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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-06-26T07:26:39-07:00 | Timestamp |
| Tax Period End Date | 2012-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRY HORNE CPA & ASSOCIATES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 732 WEST MAIN STREET | AddressLine1 |
| City | LEBANON | City |
| State | TN | State |
| ZIP Code | 37087 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560794933 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE RIDGE COMMUNITY HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BLUE | NameControl |
| Phone | 8286924289 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5151 | AddressLine1 |
| City | HENDERSONVILLE | City |
| State | NC | State |
| ZIP Code | 28793 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JENNIFER HENDERSON | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Phone | 8286924289 | Phone |
| Date Signed | 2012-06-11 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TERRY HORNE | Name |
| Phone | 6154447293 | Phone |
| Date Prepared | 2012-06-26 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JENNIFER HENDERSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5151 | AddressLine1 |
| City | HENDERSONVILLE | City |
| State | NC | State |
| ZIP Code | 28793 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12817099 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1962 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | THE 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 Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 101 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 4767768 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8934962 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2883467 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3836668 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -4408 | InvestmentIncomePriorYear |
| Investment Income Current Year | -586752 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 11500 | OtherRevenuePriorYear |
| Other Revenue Current Year | 44742 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7658327 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12229620 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5053535 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5722839 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1686107 | OtherExpensePriorYear |
| Other Expenses Current Year | 2093033 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6739642 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7815872 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 918685 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4413748 | RevenuesLessExpensesCY |
| Total Assets BOY | 4572927 | TotalAssetsBOY |
| Total Assets EOY | 8225999 | TotalAssetsEOY |
| Total Liabilities BOY | 1655725 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1582689 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2917202 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6643310 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION PROVIDES HEALTH CARE | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 5427060 | Expense |
| Revenue | 3836668 | Revenue |
| Description | THE 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 Expense | 5427060 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 16 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 101 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TONYA HARRIS | NamePerson |
| Telephone Number | 8286968264 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2579 CHIMNEY ROCK ROAD | AddressLine1 |
| City | HENDERSONVILLE | City |
| State | NC | State |
| ZIP Code | 28792 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MAUREAN ADAMS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| KEN FRAZEN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DEBBIE HAIGHT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LINDA LIPPITT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JERRY MAIER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ARNOLDO MARQUEZ | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MARTHA PATERNINI | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| CINDY PIERCE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RONNIE PEPPER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JUAN RAMIREZ | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PAULA SAUNDERS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MARCIE WILSON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JENNIFER HENDERSON | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 177049 | 0 | 15040 | X | ||
| TONYA HARRIS | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 94253 | 0 | 907 | X | ||
| TAMMY GREENWELL | |||||||
| CHIEF OPERATING OFFICER | 40 | 89938 | 7228 | X | |||
| STEVEN KIRKLAND | |||||||
| CHIEF DEVELOPMENT OFFICER | 40 | 80805 | 17444 | X | |||
| ILONA CSAPO | |||||||
| MEDICAL DIRECTOR | 40 | 186696 | 8213 | X | |||
| SHANNON DOWLER | |||||||
| MEDICAL DIRECTOR | 40 | 156599 | 1308 | X | |||
| DALE MCCLEAN | |||||||
| DENTAL DIRECTOR | 40 | 147927 | 8000 | X | |||
| PAUL TRANI | |||||||
| PHYSICIAN | 40 | 149294 | 14234 | X | |||
| DAVID BATE | |||||||
| PHYSICIAN | 40 | 134847 | 11229 | X | |||
| ROBERT DUFFEY | |||||||
| PHYSICIAN | 40 | 134405 | 2413 | X | |||
| JAMES CANNON JR | |||||||
| PHYSICIAN | 40 | 134531 | 932 | X | |||
| AMY SANTIN | |||||||
| PHYSICIAN | 40 | 110856 | 19098 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1597200 | TotalReportableCompFromOrg |
| Total Other Compensation | 106046 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HERMOSA CONSTRUCTION GROUP LLC | |||||
| 3300 CUMBERLAND BLVD STE 325 | ATLANTA | GA | 30039 | CONTRACTUAL CONSTRUCTION | 4239979 |
| QUEST DIAGNOSTICS INC | |||||
| PO BOX 41652 | PHILADELPHIA | PA | 191011652 | CONTRACTUAL LAB SERVICES | 127997 |
| BIZ TECHNOLOGY SOULTIONS INC | |||||
| 353 GATES RD | MOORESVILLE | NC | 28817 | CONTRACTUAL MEDICAL SERVICES | 225599 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Government Grants | 6961721 | GovernmentGrants |
| All Other Contributions | 1973241 | AllOtherContributions |
| Total Contributions | 8934962 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT FEES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 3836668 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3836668 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 727 | TotalRevenueColumn |
| Exclusion | $727 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 44742 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 44742 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44742 | TotalRevenueColumn |
| Exclusion | $44,742 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 587479 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -587479 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -587479 | TotalRevenueColumn |
| Exclusion | -$587,479 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12229620 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3836668 | RelatedOrExemptFunctionIncome |
| Exclusion | -$542,010 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 933267 | Total |
| Program Services | 491222 | ProgramServices |
