2014-08-14T15:12:47-05:00 2013-09-30 410746749 CLIFTONLARSONALLEN LLP 101 N TRYON STREET SUITE 1000 CHARLOTTE NC 28246 990 2012-10-01 582078244 ASHE MEMORIAL HOSPITAL FOUNDATION INC ASHE 3368467101 200 HOSPITAL AVENUE JEFFERSON NC 28640 JOY MCCLURE 3368467101 2014-08-14 1 JOHN NORMAN P01506766 7049985200 2012 2015-11-30 17:44:51Z JOE THORE 200 HOSPITAL AVENUE JEFFERSON NC 28640 365987 0 X N/A X 1993 NC PROMOTION OF ASHE MEMORIAL HOSPITAL ACTIVITIES. 19 19 0 19 0 0 268962 354016 0 0 -24790 15159 -1092 -43279 243080 325896 373283 469176 0 0 0 0 0 0 0 44604 57308 417887 526484 -174807 -200588 1537869 1396582 192920 662096 1344949 734486 ASHE MEMORIAL HOSPITAL FOUNDATION'S MISSION IS TO PROMOTE ALL ACTIVITIES OF ASHE MEMORIAL HOPITAL. 0 0 526484 469176 0 THE FOUNDATION SUPPORTS ASHE MEMORIAL HOSPITAL AND ITS ACTIVITIES. DURING THE SEPTEMBER 30, 2013 FISCAL YEAR, THE FOUNDATION GAVE $118,756 TO THE HOSPITAL TO SUPPORT THE HEALTHCARE NEEDS IN THE COMMUNITY. 526484 1 1 0 0 0 0 0 0 0 0 1 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 1 0 0 0 0 0 0 1 1 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X X JOY MCCLURE 3368460798 200 HOSPITAL AVENUE JEFFERSON NC 28640 JANE LONON 1.00 X X 0 0 0 GWYNITA STEELE 1.00 X X 0 0 0 DONNIE JOHNSON 1.00 X X 0 0 0 KATRINA MILLER 1.00 X X 0 3835 0 VITA BLEVINS 1.00 X 0 0 0 PAT COOPER 1.00 X 0 9936 0 TOM EFFORD 1.00 X 0 0 0 JOHN JOHNSTON 1.00 X 0 0 0 KEVIN KURTZ MD 1.00 X 0 9840 0 MARTIN LITTLE 1.00 X 0 0 0 PHIL MCMILLAN 1.00 X 0 0 0 POLLY OSOWITT RN 1.00 X 0 79368 14221 KAREN POWELL 1.00 X 0 0 0 TIMOTHY RECTOR DDS 1.00 X 0 0 0 KAY SEXTON 1.00 X 0 0 0 JOHN SHEPHERD 1.00 X 0 0 0 CHRIS TAYLOR 1.00 X 0 0 0 GREG WARMUTH 1.00 X 0 0 0 MAX YATES 1.00 X 0 0 0 JOE THORE 1.00 X 0 84159 15092 0 187138 29313 0 0 0 0 0 96786 257230 354016 15159 15159 204 96786 40091 -39887 -39887 -3392 -3392 -3392 325896 0 0 -28120 469176 469176 57308 57308 526484 526484 0 0 220907 632662 27692 30463 632900 656370 733457 1537869 1396582 192920 662096 192920 662096 X 1317257 704023 27692 30463 1344949 734486 1537869 1396582 X -200588 59989 -469864 X X 0 1 X 1 0 X X 0 0 0 ASHE MEMORIAL HOSPITAL INC 560603900 3 1 1 1 469176 1 469176 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO ASHE MEMORIAL HOSPITAL 662096 662096 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HOSPITAL AND FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS 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. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. THE ORGANIZATION ADOPTED 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 ORGANIZATIONS FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT 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 UNRECOGNIZED TAX POSITIONS AS OF SEPTEMBER 30, 2013. GOLF TOURNAMENT 59550 59426 124 11531 5940 6352 850 GALA 37440 37360 80 12629 1900 889 96990 96786 204 11531 5940 18981 1900 1739 40091 -39887 0 ASHE MEMORIAL HOSPITAL INC 200 HOSPITAL AVENUE JEFFERSON NC 28640 560603900 501(C)(3) 469176 GENERAL OPERATIONAL SUPPORT PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 11 THE FORM 990 WAS REVIEWED BY TOP MANAGEMENT OF THE FOUNDATION AND ASHE MEMORIAL HOSPITAL (THE SUPPORTED ORGANIZATION). FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER ANNUALLY RECEIVES A COPY OF THE CONFLICT OF INTEREST POLICY AND SIGNS A STATEMENT THAT THE POLICY HAS BEEN REVIEWED, AND DISCLOSES ANY CONFLICTS OF INTEREST. AT THAT TIME EACH BOARD MEMBER IS RESPONSIBLE FOR RECUSING THEMSELVES FROM A PARTICULAR VOTE IF A CONFLICT ARISES. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. THE FORM 990 CAN ALSO BE ACCESSED THROUGH GUIDESTAR.ORG, A NON-PROFIT WEBSITE. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -27,692. CHANGE IN VALUE OF LAND -442,172. FORM 990, PART XII, LINE 2C: NO CHANGE IN THE PROCESS 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 ASHE MEMORIAL B 469176 CONTRIBUTIONS