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BLUE RIDGE COMMUNITY HEALTH SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BLUE RIDGE COMMUNITY HEALTH SERVICES INC (EIN 56-0794933)
Tax period
2011-04-01 to 2012-03-31
Filed
2012-06-26
IRS object ID
201201789349300700
Schema version
2011v1.2
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)
Timestamp2012-06-26T07:26:39-07:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY HORNE CPA & ASSOCIATESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1732 WEST MAIN STREETAddressLine1
CityLEBANONCity
StateTNState
ZIP Code37087ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN560794933EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BLUE RIDGE COMMUNITY HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBLUENameControl
Phone8286924289Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5151AddressLine1
CityHENDERSONVILLECity
StateNCState
ZIP Code28793ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJENNIFER HENDERSONName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone8286924289Phone
Date Signed2012-06-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRY HORNEName
Phone6154447293Phone
Date Prepared2012-06-26DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJENNIFER HENDERSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5151AddressLine1
CityHENDERSONVILLECity
StateNCState
ZIP Code28793ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12817099GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1962YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees101TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year4767768ContributionsGrantsPriorYear
Contributions Grants Current Year8934962ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2883467ProgramServiceRevenuePriorYear
Program Service Revenue CY3836668ProgramServiceRevenueCY
Investment Income Prior Year-4408InvestmentIncomePriorYear
Investment Income Current Year-586752InvestmentIncomeCurrentYear
Other Revenue Prior Year11500OtherRevenuePriorYear
Other Revenue Current Year44742OtherRevenueCurrentYear
Total Revenue Prior Year7658327TotalRevenuePriorYear
Total Revenue Current Year12229620TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5053535SalariesEtcPriorYear
Salaries Etc Current Year5722839SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1686107OtherExpensePriorYear
Other Expenses Current Year2093033OtherExpensesCurrentYear
Total Expenses Prior Year6739642TotalExpensesPriorYear
Total Expenses Current Year7815872TotalExpensesCurrentYear
Revenues Less Expenses Prior Year918685RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4413748RevenuesLessExpensesCY
Total Assets BOY4572927TotalAssetsBOY
Total Assets EOY8225999TotalAssetsEOY
Total Liabilities BOY1655725TotalLiabilitiesBOY
Total Liabilities EOY1582689TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2917202NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6643310NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5427060Expense
Revenue3836668Revenue
DescriptionTHE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 63,500 VISITS WERE PROVIDED DURING THE YEAR.Description
Total Program Service Expense5427060TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees101NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTONYA HARRISNamePerson
Telephone Number8286968264TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12579 CHIMNEY ROCK ROADAddressLine1
CityHENDERSONVILLECity
StateNCState
ZIP Code28792ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MAUREAN ADAMS
BOARD MEMBER1.00X000
KEN FRAZEN
BOARD MEMBER1.00X000
DEBBIE HAIGHT
BOARD MEMBER1.00X000
LINDA LIPPITT
BOARD MEMBER1.00X000
JERRY MAIER
BOARD MEMBER1.00X000
ARNOLDO MARQUEZ
BOARD MEMBER1.00X000
MARTHA PATERNINI
BOARD MEMBER1.00X000
CINDY PIERCE
BOARD MEMBER1.00X000
RONNIE PEPPER
BOARD MEMBER1.00X000
JUAN RAMIREZ
BOARD MEMBER1.00X000
PAULA SAUNDERS
BOARD MEMBER1.00X000
MARCIE WILSON
BOARD MEMBER1.00X000
JENNIFER HENDERSON
CHIEF EXECUTIVE OFFICER40.00177049015040X
TONYA HARRIS
CHIEF FINANCIAL OFFICER40.00942530907X
TAMMY GREENWELL
CHIEF OPERATING OFFICER40899387228X
STEVEN KIRKLAND
CHIEF DEVELOPMENT OFFICER408080517444X
ILONA CSAPO
MEDICAL DIRECTOR401866968213X
SHANNON DOWLER
MEDICAL DIRECTOR401565991308X
DALE MCCLEAN
DENTAL DIRECTOR401479278000X
PAUL TRANI
PHYSICIAN4014929414234X
DAVID BATE
PHYSICIAN4013484711229X
ROBERT DUFFEY
PHYSICIAN401344052413X
JAMES CANNON JR
PHYSICIAN40134531932X
AMY SANTIN
PHYSICIAN4011085619098X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1597200TotalReportableCompFromOrg
Total Other Compensation106046TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HERMOSA CONSTRUCTION GROUP LLC
3300 CUMBERLAND BLVD STE 325ATLANTAGA30039CONTRACTUAL CONSTRUCTION4239979
QUEST DIAGNOSTICS INC
PO BOX 41652PHILADELPHIAPA191011652CONTRACTUAL LAB SERVICES127997
BIZ TECHNOLOGY SOULTIONS INC
353 GATES RDMOORESVILLENC28817CONTRACTUAL MEDICAL SERVICES225599
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants6961721GovernmentGrants
All Other Contributions1973241AllOtherContributions
Total Contributions8934962TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621110BusinessCode
Total Revenue Column3836668TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue3836668TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column727TotalRevenueColumn
Exclusion$727ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real44742Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real44742Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column44742TotalRevenueColumn
Exclusion$44,742ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other587479Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-587479Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-587479TotalRevenueColumn
Exclusion-$587,479ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12229620TotalRevenueColumn
Related Or Exempt Function Income3836668RelatedOrExemptFunctionIncome
Exclusion-$542,010ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total933267Total
Program Services491222ProgramServices
Management And General442045ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4050877Total
Program Services3193140ProgramServices
Management And General857737ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4832Total
Program Services3624ProgramServices
Management And General1208ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total430154Total
Program Services315228ProgramServices