| Management And General | 442045 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4050877 | Total |
| Program Services | 3193140 | ProgramServices |
| Management And General | 857737 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4832 | Total |
| Program Services | 3624 | ProgramServices |
| Management And General | 1208 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 430154 | Total |
| Program Services | 315228 | ProgramServices |
| Management And General | 114926 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 303709 | Total |
| Program Services | 227782 | ProgramServices |
| Management And General | 75927 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8024 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 8024 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20465 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 20465 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 411675 | Total |
| Program Services | 274390 | ProgramServices |
| Management And General | 137285 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1008534 | Total |
| Program Services | 569605 | ProgramServices |
| Management And General | 438929 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80826 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 80826 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 174825 | Total |
| Program Services | 136161 | ProgramServices |
| Management And General | 38664 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59004 | Total |
| Program Services | 28586 | ProgramServices |
| Management And General | 30418 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 321276 | Total |
| Program Services | 179705 | ProgramServices |
| Management And General | 141571 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8404 | Total |
| Program Services | 7617 | ProgramServices |
| Management And General | 787 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7815872 | Total |
| Program Services | 5427060 | ProgramServices |
| Management And General | 2388812 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 197429 | BOY |
| EOY | 120191 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 996182 | BOY |
| EOY | 779705 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39098 | BOY |
| EOY | 64949 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71653 | BOY |
| EOY | 45948 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 7828134 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 612928 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3006669 | BOY |
| EOY | 7215206 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 261896 | BOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4572927 | BOY |
| EOY | 8225999 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 616465 | BOY |
| EOY | 521897 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72169 | BOY |
| EOY | 138487 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 967091 | BOY |
| EOY | 922305 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1655725 | BOY |
| EOY | 1582689 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2229562 | BOY |
| EOY | 6643310 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 687640 | BOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2917202 | BOY |
| EOY | 6643310 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4572927 | BOY |
| EOY | 8225999 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4413748 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -687640 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2352471 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2475653 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3757107 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4767768 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8934962 | CurrentTaxYear |
| Total | 22287961 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2352471 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2475653 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3757107 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4767768 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8934962 | CurrentTaxYear |
| Total | 22287961 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 22287961 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 57994 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 48417 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 42944 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12014 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45469 | CurrentTaxYear |
| Total | 206838 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 22494799 | TotalSupport |
| Gross Receipts From Admissions Etc | 14625543 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99080 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.98650 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 49700 | InvestmentCostOrOtherBasis |
| Book Value | 49700 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 6116779 | InvestmentCostOrOtherBasis |
| Depreciation | 111672 | Depreciation |
| Book Value | 6005107 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1661655 | InvestmentCostOrOtherBasis |
| Depreciation | 501256 | Depreciation |
| Book Value | 1160399 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7215206 | TotalOfBookValueLandBuildings |
| Total Revenue | 12229620 | TotalRevenue |
| Total Expenses | 7815872 | TotalExpenses |
| Excess Or Deficit For Year | 4413748 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 4413748 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 12229620 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 12229620 | RevenueSubtotal |
| Total Revenue Per Form990 | 12229620 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 7815872 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 7815872 | ExpensesSubtotal |
| Total Expenses Per Form990 | 7815872 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|
| JENNIFER HENDERSON | ||||
| 177049 | 141 | 14899 | 192089 | 198076 |
| ILONA CSAPO | ||||
| 186696 | 122 | 8091 | 194909 | 170861 |
| SHANNON DOWLER | ||||
| 156599 | 376 | 932 | 157907 | 161357 |
| DALE MCCLEAN | ||||
| 147927 | 662 | 7338 | 155927 | 151649 |
| PAUL TRANI | ||||
| 149294 | 495 | 13739 | 163528 | 160893 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI, Line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST |
| POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST. | |
| Pt VI, Line 12c | ANNUALLY 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 2c | THE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION |
| AND AUDIT ENGAGEMENT. | |
| Pt VI, Line 11a | THE CEO, CFO AND THE FINANCE COMMITTEE REVIEWS THE FORM 990 |
| Pt VI, Line 15 | STATE 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 XI | LINE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE RIDGE HEALTH CENTER FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 68 | AddressLine1 |
| City | HENDERSONVILLE | City |
| State | NC | State |
| ZIP Code | 28793 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582009280 | EIN |
| Primary Activities | HEALTH CARE SUPPORT | PrimaryActivities |
| Legal Domicile State | NC | LegalDomicileState |
| Exempt Code Section | 501 (C) (3) | ExemptCodeSection |
| Public Charity Status | 501 (C) (3) | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |