FURP.ORG / PUBLIC DATA EXPLORER

HARNETT HEALTH SYSTEM FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HARNETT HEALTH SYSTEM FOUNDATION (EIN 20-1929953)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-13
IRS object ID
201842259349301804
Schema version
2016v3.0
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)
Return2018-08-13T15:03:39-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1227 WEST TRADE STREET SUITE 800AddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201929953EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HARNETT HEALTH SYSTEMBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHARNBusinessNameControlTxt
Phone9108911000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 TILGHMAN DRIVEAddressLine1Txt
CityDUNNCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28334ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJESSICA LANGPersonNm
Person TitleCFOPersonTitleTxt
Phone9108911000PhoneNum
Signature2018-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN NORMANPreparerPersonNm
PTINP01506766PTIN
Phone7049985200PhoneNum
Preparation2018-08-10PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCORNELIA STEWARTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 TILGHMAN DRIVEAddressLine1Txt
CityDUNNCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28334ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$267,685GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://MYHARNETTHEALTH.ORG/ABOUTFOUNDATION/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTHE FOUNDATIONS PURPOSE IS TO SUPPLEMENT, ENHANCE AND ENRICH THE FACILITIES PROGRAMS AND SERVICES PROVIDED BY HARNETT HEALTH SYSTEM, INC.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$119,047PYContributionsGrantsAmt
CY Contributions Grants$242,628CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$3,065PYInvestmentIncomeAmt
CY Investment Income$11,109CYInvestmentIncomeAmt
PY Other Revenue-$3,100PYOtherRevenueAmt
CY Other Revenue-$8,447CYOtherRevenueAmt
PY Total Revenue$119,012PYTotalRevenueAmt
CY Total Revenue$245,290CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,335PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,917CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,245PYOtherExpensesAmt
CY Other Expenses$70,973CYOtherExpensesAmt
PY Total Expenses$26,580PYTotalExpensesAmt
CY Total Expenses$93,890CYTotalExpensesAmt
PY Revenues Less Expenses$92,432PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$151,400CYRevenuesLessExpensesAmt
Total Assets BOY$1,363,300TotalAssetsBOYAmt
Total Assets EOY$1,454,442TotalAssetsEOYAmt
Total Liabilities BOY$105,600TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,641TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,257,700NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,448,801NetAssetsOrFundBalancesEOYAmt
MissionTHE FOUNDATION'S PURPOSE IS TO SUPPLEMENT, ENHANCE, AND ENRICH THE FACILITIIES PROGRAMS AND SERVICES PROVIDED BY HARNETT HEALTH SYSTEM, INC.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$84,953ExpenseAmt
DescHARNETT HEALTH FOUNDATION'S MISSION IS TO RAISE AWARENESS, INSPIRE ENGAGEMENT, AND INVESTMENT IN LOCAL HEALTH CARE TO IMPROVE THE QUALITY OF LIFE OF OUR FAMILIES AND NEIGHBORS. THEY ARE ADVANCING HEALTHCARE & CONTRIBUTING TO A THRIVING COMMUNITY THROUGH COMMUNITY ENGAGEMENT, NEEDED DEVELOPMENT IN HARNETT HEALTH FACILITIES AND STATE-OF-THE-ART EQUIPMENT. DURING FY 2017, $37,598 WAS PROVIDED TO HARNETT HEALTH SYSTEM TO MAKE RENOVATIONS AND PROVIDE TRAINING TO STAFF.Desc
Total Program Service Expenses$84,953TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAMANTHA NISHNICKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9108921000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 TILGHMAN DRIVEAddressLine1Txt
CityDUNNCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28334ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CORNELIA T STEWART
CHAIR4.00Yes (X)Yes (X)$0$0$0
DAL SNIPES
VICE CHAIR4.00Yes (X)Yes (X)$0$0$0
EMMETT ALDREDGE
SECRETARY4.00Yes (X)Yes (X)$0$0$0
EDDIE TOBLER
TREASURER4.00Yes (X)$0$0$0
JIMMY JOHNSON
BOARD MEMBER1.00Yes (X)$0$0$0
LD BLACK
BOARD MEMBER1.00Yes (X)$0$0$0
WALTER WEEKS
BOARD MEMBER1.00Yes (X)$0$0$0
ANDY BOWMAN
BOARD MEMBER1.00Yes (X)$0$0$0
CHRIS STEWART
BOARD MEMBER1.00Yes (X)$0$0$0
THOMAS BUTLER
BOARD MEMBER1.00Yes (X)$0$0$0
OLALEKAN FOLARIN
BOARD MEMBER1.00Yes (X)$0$0$0
SUSAN CHRISCOE
BOARD MEMBER1.00Yes (X)$0$0$0
KEITH TRIPP
BOARD MEMBER1.00Yes (X)$0$0$0
KEVIN JACKSON
PRESIDENT HHS1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$89,311FundraisingAmt
Related Organizations$1,157RelatedOrganizationsAmt
All Other Contributions$152,160AllOtherContributionsAmt
Total Contributions$242,628TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,165TotalRevenueColumnAmt
Exclusion$12,165ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,056SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,056SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,056TotalRevenueColumnAmt
Exclusion-$1,056ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$12,892FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$89,311ContriRptFundraisingEventAmt
Fundraising Direct Expenses$21,339FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,447TotalRevenueColumnAmt
Exclusion-$8,447ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$245,290TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,662ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$22,917TotalAmt
Program Services$22,917ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,937TotalAmt
Management And General$8,937ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$53,195TotalAmt
Program Services$53,195ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,288TotalAmt
Program Services$1,288ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,553TotalAmt
Program Services$7,553ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$93,890TotalAmt
Program Services$84,953ProgramServicesAmt
Management And General$8,937ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$197,839BOYAmt
EOY$276,030EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$64,797BOYAmt
EOY$33,547EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$600,000LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$600,000BOYAmt
EOY$600,000EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$500,664BOYAmt
EOY$544,865EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,363,300BOYAmt
EOY$1,454,442EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$105,600BOYAmt
EOY$5,641EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$105,600BOYAmt
EOY$5,641EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,160,434BOYAmt
EOY$1,443,160EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$97,266BOYAmt
EOY$5,641EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,257,700BOYAmt
EOY$1,448,801EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,363,300BOYAmt
EOY$1,454,442EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$151,400ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$39,701NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$200,301CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$340,371CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,712CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$81,193CurrentTaxYearMinus1YearAmt
Current Tax Year$153,317CurrentTaxYearAmt
Total$835,894TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$200,301CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$340,371CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,712CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$81,193CurrentTaxYearMinus1YearAmt
Current Tax Year$153,317CurrentTaxYearAmt
Total$835,894TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$835,894PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,042CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$579CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$618CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,065CurrentTaxYearMinus1YearAmt
Current Tax Year$12,165CurrentTaxYearAmt
Total$17,469TotalAmt
FieldValueIRS element (for citing)
Total Support$853,363TotalSupportAmt
Public Support CY1700.97950PublicSupportCY170Pct
Public Support PY1700.98800PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$600,000OtherCostOrOtherBasisAmt
Book Value$600,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$600,000TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTS HELD TO MATURITYDesc
Book Value$544,865BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$544,865TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2017.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$60,965GrossReceiptsEvent1Amt
Charitable Contri Event1$57,744CharitableContriEvent1Amt
Gross Revenue Event1$3,221GrossRevenueEvent1Amt
Rent Facility Costs Event1$2,582RentFacilityCostsEvent1Amt
Food And Beverage Event1$639FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$4,406OtherDirectExpensesEvent1Amt
Event2BLESS YOUR HEARTEvent2Nm
Gross Receipts Event2$41,238GrossReceiptsEvent2Amt
Charitable Contri Event2$31,567CharitableContriEvent2Amt
Gross Revenue Event2$9,671GrossRevenueEvent2Amt
Rent Facility Costs Event2$2,500RentFacilityCostsEvent2Amt
Food And Beverage Event2$4,671FoodAndBeverageEvent2Amt
Entertainment Event2$5,000EntertainmentEvent2Amt
Other Direct Expenses Event2$1,542OtherDirectExpensesEvent2Amt
Gross Receipts Total$102,203GrossReceiptsTotalAmt
Charitable Contributions Tot$89,311CharitableContributionsTotAmt
Gross Revenue Total Events$12,892GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$5,082RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$5,310FoodAndBeverageTotalEventsAmt
Entertainment Total Events$5,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$5,948OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$21,340DirectExpenseSummaryEventsAmt
Net Income Summary-$8,448NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE SECRETARY AND THE TREASUER. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE ORGANIZATION TO THE EXTENT PERMITTED BY LAW DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BJESSICA LANG, CORPORATE DIRECTOR - FINANCIAL OPERATIONS, WILL REVIEW THE 990 FORM WITH THE BOARD AND ANSWER ANY OF THEIR QUESTIONS. THE BOARD WILL THEN VOTE TO APPROVE OR NOT APPROVE THE 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE LEADERSHIP OF THE BOARD OF TRUSTEES(THROUGHOUT THE YEAR IF NEEDED) AND ADMINISTERED TO ALL VOTING BOARD MEMBERS
FORM 990, PART VI, SECTION B, LINE 15ATHE CONFLICT OF INTERST POLICY IS REVIEWED ANNUALLY BY THE LEADERSHIP OF THE BOARD OF TRUSTEES(THROUGHOUT THE YEAR IF NEEDED) AND ADMINISTERED TO ALL VOTING BOARD MEMBERS
FORM 990, PART VI, SECTION C, LINE 18PHOTOCOPIES OF THE 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, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HARNETT HEALTH SYSTEM INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1706AddressLine1Txt
CityDUNNCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28335ZIPCd
FieldValueIRS element (for citing)
EIN560603898EIN
Primary ActivitiesHOSPITALPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusHOSPITALPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd