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ANC TRANSYLVANIA COMMUNITY HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ANC TRANSYLVANIA COMMUNITY HOSPITAL INC (EIN 56-0562293)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-05-03
IRS object ID
201111239349300326
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

FieldValueIRS element (for citing)
Timestamp2011-05-03T13:53:48-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 Ridgefield CourtAddressLine1
CityAshevilleCity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN560562293EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRANSYLVANIA COMMUNITY HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTRANNameControl
Phone8288849111Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1116AddressLine1
CityBREVARDCity
StateNCState
ZIP Code28712ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLINDA COYEName
TitleCFOTitle
Phone8288849111Phone
Date Signed2011-05-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmy BibbyName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1TRANSYLVANIA REGIONAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT J BEDNAREKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1116AddressLine1
CityBREVARDCity
StateNCState
ZIP Code28712ZIPCode
FieldValueIRS element (for citing)
Gross Receipts62004251GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.trhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1933YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF MEDICAL SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees692TotalNbrEmployees
Total Nbr Volunteers190TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1836619ContributionsGrantsPriorYear
Contributions Grants Current Year1799116ContributionsGrantsCurrentYear
Program Service Revenue Prior Year56352222ProgramServiceRevenuePriorYear
Program Service Revenue CY59259640ProgramServiceRevenueCY
Investment Income Prior Year152055InvestmentIncomePriorYear
Investment Income Current Year323450InvestmentIncomeCurrentYear
Other Revenue Prior Year137826OtherRevenuePriorYear
Other Revenue Current Year573732OtherRevenueCurrentYear
Total Revenue Prior Year58478722TotalRevenuePriorYear
Total Revenue Current Year61955938TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year484583GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY215601GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year26676705SalariesEtcPriorYear
Salaries Etc Current Year26538804SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year31645118OtherExpensePriorYear
Other Expenses Current Year36575013OtherExpensesCurrentYear
Total Expenses Prior Year58806406TotalExpensesPriorYear
Total Expenses Current Year63329418TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-327684RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1373480RevenuesLessExpensesCY
Total Assets BOY72411026TotalAssetsBOY
Total Assets EOY69569796TotalAssetsEOY
Total Liabilities BOY26089069TotalLiabilitiesBOY
Total Liabilities EOY26355886TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY46321957NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY43213910NetAssetsOrFundBalancesEOY
Mission DescriptionTRANSYLVANIA REGIONAL HOSPITAL PROMOTES WELLNESS AND PROVIDES ACCESS TO QUALITY HEALTH SERVICES FOR THE PEOPLE IN OUR REGION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense53435637Expense
Grants215601Grants
Revenue59259640Revenue
DescriptionGIVING 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. 2010 WAS ANOTHER TOUGH YEAR FOR OUR COMMUNITY AS WE EXPERIENCED 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 2010.IN 2010, TRH PROVIDED MORE THAN $6 MILLION IN CONTRIBUTIONS TO THE COMMUNITY. THESE BENEFITS CAME IN MANY FORMS INCLUDING $1.8 MILLION IN CHARITY CARE FOR 2,435 PEOPLE. THE HOSPITAL ALSO PROVIDED ANOTHER $2.5 MILLION IN CARE FOR 4,606 PEOPLE THROUGH NON-COLLECTIBLE SERVICES. AN ADDITIONAL $1.3 MILLION WAS PROVIDED FOR GOVERNMENT SPONSORED HEALTHCARE INCLUDING INDIGENT CARE PROGRAMS. FINALLY, $450,000 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. NEARLY 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 WHO BENEFITED FROM IN-KIND DONATIONS WERE: MARCH OF DIMES, UNITED WAY, CHAMBER OF COMMERCE, RELAY FOR LIFE, THE TRANSYLVANIA COUNTY SCHOOL SYSTEM, BREVARD COLLEGE, THE FREE CLINIC, TRANSYLVANIA PARTNERSHIP FOR HEALTH AND OTHERS. - A NEW PHYSICIAN-BASED MEDICAL PRACTICE--BREVARD INTERNAL MEDICINE & PULMONOLOGY--AS ADDED TO THE HOSPITAL IN 2010 TO SUPPORT THE PRIMARY CARE NEEDS OF PATIENTS IN THE LOCAL COMMUNITY. - THE EXISTING SYLVAN VALLEY OB/GYN MEDICAL PRACTICE BECAME PART OF TRANSYLVANIA HEALTH SYSTEM IN 2010. AN ADDITIONAL FULL-TIME OB/GYN PHYSICIAN WAS ADDED TO INCREASE LOCAL ACCESS TO MEET THE HEALTHCARE NEEDS OF WOMEN IN THE COMMUNITY FOR BOTH ROUTINE AND SPECIALIZED CARE. - TRH RECRUITED SEVERAL PHYSICIANS TO THE COMMUNITY IN 2010 TO EXPAND ACCESS TO HEALTHCARE FOR OUR RESIDENTS, INCLUDING A NEW INTERNAL MEDICINE PHYSICIAN, A FAMILY PRACTICE PHYSICIAN, A NEW HOSPITALIST AND A NEW OBSTETRICIAN/GYNECOLOGIST. - TRH CONTINUED 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. THE PROGRAM HELPED NAVIGATE MORE THAN 500 LOCAL RESIDENTS TO MORE APPROPRIATE MEDICAL CARE IN 2010 WHILE AVOIDING MORE THAN $300,000 IN EMERGENCY ROOM COSTS FOR THESE PATIENTS. - THE HOSPITAL IMPLEMENTED A PEDIATRIC HOSPITALIST PROGRAM IN 2010 TO IMPROVE LOCAL CARE FOR NEWBORNS AND HOSPITALIZED CHILDREN AT TRANSYLVANIA REGIONAL HOSPITAL. - USING HOSPITAL FUNDS ALONG WITH A FEDERAL RURAL HEALTH GRANT, TRH CONTINUED A THREE-YEAR EFFORT TO IMPLEMENT THE LOCAL USE OF ELECTRONIC MEDICAL RECORDS IN AREA PHYSICIAN OFFICES. THIS LOCAL NETWORK WILL ALLOW THE HOSPITAL AND ITS PHYSICIANS TO RAPIDLY AND SECURELY SHARE PATIENT INFORMATION AND PUBLIC HEALTH DATA WITH AREA PHYSICIAN PRACTICES AND OTHER MEMBERS OF THE WNC DATA LINK NETWORK. THE EXCHANGE OF PATIENT DATA THROUGH THE NETWORK WILL REDUCE MEDICAL COSTS AND IMPROVE PATIENT CARE.Description
Total Program Service Expense53435637TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109675NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees692NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LINDA COYEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8288849111TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1116AddressLine1
CityBREVARDCity
StateNCState
ZIP Code28712ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT MAXWELL
CHAIRMAN1.00XX000
R BRYAN PADRICK
VICE CHAIR1.00XX000
WILLIAM R MINNICH JR
TREASURER1.00XX000
JOHN HOLBROOK
SECRETARY1.00XX000
RICHARD MILLAR
IMMEDIATE PAST CHAIR1.00X000
DANA J CHRISTIANSON MD
BOARD MEMBER1.00X000
THELMA ERICKSON
BOARD MEMBER1.00X000
ELIZABETH K JORDAN
BOARD MEMBER1.00X000
RICHARD C LARSON
BOARD MEMBER1.00X000
ALVIN W LEFAIVRE
BOARD MEMBER1.00X000
BOB SKIFF
BOARD MEMBER1.00X000
ORA WELLS MD
BOARD MEMBER1.00X198000
G RUFFIN BENTON III MD
BOARD MEMBER1.00X027711031203
ROBERT J BEDNAREK
PRESIDENT / CEO40.00XX236950059978
THERESA M PARKER
CFO / ASSISTANT TREASURER40.00X111411020154
ELIZABETH A PELLETIER
CRNA40.00156714017956X
LAUREL D JOHNSON
CRNA40.00156587016455X
JUDITH H MCKAY
CRNA40.00150152027367X
MARK E CREASMAN
PHARMACY MANAGER40.00132993020344X
KIMBERLY PHILLIPS
PHARMACIST40.00128684024161X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1075471TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs277110TotalReportableCompFrmRltdOrgs
Total Other Compensation217618TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WELLS FARGO TPA
PO BOX 535100ATLANTAGA303535100BENEFITS ADMINISTRATION3778046
AMERISOURCE BERGEN DRUG CORP
PO BOX 5804NEW YORKNY100875804MEDICAL PRODUCTS1988121
REHAB SERVICES OF BREVARD LLC
376A GOVERNMENT STREETMOBILEAL36693PHYSICAL THERAPY SERVICES1275698
TRANSYLVANIA EMERGENCY PHYSICIANS PLLC
3107 STIRLING ROAD SUITE 300FT LAUDERDALEFL33312E/R PHYSICIAN SERVICES1175993
CARDINAL HEALTH
PO BOX 905867CHARLOTTENC282905867MEDICAL PRODUCTS1128072
FieldValueIRS element (for citing)
Number Of Contractors GT100 K60NumberOfContractorsGT100K
Federated Campaigns60689FederatedCampaigns
Related Organizations1484145RelatedOrganizations
Government Grants220523GovernmentGrants
All Other Contributions33759AllOtherContributions
Total Contributions1799116TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE RE6214005788047857880478
OTHER PATIENT SERVICES62161012253351225335
LIFELINE RENTALS900099113008113008
PHARMACY AND MED SUPP4461104081940819
FieldValueIRS element (for citing)
Total Program Service Revenue59259640TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column371763TotalRevenueColumn
Exclusion$371,763ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities48313Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-48313Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-48313TotalRevenueColumn
Exclusion-$48,313ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA/VENDING722210230802$230,802
MANAGEMENT SERVICES900099190280$190,280
MISCELLANEOUS REVENUES900099152650$152,650
FieldValueIRS element (for citing)
Total Other Revenue573732TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column61955938TotalRevenueColumn
Related Or Exempt Function Income59259640RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$897,182ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total215601Total
