ANC TRANSYLVANIA COMMUNITY HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ANC TRANSYLVANIA COMMUNITY HOSPITAL INC (EIN 56-0562293)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-05-04
- IRS object ID
- 201231259349300963
- Schema version
- 2010v3.4
- 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 H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-04T07:44:04-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560562293 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA COMMUNITY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TRAN | NameControl |
| Phone | 8288849111 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 260 HOSPITAL DRIVE | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT J BEDNAREK | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 8288849111 | Phone |
| Date Signed | 2012-05-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT J BEDNAREK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 260 HOSPITAL DRIVE | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 63250519 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TRHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1933 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF MEDICAL SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 700 | TotalNbrEmployees |
| Total Nbr Volunteers | 171 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1799116 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1136909 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 59259640 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 60779930 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 323450 | InvestmentIncomePriorYear |
| Investment Income Current Year | 631182 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 573732 | OtherRevenuePriorYear |
| Other Revenue Current Year | 688096 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 61955938 | TotalRevenuePriorYear |
| Total Revenue Current Year | 63236117 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 215601 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 461381 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 26538804 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 27021236 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 36575013 | OtherExpensePriorYear |
| Other Expenses Current Year | 38755610 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 63329418 | TotalExpensesPriorYear |
| Total Expenses Current Year | 66238227 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1373480 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3002110 | RevenuesLessExpensesCY |
| Total Assets BOY | 69569796 | TotalAssetsBOY |
| Total Assets EOY | 62254697 | TotalAssetsEOY |
| Total Liabilities BOY | 26355886 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 22938584 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 43213910 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 39316113 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TRANSYLVANIA REGIONAL HOSPITAL PROMOTES WELLNESS AND PROVIDES ACCESS TO QUALITY HEALTH SERVICES FOR THE PEOPLE IN OUR REGION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 55852233 | Expense |
| Grants | 461381 | Grants |
| Revenue | 60793394 | Revenue |
| Description | GIVING BACK TO THE COMMUNITYAS A NOT-FOR-PROFIT HOSPITAL, TRANSYLVANIA REGIONAL HOSPITAL IS COMMITTED TO GIVING BACK TO THE COMMUNITY TO HELP THOSE WHO ARE UNINSURED OR UNDERINSURED AS WELL AS PROVIDING HEALTH EDUCATION AND BENEFITS FOR THE WELL BEING OF THE ENTIRE COMMUNITY. 2011 WAS ANOTHER TOUGH YEAR FOR OUR COMMUNITY AS WE CONTINUED TO EXPERIENCE THE LINGERING EFFECTS OF THE WORST ECONOMIC RECESSION SINCE THE GREAT DEPRESSION. THIS LEFT MANY IN OUR COMMUNITY WITHOUT HEALTH INSURANCE AND STRUGGLING TO MAKE ENDS MEET. DESPITE CHALLENGING FINANCIAL TIMES FOR THE HOSPITAL, TRH CONTINUED TO GENEROUSLY HELP THOSE IN NEED IN 2011.IN 2011, TRH PROVIDED $6.4 MILLION IN CONTRIBUTIONS TO THE COMMUNITY. THESE BENEFITS CAME IN MANY FORMS INCLUDING $1.8 MILLION IN CHARITY CARE FOR 2,550 PEOPLE. THE HOSPITAL ALSO PROVIDED ANOTHER $3 MILLION IN CARE FOR 4,751 PEOPLE THROUGH NON-COLLECTIBLE SERVICES. AN ADDITIONAL $1.2 MILLION WAS PROVIDED FOR GOVERNMENT SPONSORED HEALTHCARE INCLUDING INDIGENT CARE PROGRAMS. FINALLY, $400,000 WAS PROVIDED FOR COMMUNITY BENEFIT PROGRAMS. HERE ARE JUST A FEW OF THE SERVICES SUPPORTED: - TRH OFFERS FREE OR LOW-COST EDUCATIONAL PROGRAMS FOR THE COMMUNITY EACH MONTH. PROGRAMS FEATURE TIMELY HEALTH TOPICS, AND ARE PRESENTED BY PHYSICIANS, NURSES, NURSE EDUCATORS, DIETITIANS AND OTHER CLINICAL PROFESSIONALS. MORE THAN 1,000 MEMBERS OF THE COMMUNITY TOOK ADVANTAGE OF THESE EDUCATIONAL OPPORTUNITIES HELD AT THE HOSPITAL IN BREVARD. - TRH OFFERS HEALTHCARE SERVICES THAT ARE NEEDED BY THIS COMMUNITY, REGARDLESS OF WHETHER OR NOT A MARGIN IS ACHIEVED BY PROVIDING CARE. EXAMPLES INCLUDE EMERGENCY SERVICES AND BIRTHING CENTER. - TRH PRIORITIZES DONATIONS OF STAFF TIME, MEETING SPACE, SUPPLIES, EQUIPMENT AND ADVERTISING FOR COMMUNITY GROUPS. SOME GROUPS THAT BENEFITED FROM IN-KIND DONATIONS WERE: MARCH OF DIMES, UNITED WAY, CHAMBER OF COMMERCE, S.A.F.E, AMERICAN RED CROSS, RELAY FOR LIFE, PROJECT LAZARUS COMMUNITY-BASED OVERDOSE PREVENTION, THE TRANSYLVANIA COUNTY SCHOOL SYSTEM, THE FREE CLINIC, TRANSYLVANIA PARTNERSHIP FOR HEALTH, TRANSYLVANIA COUNTY ECONOMIC DEVELOPMENT AND OTHERS. - TRH RECRUITED SEVERAL PHYSICIANS TO THE COMMUNITY IN 2011 TO EXPAND ACCESS TO HEALTHCARE FOR OUR RESIDENTS, INCLUDING A NEW FAMILY PRACTICE PHYSICIAN, A NEW KIDNEY SPECIALIST, TWO EAR, NOSE AND THROAT SPECIALISTS, AND A GENERAL SURGEON. IN ADDITION, TRH RECRUITED A UROLOGY PHYSICIANS ASSISTANT TO EXPAND CARE FOR THE COMMUNITY. - TRH CONTINUED IN 2011 ITS INNOVATIVE HEALTH RESOURCES NAVIGATION PROGRAM THAT USES TARGETED CASE MANAGEMENT FOR LOW INCOME/UNINSURED PATIENTS WHO FREQUENTLY USE EMERGENCY SERVICES, LEADING TO DIVERSION TO MORE APPROPRIATE PRIMARY CARE. BECAUSE 90 PERCENT OF THE PRIMARY CARE PHYSICIANS IN OUR AREA ARE EMPLOYED BY OUR HEALTH SYSTEM, PLACEMENT OF PATIENTS INTO A PRIMARY CARE "MEDICAL HOME" IS POSSIBLE, RESULTING IN BETTER OVERALL HEALTH FOR THESE PATIENTS AND FEWER INAPPROPRIATE EMERGENCY ROOM VISITS. LIMITED RESOURCES ARE BEING USED MUCH MORE PRUDENTLY, WITH BETTER OVERALL OUTCOMES FOR PATIENTS. - TRH INITIATED A CARE MANAGEMENT PROGRAM IN 2011 FOR COPD PATIENTS IN OUR COMMUNITY SUPPORTED BY GRANT FUNDING. - TRH LAUNCHED THE SUCCESSFUL "LIGHTEN UP 4 LIFE" WEIGHT LOSS PROGRAM IN 2011 IN OUR COMMUNITY. MORE THAN 400 PEOPLE IN THIS COMMUNITY LOST MORE THAN 1,700 POUNDS TOTAL. TRANSYLVANIA REGIONAL HOSPITAL IS COMMITTED TO MAKING TRANSYLVANIA COUNTY A HEALTHIER COMMUNITY. - TRH TEAMED UP WITH THE TRANSYLVANIA COUNTY HEALTH DEPARTMENT, BLUE RIDGE COMMUNITY HEALTH SERVICES AND N.C. FARM BUREAU TO OFFER FREE COMPREHENSIVE HEALTH AND DENTAL SCREENINGS AS WELL AS FREE MEDICAL COUNSELING TO NEARLY 150 LOCAL RESIDENTS THROUGH THE HEALTHY LIVING FOR A LIFETIME INITIATIVE, HELD DURING TRANSYLVANIA COUNTY'S 150TH ANNIVERSARY CELEBRATION IN SEPTEMBER 2011. THE INITIATIVE PROVIDES RURAL NORTH CAROLINIANS WITH FREE HEALTH SCREENINGS, EDUCATIONAL MATERIALS, AND A PATH TOWARDS A HEALTHIER LIFESTYLE. - TRH PARTICIPATED IN THE N.C. STROKE INITIATIVE IN 2011 TO ENSURE THE BEST PRACTICES IN STROKE CARE ARE EMPLOYED IN PATIENT CARE AT THE HOSPITAL AND TO BUILD PUBLIC AWARENESS OF THE RISKS OF STROKE. | Description |
| Total Program Service Expense | 55852233 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | 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 | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | 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 | 1 | 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 | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 76 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 700 | 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | 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 | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| 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 | ROBERT J BEDNAREK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8288849111 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 260 HOSPITAL DRIVE | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ROBERT O MAXWELL | |||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | |
| R BRYAN PADRICK | |||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| RICHARD C LARSON | |||||||
| INTERIM VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| JOHN F HOLBROOK | |||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | |
| WILLIAM R MINNICH JR | |||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| CHARLES AYSCUE | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| JOHN FAV CECIL | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| THELMA B ERICKSON | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| ELIZABETH K JORDAN | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| JOHN MAHER | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| KENNETH G RACHT | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| ROBERT C SKIFF | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| WILLIAM A TOWLER | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| ORA J WELLS MD | |||||||
| BOARD MEMBER | 2.00 | X | 33293 | 0 | 0 | ||
| DANA J CHRISTIANSON MD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| G RUFFIN BENTON III MD | |||||||
| BOARD MEM./ CHIEF OF MEDICAL STAFF | 2.00 | X | 0 | 237677 | 16614 | ||
| ROBERT J BEDNAREK | |||||||
| PRESIDENT / CEO | 40.00 | X | X | 244375 | 0 | 56397 | |
| THERESA M PARKER | |||||||
| CFO (UNTIL 3/11) | 40.00 | X | 113288 | 0 | 18186 | ||
| LINDA L COYE | |||||||
| CFO (BEGIN 3/11) | 40.00 | X | 308 | 0 | 0 | ||
| ELIZABETH A PELLETIER | |||||||
| LEAD CRNA | 40.00 | 160882 | 0 | 25635 | X | ||
| LAUREL D JOHNSON | |||||||
| CRNA | 40.00 | 153932 | 0 | 15752 | X | ||
| JUDITH H MCKAY | |||||||
| CRNA | 40.00 | 142790 | 0 | 28919 | X | ||
| MARK E CREASMAN | |||||||
| PHARMACY MANAGER | 40.00 | 129733 | 0 | 21994 | X | ||
| REBECCA W CARTER | |||||||
| VP / COO | 40.00 | 132601 | 0 | 26505 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1111202 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 237677 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 210002 | TotalOtherCompensation |
| Number Individuals GT100 K | 10 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WELLS FARGO TPA | |||||
| PO BOX 535100 | ATLANTA | GA | 303535100 | BENEFITS ADMINISTRATION | 3124228 |
| AMERISOURCE BERGEN DRUG CORP | |||||
| PO BOX 5804 | NEW YORK | NY | 100875804 | MEDICAL PRODUCTS | 3062669 |
| CARDINAL HEALTH | |||||
| PO BOX 905867 | CHARLOTTE | NC | 282905867 | MEDICAL PRODUCTS | 1116072 |
| TRANSYL EMERG PHYS PLLC | |||||
| 3107 STIRLING RD 300 | FT LAUDERDALE | FL | 33312 | E/R PHYSICIAN SERVICES | 1097796 |
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | FOOD SERVICES | 1093506 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 53 | NumberOfContractorsGT100K |
| Federated Campaigns | 64723 | FederatedCampaigns |
| Related Organizations | 610472 | RelatedOrganizations |
