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THE SPARTANBURG REGIONAL HEALTHCARE SYSTEM FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE SPARTANBURG REGIONAL HEALTHCARE SYSTEM FOUNDATION (EIN 57-0937166)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-03-07
IRS object ID
201420669349300302
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-03-07T07:35:30-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN571003842EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GOSNELL MENARD ROBINSON INFANTE CPA'S PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1726AddressLine1
CitySPARTANBURGCity
StateSCState
ZIP Code293041726ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570937166EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SPARTANBURG REGIONAL HEALTHCARE SYSTEM FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSPARNameControl
Phone8645606729Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 E WOOD STREETAddressLine1
CitySPARTANBURGCity
StateSCState
ZIP Code29303ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKRISTY CARADORIName
TitleEXECUTIVE DIRECTORTitle
Phone8645606727Phone
Date Signed2014-03-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN W ROBINSON JRName
PTINP00429570PTIN
Phone8645739211Phone
Date Prepared2014-03-03DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKRISTY CARADORINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1101 E WOOD STREETAddressLine1
CitySPARTANBURGCity
StateSCState
ZIP Code29303ZIPCode
FieldValueIRS element (for citing)
Gross Receipts30288021GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SRHS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionTHE FOUNDATION'S PURPOSE IS TO PROVIDE FINANCIAL SUPPORT TO SPARTANBURG REGIONAL HEALTHCARE SYSTEM, A COUNTY HOSPITAL WHOSE INCOME IS EXCLUDED FROM TAX UNDER INTERNAL REVENUE CODE SECTION 115. THE FOUNDATION PROMOTES HEALTH BY FUNDING SPECIFIC PROJECTS REQUESTED BY THE SPARTANBURG REGIONAL HEALTHCARE SYSTEM AND OTHER HEALTHCARE RELATED COMMUNITY ORGANIZATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4582580ContributionsGrantsPriorYear
Contributions Grants Current Year3631630ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year351952InvestmentIncomePriorYear
Investment Income Current Year2420999InvestmentIncomeCurrentYear
Other Revenue Prior Year173557OtherRevenuePriorYear
Other Revenue Current Year6303695OtherRevenueCurrentYear
Total Revenue Prior Year5108089TotalRevenuePriorYear
Total Revenue Current Year12356324TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2467876GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2701715GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year999463SalariesEtcPriorYear
Salaries Etc Current Year950249SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year867753TotalFundrsngExpCurrentYear
Other Expense Prior Year692493OtherExpensePriorYear
Other Expenses Current Year1674823OtherExpensesCurrentYear
Total Expenses Prior Year4159832TotalExpensesPriorYear
Total Expenses Current Year5326787TotalExpensesCurrentYear
Revenues Less Expenses Prior Year948257RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7029537RevenuesLessExpensesCY
Total Assets BOY31288990TotalAssetsBOY
Total Assets EOY38847300TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY607935TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY31288990NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY38239365NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE FOUNDATION'S PURPOSE IS TO PROVIDE FINANCIAL SUPPORT TO SPARTANBURG REGIONAL HEALTHCARE SYSTEM, A COUNTY HOSPITAL WHOSE INCOME IS EXCLUDED FROM TAX UNDER INTERNAL REVENUE CODE SECTION 115. THE FOUNDATION PROMOTES HEALTH BY FUNDING SPECIFIC PROJECTS REQUESTED BY THE SPARTANBURG REGIONAL HEALTHCARE SYSTEM AND OTHER HEALTHCARE RELATED COMMUNITY ORGANIZATIONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3597932Expense
Grants705755Grants
DescriptionMISSION:TO CREATE A COMMUNITY OF GIVING FOR LIFE.VISION:TO GROW AND PROSPER FOR THE BENEFIT OF THE HOSPITAL AND COMMUNITY BY BECOMING THE LEADING FOUNDATION IN THE REGION.PHILOSOPHY:THE SRHS FOUNDATION BELIEVES THAT ITS MEMBERS SHOULD ACT AS ADVOCATES FOR THE HEALTHCARE SYSTEMTHE SRHS FOUNDATION BELIEVES IT SHOULD PROMOTE UNDERSTANDING AND BUILD BROAD-BASED COMMUNITY SUPPORT FOR THE HEALTHCARE SYSTEM.THE SRHS FOUNDATION BELIEVES IN A LOCALLY MANAGED HEALTH CARE SYSTEM.THE SRHS FOUNDATION BELIEVES IT SHOULD BE A SELF-SUSTAINING GROUP OF DEDICATED VOLUNTEERS TO WORK FOR FOUNDATION PROGRAMS.THE SRHS FOUNDATION BELIEVES IT MUST ASSIST EFFORTS TO INFORM THE PUBLIC THROUGH ALL APPROPRIATE MEANS ABOUT THE COSTS OF DELIVERING QUALITY HEALTH CARE AND THE SELF-SUSTAINING NATURE OF THE HEALTHCARE SYSTEM.THE SRHS FOUNDATION WILL OPERATE IN AN ETHICAL MANNER.Description
