2023-11-08T15:57:28-06:00 2022-12-31 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-01-01 561458024 PISGAH HEALTH FOUNDATION PISG 8284353772 153 W JORDAN ST BREVARD NC 28712 CATHLEEN BLANCHARD CHAIR 8284353772 2023-11-08 1 CATHLEEN BLANCHARD 999009999 1 AMY BIBBY P00445891 8282542254 2023-11-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CATHLEEN BLANCHARD 153 W JORDAN ST BREVARD NC 28712 1528910 0 X WWW.PISGAHHEALTHFOUNDATION.ORG X 1985 NC RECEIVE AND ADMINISTER CHARITABLE CONTRIBUTIONS. 9 9 8 40 0 0 5499366 1356186 0 0 628599 160109 8706 12615 6136671 1528910 809411 241375 0 0 406265 505933 0 0 158934 1485195 1218221 2700871 1965529 3435800 -436619 16755144 15125381 1259016 867151 15496128 14258230 PISGAH HEALTH FOUNDATION'S MISSION IS TO PURPOSEFULLY, CREATIVELY, AND COLLABORATIVELY ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES BY ADDRESSING LOCAL HEALTH AND WELLNESS INEQUITIES THROUGH STRATEGIC AND MEANINGFUL PARTNERSHIPS. 0 0 1170863 241375 OUR ORGANIZATION BEGAN AWARDING MODERATE LEVEL GRANTS TO PERTINENT NON-PROFIT ORGANIZATIONS DESIGNED TO IMPROVE THE SOCIAL DETERMINANTS OF HEALTH IN WESTERN NORTH CAROLINA. WE ALSO LAUNCHED A COMMUNITY-BASED HEALTH AND WELLNESS PROGRAM IN TRANSYLVANIA COUNTY. OUR ACCOMPLISHMENTS AND NOTEWORTHY NEWS DEVELOPMENTS CAN BE FOUND AT OUR WEBSITE: PISGAHHEALTHFOUNDATION.ORG 1170863 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 11 0 1 8 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X THE ORGANIZATION 8284353780 153 W JORDAN STREET BREVARD NC 28712 CATHLEEN BLANCHARD BOARD CHAIR 18.00 X X 0 0 0 JEREMY PURCELL BOARD TREASURER 2.00 X X 0 0 0 JAMIE RAMSEY MD BOARD SECRETARY 2.00 X X 0 0 0 DAVID NEUMANN ESQ BOARD VICE-CHAIR 2.00 X X 0 0 0 ART FISHER BOARD MEMBER 1.00 X 0 0 0 JIM TYSON MD BOARD MEMBER 1.00 X 0 0 0 JAMES WRIGHT MD BOARD MEMBER 1.00 X 0 0 0 JUAN MASCARO BOARD MEMBER 1.00 X 0 0 0 WILLIAM MILLS BOARD MEMBER 1.00 X 0 0 0 LEX GREEN EXECUTIVE DIRECTOR 40.00 X 91672 0 26934 SHIELA JARVIS INTERIM DIRECTOR 40.00 X 62073 0 111 153745 0 27045 0 0 0 0 SHARECARE INC 255 E PACES FERRY ROAD NE ATLANTA GA 30305 ADMINISTRATION OF WELLNESS PROGRAM 1019231 1 1356186 1356186 145923 145923 12015 0 12015 12015 12015 14186 0 14186 14186 14186 OTHER REVENUE 900099 600 600 600 1528910 0 0 172724 X 224875 224875 16500 16500 153745 122996 30749 242803 194242 48561 77967 62374 15593 31418 25134 6284 8777 7022 1755 64888 51910 12978 949222 929488 15787 3947 49736 39789 9947 23734 18987 4747 26992 21594 5398 58593 46874 11719 3039 2431 608 10645 8516 2129 MISCELLANEOUS 22595 18076 4519 1965529 1170863 635732 158934 45644 328 329919 902724 131766 63847 1290 3055 24723 13878 832191 95849 556540 736342 15665262 13405207 16755144 15125381 236073 144379 1022943 722772 1259016 867151 X 12478312 7996207 3017816 6262023 15496128 14258230 16755144 15125381 X -436619 -869508 68229 X X 0 0 0 X 501760 132237 327882 499366 1356186 2817431 501760 132237 327882 499366 1356186 2817431 743631 2073800 218169 55876 199040 136134 145923 755142 6117 600 6717 3579290 0.57940 0.47220 X SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: UNEXPECTED PROCEEDS FROM HOSPITAL SALE GRANTED TO FOUNDATION AMOUNT: 0. DESCRIPTION: UNEXPECTED PROCEEDS FROM HOSPITAL SALE GRANTED TO FOUNDATION AMOUNT: 0. DESCRIPTION: UNEXPECTED ESTATE GRANT AMOUNT: 0. DESCRIPTION: UNEXPECTED ESTATE GRANT AMOUNT: 0. DESCRIPTION: UNEXPECTED PROCEEDS FROM HOSPITAL SALE GRANTED TO FOUNDATION AMOUNT: 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 15665262 1356186 145923 241375 16925996 12193057 5000000 9712 1537507 15665262 13093673 621357 1487061 34912 12193057 13151491 3630 116327 177775 13093673 9759625 11397454 1553227 9506909 51906 13151491 0 0 221000 221000 206721 36811 169910 89998 59038 30960 314472 314472 736342 PART V, LINE 4 THE FOUNDATION'S ENDOWMENT CONSISTS OF TEN INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. ITS ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. 1 THE HENDERSONVILLE CONNECTIONS CENTER PO BOX 2844 HENDERSONVILLE NC 28793 471175432 0 100000 STAFFING AND OPERATIONS HUNGER COALITION OF TRANSYLVANIA COUNTY PO BOX 1695 BREVARD NC 28712 823451552 0 9980 FOOD RESOURCE FOUR SEASONS HOSPICE 571 SOUTH ALLEN ROAD FLAT ROCK NC 28731 561252665 0 12895 UNRESTRICTED COMMUNITY HOUSING COALITION OF MADISON COUNTY PO BOX 1166 MARSHALL NC 28753 113660564 0 20000 HOME REPAIR THE HOUSING ASSISTANCE CORPORATION 214 NORTH KING STREET HENDERSONVILLE NC 28792 581831757 0 25000 HOME REPAIR CALVARY BAPTIST CHURCH 133 OSBORNE ROAD BREVARD NC 28712 560930840 0 10000 FOOD RESOURCE HENDERSON COUNTY HABITAT FOR HUMANITY 1111 KEITH STREET HENDERSONVILLE NC 28792 561642263 0 10000 HOME REPAIR MOUNTAIN PROJECTS INC 2177 ASHEVILLE ROAD WAYNESVILLE NC 28786 560849092 0 20000 FOOD RESOURCE GOD'S WAY FELLOWSHIP 525 TANASSEE GAP ROAD BALSAM GROVE NC 28708 043774691 0 12000 FOOD RESOURCE 11 0 SCHOLARSHIPS 19 16500 PART I, LINE 2: APPLICANTS MUST APPLY FOR FUNDING FOR SPECIFIC NEEDS. IN THE EVENT THAT FUNDS ARE NOT SPENT APPROPRIATELY, THE FOUNDATION WILL FACTOR THIS INTO FUTURE AWARD DECISIONS. X X X X 0 0 0 0 0 0 0 0 0 PART I, LINE 3 EXECUTIVE COMMITTEE REVIEW OF INDUSTRYWIDE AVERAGE CEO AND KEY EMPLOYEE SALARIES. PERFORMANCE REVIEW. FORMALLY VOTED AND APPROVED DECISIONS ON COMPENSATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. A FINAL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEETING BEGINS WITH A REMINDER ABOUT OUR CONFICT OF INTEREST POLICY AND CONFLICTS ARE DECLARED BEFORE AND DURING ALL MEETINGS. EACH BOARD MEMBER IS EXPECTED TO REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMMITTEE REVIEW OF INDUSTRY-WIDE AVERAGE CEO AND KEY EMPLOYEE SALARIES. PERFORMANCE REVIEW. FORMALLY VOTED AND APPROVED DECISIONS ON COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 WWW.GUIDESTAR.ORG FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,787. FUNDRAISING EXPENSES 3,947. TOTAL EXPENSES 19,734. BLUE ZONE - COMMUNITY HEALTH PROJECT: PROGRAM SERVICE EXPENSES 929,488. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 929,488. FORM 990, PART XI, LINE 9: OTHER CHANGE DUE TO GRANT REFUNDS 68,229. FORM 990, PART XII, LINE 2C THIS HAS NOT CHANGED FROM THE PRIOR YEAR. PISGAH HEALTH HOLDINGS LLC 153 W JORDAN STREET BREVARD NC 28712 HOLDING COMPANY NC 0 0 PISGAH HEALTH FOUNDATION INC CAMP BLUEBIRD LLC 153 W JORDAN STREET BREVARD NC 28712 CHARITABLE RETREAT NC 0 328 PISGAH HEALTH FOUNDATION INC