PISGAH HEALTH FOUNDATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PISGAH HEALTH FOUNDATION (EIN 56-1458024)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-14
- IRS object ID
- 201522269349303482
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-14T14:41:02-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561458024 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TRAN | BusinessNameControlTxt |
| Phone | 8288774777 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2440 | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARC NAKAGAWA | PersonNm |
| Person Title | REGIONAL DIRECTOR | PersonTitleTxt |
| Phone | 8288835350 | PhoneNum |
| Signature | 2015-08-14 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARC NAKAGAWA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2440 | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,154,470 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TRHOSPITALFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | RECEIVE AND ADMINISTER CHARITABLE CONTRIBUTIONS | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | -$25,157 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$25,157 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,139,056 | PYContributionsGrantsAmt |
| CY Contributions Grants | $646,857 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $639,923 | PYInvestmentIncomeAmt |
| CY Investment Income | $502,937 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$2,372 | PYOtherRevenueAmt |
| CY Other Revenue | $102 | CYOtherRevenueAmt |
| PY Total Revenue | $1,776,607 | PYTotalRevenueAmt |
| CY Total Revenue | $1,149,896 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,965,544 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $823,741 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $288,550 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $260,663 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $69,990 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $356,624 | PYOtherExpensesAmt |
| CY Other Expenses | $343,031 | CYOtherExpensesAmt |
| PY Total Expenses | $2,610,718 | PYTotalExpensesAmt |
| CY Total Expenses | $1,427,435 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$834,111 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$277,539 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,822,299 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,411,086 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,972,186 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,919,380 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,850,113 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,491,706 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE PURPOSE OF THE FOUNDATION IS TO SOLICIT, MANAGE, AND DISBURSE CHARITABLE GIFTS TO ENABLE THE HOSPITAL TO MAINTAIN AN UP-TO-DATE FACILITY, PURCHASE NEEDED EQUIPMENT, AND SUPPORT AND EXPAND HEALTH PROGRAMS AND SERVICES FOR THE COMMUNITY IT SERVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $823,741 | ExpenseAmt |
| Grant | $823,741 | GrantAmt |
| Desc | THE FOUNDATION'S PROGRAM SERVICES INVOLVES SOLICITING AND COLLECTING CHARITABLE GIFTS TO SUPPORT TRANSYLVANIA REGIONAL HOSPITAL. THE FOLLOWING ARE FOUNDATION ACTIVITIES THAT GENERATE THAT SUPPORT.-PROVIDED $105,731 TO THE HOSPITAL FOR VARIOUS MEDICAL EQUIPMENT NEEDS.-PROVIDED $102,000 ANNUAL SUPPORT TO ENSURE SURGEONS ARE AVAILABLE ON A 24-7 BASIS TO SERVE THE RESIDENTS OF TRANSYLVANIA COUNTY.-PROVIDED $162,400 ANNUAL SUPPORT FOR HOSPICE AND HOME CARE SERVICES FOR THE COMMUNITY.-PROVIDED FUNDING OF $29,512 TOWARD THE PALLIATIVE CARE PROGRAM TO MEET THE INCREASING NEED FOR THIS SERVICE IN OUR COMMUNITY.-OBTAINED A GRANT TOTALING $25,067 TOWARD QUALITY INITIATIVES FOR THE HOSPITAL. -PROVIDED $112,864 IN CHARITY CARE AND PROGRAM SUPPORT FOR FREE MAMMOGRAMS, FOLLOW-UP DIAGNOSTIC TESTS, ADULT DAY CARE SERVICES AND LIFELINE SUBSCRIPTION FEES.-PROVIDED $10,500 IN NURSING SCHOLARSHIPS TO TRANSYLVANIA COUNTY RESIDENTS AND TRH STAFF SEEKING DEGREES IN NURSING. -SPONSORED SEVERAL FREE COMMUNITY HEALTH EDUCATION PROGRAMS, "DESSERT WITH THE DOC", WITH RECORD ATTENDANCE. THESE PROGRAMS ARE CONDUCTED BY PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS IN THE COMMUNITY AND ARE OPEN, FREE OF CHARGE, TO AREA RESIDENTS.-PROVIDED ONGOING COMMUNICATION AND FUNDRAISING EFFORTS THROUGH WEB-BASED NET COMMUNITY GROW TO REACH OUT TO CONSTITUENTS AND THE COMMUNITY. | Desc |
| Total Program Service Expenses | $823,741 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSION FINANCE DEPARTMENT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8282577004 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 RIDGEFIELD COURT SUITE 100 | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt |
|---|---|---|---|---|---|---|---|
| FREDERICK J MARKERT | |||||||
| CHAIRMAN | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LARRY BRADNER | |||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KEN D ADAMS AAMS | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BETSY JORDAN | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RAY H DUNKELBERG MD | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DANIEL P ELLIOTT | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RUSSELL R FRENCH ESQ | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| VERONICA K PETERMAN | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROL F WATKINS | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CATHLEEN T BLANCHARD | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT J BEDNAREK | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $509,321 | $30,070 | 44.00 | |
| CRAIG JAMES | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $205,845 | $8,589 | 42.00 | |
| FRED BAHNSON MD | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID NEUMANN | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SHARON C JOHNSON CFRE | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $102,320 | $0 | $21,661 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $102,320 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $715,166 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $60,320 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $11,250 | FederatedCampaignsAmt |
| Fundraising | $7,039 | FundraisingAmt |
| Related Organizations | $54,165 | RelatedOrganizationsAmt |
| Government Grants | $25,067 | GovernmentGrantsAmt |
| All Other Contributions | $549,336 | AllOtherContributionsAmt |
| Total Contributions | $646,857 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $292,046 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$25,157 | UnrelatedBusinessRevenueAmt |
| Exclusion | $317,203 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $210,917 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $26 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $210,917 | SecuritiesAmt |
| Other | -$26 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $210,891 | TotalRevenueColumnAmt |
| Exclusion | $210,891 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $4,650 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $7,039 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $4,548 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102 | TotalRevenueColumnAmt |
| Exclusion | $102 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,149,896 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$25,157 | UnrelatedBusinessRevenueAmt |
| Exclusion | $528,196 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $810,327 | TotalAmt |
| Program Services | $810,327 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,414 | TotalAmt |
| Program Services | $13,414 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,663 | TotalAmt |
| Management And General | $260,663 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,047 | TotalAmt |
| Management And General | $117,047 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,358 | TotalAmt |
| Management And General | $28,358 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,475 | TotalAmt |
| Management And General | $70,475 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,511 | TotalAmt |
| Management And General | $23,511 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,873 | TotalAmt |
| Management And General | $8,873 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,087 | TotalAmt |
| Management And General | $1,087 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,993 | TotalAmt |
| Management And General | $3,993 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FUNDRAISING | $69,990 | $69,990 | |
| CATERING EXPENSE | $13,849 | $13,849 | |
| OTHER | $5,848 | $5,848 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,427,435 | TotalAmt |
| Program Services | $823,741 | ProgramServicesAmt |
| Management And General | $533,704 | ManagementAndGeneralAmt |
| Fundraising | $69,990 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,852 | BOYAmt |
| EOY | $169,365 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342,486 | BOYAmt |
| EOY | $179,507 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,960 | BOYAmt |
| EOY | $60,706 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,399 | BOYAmt |
| EOY | $9,852 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $357,791 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $54,606 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,178 | BOYAmt |
| EOY | $303,185 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,839,393 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $17,604,855 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,031 | BOYAmt |
| EOY | $83,616 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,822,299 | BOYAmt |
| EOY | $18,411,086 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,293 | BOYAmt |
| EOY | $13,240 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,970,893 | BOYAmt |
| EOY | $1,906,140 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,972,186 | BOYAmt |
| EOY | $1,919,380 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,298,201 | BOYAmt |
| EOY | $11,964,204 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,850,199 | BOYAmt |
| EOY | $2,696,867 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,701,713 | BOYAmt |
| EOY | $1,830,635 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,850,113 | BOYAmt |
| EOY | $16,491,706 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,822,299 | BOYAmt |
| EOY | $18,411,086 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$277,539 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $441,571 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $477,561 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp (2 entries)
| EINEIN | Organization TypeOrganizationTypeDesc | Governing Document ListedGoverningDocumentListedInd | Supported Org NotifiedSupportedOrgNotifiedInd | US OrganizedUSOrganizedInd | SupportSupportAmt |
|---|---|---|---|---|---|
| TRANSYLVANIA COMMUNITY HOSPITAL INC | |||||
| 560562293 | 3 | Yes (1) | Yes (1) | Yes (1) | $556,658 |
| TRANSYLVANIA PHYSICIAN SERVICES INC | |||||
| 561920816 | 3 | 0 | Yes (1) | Yes (1) | $102,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 2 | SupportedOrganizationsTotalCnt |
| Support Sum | $658,658 | SupportSumAmt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Total Lobbying Expenditures | $0 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE FOUNDATION IS A MEMBER OF THE ASSOCIATION FOR HEALTHCARE PHILANTROPHY. THIS ASSOCIATION USED 2% OF ANNUAL MEMBER DUES TO LOBBY. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,304,739 | BeginningYearBalanceAmt |
| Contributions | $280,750 | ContributionsAmt |
| Investment Earnings Or Losses | $820,899 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,402 | OtherExpendituresAmt |
| End Year Balance | $15,391,986 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,234,928 | BeginningYearBalanceAmt |
| Contributions | $8,382,031 | ContributionsAmt |
| Investment Earnings Or Losses | $443,274 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $755,494 | OtherExpendituresAmt |
| End Year Balance | $14,304,739 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,810,150 | BeginningYearBalanceAmt |
| Contributions | $1,918,581 | ContributionsAmt |
| Investment Earnings Or Losses | $506,197 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,234,928 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,611,599 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $198,551 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,810,150 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,079,854 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $531,745 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,611,599 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.87600 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00500 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.11900 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $171,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $50,000 | OtherCostOrOtherBasisAmt |
| Book Value | $221,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $90,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,815 | DepreciationAmt |
| Book Value | $82,185 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,791 | OtherCostOrOtherBasisAmt |
| Depreciation | $46,791 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $303,185 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| PROGRAM RELATED INVESTMENTS | $13,208,743 | F |
| PROGRAM RELATED INVESTMENTS | $4,396,112 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $17,604,855 | TotalBookValueProgramRltdAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE FOUNDATION ACTS AS TRUSTEE FOR IRREVOCABLE CHARITABLE REMAINDER UNITRUSTS AND CHARITABLE REMAINDER ANNUITY TRUSTS. THE ASSETS IN THESE TRUSTS WILL REMAIN IN TRUST, PAYING DISTRIBUTIONS TO THE DONORS UNDER THE TERMS OF THE AGREEMENTS, AND THE REMAINDER OF ASSETS WILL BECOME THE PROPERTY OF THE FOUNDATION ACCORDING TO THE TERMS OF THE TRUST AGREEMENTS. SUCH AMOUNTS RECEIVED ARE REPORTED AS ASSETS RESTRICTED AS TO USE. THESE TRUSTS REQUIRE SPECIFIED DISTRIBUTIONS TO THEIR DESIGNATED BENEFICIARIES OVER THE TRUSTS' TERMS. THE PRESENT VALUE OF THE EXPECTED DISTRIBUTIONS TO BE MADE IS RECORDED AS ANNUITIES PAYABLE. AT THE TIME THAT THE TRUST IS CREATED, THE DIFFERENCE IN THE VALUE OF THE INITIAL TRUST ASSETS AND THE PRESENT VALUE OF THE EXPECTED DISTRIBUTIONS IS RECORDED AS CONTRIBUTION INCOME. SUBSEQUENT CHANGES TO THE PRESENT VALUE OF THE EXPECTED DISTRIBUTIONS ARE RECORDED AS A CHANGE IN THE VALUE OF SPLIT INTEREST AGREEMENTS. EACH YEAR, THE FOUNDATION ADJUSTS THE PRESENT VALUE OF EXPECTED DISTRIBUTIONS BASED ON CHANGES IN THE ACTUARIAL ASSUMPTIONS OF THE DONORS' LIFE EXPECTANCY. THE PRESENT VALUE IS ALSO AFFECTED BY CHANGES IN THE DISCOUNT RATE USED. THE DISCOUNT RATE USED TO CALCULATE THE PRESENT VALUE OF EXPECTED DISTRIBUTIONS IS THE SAME AS THE RATE DEVELOPED BY THE INTERNAL REVENUE SERVICE TO VALUE THESE TYPES OF AGREEMENTS. |
| PART V, LINE 4: | THE FOUNDATION'S ENDOWMENT CONSISTS OF SEVEN INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. ITS ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. |
| PART X, LINE 2: | THE HOSPITAL, THE FOUNDATION, AND TPSI ARE INCORPORATED AS NONPROFIT ORGANIZATIONS UNDER THE LAWS OF NORTH CAROLINA AND ARE EXEMPT FROM INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATIONS HAVE DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS EXIST FOR OPEN TAX YEARS AS OF SEPTEMBER 30, 2013. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| TRANSYLVANIA COMMUNITY HOSPITAL INC | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 560562293 | 501(C)(3) | $556,658 | CAPITAL AND PROGRAM SERVICES |
| TRANSYLVANIA PHYSICIAN SERVICES INC | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561920816 | 501(C)(3) | $102,483 | PROGRAMS SERVICES |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| JANE WALKER FREEMAN & LINDGREN MEMORIAL NURSING SCHOLARSHIP | 10 | $10,500 | |||
| RX ASSISTANCE PROGRAM FOR THE MEDICALLY INDIGENT AND UNINSURED | 25 | $2,914 | FMV | PRESCRIPTION MEDICATION |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | TRANSYLVANIA REGIONAL HOSPITAL IS THE PRIMARY RECIPIENT OF GRANTS FROM THE FOUNDATION, AND ALL PAYMENTS ARE DIRECTLY RELATED TO PROJECTS AUTHORIZED BY THE BOARD OF THAT ORGANIZATION. GRANTS PROVIDED TO ORGANIZATIONS OTHER THAN THE HOSPITAL ARE REQUIRED TO SUBMIT A REPORT ONE YEAR FOLLOWING THE GRANT DETAILING THE USE OF THE FUNDS. SCHOLARSHIPS FOR NURSING ARE ONLY AVAILABLE FOR TUITION FURTHERING EDUCATION IN THE FIELD OF NURSING. AMOUNTS AND SUPPORT FOR INDIVIDUAL PRESCRIPTION ASSISTANCE PROGRAMS ARE MADE DIRECTLY TO THE PHARMACY TO COVER PORTIONS OF DRUG COSTS FOR ASSISTANCE RECIPIENTS. THE FOUNDATION REQUIRES SUBSTANTIATION FROM MEDICAL PROFESSIONALS FOR ALL AMOUNTS REQUESTED UNDER THE PROGRAM. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT J BEDNAREK | ||||||||||||||
| BOARD MEMBER | $0 | $236,283 | $0 | $74,500 | $0 | $198,538 | $0 | $9,708 | $0 | $20,362 | $0 | $539,391 | $0 | $90,160 |
| CRAIG JAMES | ||||||||||||||
| BOARD MEMBER | $0 | $188,887 | $0 | $16,958 | $0 | $0 | $0 | $6,176 | $0 | $2,413 | $0 | $214,434 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | DIRECTORS, OFFICERS, KEY EMPLOYEES AND TOP FIVE EMPLOYEES WHO RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THESE PAYMENTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J, PAGE 2. CHARLES AYSCUE $92,070 ROBERT BEDNAREK $166,305 ANN YOUNG $55,622 DIRECTORS, OFFICERS, KEY EMPLOYEES AND TOP FIVE EMPLOYEES WHO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH CONTRIBUTION AMOUNTS. THESE AMOUNTS ARE DISCLOSED IN THE DEFERRED COMPENSATION SECTION OF SCHEDULE J. MARC NAKAGAWA $5,073 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE FOUNDATION IS A MEMBERSHIP CORPORATION, OF WHICH THE SOLE MEMBER IS TRANSYLVANIA COMMUNITY HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | BOARD TRUSTEES ARE NOMINATED BY THE EXECUTIVE COMMITTEE OF THE BOARD, APPROVED BY THE FOUNDATION BOARD AND RATIFIED BY THE FOUNDATION'S SOLE MEMBER AND THE HOSPITAL'S SOLE MEMBER. THEREFORE, FOUNDATION TRUSTEES RECEIVE JOINT APPROVAL BY TRANSYLVANIA COMMUNITY HOSPITAL, INC AND MISSION HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD'S POWER TO AMEND OR RESTATE THE FOUNDATION'S ARTICLES OF INCORPORATION, AMEND OR RESTATE THE BYLAWS, AND MERGE, CONSOLIDATE, REORGANIZE OR DISSOLVE THE FOUNDATION IS SUBJECT TO APPROVAL BY THE FOUNDATION'S SOLE MEMBER AND THE HOSPITAL'S SOLE MEMBER. THEREFORE, THESE POWERS ARE SUBJECT TO JOINT APPROVAL BY TRANSYLVANIA COMMUNITY HOSPITAL, INC. AND MISSION HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WITH THE ASSISTANCE AND OVERSIGHT OF MANAGEMENT. UPON REVIEW BY MANAGEMENT, THE RETURN WAS DISTRIBUTED TO BOARD MEMBERS FOR PERSONAL REVIEW. AFTER REVIEW BY THE BOARD MEMBERS THE RETURN WAS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFILCT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. MEMBERS ARE EXPECTED TO DISCLOSE ANY POTENTIAL CONFLICTS BEFORE DISCUSSIONS OR ACTIONS AFFECTING THE DECISION. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE PRESIDENT/CEO OF THE HOSPITAL THROUGH REVIEWS OF MARKET DATA COMPARED TO SPECIFIC GOALS AND COMPETENCIES. THE PRESIDENT/CEO ALSO REVIEWS THE SALARY WITH THE COMPENSATION COMMITTEE OF THE BOARD. THE ORGANIZATION DOES NOT HAVE ANY OTHER PAID OFFICERS OR KEY EMPLOYEES THAT THIS REVIEW AND DETERMINATION PROCESS WOULD APPLY TO. |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | PHOTOCOPIES OF THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART XI, LINE 9: | ADJUSTMENT TO ACTUARIAL LIABILITY -83,439. EQUITY TRANSER FROM AFFILIATES 561,000. |
| FORM 990, PART XII, LINE 2C: | THE SELECTION OF EXTERNAL AUDITORS WAS UPDATED TO REQUIRE APPROVAL BY THE FOUNDATION BOARD AS WELL AS APPROVAL BY THE FOUNDATION'S SOLE MEMBER AND THE HOSPITAL'S SOLE MEMBER. THEREFORE, THESE POWERS ARE SUBJECT TO JOINT APPROVAL BY TRANSYLVANIA COMMUNITY HOSPITAL, INC. AND MISSION HEALTH SYSTEM, INC. |
| FORM 990, PART VI, LINE 16B: | THE ORGANIZATION OWNED A MINORITY INTEREST IN A PUBLICLY TRADED PARTNERSHIP DURING THE YEAR. THE ORGANIZATION DOES NOT ACTIVELY SEEK CONTRIBUTIONS OF PARTNERSHIP INTEREST AND DOES NOT ACCEPT CONTRIBUTIONS THAT COULD JEOPARDIZE ITS EXEMPT STATUS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| TRANSYLVANIA COMMUNITY HOSPITAL INC | ||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 560562293 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 |
| TRANSYLVANIA PHYSICIAN SERVICES INC | ||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561920816 | PHYSICIAN SERVICES | NC | 501(C)(3) | LINE 3 | TRANSYLVANIA COMMUNITY HOSPITAL INC | 0 |
| MISSION HEALTH SYSTEM INC | ||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 581450888 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 11A, I | 0 | |
| MISSION MEDICAL ASSOCIATES INC | ||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 263627231 | PHYSICIAN SERVICES | NC | 501(C)(3) | LINE 9 | MISSION HEALTH SYSTEM INC | 0 |
| THE MCDOWELL HOSPITAL INC | ||||||||||
| 430 RANKIN AVENUE | MARION | NC | 28742 | 560623938 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 |
| MISSION HEALTHCARE FOUNDATION INC | ||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28803 | 561881331 | FOUNDATION | NC | 501(C)(3) | LINE 7 | MISSION HEALTH SYSTEM INC | 0 |
| BLUE RIDGE REGIONAL HOSPITAL INC | ||||||||||
| PO BOX 9 | SPRUCE PINE | NC | 28777 | 561025032 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 |
| BLUE RIDGE REGIONAL HOSPITAL FOUNDATION | ||||||||||
| PO BOX 247 | SPRUCE PINE | NC | 28777 | 582172660 | FOUNDATION | NC | 501(C)(3) | LINE 11A, I | BLUE RIDGE REGIONAL HOSPITAL | 0 |
