PISGAH HEALTH FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PISGAH HEALTH FOUNDATION (EIN 56-1458024)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-06
- IRS object ID
- 201442189349301214
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-06T15:32:49-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561458024 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TRAN | NameControl |
| Phone | 8288774777 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RAY H DUNKELBERG MD | Name |
| Title | TREASURER | Title |
| Phone | 8288774777 | Phone |
| Date Signed | 2014-08-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEREMY NAESS | Name |
| PTIN | P01306905 | PTIN |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SHARON C JOHNSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 153 WEST JORDAN ST | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1781005 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TRHOSPITALFOUNDATION.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Type Of Organization Association | X | TypeOfOrganizationAssociation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | RECEIVE AND ADMINISTER CHARITABLE CONTRIBUTIONS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5 | TotalNbrEmployees |
| Total Nbr Volunteers | 100 | TotalNbrVolunteers |
| Total Gross UBI | -17457 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -17457 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2370031 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1139056 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 262815 | InvestmentIncomePriorYear |
| Investment Income Current Year | 639923 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -255 | OtherRevenuePriorYear |
| Other Revenue Current Year | -2372 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2632591 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1776607 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1541242 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1965544 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 213500 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 288550 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 201450 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 355133 | OtherExpensePriorYear |
| Other Expenses Current Year | 356624 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2109875 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2610718 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 522716 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -834111 | RevenuesLessExpensesCY |
| Total Assets BOY | 10393217 | TotalAssetsBOY |
| Total Assets EOY | 17822299 | TotalAssetsEOY |
| Total Liabilities BOY | 2228536 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1972186 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8164681 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 15850113 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1965544 | Expense |
| Grants | 1965544 | Grants |
| Revenue | 637551 | Revenue |
| Description | 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 $513,915 TO THE HOSPITAL FOR VARIOUS MEDICAL EQUIPMENT NEEDS.-PROVIDED $300,000 ANNUAL SUPPORT TO ENSURE SURGEONS ARE AVAILABLE ON A 24-7 BASIS TO SERVE THE RESIDENTS OF TRANSYLVANIA COUNTY.-PROVIDED $191,875 TOWARDS THE PURCHASE OF 127 STRYKER HOSPITAL BEDS. THE NEW EQUIPMENT WILL ALLOW FOR CONSISTENCY AND INCREASED EFFICIENCIES FOR THE NURSING STAFF AND INCREASE PATIENT SATISFACTION.-PROVIDED $174,193 ANNUAL SUPPORT FOR HOSPICE AND HOME CARE SERVICES FOR THE COMMUNITY.-PROVIDED FUNDING OF $150,000 THAT WAS COMMITTED IN 2012, TOWARD THE LAUNCH OF A PALLIATIVE CARE PROGRAM TO MEET THE INCREASING NEED FOR THIS SERVICE IN OUR COMMUNITY.-OBTAINED TWO GRANTS TOTALING $100,000 TOWARD THE COST OF IMPLEMENTING ENERGY AUDIT RECOMMENDATIONS AT THE HOSPITAL FOR ENVIRONMENTAL SUSTAINABILITY. -CONTINUED TO CONDUCT AN ON-GOING CAMPAIGN, WITH THE RESIDENTS OF LAKE TOXAWAY/SAPPHIRE AREA, TO ENDOW THE TOXAWAY HEALTH CENTER. $1.5 MILLION HAS BEEN CONTRIBUTED TOWARDS A $3 MILLION GOAL.-PROVIDED $78,559 TO UPGRADE THE TOXAWAY HEALTH CENTER PRIMARY CARE OFFICE TO PROVIDE BETTER PATIENT SATISFACTION AND INCREASED EFFICIENCY.-PROVIDED $32,508 IN CHARITY CARE INCLUDING FREE MAMMOGRAMS, FOLLOW-UP DIAGNOSTIC TESTS, ADULT DAY CARE SERVICES AND LIFELINE SUBSCRIPTION FEES.-RELEASED FUNDS IN THE AMOUNT OF $37,136 FOR 120 NEW LIFELINE EMERGENCY RESPONSE UNITS INCLUDING A $6,000 GRANT SECURED IN FAVOR OF THIS INITIATIVE.-PROVIDED $21,596 IN NURSING SCHOLARSHIPS TO TRANSYLVANIA COUNTY RESIDENTS AND TRH STAFF SEEKING DEGREES IN NURSING. -PROVIDED $20,000 FOR UPGRADES TO NEWLAND CONFERENCE ROOM AT THE HOSPITAL TO BE USED FOR HOSPITAL MEETINGS AND NURSE AND ALLIED HEALTH TRAINING EVENTS.-PROVIDED $10,000 TO THE CANCER CENTER AT THE HOSPITAL FOR OPERATIONAL EXPENSES.-SPONSORED 28 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. | Description |
| Total Program Service Expense | 1965544 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 5 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARON JOHNSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8288774777 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 153 WEST JORDAN STREET | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated |
|---|---|---|---|---|---|---|---|
| FREDERICK J MARKERT | |||||||
| CHAIRMAN | 5.00 | X | X | 0 | 0 | 0 | |
| CAROL F WATKINS | |||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| RAY H DUNKELBERG MD | |||||||
| SECRETARY/TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| ROBERT J BEDNAREK | |||||||
| PRESIDENT (HOSPITAL CEO) | 2.00 | X | 0 | 302355 | 52735 | 40.00 | |
| KEN D ADAMS AAMS | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| LARRY BRADNER | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| DANIEL P ELLIOTT | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RUSSELL R FRENCH ESQ | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| VERONICA K PETERMAN | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RICHARD R MILLAR | |||||||
| BOARD MEMBER (RESIGNED 3/20/13) | 2.00 | X | 0 | 0 | 0 | ||
| ROBERT L REARDEN JR | |||||||
| BOARD MEMBER (RESIGNED 11/9/12) | 2.00 | X | 0 | 0 | 0 | ||
| PATRICIA R WEBB | |||||||
| BOARD MEMBER (RESIGNED 10/8/12) | 2.00 | X | 0 | 0 | 0 | ||
| SHARON C JOHNSON CFRE | |||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 102669 | 0 | 14476 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 102669 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 302355 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 67211 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 27023 | FundraisingEvents |
| Related Organizations | 93647 | RelatedOrganizations |
| All Other Contributions | 1018386 | AllOtherContributions |
| Noncash Contributions | 4058 | NoncashContributions |
| Total Contributions | 1139056 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 273185 | TotalRevenueColumn |
| Unrelated Business Revenue | -17457 | UnrelatedBusinessRevenue |
| Exclusion | $290,642 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 366738 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 366738 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 366738 | TotalRevenueColumn |
| Exclusion | $366,738 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 2026 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 27023 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 4398 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2372 | TotalRevenueColumn |
| Exclusion | -$2,372 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1776607 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -17457 | UnrelatedBusinessRevenue |
| Exclusion | $655,008 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1929756 | Total |
| Program Services | 1929756 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35788 | Total |
| Program Services | 35788 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123435 | Total |
| Management And General | 30859 | ManagementAndGeneral |
| Fundraising | 92576 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165115 | Total |
| Management And General | 165115 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121181 | Total |
| Management And General | 121181 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33833 | Total |
| Management And General | 33833 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170469 | Total |
| Management And General | 61595 | ManagementAndGeneral |
| Fundraising | 108874 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4896 | Total |
| Management And General | 4896 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4818 | Total |
| Management And General | 4818 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9258 | Total |
| Management And General | 9258 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BAD DEBT | Description |
| Total | 12169 | Total |
| Management And General | 12169 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2610718 | Total |
| Program Services | 1965544 | ProgramServices |
| Management And General | 443724 | ManagementAndGeneral |
| Fundraising | 201450 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44574 | BOY |
| EOY | 106852 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 524860 | BOY |
| EOY | 342486 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84605 | BOY |
| EOY | 209960 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11049 | BOY |
| EOY | 8399 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 357791 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 50613 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 410996 | BOY |
| EOY | 307178 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9314232 | BOY |
| EOY | 16839393 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2901 | BOY |
| EOY | 8031 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10393217 | BOY |
| EOY | 17822299 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10954 | BOY |
| EOY | 1293 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2217582 | BOY |
| EOY | 1970893 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2228536 | BOY |
| EOY | 1972186 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3537171 | BOY |
| EOY | 11298201 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3203793 | BOY |
| EOY | 2850199 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1423717 | BOY |
| EOY | 1701713 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8164681 | BOY |
| EOY | 15850113 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10393217 | BOY |
| EOY | 17822299 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -834111 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 178974 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 8340569 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| TRANSYLVANIA COMMUNITY HOSPITAL INC | |||||
| 560562293 | 3 | 1 | 1 | 1 | $1,629,756 |
| TRANSYLVANIA PHYSICIAN SERVICES INC | |||||
| 561920816 | 3 | 0 | 1 | 1 | $300,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 1929756 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $37 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 37 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE FOUNDATION IS A MEMBER OF THE ASSOCIATION FOR HEALTHCARE PHILANTROPHY. THIS ASSOCIATION USED 2% OF ANNUAL MEMBER DUES TO LOBBY. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
| Explanation In Part XIII | X | ExplanationInPartXIII |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6234928 | BeginningOfYearBalance |
| Contributions | 8382031 | Contributions |
| Investment Earnings Or Losses | 443274 | InvestmentEarningsOrLosses |
| Other Expenditures | 755494 | OtherExpenditures |
| End Of Year Balance | 14304739 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3810150 | BeginningOfYearBalance |
| Contributions | 1918581 | Contributions |
| Investment Earnings Or Losses | 506197 | InvestmentEarningsOrLosses |
| End Of Year Balance | 6234928 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3611599 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 198551 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3810150 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3079854 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 531745 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3611599 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3008487 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 71367 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3079854 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.75870 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.22830 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.01300 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 171000 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 50000 | OtherCostOrOtherBasis |
| Book Value | 221000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 90000 | OtherCostOrOtherBasis |
| Depreciation | 3822 | Depreciation |
| Book Value | 86178 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 46791 | OtherCostOrOtherBasis |
| Depreciation | 46791 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 307178 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: |
| 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. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | THINK PINKS | NameOfEvent1 |
| Gross Receipts Event1 | 18004 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 18004 | CharitableContributionsEvent1 |
| Food And Beverage Event1 | 593 | FoodAndBeverageEvent1 |
| Name Of Event2 | BREAST CANCER AWARENESS LUNCHEON | NameOfEvent2 |
| Gross Receipts Event2 | 11045 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 9019 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 2026 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 2698 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 1107 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 29049 | GrossReceiptsTotal |
| Charitable Contributions Total | 27023 | CharitableContributionsTotal |
| Gross Revenue Total Events | 2026 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 3291 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 1107 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 4398 | DirectExpenseSummaryEvents |
| Net Income Summary | -2372 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| TRANSYLVANIA COMMUNITY HOSPITAL INC | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 560562293 | 501(C)(3) | 1629756 | CAPITAL AND PROGRAM SERVICES |
| TRANSYLVANIA PHYSICIAN SERVICES INC | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561920816 | 501(C)(3) | 300000 | PROGRAMS SERVICES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|
| JANE WALKER FREEMAN & LINDGREN MEMORIAL NURSING SCHOLARSHIP | 8 | 11000 | |||
| RX ASSISTANCE PROGRAM FOR THE MEDICALLY INDIGENT AND UNINSURED | 30 | 5046 | FMV | PRESCRIPTION MEDICATION |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROBERT J BEDNAREK | NamePerson |
| Title | PRESIDENT (HOSPITAL CEO) | Title |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 236337 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 49687 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 16331 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 39276 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 13459 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 355090 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS: ROBERT BEDNAREK $31,970 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | AS A RESULT OF REORGANIZATION, THE SOLE MEMBER OF THE FOUNDATION WAS CHANGED FROM TRANSYLVANIA HEALTH SYSTEM, INC. TO TRANSYLVANIA COMMUNITY HOSPITAL, INC. | |
| 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 88,832. EQUITY TRANSER FROM AFFILIATES 8,352,744. BUSINESS COMBINATION LOSS -101,007. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| 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
Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TRANSYLVANIA HEALTH SYSTEM INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561456987 | HEALTHCARE | NC | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| TRANSYLVANIA COMMUNITY HOSPITAL INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 560562293 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | N/A | 0 | |
| TRANSYLVANIA PHYSICIAN SERVICES INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561920816 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | 0 | TRANSYLVANIA COMMUNITY HOSPITAL INC | |
| MISSION HEALTH SYSTEM INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 581450888 | PARENT COMPANY SUPPORT | NC | 501(C)(3) | LINE 11A, I | 0 | ||
| MISSION MEDICAL ASSOCIATES INC | |||||||||||
| 866 HENDERSONVILLE ROAD | ASHEVILLE | NC | 28803 | 263627231 | EMPLOYED PHYSICIAN GROUP | NC | 501(C)(3) | LINE 9 | 0 | MISSION HEALTH SYSTEM INC | |
| THE MCDOWELL HOSPITAL INC | |||||||||||
| 430 RANKIN AVENUE | MARION | NC | 28742 | 560623938 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | 0 | MISSION HEALTH SYSTEM INC | |
| MISSION HEALTHCARE FOUNDATION INC | |||||||||||
| 980 HENDERSONVILLE ROAD | ASHEVILLE | NC | 28803 | 561881331 | FOUNDATION | NC | 501(C)(3) | LINE 7 | 0 | MISSION HEALTH SYSTEM INC | |
| BLUE RIDGE REGIONAL HOSPITAL INC | |||||||||||
| PO BOX 9 | SPRUCE PINE | NC | 28777 | 561025032 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | 0 | MISSION HEALTH SYSTEM INC | |
| BLUE RIDGE REGIONAL HOSPITAL FOUNDATION | |||||||||||
| PO BOX 247 | SPRUCE PINE | NC | 28777 | 582172660 | HOSPITAL FOUNDATION | NC | 501(C)(3) | LINE 11A, I | 0 | BLUE RIDGE REGIONAL HOSPITAL | |
| ANGEL MEDICAL CENTER INC | |||||||||||
| PO BOX 1209 | FRANKLIN | NC | 28744 | 566000064 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | 0 | MISSION HEALTH SYSTEM INC | |
| MCDOWELL HEALTHCARE FOUNDATION INC | |||||||||||
| 430 RANKIN AVENUE | MARION | NC | 28752 | 463395393 | SUPPORTING ORGANIZATION | NC | APPLIED FOR | LINE 7 | 0 | THE MCDOWELL HOSPITAL INC | |
| MISSION HOSPITAL INC | |||||||||||
| 428 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 560532141 | HOSPITAL | NC | 501(C)(3) | LINE 3 | 0 | MISSION HEALTH SYSTEM INC | |
Form990 Schedule R Part III Form990ScheduleRPartIII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| BREVARD MRI AT TRANSYLVANIA REGIONAL HOSPITAL LLC | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 203281110 | MEDICAL | 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 | 561599696 | 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 OFFICE 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 | NC | N/A | |
| ASHEVILLE MRI | |||||||
| PO BOX 2959 | ASHEVILLE | NC | 28802 | 561665863 | NC | N/A | |
| WNC STONE CENTER | |||||||
| 509 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 272152974 | NC | N/A | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRANSYLVANIA SERVICES INC | |||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561448199 | REAL ESTATE | NC | N/A | C | 0 | ||||
| HORIZON HEALTH CORP | |||||||||||||
| 213 RIDGEFIELD COURT | ASHEVILLE | NC | 28806 | 561341621 | HOLDING COMPANY | NC | N/A | C | 0 | ||||
| HORIZON MANAGEMENT SERVICES INC | |||||||||||||
| 213 RIDGEFIELD COURT | 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 | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |