BETA

GATEWAY WELLNESS FOUNDATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
GATEWAY WELLNESS FOUNDATION (EIN 46-3395393)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201632299349300318
Schema version
2014v6.0
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)
Return2016-08-15T00:00:00-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463395393EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCDOWELL HEALTHCARE FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMCDOBusinessNameControlTxt
Phone8286595000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 RANKIN DRIVEAddressLine1Txt
CityMARIONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28752ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCLINT STEWARTPersonNm
Person TitleREGIONAL DIRECTOR - FINANCEPersonTitleTxt
Phone8286595000PhoneNum
Signature2016-08-16SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCLINT STEWARTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 RANKIN DRIVEAddressLine1Txt
CityMARIONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28752ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$395,021GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MCDOWELLHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO RAISE FUNDS FOR THE SUPPORT OF THE MCDOWELL HOSPITAL, INC.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$187,714PYContributionsGrantsAmt
CY Contributions Grants$392,991CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$43PYInvestmentIncomeAmt
CY Investment Income$2,030CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$187,757PYTotalRevenueAmt
CY Total Revenue$395,021CYTotalRevenueAmt
PY Grants And Similar Paid$88,397PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$220,229CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$119,722CYTotalFundraisingExpenseAmt
PY Other Expenses$19,663PYOtherExpensesAmt
CY Other Expenses$121,052CYOtherExpensesAmt
PY Total Expenses$108,060PYTotalExpensesAmt
CY Total Expenses$341,281CYTotalExpensesAmt
PY Revenues Less Expenses$79,697PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$53,740CYRevenuesLessExpensesAmt
Total Assets BOY$211,397TotalAssetsBOYAmt
Total Assets EOY$478,949TotalAssetsEOYAmt
Total Liabilities BOY$38,551TotalLiabilitiesBOYAmt
Total Liabilities EOY$117,718TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$172,846NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$361,231NetAssetsOrFundBalancesEOYAmt
MissionTHE FOUNDATION'S PRIMARY MISSION IS TO SUPPORT THE MISSION AND PROGRAMS OF THE MCDOWELL HOSPITAL, INC.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$220,891ExpenseAmt
Grant$220,229GrantAmt
DescTHE MCDOWELL HEALTHCARE FOUNDATION ("FOUNDATION") WAS ORGANIZED TO SUPPORT THE MISSION AND PROGRAMS OF THE MCDOWELL HOSPITAL ("HOSPITAL"). THE FOUNDATION WORKS WITH THE HOSPITAL TO ENSURE RESIDENTS OF THE COMMUNITY HAVE ACCESS TO COMPREHENSIVE, HIGH QUALITY MEDICAL CARE. THE FOUNDATION ACCOMPLISHES THIS BY RAISING FUNDS AND MAKING CONTRIBUTIONS TO THE HOSPITAL.Desc
Total Program Service Expenses$220,891TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSION FINANCE DEPARTMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8282577063PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 RIDGEFIELD CT STE 100AddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerInd
NORMAN GUTHRIE
DIRECTOR - CHAIRMAN1.00Yes (X)$0$0$0
KENNY GREENE
DIRECTOR1.00Yes (X)$0$0$0
HILL EVANS
DIRECTOR1.00Yes (X)$0$0$0
LINDA CLOHERTY
DIRECTOR1.00Yes (X)$0$0$0
BECKY CROSS
DIRECTOR1.00Yes (X)$0$0$0
GLYNDA DEAN
DIRECTOR1.00Yes (X)$0$0$0
KATHY RABB
DIRECTOR1.00Yes (X)$0$0$0
JED RANKIN
DIRECTOR1.00Yes (X)$0$0$04.00
HAROLD WALKER
DIRECTOR - VICE CHAIRMAN1.00Yes (X)$0$0$01.00
LYNN BOGGS
HOSPITAL CEO THROUGH DEC. 20141.00Yes (X)$0$427,615$70,14959.00Yes (X)
MARION BAKER
DIRECTOR1.00Yes (X)$0$0$0
CAROL WOLFENBARGER
HOSPITAL PRES & CNO BEG MAR 20151.00Yes (X)$0$0$039.00Yes (X)
CLINT STEWART
TREASURER AND SECRETARY1.00$0$127,049$23,83849.00Yes (X)
LUKE HOWE
DIR. OF PHILANTHROPY BEG. 6/1/1540.00$0$0$00.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$554,664TotReportableCompRltdOrgAmt
Total Other Compensation$93,987TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$126,148RelatedOrganizationsAmt
All Other Contributions$266,843AllOtherContributionsAmt
Total Contributions$392,991TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,030TotalRevenueColumnAmt
Exclusion$2,030ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$395,021TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,030ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$220,229TotalAmt
Program Services$220,229ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$120,107TotalAmt
Program Services$327ProgramServicesAmt
Management And General$58ManagementAndGeneralAmt
Fundraising$119,722FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$672TotalAmt
Program Services$101ProgramServicesAmt
Management And General$571ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13TotalAmt
Program Services$13ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$260TotalAmt
Program Services$221ProgramServicesAmt
Management And General$39ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$341,281TotalAmt
Program Services$220,891ProgramServicesAmt
Management And General$668ManagementAndGeneralAmt
Fundraising$119,722FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$163,957BOYAmt
EOY$432,325EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$750BOYAmt
EOY$4,275EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,299BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$44,391BOYAmt
EOY$42,349EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$211,397BOYAmt
EOY$478,949EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,551BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$117,718EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,551BOYAmt
EOY$117,718EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$73,002BOYAmt
EOY$67,281EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$99,844BOYAmt
EOY$293,950EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$172,846BOYAmt
EOY$361,231EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$211,397BOYAmt
EOY$478,949EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$53,740ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,112NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$138,757OtherChangesInNetAssetsAmt
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 Minus2 Years$94,145CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$187,714CurrentTaxYearMinus1YearAmt
Current Tax Year$273,269CurrentTaxYearAmt
Total$555,128TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$94,145CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$187,714CurrentTaxYearMinus1YearAmt
Current Tax Year$273,269CurrentTaxYearAmt
Total$555,128TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$201,707SubstantialContributorsTotAmt
Public Support Total170$353,421PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$43CurrentTaxYearMinus1YearAmt
Current Tax Year$2,030CurrentTaxYearAmt
Total$2,073TotalAmt
FieldValueIRS element (for citing)
Total Support$557,201TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$99,844BeginningYearBalanceAmt
Contributions$410,585ContributionsAmt
Grants Or Scholarships$220,229GrantsOrScholarshipsAmt
End Year Balance$290,200EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,000BeginningYearBalanceAmt
Contributions$74,844ContributionsAmt
End Year Balance$99,844EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$25,000ContributionsAmt
End Year Balance$25,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED PARTIESDesc
Amt$117,718Amt
FieldValueIRS element (for citing)
Total Liability$117,718TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS INCLUDED IN MISSION HEALTH SYSTEM'S CONSOLIDATED AUDIT WHICH APPLIES THE PROVISIONS OF FASB ASC TOPIC 740, INCOME TAXES (ASC 740), IN ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS CURRENTLY NO IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1THE MCDOWELL HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 RANKIN DRIVEAddressLine1Txt
CityMARIONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28752ZIPCd
FieldValueIRS element (for citing)
Recipient EIN560623938RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$220,229CashGrantAmt
Purpose Of GrantOPERATIONAL ASSISTANCEPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE MCDOWELL HEALTHCARE FOUNDATION PROVIDES SUPPORT TO THE MCDOWELL HOSPITAL, INC. AS PART OF ITS EXEMPT PURPOSE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LYNN BOGGS
HOSPITAL CEO THROUGH DEC. 2014$0$281,124$0$0$0$146,491$0$54,031$0$16,118$0$497,764$0$0
CLINT STEWART
TREASURER AND SECRETARY$0$118,188$0$0$0$8,861$0$3,409$0$20,429$0$150,887$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION FOR OFFICERS AND EXECUTIVES ARE SET BY MISSION HEALTH SYSTEM. SEE SCHEDULE O FOR ADDITIONAL DETAIL.
PART I, LINE 4BDIRECTORS, OFFICERS, KEY EMPLOYEES AND TOP FIVE EMPLOYEES WHO RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THESE PAYMENTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J, PAGE 2. LYNN BOGGS $77,318 DIRECTORS, OFFICERS, KEY EMPLOYEES AND TOP FIVE EMPLOYEES WHO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH CONTRIBUTION AMOUNTS. THESE AMOUNTS ARE DISCLOSED IN THE DEFERRED COMPENSATION SECTION OF SCHEDULE J. LYNN BOGGS $43,631

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE MCDOWELL HOSPITAL, INC. A NORTH CAROLINA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE DIRECTORS SHALL BE ELECTED BY THE SOLE MEMBER, THE MCDOWELL HOSPITAL, INC. (MEMBER). THE BOARD OF DIRECTORS MAY NOMINATE PERSONS TO BE ELECTED AS DIRECTORS BY THE MEMBER. THE MEMBER MAY CHOOSE TO ELECT OR NOT ELECT ANY PERSONS WHO ARE NOMINATED IN SUCH MANNER.
FORM 990, PART VI, SECTION A, LINE 7BAS STATED ON LINE 7A PART VI, SECTION A, THE MCDOWELL HOSPITAL, INC. IS THE SOLE MEMBER OF THE FOUNDATION AND MAY ADD OR REMOVE BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION PROVIDES DATA TO THE SR. TREASURY ANALYST OF TREASURY SERVICES FOR MISSION HEALTH SYSTEM, INC. THE 990 IS PREPARED BY STAFF AND REVIEWED BY MANAGEMENT. AFTER THIS REVIEW, REVISIONS FOR CLARIFICATIONS OR CORRECTIONS ARE MADE AND THE FULL COPY OF THE 990 IS PROVIDED TO THE BOARD PRIOR TO FILING THE 990.
FORM 990, PART VI, SECTION B, LINE 12CALL VOTING BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY AND NOTE ANY CONFLICTS THAT ARE PRESENT AT EACH BOARD MEETING. ALL VOTING BOARD MEMBERS ARE RESPONSIBILE FOR MAKING CONFLICTS OF INTEREST KNOWN AND POTENTIALLY INTERESTED PARTIES ARE EXCUSED FROM DISCUSSIONS AND VOTES.
FORM 990, PART VI, SECTION B, LINE 15A RELATED ORGANIZATION DRAWS WAGE COMPARISON DATA FROM OUTSIDE EXECUTIVE COMPENSATION CONSULTANTS TO ENSURE COMPENSATION LEVELS ARE AT FAIR MARKET VALUE THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION(COMMITTEE) REVIEWS THIS DATA AND RECOMMENDS TO THE BOARD OF THE RELATED ORGANIZATION ANY REVISIONS TO THE OVERALL PHILOSOPHY AND POLICY TO GUIDE THE DETERMINATION OF COMPENSATION AND BENEFIT PACKAGES FOR EXECUTIVES WHICH INCLUDES THE CEO, THE CFO, AND PRESIDENT AS WELL AS ALL OTHER EXECUTIVES, WHICH WOULD INCLUDE ALL KEY EMPLOYEES. THE COMMITTEE KEEPS AND DISTRIBUTES MINUTES OF ALL ITS MEETINGS TO ITS MEMBERS. ITEMS OF A SENSITIVE NATURE ARE REFERENCED IN THE MINUTES WITH DETAILED, SUPPORTING DOCUMENTATION RETAINED ON FILE. THE COMMITTEE ALSO DISCLOSES ANY POTENTIAL CONFLICTS OF INTEREST SITUATIONS TO THE COMMITTEE CHAIRMAN THAT MAY AFFECT THEIR INDEPENDENT DIRECTORS' STATUS AS SOON AS THEY ARISE, AND MAINTAINS COMPLETE DOCUMENTATION OF ALL MATTERS DISCUSSED BY THE COMMITTEE. THE COMMITTEE OBTAINS EDUCATION AND TRAINING TO EXERCISE ALL RESPONSIBILITIES EFFECTIVELY AND KEEPS ABREAST OF SIGNIFICANT DEVELOPMENTS IN EXECUTIVE COMPENSATION PRACTICES AND REGULATIONS, AND ENSURES THAT ALL ASPECTS OF MISSION HEALTH SYSTEM AND HOSPITAL EXECUTIVE COMPENSATION ADHERE TO ALL RELEVANT REGULATORY REQUIREMENTS, AND REVIEWS THE COMMITTEE CHARTER ANNUALLY REVISING AS APPROPRIATE AND CONDUCTS AN ANNUAL EVALUATION OF THE COMMITTEE'S PERFORMANCE.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 327. MANAGEMENT AND GENERAL EXPENSES 58. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 385. DEPARTMENT OF PHILANTHROPY ALLOCATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 119,722. TOTAL EXPENSES 119,722.
FORM 990, PART XI, LINE 9:TRANSFER FROM THE MCDOWELL HOSPITAL, INC. 138,757.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
MISSION HOSPITAL INC
400 RIDGEFIELD COURT SUITE 100ASHEVILLENC28806560532141ACUTE CARE HOSPITALNC501(C)(3)LINE 3MISSION HEALTH SYSTEM INC0
MISSION HEALTH SYSTEM INC
400 RIDGEFIELD COURT SUITE 100ASHEVILLENC28806581450888SUPPORTING ORGANIZATIONNC501(C)(3)LINE 11A, I0N/A
THE MCDOWELL HOSPITAL INC
430 RANKIN AVENUEMARIONNC28742560623938COMMUNITY HOSPITALNC501(C)(3)LINE 3MISSION HEALTH SYSTEM INC0
MISSION HEALTH SYSTEM FOUNDATION INC
400 RIDGEFIELD COURT SUITE 100ASHEVILLENC28806561881331FOUNDATIONNC501(C)(3)LINE 7MISSION HEALTH SYSTEM INC0
BLUE RIDGE REGIONAL HOSPITAL INC
P O BOX 9SPRUCE PINENC28777561025032COMMUNITY HOSPITALNC501(C)(3)LINE 3MISSION HEALTH SYSTEM INC0
BLUE RIDGE REGIONAL HOSPITAL FOUNDATION
PO BOX 247SPRUCE PINENC28777582172660HOSPITAL FOUNDATIONNC501(C)(3)LINE 11A, IBLUE RIDGE REGIONAL HOSPITAL INC0
TRANSYLVANIA COMMUNITY HOSPITAL INC
260 HOSPITAL DRIVEBREVARDNC28712560562293COMMUNITY HOSPITALNC501(C)(3)LINE 3MISSION HEALTH SYSTEM INC0
ANGEL MEDICAL CENTER INC
PO BOX 1209FRANKLINNC28744566000064COMMUNITY HOSPITALNC501(C)(3)LINE 3MISSION HEALTH SYSTEM INC0
TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC
PO BOX 2440BREVARDNC28712561458024FOUNDATIONNC501(C)(3)LINE 11A, ITRANSYLVANIA COMMUNITY HOSPITAL0
TRANSYLVANIA PHYSICIAN SERVICES INC
260 HOSPITAL DRIVEBREVARDNC28712561920816PHYSICIAN SERVICESNC501(C)(3)LINE 3TRANSYLVANIA COMMUNITY HOSPITAL0
MISSION MEDICAL ASSOCIATES
400 RIDGEFIELD COURT SUITE 100ASHEVILLENC28806263627231EMPLOYED PHYSICIAN GROUPNC501(C)(3)LINE 9MISSION HEALTH SYSTEM INC0
ANGEL MEDICAL CENTER AUXILIARY
PO BOX 1209FRANKLINNC28744562133719SUPPORTING ORGANIZATIONNC501(C)(3)LINE 11A, IANGEL MEDICAL CENTER INC0
HIGHLANDS-CASHIERS HOSPITAL INC
PO BOX 190HIGHLANDSNC28741560509400COMMUNITY HOSPITALNC501(C)(3)LINE 3MISSION HEALTH SYSTEM INC0
HIGHLANDS-CASHIERS PHYSICIAN SERVICES INC
PO BOX 742HIGHLANDSNC28741452422428PHYSICIAN SERVICESNC501(C)(3)LINE 11A, IHIGHLANDS-CASHIERS HOSPITAL INC0
COMMUNITY CAREPARTNERS INC
PO BOX 5779ASHEVILLENC28813562005198LONG TERM REHABILITATIONNC501(C)(3)LINE 9MISSION HEALTH SYSTEM INC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
ASHEVILLE IMAGING LLP
534 BILTMORE AVENUEASHEVILLENC28801561907201OUTPATIENT IMAGING SERVICESNCN/A
IMAGING REALTY LLP
534 BILTMORE AVENUEASHEVILLENC28801561907203MEDICAL OFFICE BUILDINGNCN/A
MSJHS AND CCP JOINT DEVELOPMENT COMPANY LLC
438 BILTMORE AVENUEASHEVILLENC28801562250464LONG TERM ACUTE CARE HOSPITALNCN/A
BLUE RIDGE DME LLC
125 HOSPITAL DRIVESPRUCE PINENC28777263570174HOME MEDICAL EQUIPMENT AND SUPPLIES SALESNCN/A
MCDOWELL MRI LLC
414 RANKIN AVENUEMARIONNC28752753046378MEDICAL IMAGINGNCN/A
BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC
260 HOSPITAL DRIVEBREVARDNC28712203281110MEDICAL IMAGINGNCN/A
TRANSYLVANIA HEALTHCARE II LIMITED PARTNERSHIP
2 MEDICAL PARK DRIVEBREVARDNC28712200333230RENTALNCN/A
HEALTHCARE III LIMITED PARTNERSHIP
260 HOSPITAL DRIVEBREVARDNC28712561599596RENTALNCN/A
HEALTHCARE LIMITED LIABILITY COMPANY VII
260 HOSPITAL DRIVEBREVARDNC28712200343455RENTALNCN/A
WESTERN NC HEALTHCARE INNOVATORS LLC
5935 CARNEGIE BLVDCHARLOTTENC28209800787882REAL ESTATE RENTALNCN/A
WESTERN REGIONAL RADIATION THERAPY CENTER
68 HOSPITAL DRSYLVANC28779561849395RADIATION THERAPYNCN/A
ASHEVILLE MRI
PO BOX 2959ASHEVILLENC28802561665863IMAGING SERVICESNCN/A
WNC STONE CENTER
509 BILTMORE AVEASHEVILLENC28801272152974LITHOTRIPTER RENTALNCN/A
WESTERN NC HEALTHCARE INNOVATORS III LLC
5935 CARNEGIE BLVDCHARLOTTENC28209464053310REAL ESTATE RENTALNCN/A
BLUE RIDGE-TKC LLC
5935 CARNEGIE BLVDCHARLOTTENC28209471382912REAL ESTATE RENTALNCN/A
SPRUCE PINE HEALTHCARE LLC
5935 CARNEGIE BLVDCHARLOTTENC28209471390107REAL ESTATENCN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
MISSION VENTURES INC
400 RIDGEFIELD COURTASHEVILLENC28806561341621HOLDING COMPANYNCN/AC0
HORIZON MANAGEMENT SERVICES INC MERGED INTO MISSION VENTURES INC SEP 2014
400 RIDGEFIELD COURTASHEVILLENC28806561341624COLLECTIONS, BILLING AND MEDICAL PROPERTYNCN/AC0
DOGWOOD INSURANCE COMPANY LTD
CAPTIVE INSURANCE ENTITYN/AC0THEGRANDPAVILIONCOMMERCIALCENTREPOBCAYMAN ISALNDSCJCJ
TRANSYLVANIA SERVICES INC
260 HOSPITAL DRIVEBREVARDNC28712561448199REAL ESTATENCN/AC0
MISSION HEALTH PARTNERS INC
509 BILTMORE AVENUEASHEVILLENC28801465566095CLINICALLY INTEGRATED NETWORKNCN/AC0
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 Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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