| ANGEL MEDICAL CENTER INC | ||||||||||
| PO BOX 1209 | FRANKLIN | NC | 28744 | 566000064 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 |
| MCDOWELL HEALTHCARE FOUNDATION INC | ||||||||||
| 430 RANKIN AVENUE | MARION | NC | 28752 | 463395393 | FOUNDATION | NC | 501(C)(3) | LINE 11A, I | THE MCDOWELL HOSPITAL INC | 0 |
| MISSION HOSPITAL INC | ||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28801 | 560532141 | ACUTE CARE HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 |
| ANGEL MEDICAL CENTER AUXILIARY | ||||||||||
| PO BOX 1209 | FRANKLIN | NC | 28744 | 562133719 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 11A, I | ANGEL MEDICAL CENTER INC | 0 |
| COMMUNITY CAREPARTNERS INC | ||||||||||
| PO BOX 5779 | ASHEVILLE | NC | 28813 | 562005198 | LONG TERM REHABILITATION | NC | 501(C)(3) | LINE 9 | MISSION HEALTH SYSTEM INC | 0 |
| HIGHLANDS-CASHIERS HOSPITAL INC | ||||||||||
| PO BOX 190 | HIGHLANDS | NC | 28741 | 560509400 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 |
| HIGHLANDS-CASHIERS PHYSICIAN SERVICES INC | ||||||||||
| PO BOX 742 | HIGHLANDS | NC | 28741 | 452422428 | PHYSICIAN SERVICES | NC | 501(C)(3) | LINE 11A, I | HIGHLANDS-CASHIERS HOSPITAL INC | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 203281110 | MEDICAL IMAGING | NC | N/A |
| TRANSYLVANIA HEALTHCARE II LIMITED PARTNERSHIP | |||||||
| 2 MEDICAL PARK DRIVE | BREVARD | NC | 28712 | 200333230 | RENTAL | NC | N/A |
| HEALTHCARE III LIMITED PARTNERSHIP | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561599596 | RENTAL | NC | N/A |
| HEALTHCARE LIMITED LIABILITY COMPANY VII | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 200343455 | RENTAL | NC | N/A |
| ASHEVILLE IMAGING LLP | |||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907201 | OUTPATIENT IMAGING SERVICES | NC | N/A |
| IMAGING REALTY LLP | |||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907203 | MEDICAL BUILDING | NC | N/A |
| MSJHS AND CCP JOINT DEVELOPMENT COMPANY LLC | |||||||
| 428 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 562250464 | LONG TERM ACUTE CARE HOSPITAL | NC | N/A |
| BLUE RIDGE DME LLC | |||||||
| 125 HOSPITAL DRIVE | SPRUCE PINE | NC | 28777 | 263570174 | HOME MEDICAL EQUIPMENT AND SUPPLIES SALES | NC | N/A |
| MCDOWELL MRI LLC | |||||||
| 414 RANKIN AVENUE | MARION | NC | 28752 | 753046378 | MEDICAL IMAGING | NC | N/A |
| WESTERN NC HEALTHCARE INNOVATORS LLC | |||||||
| 5935 CARNEGIE BOULEVARD | CHARLOTTE | NC | 28209 | 800787882 | REAL ESTATE RENTAL | NC | N/A |
| WESTERN REGIONAL RADIATION THERAPY CENTER | |||||||
| 68 HOSPITAL DRIVE | SYLVA | NC | 28779 | 561849395 | RADIATION THERAPY | NC | N/A |
| ASHEVILLE MRI | |||||||
| PO BOX 2959 | ASHEVILLE | NC | 28802 | 561665863 | IMAGING SERVICES | NC | N/A |
| WNC STONE CENTER | |||||||
| 509 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 272152974 | LITHOTRIPTER RENTAL | NC | N/A |
| WESTERN NC HEALTHCARE INNOVATORS III LLC | |||||||
| 5935 CARNEGIE BOULEVARD | CHARLOTTE | NC | 28209 | 464053310 | REAL ESTATE RENTAL | NC | N/A |
| BLUE RIDGE-TKC LLC | |||||||
| 5935 CARNEGIE BOULEVARD | CHARLOTTE | NC | 28209 | 471382912 | REAL ESTATE RENTAL | NC | N/A |
| SPRUCE PINE HEALTHCARE LLC | |||||||
| 5935 CARNEGIE BOULEVARD | ASHEVILLE | NC | 28209 | 471390107 | REAL ESTATE | NC | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | Province Or StateForeignAddress/ProvinceOrState | CountryForeignAddress/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRANSYLVANIA SERVICES INC | |||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561448199 | REAL ESTATE | NC | N/A | C | 0 | ||||
| MISSION VENTURES INC | |||||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 561341621 | HOLDING COMPANY | NC | N/A | C | 0 | ||||
| HORIZON MANAGEMENT SERVICES INC | |||||||||||||
| MERGED INTO MISSION VENTURES SEPT 2 | ASHEVILLE | NC | 28806 | 561341624 | PATIENT BILLING AND COLLECTION SERVICES, MEDICAL PROPERTY | NC | N/A | C | 0 | ||||
| DOGWOOD INSURANCE COMPANY LTD | |||||||||||||
| CAPTIVE INSURANCE ENTITY | N/A | C | 0 | PO BOX 30600 THE GRAND PAVILION COM | CAYMAN ISLANDS | CJ | CJ | ||||||
| MISSION HEALTH PARTNERS INC | |||||||||||||
| 509 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 465566095 | CLINICALLY INTEGRATED NETWORK | NC | N/A | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |