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Forsyth Community Pcc LLC FY2021 filing

Tax-deductible

Winston Salem, NC501(c)(3)EIN 81-5300614Revenue $243K in FY2021

On file with the IRS650 Highland Ave Ste 120, 27101-4367 · Winston Salem, NCTax-exempt since May 2019Hospital or medical research org — 170(b)(1)(A)(iii)

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Forsyth Community Pcc, LLC is a joint venture formed in 2018 between Forsyth memorial hospital, INC. And wake forest university baptist medical center to provide healthcare services to Forsyth county, NC.

501(c)(3) charity; gifts are tax-deductible.
94¢ of each $1 spent went to programs.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX

Before you give

FY2021 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2023
latest Form 990
Fine: the latest return is for FY2023, 3 tax years back; within 3 tax years.
IRS e-file · Filing history
Surplus or deficit
0 of 4
filings with a surplus
Average deficit $894K a year · 394% of revenue · last 4 filings
Concern: a surplus in 0 of the last 4 filings.
Pt I · Ln 19 · 4 filings
Spent on programs
94%
of spending
Looks good: 94% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Cash reserves
<1 mo
of spending, in cash
Concern: 0.1 months of spending in cash; under 2 weeks.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
1
named funder · $145K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$824K
165% of total assets
Concern: liabilities are 165% of assets; over 80%.
Pt X · Ln 26
Independent board members
8
of 8 voting members
Looks good: 8 of 8 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$243K
+82% vs prior year
Spent
$1.4M
To programs
94%
Net assets
−$323K
By yearFY2020–FY2023
Revenue
$243K
FY2021▲ +82%
Tap a bar for its year
Revenue by fiscal year
FY2020$134K
FY2021$243K
FY2022$182K
FY2023$350K
Expenses
$1.4M
FY2021▲ +51%
Tap a bar for its year
Expenses by fiscal year
FY2020$953K
FY2021$1.4M
FY2022$1.0M
FY2023$1.1M
Net assets
−$323K
FY2021▼ -137%
Tap a bar for its year
Net assets by fiscal year
FY2020$873K
FY2021−$323K
FY2022$417K
FY2023$716K

From the FY2021 Form 990 · see the original

990 PDF Claim
You’re viewing the FY2021 filing — not the latest on file. See the latest (FY2023) →

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2023. IRS ruling in May 2019.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

94 cents of each dollar spent went to programs.

Program services 94% · $1.4M Management & general 6% · $84K

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

8 people listed on the 990.

Part VII, Section A · reportable compensation
$0Pt VII · Sec A
$0Pt VII · Sec A
Mounce Joyce
Secretary
$0Pt VII · Sec A
Byrd Paula
Trustee
$0Pt VII · Sec A
Lord Richard MD
Medical Director/Chair
$0Pt VII · Sec A
Mann John MD
Vice Chair
$0Pt VII · Sec A
$0Pt VII · Sec A
$0Pt VII · Sec A
See Forsyth Community Pcc LLC executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2Yes
  • Top official's pay set by an independent reviewPt VI · Ln 15aNo

Programs and updates

Provides healthcare services to Forsyth County, NC.

Questions for Forsyth Community Pcc LLC

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Provided by the organization

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1 program · $1.4M · in their own filed words · FY2021
01

Forsyth community PCC, LLC ("FCPCC") is a joint venture formed in 2018 between forsyth memorial hospital, inc. And wake forest university baptist medical center to provide healthcare services in forsyth county, NC.

$1.4Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · funders on record
Grants received · FY2023
Forsyth Memorial Hospital INCFY2023$145K
Total grants receivedfrom 1 funder$145K

By the numbers

The FY2021 990, line by line.

Download 990
from philanthropy.org
1The main four
Money inPt VIII
$243K
Ln 12
Fees for servicesLn 2g$243K
Investment incomeLn 3$511
Other incomeLn 4–11$20
Money outPt IX
$1.4M
Ln 25
Programscol B$1.4M
Managementcol C$84K
Owns and owesPt X
−$323K
net assets · Ln 32
Cash and savingsLn 1–2$15K
Total assetsLn 16$500K
LiabilitiesLn 26$824K
PeoplePt VI, VII
8
listed · VII A
PaidVII A0
Voting boardVI 1a8
IndependentVI 1b8
2In more detail
Revenue in detailPt VIII
Fees for servicesLn 2g$243K
Investment incomeLn 3$511
Other incomeLn 4–11$20
Total revenueLn 12$243K
Assets in detailPt X, end of year
CashLn 1$15K
Cash and savings togetherLn 1–2$15K
Land, buildings, equipmentLn 10c$431K
Total assetsLn 16$500K
LiabilitiesLn 26$824K
Net assetsLn 32−$323K
OperationsPt I, VI
EmployeesI 50
VolunteersI 68
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13No
Records policyVI 14No
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY21End FY21
Cash and savingsLn 1–2$232K$15K
Land, buildings, equipmentLn 10c$539K$431K
Total assetsLn 16$1.2M$500K
LiabilitiesLn 26$280K$824K
Net assetsLn 32$873K−$323K
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Management feesLn 11a$13K$13K
Other fees for servicesLn 11g$1.1M$1.1M$843
Advertising and promotionLn 12$302$302
Office expensesLn 13$43K$8K$35K
Information technologyLn 14$9K$9K
OccupancyLn 16$91K$91K
TravelLn 17$153$153
Depreciation, depletion and amortizationLn 22$108K$108K$257
InsuranceLn 23$23K$3K$20K
Other expenses (24a–d)Ln 24$48K$34K$14K
All other expensesLn 24e$13K$12K$852
Total functional expensesLn 25$1.4M$1.4M$84K$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2023 Latest $350K$1.1M−$701K$716K 990 PDF
FY2022 $182K$1.0M−$860K$417K 990 PDF
FY2021 Viewing $243K$1.4M−$1.2M−$323K 990 PDF
FY2020 $134K$953K−$819K$873K 990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
See the full FY2021 990 (6 parts)
Part I · Summary $243,254 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $0$0
I-9 Program service revenuePrior year $133,081$242,723
I-10 Investment incomePrior year $274$511
I-11 Other revenuePrior year $151$20
I-12 Total revenuePrior year $133,506$243,254
I-13 Grants and similar amounts paidPrior year $0$0
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $0$0
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $952,649$1,439,334
I-18 Total expensesPrior year $952,649$1,439,334
I-19 Revenue less expensesPrior year −$819,143−$1,196,080
Part VI · Governance 8 of 8 board members independent, 4 to look at
VI-1a Voting members of the governing body8
VI-1b Independent voting members8
VI-2 Family or business relationship among officers or directorsYes
VI-13 Written whistleblower policyNo
VI-14 Document retention and destruction policyNo
VI-15a Process for setting top official's payNo
VI-12a Written conflict of interest policyYes
Part VIII · Statement of revenue $243,254 across 3 lines filed
Lines not itemized here account for $20 of total revenue; see the IRS return.
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $242,723$242,723
VIII-3 Investment incomeExcluded from tax $511$511
VIII-12 Total revenueRelated to mission $242,743 · Unrelated business $0 · Excluded from tax $511$243,254
Part IX · Statement of functional expenses $1,439,334 across 11 lines filed
IX-11a Management feesManagement $13,258$13,258
IX-11g Other fees for servicesPrograms $1,090,341 · Management $843$1,091,184
IX-12 Advertising and promotionPrograms $302$302
IX-13 Office expensesPrograms $7,597 · Management $35,012$42,609
IX-14 Information technologyPrograms $9,428$9,428
IX-16 OccupancyPrograms $90,864$90,864
IX-17 TravelPrograms $153$153
IX-22 Depreciation, depletion and amortizationPrograms $107,765 · Management $257$108,022
IX-23 InsurancePrograms $2,678 · Management $19,862$22,540
IX-24 Other expenses (24a–d)Programs $33,507 · Management $14,364$47,871
IX-24e All other expensesPrograms $12,251 · Management $852$13,103
IX-25 Total functional expensesPrograms $1,354,886 · Management $84,448 · Fundraising $0$1,439,334
Part X · Balance sheet $500,435 assets, 10 lines filed
X-1 Cash, non-interest-bearingStart of year $232,343$14,619
X-4 Accounts receivableStart of year $381,701$55,186
X-10c Land, buildings and equipment, netStart of year $538,653$430,630
X-16 Total assetsStart of year $1,152,697$500,435
X-17 Accounts payable and accrued expensesStart of year $215,887$251,639
X-25 Other liabilitiesStart of year $64,055$572,121
X-26 Total liabilitiesStart of year $279,942$823,760
X-27 Net assets without donor restrictionsStart of year $872,755−$323,325
X-32 Total net assets or fund balancesStart of year $872,755−$323,325
X-33 Total liabilities and net assetsStart of year $1,152,697$500,435
Part XI · Reconciliation of net assets −$323,325 net assets at year end
XI-1 Total revenue$243,254
XI-2 Total expenses$1,439,334
XI-3 Revenue less expenses−$1,196,080
XI-4 Net assets at start of year$872,755
XI-9 Other changes in net assets$0
XI-10 Net assets at end of year−$323,325

Form 990 e-file (XML) FY2021 from the IRS · Classification, formation year and address from the IRS Business Master File

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