| Government Grants | 232420 | GovernmentGrants |
| All Other Contributions | 229294 | AllOtherContributions |
| Total Contributions | 1136909 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621400 | 57925629 | 57925629 |
| PHARMACY AND MED SUPP | 446110 | 1447780 | 1447780 |
| OTHER PATIENT SERVICES | 621610 | 1300996 | 1300996 |
| LIFELINE RENTALS | 900099 | 105525 | 105525 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 60779930 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 645584 | TotalRevenueColumn |
| Exclusion | $645,584 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 20464 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 20464 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20464 | TotalRevenueColumn |
| Exclusion | $20,464 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14402 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -14402 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -14402 | TotalRevenueColumn |
| Exclusion | -$14,402 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MANAGEMENT SERVICES | 900099 | 364410 | $364,410 |
| CAFETERIA/VENDING | 722210 | 257387 | $257,387 |
| MISCELLANEOUS REVENUES | 900099 | 45835 | $45,835 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 667632 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 63236117 | TotalRevenueColumn |
| Related Or Exempt Function Income | 60779930 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,319,278 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 461381 | Total |
| Program Services | 461381 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 378457 | Total |
| Program Services | 38817 | ProgramServices |
| Management And General | 339640 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25577 | Total |
| Program Services | 25577 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21278152 | Total |
| Program Services | 14862510 | ProgramServices |
| Management And General | 6415642 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 726503 | Total |
| Program Services | 499887 | ProgramServices |
| Management And General | 226616 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3010120 | Total |
| Program Services | 2071182 | ProgramServices |
| Management And General | 938938 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1602427 | Total |
| Program Services | 1102587 | ProgramServices |
| Management And General | 499840 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210696 | Total |
| Program Services | 87910 | ProgramServices |
| Management And General | 122786 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 426066 | Total |
| Management And General | 426066 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93466 | Total |
| Management And General | 93466 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9045 | Total |
| Management And General | 9045 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11407872 | Total |
| Program Services | 10821840 | ProgramServices |
| Management And General | 586032 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109291 | Total |
| Program Services | 96171 | ProgramServices |
| Management And General | 13120 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12182529 | Total |
| Program Services | 11897161 | ProgramServices |
| Management And General | 285368 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1709700 | Total |
| Program Services | 1709700 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181292 | Total |
| Program Services | 161854 | ProgramServices |
| Management And General | 19438 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13903 | Total |
| Program Services | 12823 | ProgramServices |
| Management And General | 1080 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 470139 | Total |
| Program Services | 470139 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3677192 | Total |
| Program Services | 3677192 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 488081 | Total |
| Program Services | 488081 | ProgramServices |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 7294251 | 7294251 | |
| MISCELLANEOUS EXPENSES | 482087 | 73170 | 408917 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66238227 | Total |
| Program Services | 55852233 | ProgramServices |
| Management And General | 10385994 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1916169 | BOY |
| EOY | 1514578 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 413454 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8330374 | BOY |
| EOY | 6570537 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20404 | BOY |
| EOY | 7500 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1867063 | BOY |
| EOY | 2153050 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 567073 | BOY |
| EOY | 367900 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 63391735 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 29776062 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35489476 | BOY |
| EOY | 33615673 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15396937 | BOY |
| EOY | 10925657 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3399965 | BOY |
| EOY | 3889102 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2168881 | BOY |
| EOY | 3210700 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69569796 | BOY |
| EOY | 62254697 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5516793 | BOY |
| EOY | 4776942 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15706632 | BOY |
| EOY | 14409167 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2968754 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2163707 | BOY |
| EOY | 3752475 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26355886 | BOY |
| EOY | 22938584 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39856535 | BOY |
| EOY | 35770768 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3357375 | BOY |
| EOY | 3545345 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43213910 | BOY |
| EOY | 39316113 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69569796 | BOY |
| EOY | 62254697 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3002110 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -895687 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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 | $9,045 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 9045 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA), THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA), AND THE NATIONAL RURAL HEALTH ASSOCIATION (NRHA). A PORTION OF THE DUES PAID IS ALLOCATED TO LOBBYING EFFORTS PERFORMED BY THESE ORGANIZATIONS ON BEHALF OF ITS MEMBERSHIP BODY. FOR THE YEAR, THE LOBBYING PORTION OF MEMBERSHIP DUES IS ESTIMATED TO BE APPROXIMATELY $ 9,045. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 221222 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 764012 | OtherCostOrOtherBasis |
| Book Value | 985234 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23649583 | OtherCostOrOtherBasis |
| Depreciation | 8402149 | Depreciation |
| Book Value | 15247434 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2884880 | OtherCostOrOtherBasis |
| Depreciation | 1040707 | Depreciation |
| Book Value | 1844173 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 35041709 | OtherCostOrOtherBasis |
| Depreciation | 20333206 | Depreciation |
| Book Value | 14708503 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 830329 | OtherCostOrOtherBasis |
| Book Value | 830329 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 33615673 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INTEREST IN NET ASSETS OF TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION | 3540341 | C |
| INTEREST IN BREVARD MRI, LLC | 348761 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 3889102 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BOND ISSUE COSTS, NET OF AMORTIZATION | 345228 |
| RECEIVABLE FROM AFFILIATED ORGANIZATIONS | 582109 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | 1002493 |
| OTHER RECEIVABLES | 1280870 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3210700 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | Description |
| Amount | $3,752,475 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3752475 | TotalOfAmounts |
| Total Revenue | 63236117 | TotalRevenue |
| Total Expenses | 66238227 | TotalExpenses |
| Excess Or Deficit For Year | -3002110 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -481728 | NetUnrealizedGLOnInvestments |
| Prior Period Adjustments | -670 | PriorPeriodAdjustments |
| Other | -$413,289 | OtherAmount |
| Total Adjustments | -895687 | TotalAdjustments |
| Excess Or Deficit Per FS | -3897797 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 61479719 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -481728 | NetUnrealizedGainsInvestments |
| Other Revenues | 1244508 | OtherRevenues |
| Revenue Not Rptd F990 | 762780 | RevenueNotRptdF990 |
| Revenue Subtotal | 60716939 | RevenueSubtotal |
| Other Revenues Not Included | 2519178 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2519178 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 63236117 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 65376846 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 65376846 | ExpensesSubtotal |
| Other Expenses Not Included | 861381 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 861381 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 66238227 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION, A RELATED ORGANIZATION, HOLDS ENDOWMENT FUNDS FOR THE BENEFIT OF THE ORGANIZATION. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ASSOCIATION, 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. BREVARD MRI, WITH THE CONSENT OF ITS SHAREHOLDERS, HAS ELECTED TO BE TREATED AS A PARTNERSHIP FOR FEDERAL AND NORTH CAROLINA INCOME TAX PURPOSES. IN LIEU OF CORPORATE INCOME TAXES, EARNINGS AND LOSSES AFTER THAT DATE ARE INCLUDED IN THE INCOME TAX RETURNS OF THE SHAREHOLDERS; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. INCOME TAXES FOR TSI ARE PROVIDED FOR THE TAX EFFECTS OF TRANSACTIONS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND CONSIST OF TAXES CURRENTLY DUE PLUS DEFERRED TAX EXPENSE OR MINUS DEFERRED TAX BENEFIT RELATED PRIMARILY TO DIFFERENCES ARISING FROM THE METHODS OF CALCULATING DEPRECIATION FOR FINANCIAL AND INCOME TAX REPORTING. AN EVALUATION OF THE PROBABILITY OF BEING ABLE TO REALIZE THE FUTURE BENEFITS OF DEFERRED TAX ASSETS IS MADE. A VALUATION ALLOWANCE IS PROVIDED FOR THE PORTION OF THE DEFERRED TAX ASSET WHEN IT IS MORE LIKELY THAN NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSET WILL NOT BE REALIZED. THE ORGANIZATIONS HAVE DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS EXIST FOR OPEN TAX YEARS AS OF SEPTEMBER 30, 2011. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | INCOME FROM AFFILIATED ORGANIZATION 1,019,478. TRANSFERS TO AFFILIATES -2,119,178. NET CHANGE IN VALUE OF INTEREST OF FOUNDATION 225,030. EXPENSES INCURRED FOR FOUNDATION 461,381. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | NET CHANGE IN VALUE OF INTEREST IN FOUNDATION 225,030. INCOME FROM AFFILIATED ORGANIZATIONS 1,019,478. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | TRANSFERS TO AFFILIATES 2,119,178. NONOPERATING EXPENSE RECLASSIFICATION 400,000. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES INCURRED FOR FOUNDATION 461,381. NONOPERATING EXPENSE RECLASSIFICATION 400,000. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1852196 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1852196 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03130 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5363531 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4060076 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1303455 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02210 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7215727 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4060076 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3155651 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05340 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 88850 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 88850 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 301423 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 301423 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 390273 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 390273 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00660 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7606000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4060076 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3545924 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12678 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12678 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12678 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12678 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,044,545 | BadDebtExpenseAmount |
| Amount Attributable To | 4120 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 30765732 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 30455123 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 310609 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | MRI SERVICES | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.50000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA REGIONAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 260 HOSPITAL DRIVE | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA FOR 2010 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| TRH OUTPATIENT REHABILITATION | ||||
| 92 CHESTNUT STREET | BREVARD | NC | 28712 | OUTPATIENT REHAB |
| TRH HOME CARE SERVICES | ||||
| 1234 ASHEVILLE HWY | BREVARD | NC | 28712 | HOME CARE |
| BREVARD MRI | ||||
| 301 HOSPITAL DRIVE | BREVARD | NC | 28712 | IMAGING CENTER |
| TOXAWAY HEALTH CENTER | ||||
| 16825 ROSMAN HWY | LAKE TOXAWAY | NC | 28747 | PROVIDER-BASED CLINICS |
| BREVARD FAMILY PRACTICE | ||||
| 187 MEDICAL PARK DR | BREVARD | NC | 28712 | PROVIDER-BASED CLINICS |
| MEDICAL ASSOCIATES OF TRH | ||||
| 377 GALLIMORE ROAD | BREVARD | NC | 28712 | PROVIDER-BASED CLINICS |
| BREVARD INTERNAL MEDICINE & PULMONOLOGY | ||||
| 159 MEDICAL PARK DR SUITE B | BREVARD | NC | 28712 | PROVIDER-BASED CLINICS |
| KOALA | ||||
| 23 MEDICAL PARK CIRCLE | BREVARD | NC | 28712 | OUTPATIENT |
| BREVARD CANCER & INFUSION CENTER | ||||
| 89 HOSPITAL DR | BREVARD | NC | 28712 | OUTPATIENT |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: IN ADDITION TO THE FPG-DETERMINED ELIGIBILITY FOR FREE AND DISCOUNTED CARE, A DISCOUNT IS OFFERED TO SELF-PAY PATIENTS FOR THEIR TIMELY PAYMENT WITHIN 60 DAYS FROM THEIR INITIAL STATEMENT DATE. | ||
| PART I, LINE 7: THE ORGANIZATION USED WORKSHEET 2 OF THE 2010 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AT COST. | ||
| PART I, L7 COL(F): FOR THE PURPOSES OF CALCULATING PERCENTAGE OF TOTAL EXPENSE FOR LINE 7, COL (F), TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25 HAS BEEN ADJUSTED FOR THE FOLLOWING: - REMOVAL OF BAD DEBT EXPENSE: (7,294,251) - REMOVAL OF NONOPERATING EXPENSE: (400,000) - REMOVAL OF FOUNDATION EXPENSES: (461,381) - ADDITION OF JOINT VENTURE EXPENSES: 1,019,478 TOTAL ADJUSTMENT: (7,136,154) | ||
| PART II: THE HOSPITAL PARTICIPATES IN COALITION BUILDING IN THE COMMUNITY AND STATE TO HELP ADVOCATE THE HEALTH NEEDS OF OUR AREA. THROUGH PARTICIPATION, THE HOSPITAL GUARANTEES A FOCUSED DISCUSSION ON THE HEALTH CARE ISSUES THAT DIRECTLY IMPACT TRANSYLVANIA COUNTY. | ||
| PART III, LINE 4: TRANSYLVANIA REGIONAL HOSPITAL'S NOTES TO THE FINANCIAL STATEMENTS DO NOT INCLUDE A NOTE ABOUT BAD DEBT EXPENSE. PATIENT ACCOUNTS ARE CONSIDERED UNCOLLECTABLE AFTER EXHAUSTING IN-HOUSE COLLECTION PROCEDURES, WHICH USUALLY TAKES 59 DAYS FROM DISCHARGE DATE FOR SELF-PAY PATIENTS AND LONGER FOR UNINSURED PATIENTS. WHEN AN ACCOUNT IS CONSIDERED UNCOLLECTABLE, IT IS SENT TO AN OUTSIDE AGENCY, WHICH HAS 180 DAYS TO ACTIVELY ATTEMPT COLLECTIONS. WHEN THE ACCOUNT HAS BEEN INACTIVE FOR 180 DAYS WHILE AT AN OUTSIDE COLLECTION AGENCY, THE ACCOUNT IS RETURNED TO THE HOSPITAL FROM THE COLLECTION AGENCY, AND IT IS CONSIDERED A BAD DEBT ACCOUNT AND EXPENSED. THE TOTAL BAD DEBT EXPENSE FOR THE FISCAL YEAR IS THEN REDUCED TO COST UTILIZING A COST-TO-CHARGE RATIO (CCR). THE FORMULA FOR THE CCR IS (ADJUSTED COSTS / ADJUSTED CHARGES). THE COST-TO-CHARGE RATIO IS CALCULATED FROM THE INCOME STATEMENT. TOTAL OPERATING EXPENSES LESS BAD DEBT, OTHER OPERATING INCOME, AND DIRECT COMMUNITY BENEFIT COSTS MAKE THE COST COMPONENT OF THE RATIO AND GROSS PATIENT CHARGES LESS DIRECT COMMUNITY BENEFIT REVENUES MAKE UP THE CHARGES COMPONENT OF THE RATIO.FOR BUDGET PURPOSES, THE HOSPITAL CALCULATES THE EXPECTED CHARITY ADJUSTMENTS FOR THE HOSPITAL BASED ON PRIOR YEAR ADJUSTMENTS. FOR 2011, CHARITY ADJUSTMENTS DID NOT MEET BUDGET EXPECTATIONS. A VARIANCE OF 0.3% EXISTS BETWEEN ACTUAL AND EXPECTED CHARITY ADJUSTMENTS. IF WE MAKE AN ASSUMPTION THAT THE CHARITY ADJUSTMENT BUDGET IS THE EXPECTED ELIGIBLE CHARITY PATIENT POOL, THEN THE VARIANCE % BETWEEN BUDGET AND ACTUAL IS THE AMOUNT OF CHARITY ELIGIBLE PATIENTS THAT WENT TO BAD DEBT. THIS ESTIMATE IS BASED ON HISTORICAL FINANCIAL DATA AND DOES NOT FULLY REPRESENT THE POOL OF ELIGIBLE CHARITY CARE PATIENTS THAT DO NOT PARTICIPATE IN THE CHARITY PROCESS. FOR TRANSYLVANIA COUNTY, 19.9% OF THE POPULATION IN 2009 WAS BELOW THE POVERTY LEVEL. | ||
| PART III, LINE 9B: THE HOSPITAL HAS A WRITTEN DEBT COLLECTION POLICY, WHICH DOES NOT DIFFERENTIATE COLLECTION PRACTICE GUIDELINES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IN SOME CASES, A PATIENT WHO QUALIFIES FOR PARTIAL FINANCIAL ASSISTANCE WILL STILL HAVE OUTSTANDING DEBT WITH THE HOSPITAL. THROUGH MULTIPLE NOTIFICATIONS OF COLLECTION ATTEMPTS, COMMUNICATED OPPORTUNITIES FOR DISCOUNTS, ASSISTANCE AND PAYMENT PLAN ARRANGEMENTS, AND PERSONAL FACE-TO-FACE CONSULTATIONS, THE HOSPITAL MAKES REASONABLE EFFORTS TO COLLECT DEBT. THE HOSPITAL DOES NOT UTILIZE CREDIT ACCEPTANCE PROCEDURES TO VET OUT PATIENTS. IN GENERAL, THE HOSPITAL CONTINUOUSLY MONITORS SELF-PAY ACCOUNTS TO TARGET ACCOUNTS THAT ARE SLOW TO PAY IN ORDER TO IDENTIFY ACCOUNTS THAT ARE POTENTIAL CHARITY CARE OR FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. THE HOSPITAL ALSO EMPLOYEES A HEALTH RESOURCE NAVIGATOR IN THE EMERGENCY DEPARTMENT (ED) WHO MONITORS SELF-PAY PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THE NAVIGATOR ALSO HELPS ED PATIENTS SEEK AFFORDABLE FOLLOW-UP HEALTHCARE AND DISCUSSES THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. | ||
| PART V, SECTION A: TRANSYLVANIA REGIONAL HOSPITAL ALSO PROVIDES HOME HEALTH CARE, SKILLED NURSING, HOSPICE, AND PROVIDER-BASED CLINICS. | ||
| PART I, LINE 7E: EXPLANATION OF COMMUNITY HEALTH IMPROVEMENT SERVICES: THE ORGANIZATION PROVIDED THE FOLLOWING SERVICES THAT COMPRISE THE EXPENSE LISTED AS COMMUNITY BENEFIT IN PART I, LINE 7E:RX ASSISTANCE PROGRAM $ 9,000HEALTH EDUCATION 48,600HEALTH RESOURCE NAVIGATOR 31,250TOTAL $ 88,850 | ||
| PART VI, LINE 2: TRANSYLVANIA REGIONAL HOSPITAL USES MULTIPLE TOOLS TO ASSESS THE CURRENT AND FUTURE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES INCLUDING: - CONDUCTING ENVIRONMENTAL ASSESSMENTS; - REVIEWING MARKET SHARE DATA FOR EXISTING SERVICES; AND - COMPILING A MEDICAL STAFF DEVELOPMENT PLAN EVERY TWO YEARS THAT ASSESSES PHYSICIAN NEED PER POPULATION ADJUSTED FOR DEMOGRAPHICS. TRH ALSO ACTIVELY PARTICIPATES IN THE TRANSYLVANIA COUNTY HEALTH DEPARTMENT'S REQUIRED ASSESSMENT OF HEALTH NEEDS EVERY FOUR YEARS. IN ADDITION, THE TRH BOARD OF TRUSTEES IS MADE UP OF RESIDENTS OF THE ORGANIZATION'S SERVICE AREA WHO CAN VOICE THE NEEDS OF THE COMMUNITY. | ||
| PART VI, LINE 3: TRANSYLVANIA REGIONAL HOSPITAL PLACES SIGNAGE FOR ITS PATIENT FINANCIAL ASSISTANCE POLICIES IN PATIENT AREAS IN THE HOSPITAL, IN THE PATIENT ACCOUNTING OFFICE, AND THE PATIENT REGISTRATION AREA. AT THE POINT OF REGISTRATION AND PRE-REGISTRATION, PATIENTS ARE NOTIFIED OF THE PATIENT FINANCIAL ASSISTANCE POLICY. IN THE PATIENT ACCOUNTING OFFICE, THE AVAILABLE FINANCIAL ASSISTANCE PROGRAMS ARE VERBALLY COMMUNICATED BY FINANCIAL COUNSELORS TO PATIENTS WHO MIGHT BE ELIGIBLE. BILLING STATEMENTS ARE PRINTED WITH INVITATIONS TO SEEK PATIENT FINANCIAL ASSISTANCE THROUGH THE PATIENT ACCOUNTING OFFICE. IN ADDITION TO THIS, THE EMERGENCY DEPARTMENT UTILIZES A HEALTH RESOURCE NAVIGATOR TO HELP FIND FINANCIAL ASSISTANCE RESOURCES FOR SELF-PAY PATIENTS. THE PATIENT FINANCIAL ASSISTANCE POLICY ALSO RESIDES ON THE HOSPITAL'S WEBSITE, HTTP://WWW.TRHOSPITAL.ORG/PATIENTS/FINANCIAL.PHP. | ||
| PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR TRANSYLVANIA REGIONAL HOSPITAL IS TRANSYLVANIA COUNTY, NORTH CAROLINA, WITH A RESIDENT POPULATION OF 30,000 INCLUDING GLOUCESTER TOWNSHIP IN THE UPPER END OF THE COUNTY, WHICH IS FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA. NEARLY 12.5% OF TRANSYLVANIA COUNTY'S TOTAL RESIDENT POPULATION HAS A HOUSEHOLD INCOME BELOW THE FEDERAL POVERTY LEVEL. TRANSYLVANIA REGIONAL HOSPITAL IS THE ONLY LOCAL HOSPITAL SERVING THIS PRIMARY SERVICE AREA.TRANSYLVANIA REGIONAL HOSPITAL'S SECONDARY COVERAGE AREA INCLUDES 15,000 ADDITIONAL RESIDENTS IN SOUTHERN JACKSON COUNTY, NORTH CAROLINA, INCLUDING THE MEDICALLY UNDERSERVED AREA OF CASHIERS TOWNSHIP, AS WELL AS WESTERN HENDERSON COUNTY, NC WHICH HAS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED POPULATION OF LOW INCOME, MIGRANT FARM WORKERS. BESIDES TRANSYLVANIA REGIONAL HOSPITAL, THREE ADDITIONAL COMMUNITY HOSPITALS PROVIDE SOME COVERAGE TO THESE 15,000 RESIDENTS IN THE SECONDARY COVERAGE AREA; HOWEVER, TRANSYLVANIA REGIONAL HOSPITAL IS IN MANY CASES THE CLOSEST, MOST READILY ACCESSIBLE PROVIDER OF CARE FOR MANY OF THESE RESIDENTS. | ||
| PART VI, LINE 6: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR ALL OF ITS DEPARTMENTS. TRANSYLVANIA REGIONAL HOSPITAL APPLIES THE SURPLUS OF ITS FUNDS DIRECTLY TO PATIENT CARE. FOR EXAMPLE, CAPITAL ACQUISITIONS OF MEDICAL EQUIPMENT AND EXPANDED PATIENT FACILITIES ARE FUNDED DIRECTLY BY SUPLUS OF FUNDS, AND PATIENT CARE IS BENEFITED BY THESE ACQUISITIONS.AS A NOT-FOR-PROFIT HOSPITAL, TRANSYLVANIA REGIONAL HOSPITAL IS COMMITTED TO GIVING BACK TO THE COMMUNITY TO HELP THOSE WHO ARE UNINSURED OR UNDERINSURED AS WELL AS PROVIDING HEALTH EDUCATION AND BENEFITS FOR THE WELL BEING OF THE ENTIRE COMMUNITY. 2011 WAS ANOTHER TOUGH YEAR FOR OUR COMMUNITY AS WE EXPERIENCED THE LINGERING EFFECTS OF A DECLINING ECONOMY. THIS LEFT MANY IN OUR COMMUNITY WITHOUT HEALTH INSURANCE AND STRUGGLING TO MAKE ENDS MEET. DESPITE CHALLENGING FINANCIAL TIMES FOR THE HOSPITAL, TRH CONTINUED TO GENEROUSLY HELP THOSE IN NEED IN 2011.IN 2011, TRH PROVIDED MORE THAN $6.4 MILLION IN CONTRIBUTIONS TO THE COMMUNITY. THESE BENEFITS CAME IN MANY FORMS INCLUDING $1.8 MILLION IN CHARITY CARE FOR 2,550 PEOPLE. THE HOSPITAL ALSO PROVIDED ANOTHER $3.1 MILLION IN CARE FOR 4,751 PEOPLE THROUGH NON-COLLECTIBLE SERVICES. AN ADDITIONAL $1.2 MILLION WAS PROVIDED FOR GOVERNMENT SPONSORED HEALTHCARE INCLUDING INDIGENT CARE PROGRAMS. FINALLY, $400,000 WAS PROVIDED FOR COMMUNITY BENEFIT PROGRAMS INCLUDING WELLNESS PROGRAMS AND THE DONATION OF STAFF TIME AND RESOURCES TO OTHER LOCAL COMMUNITY NONPROFIT GROUPS THAT WORK TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN TRANSYLVANIA COUNTY, NC. | ||
| PART VI, LINE 7: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. | ||
| NC | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 W JORDAN STREET | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 561458024 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 461381 | AmountOfCashGrant |
| Purpose Of Grant | OPERATIONAL ASSISTANCE | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
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: THE ORGANIZATION SUBSIDIZES TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION, INC.'S OPERATIONS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| G RUFFIN BENTON III MD | |||||||||||||
| 0 | 237677 | 0 | 0 | 0 | 0 | 0 | 5397 | 0 | 11217 | 0 | 254291 | 0 | 0 |
| ROBERT J BEDNAREK | |||||||||||||
| 237471 | 0 | 2125 | 0 | 4779 | 0 | 45354 | 0 | 11043 | 0 | 300772 | 0 | 0 | 0 |
| ELIZABETH A PELLETIER | |||||||||||||
| 160882 | 0 | 0 | 0 | 0 | 0 | 5500 | 0 | 20135 | 0 | 186517 | 0 | 0 | 0 |
| LAUREL D JOHNSON | |||||||||||||
| 153932 | 0 | 0 | 0 | 0 | 0 | 7800 | 0 | 7952 | 0 | 169684 | 0 | 0 | 0 |
| JUDITH H MCKAY | |||||||||||||
| 142790 | 0 | 0 | 0 | 0 | 0 | 10096 | 0 | 18823 | 0 | 171709 | 0 | 0 | 0 |
| MARK E CREASMAN | |||||||||||||
| 129733 | 0 | 0 | 0 | 0 | 0 | 5488 | 0 | 16506 | 0 | 151727 | 0 | 0 | 0 |
| REBECCA W CARTER | |||||||||||||
| 132601 | 0 | 0 | 0 | 0 | 0 | 10400 | 0 | 16105 | 0 | 159106 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA MEDICAL CARE COMMISSION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521309402 | IssuerEIN |
| CUSIP Number | NONEAVAIL | CUSIPNumber |
| Date Issued | 2011-08-24 | DateIssued |
| Issue Price | 14655000 | IssuePrice |
| Description Of Purpose | CURRENT REFUNDING | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 235000 | AmountRetired |
| Total Proceeds | 14655000 | TotalProceeds |
| Other Spent Proceeds | 14655000 | OtherSpentProceeds |
| Year Of Subst Completion | 2006 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 1 | BondCounselRoutinelyEngaged |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ANTHONY G MINA | NamePerson |
| Purpose Of Loan | COMPENSATION AGREEMENT | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $40,000 | OriginalPrincipalAmount |
| Balance Due | 7500 | BalanceDue |
| Default | 1 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 7500 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| LOOKING GLASS EYE CENTER | |||
| PARTIALLY OWNED BY BOARD MEMBER DANA CHRISTIANSON | 294906 | PASS THROUGH REIMBURSEMENT FOR MEDICAL SERVICES | 0 |
| EDWARD A COYE | |||
| FAMILY RELATIONSHIP WITH OFFICER LINDA COYE | 25577 | INDEPENDENT CONTRACTOR AGREEMENT PROVIDING EHS IMPLEMENTATION SERVICES | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | ROBERT J. BEDNAREK AND CHARLES AYSCUE HAVE A BUSINESS RELATIONSHIP. | |
| FORM 990, PART VI, SECTION A, LINE 3 | IN AN AGREEMENT EFFECTIVE JANUARY 1, 2011, MISSION HEALTH SYSTEM, INC., A 501(C)(3) HEALTHCARE ORGANIZATION, COMMENCED PROVIDING ADMINISTRATIVE MANAGEMENT SERVICES CONSISTENT WITH THE STANDARDS OF THE HEALTHCARE INDUSTRY FOR AN INDEPENDENT HOSPITAL MANAGEMENT COMPANY CONTRACTING AT AN ARM'S LENGTH BASIS TO PROVIDE COMPREHENSIVE HOSPITAL MANAGEMENT SERVICES. AS PART OF THE AGREEMENT, THE HOSPITAL CEO, DIRECTOR OF INFORMATION SERVICES, AND LATER THE INTERIM CFO, WOULD BECOME EMPLOYEES OF MISSION HEALTH SYSTEM, INC. AND CONTINUE TO PROVIDE SERVICE TO THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS A NONSTOCK, NONPROPRIETARY, TAX-EXEMPT MEMBER CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS AS ITS SOLE MEMBER TRANSYLVANIA HEALTH SYSTEM, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | TRUSTEES ARE NOMINATED TO THE BOARD BY THE GOVERNANCE COMMITTEE OF THE BOARD, APPROVED BY THE FULL HOSPITAL BOARD, AND ARE RATIFIED BY THE BOARD OF THE MEMBER ORGANIZATION. TRUSTEES ARE SUBJECT TO REMOVAL BY THE MEMBER AT ANY TIME WITHOUT CAUSE. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER HAS THE RESERVE POWER TO APPROVE BOARD MEMBERS AND APPROVE NEW DEBT. IN ADDITION, IT IS WITIN THE SOLE MEMBER'S POWER TO SUPERVISE AND CONTROL ALL MAJOR OPERATIONAL ASPECTS OF THE HOSPITAL. THE ADMINISTRATIVE POWERS OF THE HOSPITAL ARE VESTED IN THE BOARD OF TRUSTEES, WHICH HAVE CHARGE, CONTROL, AND MANAGEMENT OF THE PROPERTY, AFFAIRS AND FUNDS OF THE HOSPITAL, INCLUDING BUT NOT LIMITED TO: (A) THE SALE, LEASE, EXCHANGE, PLEDGE, OR MORTGAGE OF ANY PART OF THE ASSETS OF THE HOSPITAL, OR ANY CONTRACT OPTION OR OTHER AGREEMENT WITH RESPECT TO THE SALE, LEASE, EXCHANGE, PLEDGE OR MORTGAGE OF THE ASSETS OF THE HOSPITAL; PROVIDED HOWEVER, THAT ANY SUCH TRANSACTION ABOVE A LIMIT SPECIFIED BY THE SYSTEM MUST FIRST BE APPROVED BY THE SYSTEM; AND (B) THE ELECTION OF ALL EXECUTIVE OFFICERS OF THE HOSPITAL AND THE DIRECTION OF THE OFFICERS IN THE DUTIES PRESCRIBED IN THESE BYLAWS AND IN SUCH OTHER SPECIAL DUTIES AS THE BOARD OF TRUSTEES DEEMS FROM TIME TO TIME APPROPRIATE AND IN THE BEST INTERESTS OF THE HOSPITAL. (C) THE EXERCISE OF ALL OTHER POWERS EXPLICITLY DELEGATED BY THE SYSTEM. SUBJECT TO THE APPROVAL OF THE SYSTEM, THE BOARD OF TRUSTEES SHALL HAVE THE POWER TO (I) AMEND OR RESTATE THE HOSPITAL'S ARTICLES OF INCORPORATION; (II) AMEND OR RESTATE THE BYLAWS; AND (III) MERGE, CONSOLIDATE, REORGANIZE OR DISSOLVE THE HOSPITAL; PROVIDED, HOWEVER, THAT IN NO EVENT SHALL THE HOSPITAL'S ARTICLES OF INCORPORATION OR BYLAWS AS PRESENTLY IN EFFECT OR AS HEREAFTER AMENDED, CONFLICT WITH THE SYSTEM'S ARTICLES OF INCORPORATION OR BYLAWS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND INFORMATION PROVIDED BY MANAGEMENT. THE RETURN WAS THEN REVIEWED BY THE HOSPITAL FINANCE COMMITTEE OF THE BOARD AND A COPY DISTRIBUTED TO EVERY VOTING BOARD MEMBER. AGENDA TIME WAS RESERVED AT A SCHEDULED BOARD MEETING PRIOR TO THE FILING OF THE 990 FOR MANAGMENT RESPONSE TO MEMBERS' QUESTIONS AND COMMENTS. | |
| THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS REVIEWED AND UPDATED ANNUALLY. EDUCATION ABOUT THE POLICY AND THE RESPONSIBILITIES OF A BOARD MEMBER OCCURS ANNUALLY AND FOR NEW BOARD MEMBERS DURING ORIENTATION. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE MEMBER IS RECUSED FROM DISCUSSION AND A VOTE ON THE CONFLICTING MATTER, AND MAY BE EXCUSED. THE POLICY IS ADHERED TO DURING MEETINGS IN EXECUTIVE SESSION FOR CEO EVALUATION AND COMPENSATION DISCUSSION, AUDIT PLANNING, AND OTHER TIMES AS REQUIRED. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE ORGANIZATION DRAWS WAGE COMPARISON DATA FROM TWO INDEPENDENT SOURCES, AND THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD REVIEWS THE INFORMATION AND SETS THE COMPENSATION PACKAGES FOR THE CEO AND IS INFORMED OF THE COMPENSATION PACKAGES OF THE CFO, COO, VP OF MARKETING, COO OF TPSI, DIRECTOR OF THE FOUNDATION, SYSTEM DIRECTOR OF HR AND FACILITY SERVICES. COMPENSATION PACKAGES FOR THE CEO ARE REVIEWED ANNUALLY. COMPENSATION FOR ALL OTHER POSITIONS ARE REVIEWED WHENEVER A CHANGE IN THE POSITION IS MADE. CHANGES FROM THE 2010 REVIEW WERE MADE EFFECTIVE FOR THE 2011 CALENDAR YEAR. BEGINNING MARCH 2011, THE ORGANIZATION BEGAN CONTRACTING THE SERVICES OF ITS CEO FROM MISSION HEALTH SYSTEM, A 501(C)(3) HEALTHCARE ORGANIZATION. COMPENSATION PER THIS AGREEMENT IS PAID THROUGH MISSION HEALTH SYSTEM FROM AN ESTABLISHED MANAGEMENT CONTRACT. | FORM 990, PART VI, SECTION B, LINE 15 | |
| PHOTOCOPIES OF 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 18 | |
| PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. AN ANNUAL REPORT OF THE ORGANIZATION'S FINANCIAL STATEMENTS IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AND IS PUBLISHED ANNUALLY IN THE LOCAL NEWSPAPER. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -481,728. PRIOR PERIOD ADJUSTMENTS: -670. INCOME FROM AFFILIATED ORGANIZATION 1,019,478. TRANSFERS TO AFFILIATES -2,119,178. NET CHANGE IN VALUE OF INTEREST OF FOUNDATION 225,030. EXPENSES INCURRED FOR FOUNDATION 461,381. TOTAL TO FORM 990, PART XI, LINE 5: -895,687. | FORM 990, PART XI, LINE 5: |
| THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | FORM 990, PART XII, LINE 2C: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 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 3 | N/A | 0 | |
| TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | |||||||||||
| PO BOX 2440 | BREVARD | NC | 28712 | 561458024 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 11A, I | 0 | TRANSYLVANIA HEALTH SYSTEM INC | |
| TRANSYLVANIA PHYSICIAN SERVICES INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561920816 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | 0 | TRANSYLVANIA HEALTH SYSTEM INC | |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC | |||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 203281110 | HEALTHCARE | NC | N/A | RELATED | 293736 | 351110 | 0 | 1 | 0.50000 |
| TRANSYLVANIA HEALTHCARE II LIMITED PARTNERSHIP | |||||||||||||
| 2 MEDICAL PARK DR | BREVARD | NC | 28712 | 200333230 | RENTAL | NC | N/A | ||||||
| HEALTHCARE III LIMITED PARTNERSHIP | |||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561599596 | RENTAL | NC | N/A | ||||||
| HEALTHCARE LIMITED LIABILITY COMPANY VII | |||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 200343455 | RENTAL | NC | N/A | ||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 260 HOSPITAL DRIVE | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561448199 | EIN |
| Primary Activity | REAL ESTATE | PrimaryActivity |
| Legal Domicile State | NC | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | 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 | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 1 | 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 | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL | ||
| A | 8820 | CASH |
| BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL | ||
| R | 741282 | CASH |
| BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL | ||
| J | 367840 | CASH |
| BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL | ||
| O | 30083 | CASH |