2020-11-12T08:17:49-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2019-01-01 582078244 ASHE MEMORIAL HOSPITAL FOUNDATION INC ASHE 3368467101 200 HOSPITAL AVENUE JEFFERSON NC 28640 CHARLES WRIGHT CFO 3368467101 2020-11-11 1 JOHN NORMAN P01506766 7049985200 2020-11-11 67.137.57.251 2020-11-11 18:35:54 ES P DE7838AFFED52625654E7EB43DBCD806CFD0FF8B C7045CBC9FEEFDC3BC9385C32B7CC9B9CF6029B2 2019 2021-01-29 14:40:06Z LAURA LAMBETH 200 HOSPITAL AVENUE JEFFERSON NC 28640 505548 0 X N/A X 1993 NC PROMOTION OF ASHE MEMORIAL HOSPITAL ACTIVITIES. 14 14 10 36 0 0 339278 461984 0 0 17367 13868 5162 -46174 361807 429678 257129 127924 0 0 68890 65090 0 0 0 158273 83386 484292 276400 -122485 153278 720606 975638 412653 460699 307953 514939 ASHE MEMORIAL HOSPITAL FOUNDATION'S MISSION IS TO PROMOTE ALL ACTIVITIES OF ASHE MEMORIAL HOSPITAL. 0 0 276400 127924 THE FOUNDATION SUPPORTS ASHE MEMORIAL HOSPITAL AND ITS ACTIVITIES. 276400 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 10 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 X CHARLES WRIGHT 3368460798 200 HOSPITAL AVENUE JEFFERSON NC 28640 X MARTIN LITTLE PRESIDENT 1.00 1.00 X X 0 0 0 KAREN POWELL TREASURER 1.00 1.00 X X 0 0 0 PAT COOPER BOARD MEMBER 1.00 X 0 0 0 JOHN JOHNSTON BOARD MEMBER 1.00 X 0 0 0 KEVIN KURTZ MD BOARD MEMBER 1.00 X 0 0 0 JANE LONON BOARD MEMBER 1.00 1.00 X 0 0 0 PHIL MCMILLAN BOARD MEMBER 1.00 X 0 0 0 KATRINA MILLER BOARD MEMBER 1.00 X 0 0 0 DON PHILLIPS BOARD MEMBER 1.00 X 0 0 0 PAT PHILLIPS BOARD MEMBER 1.00 X 0 0 0 KAY SEXTON BOARD MEMBER 1.00 X 0 0 0 GREG SEXTON BOARD MEMBER 1.00 X 0 0 0 JOHN SHEPHERD BOARD MEMBER 1.00 X 0 0 0 MICHAEL VANNOY BOARD MEMBER 1.00 X 0 0 0 GREG WARMUTH BOARD MEMBER 1.00 X 0 0 0 KELLY VANNOY BOARD MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 334903 127081 461984 13868 13868 29646 334903 75870 -46224 -46224 MISCELLANESOUS REVENUE 900099 50 50 50 429678 0 0 -32306 127924 127924 59669 59669 856 856 4565 4565 68 68 19225 19225 MISCELLANEOUS EXPENSES 55627 55627 MEDICAL SUPPLIES 4495 4495 REPAIRS & MAINTENANCE 3971 3971 276400 276400 0 0 372557 560378 3329 2980 344720 412280 720606 975638 2929 3194 409724 457505 412653 460699 X 306882 514939 1071 0 307953 514939 720606 975638 153278 53708 0 X X 0 1 X 1 0 X X 1 ASHE MEMORIAL HOSPITAL INC 560603900 3 1 127924 0 1 127924 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO ASHE MEMORIAL HOSPITAL 457505 457505 X PART X, LINE 2: THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AWC AND AFS ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES AND ARE CONSIDERED DISREGARDED ENTITIES FOR INCOME TAX PURPOSES. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S CONSOLIDATED FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLE FOR THE CONSOLIDATED FINANCIAL STATEMENTS RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2019 AND 2018. REV IT UP 300826 300826 22821 23930 GOLF TOURNAMENT 56933 27287 29646 3540 9406 7400 6383 466 1 6790 6790 1884 220 364549 334903 29646 3540 9406 7400 31088 24616 76050 -46404 0 ASHE MEMORIAL HOSPITAL INC 200 HOSPITAL AVENUE JEFFERSON NC 28640 560603900 501(C)(3) 127924 GENERAL OPERATIONAL SUPPORT 1 PART I, LINE 2: ASHE MEMORIAL HOSPITAL FOUNDATION IS A SUPPORTING ORGANIZATION FOR ASHE MEMORIAL HOSPITAL. ALL ASSISTANCE IS GIVEN FOR GENERAL OPERATIONAL SUPPORT OF THE HOSPITAL ACTIVITIES. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY MANAGEMENT BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO READ THE POLICY AND DISCLOSE ANY CONFLICTS OF INTEREST AND SIGN A STATEMENT INDICATING THERE ARE NO CONFLICTS OR IF YES, DISCLOSE WHAT THE CONFLICT IS. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C OVERSIGHT AND SELECTION PROCESS IS UNCHANGED FROM PRIOR YEAR. ASHE MEMORIAL HOSPITAL INC 200 HOSPITAL AVENUE JEFFERSON NC 28640 560603900 PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES NC 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0