HARNETT HEALTH SYSTEM FOUNDATION: Form 990EZ, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- HARNETT HEALTH SYSTEM FOUNDATION (EIN 20-1929953)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-05-04
- IRS object ID
- 201141249349200634
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-04T14:40:08-05:00 | 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 | 990EZ | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201929953 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETSY JOHNSON REGIONAL HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BETS | NameControl |
| Phone | 9108911000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 TILGHMAN DRIVE | AddressLine1 |
| City | DUNN | City |
| State | NC | State |
| ZIP Code | 28334 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TC GODWIN | Name |
| Title | CHAIRMAN | Title |
| Phone | 9108911000 | Phone |
| Date Signed | 2011-05-04 | 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-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Web Site | WWW.BJRH.ORG/FOUNDATION | WebSite |
| Organization501c | X | Organization501c |
| Gross Receipts | 291284 | GrossReceipts |
| Contributions Gifts Grants Etc | 290872 | ContributionsGiftsGrantsEtc |
| Investment Income | 412 | InvestmentIncome |
| Total Revenue | 291284 | TotalRevenue |
| Grants And Similar Amounts Paid | 229126 | GrantsAndSimilarAmountsPaid |
| Other Expenses Total | 92 | OtherExpensesTotal |
| Total Expenses | 229218 | TotalExpenses |
| Excess Or Deficit For Year | 62066 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 324479 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 386545 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324479 | BOY |
| EOY | 386545 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324479 | BOY |
| EOY | 386545 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324479 | BOY |
| EOY | 386545 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | THE FOUNDATION'S PURPOSE IS TO SUPPLEMENT, ENHANCE, AND ENRICH THE FACILITIES, PROGRAMS, AND SERVICES PROVIDED BY HARNETT HEALTH SYSTEM, INC. THE FOUNDATION'S GOAL IS TO SUPPORT THE HOSPITAL'S EFFORTS IN ENHANCING SERVICES AND PROGRAMS IN AN ATTEMPT TO ALLOW MORE PATIENTS THE OPPORTUNITY TO REMAIN CLOSE TO HOME WHERE THEY CAN BE NEAR LOVED ONES DURING THIS CRITICAL TIME. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | 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 FOR OUR FACILITIES AS WELL AS PROVIDING STATE-OF-THE-ART EQUIPMENT. THE FOUNDATION CONTRIBUTED $229,126 IN FY 2010 TO HARNETT HEALTH SYSTEM, INC. THAT HELPED FUND THESE IMPORTANT ITEMS:+ TAP PROGRAM: $738, 53 PATIENTS SERVED+ PEDIATRIC DISPLAY BOARDS: $189, 231 PATIENTS TREATED+ SAMARITAN FUND: $65, 3 PATIENTS SERVED+ DIGITAL MAMMOGRAPHY SYSTEM: $100,000, 3,001 PATIENTS TREATED | DescriptionProgramServiceAccom |
| Grants And Allocations | 229126 | GrantsAndAllocations |
| Program Service Expenses | 229218 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 229218 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (21 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| TC GODWIN | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | CHAIRMAN | 2.00 | 0 | 0 | 0 |
| ABE ELMORE | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | VICE CHAIRMAN | 1.00 | 0 | 0 | 0 |
| PAULA POPE | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | SECRETARY | 5.30 | 0 | 0 | 0 |
| SHARON STEVENS | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | TREASURER | 1.30 | 0 | 0 | 0 |
| CHARLIE CARPENTER | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| JANE REGISTER | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.40 | 0 | 0 | 0 |
| JEFFREY SURLES | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.40 | 0 | 0 | 0 |
| MIKE BLACKMON | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| GINGER BARBOUR | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| PAT MARSHALL | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| BILLY TART | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| TOWNSEND QUINN | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| CAROL SNIPES | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| BOYD DIXON | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| ROBBIE TART | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 4.00 | 0 | 0 | 0 |
| DR PK VYAS | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| REBECCA TURLINGTON | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| NEIL EMORY | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| CECIL BO JONES | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| MARY ELLEN LAUDER | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| CLEM MEDLEY | ||||||||
| 800 TILGHMAN DRIVE | DUNN | NC | 28334 | BOARD MEMBER | 1.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBORAH WHITTINGTON | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 TILGHAM DRIVE | AddressLine1 |
| City | DUNN | City |
| State | NC | State |
| ZIP Code | 28344 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9108911000 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 323882 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 68260 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 126001 | CurrentTaxYearMinus1Year |
| Current Tax Year | 290872 | CurrentTaxYear |
| Total | 809015 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 323882 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 68260 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 126001 | CurrentTaxYearMinus1Year |
| Current Tax Year | 290872 | CurrentTaxYear |
| Total | 809015 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 15916 | AmountsSubstContributorsTotal |
| Public Support Total170 | 793099 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1273 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1654 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1185 | CurrentTaxYearMinus1Year |
| Current Tax Year | 412 | CurrentTaxYear |
| Total | 4524 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 813539 | TotalSupport |
| Gross Receipts From Admissions Etc | 97563 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.97490 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99210 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT/GALA | NameOfEvent1 |
| Gross Receipts Event1 | 130487 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 130487 | CharitableContributionsEvent1 |
| Gross Receipts Total | 130487 | GrossReceiptsTotal |
| Charitable Contributions Total | 130487 | CharitableContributionsTotal |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | The organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract. | Declaration |