RHI LEGACY FOUNDATION INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- RHI LEGACY FOUNDATION INC (EIN 56-0619367)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-15
- IRS object ID
- 201102279349303940
- Schema version
- 2009v1.7
- 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 | 2011-08-15T15:57:14-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560619367 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rutherford Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RUTH | NameControl |
| Phone | 8282865000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 288 South Ridgecrest Avenue | AddressLine1 |
| City | Rutherfordton | City |
| State | NC | State |
| ZIP Code | 28139 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | john domansky | Name |
| Title | interim cfo/controller | Title |
| Phone | 8282865000 | Phone |
| Date Signed | 2011-08-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | john domansky | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 288 South Ridgecrest Avenue | AddressLine1 |
| City | Rutherfordton | City |
| State | NC | State |
| ZIP Code | 28139 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 98461530 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.rutherfordhosp.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1906 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | Provision of general acute care services. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 956 | TotalNbrEmployees |
| Total Nbr Volunteers | 326 | TotalNbrVolunteers |
| Total Gross UBI | 401116 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -321179 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 108117 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 90563677 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 95506482 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -6087862 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2955048 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 55277 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 84639209 | TotalRevenuePriorYear |
| Total Revenue Current Year | 98461530 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6447 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 48438209 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 45524628 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 47796550 | OtherExpensePriorYear |
| Other Expenses Current Year | 50189836 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 96241206 | TotalExpensesPriorYear |
| Total Expenses Current Year | 95714464 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -11601997 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2747066 | RevenuesLessExpensesCY |
| Total Assets BOY | 99692935 | TotalAssetsBOY |
| Total Assets EOY | 99800759 | TotalAssetsEOY |
| Total Liabilities BOY | 24768081 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 22097538 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 74924854 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 77703221 | NetAssetsOrFundBalancesEOY |
| Mission Description | to compassionately improve the health and well-being of our patients. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 89486703 | Expense |
| Revenue | 95506482 | Revenue |
| Description | Rutherford Hospital is a general acute care hospital that provides traditional patient care to residents of its service area. Rutherford provides its services to all residents regardless of their ability to pay.# of ED Visits:40,193# of OP Visits:49,884# of Surgical cases: 34,85# of Volunteer Hours: 26,133 | Description |
| Total Program Service Expense | 89486703 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 135 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 956 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | 0 | 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 | 0 | InvestmentInJointVenture |
| 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 | john domansky | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8282865080 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 288 South Ridgecrest Avenue | AddressLine1 |
| City | Rutherfordton | City |
| State | NC | State |
| ZIP Code | 28139 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|
| Joseph L Carson JR | |||||||
| Chairman | 1.00 | X | 0 | 0 | 0 | ||
| J Thomas Davis | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Paul Deck | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| David Eaker | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| Diane Hamrick | |||||||
| vice chairman | 1.00 | X | 0 | 0 | 0 | ||
| E Thomas Hardin | |||||||
| secretary | 1.00 | X | 0 | 0 | 0 | ||
| J Larry Harrill | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| Lee Harrill | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| Thomas J Jaski MD | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| Matt Bright | |||||||
| Treasurer | 1.00 | X | 0 | 0 | 0 | ||
| Myra Johnson | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| Michael S Wheeler MD | |||||||
| Trustee/Ind Contractor | 40.00 | X | 770621 | 0 | 0 | ||
| Terry Hines | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Jerald Delagarza MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| David Bixler | |||||||
| CEO | 40.00 | 0 | 0 | 0 | X | ||
| Mary K Millington | |||||||
| VP/CFO | 40.00 | 104585 | 0 | 23678 | X | ||
| Dean R Backstrom | |||||||
| Medical Director | 40.00 | 222297 | 0 | 50328 | X | ||
| Jimmy H Rowell | |||||||
| VP Human Resources | 40.00 | 119796 | 0 | 27122 | X | ||
| Nancy J Boffemmyer | |||||||
| VP Patient Care Services | 40.00 | 125616 | 0 | 28440 | X | ||
| William C Parke | |||||||
| VP Corporate Compliance | 40.00 | 114070 | 0 | 25825 | X | ||
| James B Bross | |||||||
| VP of Operations | 40.00 | 181908 | 0 | 41184 | X | ||
| Bill R Chapman | |||||||
| VP Facility Services | 40.00 | 129951 | 0 | 29421 | X | ||
| Marsha S Baker | |||||||
| VP Community Care Services | 40.00 | 121651 | 0 | 27542 | X | ||
| Jill W Miracle | |||||||
| Executive Director -Foundation | 40.00 | 54995 | 0 | 12451 | X | ||
| Michael W Roberts | |||||||
| Physician | 40.00 | 754810 | 0 | 170889 | X | ||
| Charles Dana Bond | |||||||
| Physician | 40.00 | 712304 | 0 | 161266 | X | ||
| Sharren Esther Wolff | |||||||
| Physician | 40.00 | 403625 | 0 | 91381 | X | ||
| Gregg Allen Drabek | |||||||