Program Services215601ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total743186Total
Management And General743186ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20232169Total
Program Services14340517ProgramServices
Management And General5891652ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total745870Total
Program Services509939ProgramServices
Management And General235931ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3294696Total
Program Services2252531ProgramServices
Management And General1042165ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1522883Total
Program Services1041171ProgramServices
Management And General481712ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total502823Total
Program Services329156ProgramServices
Management And General173667ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total417281Total
Management And General417281ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total87685Total
Management And General87685ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10180164Total
Program Services10138010ProgramServices
Management And General42154ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total147334Total
Program Services120039ProgramServices
Management And General27295ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12841868Total
Program Services12109236ProgramServices
Management And General732632ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1712660Total
Program Services1712660ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total204850Total
Program Services194022ProgramServices
Management And General10828ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total35074Total
Program Services34368ProgramServices
Management And General706ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total540702Total
Program Services540702ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3791329Total
Program Services3791329ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total373023Total
Program Services373023ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS56227205622720
MISCELLANEOUS EXPENSES1175001106136887

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total63329418Total
Program Services53435637ProgramServices
Management And General9893781ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY765320BOY
EOY1916169EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1098715BOY
EOY413454EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7960572BOY
EOY8330374EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY20404EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1561572BOY
EOY1867063EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY448118BOY
EOY567073EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis62293183LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec26803707LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY37993736BOY
EOY35489476EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14766511BOY
EOY15396937EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3190230BOY
EOY3315311EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY69381BOY
EOY84654EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4556871BOY
EOY2168881EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY72411026BOY
EOY69569796EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5207815BOY
EOY5516793EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY16331632BOY
EOY15706632EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4508654BOY
EOY2968754EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY40968BOY
EOY2163707EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY26089069BOY
EOY26355886EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY43109727BOY
EOY39856535EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3212230BOY
EOY3357375EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY46321957BOY
EOY43213910EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY72411026BOY
EOY69569796EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$8,974OtherActivitiesAmount
Total Lobbying Expenditures IIB8974TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationTHE 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 TOTALLED APPROXIMATELY $ 8,974.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis764012OtherCostOrOtherBasis
Book Value764012BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23649583OtherCostOrOtherBasis
Depreciation7621262Depreciation
Book Value16028321BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2882015OtherCostOrOtherBasis
Depreciation872799Depreciation
Book Value2009216BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis34803176OtherCostOrOtherBasis
Depreciation18309646Depreciation
Book Value16493530BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis194397OtherCostOrOtherBasis
Book Value194397BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings35489476TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value3315311BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities3315311TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INTEREST IN BREVARD MRI, LLC72910C
INVESTMENT IN BLUE RIDGE DME11744C
FieldValueIRS element (for citing)
Total Of Book Value Program Related84654TotalOfBookValueProgramRelated

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
BOND ISSUE COSTS, NET OF AMORTIZATION257781
RECEIVABLE FROM AFFILIATED ORGANIZATIONS893394
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS1017706
FieldValueIRS element (for citing)
Total Book Value Other Assets2168881TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED THIRD PARTY PAYOR SETTLEMENTSDescription
Amount$2,163,707Amount
FieldValueIRS element (for citing)
Total Of Amounts2163707TotalOfAmounts
Total Revenue61955938TotalRevenue
Total Expenses63329418TotalExpenses
Excess Or Deficit For Year-1373480ExcessOrDeficitForYear
Net Unrealized GL On Investments1443760NetUnrealizedGLOnInvestments
Other-$3,178,328OtherAmount
Total Adjustments-1734568TotalAdjustments
Excess Or Deficit Per FS-3108048ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt59764682TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1443760NetUnrealizedGainsInvestments
Other Revenues139840OtherRevenues
Revenue Not Rptd F9901583600RevenueNotRptdF990
Revenue Subtotal58181082RevenueSubtotal
Other Revenues Not Included3774856OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3774856RevenueNotRptdOnFinStmt
Total Revenue Per Form99061955938TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt62872729TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal62872729ExpensesSubtotal
Other Expenses Not Included456689OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt456689ExpensesNotRptdOnFinStmt
Total Expenses Per Form99063329418TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:INCOME FROM AFFILIATED ORGANIZATION: 14758. TRANSFER TO AFFILIATES: -3318167. NET CHANGE IN VALUE OF INTEREST OF TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION: 125081.
Part XII, Line 2d - Other Adjustments:NET CHANGE IN VALUE OF INTEREST IN TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION: 125082. INCOME FROM AFFILIATED ORGANIZATIONS: 14758.
Part XII, Line 4b - Other Adjustments:EXPENSES INCURRED FOR TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION: 456689. TRANSFER TO AFFILIATES: 3318167.
Part XIII, Line 4b - Other Adjustments:EXPENSES INCURRED FOR TRANSLYVANIA REGIONAL HOSPITAL FOUNDATION: 456689.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2107608TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2107608NetCommunityBenefitExpense
Percent Of Total Expense0.03650PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6380977TotalCommunityBenefitExpense
Direct Offsetting Revenue4265144DirectOffsettingRevenue
Net Community Benefit Expense2115833NetCommunityBenefitExpense
Percent Of Total Expense0.03670PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense8488585TotalCommunityBenefitExpense
Direct Offsetting Revenue4265144DirectOffsettingRevenue
Net Community Benefit Expense4223441NetCommunityBenefitExpense
Percent Of Total Expense0.07320PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense132877TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense132877NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense319732TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense319732NetCommunityBenefitExpense
Percent Of Total Expense0.00550PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense452609TotalCommunityBenefitExpense
Net Community Benefit Expense452609NetCommunityBenefitExpense
Percent Of Total Expense0.00780PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense8941194TotalCommunityBenefitExpense
Direct Offsetting Revenue4265144DirectOffsettingRevenue
Net Community Benefit Expense4676050NetCommunityBenefitExpense
Percent Of Total Expense0.08100PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense7619TotalCommunityBuildingExpense
Net Community Building Expense7619NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense7619TotalCommunityBuildingExpense
Net Community Building Expense7619NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$2,530,307BadDebtExpenseAmount
Amount Attributable To265682AmountAttributableTo
Amount Reimbursed By Medicare32691144AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare32186712CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall504432MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityMRI SERVICESDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.50000PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRANSYLVANIA REGIONAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1260 HOSPITAL DRIVEAddressLine1
CityBREVARDCity
StateNCState
ZIP Code28712ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart 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.IncomeBasedCriteria
Bad Debt FootnotePart 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 COLLECTIONS PROCEDURES, WHICH USUALLY TAKE 59 DAYS FROM DISCHARGE DATE FOR SELF-PAY PATIENTS AND LONGER FOR INSURED PATIENTS. WHEN THE ACCOUNT IS CONSIDERED UNCOLLECTABLE, IT IS THEN SENT TO AN OUTSIDE COLLECTION 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 UP 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 2010, CHARITY ADJUSTMENTS DID NOT MEET BUDGET EXPECTATIONS. A VARIANCE OF 10.5% IS CALCULATED BETWEEN ACTUAL CHARITY ADJUSTMENTS AND VARIABLE BUDGET. IF WE MAKE AN ASSUMPTION THAT THE CHARITY ADJUSTMENT BUDGET IS THE EXPECTED ELIGIBLE CHARITY PATIENT POOL, THEN THE VARIANCE PERCENTAGE 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, 12.4% OF THE POPULATION IN 2008 WAS BELOW THE POVERTY LEVEL.BadDebtFootnote
Debt Collection PolicyPart III, Line 9b: THE HOSPITAL DOES HAVE 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. THE HOSPITAL MAKES REASONABLE EFFORTS TO COLLECT DEBT THROUGH MULTIPLE NOTIFICATION OF COLLECTION ATTEMPTS, COMMUNICATED OPPORTUNITIES FOR DISCOUNTS, ASSISTANCE AND PAYMENT PLAN ARRANGEMENTS, AND PERSONAL FACE-TO-FACE CONSULTATIONS. 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 DISCUSS THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE.DebtCollectionPolicy
General ExplanationPART 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 $ 3,767INDIGENT CARE 14,667HEALTH RESOURCE NAVIGATOR 69,190HEALTH EDUCATION 44,900FALLS RISK ASSESSMENT 353TOTAL $ 132,877GeneralExplanation
Needs AssessmentPart 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.NeedsAssessment
Patient Education AssistancePart VI, Line 3: TRANSYLVANIA REGIONAL HOSPITAL HAS PLACED SIGNAGE FOR PATIENT FINANCIAL ASSISTANCE POLICIES IN PATIENT AREAS IN THE HOSPITAL, IN THE PATIENT ACCOUNTING OFFICE, AND 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, A HEALTH RESOURCE NAVIGATOR IS UTILIZED IN THE EMERGENCY DEPARTMENT TO HELP FIND FINANCIAL ASSISTANCE RESOURCES FOR SELF-PAY PATIENTS. PATIENT FINANCIAL ASSISTANCE POLICY ALSO RESIDES ON THE HOSPITAL'S WEBSITE, HTTP://WWW.TRHOSPITAL.ORG/PATIENTS/FINANCIAL.PHP.PatientEducationAssistance
Community InformationPart VI, Line 4: THE PRIMARY SERVICE AREA FOR TRANSYLVANIA REGIONAL HOSPITAL IS TRANSYLVANIA COUNTY, NC WITH A RESIDENT POPULATION OF APPROXIMATELY 30,000, INCLUDING GLOUCESTER TOWNSHIP IN THE UPPER END OF THE COUNTY, WHICH IS FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA. NEARLY 12.5 PERCENT 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 APPROXIMATELY 15,000 ADDITIONAL RESIDENTS IN SOUTHERN JACKSON COUNTY, NC, 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.CommunityInformation
Community Building ActivitiesPart VI, Line 5: 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.CommunityBuildingActivities
Reports Filed With StatesNCReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1TRANSYLVANIA REGIONAL HOSPITAL FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1223 W JORDAN STREETAddressLine1
CityBREVARDCity
StateNCState
ZIP Code28712ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient561458024EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant215601AmountOfCashGrant
Purpose Of GrantOPERATIONAL ASSISTANCEPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: THE ORGANIZATION SUBSIDIZES TRANSYLVANIA COMMUNITY HOSPITAL FOUNDATION, INC.'S OPERATIONS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
G RUFFIN BENTON III MD
022654403974901081702150009703030831300
ROBERT J BEDNAREK
21703901497504936050332096460296928000
ELIZABETH A PELLETIER
1567140000055570123990174670000
LAUREL D JOHNSON
1565870000014885015700173042000
JUDITH H MCKAY
1501520000017801095660177519000
MARK E CREASMAN
1329930000010811095330153337000
KIMBERLY PHILLIPS
1286840000014595095660152845000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aTRAVEL FOR COMPANIONS IS PROVIDED DUE TO AN ANNUAL STIPEND FOR PHYSICIANS TO ATTEND CME. HEALTH AND SOCIAL CLUB DUES ARE A PART OF CERTAIN OFFICERS' COMPENSATION AGREEMENTS, AND AMOUNTS ARE TAXED TO THE INDIVIDUAL ON HIS OR HER RESPECTIVE W-2.
Part I, Line 4aFORMER COO ANTHONY MINA RECEIVED COMPENSATION FROM A SEVERANCE AGREEMENT IN FY 2010. SEE PART II, COLUMN (B)(III).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA MEDICAL CARE COMMISSIONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521309402IssuerEIN
CUSIP Number65820HB51CUSIPNumber
Date Issued2009-03-09DateIssued
Issue Price13240000IssuePrice
Description Of PurposeQUALIFIED HOSPITAL REVENUE BONDSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds242449TotalProceeds
Amount In Reserve Fund242449AmountInReserveFund
Issuance Costs From Proceeds361772IssuanceCostsFromProceeds
Year Of Subst Completion2006YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonANTHONY G MINANamePerson
Purpose Of LoanCOMPENSATION AGREEMENTPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$40,000OriginalPrincipalAmount
Balance Due20404BalanceDue
Default1Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due20404TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LOOKING GLASS EYE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipPARTIALLY OWNED BY BOARD MEMBER DANA CHRISTIANSONRelationship
Amount Of Transaction309037AmountOfTransaction
Description Of TransactionPASS THROUGH REIMBURSEMENT FOR MEDICAL SERVICESDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6THE HOSPITAL IS A NONSTOCK, NONPROPRIETARY, TAX-EXEMPT MEMBER CORPORATION UNDER SECTION 501(C)(3) AND 509(A)(3) OF THE INTERNAL REVENUE CODE AND HAS AS ITS SOLE MEMBER TRANSYLVANIA HEALTH SYSTEM, INC.
Form 990, Part VI, Section A, line 7aTRUSTEES 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.
Form 990, Part VI, Section A, line 7bTHE 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.
Form 990, Part VI, Section B, line 11THE 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.
Form 990, Part VI, Section B, line 12cTHE 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 15THE 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 IS MADE, AND WERE LAST REVIEWED IN 2007. NO CHANGES TO THE COMPENSATION PACKAGES HAVE BEEN MADE SINCE THAT TIME.
Form 990, Part VI, Section C, line 18PHOTOCOPIES 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 19PHOTOCOPIES 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 IN THE LOCAL NEWSPAPER ANNUALLY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
TRANSYLVANIA HEALTH SYSTEM INC
PO BOX 1116BREVARDNC28712561456987HEALTHCARENC501(c)(3)Line 3N/A
TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC
PO BOX 2440BREVARDNC28712561458024SUPPORTING ORGANIZATIONNC501(c)(3)Line 11a, IN/A
TRANSYLVANIA PHYSICIAN SERVICES INC
PO BOX 1116BREVARDNC28712561920816HEALTHCARENC501(c)(3)Line 3N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerDirect Controlling Entity NADirectControllingEntityNA
BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC
PO BOX 1116BREVARDNC28712203281110MEDICALNCRELATED1475864443401
TRANSYLVANIA HEALTHCARE II LIMITED PARTNERSHIP
2 MEDICAL PARK DRBREVARDNC28712200333230RENTALNCN/A
HEALTHCARE III LIMITED PARTNERSHIP
PO BOX 1116BREVARDNC28712561599596RENTALNCN/A
HEALTHCARE LIMITED LIABILITY COMPANY VII
PO BOX 1116BREVARDNC28712200343455RENTALNCN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TRANSYLVANIA SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1116AddressLine1
CityBREVARDCity
StateNCState
ZIP Code28712ZIPCode
FieldValueIRS element (for citing)
EIN561448199EIN
Primary ActivityREAL ESTATEPrimaryActivity
Legal Domicile StateNCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC
C1484145
TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC
O422138
TRANSYLVANIA PHYSICIAN SERVICES INC
B3318167
TRANSYLVANIA PHYSICIAN SERVICES INC
N3077618
TRANSYLVANIA PHYSICIAN SERVICES INC
K783594
TRANSYLVANIA SERVICES INC
Q702688
TRANSYLVANIA SERVICES INC
A26047
TRANSYLVANIA SERVICES INC
K45840