2024-07-26T10:22:52-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 562012634 ALLEGHANY MEMORIAL HOSPITAL FOUNDATION INC ALLE 3363723281 233 DOCTORS STREET SPARTA NC 28675 CHARLES MANGANO BOARD CHAIR 3363723281 2024-07-26 1 1 AMY BIBBY P00445891 8282542254 2024-07-23 2022 2024-08-08 14:25:15Z CHARLES MANGANO 233 DOCTORS STREET SPARTA NC 28675 454381 0 X WWW.ALLEGHANYHEALTH.ORG X 1997 NC ALLEGHANY MEMORIAL HOSPITAL FOUNDATION'S PURPOSE IS TO PROVIDE LONG RANGE AND CONTINUING FINANCIAL SUPPORT TO ALLEGHANY MEMORIAL HOSPITAL'S EFFORT TO ENHANCE THE QUALITY OF LIFE OF THE CITIZENS OF ALLEGHANY AND SURROUNDING COUNTIES BY PROVIDING QUALITY HEALTHCARE SERVICES IN A COST EFFECTIVE AND PERSONAL MANNER. 18 18 0 65 0 0 727827 218814 0 0 9 2331 114584 168338 842420 389483 966181 479991 0 0 74663 71579 0 0 0 39082 17893 1079926 569463 -237506 -179980 1712818 1461692 152058 306 1560760 1461386 X ALLEGHANY MEMORIAL HOSPITAL FOUNDATION'S PURPOSE IS TO PROVIDE LONG RANGE AND CONTINUING FINANCIAL SUPPORT TO ALLEGHANY MEMORIAL HOSPITAL'S EFFORT TO ENHANCE THE QUALITY OF LIFE OF THE CITIZENS OF ALLEGHANY AND SURROUNDING COUNTIES BY PROVIDING QUALITY HEALTHCARE SERVICES IN A COST EFFECTIVE AND PERSONAL MANNER. 0 0 569463 479991 THE FOUNDATION HAS HELPED SUPPORT ALLEGHANY MEMORIAL HOSPITAL PROMOTE HEALTHCARE IN THE COMMUNITIES SERVED FROM CONTRIBUTIONS RECEIVED AND FROM FUNDRAISERS HELD THROUGHOUT THE YEAR. FOR FISCAL YEAR 2023, THE ORGANIZATION PROVIDED SUPPORT TO THE HOSPITAL FOR BUILDING CONSTRUCTION THE PURCHASE OF MEDICAL EQUIPMENT.TOTAL SUPPORT PROVIDED TO THE HOSPITAL FOR THE YEAR WAS $479,991. 569463 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 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X X JULIE TUCKER 3363723281 233 DOCTORS STREET SPARTA NC 28675 CHARLES MANGANO MD CHAIRMAN 5.00 X X 0 0 0 MARK STEPHENS VICE CHAIR 2.00 X X 0 0 0 PRATT DAVIS SECRETARY 2.00 X X 0 0 0 SHIRLEY RICHARDSON DIRECTOR 2.00 X 0 0 0 JOHN EVANS DIRECTOR 2.00 X 0 0 0 JENNY BRASWELL DIRECTOR 2.00 X 0 0 0 LAURA GENTRY DIRECTOR 2.00 X 0 0 0 BRETT JARRETT DIRECTOR 2.00 X 0 0 0 KEN KREUZER DIRECTOR 2.00 X 0 0 0 DR BETH LYON SMITH DIRECTOR 2.00 X 0 0 0 TOMMY MAINES DIRECTOR 2.00 X 0 0 0 MICHAUX CROCKER DIRECTOR 2.00 X 0 0 0 LEANN GAMBILL DIRECTOR 2.00 X 0 0 0 CHERYL MITCHELL DIRECTOR 2.00 X 0 0 0 SUSAN E MURPHY DIRECTOR 2.00 X 0 0 0 MELISSA VESTAL DIRECTOR 2.00 X 0 0 0 JAMES LAMBIE DIRECTOR 2.00 X 0 0 0 CHRIS JONES DIRECTOR 2.00 X 0 0 0 ROBIN GAMBILL EXECUTIVE DIRECTOR 28.00 X 0 59145 0 0 59145 0 0 0 0 0 0 151784 67030 31135 218814 2331 2331 201906 58570 143336 143336 31330 6328 25002 25002 389483 0 0 170669 479991 479991 71579 71579 9568 9568 3127 3127 1964 1964 OTHER EXPENSES 3234 3234 569463 569463 0 0 1014066 993620 370395 430072 290357 0 38000 38000 1712818 1461692 274 306 151784 0 152058 306 X 893393 1141419 667367 319967 1560760 1461386 1712818 1461692 X -179980 80606 X X 0 1 X 1 0 X X 1 ALLEGHANY COUNTY MEMORIAL HOSPITAL INC 560525657 3 1 479991 0 1 479991 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: THE HOSPITAL AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL AND FOUNDATION HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2023. GOLF TOURNAMENT 178031 178031 1655 7500 6579 33229 FASHION SHOW 9100 9100 3340 1070 2 14775 14775 1507 3690 201906 201906 1655 9007 9919 37989 58570 143336 1 ALLEGHANY COUNTY MEMORIAL HOSPITAL 233 DOCTORS STREET SPARTA NC 28675 560525657 501C(3) 479991 0 CAPITAL ASSETS AQUISITION & PROGRAM SUPPORT 1 PART I, LINE 2: GRANTS ARE GIVEN TO THE SUPPORTING ORGANIZATION. MONITORING IS DONE THROUGH SHARED BOARD MEMBERS AND MANAGEMENT. X 1 31135 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 ROBIN GAMBILL (MARKETING & FOUNDATION DIRECTOR) IS SISTER OF CHERYL MITCHELL. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO EACH VOTING BOARD MEMBER VIA EMAIL IF AVAILABLE OR US MAIL IF THE MEMBER DOES NOT HAVE AN EMAIL ADDRESS. PRIOR TO THE FILING DATE OF THE 990, THE AMH FOUNDATION BOARD REVIEWED THE 990. FOLLOWING A DISCUSSION PERIOD AND QUESTION AND ANSWER SESSION, THE BOARD VOTED TO APPROVE AND ACCEPT THE FORM 990 AS PRESENTED. FORM 990, PART VI, SECTION B, LINE 12C AMH FOUNDATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED, AND SIGNED BY EACH VOTING BOARD MEMBER ON AN ANNUAL BASIS ALONG WITH A CONFLICT OF INTEREST QUESTIONNAIRE. PURSUANT TO THIS POLICY, EACH BOARD MEMBER WILL EXCUSE THEMSELVES FROM ANY DISCUSSION AND VOTE FOR WHICH A CONFLICT FOR THEMSELVES OR THEIR FAMILY EXISTS. DETERMINATIONS OF WHETHER A CONFLICT EXISTS ARE MADE AT A MANAGEMENT, BOARD MEMBER, AND INDIVIDUAL LEVEL. ACTUAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE OFFICER OF ALLEGHANY MEMORIAL HOSPITAL, WITHOUT THE PRESENCE OF THE INTERESTED PARTY. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES IT'S FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, RECENT COPIES OF THE FORM CAN BE ACCESSED ON GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER 80,606. FORM 990. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM LAST YEAR ALLEGHANY COUNTY MEMORIAL HOSPITAL INC 233 DOCTORS STREET SPARTA NC 28675 560525657 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 ALLEGHANY HEALTH SERVICES 233 DOCTORS STREET SPARTA NC 28675 201189450 COMMUNITY HEALTH SERVICES NC 501(C)(3) LINE 3 ALLEGHANY COUNTY MEMORIAL HOSPITAL INC 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0