| Physician | 40.00 | 390799 | 0 | 88477 | X | ||
| Kirkpatrick James Leroy III | |||||||
| Physician | 40.00 | 365507 | 0 | 82751 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4572535 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 860755 | TotalOtherCompensation |
| Number Individuals GT100 K | 41 | 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 |
|---|---|---|---|---|---|
| Michael S Wheeler | |||||
| 288 s ridgecrest ave | rutherfordton | NC | 28139 | laboratory & pathology medical directors | 770621 |
| Quorum | |||||
| 105 Continental Place | Brentwood | TN | 37027 | Hospital Management | 654797 |
| Sodexo | |||||
| PO Box 536922 | Atlanta | GA | 30353 | Food & Nutrition Management | 631180 |
| Softscript | |||||
| Dept 3215 | Los Angeles | CA | 90084 | Transcription Services | 412283 |
| Diamond Healthcare Corp | |||||
| 700 E Main St Suite 900 | Richmond | VA | 23218 | Psychiatric Services Mgt Co. | 407993 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | patient service | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 93988953 | TotalRevenueColumn |
| Related Or Exempt Function Income | 93988953 | RelatedOrExemptFunctionIncome |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1517529 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1116413 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 401116 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 95506482 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2955048 | TotalRevenueColumn |
| Exclusion | $2,955,048 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 98461530 | TotalRevenueColumn |
| Related Or Exempt Function Income | 95105366 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 401116 | UnrelatedBusinessRevenue |
| Exclusion | $2,955,048 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2211480 | Total |
| Program Services | 2211480 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34907783 | Total |
| Program Services | 32962561 | ProgramServices |
| Management And General | 1945222 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8405365 | Total |
| Program Services | 8393643 | ProgramServices |
| Management And General | 11722 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1986411 | Total |
| Program Services | 1161807 | ProgramServices |
| Management And General | 824604 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187712 | Total |
| Management And General | 187712 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19674684 | Total |
| Program Services | 18326246 | ProgramServices |
| Management And General | 1348438 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 381072 | Total |
| Program Services | 338127 | ProgramServices |
| Management And General | 42945 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1943989 | Total |
| Program Services | 1943400 | ProgramServices |
| Management And General | 589 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 278041 | Total |
| Program Services | 258589 | ProgramServices |
| Management And General | 19452 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 348811 | Total |
| Management And General | 348811 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5027574 | Total |
| Program Services | 5025293 | ProgramServices |
| Management And General | 2281 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 681028 | Total |
| Program Services | 1593 | ProgramServices |
| Management And General | 679435 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt | 15193684 | 15177863 | 15821 |
| medical fees | 3038562 | 3038562 | |
| recruiting | 412943 | 97062 | 315881 |
| dues | 228933 | 101352 | 127581 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 806392 | Total |
| Program Services | 449125 | ProgramServices |
| Management And General | 357267 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95714464 | Total |
| Program Services | 89486703 | ProgramServices |
| Management And General | 6227761 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3259763 | BOY |
| EOY | 5616549 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11343444 | BOY |
| EOY | 11146959 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2446327 | BOY |
| EOY | 2071898 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1042950 | BOY |
| EOY | 801894 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 113960700 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 71220372 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41328960 | BOY |
| EOY | 42740328 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38355288 | BOY |
| EOY | 35636785 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1916203 | BOY |
| EOY | 1786346 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99692935 | BOY |
| EOY | 99800759 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10068388 | BOY |
| EOY | 8971104 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8880000 | BOY |
| EOY | 8140000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 288811 | BOY |
| EOY | 979797 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5530882 | BOY |
| EOY | 4006637 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24768081 | BOY |
| EOY | 22097538 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74921686 | BOY |
| EOY | 77703221 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3168 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74924854 | BOY |
| EOY | 77703221 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99692935 | BOY |
| EOY | 99800759 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | 1 | OtherActivities |
| Other Activities | $9,606 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 9606 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | $1,200 for home and hospice and $8,406 for NCHA. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2075217 | OtherCostOrOtherBasis |
| Book Value | 2075217 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 60837687 | OtherCostOrOtherBasis |
| Depreciation | 28849634 | Depreciation |
| Book Value | 31988053 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 47272517 | OtherCostOrOtherBasis |
| Depreciation | 41523205 | Depreciation |
| Book Value | 5749312 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3775279 | OtherCostOrOtherBasis |
| Depreciation | 847533 | Depreciation |
| Book Value | 2927746 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 42740328 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| other liabilities | $133,243 |
| estimated third party settlements | $3,873,394 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4006637 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 120.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| 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 | 2789620 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2789620 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02910 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14802714 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14802714 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.15470 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17592334 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 17592334 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.18380 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37830312 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 37830312 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.39520 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37830312 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 37830312 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.39520 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 55422646 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 55422646 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.57900 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $5,106,035 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (11 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| Rutherford Hospital Inc | |||||||
| 288 s ridgecrest avenue | rutherfordton | NC | 28139 | X | X | ||
| Carolina Community Care | |||||||
| 212 allendale drive | forest city | NC | 28043 | X | dsh | ||
| Rutherford Orthopedics | |||||||
| 139 dr henry norris drive | rutherfordton | NC | 28139 | X | home health | ||
| Rutherford Surgical Associates | |||||||
| 330 nc 108 highway | rutherfordton | NC | 28139 | X | |||
| Rutherford East Medical Services | |||||||
| 605 nc 120 highway | mooresboro | NC | 28139 | X | |||
| Insigts | |||||||
| 317 s oak street | spindale | NC | 28160 | X | |||
| England & Godfrey | |||||||
| 124 groce street | forest city | NC | 28043 | X | |||
| James Medical Clinic | |||||||
| 1269 us highway 221-a | forest city | NC | 28043 | X | |||
| Rutherford Plastic Surgery & SPA | |||||||
| 128 dr henry norris drive | rutherfordton | NC | 28139 | X | |||
| Onesource Rehab | |||||||
| 2270 us highway 74 bypass 341 | forest city | NC | 28043 | X | |||
| Rutherford Anesthesiolgoy | |||||||
| 288 s ridgecrest avenue | rutherfordton | NC | 28139 | X | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reports Filed With States | NC | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Independent Consultant | X | IndependentConsultant |
| 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michael S Wheeler MD | |||||||||||||
| 770621 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 770621 | 0 | 0 | 0 |
| Dean R Backstrom | |||||||||||||
| 222297 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 50328 | 0 | 272625 | 0 | 0 | 0 |
| Nancy J Boffemmyer | |||||||||||||
| 125616 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 28440 | 0 | 154056 | 0 | 0 | 0 |
| James B Bross | |||||||||||||
| 181908 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 41184 | 0 | 223092 | 0 | 0 | 0 |
| Bill R Chapman | |||||||||||||
| 129951 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 29421 | 0 | 159372 | 0 | 0 | 0 |
| Michael W Roberts | |||||||||||||
| 754810 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 170889 | 0 | 925699 | 0 | 0 | 0 |
| Charles Dana Bond | |||||||||||||
| 712304 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 161266 | 0 | 873570 | 0 | 0 | 0 |
| Sharren Esther Wolff | |||||||||||||
| 403625 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 91381 | 0 | 495006 | 0 | 0 | 0 |
| Gregg Allen Drabek | |||||||||||||
| 390799 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 88477 | 0 | 479276 | 0 | 0 | 0 |
| Kirkpatrick James Leroy III | |||||||||||||
| 365507 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 82751 | 0 | 448258 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | the organizaton's ceo receives an auto allowance of $605 a month. |
| Part I, Line 1b | the organizaton's ceo receives an auto allowance of $605 a month. the organization's ceo was compensated by an unrelated management company for his services performed for the organization. the ceo's compensation paid by the management company has been included on schedule j. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 3 | The organization uses a management company, quorum, to delegate day to day management functions. |
| Form 990, Part VI, Section B, line 11 | the 990 is reviewed my certain officers before filing. |
| Form 990, Part VI, Section B, line 12c | the organization's compliance officer completes an annual compliance survey to ensure that the conflict of interest policy is being enforced effectively. |
| Form 990, Part VI, Section B, line 15 | the oranization's management company determines the ceo and other top management official compensation based upon comparative data and industry and market standards from a compensation review performed using hospital association data. |
| Form 990, Part VI, Section C, line 18 | the organization's governing documents, conflct of interest policy, and financial statements are made available to the public upon request. |
| Form 990, Part VI, Section C, line 19 | the organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
| Form 990, Part XI, line 2c: | No changes for approving audited financial statements or selection of independent accountants have occurred from the prior year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rutherford hospital Foundation inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 288 s ridgecrest ave | AddressLine1 |
| City | rutherfordton | City |
| State | NC | State |
| ZIP Code | 28139 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561968736 | EIN |
| Primary Activities | healthcare | PrimaryActivities |
| Legal Domicile State | NC | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 3 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Rutherford hospital Foundation inc | |
| N | 67446 |
| Rutherford hospital Foundation inc | |
| C | 24599 |