2021-11-15T13:29:33-06:00 2020-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2020-01-01 561458024 PISGAH HEALTH FOUNDATION PISG 8284353772 153 W JORDAN ST BREVARD NC 28712 LEX GREEN CPA PRESIDENT 8284353772 2021-11-15 1 LEX GREEN CPA 999009999 AMY BIBBY P00445891 8282542254 2021-11-15 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z LEX GREEN CPA 153 W JORDAN ST BREVARD NC 28712 5850939 0 X WWW.PISGAHHEALTHFOUNDATION.ORG X 1985 NC RECEIVE AND ADMINISTER CHARITABLE CONTRIBUTIONS. 9 9 6 200 0 0 132237 5296554 0 0 116326 554385 0 0 248563 5850939 0 5134143 0 0 125746 416289 0 0 155726 347986 1338823 473732 6889255 -225169 -1038316 13883059 13771281 1472000 2107538 12411059 11663743 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 6150936 5134143 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 6150936 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 6 0 1 6 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 SHARON STEELE CPA 8287716720 890 HENDERSONVILLE ROAD SUITE 300 ASHEVILLE NC 28803 CATHLEEN BLANCHARD BOARD CHAIR 2.00 X X 0 0 0 DAVID NEUMANN ESQ BOARD TREASURER 2.00 X X 0 0 0 JAMIE RAMSEY MD BOARD SECRETARY 2.00 X X 0 0 0 JEREMY PURCELL BOARD VICE-CHAIR 2.00 X X 0 0 0 JIM WRIGHT MD BOARD MEMBER 2.00 X 0 0 0 ART FISHER BOARD MEMBER 2.00 X 0 0 0 JIM TYSON MD BOARD MEMBER 2.00 X 0 0 0 WILLIAM MILLS BOARD MEMBER 2.00 X 0 0 0 JUAN MASCARO BOARD MEMBER 2.00 X 0 0 0 LEX GREEN CPA PRESIDENT 50.00 X 0 142051 33584 0 142051 33584 0 0 1 0 SHARECARE INC PO BOX 936450 ATLANTA GA 311936450 BLUE ZONE PROJECT FACILITATORS 1133333 1 5296554 5296554 199040 199040 355345 0 355345 355345 355345 5850939 0 0 554385 X 5124143 5124143 10000 10000 339750 266334 73416 49835 39868 9967 26704 21363 5341 87966 68216 19750 1143463 1016793 101336 25334 12768 10214 2554 18274 14620 3654 25959 20767 5192 31145 24917 6228 783 627 156 6490 4752 1738 4476 3581 895 MISCELLANEOUS 7499 5998 1501 6889255 6150936 582593 155726 200 202 196553 988711 158435 160765 3961 1285 3565 501700 78004 430187 423696 13093723 12193057 13883059 13771281 346949 35637 1125031 2071901 20 0 1472000 2107538 X 9821953 8931486 2589106 2732257 12411059 11663743 13883059 13771281 -1038316 332495 -41495 0 X X 0 1 X 1 0 X 2275879 376081 501760 132237 327882 3613839 2275879 376081 501760 132237 327882 3613839 248624 3365215 155513 209057 218169 55876 199040 837655 6117 6117 4457611 36702 0.75490 0.91780 X SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: UNEXPECTED PROCEEDS FROM HOSPITAL SALE GRANTED TO FOUNDATION DATE: 12/31/20 AMOUNT: 5000000. DESCRIPTION: UNEXPECTED PROCEEDS FROM HOSPITAL SALE GRANTED TO FOUNDATION DATE: 09/30/19 AMOUNT: 5000000. DESCRIPTION: UNEXPECTED ESTATE GRANT DATE: 09/30/18 AMOUNT: 85295. DESCRIPTION: UNEXPECTED ESTATE GRANT DATE: 09/30/17 AMOUNT: 552526. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 13093673 621357 1487061 34912 12193057 13151491 3630 116327 177775 13093673 9759625 11397454 1553227 9506909 51906 13151491 9108938 432658 218029 9759625 11223306 5888 1179744 3300000 9108938 0.81400 0.18600 0 0 221000 221000 206721 22973 183748 73979 55031 18948 423696 6691737 564907 27328 248563 840798 5850939 0 5850939 7390315 27328 473732 501060 6889255 0 6889255 PART XI, LINE 2D - OTHER ADJUSTMENTS: ADJUSTMENT FOR SHORT YEAR RETURN PART XII, LINE 2D - OTHER ADJUSTMENTS: ADJUSTMENT FOR SHORT YEAR RETURN PART V, LINE 4 THE FOUNDATION'S ENDOWMENT CONSISTS OF SEVEN 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 ALL SOULS COUNSELING CENTER 35 ARLINGTON STREET ASHEVILLE NC 28801 562200862 501C3 10000 PROGRAM SUPPORT APPALACHIAN SUSTAINABLE AGRICULTURE PROJECT INC 306 W HAYWOOD STREET ASHEVILLE NC 28801 061642769 501C3 259590 PROGRAM SUPPORT ASHEVILLE BUNCOMBE COMMUNITY CHRISTIAN MINISTRY 20 20TH STREET ASHEVILLE NC 28806 831409504 501C3 10000 PROGRAM SUPPORT BABIES NEED BOTTOMS PO BOX 5171 ASHEVILLE NC 28813 823574436 501C3 20000 PROGRAM SUPPORT BEACON OF HOPE SERVICES PO BOX 877 MARSHALL NC 28753 562241353 501C3 50000 PROGRAM SUPPORT BELOVED ASHEVILLE PO BOX 6386 ASHEVILLE NC 28816 843381632 501C3 72970 PROGRAM SUPPORT BIG BROTHERS BIG SISTERS OF WNC 50 S FRENCH BROAD AVE SUITE 213 ASHEVILLE NC 28801 581505917 501C3 12470 PROGRAM SUPPORT BLUE RIDGE COMMUNITY COLLEGE EDUCATIONAL FOUNDATION 180 W CAMPUS DRIVE FLAT ROCK NC 28731 541328809 501C3 180000 PROGRAM SUPPORT BLUE RIDGE COMMUNITY HEALTH SERVICES INC 220 5TH AVENUE EAST HENDERSONVILLE NC 28792 560794933 501C3 168300 PROGRAM SUPPORT BOUND FOR GLORY CAMP PO BOX 663 BREVARD NC 28712 463566943 501C3 20000 PROGRAM SUPPORT BOUNTY & SOUL 999 OLD US HWY 70 BLACK MOUNTAIN NC 28711 464759362 501C3 25000 PROGRAM SUPPORT BOYS & GIRLS CLUB OF TRANSYLVANIA COUNTY INC PO BOX 1360 BREVARD NC 28712 562142829 501C3 50000 PROGRAM SUPPORT BREVARD ACADEMY 1110 NEW HENDERSONVILLE HWY PIISGAH FOREST NC 28768 562049981 501C3 25000 PROGRAM SUPPORT BREVARD COLLEGE ONE BREVARD COLLEGE DRIVE BREVARD NC 28712 560532297 501C3 16488 PROGRAM SUPPORT BREVARD MUSIC CENTER PO BOX 312 BREVARD NC 28712 560729350 501C3 81500 PROGRAM SUPPORT CHILDREN & FAMILY RESOURCE CENTER PO BOX 1105 HENDERSONVILLE NC 28793 562113878 501C3 75000 PROGRAM SUPPORT COMMUNITY ACTION OPPORTUNITIES INC 25 GASTON STREET ASHEVILLE NC 28801 560817672 501C3 17000 PROGRAM SUPPORT COMMUNITY FOUNDATION OF WNC 4 VANDERBILT PARK DR ASHEVILLE NC 28803 561223384 501C3 30000 PROGRAM SUPPORT COMMUNITY HOUSING COALITION OF MADISON COUNTY PO BOX 1166 MARSHALL NC 28753 113660564 501C3 100000 PROGRAM SUPPORT COMPASSIONATE CARE WESTERN NORTH CAROLINA 856 GEORGES FORK RD BURNSVILLE NC 28714 561388030 501C3 82000 PROGRAM SUPPORT CONSERVING CAROLINA 847 CASE ST HENDERSONVILLE NC 28792 566449365 501C3 240000 PROGRAM SUPPORT CREATING A FAMILY 874 LAMBS CREEK ROAD BREVARD NC 28712 270679437 501C3 30000 PROGRAM SUPPORT CROSSNORE SCHOOL & CHILDREN'S HOME PO BOX 249 CROSSNORE NC 28616 560567980 501C3 126000 PROGRAM SUPPORT FIRST CONTRACT MINISTRIES 106 CHADWICK AVE HENDERSONVILLE NC 28792 474399326 501C3 72548 PROGRAM SUPPORT FOSTER GRANDPARENT PROGRAM AT LAND OF SKY REGIONAL 339 NEW LEICESTER HWY STE 140 ASHEVILLE NC 28806 561024369 501C3 65000 PROGRAM SUPPORT GREEN RIVER PRESERVE 301 GREEN RIVER ROAD CEDAR MOUNTAIN NC 28718 561554526 501C3 7000 PROGRAM SUPPORT HAYWOOD COUNTY HEALTH & HUMAN SERVICES 157 PARAGON PKWY CLYDE NC 28721 561389676 501C3 64900 PROGRAM SUPPORT HAYWOOD COUNTY MEALS ON WHEELS 157 PARAGON PKWY SUITE 300 CLYDE NC 28721 566001524 501C3 37000 PROGRAM SUPPORT HAYWOOD PATHWAYS CENTER 179 HEMLOCK STREET WAYNESVILLE NC 28786 472608669 501C3 37000 PROGRAM SUPPORT HAYWOOD STREET CONGREGATION PO BOX 2982 ASHEVILLE NC 28802 455301549 501C3 46780 PROGRAM SUPPORT HENDERSON COUNTY EDUCATION FOUNDATION INC PO BOX 1267 HENDERSONVILLE NC 28793 581734733 501C3 35000 PROGRAM SUPPORT HENDERSON COUNTY FREE MEDICAL CLINIC INC 841 CASE STREET HENDERSONVILLE NC 28792 562242021 501C3 75000 PROGRAM SUPPORT HENDERSON COUNTY UNITED WAY PO BOX 487 HENDERSONVILLE NC 28793 560890133 501C3 15000 PROGRAM SUPPORT HIGHTS PO BOX 865 CULLOWHEE NC 28786 261566023 501C3 17887 PROGRAM SUPPORT INHERITANCE OF HOPE 547 VALERIA LANE PISGAH FOREST NC 28768 753243566 501C3 30000 PROGRAM SUPPORT IRENE WORTHAM CENTER 916 WEST CHAPEL RD ASHEVILLE NC 28803 560733452 501C3 20800 PROGRAM SUPPORT JOHN SCARLETT MEMORIAL FUND DBA THE BREVARD ROTARY FOUNDATION BREVARD NC 28712 561250626 501C3 40000 PROGRAM SUPPORT LAND OF SKY REGIONAL COUNCIL 339 NEW LEICESTER HWY SUITE 140 ASHEVILLE NC 28806 561024369 501C3 5700 PROGRAM SUPPORT LAND OF SKY SENIOR COMPANY PROGRAM 339 NEW LEICESTER HWY SUITE 140 ASHEVILLE NC 28806 561024369 501C3 30000 PROGRAM SUPPORT MADISON COUNTY EDUCATION FOUNDATION 5738 US HWY 25/70 MARSHALL NC 28753 581986660 501C3 25000 PROGRAM SUPPORT MANNA FOODBANK 627 SWANNANOA RIVER RD ASHEVILLE NC 28805 581514800 501C3 339332 PROGRAM SUPPORT MAPLE LEAF ADULT RESPITE 63 ELMWOOD WAY STE C100 WAYNESVILLE NC 28786 566001524 501C3 25000 PROGRAM SUPPORT MEALS ON WHEELS OF BREVARD PO BOX 485 BREVARD NC 28712 561224960 501C3 8719 PROGRAM SUPPORT MERIDIAN BEHAVIORAL HEALTH SERVICES 44 BONNIE LANE SYLVA NC 28779 562280613 501C3 82500 PROGRAM SUPPORT MILLS RIVER LIFE ENRICHMENT CENTER 137 OLD TURNPIKE ROAD MILLS RIVER NC 28759 834700354 501C3 10000 PROGRAM SUPPORT MOUNTAIN AREA HEALTH EDUCATION CENTER 121 HENDERSONVILLE ROAD ASHEVILLE NC 28803 561071426 501C3 116500 PROGRAM SUPPORT MOUNTAIN PROJECTS 2177 ASHEVILLE RD WAYNESVILLE NC 28786 560849092 501C3 10000 PROGRAM SUPPORT MOUNTAIN ROOTS INC PO BOX 248 CEDAR MOUNTAIN NC 28718 270898040 501C3 37300 PROGRAM SUPPORT MUDDY SNEAKERS INC 44 WEST JORDAN STREET BREVARD NC 28712 260338084 501C3 75000 PROGRAM SUPPORT MY SISTER'S PLACE OF MADISON PO BOX 457 MARSHALL NC 28753 581871398 501C3 69000 PROGRAM SUPPORT NEIGHBORS IN MINISTRY PO BOX 1036 BREVARD NC 28712 562032133 501C3 40000 PROGRAM SUPPORT ONLY HOPE WNC INC 416 ALLEN ROAD EAST FLAT ROCK NC 28726 453751833 501C3 55000 PROGRAM SUPPORT PISGAH LEGAL SERVICE PO BOX 2276 ASHEVILLE NC 28802 561191115 501C3 61000 PROGRAM SUPPORT PROJECT DIGNITY OF WESTERN NORTH CAROLINA PO BOX 6104 HENDERSONVILLE NC 28793 815123670 501C3 25000 PROGRAM SUPPORT RESOURCES FOR RESILIENCE 13 1/2 EAGLE STREET STE K ASHEVILLE NC 28801 820751905 501C3 127340 PROGRAM SUPPORT SAFELIGHT INC 133 5TH AVENUE WEST HENDERSONVILLE NC 28792 561469847 501C3 60000 PROGRAM SUPPORT SIXTH AVENUE PSYCHIATRIC REHABILITATON PARTNERS INC 110-C CHADWICK SQUARE COURT HENDERSONVILLE NC 28739 205599815 501C3 30000 PROGRAM SUPPORT SMART START OF TRANSYLVANIA COUNTY PO BOX 1676 BREVARD NC 28712 311489864 501C3 96000 PROGRAM SUPPORT SOUTHERN HIGHLANDS RESERVE 558 SUMMIT RIDGE ROAD LAKE TOXAWAY NC 28747 200212113 501C3 22250 PROGRAM SUPPORT SOUTHWESTERN CHILD DEVELOPMENT COMMISSION PO BOX 250 WEBSTER NC 28788 237181553 501C3 86052 PROGRAM SUPPORT SPECIAL OLYMPICS NORTH CAROLINA 2200 GATEWAY CENTRE BLVD STE 201 MORRISVILLE NC 27560 561149607 501C3 20000 PROGRAM SUPPORT ST GERARD HOUSE 620 OAKLAND STREET HENDERSONVILLE NC 28739 450948760 501C3 76000 PROGRAM SUPPORT STEP WESTERN NORTH CAROLINA PO BOX 563 BREVARD NC 28712 842308494 501C3 33500 PROGRAM SUPPORT SUNRISE COMMUNITY FOR RECOVERY AND WELLNESS PO BOX 845 ASHEVILLE NC 28802 205775122 501C3 85189 PROGRAM SUPPORT THE CENTER FOR WOMEN 39 E JORDAN STREET BREVARD NC 28712 561799383 501C3 7500 PROGRAM SUPPORT THE CINDY PLATT BOYS AND GIRLS CLUB OF TRANS CO 11 GALLIMORE RD BREVARD NC 28712 562142829 501C3 19762 PROGRAM SUPPORT THE COMMUNITY KITCHEN PO BOX 513 CANTON NC 28716 510605733 501C3 69500 PROGRAM SUPPORT THE EACH INITIATIVE PO BOX 122 WAYNESVILLE NC 28786 821515637 501C3 156500 PROGRAM SUPPORT THE FAMILY PLACE 970 OLD HENDERSONVILLE HWY BREVARD NC 28712 562019918 501C3 29000 PROGRAM SUPPORT THE HAVEN OF TRANSYLVANIA COUNTY PO BOX 25 BREVARD NC 28712 271124164 501C3 134500 PROGRAM SUPPORT THE HOUSING ASSISTANCE CORPORATION 602 KANUGA ROAD HENDERSONVILLE NC 28739 581831757 501C3 62000 PROGRAM SUPPORT THE MEDICAL LOAN CLOSET OF HENDERSON COUNTY 1225 7TH AVE EAST HENDERSONVILLE NC 28792 262933780 501C3 5000 PROGRAM SUPPORT TRACTOR FOOD AND FARMS PO BOX 1507 BURNSVILLE NC 28714 455100047 501C3 159912 PROGRAM SUPPORT TRANSYLVANIA CHRISTIAN MINISTRY INC PO BOX 958 BREVARD NC 28712 561292875 501C3 105000 PROGRAM SUPPORT TRANSYLVANIA COUNTY GOVERNMENT 106 EAST MORGAN ST STE 105 BREVARD NC 28712 501C3 6250 PROGRAM SUPPORT TRANSYLVANIA COUNTY PUBLIC SCHOOLS 225 ROSENWALD LANE BREVARD NC 28712 501C3 45000 PROGRAM SUPPORT TRANSYLVANIA COUNTY SCHOOLS EDUCATION FOUNDATION 225 ROSENWALD LANE BREVARD NC 28712 561646825 501C3 10000 PROGRAM SUPPORT TRANSYLVANIA FARMERS MARKET PO BOX 204 BREVARD NC 28712 462390369 501C3 50000 PROGRAM SUPPORT TRUE RIDGE 229 AIRPORT RD STE 7-153 ARDEN NC 28704 821094679 501C3 22500 PROGRAM SUPPORT WESTERN CAROLINA COMMUNITY ACTION INC PO BOX 685 HENDERSONVILLE NC 28793 560846319 501C3 162217 PROGRAM SUPPORT YMCA OF WESTERN NORTH CAROLINA 40 NORTH MERRIMON AVE SUITE 309 ASHEVILLE NC 28804 560530013 501C3 45006 PROGRAM SUPPORT 81 SCHOLARSHIPS 10 10000 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 LEX GREEN CPA PRESIDENT 0 142051 0 0 0 0 0 0 0 33584 0 175635 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 101,336. FUNDRAISING EXPENSES 25,334. TOTAL EXPENSES 126,670. BLUE ZONE - COMMUNITY HEALTH PROJECT: PROGRAM SERVICE EXPENSES 1,016,793. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,016,793. 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 PISGAH HEALTH FOUNDATION INC