Management And General114926ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total303709Total
Program Services227782ProgramServices
Management And General75927ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8024Total
Program Services0ProgramServices
Management And General8024ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20465Total
Program Services0ProgramServices
Management And General20465ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total411675Total
Program Services274390ProgramServices
Management And General137285ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1008534Total
Program Services569605ProgramServices
Management And General438929ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total80826Total
Program Services0ProgramServices
Management And General80826ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total174825Total
Program Services136161ProgramServices
Management And General38664ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total59004Total
Program Services28586ProgramServices
Management And General30418ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total321276Total
Program Services179705ProgramServices
Management And General141571ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total8404Total
Program Services7617ProgramServices
Management And General787ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7815872Total
Program Services5427060ProgramServices
Management And General2388812ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY197429BOY
EOY120191EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY996182BOY
EOY779705EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY39098BOY
EOY64949EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY71653BOY
EOY45948EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7828134LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec612928LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3006669BOY
EOY7215206EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY261896BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4572927BOY
EOY8225999EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY616465BOY
EOY521897EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY72169BOY
EOY138487EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY967091BOY
EOY922305EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1655725BOY
EOY1582689EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2229562BOY
EOY6643310EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY687640BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2917202BOY
EOY6643310EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4572927BOY
EOY8225999EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4413748ReconcilationRevenueExpenses
Reconcilation Other Changes-687640ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2352471CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2475653CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3757107CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4767768CurrentTaxYearMinus1Year
Current Tax Year8934962CurrentTaxYear
Total22287961Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2352471CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2475653CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3757107CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4767768CurrentTaxYearMinus1Year
Current Tax Year8934962CurrentTaxYear
Total22287961Total
FieldValueIRS element (for citing)
Public Support Total17022287961PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57994CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48417CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42944CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12014CurrentTaxYearMinus1Year
Current Tax Year45469CurrentTaxYear
Total206838Total
FieldValueIRS element (for citing)
Total Support22494799TotalSupport
Gross Receipts From Admissions Etc14625543GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99080PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98650PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis49700InvestmentCostOrOtherBasis
Book Value49700BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis6116779InvestmentCostOrOtherBasis
Depreciation111672Depreciation
Book Value6005107BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1661655InvestmentCostOrOtherBasis
Depreciation501256Depreciation
Book Value1160399BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7215206TotalOfBookValueLandBuildings
Total Revenue12229620TotalRevenue
Total Expenses7815872TotalExpenses
Excess Or Deficit For Year4413748ExcessOrDeficitForYear
Excess Or Deficit Per FS4413748ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12229620TotRevenueEtcAuditedFinclStmt
Revenue Subtotal12229620RevenueSubtotal
Total Revenue Per Form99012229620TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7815872TotExpensesEtcAuditedFinclStmt
Expenses Subtotal7815872ExpensesSubtotal
Total Expenses Per Form9907815872TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
JENNIFER HENDERSON
17704914114899192089198076
ILONA CSAPO
1866961228091194909170861
SHANNON DOWLER
156599376932157907161357
DALE MCCLEAN
1479276627338155927151649
PAUL TRANI
14929449513739163528160893

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST
POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST.
Pt VI, Line 12cANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND
REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM
ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.
Pt XII, Line 2cTHE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION
AND AUDIT ENGAGEMENT.
Pt VI, Line 11aTHE CEO, CFO AND THE FINANCE COMMITTEE REVIEWS THE FORM 990
Pt VI, Line 15STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY
AND SALARY INCREASES ARE BOARD APPROVED.
Pt XILINE 6 DECREASE IN TEMPORARILY RESTRICTED NET ASSETS RESULTING FROM CAPITAL
CAMPAIGN RESTRICTIONS BEING LIFTED BY COMPLETION OF NEW CLINIC BUILDING.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BLUE RIDGE HEALTH CENTER FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 68AddressLine1
CityHENDERSONVILLECity
StateNCState
ZIP Code28793ZIPCode
FieldValueIRS element (for citing)
EIN582009280EIN
Primary ActivitiesHEALTH CARE SUPPORTPrimaryActivities
Legal Domicile StateNCLegalDomicileState
Exempt Code Section501 (C) (3)ExemptCodeSection
Public Charity Status501 (C) (3)PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NOBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg