2022-09-12T14:18:32-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-10-01 272041641 J ARTHUR DOSHER MEMORIAL HOSPITAL FOUNDATION INC JART 9104573910 924 N HOWE STREET SOUTHPORT NC 28461 LYNDA STANLEY PRESIDENT 9104573910 2022-08-12 1 LYNDA STANLEY 999009999 JOHN NORMAN P01506766 7049985200 2022-08-11 0 AAL1 IAL1 2020 2023-04-26 12:10:37Z LYNDA STANLEY 924 N HOWE STREET SOUTHPORT NC 28461 613117 0 X N/A X 2010 NC TO ENHANCE THE QUALITY OF HEALTHCARE FOR THOSE SERVED BY DOSHER MEMORIAL HOSPITAL 18 17 0 50 0 0 159418 578977 0 0 -2 0 116953 29340 276369 608317 178376 391367 0 0 0 62161 0 0 0 68365 25159 246741 478687 29628 129630 1043827 1173457 0 0 1043827 1173457 THE DOSHER MEMORIAL HOSPITAL FOUNDATION IS A 501 C 3 NON-FOR-PROFIT ORGANIZATION WHICH HAS TAKEN ON THE MISSION OF ENHANCING THE QUALITY OF HEALTHCARE FOR THE PEOPLE WITHIN THE SERVICE AREA OF DOSHER MEMORIAL HOSPITAL BY SEEKING AND ALLOCATING PHILANTHROPIC FUNDS. 0 0 408026 391367 421326 PROVIDED FUNDS TO FINANCE CAPITAL IMPROVEMENTS, BUY EQUIPMENT AND SUPPORT STAFF AT J. ARTHUR DOSHER MEMORIAL HOSPITAL AND TO PROVIDE SCHOLARSHIPS TO STUDENTS AT BRUNSWICK COMMUNITY COLLEGE. 408026 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 1 0 0 0 0 0 0 0 0 0 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 17 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 0 0 0 X KELLIE VELEZ 9104573815 924 N HOWE ST SOUTHPORT NC 28461 LYNDA STANLEY HOSP/FOUNDATION PRESIDENT 20.00 25.00 X 0 226782 31931 MELODY RYAN CHAIR 1.00 0.00 X X 0 0 0 ADAM POWELL BOARD MEMBER 1.00 0.00 X X 0 0 0 CRAIG CHANCELLOR VICE CHAIR 1.00 0.00 X X 0 0 0 JOE AGOVINO BOARD MEMBER 1.00 0.00 X 0 0 0 BARBARA BOLAND PAST CHAIR 1.00 0.00 X 0 0 0 ROBERT BREINING BOARD MEMBER 1.00 0.00 X 0 0 0 TOM CAVANAUGH SECRETARY 1.00 0.00 X X 0 0 0 JOHN ERWIN BOARD MEMBER 1.00 0.00 X 0 0 0 JWANTANA FRINK BOARD MEMBER 1.00 0.00 X 0 0 0 TISH HATEM BOARD MEMBER 1.00 0.00 X 0 0 0 TRISHA HOWARTH BOARD MEMBER 1.00 0.00 X 0 0 0 RANDY JONES BOARD MEMBER 1.00 0.00 X 0 0 0 SUSAN RABON BOARD MEMBER 1.00 0.00 X 0 0 0 MAURICE SMITH BOARD MEMBER 1.00 0.00 X 0 0 0 RUSS THOMPSON BOARD MEMBER 1.00 0.00 X 0 0 0 JERI ROBINSON BOARD MEMBER 1.00 0.00 X 0 0 0 BRAD HILAMAN HOSPITAL CEO 1.00 0.00 X 543625 0 14210 BECKIE ARMSTRONG BOARD MEMBER 1.00 0.00 X 0 0 0 LUCINDA ARNOLD BOARD MEMBER 1.00 0.00 X 0 0 0 JOYCE JOHN TREASURER 1.00 0.00 X X 0 0 0 KATHY MCCONNELL BOARD MEMBER 1.00 0.00 X 0 0 0 CARRIE MOFFETT BOARD MEMBER 1.00 0.00 X 0 0 0 ED RAU BOARD MEMBER 1.00 0.00 X 0 0 0 CLAY FAIRLEY BOARD MEMBER 1.00 0.00 X 0 0 0 DICK MARSHALL BOARD MEMBER 1.00 0.00 X 0 0 0 LIBBY FEATHERSTON BOARD MEMBER 1.00 0.00 X 0 0 0 543625 226782 46141 1 0 1 0 0 79071 499906 578977 34140 79071 4800 29340 29340 608317 0 0 29340 391367 391367 62161 62161 2885 2885 7109 7109 119 119 22 22 MISCELLANEOUS EXPENSES 8500 8500 GOLF EXPENSES 3663 3663 FUNDRAISING 1452 1452 GALA EXPENSES 1409 1409 478687 408026 70661 0 1043827 1173457 1043827 1173457 0 0 X 997610 1127240 46217 46217 1043827 1173457 1043827 1173457 129630 0 X 1 X 1 X 0 0 X X X 1 J ARTHUR DOSHER MEMORIAL HOSPITAL 560845825 3 1 391367 0 1 391367 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 6: THE FOUNDATION CONTRIBUTED $3,000 TO BRUNSWICK COMMUNITY COLLEGE, A NONPROFIT GOVERNMENTAL ENTITY, TO PROVIDE SCHOLARSHIPS TO STUDENTS IN MEDICAL RELATED COURSES OF STUDY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: THE FOUNDATION QUALIFIES UNDER SECTION 501(C)(3) OF THE CODE AND IS, THEREFORE, NOT SUBJECT TO TAX UNDER CURRENT INCOME TAX REGULATIONS. GOLF 2021 19000 19000 4050 HEART TO HEART 15140 15140 750 79071 79071 113211 79071 34140 4800 4800 29340 1 J ARTHUR DOSHER MEMORIAL HOSPITAL 924 N HOWE STREET SOUTHPORT NC 28461 560845824 391367 CAPITAL IMPROVEMENTS 1 PART I, LINE 2: EXECUTIVE DIRECTOR MAINTAINS ELECTRONIC AND PAPER FILES. 0 0 0 0 0 0 0 0 0 BRAD HILAMAN HOSPITAL CEO 543625 0 0 0 0 0 26000 0 0 0 569625 0 0 0 LYNDA STANLEY HOSP/FOUNDATION PRESIDENT 0 206707 0 0 0 20075 0 12700 0 19231 0 258713 0 0 PARI I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION THE RELATED ORGANIZATION OF THE FOUNDATION USED A WRITTEN EMPLOYMENT CONTRACT AND A COMPENSATION SURVEY OR STUDY TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT WHO IS AN EMPLOYEE OF THE RELATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND CONTROLLER OF THE SUPPORTED AND RELATED ORGANIZATION REVIEW FORM 990 BEFORE IT WAS FILED WITH THE IRS. ADDITIONALLY FORM 990 IS PRESENTED TO THE FOUNDATION BOARD AT A REGULARY SCHEDULED MEETING FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL BOARD MEMBER. ENFORCEMENT OF THE POLICY INCLUDES A REQUIREMENT THAT ALL BOARD MEMBERS ANNUALLY DISCLOSE ANY CONFLICTS BY EITHER REPORTING CONFLICTS OR CONFIRMING THAT NO CONFLICTS EXIST. IF A CONFLICT IS DISCLOSED, THAT BOARD MEMBER IS PROHIBITED FROM PARTICIPATING IN THE FOUNDATION BAORD'S DELIBERATIONS AND DECISION REGARDING THOSE TRANSACTIONS. FORM 990, PART VI, SECTION C, LINE 18 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. J ARTHUR DOSHER MEMORIAL HOSPITAL 924 N HOWE STREET SOUTHPORT NC 28461 560845824 HOSPITAL NC 501(C)(3) LINE 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0