
I-9 Program service revenuePrior year $13,894,065$18,304,449
I-10 Investment incomePrior year $9,789$6,405,642
I-11 Other revenuePrior year $116,557$166,766
I-12 Total revenuePrior year $15,832,676$25,269,907
I-13 Grants and similar amounts paidPrior year $0$0
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $8,380,781$15,388,515
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $4,082,799$1,940,733
I-18 Total expensesPrior year $12,463,580$17,329,248
I-19 Revenue less expensesPrior year $3,369,096$7,940,659
Part VI · Governance 12 of 12 board members independent, 4 to look at
VI-1a Voting members of the governing body12
VI-1b Independent voting members12
VI-12a Written conflict of interest policyNo
VI-13 Written whistleblower policyNo
VI-14 Document retention and destruction policyNo
VI-15a Process for setting top official's payNo
VI-2 Family or business relationship among officers or directorsNo
Part VIII · Statement of revenue $25,269,907 across 9 lines filed
VIII-1f All other contributions, gifts and grants$393,050
VIII-1g Noncash contributions (included above)$393,050
VIII-1h Total contributions, gifts and grants$393,050
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $18,304,449$18,304,449
VIII-3 Investment incomeRelated to mission $14,890$14,890
VIII-6 Net rental income or lossRelated to mission $77,900$77,900
VIII-7 Net gain or loss on sales of assetsRelated to mission $6,390,752$6,390,752
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Related to mission $88,866$88,866
VIII-12 Total revenueRelated to mission $24,876,857 · Unrelated business $0 · Excluded from tax $0$25,269,907
Part IX · Statement of functional expenses $17,329,248 across 14 lines filed
IX-5 Pay of current officers, directors and key staffPrograms $1,844,350 · Management $461,087$2,305,437
IX-7 Other salaries and wagesPrograms $6,233,286 · Management $1,558,322$7,791,608
IX-8 Pension plan contributionsPrograms $470,102 · Management $117,526$587,628
IX-9 Other employee benefitsPrograms $3,195,682 · Management $798,920$3,994,602
IX-10 Payroll taxesPrograms $567,392 · Management $141,848$709,240
IX-11g Other fees for servicesPrograms $776,139 · Management $194,035$970,174
IX-12 Advertising and promotionPrograms $77,050 · Management $19,263$96,313
IX-13 Office expensesPrograms $3,602 · Management $901$4,503
IX-16 OccupancyPrograms $245,527 · Management $61,382$306,909
IX-17 TravelPrograms $90,705 · Management $22,676$113,381
IX-19 Conferences, conventions and meetingsPrograms $1,871 · Management $468$2,339
IX-22 Depreciation, depletion and amortizationPrograms $139,548 · Management $34,887$174,435
IX-23 InsurancePrograms $27,307 · Management $6,827$34,134
IX-24 Other expenses (24a–d)Programs $190,836 · Management $47,709$238,545
IX-25 Total functional expensesPrograms $13,863,397 · Management $3,465,851 · Fundraising $0$17,329,248
Part X · Balance sheet $19,566,852 assets, 14 lines filed
X-1 Cash, non-interest-bearingStart of year $715,275$29,316
X-4 Accounts receivableStart of year $339,396$208,917
X-7 Notes and loans receivableStart of year $25,000$48,500
X-9 Prepaid expenses and deferred chargesStart of year $38,109$37,569
X-10c Land, buildings and equipment, netStart of year $1,373,798$1,213,162
X-15 Other assetsStart of year $8,027,351$18,029,388
X-16 Total assetsStart of year $10,518,929$19,566,852
X-17 Accounts payable and accrued expensesStart of year $1,219,623$2,326,887
X-26 Total liabilitiesStart of year $1,219,623$2,326,887
X-29 Capital stock or trust principalStart of year $0$0
X-30 Paid-in or capital surplusStart of year $0$0
X-31 Retained earnings or endowmentStart of year $9,299,306$17,239,965
X-32 Total net assets or fund balancesStart of year $9,299,306$17,239,965
X-33 Total liabilities and net assetsStart of year $10,518,929$19,566,852
Part XI · Reconciliation of net assets $17,239,965 net assets at year end
XI-1 Total revenue$25,269,907
XI-2 Total expenses$17,329,248
XI-3 Revenue less expenses$7,940,659
XI-4 Net assets at start of year$9,299,306
XI-9 Other changes in net assets$0
XI-10 Net assets at end of year$17,239,965

Form 990 e-file (XML) FY2024 from the IRS · Classification, formation year and address from the IRS Business Master File

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