PISGAH HEALTH FOUNDATION: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- PISGAH HEALTH FOUNDATION (EIN 56-1458024)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-05-03
- IRS object ID
- 201121239349301007
- Schema version
- 2009v1.7
- 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 D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-03T13:53:48-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561458024 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TRAN | NameControl |
| Phone | 8288874777 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2440 | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | R THOMAS NIX | Name |
| Title | SECRETARY / TREASURER | Title |
| Phone | 8288874777 | Phone |
| Date Signed | 2011-05-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Amy Bibby | Name |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| 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 2440 | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2157005 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | n/a | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | RECEIVE AND ADMINISTER CHARITABLE CONTRIBUTIONS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 7 | TotalNbrEmployees |
| Total Nbr Volunteers | 150 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1517318 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1528001 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -411234 | InvestmentIncomePriorYear |
| Investment Income Current Year | 625819 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 9467 | OtherRevenuePriorYear |
| Other Revenue Current Year | -288 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1115551 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2153532 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1945629 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1525435 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 227141 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 219053 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 104988 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 344600 | OtherExpensePriorYear |
| Other Expenses Current Year | 395389 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2517370 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2139877 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1401819 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 13655 | RevenuesLessExpensesCY |
| Total Assets BOY | 7911068 | TotalAssetsBOY |
| Total Assets EOY | 8159182 | TotalAssetsEOY |
| Total Liabilities BOY | 1900457 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1875202 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6010611 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6283980 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE PURPOSE OF THE FOUNDATION IS TO SOLICIT, MANAGE, AND DISBURSE CHARITABLE GIFTS TO ENABLE THE HOSPITAL TO MAINTAIN AN UP-TO-DATE FACILITY, PURCHASE NEEDED EQUIPMENT, AND SUPPORT AND EXPAND HEALTH PROGRAMS AND SERVICES FOR THE COMMUNITY IT SERVES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1552887 | Expense |
| Grants | 1525435 | Grants |
| Description | SUPPORT PROVIDED TO TRANSYLVANIA COMMUNITY HOSPITAL, INC. (D/B/A TRANSYLVANIA REGIONAL HOSPITAL, "THE HOSPITAL"):- $ 453,000 FOR THE CANCER AND INFUSION CENTER- $ 400,000 FOR CAPITAL CAMPAIGN- $ 630,000 FOR OPERATIONAL SUPPORTAPPROXIMATELY $367,700 IN GRANTS WERE RECEIVED FROM: - THE DUKE ENDOWMENT (HEALTH RESOURCE NAVIGATOR, THE FREE CLINIC OF TRANSYLVANIA COUNTY) - THE JANIRVE FOUNDATION (CANCER) - LAKE TOXAWAY CHARITIES (TOXAWAY RX, HEALTH CENTER, FRANCES WARD RX, KOALA) - NC STROKE CARE COLLABORATIVE (STROKE) - NC DEPARTMENT OF HEALTH AND HUMAN SERVICES (BIRTHING CENTER, COLLABORATION)NEARLY $ 650,000 IN GRANTS WERE RECEIVED FROM DONORS SUCH AS THE LAKE TOXAWAY ENDOWMENT, AS WELL AS VARIOUS CHARITABLE GIFT ANNUITIES.OVER $88,000 WAS DISTRIBUTED TO: - RX ASSISTANCE PROGRAMS $7,187 - FREE CLINIC OF TRANSYLVANIA COUNTY $ 20,000 - SCHOLARSHIPS $ 11,194 - OTHER PROGRAMS AND EVENTS $ 50,084"DESSERT WITH THE DOC" WAS PRESENTED THIS YEAR, WITH 18 PHYSICIANS AND HEALTHCARE PROFESSIONALS PARTICIPATING. OVER 1,100 ATTENDEES ATTENDED THE 33 EVENTS DURING THE YEAR. THE EVENT WAS SPONSORED BY THE HURLBURT FAMILY FOUNDATION. | Description |
| Total Program Service Expense | 1552887 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 1 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 7 | NumberOfEmployees |
| Employment Tax Returns Filed | 0 | 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 | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | 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 | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| 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 | SHARON JOHNSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8288774777 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 153 WEST JORDAN STREET | AddressLine1 |
| City | BREVARD | City |
| State | NC | State |
| ZIP Code | 28712 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| W ANDREW HARVILL | ||||||
| CHAIRMAN | 5.00 | X | X | 0 | 0 | 0 |
| JEFFREY P HUNT | ||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 |
| R THOMAS NIX | ||||||
| SECRETARY / TREASURER | 2.00 | X | X | 0 | 0 | 0 |
| ROBERT J BEDNAREK | ||||||
| PRESIDENT | 2.00 | X | X | 0 | 236950 | 59978 |
| RAY H DUNKELBERG MD | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 97605 | 0 | |
| DANIEL P ELLIOTT | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| RUSSELL R FRENCH | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| CARTER W HOPKINS | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| KATHERYN DANNELLY | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| DONALD E JORDAN ESQ | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| RAYMOND MILLER | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| ALVIN W LEFAIVRE | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| FREDERICK J MARKERT | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| EDWIN W PARKER | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| VERONICA K PETERMAN | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| ROBERT L REARDEN JR | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| PATRICIA R WEBB | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| SHARON C JOHNSON CFRE | ||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 84265 | 0 | 25542 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 84265 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 334555 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 85520 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 26858 | FundraisingEvents |
| Related Organizations | 215601 | RelatedOrganizations |
| Government Grants | 140000 | GovernmentGrants |
| All Other Contributions | 1145542 | AllOtherContributions |
| Noncash Contributions | 107003 | NoncashContributions |
| Total Contributions | 1528001 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 241636 | TotalRevenueColumn |
| Exclusion | $241,636 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 384183 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 384183 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 384183 | TotalRevenueColumn |
| Exclusion | $384,183 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 3185 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 26858 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 3473 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -288 | TotalRevenueColumn |
| Exclusion | -$288 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2153532 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $625,531 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1506748 | Total |
| Program Services | 1506748 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18687 | Total |
| Program Services | 18687 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109807 | Total |
| Program Services | 27452 | ProgramServices |
| Management And General | 27451 | ManagementAndGeneral |
| Fundraising | 54904 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109246 | Total |
| Management And General | 109246 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23 | Total |
| Management And General | 23 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 177980 | Total |
| Management And General | 177980 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16 | Total |
| Management And General | 16 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188882 | Total |
| Management And General | 138798 | ManagementAndGeneral |
| Fundraising | 50084 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22675 | Total |
| Management And General | 22675 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1146 | Total |
| Management And General | 1146 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS EXPENSES | Description |
| Total | 4667 | Total |
| Management And General | 4667 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2139877 | Total |
| Program Services | 1552887 | ProgramServices |
| Management And General | 482002 | ManagementAndGeneral |
| Fundraising | 104988 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16064 | BOY |
| EOY | 28813 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 567653 | BOY |
| EOY | 735504 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 492181 | BOY |
| EOY | 247403 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2098 | BOY |
| EOY | 2090 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 216432 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 42176 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 175402 | BOY |
| EOY | 174256 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6621938 | BOY |
| EOY | 6939945 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35732 | BOY |
| EOY | 31171 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7911068 | BOY |
| EOY | 8159182 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 639 | BOY |
| EOY | 399 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1899818 | BOY |
| EOY | 1874803 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1900457 | BOY |
| EOY | 1875202 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2236286 | BOY |
| EOY | 2513063 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3287519 | BOY |
| EOY | 3421696 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 486806 | BOY |
| EOY | 349221 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6010611 | BOY |
| EOY | 6283980 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7911068 | BOY |
| EOY | 8159182 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA COMMUNITY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560562293 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $1,525,435 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 1525435 | SumOfAmounts |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3079854 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 531745 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3611599 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3008487 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 71367 | InvestmentEarningsOrLosses |
| End Of Year Balance | 3079854 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.87380 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.02950 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.09670 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 171000 | InvestmentCostOrOtherBasis |
| Book Value | 171000 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 45432 | OtherCostOrOtherBasis |
| Depreciation | 42176 | Depreciation |
| Book Value | 3256 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 174256 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| SALES TAX RECEIVABLE | 4273 |
| ARTWORK HELD FOR RESALE | 26898 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 31171 | TotalBookValueOtherAssets |
| Total Revenue | 2153532 | TotalRevenue |
| Total Expenses | 2139877 | TotalExpenses |
| Excess Or Deficit For Year | 13655 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 127005 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 241087 | DonatedServicesAndFacilities |
| Other | -$108,378 | OtherAmount |
| Total Adjustments | 259714 | TotalAdjustments |
| Excess Or Deficit Per FS | 273369 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 2525097 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 127005 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 241087 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 3473 | OtherRevenues |
| Revenue Not Rptd F990 | 371565 | RevenueNotRptdF990 |
| Revenue Subtotal | 2153532 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2153532 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2251728 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 111851 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 111851 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2139877 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2139877 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Part IV, Line 2b: | THE FOUNDATION ACTS AS TRUSTEE FOR IRREVOCABLE CHARITABLE REMAINDER UNITRUSTS AND CHARITABLE REMAINDER ANNUITY TRUSTS. THE ASSETS IN THESE TRUSTS WILL REMAIN IN TRUST, PAYING DISTRIBUTIONS TO THE DONORS FOR THE REST OF THE DONORS' LIVES OR THE ASSETS OF THE TRUST ARE DEPLETED, WHICHEVER COMES FIRST. THE REMAINDER ASSETS AFTER THE DONORS' DEATH WILL BECOME THE PROPERTY OF THE FOUNDATION UPON THE DONORS' DEATHS. SUCH AMOUNTS RECEIVED ARE REPORTED AS ASSETS RESTRICTED AS TO USE. THESE TRUSTS REQUIRE SPECIFIED DISTRIBUTIONS TO THEIR DESIGNATED BENEFICIARIES OVER THE TRUSTS' TERMS. THE PRESENT VALUE OF THE EXPECTED DISTRIBUTIONS TO BE MADE IS RECORDED AS ANNUITIES PAYABLE. AT THE TIME THAT THE TRUST IS CREATED, THE DIFFERENCE IN THE VALUE OF THE INITIAL TRUST ASSETS AND THE PRESENT VALUE OF THE EXPECTED DISTRIBUTIONS IS RECORDED AS CONTRIBUTION INCOME. SUBSEQUENT CHANGES TO THE PRESENT VALUE OF THE EXPECTED DISTRIBUTIONS ARE RECORDED AS A CHANGE IN THE VALUE OF SPLIT INTEREST AGREEMENTS. EACH YEAR, THE FOUNDATION ADJUSTS THE PRESENT VALUE OF EXPECTED DISTRIBUTIONS BASED ON CHANGES IN THE ACTUARIAL ASSUMPTIONS OF THE DONORS' LIFE EXPECTANCY. THE PRESENT VALUE IS ALSO AFFECTED BY CHANGES IN THE DISCOUNT RATE USED. THE DISCOUNT RATE USED TO CALCULATE THE PRESENT VALUE OF EXPECTED DISTRIBUTIONS IS THE SAME AS THE RATE DEVELOPED BY THE INTERNAL REVENUE SERVICE TO VALUE THESE TYPES OF AGREEMENTS. | |
| Part V, Line 4: | THE FOUNDATION'S ENDOWMENT CONSISTS OF SEVEN INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. ITS ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. | Description of Intended Use of Endowment Funds: |
| Part XI, Line 8 - Other Adjustments: | CHANGE IN SPLIT INTEREST AGREEMENT: -108378. | |
| Part XII, Line 2d - Other Adjustments: | FUNDRAISING EVENT EXPENSES: 3473. | |
| Part XIII, Line 2d - Other Adjustments: | CHANGE IN SPLIT INTEREST AGREEMENT: 108378. FUNDRAISING EVENT EXPENSES: 3473. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | BREAST CANCER AWARENESS LUNCHEON | NameOfEvent1 |
| Gross Receipts Event1 | 10757 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 7572 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 3185 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 863 | NonCashPrizesEvent1 |
| Food And Beverage Event1 | 2610 | FoodAndBeverageEvent1 |
| Name Of Event2 | THINK PINK RALLY WEEK | NameOfEvent2 |
| Gross Receipts Event2 | 14116 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 14116 | CharitableContributionsEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 5170 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 5170 | CharitableContribOtherEvents |
| Gross Receipts Total | 30043 | GrossReceiptsTotal |
| Charitable Contributions Total | 26858 | CharitableContributionsTotal |
| Gross Revenue Total Events | 3185 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 863 | NonCashPrizesTotalEvents |
| Food And Beverage Total Events | 2610 | FoodAndBeverageTotalEvents |
| Direct Expense Summary Events | 3473 | DirectExpenseSummaryEvents |
| Net Income Summary | -288 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| TRANSYLVANIA COMMUNITY HOSPITAL INC | |||||||
| PO BOX 1116 | BREVARD | NC | 28712 | 560562293 | 501(C)(3) | 453552 | CANCER AND INFUSION CENTER |
| TRANSYLVANIA COMMUNITY HOSPITAL INC | |||||||
| PO BOX 1116 | BREVARD | NC | 28712 | 560562293 | 501(C)(3) | 400000 | CAPITAL CAMPAIGN |
| TRANSYLVANIA COMMUNITY HOSPITAL INC | |||||||
| PO BOX 1116 | BREVARD | NC | 28712 | 560562293 | 501(C)(3) | 630593 | OPERATIONAL SUPPORT |
| THE FREE CLINIC OF TRANSYLVANIA COUNTY INC | |||||||
| PO BOX 1135 | BREVARD | NC | 28712 | 431980011 | 501(C)(3) | 20000 | MEDICATION FOR THE UNINSURED AND MEDICALLY INDIGENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|
| JANE WALKER FREEMAN & LINDGREN MEMORIAL NURSING SCHOLARSHIP | 7 | 11194 | |
| RX ASSISTANCE PROGRAM | 7187 | PROVISION OF PRESCRIPTION MEDICATION FOR THE MEDICALLY INDIGENT AND UNDERINSURED |
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: TRANSYLVANIA REGIONAL HOSPITAL IS THE PRIMARY RECIPIENT OF GRANTS FROM THE FOUNDATION, AND ALL PAYMENTS ARE DIRECTLY RELATED TO PROJECTS AUTHORIZED BY THE BOARD OF THAT ORGANIZATION. GRANTS PROVIDED TO ORGANIZATIONS OTHER THAN THE HOSPITAL ARE REQUIRED TO SUBMIT A REPORT ONE YEAR FOLLOWING THE GRANT DETAILING THE USE OF THE FUNDS. SCHOLARSHIPS FOR NURSING ARE ONLY AVAILABLE FOR TUITION FURTHERING EDUCATION IN THE FIELD OF NURSING. AMOUNTS AND SUPPORT FOR INDIVIDUAL PERSCRIPTION ASSITANCE PROGRAMS GOES DIRECTLY TO THE PHARMACY TO COVER PORTIONS OF DRUG COSTS FOR ASSISTANCE RECIPIENTS. THE FOUNDATION REQUIRES SUBSTANTIATION FROM MEDICAL PROFESSIONALS FOR ALL AMOUNTS REQUESTED UNDER THE PRORGRAM. | 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 | 0 | 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
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT J BEDNAREK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 217039 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 14975 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 4936 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 50332 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 9646 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 296928 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part III | ReturnReference |
| Explanation | PART I, LINE 3: OFFICERS OF THE ORGANIZATION ARE COMPENSATED BY TRANSYLVANIA REGIONAL HOSPITAL, INC., A RELATED ORGANIZATION. THE HOSPITAL HAS AN INDEPENDENT BOARD OF DIRECTORS THAT OVERSEES EXECUTIVE COMPENSATION PACKAGES. THE HOSPITAL UTILIZED THE FOLLOWING MEASURES TO ESTABLISH THE COMPENSATION OF THE COMPENSATED OFFICERS LISTED ON FORM 990, PART VII, LINE 1: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSUTANTS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION STUDY/SURVEY - APPROVAL BY THE BOARD/COMPENSATION COMMITTEE | Explanation |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 107003 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | STOCK PRICE ON GIFT DATE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Third Party Use: | Identifier |
| Return Reference | Part I, Line 32b: | ReturnReference |
| Explanation | THE ORGANIZATION USES FINANCIAL INSTITUTIONS TO PROCESS AND SELL CONTRIBUTIONS OF PUBLICLY-TRADED STOCK. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | THE FOUNDATION IS A MEMBERSHIP CORPORATION, OF WHICH THE SOLE MEMBER IS TRANSYLVANIA HEALTH SYSTEM, INC. |
| Form 990, Part VI, Section A, line 7a | TRUSTEES TO THE BOARD ARE NOMINATED BY THE EXECUTIVE COMMITTEE OF THE BOARD, APPROVED BY THE FOUNDATION BOARD AND RATIFIED BY THE BOARD OF TRANSYLVANIA HEALTH SYSTEM, THE SOLE MEMBER. |
| Form 990, Part VI, Section A, line 7b | THE BOARD'S POWER TO AMEND OR RESTATE THE FOUNDATION'S ARTICLES OF INCORPORATION, AMEND OR RESTATE THE BYLAWS, AND MERGE, CONSOLIDATE, REORGANIZE OR DISSOLVE THE FOUNDATION IS SUBJECT TO APPROVAL BY TRANSYLVANIA HEALTH SYSTEM, THE SOLE MEMBER. |
| Form 990, Part VI, Section B, line 11 | THE RETURN WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WITH THE ASSITANCE AND OVERSIGHT OF MANAGEMENT. UPON REVIEW BY MANAGMENT, THE RETURN WAS PRESENTED TO THE BOARD OF DIRECTORS BY INCLUSION ON THE AGENDA OF A SCHEDULED MEETING. A PERIOD OF DISCUSSION WAS ALLOWED FOR QUESTIONS AND COMMENTS BEFORE FILING THE RETURN WITH THE IRS. |
| Form 990, Part VI, Section B, line 12c | BOARD MEMBERS ARE REQUIRED TO FILL OUT OR RENEW A COPY OF THE CONFLICT OF INTEREST POLICY ANNUALLY. MEMBERS ARE EXPECTED TO DISCLOSE ANY POTENTIAL CONFLICTS BEFORE DISCUSSIONS OR ACTIONS AFFECTING THE DECISION. |
| Form 990, Part VI, Section B, line 15a | THE ORGANIZATION DOES NOT COMPENSATE ANY EMPLOYEES. THE EXECUTIVE DIRECTOR IS COMPENSATED BY TRANSYLVANIA COMMUNITY HOSPITAL, INC., A RELATED ORGANIZATION, AND HER SALARY IS DETERMINED BY THE PRESIDENT/CEO OF THE HOSPITAL THROUGH REVIEWS OF MARKET DATA COMPARED TO SPECIFIC GOALS AND COMPETENCIES. THE PRESIDENT/CEO ALSO REVIEWS THE SALARY WITH A COMPENSATION COMMITTEE OF THE BOARD. THERE ARE NO OTHER KEY POSITIONS TO WHICH THIS PROCEDURE WOULD APPLY. |
| Form 990, Part VI, Section C, line 18 | PHOTOCOPIES OF THE FORM 1023 AND 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 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
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 |
|---|---|---|---|---|---|---|---|---|---|
| TRANSYLVANIA HEALTH SYSTEM INC | |||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561456987 | HEALTHCARE | NC | 501(c)(3) | Line 11b, II | N/A |
| TRANSYLVANIA COMMUNITY HOSPITAL INC | |||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 560562293 | HEALTHCARE | NC | 501(c)(3) | Line 3 | N/A |
| TRANSYLVANIA PHYSICIAN SERVICES INC | |||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561920816 | HEALTHCARE | NC | 501(c)(3) | Line 3 | N/A |
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 |
|---|---|---|---|---|---|---|---|
| BREVARD MRI AT TRANSYLVANIA REGIONAL HOSPITAL LLC | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 203281110 | MEDICAL | NC | N/A |
| 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 | 561599696 | 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 | 0 | 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 | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |