2013-08-14T12:37:24-05:00 2012-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2011-10-01 201929953 BETSY JOHNSON REGIONAL HOSPITAL FOUNDATION BETS 9108911000 800 TILGHMAN DRIVE DUNN NC 28334 CORNELIA STEWART 9108911000 2013-08-14 1 AMY BIBBY P00445891 8282542254 2011 2016-02-24 21:20:13Z CORNELIA STEWART 800 TILGHMAN DRIVE DUNN NC 28334 288698 0 X WWW.BJRH.ORG/FOUNDATION X 2004 NC THE FOUNDATIONS PURPOSE IS TO SUPPLEMENT, ENHANCE, AND ENRICH THE FACILITIES PROGRAMS AND SERVICES PROVIDED BY HARNETT HEALTH SYSTEM, INC. 21 21 0 125 0 0 125776 251378 0 0 217 6010 0 0 125993 257388 152470 183904 0 0 0 0 0 0 0 568 348 153038 184252 -27045 73136 359500 432636 0 0 359500 432636 THE FOUNDATION'S PURPOSE IS TO SUPPLEMENT, ENHANCE, AND ENRICH THE FACILITIES PROGRAMS AND SERVICES PROVIDED BY HARNETT HEALTH SYSTEM, INC. 0 0 184252 183904 BETSY JOHNSON REGIONAL HOSPITAL FOUNDATION IS COMMITTED TO IMPROVING THE HEALTH AND COMFORT OF THE PEOPLE IN THE COMMUNITIES THAT WE SERVE BY MAKING POSSIBLE NEEDED DEVELOPMENT IN OUR FACILITIES AS WELL AS PROVIDING STATE-OF-THE-ART EQUIPMENT. DURING FY 2012, $183,904 WAS PROVIDED TO BETSY JOHNSON REGIONAL HOSPITAL (HARNETT HEALTH SYSTEM) TO PURCHASE EQUIPMENT. 184252 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 X DEBORAH WHITTINGTON 9108911000 800 TILGHAM DRIVE DUNN NC 28344 X TC GODWIN 2.00 X X 0 0 0 ABE ELMORE 1.00 X X 0 0 0 PAULA POPE 5.00 X X 0 0 0 CHARLIE CARPENTER 0.30 X 0 0 0 JANE REGISTER 1.40 X 0 0 0 JEFFREY SURLES 1.40 X 0 0 0 MIKE BLACKMON 0.30 X 0 0 0 GINGER BARBOUR 1.00 X 0 0 0 PAT MARSHALL 0.30 X 0 0 0 BILLY TART 0.30 X 0 0 0 TOWNSEND QUINN 0.30 X 0 0 0 CAROL SNIPES 0.30 X 0 0 0 BOYD DIXON 0.30 X 0 0 0 ROBBIE TART 4.00 X 0 0 0 DR PK VYAS 0.20 X 0 0 0 CECIL JONES 0.20 X 0 0 0 CLEM MEDLEY 0.20 X 0 0 0 MARY ELLEN LAUDER 0.20 X 0 0 0 NEIL EMORY 0.20 X 0 0 0 PAULETTE KENNISON 0.20 X 0 0 0 REBECCA TURLINGTON 0.20 X 0 0 0 0 0 0 0 0 0 0 0 132405 118973 251378 6010 6010 31310 132405 31310 0 257388 0 0 6010 165000 165000 18904 18904 348 348 184252 184252 0 0 159107 432636 200393 359500 432636 0 0 X 359500 432636 359500 432636 359500 432636 73136 0 X 0 1 1 X 0 X 68260 126001 290872 125776 251378 862287 68260 126001 290872 125776 251378 862287 82825 779462 1654 1185 412 217 6010 9478 871765 97563 0.89410 0.97020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 257388 184252 73136 73136 288698 31310 31310 257388 0 257388 215562 31310 31310 184252 0 184252 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2012. THE SYSTEM BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO SEPTEMBER 30, 2009. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 31,310. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 31,310. BENEFIT WEEKEND 163715 132405 31310 3650 27660 163715 132405 31310 3650 27660 31310 0 1 HARNETT HEALTH SYSTEM INC PO BOX 1706 DUNN NC 28335 560603898 501(C)(3) 165000 ASSET ACQUISITION SUPPORT 1 0 COLLEGE TUITION SCHOLARSHIPS 4 18904 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SCHOLARSHIPS ARE APPROVED BY TWO OFFICERS OF THE AWARDING COMMITTEE AND GRANTS ARE APPROVED BY TWO OFFICERS OF THE BOARD. SCHOLARSHIP RECIPIENTS ARE REQUIRED TO SEND GRADES AND TUITION BILLS TO THE FOUNDATION OFFICE EACH SEMESTER AND THE BILLS ARE PAID DIRECTLY TO THE UNIVERSITY. THE GRANT FUNDS ARE PAID DIRECTLY TO THE HARNETT HOSPITAL SYSTEM ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE SECRETARY AND THE TREASURER. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE ORGANIZATION TO THE EXENT PERMITTED BY LAW DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY MANAGEMENT. THE FORM WAS REVIEWED AT A FULL MEETING OF THE BOARD OF DIRECTORS PRIOR TO THE FILING DATE. 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, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. HARNETT HEALTH SYSTEM INC PO BOX 1706 DUNN NC 28335 560603898 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0