Total Program Service Expense3597932TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SPARTANBURG REGIONAL HEALTHCARE SYSTEM FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8645606729TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101 EAST WOOD STREETAddressLine1
CitySPARTANBURGCity
StateSCState
ZIP Code29303ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ASHLEY ALLEN
TREASURER1.00X000
JEFF BERLINE
BOARD MEMBER1.00X000
LYNNE BLACKMAN
BOARD MEMBER1.00X000
MELLNEE BUCHHEIT
BOARD MEMBER1.00X000
GARROW CROWLEY
BOARD MEMBER1.00X000
MARSHA GIBBS
BOARD MEMBER1.00X000
JEFFREY H JEFF BARKER
HOSPICE CHAIR1.00X000
THOMAS G TOM BARNET
HEART CHAIR1.00X000
STEVE HARLEY MD
IMMEDIATE PAST CHAIRMAN1.00X000
MARGARET G BURCH
BOARD MEMBER1.00X000
JAMIE HODGE
VICE - CHAIRMAN1.00X000
KATIE HODGE
BOARD MEMBER1.00X000
BRENDA JAMES
CHAIRMAN1.00X000
JON JENSEN
CANCER CHAIR1.00X000
SCOTT MONTGOMERY IV
BOARD MEMBER1.00X000
MICHAEL ORSECK MD
BOARD MEMBER1.00X000
NORMAN PULLIAM
BOARD MEMBER1.00X000
RON SMITH
SECRETARY1.00X000
LIZZIE STAGGS
BOARD MEMBER1.00X000
WILLIAM H BILL BURTON JR
BOARD MEMBER1.00X000
JULIA D LYONS
BOARD MEMBER1.00X000
L TERRELL SOVEY
BOARD MEMBER1.00X000
WILLIAM N TURRENTINE JR
BOARD MEMBER1.00X000
SHEILA BREITWEISER
EXECUTIVE DIRECTOR40.0025509200X
LESLIE PREGENZER
MAJOR GIFTS OFFICER40.0010600800X
MICHAEL KENNEDY
DIRECTOR OF PLANNED GIVING40.0011556500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org476665TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns27772FederatedCampaigns
All Other Contributions3603858AllOtherContributions
Noncash Contributions54681NoncashContributions
Total Contributions3631630TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column735663TotalRevenueColumn
Related Or Exempt Function Income735663RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities19479885Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities17794549Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1685336Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1685336TotalRevenueColumn
Related Or Exempt Function Income1685336RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events243956GrossIncomeFundraisingEvents
Fundraising Direct Expenses137148FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column106808TotalRevenueColumn
Exclusion$106,808ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionSECTION 481(A) ADJUSTMENT - CHANGDescription
Business Code900099BusinessCode
Total Revenue Column6196887TotalRevenueColumn
Related Or Exempt Function Income6196887RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6196887TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12356324TotalRevenueColumn
Related Or Exempt Function Income8617886RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$106,808ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2701715Total
Program Services2701715ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total255092Total
Program Services86796ProgramServices
Management And General84148ManagementAndGeneral
Fundraising84148Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total553373Total
Program Services106042ProgramServices
Management And General275978ManagementAndGeneral
Fundraising171353Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total84007Total
Program Services16127ProgramServices
Management And General34179ManagementAndGeneral
Fundraising33701Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total57777Total
Program Services11091ProgramServices
Management And General23507ManagementAndGeneral
Fundraising23179Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total43384Total
Management And General43384ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total150590Total
Program Services11250ProgramServices
Management And General111840ManagementAndGeneral
Fundraising27500Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total20806Total
Program Services1050ProgramServices
Management And General6953ManagementAndGeneral
Fundraising12803Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total15000Total
Program Services1000ProgramServices
Management And General4000ManagementAndGeneral
Fundraising10000Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SECTION 481(A) ADJUSTME78154865645913924111165
MISCELLANEOUS FUNDRAISI305140305140
MISCELLANEOUS ADMINISTR247769247769
OTHER EXPENSES11058664021542088764

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5326787Total
Program Services3597932ProgramServices
Management And General861102ManagementAndGeneral
Fundraising867753Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY746918BOY
EOY322107EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY3743807EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY5047EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis332500LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY332500BOY
EOY332500EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY27786118BOY
EOY23782485EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2423454BOY
EOY10661354EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY31288990BOY
EOY38847300EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY45878EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
EOY374233EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY102850EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY84974EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY607935EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17662989BOY
EOY18272974EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY13278140BOY
EOY19653100EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY347861BOY
EOY313291EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31288990BOY
EOY38239365EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31288990BOY
EOY38847300EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses7029537ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-79162ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5496204CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5645411CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5109986CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4582580CurrentTaxYearMinus1Year
Current Tax Year3631630CurrentTaxYear
Total24465811Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5496204CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5645411CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5109986CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4582580CurrentTaxYearMinus1Year
Current Tax Year3631630CurrentTaxYear
Total24465811Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total3110498AmountsSubstContributorsTotal
Public Support Total17021355313PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years443063CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1459428CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3697583CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year690143CurrentTaxYearMinus1Year
Current Tax Year735663CurrentTaxYear
Total7025880Total
FieldValueIRS element (for citing)
Total Support31491691TotalSupport
Public Support Pertcentage1700.67810PublicSupportPertcentage170
Public Support Pertcent Prior Year0.65470PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1481558BeginningOfYearBalance
Contributions3232Contributions
Investment Earnings Or Losses39293InvestmentEarningsOrLosses
Administrative Expenses57253AdministrativeExpenses
End Of Year Balance1466830EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.72000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.07000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.21000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis332500OtherCostOrOtherBasis
Book Value332500BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings332500TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value4321032BookValue
Method Of ValuationFMethodOfValuation

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MONEY FUNDS3286893F
CDS2951669F
STRUCTURED NOTE INVESTMENT101760F
FieldValueIRS element (for citing)
Total Of Book Value Securities10661354TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
AGENCY FUND HELD FOR OTHERS$56,036
ANNUITY OBLIGATIONS$28,938
FieldValueIRS element (for citing)
Total Of Amounts84974TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt6080275TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-79162NetUnrealizedGainsInvestments
Revenue Not Rptd F990-79162RevenueNotRptdF990
Revenue Subtotal6159437RevenueSubtotal
Other Revenues Not Included6196887OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt6196887RevenueNotRptdOnFinStmt
Total Revenue Per Form99012356324TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4545239TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal4545239ExpensesSubtotal
Other Expenses Not Included781548OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt781548ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905326787TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 4B - OTHER ADJUSTMENTS:SECTION 481(A) ADJUSTMENT - CHANGE IN ACCOUNTING METHOD AS OF 9/30/2012
PART XII, LINE 4B - OTHER ADJUSTMENTS:SECTION 481(A) ADJUSTMENT - CHANGE IN ACCOUNTING METHOD AS OF 9/30/2012
THE ORGANIZATION CONVERTED THE FINANCIAL STATEMENTS TO THE ACCRUAL BASIS OF ACCOUNTING IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA AS OF SEPTEMBER 30, 2012.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FUNDRAISING EVENTSNameOfEvent1
Gross Receipts Event1243956GrossReceiptsEvent1
Gross Revenue Event1243956GrossRevenueEvent1
Other Direct Expenses Event1137148OtherDirectExpensesEvent1
Gross Receipts Total243956GrossReceiptsTotal
Gross Revenue Total Events243956GrossRevenueTotalEvents
Other Direct Expenses Total Events137148OtherDirectExpensesTotalEvents
Direct Expense Summary Events137148DirectExpenseSummaryEvents
Net Income Summary106808NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (19 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BIRTHMATTERS
PO BOX 5163SPARTANBURGSC29304454900759501 ( C ) (3)7785PILOT DATA.
CHRISTMAS IN ACTION
PO BOX 5852SPARTANBURGSC29304562015602501 ( C ) (3)7800HELP COVER COST OF BUILDING MATERIALS FOR 12 HANDICAP RAMPS.
DIVINITY CARE FACILITY
446 ARCH STREETSPARTANBURGSC29301582388864501 ( C ) (3)6513RELIEVE HOSPITAL BURDEN
ELLEN HINES SMITH GIRLS' HOMECHILDREN SHELTER OF THE UPSTATE
PO BOX 1731SPARTANBURGSC29304570601487501 ( C ) (3)5000MERGE WEBSITE AND DONOR DATABASE.
GIRL SCOUTS OF SC - MOUNTAINS TO MIDLANDS INC
5 INDEPENDENCE POINTEGREENVILLESC29615570314433501 ( C ) (3)9500EXECUTE PROGRAM FOR GIRLS IN GRADES K5 - 8 TO DEVELOP HEALTHY LIVING HABITS.
GREER RELIEF & RESOURCES AGENCY
PO BOX 1303GREERSC29652570370331501 ( C ) (3)2500EMERGENCY FINANCIAL ASSISTANCE.
HELPING HANDS MINISTRIES OF THE WOODRUFF AREA INC
PO BOX 483WOODRUFFSC29388570953825501 ( C ) (3)4000IDENTIFY & TREAT HEALTH RISKS.
MEETING STREET ACADEMY
201 E BROAD STREETSPARTANBURGSC29306383853462501 ( C ) (3)1500TO PURCHASE EQUIPMENT FOR HEALTHROOM & CLASSROOM SUPPLIES
MIDDLE TYGER COMMUNITY CENTER
84 GROVE ROADLYMANSC29365571077940501 ( C ) (3)19200TO PROVIDE BEHAVIORAL THERAPY SERVICES FOR CHILDREN AND FAMILIES OF LOW INCOME.
MOBILE MEALS SERVICES OF SPTBG
PO BOX 461SPARTANBURGSC29304570653452501 ( C ) (3)2000PURCHASE HOT PACKS FOR VAN MEALS
MONARCH ELEMENTARY SCHOOL
224 FIVE FORKS ROADSIMPSONVILLESC29681455171398501 ( C ) (3)3400INCREASE WELLNESS IN CHILDREN.
REACH UPSTATE
PO BOX 2413SPARTANBURGSC29304570791112501 ( C ) (3)3800PROVIDE EVIDENCE-BASED TEEN HEALTH PROGRAMMING TO AT RISK TEENS IN SPARTANBURG COUNTY THROUGH THE FAITH-BASED AND MEDICAL-BASED COMMUNITIES.
SOUTHSIDE UNITY IN THE COMMUNITY
PO BOX 1142SPARTANBURGSC29304261460659501 ( C ) (3)5000PLAYGROUND AREA FOR TODDLERS AND ELEMENTARY-AGE CHILDREN -- HELP STIMULATE PHYSICAL, DEVELOPMENTAL, EMOTIONAL, AND SOCIAL SKILLS.
ST LUKE'S FREE MEDICAL CLINIC
PO BOX 3466SPARTANBURGSC29304570943232501 ( C ) (3)12500COVER PRESCRIPTION EXPENSE.
THE FIRST TEE OF SPARATNBURG
640 KELTNER AVENUESPARTANBURGSC29302562199252501 ( C ) (3)3290PROVIDE ACTIVITY-BASED CHARACTER AND WELLNESS EDUCATION TO STUDENTS AT WOODLAND HEIGHTS
THE HAVEN
PO BOX 2914SPARTANBURGSC29304570809732501 ( C ) (3)20000PREVENT PARASITE INFESTATIONS.
THE SHEPHERD'S CENTER OF SPARTANBURG
395 E MAIN STREETSPARTANBURGSC29302570691077501 ( C ) (3)2000PURCHASE PROGRAM MATERIALS WHICH TARGET BRAIN FUNCTION IN SENIORS.
THERMAL BELT OUTREACH MINISTRY POLK COUNTY
PO BOX 834COLUMBUSNC28722561793796501 ( C ) (3)6500PROVIDE FOOD, NUTRITIONAL INFORMATION AND STORAGE EQUIPMENT FOR PANTRY.
SPARTANBURG REGIONAL HEALTHCARE SYSTEM
101 E WOOD STSPARTANBURGSC29303571075649501( E ) (1) (B) (I)583467VARIOUS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants19TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SHEILA BREITWEISER
EXECUTIVE DIRECTOR255092000000000255092000
MICHAEL KENNEDY
DIRECTOR OF PLANNED GIVING115565000000000115565000

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMISCELLANEOUS ITEMS FOR SPECIAL EVENTSDescription
Number Of Contributions125NumberOfContributions
Noncash Contribs Rptd F99054681NoncashContribsRptdF990
Method Of Determining RevenuesRETAIL SALES VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11FORM 990 PRESENTED TO GOVERNING BODY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION OBTAINS INFORMATION FROM BOARD MEMBERS RELATED TO BUSINESS ENTITIES AND OTHER NONPROFIT ORGANIZATIONS PRIOR TO ELECTION TO THE BOARD. ANNUALLY, EACH BOARD MEMBER COMPLETES A CONFLICT OF INTEREST QUESTIONNAIRE.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION MAY USE AN INDEPENDENT CONSULTANT, COMPENSATION SURVEYS AND APPROVAL BY GOVERNING BODY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
990 PART XII LINE 2CAN AUDIT COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS OVERSEES THE SELECTION OF AN INDEPENDENT AUDITOR AND IS PRESENTED THE AUDIT REPORT UPON COMPLETION. THERE HAS NOT BEEN A CHANGE IN THE OVERSIGHT OR SELECTION PROCESS THIS YEAR.
FORM 990, PART VII, SECTION ASPARTANBURG REGIONAL HEALTHCARE SYSTEM PAYS SALARIES AND ADMINISTRATIVE COSTS OF THE SPARTANBURG REGIONAL HEALTHCARE SYSTEM FOUNDATION. SPARTANBURG REGIONAL HEALTHCARE SYSTEM FOUNDATION TREATS THE PAYMENT AS A CONTRIBUTION FROM SPARTANBURG REGIONAL HEALTHCARE SYSTEM AND AS AN EXPENSE OF SPARTANBURG REGIONAL HEALTHCARE FOUNDATION.COMPENSATION OF MANAGEMENT AND ADMINISTRATIVE EXPENSES

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SPARTANBURG REGIONAL HEALTH SERVICES DISTRICTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101 E WOOD STREETAddressLine1
CitySPARTANBURGCity
StateSCState
ZIP Code29303ZIPCode
FieldValueIRS element (for citing)
EIN571075649EIN
Primary ActivitiesHOSPITALPrimaryActivities
Legal Domicile StateSCLegalDomicileState
Exempt Code Section501(E)(1)(B)(III)ExemptCodeSection
Public Charity Status170(B)(1) (A)(IV)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SPARTANBURG REGIONAL HEALTHCARE SYSTEM
O950249CASH
SPARTANBURG REGIONAL HEALTHCARE SYSTEM
Q249039CASH
SPARTANBURG REGIONAL HEALTHCARE SYSTEM
P1514116CASH
SPARTANBURG REGIONAL HEALTHCARE SYSTEM
B388314CASH