ANC TRANSYLVANIA COMMUNITY HOSPITAL INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ANC TRANSYLVANIA COMMUNITY HOSPITAL INC (EIN 56-0562293)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-28
- IRS object ID
- 201302409349300200
- Schema version
- 2011v1.5
- Note
- A later return for the same period supersedes this one.
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-28T06:07:23-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560562293 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA COMMUNITY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TRAN | NameControl |
| Phone | 8288849111 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1116 | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARC NAKAGAWA | Name |
| Title | CFO | Title |
| Phone | 8288849111 | Phone |
| Date Signed | 2013-08-28 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT J BEDNAREK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1116 | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 69635294 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TRHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1933 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF MEDICAL SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 677 | TotalNbrEmployees |
| Total Nbr Volunteers | 176 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1136909 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 902548 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 60779930 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 66901721 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 631182 | InvestmentIncomePriorYear |
| Investment Income Current Year | 833574 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 688096 | OtherRevenuePriorYear |
| Other Revenue Current Year | 843400 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 63236117 | TotalRevenuePriorYear |
| Total Revenue Current Year | 69481243 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 461381 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 288654 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 27021236 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 29492336 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 38755610 | OtherExpensePriorYear |
| Other Expenses Current Year | 40489605 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 66238227 | TotalExpensesPriorYear |
| Total Expenses Current Year | 70270595 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3002110 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -789352 | RevenuesLessExpensesCY |
| Total Assets BOY | 62254697 | TotalAssetsBOY |
| Total Assets EOY | 61123845 | TotalAssetsEOY |
| Total Liabilities BOY | 22938584 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 23588066 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 39316113 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 37535779 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TRANSYLVANIA REGIONAL HOSPITAL PROMOTES WELLNESS AND PROVIDES ACCESS TO QUALITY HEALTH SERVICES FOR THE PEOPLE IN OUR REGION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 57017483 | Expense |
| Grants | 288654 | Grants |
| Revenue | 66761614 | Revenue |
| Description | GIVING 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. 2012 WAS ANOTHER TOUGH YEAR FOR OUR COMMUNITY AS WE EXPERIENCED THE LINGERING EFFECTS OF A DEPRESSED ECONOMY. THIS HAS 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 2012.IN 2012, TRH PROVIDED $6.6 MILLION IN CONTRIBUTIONS TO THE COMMUNITY. THESE BENEFITS CAME IN MANY FORMS INCLUDING $1.7 MILLION IN CHARITY CARE FOR 2,382 PEOPLE. THE HOSPITAL ALSO PROVIDED ANOTHER $3.2 MILLION IN CARE FOR 4,263 PEOPLE THROUGH NON-COLLECTIBLE SERVICES. AN ADDITIONAL $1.3 MILLION WAS PROVIDED FOR GOVERNMENT SPONSORED HEALTHCARE INCLUDING INDIGENT CARE PROGRAMS. FINALLY, $350,000 WAS PROVIDED FOR COMMUNITY BENEFIT PROGRAMS INCLUDING THE DONATION OF STAFF TIME AND RESOURCES. 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. MORE THAN 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 THAT BENEFITED FROM IN-KIND DONATIONS WERE: MARCH OF DIMES, UNITED WAY, CHAMBER OF COMMERCE, S.A.F.E, AMERICAN RED CROSS, RELAY FOR LIFE, PROJECT LAZARUS COMMUNITY-BASED OVERDOSE PREVENTION, THE TRANSYLVANIA COUNTY SCHOOL SYSTEM, THE FREE CLINIC, TRANSYLVANIA PARTNERSHIP FOR HEALTH, TRANSYLVANIA COUNTY ECONOMIC DEVELOPMENT, WNC HEALTHY IMPACT AND OTHERS.- TRH RECRUITED SEVERAL PHYSICIANS TO THE COMMUNITY IN 2012 TO EXPAND ACCESS TO HEALTHCARE FOR OUR RESIDENTS, INCLUDING A NEW FAMILY PRACTICE PHYSICIAN AND A UROLOGY PHYSICIAN'S ASSISTANT TO EXPAND CARE FOR THE COMMUNITY.- IN 2012, TRH WAS AN ACTIVE PARTICIPANT IN THE INNOVATIVE 16-COUNTY REGIONAL HEALTH NEEDS ASSESSMENT PROJECT: WNC HEALTHY IMPACT. THIS INNOVATIVE EFFORT WILL HELP TRH TEAM WITH HEALTH DEPARTMENTS AND HOSPITALS ACROSS WESTERN NORTH CAROLINA TO IDENTIFY CRITICAL COMMUNITY HEALTH NEEDS AND PUT RESOURCES WHERE THEY ARE MOST NEEDED TO IMPROVE THE HEALTH AND LIVES OF RESIDENTS IN THIS COMMUNITY AND ACROSS THE REGION.- TRH CONTINUED A CARE MANAGEMENT PROGRAM IN 2012 FOR COPD PATIENTS IN OUR COMMUNITY SUPPORTED BY GRANT FUNDING.- FOUR TRH PRIMARY CARE MEDICAL PRACTICES COMPLETED WORK TO RECEIVE PATIENT-CENTERED MEDICAL HOME (PCMH) NATIONAL RECOGNITION IN ORDER TO DELIVER TEAM-BASED MEDICAL CARE TO PATIENTS IN OUR COMMUNITY TO MAXIMIZE HEALTH OUTCOMES FOR RESIDENTS OF ALL AGES.- TRH CONTINUED THE SUCCESSFUL LIGHTEN UP 4 LIFE WEIGHT LOSS PROGRAM IN 2012 IN OUR COMMUNITY. MORE THAN 2,000 POUNDS HAVE BEEN LOST BY RESIDENTS OF THIS COMMUNITY. TRANSYLVANIA REGIONAL HOSPITAL IS COMMITTED TO MAKING TRANSYLVANIA COUNTY A HEALTHIER COMMUNITY.- IN 2012, TRH WITH THE SUPPORT OF MISSION HEALTH SYSTEM BROUGHT A STATE-OF-THE-ART TELEMEDICINE ROBOT TO OUR LOCAL EMERGENCY DEPARTMENT IN BREVARD. THIS ROBOT ALLOWS OUR LOCAL ED PHYSICIANS TO CONSULT IN REAL-TIME WITH STROKE-SPECIALIZED NEUROLOGISTS FROM MISSION HEALTH IN ASHEVILLE TO ASSIST IN THE DIAGNOSIS AND RAPID TREATMENT OF STROKE PATIENTS AT TRH. THE VALUABLE TIME SAVED AND EXPERTISE PROVIDED BY THE ROBOTIC LINK IS HELPING TO SAVE LIVES IN OUR COMMUNITY AND BEGIN TREATMENT FASTER TO PREVENT THE MOST DAMAGING EFFECTS OF STROKE. TRH WILL ALSO HAVE THE CAPACITY TO USE THE TELEMEDICINE ROBOT TO LINK UP WITH OTHER SPECIALISTS NOT CURRENTLY AVAILABLE IN OUR COMMUNITY.- TRH PARTICIPATED IN THE N.C. STROKE INITIATIVE IN 2012 TO ENSURE THE BEST PRACTICES IN STROKE CARE ARE EMPLOYED IN PATIENT CARE AT THE HOSPITAL AND TO BUILD PUBLIC AWARENESS OF THE RISKS OF STROKE.- TRH ALONG WITH THE TRANSYLVANIA COUNTY HEALTH DEPARTMENT, THE FREE CLINIC AND OTHERS WORKED COLLABORATIVELY TO HELP BRING A BLUE RIDGE COMMUNITY HEALTH SERVICES CLINIC TO OUR LOCAL COMMUNITY. THE NEW BREVARD HEALTH CENTER SET TO OPEN IN FALL 2012 ON THE TRH CAMPUS WILL INCREASE ACCESS TO AFFORDABLE, COMPREHENSIVE HEALTH SERVICES IN TRANSYLVANIA COUNTY. THE NEW FEDERAL HEALTH CENTER WILL OFFER A FULL SPECTRUM OF HEALTH SERVICES TO RESIDENTS, INCLUDING PRIMARY CARE FOR ADULTS AND CHILDREN, DENTAL SERVICES, MEDICATION ASSISTANCE AND BEHAVIORAL HEALTH.- TRH IN 2012 BEGAN IMPLEMENTING A PALLIATIVE CARE PROGRAM WITH SUPPORT FROM THE TRH FOUNDATION TO MEET THE INCREASING NEEDS FOR THIS SERVICE IN OUR COMMUNITY. THIS LOCAL SERVICE WILL PROVIDE COMPASSIONATE, EXPERT MEDICAL CARE TO RELIEVE AND PREVENT THE SUFFERING OF PATIENTS IN OUR COMMUNITY WHO ARE UNDERGOING TREATMENT FOR CURABLE ILLNESSES AND THOSE LIVING WITH CHRONIC DISEASES, AS WELL AS PATIENTS WHO ARE NEARING THE END OF LIFE. | Description |
| Total Program Service Expense | 57017483 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 73 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 677 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARC NAKAGAWA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8288849111 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 260 HOSPITAL DRIVE | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ROBERT O MAXWELL | |||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| JOHN F HOLBROOK | |||||||
| VICE CHAIR / SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| DICK LARSON | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| CHARLES AYSCUE | |||||||
| MHS REPRESENTATIVE / BOARD MEMBER | 1.00 | X | X | 0 | 0 | 0 | |
| JOHN FAV CECIL | |||||||
| MHS REPRESENTATIVE / BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| THELMA ERICKSON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JIM KELLING MD | |||||||
| CHIEF OF STAFF / BOARD MEMBER | 1.00 | X | 0 | 245871 | 16214 | ||
| JOHN MAHER | |||||||
| MHS REPRESENTATIVE / BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| KENNETH G RACHT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM A TOWLER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ORA J WELLS MD | |||||||
| BOARD MEMBER | 1.00 | X | 39045 | 0 | 0 | ||
| ROBERT J BEDNAREK | |||||||
| PRESIDENT / CEO | 40.00 | X | X | 289424 | 0 | 52981 | |
| REBECCA W CARTER | |||||||
| COO | 40.00 | X | 132798 | 0 | 16278 | ||
| LINDA L COYE | |||||||
| CFO (THRU JANUARY 2012) | 40.00 | X | 130334 | 0 | 3606 | ||
| JEFFREY W RUSH | |||||||
| INTERIM CFO (JANUARY 2012 - JUNE 2012) | 40.00 | X | 0 | 0 | 0 | ||
| MARC NAKAGAWA | |||||||
| CFO (JUNE 2012 - PRESENT) | 40.00 | X | 0 | 0 | 0 | ||
| ELIZABETH A PELLETIER | |||||||
| LEAD CRNA | 40.00 | 165250 | 0 | 19088 | X | ||
| LAUREL D JOHNSON | |||||||
| CRNA | 40.00 | 154043 | 0 | 8258 | X | ||
| JUDITH H MCKAY | |||||||
| CRNA | 40.00 | 151942 | 0 | 14145 | X | ||
| MARK E CREASMAN | |||||||
| PHARMACIST | 40.00 | 132488 | 0 | 16599 | X | ||
| KIMBERLY L PHILLIPS | |||||||
| PHARMACIST | 40.00 | 122604 | 0 | 16246 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1317928 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 245871 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 163415 | TotalOtherCompensation |
| Number Individuals GT100 K | 12 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TRANSYL EMERG PHYS PLLC | |||||
| 3107 STIRLING RD 300 | FT LAUDERDALE | FL | 33312 | E/R PHYSICIAN SERVICES | 1312741 |
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | FOOD SERVICES | 1277094 |
| REHAB SERVICES OF BREVARD LLC | |||||
| 376A GOVERNMENT ST | MOBILE | AL | 36693 | PHYSICAL THERAPY SERVICES | 1272325 |
| COMPREHENSIVE HOSPITALIST SERVICES OF NC | |||||
| 300 SOUTH PARK ROAD STE 400 | HOLLYWOOD | FL | 33021 | HOSPITALIST PHY. SERV. | 1210318 |
| HORIZON CSA LLC | |||||
| 265 PIT ROAD | MOORESVILE | NC | 28115 | EQUIP. MAINTENANCE SERV. | 933492 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| Federated Campaigns | 52524 | FederatedCampaigns |
| Related Organizations | 561545 | RelatedOrganizations |
| Government Grants | 196403 | GovernmentGrants |
| All Other Contributions | 92076 | AllOtherContributions |
| Total Contributions | 902548 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621400 | 62821475 | 62821475 |
| PHARMACY AND MEDICAL S | 446110 | 2407797 | 2407797 |
| OTHER PATIENT SERVICE | 621610 | 1571385 | 1571385 |
| LIFELINE RENTALS | 900099 | 101064 | 101064 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 66901721 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 252555 | TotalRevenueColumn |
| Exclusion | $252,555 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 13944 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 13944 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13944 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13944 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 735070 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 154051 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 735070 | Securities |
| Other | -154051 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 581019 | TotalRevenueColumn |
| Related Or Exempt Function Income | 581019 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| AFFILIATED MANAGEMENT | 900099 | 399577 | 399577 | |
| CAFETERIA/VENDING | 722210 | 360054 | $360,054 | |
| NET AUXILIARY | 900099 | 69825 | $69,825 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 829456 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 69481243 | TotalRevenueColumn |
| Related Or Exempt Function Income | 67896261 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $682,434 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 288654 | Total |
| Program Services | 288654 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 731195 | Total |
| Management And General | 731195 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22520352 | Total |
| Program Services | 15906766 | ProgramServices |
| Management And General | 6613586 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 745007 | Total |
| Program Services | 509672 | ProgramServices |
| Management And General | 235335 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3893645 | Total |
| Program Services | 2663707 | ProgramServices |
| Management And General | 1229938 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1602137 | Total |
| Program Services | 907984 | ProgramServices |
| Management And General | 694153 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 476549 | Total |
| Program Services | 343309 | ProgramServices |
| Management And General | 133240 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105596 | Total |
| Management And General | 105596 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103305 | Total |
| Management And General | 103305 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5466 | Total |
| Management And General | 5466 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12365425 | Total |
| Program Services | 11168433 | ProgramServices |
| Management And General | 1196992 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99430 | Total |
| Program Services | 2178 | ProgramServices |
| Management And General | 97252 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3619120 | Total |
| Program Services | 2305063 | ProgramServices |
| Management And General | 1314057 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3549401 | Total |
| Program Services | 3549401 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222006 | Total |
| Program Services | 119909 | ProgramServices |
| Management And General | 102097 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21199 | Total |
| Program Services | 16993 | ProgramServices |
| Management And General | 4206 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117526 | Total |
| Program Services | 117526 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3560886 | Total |
| Program Services | 3560886 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 536183 | Total |
| Management And General | 536183 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 7414183 | 7414183 | |
| MEDICAL SUPPLIES | 7253223 | 7253223 | |
| EQUIPMENT LEASE | 932505 | 860571 | 71934 |
| MISCELLANEOUS | 107602 | 29025 | 78577 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70270595 | Total |
| Program Services | 57017483 | ProgramServices |
| Management And General | 13253112 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1514578 | BOY |
| EOY | 2832839 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 770230 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6570537 | BOY |
| EOY | 6158627 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7500 | BOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 448428 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2153050 | BOY |
| EOY | 1839865 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 367900 | BOY |
| EOY | 282421 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 62755569 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 31115751 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33615673 | BOY |
| EOY | 31639818 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10925657 | BOY |
| EOY | 9772062 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3889102 | BOY |
| EOY | 4085439 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 198474 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3210700 | BOY |
| EOY | 3095642 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62254697 | BOY |
| EOY | 61123845 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4776942 | BOY |
| EOY | 6414098 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 81586 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14409167 | BOY |
| EOY | 14411702 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3752475 | BOY |
| EOY | 2680680 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22938584 | BOY |
| EOY | 23588066 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35770768 | BOY |
| EOY | 34410295 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3545345 | BOY |
| EOY | 3125484 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39316113 | BOY |
| EOY | 37535779 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62254697 | BOY |
| EOY | 61123845 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -789352 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -990982 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $5,466 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 5466 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE 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 IS ESTIMATED TO BE APPROXIMATELY $ 5,466. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 221222 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 764012 | OtherCostOrOtherBasis |
| Book Value | 985234 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27285866 | OtherCostOrOtherBasis |
| Depreciation | 11000312 | Depreciation |
| Book Value | 16285554 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2698715 | OtherCostOrOtherBasis |
| Depreciation | 1136762 | Depreciation |
| Book Value | 1561953 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30115019 | OtherCostOrOtherBasis |
| Depreciation | 18978677 | Depreciation |
| Book Value | 11136342 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1670735 | OtherCostOrOtherBasis |
| Book Value | 1670735 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 31639818 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INTEREST IN NET ASSETS OF TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION | 3540341 | C |
| INTEREST IN BREVARD MRI, LLC | 501661 | C |
| INTEREST IN BLUE RIDGE DME | 43437 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 4085439 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 1212322 |
| BOND ISSUE COSTS, NET OF AMORTIZATI | 327053 |
| RECEIVABLE FROM AFFILIATED ORGANIZATION | 497965 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENT | 1058302 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3095642 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $1,878,102 |
| DUE TO AFFILIATED ORGANIZATIONS | $802,578 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2680680 | TotalOfAmounts |
| Total Revenue | 69481243 | TotalRevenue |
| Total Expenses | 70270595 | TotalExpenses |
| Excess Or Deficit For Year | -789352 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1214027 | NetUnrealizedGLOnInvestments |
| Prior Period Adjustments | 25406 | PriorPeriodAdjustments |
| Other | -$2,230,415 | OtherAmount |
| Total Adjustments | -990982 | TotalAdjustments |
| Excess Or Deficit Per FS | -1780334 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 60589054 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1214027 | NetUnrealizedGainsInvestments |
| Other Revenues | -7445621 | OtherRevenues |
| Revenue Not Rptd F990 | -6231594 | RevenueNotRptdF990 |
| Revenue Subtotal | 66820648 | RevenueSubtotal |
| Other Revenues Not Included | 2660595 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2660595 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 69481243 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 62369388 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 62369388 | ExpensesSubtotal |
| Other Expenses Not Included | 7901207 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 7901207 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 70270595 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION, A RELATED ORGANIZATION, HOLDS ENDOWMENT FUNDS FOR THE BENEFIT OF THE ORGANIZATION. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ASSOCIATION, THE HOSPITAL, THE FOUNDATION, AND TPSI ARE INCORPORATED AS NONPROFIT ORGANIZATIONS UNDER THE LAWS OF NORTH CAROLINA AND ARE EXEMPT FROM INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. BREVARD MRI, WITH THE CONSENT OF ITS SHAREHOLDERS, HAS ELECTED TO BE TREATED AS A PARTNERSHIP FOR FEDERAL AND NORTH CAROLINA INCOME TAX PURPOSES. IN LIEU OF CORPORATE INCOME TAXES, EARNINGS AND LOSSES AFTER THAT DATE ARE INCLUDED IN THE INCOME TAX RETURNS OF THE SHAREHOLDERS; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. INCOME TAXES FOR TSI ARE PROVIDED FOR THE TAX EFFECTS OF TRANSACTIONS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND CONSIST OF TAXES CURRENTLY DUE PLUS DEFERRED TAX EXPENSE OR MINUS DEFERRED TAX BENEFIT RELATED PRIMARILY TO DIFFERENCES ARISING FROM THE METHODS OF CALCULATING DEPRECIATION FOR FINANCIAL AND INCOME TAX REPORTING. AN EVALUATION OF THE PROBABILITY OF BEING ABLE TO REALIZE THE FUTURE BENEFITS OF DEFERRED TAX ASSETS IS MADE. A VALUATION ALLOWANCE IS PROVIDED FOR THE PORTION OF THE DEFERRED TAX ASSET WHEN IT IS MORE LIKELY THAN NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSET WILL NOT BE REALIZED. THE ORGANIZATIONS HAVE DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS EXIST FOR OPEN TAX YEARS AS OF SEPTEMBER 30, 2012. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2009 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | TRANSFERS TO AFFILIATES -2,660,595. NET CHANGE IN INTEREST OF FOUNDATION -417,861. EXPENSES INCURRED FOR FOUNDATION 288,654. INCOME FROM AFFILIATED ORGANIZATION 406,425. LOSS ON SALE OF EQUIPMENT 152,962. TOTAL TO SCHEDULE D, PART XI, LINE 8: -2,230,415. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | NET CHANGE IN VALUE OF INTEREST IN FOUNDATION -417,861. INCOME FROM AFFILIATED ORGANIZATIONS 406,425. BAD DEBTS INCLUDED WITH REVENUE -7,414,183. OTHER NET CHANGE IN ASSETS -20,002. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | TRANSFERS TO AFFILIATES 2,660,595. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBTS INCLUDED WITH REVENUE 7,414,183. EXPENSES INCURRED FOR FOUNDATION 288,654. NONOPERATING EXPENSE RECLASSIFICATION 152,962. OTHER CHANGE IN NET ASSETS 45,408. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1744952 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1744952 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02780 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6744837 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5441562 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1303275 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02070 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8489789 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5441562 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3048227 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04850 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 83269 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 83269 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 250521 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 250521 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 333790 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 333790 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00530 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8823579 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5441562 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3382017 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05380 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 13707 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 13707 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 13707 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 13707 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,211,006 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 32720045 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 32515414 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 204631 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | MRI SERVICES | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.50000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA REGIONAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 260 HOSPITAL DRIVE | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA COMMUNITY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| TRH OUTPATIENT REHABILITATION | ||||
| 92 CHESTNUT STREET | BREVARD | NC | 28712 | OUTPATIENT REHAB |
| TRH HOME CARE SERVICES | ||||
| 1234 ASHEVILLE HWY | BREVARD | NC | 28712 | HOME CARE |
| BREVARD MRI | ||||
| 301 HOSPITAL DRIVE | BREVARD | NC | 28712 | IMAGING CENTER |
| TOXAWAY HEALTH CENTER | ||||
| 16825 ROSMAN HWY | LAKE TOXAWAY | NC | 28747 | PROVIDER-BASED CLINICS |
| BREVARD FAMILY PRACTICE | ||||
| 187 MEDICAL PARK DR | BREVARD | NC | 28712 | PROVIDER-BASED CLINICS |
| MEDICAL ASSOCIATES OF TRH | ||||
| 377 GALLIMORE ROAD | BREVARD | NC | 28712 | PROVIDER-BASED CLINICS |
| BREVARD INTERNAL MEDICINE & PULMONOLOGY | ||||
| 159 MEDICAL PARK DR SUITE B | BREVARD | NC | 28712 | PROVIDER-BASED CLINICS |
| KOALA | ||||
| 23 MEDICAL PARK CIRCLE | BREVARD | NC | 28712 | OUTPATIENT |
| BREVARD CANCER & INFUSION CENTER | ||||
| 89 HOSPITAL DR | BREVARD | NC | 28712 | OUTPATIENT |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART 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. | ||
| PART I, LINE 7: THE ORGANIZATION USED THEIR COST ACCOUNTING SYSTEM TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AT COST. | ||
| PART I, L7 COL(F): FOR THE PURPOSES OF CALCULATING PERCENTAGE OF TOTAL EXPENSE FOR LINE 7, COL (F), TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25 HAS BEEN ADJUSTED FOR $(7,414,183). | ||
| PART II: 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. | ||
| PART III, LINE 4: REFER TO PAGE 15 OF THE NOTES TO CONSOLIDATED FINANCIAL STATEMENTS. PATIENT ACCOUNTS ARE CONSIDERED UNCOLLECTABLE AFTER EXHAUSTING IN-HOUSE COLLECTION PROCEDURES, WHICH USUALLY TAKES 59 DAYS FROM DISCHARGE DATE FOR SELF-PAY PATIENTS AND LONGER FOR UNINSURED PATIENTS. WHEN THE ACCOUNT IS CONSIDERED UNCOLLECTABLE, IT IS THEN SENT TO AN OUTSIDE 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 THE COST COMPONENT OF THE RATIO AND GROSS PATIENT CHARGES LESS DIRECT COMMUNITY BENEFIT REVENUES MAKE UP THE CHARGES COMPONENT OF THE RATIO. | ||
| PART 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. THROUGH MULTIPLE NOTIFICATION OF COLLECTION ATTEMPTS, COMMUNICATED OPPORTUNITIES FOR DISCOUNTS, ASSISTANCE AND PAYMENT PLAN ARRANGEMENTS, AND PERSONAL FACE-TO-FACE CONSULTATIONS, THE HOSPITAL MAKES REASONABLE EFFORTS TO COLLECT DEBT. 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. | ||
| PART V, SECTION B, LINE 19D: THE HOSPITAL HAS ONE FEE SCHEDULE THAT IS UTILIZED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO PATIENTS ELIGIBLE UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY. | TRANSYLVANIA COMMUNITY HOSPITAL, INC. | |
| PART 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 FY 2012, TRH BEGAN EXTENSIVE PLANNING WITH THE LOCAL HEALTH DEPARTMENT TO CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A DETAILED SURVEY AND COMPILATION OF PRIMARY AND SECONDARY HEALTH DATA FOR TRANSYLVANIA COUNTY, N.C, WAS COMPLETED IN FALL 2012. THE FINDINGS OF THIS SURVEY ALONG WITH EXTENSIVE COMMUNITY INPUT WILL BE USED BY TRH IN FY 2013. 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. | ||
| PART VI, LINE 3: TRANSYLVANIA REGIONAL HOSPITAL PLACES SIGNAGE FOR ITS PATIENT FINANCIAL ASSISTANCE POLICIES IN PATIENT AREAS IN THE HOSPITAL, IN THE PATIENT ACCOUNTING OFFICE, AND THE 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, THE EMERGENCY DEPARTMENT UTILIZES A HEALTH RESOURCE NAVIGATOR TO HELP FIND FINANCIAL ASSISTANCE RESOURCES FOR SELF-PAY PATIENTS. THE PATIENT FINANCIAL ASSISTANCE POLICY ALSO RESIDES ON THE HOSPITAL'S WEBSITE, HTTP://WWW.TRHOSPITAL.ORG/PATIENTS/FINANCIAL.PHP. | ||
| PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR TRANSYLVANIA REGIONAL HOSPITAL IS TRANSYLVANIA COUNTY, NORTH CAROLINA, WITH A RESIDENT POPULATION OF 33,000 INCLUDING GLOUCESTER TOWNSHIP IN THE UPPER END OF THE COUNTY, WHICH IS FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA. NEARLY 12.5% 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 15,000 ADDITIONAL RESIDENTS IN SOUTHERN JACKSON COUNTY, NORTH CAROLINA, 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. | ||
| PART VI, LINE 5: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR ALL OF ITS DEPARTMENTS. TRANSYLVANIA REGIONAL HOSPITAL APPLIES THE SURPLUS OF ITS FUNDS DIRECTLY TO PATIENT CARE. FOR EXAMPLE, CAPITAL ACQUISITIONS OF MEDICAL EQUIPMENT AND EXPANDED PATIENT FACILITIES ARE FUNDED DIRECTLY BY SUPLUS OF FUNDS, AND PATIENT CARE IS BENEFITED BY THESE ACQUISITIONS.AS 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. 2012 WAS ANOTHER TOUGH YEAR FOR OUR COMMUNITY AS WE EXPERIENCED THE LINGERING EFFECTS OF A DEPRESSED ECONOMY. THIS HAS 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 2012, TRH PROVIDED $6.6 MILLION IN CONTRIBUTIONS TO THE COMMUNITY. THESE BENEFITS CAME IN MANY FORMS INCLUDING $1.7 MILLION IN CHARITY CARE FOR 2,382 PEOPLE. THE HOSPITAL ALSO PROVIDED ANOTHER $3.2 MILLION IN CARE FOR 4,263 PEOPLE THROUGH NON-COLLECTIBLE SERVICES. AN ADDITIONAL $1.3 MILLION WAS PROVIDED FOR GOVERNMENT SPONSORED HEALTHCARE INCLUDING INDIGENT CARE PROGRAMS. FINALLY, $350,000 WAS PROVIDED FOR COMMUNITY BENEFIT PROGRAMS INCLUDING THE DONATION OF STAFF TIME AND RESOURCES. | ||
| PART VI, LINE 6: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. | ||
| NC | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 W JORDAN STREET | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 561458024 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 288654 | AmountOfCashGrant |
| Purpose Of Grant | OPERATIONAL ASSISTANCE | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE ORGANIZATION SUBSIDIZES TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION, INC.'S OPERATIONS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JIM KELLING MD | |||||||||||||
| 0 | 204035 | 0 | 41836 | 0 | 0 | 0 | 8961 | 0 | 7253 | 0 | 262085 | 0 | 0 |
| ROBERT J BEDNAREK | |||||||||||||
| 267073 | 0 | 0 | 0 | 22351 | 0 | 41716 | 0 | 11265 | 0 | 342405 | 0 | 0 | 0 |
| ELIZABETH A PELLETIER | |||||||||||||
| 164939 | 0 | 0 | 0 | 311 | 0 | 4357 | 0 | 14731 | 0 | 184338 | 0 | 0 | 0 |
| LAUREL D JOHNSON | |||||||||||||
| 153891 | 0 | 0 | 0 | 152 | 0 | 7066 | 0 | 1192 | 0 | 162301 | 0 | 0 | 0 |
| JUDITH H MCKAY | |||||||||||||
| 151631 | 0 | 0 | 0 | 311 | 0 | 7660 | 0 | 6485 | 0 | 166087 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS: ROBERT BEDNAREK $25,660 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA MEDICAL CARE COMMISSION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521309402 | IssuerEIN |
| Date Issued | 2011-08-24 | DateIssued |
| Issue Price | 14655000 | IssuePrice |
| Description Of Purpose | CURRENT REFUNDING | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 235000 | AmountRetired |
| Total Proceeds | 14655000 | TotalProceeds |
| Other Spent Proceeds | 14655000 | OtherSpentProceeds |
| Year Of Subst Completion | 2006 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS: | Identifier |
| Explanation | THE AMOUNT PRESENT ON PART II, LINE 11 REPRESENTS AMOUNTS USED TO CURRENTLY REFUND PRIOR ISSUES DATED NOVEMBER 20, 1997 AND MARCH 9, 2009. SERIES 1997 REFUNDING: $ 2,255,000 SERIES 2009 REFUNDING: 12,400,000 TOTAL TO LINE 11: $ 14,655,000 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | IN AN AGREEMENT EFFECTIVE JANUARY 1, 2011, MISSION HEALTH SYSTEM, INC., A 501(C)(3) HEALTHCARE ORGANIZATION, COMMENCED PROVIDING ADMINISTRATIVE MANAGEMENT SERVICES CONSISTENT WITH THE STANDARDS OF THE HEALTHCARE INDUSTRY FOR AN INDEPENDENT HOSPITAL MANAGEMENT COMPANY CONTRACTING AT AN ARM'S LENGTH BASIS TO PROVIDE COMPREHENSIVE HOSPITAL MANAGEMENT SERVICES. AS PART OF THE AGREEMENT, THE HOSPITAL CEO, DIRECTOR OF INFORMATION SERVICES, AND LATER THE INTERIM CFO AND CFO, WOULD BECOME EMPLOYEES OF MISSION HEALTH SYSTEM, INC. AND CONTINUE TO PROVIDE SERVICE TO THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS A NONSTOCK, NONPROPRIETARY, TAX-EXEMPT MEMBER CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS AS ITS SOLE MEMBER TRANSYLVANIA HEALTH SYSTEM, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | TRUSTEES 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 ORGANIZATION. TRUSTEES ARE SUBJECT TO REMOVAL BY THE MEMBER AT ANY TIME WITHOUT CAUSE. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE 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. THE ADMINISTRATIVE POWERS OF THE HOSPITAL ARE VESTED IN THE BOARD OF TRUSTEES, WHICH HAVE CHARGE, CONTROL, AND MANAGEMENT OF THE PROPERTY, AFFAIRS AND FUNDS OF THE HOSPITAL, INCLUDING BUT NOT LIMITED TO: (A) THE SALE, LEASE, EXCHANGE, PLEDGE, OR MORTGAGE OF ANY PART OF THE ASSETS OF THE HOSPITAL, OR ANY CONTRACT OPTION OR OTHER AGREEMENT WITH RESPECT TO THE SALE, LEASE, EXCHANGE, PLEDGE OR MORTGAGE OF THE ASSETS OF THE HOSPITAL; PROVIDED HOWEVER, THAT ANY SUCH TRANSACTION ABOVE A LIMIT SPECIFIED BY THE SYSTEM MUST FIRST BE APPROVED BY THE SYSTEM; AND (B) THE ELECTION OF ALL EXECUTIVE OFFICERS OF THE HOSPITAL AND THE DIRECTION OF THE OFFICERS IN THE DUTIES PRESCRIBED IN THESE BYLAWS AND IN SUCH OTHER SPECIAL DUTIES AS THE BOARD OF TRUSTEES DEEMS FROM TIME TO TIME APPROPRIATE AND IN THE BEST INTERESTS OF THE HOSPITAL. (C) THE EXERCISE OF ALL OTHER POWERS EXPLICITLY DELEGATED BY THE SYSTEM. SUBJECT TO THE APPROVAL OF THE SYSTEM, THE BOARD OF TRUSTEES SHALL HAVE THE POWER TO (I) AMEND OR RESTATE THE HOSPITAL'S ARTICLES OF INCORPORATION; (II) AMEND OR RESTATE THE BYLAWS; AND (III) MERGE, CONSOLIDATE, REORGANIZE OR DISSOLVE THE HOSPITAL; PROVIDED, HOWEVER, THAT IN NO EVENT SHALL THE HOSPITAL'S ARTICLES OF INCORPORATION OR BYLAWS AS PRESENTLY IN EFFECT OR AS HEREAFTER AMENDED, CONFLICT WITH THE SYSTEM'S ARTICLES OF INCORPORATION OR BYLAWS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 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 12C | THE 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 15 | THE 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 IN THE POSITION IS MADE. CHANGES FROM THE 2011 REVIEW WERE MADE EFFECTIVE FOR THE 2012 CALENDAR YEAR. BEGINNING MARCH 2011, THE ORGANIZATION BEGAN CONTRACTING THE SERVICES OF ITS CEO FROM MISSION HEALTH SYSTEM, A 501(C)(3) HEALTHCARE ORGANIZATION. COMPENSATION PER THIS AGREEMENT IS PAID THROUGH MISSION HEALTH SYSTEM FROM AN ESTABLISHED MANAGEMENT CONTRACT. | |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES 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 19 | PHOTOCOPIES 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 ANNUALLY IN THE LOCAL NEWSPAPER. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 1,214,027. PRIOR PERIOD ADJUSTMENTS: 25,406. TRANSFERS TO AFFILIATES -2,660,595. NET CHANGE IN INTEREST OF FOUNDATION -417,861. EXPENSES INCURRED FOR FOUNDATION 288,654. INCOME FROM AFFILIATED ORGANIZATION 406,425. LOSS ON SALE OF EQUIPMENT 152,962. TOTAL TO FORM 990, PART XI, LINE 5: -990,982. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | |
| FORM 990, HEADER, BOX A | THE ORGANIZATION'S FORM 990 WAS AMENDED TO DISCLOSE DEFERRED COMPENSATION PREVIOUSLY NOT DISCLOSED. FORM 990 PART VII AND SCHEDULE J PARTS I, II, AND III HAVE BEEN UPDATED ACCORDINGLY. FORM 990, PART VI, LINE 2 WAS AMENDED TO REMOVE INCORRECT INFORMATION PREVIOUSLY DISCLOSED. FORM 990, PART VII, SECTION B WAS AMENDED TO ALIGN REPORTING WITH IRS DEFINITION OF INDEPENDENT CONTRACTOR PER FORM 990 INSTRUCTIONS. | REASON FOR AMENDMENT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TRANSYLVANIA HEALTH SYSTEM INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561456987 | HEALTHCARE | NC | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | |||||||||||
| PO BOX 2440 | BREVARD | NC | 28712 | 561458024 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 11A, I | 0 | TRANSYLVANIA HEALTH SYSTEM INC | |
| TRANSYLVANIA PHYSICIAN SERVICES INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561920816 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | 0 | TRANSYLVANIA HEALTH SYSTEM INC | |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC | |||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 203281110 | HEALTHCARE | NC | N/A | RELATED | 348695 | 501665 | 0 | 1 | 0.50000 |
| TRANSYLVANIA HEALTHCARE II LIMITED PARTNERSHIP | |||||||||||||
| 2 MEDICAL PARK DR | BREVARD | NC | 28712 | 200333230 | RENTAL | NC | N/A | ||||||
| HEALTHCARE III LIMITED PARTNERSHIP | |||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561599596 | RENTAL | NC | N/A | ||||||
| HEALTHCARE LIMITED LIABILITY COMPANY VII | |||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 200343455 | RENTAL | NC | N/A | ||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 260 HOSPITAL DRIVE | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561448199 | EIN |
| Primary Activity | REAL ESTATE | PrimaryActivity |
| Legal Domicile State | NC | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL | ||
| J | 905987 | CASH |
| BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL | ||
| A | 4644 | CASH |
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