Charles A Cannon Jr Memorial Hospital Inc, Charles A Cannon Memorial Hospital in Linville, North Carolina (NC)

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Charles A Cannon Jr Memorial Hospital Inc, Charles A Cannon Memorial Hospital
Employer Identification Number (EIN)560529974
Name of OrganizationCharles A Cannon Jr Memorial Hospital Inc
Secondary NameCharles A Cannon Memorial Hospital
Address434 Hospital Drive, Linville, NC 28646
ActivitiesHospital
SubsectionCharitable Organization
Ruling Date01/1958
DeductibilityContributions are deductible
FoundationHospital or medical research organization
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period09/2012
Assets$10,000,000 to $49,999,999
Income$10,000,000 to $49,999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$27,703,569
Amount of Income$20,749,344
Form 990 Revenue Amount$20,662,244
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospital, General


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Amount of income in 2012: $20,749,344
This organization: 

 $20,749,344
Other organizations performing similar types of work: 

 $132,856,482

Assets in 2012: $27,703,569
Charles A Cannon Jr Memorial Hospital Inc, Charles A Cannon Memorial Hospital: 

 $27,703,569
Other organizations performing similar types of work: 

 $116,240,531

Expenses in 2002: $27,589,145
Charles A Cannon Jr Memorial Hospital Inc, Charles A Cannon Memorial Hospital: 

 $27,589,145
Other organizations performing similar types of work: 

 $117,929,197

Income to expenses ratio in 2002: 1.0
This organization: 

 1.0
Other organizations performing similar types of work: 

 1.0

Expenses allocated to program services in 2002: 72.8%
This organization: 

 72.8%
Other organizations performing similar types of work: 

 85.7%

Number of employees in 2002: 538
This organization: 

 538
Other organizations performing similar types of work: 

 1,075

Employees paid over $50,000 in 2002: 2.8%
This organization: 

 2.8%
Other organizations performing similar types of work: 

 28.7%

Grants share in income in 2002: 3.2%
This organization: 

 3.2%
Other organizations performing similar types of work: 

 0.4%

Financial snapshot ($)

Revenue for 2002

Assets at end of 2002

Expenses for 2002

Functional Expenses for 2002 ($)

Income-Producing Activities for 2002

Revenue, Expenses, and Changes in Net Assets or Fund Balances
200020012002
Total revenue$26,205,889$27,704,657$27,150,736
Contributions, gifts, grants, and similar amounts received$2,687,676$1,056,422$859,024
Contributions to donor advised funds
Direct public support$2,687,676$1,056,422$859,024
Indirect public support$0$0$0
Government contributions (grants)$0$0$0
Program service revenue including government fees and contracts$24,102,015$25,901,789$26,113,350
Membership dues and assessments$0$0$0
Interest on savings and temporary cash investments$0$0$0
Dividends and interest from securities$3,378$27,417$39,825
Net rental income or (loss)$9,273$-104,015$-124,823
Gross rents$9,273$201,178$182,062
Less: rental expenses$0$305,193$306,885
Other investment income$-685,781$0$0
Gain or (loss) from sales of assets other than inventory$-457,448$681,394$91,370
Gross amount from sales of assets other than inventory$1,241,364$1,537,838$91,370
Less: cost or other basis and sales expenses$1,698,812$856,444$0
Net income or (loss) from special events and activities$0$0$0
Gross revenue$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0
Less: cost of goods sold$0$0$0
Other revenue$546,776$141,650$171,990
Total expenses$25,138,216$26,970,754$27,589,145
Program services$20,808,791$21,056,549$20,074,781
Management and general$4,329,425$5,914,205$7,514,364
Fundraising$0$0$0
Payments to affiliates$0$0$0
Net assets or fund balances at end of year$8,821,915$10,977,721$10,811,627
Excess or (deficit) for the year$1,067,673$733,903$-438,409
Net assets or fund balances at beginning of year$6,094,708$8,821,915$10,977,721
Other changes in net assets or fund balances$1,659,534$1,421,903$272,315
Statement of Functional Expenses (for 2002)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$27,589,145$20,074,781$7,514,364$0
Grants paid from donor advised funds
Other grants and allocations$2,936
Specific assistance to individuals$2,290
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$0$0$0$0
Compensation of former officers, directors, key employees, etc.
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
Salaries and wages of employees not included above$11,629,474$9,616,199$2,013,275$0
Pension plan contributions not included above$125,455$103,736$21,719$0
Employee benefits not included above$1,434,896$1,186,489$248,407$0
Payroll taxes$832,505$688,383$144,122$0
Professional fundraising fees$0$0$0$0
Accounting fees$0$0$0$0
Legal fees$268,876$0$268,876$0
Supplies$3,213,483$2,745,752$467,731$0
Telephone$192,858$1,614$191,244$0
Postage and shipping$55,027$45,501$9,526$0
Occupancy$388,106$320,918$67,188$0
Equipment rental and maintenance$380,194$196,838$183,356$0
Printing and publications$61,498$0$61,498$0
Travel$18,950$0$18,950$0
Conferences, conventions, and meetings$0$0$0$0
Interest$896,993$0$896,993$0
Depreciation, depletion, etc.$1,672,843$1,383,243$289,600$0
Other expenses not covered above$6,412,761$3,780,882$2,631,879$0
Balance Sheets
200020012002
Total assets$33,731,678$33,203,510$32,725,809
Cash - non-interest-bearing$2,974,000$912,105$764,170
Savings and temporary cash investments$763,043$848,144$1,329,134
Accounts receivable less allowance for doubtful accounts$3,366,544$3,181,839$3,302,599
Pledges receivable less allowance for doubtful accounts$0$0$0
Grants receivable$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
Other notes and loans receivable less allowance for doubtful accounts$0$0$0
Inventories for sale or use$86,030$72,164$98,712
Prepaid expenses and deferred charges$88,162$117,736$154,716
Investments - publicly-traded securities
Investments - other securities$0$0$0
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0
Investments - other$0$548,418$0
Land, buildings, and equipment less accumulated depreciation$26,097,354$26,555,411$25,821,100
Other assets, including program-related investments$356,545$967,693$1,255,378
Total liabilities$24,909,763$22,225,789$21,914,182
Accounts payable and accrued expenses$3,092,514$2,460,022$2,703,359
Grants payable$0$0$0
Deferred revenue$193,187$293,374$559,066
Loans from officers, directors, trustees, and key employees$0$0$0
Tax-exempt bond liabilities$0$0$0
Mortgages and other notes payable$20,373,292$18,223,982$17,508,569
Other liabilities$1,250,770$1,248,411$1,143,188
Total liabilities and net assets/fund balances$33,731,678$33,203,510$32,725,809
Total net assets or fund balances$8,821,915$10,977,721$10,811,627
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
200020012002
Total revenue$26,205,889$27,704,657$27,150,736
Total revenue, gains, and other support per audited financial statements$26,205,889$27,537,642$26,807,621
Other expenses$0$127,792$50,000
Net unrealized gains on investments$0$127,792$0
Donated services and use of facilities$0$0$0
Recoveries of prior year grants$0$0$0
Other$0$0$50,000
Other revenue$0$294,807$393,115
Investment expenses$0$0$0
Other$0$294,807$393,115
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
200020012002
Total expenses$25,138,216$26,970,754$27,589,145
Total expenses and losses per audited financial statements$25,138,216$27,275,947$27,896,030
Other revenue$0$305,193$306,885
Donated services and use of facilities$0$0$0
Prior year adjustments$0$0$0
Losses$0$0$0
Other$0$305,193$306,885
Other expenses$0$0$0
Investment expenses$0$0$0
Other$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings0
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?
Does the organization have a written conflict of interest policy?
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?
Did the organization acquire a direct or indirect interest in any applicable insurance contract?
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?
Number of employees employed in the pay period that includes March 12, 2006538
Analysis of Income-Producing Activities (for 2002)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$6,644$178,362$26,106,706
Program service revenue
Program service revenue 1000000$000$0$26,106,706
Program service revenue 2All other ambulatory health care services$1,32500$0$0
Program service revenue 3Medical and diagnostic laboratories$1,85100$0$0
Program service revenue 4Medical and diagnostic laboratories$3,46800$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$000$0$0
Dividends and interest from securities000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$39,825$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$0Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)$-124,823$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$91,370$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$0Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))$171,990$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2002)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0%$0$0
0%$0$0
0%$0$0
0%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2002)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$81,738$6,042$0
$80,333$6,005$0
$73,669$5,815$0
$72,285$5,050$0
$63,073$5,455$0
Total number of other employees paid over $50,00010
Statements About Activities (for 2002)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?
Did the organization maintain any donor advised funds?
Did the organization make any taxable distributions under section 4966?
Did the organization make a distribution to a donor, donor advisor, or related person?
Enter the total number of donor advised funds owned at the end of the tax year
Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year
Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts
Enter the aggregate value of assets held in all funds or accounts included above at the end of the tax year
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isHospital, or a cooperative hospital service organization
Support Schedule
199920002001
Total$0$0$0
Gifts, grants, and contributions received$0$0$0
Membership fees received$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0
Net income from unrelated business activities not included above$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0
Other income$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2002)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
Statements Regarding Other IRS Filings and Tax Compliance (for 2011)
Did the organization have unrelated business gross income of $1,000 or more during the year?No
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities $0
Gross income from members or shareholders$0
Gross income from other sources$0
Statement of Revenue (for 2011)
Total revenue$20,106,856
Contributions, Gifts, Grants and Other Similar Amounts$77,719
Program Service Revenue$19,820,513
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$19,742
Income from investment of tax-exempt bond proceeds$0
Royalties$0
Net rental income$57,359
Gross rents (Real / Personal)$57,359 / $0
Less: rental expenses (Real / Personal)$0 / $0
Rental income or (loss) (Real / Personal)$57,359 / $0
Net gain from sales of assets other than inventory$0
Net income from fundraising events$0
Net income from gaming activities$0
Net income from sales of inventory$0
Miscellaneous Revenue$131,523
Statement of Functional Expenses (for 2011)
Total functional expenses$21,554,478
Compensation of current officers, directors, trustees, and key employees$0
Other salaries and wages$10,221,479
Payroll taxes$614,573
Professional fundraising services$0
Other$10,718,426
Balance Sheet (for 2011)
Total assets$27,723,828
Total liabilities$9,319,408
Tax-exempt bond liabilities$0
Secured mortgages and notes payable to unrelated third parties$7,533,509
Unsecured notes and loans payable to unrelated third parties$0
Other$1,785,899
Total net assets or fund balances$18,404,420
Retained earnings, endowment, accumulated income, or other funds$0
Reason for Public Charity Status (for 2011)
The organization is not a private foundation because it is:A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
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Number of organizations performing similar types of work
Alaska3
Alabama19
Arkansas23
Arizona17
California114
Colorado25
Connecticut29
District of Columbia2
Delaware6
Florida54
Georgia53
Hawaii5
Iowa26
Idaho7
Illinois104
Indiana49
Kansas26
Kentucky32
Louisiana22
Massachusetts46
Maryland42
Maine19
Michigan62
Minnesota40
Missouri49
Mississippi19
Montana11
North Carolina48
North Dakota13
Nebraska21
New Hampshire21
New Jersey49
New Mexico7
Nevada4
New York129
Ohio98
Oklahoma17
Oregon26
Pennsylvania133
Rhode Island10
South Carolina14
South Dakota9
Tennessee25
Texas54
Virginia36
Vermont8
Washington18
Wisconsin71
West Virginia24
International10
Total1,749

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