MOUNTAINCARE INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- MOUNTAINCARE INC (EIN 56-2005198)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-08-21
- IRS object ID
- 202012349349300311
- Schema version
- 2018v3.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-21T10:04:55-05:00 | ReturnTs |
| Tax Period End | 2019-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Grant Thornton LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 S COLLEGE ST STE 2500 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28244 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562005198 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mountaincare Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MOUNTAINCARE | InCareOfNm |
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 8282773399 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 68 SWEETEN CREEK ROAD | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28803 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELIZABETH WILLIAMS | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8282773399 | PhoneNum |
| Signature | 2020-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHELE N MELCHIOR | PreparerPersonNm |
| PTIN | P00488037 | PTIN |
| Phone | 7046323500 | PhoneNum |
| Preparation | 2020-08-17 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 173.73.247.211 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 56917520202305000000 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-08-17 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 4058B3EA21EAEE5489C0AD01C05EAEFC49CCB078 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E47F0F1E0499134EA3825B7EA2931573971158C4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-11-06 18:47:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ELIZABETH WILLIAMS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 68 SWEETEN CREEK ROAD | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $41,129,637 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://mountaincareservices.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | WE WORK HARD EVERY DAY TO TAKE CARE OF NEIGHBORS AS THEY JOURNEY THROUGH LIFE. WE DO THIS WITH INTEGRITY, EXPERTISE, JOY, AND KINDNESS. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1412 | TotalEmployeeCnt |
| Total Volunteers | 370 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,790,221 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,676,393 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $91,963,450 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $31,859,329 | CYProgramServiceRevenueAmt |
| PY Investment Income | $43,130 | PYInvestmentIncomeAmt |
| CY Investment Income | -$831,665 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $96,796,801 | PYTotalRevenueAmt |
| CY Total Revenue | $32,704,057 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,668 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,806 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $65,933,375 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,214,862 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,948,901 | PYOtherExpensesAmt |
| CY Other Expenses | $12,515,123 | CYOtherExpensesAmt |
| PY Total Expenses | $89,886,944 | PYTotalExpensesAmt |
| CY Total Expenses | $32,731,791 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,909,857 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$27,734 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $42,017,282 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,789,977 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,938,130 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,895,814 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $33,079,152 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $894,163 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MOUNTAINCARE, INC. ("MOUNTAINCARE") IS A REGIONAL NONPROFIT SERVICE ORGANIZATION IN WESTERN NORTH CAROLINA PROVIDING ADULT DAY SERVICES, A HOSPITALITY HOUSE, GRIEF COUNSELING AND MUSIC THERAPY SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $28,044,191 | ExpenseAmt |
| Grant | $1,806 | GrantAmt |
| Revenue | $31,859,329 | RevenueAmt |
| Desc | UP UNTIL JANUARY 31ST, 2019, THE FOLLOWING SERVICE AREAS WERE PART OF COMMUNITY CAREPARTNERS: REHABILITATION HOSPITAL, HOME HEALTH, OUTPATIENT REHABILITATION, HOSPICE, PALLIATIVE CARE, ADULT DAY, PRIVATE DUTY AND ORTHOTICS & PROSTHETICS. THE ORGANIZATION, FORMERLY KNOWN AS COMMUNITY CAREPARTNERS, INC. RECEIVED THE GOVERNOR'S AWARD OF PERFORMANCE EXCELLENCE IN HEALTHCARE. CAREPARTNERS WAS A LOCAL, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION SERVING WESTERN NORTH CAROLINA WITH QUALITY HEALTH SERVICES ACROSS THE FULL CONTINUUM OF POST-ACUTE CARE. ON FEBUARY 1, 2019 CAREPARTNERS CONTRACTED AND BECAME MOUNTAINCARE. MOUNTAINCARE CONTINUES TO PROVIDE CRITICAL SERVICES THAT WERE PART OF COMMUNITY CAREPARTNERS THAT FULFILL IMPORTANT NEEDS WITHIN OUR WESTERN NORTH CAROLINA COMMUNITIES. BETWEEN THE SERVICES THAT MOUNTIANCARE PROVIDES; ADULT DAY, GRIEF SUPPORT, MUSIC THERAPY AND A HOSPITALITY HOUSE, THEY SERVE ALMOST EVERY AUDIENCE IN THE REGION, FROM CHILDREN TO SENIORS AND FAMILIES TO INDIVIDUALS, ACROSS ALL INCOME LEVELS. WHAT UNITES THE VARIED SERVICES IS THE PASSION OF EVERY STAFF MEMBER AND THEIR COMMITMENT TO PROVIDING THE BEST POSSIBLE CARE TO THE PEOPLE THEY SERVE. EACH OF THE SERVICES HAVE BEEN SERVING THE COMMUNITY FOR 20 PLUS YEARS. THE ADULT DAY PROGRAMS ARE THE ONLY ADULT DAY HEALTH PROGRAMS IN THE COUNTIES THEY SERVE FOR OLDER ADULTS. THE HOSPITALITY HOUSE IS THE ONLY ONE IN THE REGION. | Desc |
| Total Program Service Expenses | $28,044,191 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1412 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | false | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MOUNTAINCARE | PersonNm |
| Phone | 8282773399 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 68 SWEETEN CREEK ROAD | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28803 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TRACY BUCHANAN | ||||||||
| PRESIDENT/CEO END 2/1/2019 | 60.0 | 0.0 | Yes (X) | Yes (X) | $0 | $493,507 | $72,410 | |
| LARRY HARRIS | ||||||||
| CHAIR | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRADY BLACKBURN | ||||||||
| VICE-CHAIR | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| K RAY BAILEY | ||||||||
| DIRECTOR END 2/1/2019 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RUTH ZYRY | ||||||||
| DIRECTOR END 2/1/2019 | 1.0 | 59.0 | Yes (X) | $0 | $455,640 | $74,747 | ||
| SHARON HATHAWAY MD | ||||||||
| DIRECTOR | 1.0 | 39.0 | Yes (X) | $0 | $205,142 | $18,446 | ||
| JILL HOGGARD GREEN PHD | ||||||||
| DIRECTOR END 2/1/2019 | 1.0 | 59.0 | Yes (X) | $0 | $1,072,299 | $188,556 | ||
| EILEEN HUTCHISON | ||||||||
| SECRETARY | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LINDA MOORE | ||||||||
| DIRECTOR END 9/10/2019 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOEL B ROSENBERG MD | ||||||||
| DIRECTOR END 2/1/2019 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ROBBY RUSSELL | ||||||||
| DIRECTOR END 2/1/2019 | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||
| MYRON W SMITH III MD | ||||||||
| DIRECTOR END 2/1/2019 | 1.0 | 39.0 | Yes (X) | $0 | $621,540 | $38,396 | ||
| ANGELA FLETCHER | ||||||||
| DIRECTOR END 2/1/19 | 1.0 | 59.0 | Yes (X) | $0 | $306,364 | $55,701 | ||
| PAMELA TURNER | ||||||||
| DIRECTOR END 2/1/2019 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KATHERINE E VOLATILE MD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM LEWIN | ||||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JEFF GOULD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| LESLIE HANSEN | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH WILLIAMS | ||||||||
| EXECUTIVE DIRECTOR BEG 01/2019 | 60.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GREGG DIXON | ||||||||
| CFO END 2/1/2019 | 50.0 | 0.0 | Yes (X) | $0 | $275,633 | $48,703 | ||
| MICHAEL PARMER DO | ||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 0.0 | Yes (X) | $0 | $339,948 | $26,894 | ||
| CATHLEEN ADAMS | ||||||||
| CHIEF NURSING OFFICER | 50.0 | 0.0 | Yes (X) | $0 | $265,819 | $12,523 | ||
| EDGARDO DIEZ | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $351,862 | $0 | $28,939 | Yes (X) | ||
| CHRISTOPHER MIN | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $295,681 | $0 | $15,669 | Yes (X) | ||
| KIMBERLY ADELMAN | ||||||||
| HOME HEALTH SERVICES | 40.0 | 0.0 | $185,170 | $0 | $17,191 | Yes (X) | ||
| JOY DEGUZMAN | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $285,966 | $0 | $33,773 | Yes (X) | ||
| MIKE HEILIG | ||||||||
| PHYSICIAL THERAPIST | 40.0 | 0.0 | $157,234 | $0 | $34,283 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,275,913 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,035,892 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $666,231 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $295 | RelatedOrganizationsAmt |
| All Other Contributions | $1,676,098 | AllOtherContributionsAmt |
| Total Contributions | $1,676,393 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROGRAM SERVICE FEES | 621110 | $29,404,428 | $29,404,428 |
| SERVICES TO AFFILIATES | 621110 | $1,145,087 | $1,145,087 |
| INVESTMENT IN ASH HOSP | 621110 | $344,531 | $344,531 |
| OTHER OPERATING INCOME | 621110 | $291,878 | $291,878 |
| MOUNTAINCARE REVENUE | 621110 | $673,405 | $673,405 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $31,859,329 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $106,018 | TotalRevenueColumnAmt |
| Exclusion | $106,018 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,487,897 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,425,580 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$937,683 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$937,683 | TotalRevenueColumnAmt |
| Exclusion | -$937,683 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,704,057 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,859,329 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$831,665 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,806 | TotalAmt |
| Program Services | $1,806 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,776,210 | TotalAmt |
| Program Services | $13,942,294 | ProgramServicesAmt |
| Management And General | $1,833,916 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,650 | TotalAmt |
| Program Services | $255,096 | ProgramServicesAmt |
| Management And General | $33,554 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,739,556 | TotalAmt |
| Program Services | $2,421,094 | ProgramServicesAmt |
| Management And General | $318,462 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,410,446 | TotalAmt |
| Program Services | $1,246,488 | ProgramServicesAmt |
| Management And General | $163,958 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,434 | TotalAmt |
| Management And General | $80,434 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,739 | TotalAmt |
| Management And General | $3,739 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,438,377 | TotalAmt |
| Program Services | $2,492,821 | ProgramServicesAmt |
| Management And General | $945,556 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,786 | TotalAmt |
| Program Services | $15,388 | ProgramServicesAmt |
| Management And General | $2,398 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,343 | TotalAmt |
| Management And General | $201,343 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,128 | TotalAmt |
| Program Services | $197,361 | ProgramServicesAmt |
| Management And General | $30,767 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,695,754 | TotalAmt |
| Program Services | $1,467,052 | ProgramServicesAmt |
| Management And General | $228,702 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,196 | TotalAmt |
| Program Services | $298,640 | ProgramServicesAmt |
| Management And General | $46,556 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,332 | TotalAmt |
| Program Services | $417,281 | ProgramServicesAmt |
| Management And General | $65,051 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,053 | TotalAmt |
| Program Services | $48,493 | ProgramServicesAmt |
| Management And General | $7,560 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER | $3,740,138 | $3,314,728 | $425,410 |
| SUPPLIES | $2,225,843 | $1,925,649 | $300,194 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,731,791 | TotalAmt |
| Program Services | $28,044,191 | ProgramServicesAmt |
| Management And General | $4,687,600 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,611,001 | BOYAmt |
| EOY | $766,156 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,755,321 | BOYAmt |
| EOY | $67,146 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $258,996 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $324,720 | BOYAmt |
| EOY | $61,909 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,141,327 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $676,015 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,451,524 | BOYAmt |
| EOY | $465,312 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,615,720 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $929,454 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,017,282 | BOYAmt |
| EOY | $2,789,977 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,499,541 | BOYAmt |
| EOY | $1,293,369 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,438,589 | BOYAmt |
| EOY | $602,445 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,938,130 | BOYAmt |
| EOY | $1,895,814 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,695,916 | BOYAmt |
| EOY | $894,163 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,236 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,079,152 | BOYAmt |
| EOY | $894,163 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,017,282 | BOYAmt |
| EOY | $2,789,977 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$27,734 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$32,157,255 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,872,321 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,167,517 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,408,137 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,790,221 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,676,393 | CurrentTaxYearAmt |
| Total | $17,914,589 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $82,621,284 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $91,416,092 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $100,499,448 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $91,963,449 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,859,329 | CurrentTaxYearAmt |
| Total | $398,359,602 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $86,493,605 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $95,583,609 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $103,907,585 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $96,753,670 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,535,722 | CurrentTaxYearAmt |
| Total | $416,274,191 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $416,274,191 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $13,830 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $55,337 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $106,018 | CurrentTaxYearAmt |
| Total | $175,185 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $13,830 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $55,337 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $106,018 | CurrentTaxYearAmt |
| Total | $175,185 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $86,493,605 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $95,583,609 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $103,921,415 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $96,809,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,641,740 | CurrentTaxYearAmt |
| Total | $416,449,376 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99958 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99930 | PublicSupportPY509Pct |
| Investment Income CY | 0.00042 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00070 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $383,236 | BeginningYearBalanceAmt |
| Contributions | $21,275 | ContributionsAmt |
| Investment Earnings Or Losses | $18,639 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $18,639 | GrantsOrScholarshipsAmt |
| End Year Balance | $404,511 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $318,435 | BeginningYearBalanceAmt |
| Contributions | $64,801 | ContributionsAmt |
| Investment Earnings Or Losses | $16,026 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $16,026 | GrantsOrScholarshipsAmt |
| End Year Balance | $383,236 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $318,435 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $15,571 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,571 | GrantsOrScholarshipsAmt |
| End Year Balance | $318,435 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $315,290 | BeginningYearBalanceAmt |
| Contributions | $6,145 | ContributionsAmt |
| Investment Earnings Or Losses | $15,442 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,442 | GrantsOrScholarshipsAmt |
| End Year Balance | $321,435 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $314,542 | BeginningYearBalanceAmt |
| Contributions | $748 | ContributionsAmt |
| Investment Earnings Or Losses | $15,332 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,332 | GrantsOrScholarshipsAmt |
| End Year Balance | $315,290 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Land | LandGrp |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,812 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,453 | DepreciationAmt |
| Book Value | $31,359 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $825,641 | OtherCostOrOtherBasisAmt |
| Depreciation | $540,728 | DepreciationAmt |
| Book Value | $284,913 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $276,874 | OtherCostOrOtherBasisAmt |
| Depreciation | $127,834 | DepreciationAmt |
| Book Value | $149,040 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $465,312 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN ADVANCED SERVICE | Desc |
| Book Value | $500,000 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $500,000 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM FOUNDATION | Desc |
| Book Value | $929,454 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $929,454 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES AND OTHER | Desc |
| Amt | $602,445 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $602,445 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,975 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,975 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,356,049 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $506,839 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $849,210 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02590 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,392,024 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $506,839 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $885,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02700 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,392,524 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $506,839 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $885,685 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02700 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $654,417 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $16,232,696 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,622,943 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $609,753 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|
| carepartners inc | ||||||||
| 1 | 68 SWEETEN CREEK RD | ASHEVILLE | NC | 28803 | HTTP://WWW.CAREPARTNERS.ORG/ | H0081 | Yes (X) | REHAB, OUTPATIENT, HOSPICE |
| ASHEVILLE SPECIALTY HOSPITAL | ||||||||
| 2 | 428 BILTMORE AVENUE 4TH FLOOR | ASHEVILLE | NC | 28801 | HTTP://WWW.ASHLTCH.COM/ | H0279 | Yes (X) | LONG TERM ACUTE CARE HOSPITAL |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Other MethodOtherMethodInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Provided Hospital ContactProvidedHospitalContactInd | Other PublicityOtherPublicityInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAREPARTNERS INC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | SEE PART V SECTION C | Yes (X) | Yes (X) | Yes (true) | 16 | Yes (true) | SEE PART V SECTION C | false | Yes (true) | Yes (X) | 200. | 300. | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | SEE PART V SECTION C | Yes (X) | SEE PART V SECTION C | Yes (X) | SEE PART V SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | ||
| ASHEVILLE SPECIALTY HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | SEE PART V SECTION C | Yes (X) | Yes (X) | Yes (true) | 16 | Yes (true) | SEE PART V, SECTION C | false | Yes (true) | Yes (X) | 200. | 300. | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | SEE PART V SECTION C | Yes (X) | SEE PART V SECTION C | Yes (X) | SEE PART V SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | Yes (X) | Yes (X) |
Supplemental Information SupplementalInformationGrp (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CAREPARTNERS, INC. AND ASHEVILLE SPECIALITY HOSPITAL: | BOTH HOSPITAL FACILITIES IN THIS SCHEDULE H WERE SOLD FEBRUARY 1, 2019. ALL INFORMATION AND REFERENCES IN THE SCHEDULE H ARE TO THE FACILITY NAMES AND ACTIVITIES PRIOR TO THE SALE. THIS ORGANIZATION CHANGED ITS NAME TO MOUNTAINCARE, INC. AFTER THE SALE AND IT NO LONGER OPERATES THESE FACILITIES. PART V, SECTION B, LINE 4: CHNA TAX YEAR THE ORGANIZATION'S LAST CHNA WAS CONDUCTED IN TAX YEAR 2015. IN ACCORDANCE WITH IRC SECTION 501(R)(3)(D)(4), "A HOSPITAL ORGANIZATION IS NOT REQUIRED TO MEET THE REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO A HOSPITAL FACILITY IN A TAXABLE YEAR IF, BEFORE THE END OF THAT TAXABLE YEAR, THE HOSPITAL ORGANIZATION TRANSFERS ALL OWNERSHIP OF THE HOSPITAL FACILITY TO ANOTHER ORGANIZATION OR OTHERWISE CEASES ITS OPERATION OF THE HOSPITAL FACILITY OR THE FACILITY CEASES TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED AS A HOSPITAL BY A STATE." DUE TO THE SALE OF THE HOSPITAL FACILITY DURING THE CURRENT 2018 TAX YEAR, THE ORGANIZATION DID NOT CONDUCT A NEW CHNA. CAREPARTNERS, INC.: PART V, SECTION B, LINE 5: INCLUDING INPUT FROM THE COMMUNITY IS AN IMPORTANT ELEMENT OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. THE FOLLOWING PRIMARY DATA (COLLECTED DIRECTLY FROM COMMUNITY MEMBERS VIA SURVEYS OR FOCUS GROUPS) WAS REVIEWED. YOU WILL NOTE ICONS FOR EACH DATA TYPE. THE SAME ICONS APPEAR THROUGHOUT THIS DOCUMENT AS EACH DATA TYPE IS REFERENCED. RESULTS FROM PRIMARY SURVEY OF 300 BUNCOMBE COUNTY RESIDENTS DONE BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) AS PART OF THE WNC HEALTHY IMPACT PARTNERSHIP. THE SAME SURVEY WAS DONE OF 200 RESIDENTS OF PARTNERING COUNTIES FOR COMPARISON. ELECTRONIC SURVEY OF 43 LOCAL COMMUNITY LEADERS ACROSS BUNCOMBE COUNTY WHO HAVE LEADERSHIP ROLES IN COMMUNITY HEALTH, BUSINESSES, SOCIAL SERVICE, MENTAL HEALTH AND HEALTHCARE ORGANIZATIONS. THIS SURVEY WAS ALSO DONE BY PRC AND SO WAS DONE IN MANY OTHER WESTERN NC COUNTIES. LOCALLY COMPILED ELECTRONIC SURVEYS COLLECTED FROM 60 COMMUNITY HEALTH PARTNERS CURRENTLY WORKING WITHIN AGENCIES IN BUNCOMBE COUNTY TO UNDERSTAND WHAT THEY SEE AS THEIR CLIENTS GREATEST HEALTH CONCERNS AND CHALLENGES. SURVEY DATA FROM 400 OLDER ADULTS COMPLETED THROUGH THE AREA COUNCIL ON AGING, AGING PLANNING CONSORTIUM TO GATHER INFORMATION ON HEALTHY LIFESTYLES. WOMEN AND CHILDREN'S SAFETY COALITION 'S INTIMATE PARTNER VIOLENCE VICTIM FOCUS GROUP RESULTS THAT GATHERED INPUT FROM WOMEN EXPERIENCING INTIMATE PARTNER VIOLENCE TO HELP IMPROVE THE SYSTEM. SURVEY DATA FROM RESIDENTS OF A LOCAL PUBLIC HOUSING COMMUNITY ASKING ABOUT THEIR BIGGEST HEALTH CONCERNS AND CHALLENGES. RESPONSES FROM PREGNANT AND PARENTING WOMEN IN OUR COMMUNITY WHO WERE ASKED, WHAT ARE THE MAIN ISSUES IMPACTING YOUR HEALTH AND PREGNANCY? AS PART OF THE COMMUNITY CENTERED HEALTH HOME PROJECT THROUGH MAHEC. IN ADDITION, RESULTS FROM THE PHOTOVOICE PROJECT CONDUCTED BY POSITIVE PARENTING PROGRAM AND BUNCOMBE PARTNERSHIP FOR CHILDREN THAT CAPTURED THE VOICE OF PREGNANT AND PARENTING WOMEN THROUGH THEIR PHOTOS AND STORIES TO BETTER UNDERSTAND THE CHALLENGES AND NEEDS FACING THESE WOMEN. IN ADDITION TO THE WNC HEALTHY IMPACTS CORE DATA SET, BUNCOMBE COUNTY CHIP DATA TEAM REVIEWED MANY ADDITIONAL SECONDARY (ALREADY EXISTING) DATA SOURCES INCLUDING: SMOKY MOUNTAIN LOCAL MANAGEMENT ENTITIES 2015 PROVIDER CAPACITY, COMMUNITY NEEDS ASSESSMENT AND GAP ANALYSIS FOR 2013-2014, THE HOMELESSNESS COUNT, DEPARTMENT OF SOCIAL SERVICES REGIONAL DATA REPORT, MAHEC'S COMMUNITY CENTERED HEALTH HOME EPIDEMIOLOGY REPORT, NC CENTER FOR HEALTH STATISTICS DATA ON ADVERSE CHILDHOOD EXPERIENCES IN NC. THE CHIP DATA TEAM (MADE UP OF REPRESENTATIVES FROM BCHHS, MISSION HOSPITAL, MAHEC AND NC CENTER FOR HEALTH & WELLNESS) REVIEWED AND PRIORITIZED KEY DATA CONCERNS IDENTIFIED THAT WERE ALSO COMMUNITY CONCERNS VOICED IN THE SURVEYS AND FOCUS GROUPS. RESULTS OF THE DATA REVIEW WERE SHARED WITH THE CHIP ADVISORY, WHICH PROVIDES LEADERSHIP FOR OUR CHIP. THE ADVISORY BOARD'S 30+ COMMUNITY LEADERS PRIORITIZED THE HEALTH CONCERNS AND RECOMMENDED THE TOP FOUR HEALTH PRIORITIES. PARTNERS AND STAKEHOLDERS WILL COME TOGETHER AROUND THE PRIORITIES TO GATHER INPUT ON WHAT IS CURRENTLY HAPPENING, GAPS AND ADDITIONAL OPPORTUNITIES TO BETTER ADDRESS THE ISSUES. |
| ASHEVILLE SPECIALTY HOSPITAL: | PART V, SECTION B, LINE 5: THROUGHOUT THE COLLABORATIVE HEALTH NEEDS ASSESSMENT PROCESS IN OUR COMMUNITY, INPUT WAS OBTAINED IN A NUMBER OF WAYS. COMMUNITY INPUT IN BUNCOMBE COUNTY IS LED BY THE BUNCOMBE COUNTY COMMUNITY HEALTH IMPROVEMENT PROCESS (CHIP) ADVISORY BOARD, COMPRISED OF 30+ COMMUNITY LEADERS WHO COLLECTIVELY LEAD AND GUIDE THE PROCESS, INCLUDING PRIORITIZING HEALTH CONCERNS AND RECOMMENDING TOP PRIORITIES. COMMUNITY INPUT IN MADISON COUNTY IS COORDINATED THROUGH THE MADISON COMMUNITY HEALTH CONSORTIUM, WHICH HAS BEEN WORKING TO IMPROVE HEALTH IN MADISON COUNTY SINCE 1989. THE CONSORTIUM WORKS WITH COMMUNITY AGENCIES AND GROUPS THROUGHOUT THE NEEDS ASSESSMENT PROCESS, AND CURRENTLY HAS MORE THAN 50 MEMBERS REPRESENTING 25 COMMUNITY ORGANIZATIONS. FURTHER INFORMATION ABOUT COMMUNITY ENGAGEMENT CAN BE FOUND IN THE LOCAL COMMUNITY HEALTH ASSESSMENTS WHICH CAN BE FOUND AT EACH COUNTY'S WEBSITE. OUR COLLABORATIVE HEALTH NEEDS ASSESSMENT PROCESS SOLICITED AND TOOK INTO ACCOUNT INPUT FROM THE FOLLOWING: PUBLIC HEALTH DEPARTMENT IN THE COLLABORATIVE ASSESSMENT PROCESS FOR OUR COMMUNITY, THE BUNCOMBE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND THE MADISON COUNTY HEALTH DEPARTMENT ARE KEY PARTNERS. THE HEALTH DEPARTMENTS PROVIDED COORDINATION FOR THE LOCAL PROCESS THAT MISSION HOSPITAL AND CAREPARTNERS HELP TO SUPPORT AND IMPLEMENT. MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS OUR PROCESS INCLUDED INPUT REGARDING THE NEEDS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN TWO WAYS. (1) AS PART OF OUR COLLABORATIVE DATA COLLECTION EFFORT, A COMMUNITY-WIDE TELEPHONE SURVEY WAS CONDUCTED TO BETTER UNDERSTAND THE SPECIFIC HEALTH NEEDS AND STATUS OF ALL OF THE COMMUNITY, WHICH INCLUDES THESE SPECIAL POPULATIONS. (2) IN ADDITION, A SURVEY OF KEY INFORMANTS WAS CONDUCTED TO GAIN INPUT FROM THE INDIVIDUALS AND ORGANIZATIONS IN OUR COMMUNITY REPRESENTING THE INTERESTS OF THESE POPULATIONS IN THEIR LOCAL EFFORTS. WRITTEN COMMENTS THROUGH OUR PARTNERS AT MISSION HOSPITAL AND CAREPARTNERS, OUR FACILITY ALSO CONSIDERS ANY WRITTEN COMMENTS RECEIVED SINCE THE LAST CHNA AND IMPLEMENTATION STRATEGY. MISSION HOSPITAL MAINTAINS PUBLIC ACCESS TO ITS CHNA AND IMPLEMENTATION STRATEGY ON ITS WEBSITE, AND ACCEPTS COMMENTS THROUGH THE COMMUNITY INVESTMENT OFFICE. |
| COMMUNITY CAREPARTNERS, INC.: | PART V, SECTION B, LINE 6A: MISSION HOSPITAL, INC. |
| ASHEVILLE SPECIALTY HOSPITAL: | PART V, SECTION B, LINE 6A: MISSION HOSPITAL, INC. AND CAREPARTNERS, INC. |
| CAREPARTNERS, INC.: | PART V, SECTION B, LINE 6B: BUNCOMBE COUNTY DEPARTMENT OF HEALTH WNC HEALTHY IMPACT MOUNTAIN AREA HEALTH EDUCATION CENTER (MAHEC) |
| ASHEVILLE SPECIALTY HOSPITAL: | PART V, SECTION B, LINE 6B: BUNCOMBE COUNTY HEALTH AND HUMAN SERVICES MOUNTAIN AREA HEALTH EDUCATION CENTER (MAHEC) WNC HEALTHY IMPACT MADISON COUNTY HEALTH DEPARTMENT |
| CAREPARTNERS, INC.: | PART V, SECTION B, LINE 7D: THE ORGANIZATION'S WEBSITE: HTTPS://MISSIONHEALTH.ORG/ OUR-COMMITMENT-TO-YOU/COMMUNITY-INVESTMENT/ OUR-COMMUNITYS-HEALTH-NEEDS/ |
| ASHEVILLE SPECIALTY HOSPITAL: | PART V, SECTION B, LINE 7D: HTTPS://MISSIONHEALTH.ORG/ OUR-COMMITMENT-TO-YOU/ COMMUNITY-INVESTMENT/ OUR-COMMUNITYS-HEALTH-NEEDS/ |
| CAREPARTNERS, INC.: | PART V, SECTION B, LINE 11: PRIORITY HEALTH ISSUE #1: OBESITY AND CHRONIC DISEASE PREVENTION THE ORGANIZATION WILL PROVIDE HEALTH EDUCATION OPPORTUNITIES AND HEALTH SERVICES THAT HELP INDIVIDUALS MANAGE/PREVENT CHRONIC DISEASES AND MAINTAIN A HEALTHY WEIGHT. DESCRIPTION OF ACTIVITIES - AS A POST-ACUTE CARE PROVIDER, CAREPARTNERS PRIMARILY SERVES INDIVIDUALS WHO ARE RECOVERING FROM AN ACUTE EPISODE RELATED TO A CHRONIC CONDITION. OUR CLINICAL EXPERTISE IS IN PREVENTING CHRONIC DISEASES FROM GETTING WORSE AND PREVENTING THE DEVELOPMENT OF A SECONDARY OR TERTIARY CONDITION. THE FOLLOWING PROGRAMS ARE PART OF CAREPARTNERS: MINDFUL LIVING EDUCATION SERIES -YEAR-ROUND EDUCATIONAL CLASSES ON SMART GOALS AND CHRONIC DISEASE THERAPY OUTPATIENT CLINIC OFFERS BALANCE SCREENINGS AND REHABILITATION THERAPY. THE ORGANIZATION WILL ALSO WORK THROUGH PARTNER AGENCIES PROMOTE INCREASED PHYSICAL ACTIVITY IN OUR COMMUNITY. DESCRIPTION OF ACTIVITIES: CAREPARTNERS PACE WILL PARTNER WITH YMCA TO OFFER LOW COST EXERCISE CLASSES TO INDIVIDUALS WITH PARKINSON'S OR ANY OTHER MOVEMENT DISORDERS. IN ADDITION OTHER MOVEMENT PROGRAMS WILL BE OFFERED TO THE COMMUNITY AT VARIOUS ORGANIZATION LOCATIONS. PRIORITY HEALTH ISSUE #2: MENTAL HEALTH AND SUBSTANCE ABUSE THE ORGANIZATION WILL SUPPORT VULNERABLE INDIVIDUALS AND FAMILIES THROUGH FREE AND LOW COST BEREAVEMENT AND MENTAL HEALTH COUNSELLING. DESCRIPTION OF ACTIVITIES - THE ORGANIZATION OFFERS BEREAVEMENT SERVICES TO ALL WHO ARE EXPERIENCING MENTAL HEALTH ISSUES AS RELATED TO THE DEATH OF A LOVED ONE. ABILITY TO PAY IS NOT A CONSIDERATION TO RECEIVE SUPPORT. PRIORITY HEALTH ISSUE #3: INFANT MORTALITY THE ORGANIZATION WILL GROW AND STRENGTHEN THE PROGRAM FOR INFANTS WITH NEONATAL WITHDRAWAL SYNDROME (NWS) AND CONTINUE TO INCREASE THE INTERVENTION AND TREATMENT FOR VULNERABLE BABIES SUFFERING FROM NWS AND FAMILIES WHO ARE RETURNING HOME. NEEDS NOT ADDRESSED IN THIS PLAN THOUGH WE RECOGNIZE THAT EACH COMMUNITY HEALTH NEED IDENTIFIED BY THE COMMUNITY IS IMPORTANT, FOR THE REASONS DESCRIBED BELOW, OUR HOSPITAL FACILITY WILL NOT HAVE A SPECIFIC ROLE IN THE IMPLEMENTATION OF STRATEGIES TO ADDRESS THE FOLLOWING ISSUES: INTIMATE PARTNER VIOLENCE INTIMATE PARTNER VIOLENCE IS NOT A CLINICAL CORE COMPETENCY OF CAREPARTNERS AND THE HOSPITAL DOES NOT NECESSARILY HAVE THE EXPERTISE OR RESOURCES TO ADDRESS THIS NEED DIRECTLY. AS AN AFFILIATE OF MISSION HEALTH SYSTEM, MISSION HOSPITAL HAS MORE RESOURCES AND EXPERTS TO ADDRESS THIS COMMUNITY NEED. SUBSTANCE ABUSE SUBSTANCE ABUSE IS NOT A CLINICAL CORE COMPETENCY OF CAREPARTNERS AND THE HOSPITAL DOES NOT NECESSARILY HAVE THE EXPERTISE OR RESOURCES TO ADDRESS THIS NEED DIRECTLY. AS AN AFFILIATE OF MISSION HEALTH SYSTEM, MISSION HOSPITAL HAS MORE RESOURCES AND EXPERTS TO ADDRESS THIS COMMUNITY NEED. DURING THE YEAR ENDED SEPTEMBER 30, 2018 THE ORGANIZATION ADDRESSED SIGNIFICANT NEEDS AS FOLLOWS: PARTICIPATED AS MEMBER OF THE BUNCOMBE COUNTY AGING COORDINATING CONSORTIUM AND SUPPORTED IMPLEMENTATION OF THE COUNTY'S NEW AGING PLAN. PROVIDED MINDFUL LIVING EDUCATION SERIES AND THREE LOW COST COMMUNITY EXERCISE PROGRAMS TO INCREASE WELLNESS AND PHYSICAL ACTIVITY AMONG OLDER ADULTS AND DISABLED RESIDENTS. OFFERED BEREAVEMENT SERVICES THROUGH OUTREACH EVENTS, KIDS PATH BEREAVEMENT SERVICES, COUNSELING, AND SUPPORT GROUPS, REACHING MORE THAN 370 INDIVIDUALS. THE PEDIATRIC HOME TEAM SUPPORTED 35 FAMILIES OF BABIES WITH NEONATAL WITHDRAWAL SYNDROME, HELPING THEM ADJUST TO LIFE AT HOME AFTER DISCHARGE FROM THE HOSPITAL. |
| ASHEVILLE SPECIALTY HOSPITAL: | PART V, SECTION B, LINE 11: ASHEVILLE SPECIALTY HOSPITAL (ASH) IS CONNECTED TO COMMUNITY OUTREACH BEYOND THE LIMITED SCOPE OF ITS CLINICAL SERVICES THROUGH ITS AFFILIATION WITH MISSION HEALTH AND CAREPARTNERS. TYPICAL OF LONG-TERM, ACUTE CARE FACILITIES, ASH ENGAGES IN MINIMAL COMMUNITY OUTREACH AND EDUCATION. OBESITY & CHRONIC DISEASE PREVENTION AND HEALTHY WEIGHT NEEDS ARE ADDRESSED THROUGH THE CLINICAL DIETICIAN ON STAFF FOR ROUTINE PATIENT CARE, AND ROUNDS WITH A MULTI-DISCIPLINARY TEAM FOUR DAYS A WEEK IN ADDITION TO PROVIDING SERVICES SEVEN DAYS PER WEEK. NUTRITION ASSESSMENT ADMINISTERED TO EVERY PATIENT WITHIN 72 HOURS OF ADMISSION. DISCHARGE PLANNERS/CASE MANAGERS REFER PATIENTS TO COMMUNITY RESOURCES TO ENSURE SUPPORT AT DISCHARGE OR NEXT LEVEL OF CARE. MENTAL HEALTH AND SUBSTANCE ABUSE ARE ADDRESSED AS NEARLY 15% OF ASH PATIENTS AT ANY GIVEN TIME ARE PATIENTS REFERRED FOR MEDICAL TREATMENT SUPPORT DUE TO IDENTIFIED IV DRUG USE. ASH PROVIDES MONITORING WHILE PATIENTS RECEIVE IV ANTIBIOTICS. ASH WORKS CLOSELY WITH LICENSED CLINICAL SOCIAL WORKERS TO SCREEN AND SUPPORT THESE PATIENTS THROUGH THEIR TREATMENT AND IDENTIFIED APPROPRIATE SERVICES UPON DISCHARGE. PATIENTS ARE CONNECTED WITH LOCAL PRIMARY CARE PROVIDERS AS PART OF DISCHARGE PLANNING TO ENSURE THEIR CARE CONTINUES. DUE TO ASH'S LIMITED SCOPE OF SERVICES, AND THE RESOURCES PROVIDED THROUGH AFFILIATION WITH MISSION HEALTH AND CAREPARTNERS, WHICH ARE BETTER EQUIPPED TO SUPPORT COMMUNITY EFFORTS, ASH DOES NOT HAVE A SPECIFIC ROLE IN ADDRESSING INTIMATE PARTNER VIOLENCE OR INFANT MORTALITY. INTIMATE PARTNER VIOLENCE AND INFANT MORTALITY ARE ADDRESSED BY COMMUNITY PARTNERS IN BUNCOMBE COUNTY, AS WELL AS HOSPITAL IMPLEMENTATION STRATEGIES BY MISSION HOSPITAL AND CAREPARTNERS. |
| CAREPARTNERS, INC.: | PART V, SECTION B, LINE 15E: THE ORGANIZATION'S STAFF WILL WORK IN COLLABORATION WITH THE PATIENT AND APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED OF HEALTH CARE SERVICES TO DETERMINE AVAILABLE FUNDING SOURCES. |
| ASHEVILLE SPECIALTY HOSPITAL: | PART V, SECTION B, LINE 15E: THE ORGANIZATION'S STAFF WORK IN COLLABORATION WITH THE PATIENT AND APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES, AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED OF HEALTH CARE SERVICES TO DETERMINE AVAILABLE FUNDING SOURCES. |
| ASHEVILLE SPECIALTY HOSPITAL | PART V, SECTION B, LINE 16J: EVERY PATIENT RECEIVES THE POLICY AS PART OF THE PATIENT CONSENT TO TREATMENT AND FINANCIAL AUTHORIZATION FORM. |
| SCHEDULE H, PART V, QUESTION 10A, ALL FACILITIES | THE WEBSITE FOR THE IMPLEMENTATION STRATEGY ADOPTED IN NOVEMBER 2017 TRUNCATES ON THE SCHEDULE H FORM, SO THE ADDRESSES ARE LISTED BELOW: COMMUNITY CAREPARTNERS, INC.: HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS /2018/04/2016-CAREPARTNERS-IMPLEMENTATION-STRATEGY.PDF ASHEVILLE SPECIALTY HOSPITAL: HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS /2018/04/2017-ASHEVILLE-SPECIALTY-HOSPITALIMPLEMENTATION-STRATEGY.PDF PART V, SECTION B, LINE 16A, 16B AND 16C ALL FACILITIES 16A FAP WEBSITE: HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/05/FINASSDISCOUNT_POLICY _04.PDF 16B: FAP APPLICATION FORM: HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/05/PATIENT_FINANCIAL_ASS ISTANCE_PAGE.PDF 16C: PLAIN LANGUAGE SUMMARY: HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/03/FINASSISTPLAIN_LANGUA GE_SUMMARY_4.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 18 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CAREPARTNERS OUTPATIENT NORTH CLINIC | ||||
| 40 N MERRIMON AVENUE STE 115 | ASHEVILLE | NC | 28804 | OUTPATIENT CLINIC |
| CAREPARTNERS OUTPATIENT SOUTH CLINIC | ||||
| 3 TOWN SQUARE BLVD | ASHEVILLE | NC | 28803 | OUTPATIENT CLINIC |
| CAREPARTNERS OUTPATIENT WEST CLINIC | ||||
| 1388 SAND HILL RD STE 210 | CANDLER | NC | 28715 | OUTPATIENT CLINIC |
| ORTHOTICS & PROSTHETICS CLINIC - ASH | ||||
| 1 DOCTORS DRIVE | ASHEVILLE | NC | 28801 | ORTHOTICS AND PROSTHETICS CLINIC |
| CAREPARTNERS HOME CARE AND HOSPICE | ||||
| 170 CHURCH STREET | FRANKLIN | NC | 28734 | HOME CARE AND HOSPICE |
| CAREPARTNERS HOME CARE AND HOSPICE | ||||
| 1266 ASHEVILLE HWY STE B | BREVARD | NC | 28712 | HOME CARE AND HOSPICE |
| CAREPARTNERS OUTPATIENT | ||||
| SECU CANCER CENTER 21 HOSPITAL DRIV | ASHEVILLE | NC | 28801 | OUTPATIENT REHABILITATION SERVICES |
| CAREPARTNERS OUTPATIENT MAIN CAMPUS | ||||
| 68 SWEETEN CREEK ROAD | ASHEVILLE | NC | 28803 | OUTPATIENT REHABILITATION SERVICES |
| CAREPARTNERS BILTMORE CLINIC | ||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | OUTPATIENT REHABILITATION SERVICES |
| CAREPARTNERS OUTPATIENT | ||||
| UNCAJUSTICECENTERONEUNIVERSITYHEIGH | ASHEVILLE | NC | 28804 | OUTPATIENT REHABILITATION SERVICES |
| CAREPARTNERS HOME HEALTH SERVICES | ||||
| 95 FRANCIS ROAD | HENDERSONVILLE | NC | 28792 | HOME HEALTH SERVICES |
| CAREPARTNERS HOME HEALTH SERVICES | ||||
| 88 WAYNESVILLE PLAZA | WAYNESVILLE | NC | 28786 | HOME HEALTH SERVICES |
| CAREPARTNERS ADULT DAY CARE | ||||
| 114 COLLEGE DRIVE | FLAT ROCK | NC | 28731 | ADULT DAY SERVICES |
| TRANSYLVANIA ADULT DAY CARE | ||||
| 23 MEDICAL PARK CIRCLE | BREVARD | NC | 28712 | ADULT DAY SERVICES |
| CAREPARTNERS ADULT DAY CARE | ||||
| 68-A SWEETEN CREEK ROAD | ASHEVILLE | NC | 28803 | HOME CARE AND HOSPICE |
| CAREPARTNERS HOME CARE AND HOSPICE | ||||
| 575 AIRPORT ROAD | MARION | NC | 28752 | HOME CARE AND HOSPICE |
| HOPE WOMEN'S CANCER CENTER | ||||
| 100 RIDGEFIELD COURT | ASHEVILLE | NC | 28806 | OUTPATIENT REHABILITATION SERVICES |
| OUTPATIENTREHAB ATASHEVILLE ORTHOPAED | ||||
| 310 LONG SHOALS ROAD | ARDEN | NC | 28704 | OUTPATIENT REHABILITATION SERVICES |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED TO DERIVE A COST-TO-CHARGES RATIO THAT THE ORGANIZATION USED TO COMPUTE COMMUNITY BENEFIT EXPENSES AT COST FOR LINES 7(A) AND 7(B). |
| PART III, LINE 2: | A RATIO OF COST TO CHARGES IS APPLIED TO DERIVE BAD DEBT EXPENSE AT COST. RECOVERIES OF BAD DEBT EXCEEDED WRITEOFFS |
| PART III, LINE 8: | PER THE INSTRUCTIONS, THE MEDICARE COST REPORT IS THE BASIS FOR CALCULATING THE COSTS USING ALLOWABLE COSTS RELATED TO THE REVENUE REPORTED. |
| PART III, LINE 9B: | PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND OTHER CHARITY CARE ARE NOTIFIED USING THE PROCESS DESCRIBED IN THE EDUCATION OF PATIENTS' ELIGIBILITY IN PART VI, ON LINE 3. MISSION'S STATED POLICY WITH RESPECT TO FINANCIAL ASSISTANCE: "MISSION WILL MAKE EVERY EFFORT TO THOROUGHLY SCREEN ALL PATIENTS THAT ARE UNINSURED OR UNDERINSURED IN AN EFFORT TO IDENTIFY A SOURCE OF FINANCIAL SPONSORSHIP. ONLY AFTER A FINAL DETERMINATION IS MADE THAT THE PATIENT IS NOT ELIGIBLE FOR ANY SOURCE OF FUNDING TO COVER THE MEDICAL EXPENSES WILL THE ACCOUNT BE ELIGIBLE FOR CONSIDERATION OF FINANCIAL ASSISTANCE." AFTER THE NOTIFICATIONS AND PROCESSES REFERENCED ABOVE HAVE BEEN COMPLETED, STANDARD DEBT COLLECTION POLICIES ARE IN EFFECT FOR THE PORTION OF THE BILL FOR WHICH THE PATIENT IS RESPONSIBLE. |
| PART VI, LINE 2: | THE ORGANIZATION'S FACILITY ASHEVILLE SPECIALTY HOSPITAL IS PART OF MISSION HEALTH. THE SYSTEM'S APPROACH TO ASSESSING COMMUNITY HEALTH IS DESCRIBED BELOW. WESTERN NORTH CAROLINA IS HOME TO A UNIQUE COLLABORATION BETWEEN HOSPITALS AND HEALTH DEPARTMENTS WORKING TOGETHER TO IDENTIFY HEALTH NEEDS AND IMPROVE HEALTH. TOGETHER, MISSION HEALTH AND OTHER HOSPITALS AND HEALTH DEPARTMENTS IN THE REGION CONDUCT COMMUNITY HEALTH ASSESSMENTS EVERY THREE (3) YEARS TO DETERMINE THE GREATEST HEALTH NEEDS IN THE COMMUNITIES WE SERVE. MISSION HEALTH'S HOSPITAL FACILITIES SERVE 18 COUNTIES IN WESTERN NORTH CAROLINA, WITH SEVEN (7) OF THOSE COUNTIES INCLUDED IN OUR PRIMARY SERVICE AREAS. REPRESENTATIVES FROM EACH HOSPITAL PARTNER WITH LOCAL HEALTH DEPARTMENTS IN THEIR PRIMARY SERVICE COUNTIES AND WITH WNC HEALTHY IMPACT TO ASSESS AND PRIORITIZE COMMUNITY HEALTH NEEDS,AND PLAN TO ADDRESS THEM. HOW WE PLAN TO ADDRESS COMMUNITY HEALTH NEEDS IN THE COMMUNITY HEALTH ASSESSMENT PROCESS, HOSPITALS AND HEALTH DEPARTMENTS PRODUCE PARALLEL REPORTS DETAILING HOW THE COMMUNITY HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED, AND EACH ENTITY'S STRATEGY FOR ADDRESSING THE IDENTIFIED NEEDS.THESE REPORTS ARE MADE PUBLICLY AVAILABLE BY EACH ENTITY (MISSION HEALTH REPORTS ARE LISTED BELOW). REPORTS PRODUCED BY EACH HOSPITAL: COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EXECUTIVE SUMMARY HOSPITAL IMPLEMENTATION STRATEGY REPORTS PRODUCED BY EACH COUNTY HEALTH DEPARTMENT: COMMUNITY HEALTH ASSESSMENT (CHA) COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) HEALTH PRIORITIES AND REPORTS COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE FACILITY-SPECIFIC AND UNIQUE TO THE COMMUNITIES SERVED BY EACH HOSPITAL. IMPLEMENTATION STRATEGIES ARE BASED ON COLLABORATIVE PLANNING,AND OUTLINE THE WAYS EACH HOSPITAL WILL SUPPORT SPECIFIC EFFORTS TO ADDRESS THE IDENTIFIED HEALTH NEEDS AS PART OF A COMMUNITY-WIDE PLAN. ASHEVILLE SPECIALTY HOSPITAL'S ABILITY TO ADDRESS ACCESS TO CARE AS A LONG-TERM ACUTE FACILITY THAT PROVIDES ACCESS TO HEALTHCARE FOR ALL THOSE WHO NEED LONG-TERM ACUTE CARE IS AN IMPORTANT RESOURCE IN ADDRESSING THE COMMUNITY'S NEEDS. NEEDS OTHER THAN THIS ARE ADDRESSED BY ORGANIZATIONS IN THE COMMUNITY AS WELL AS THROUGH ITS RELATIONSHIPS WITH MISSION HOSPITAL, INC. AND COMMUNITY CAREPARTNERS. |
| PART VI, LINE 3: | MISSION HEALTH'S WEBSITE CONTAINS DETAILED INFORMATION AND VARIOUS PAMPHLETS AND SIGNS ARE AVAILABLE AND PROMINENTLY DISPLAYED IN WAITING AREAS. BILLS FOR SERVICES CONTAIN INFORMATION ABOUT FINANCIAL ASSISTANCE AND PATIENTS WHO CALL ARE ALSO INFORMED OF FINANCIAL ASSISTANCE AVAILABLE. EVERY PATIENT IS PROVIDED A COPY OF THE FINANCIAL ASSISTANCE POLICY AS PART OF THE CONSENT TO TREATMENT AND FINANCIAL AUTHORIZATION FORM. |
| PART VI, LINE 4: | MISSION HOSPITAL IS THE FLAGSHIP HOSPITAL FOR THE HEALTH SYSTEM, SERVING 18 COUNTIES IN THE WESTERN NORTH CAROLINA REGION. MISSION HOSPITAL PRIMARILY SERVES BUNCOMBE AND MADISON COUNTIES, HOWEVER, AS THE FACILITY WITH THE REGION'S ONLY DEDICATED LEVEL II TRAUMA CENTER, MISSION HOSPITAL ROUTINELY SERVES RESIDENTS OF ALL 18 COUNTIES. CAREPARTNERS, INC. IS THE PRIMARY POST-ACUTE CARE PROVIDER IN WNC SERVING 15 COUNTIES, AND IS AN AFFILIATE OF THE HEALTH SYSTEM. CAREPARTNERS, INC. PROVIDES THE FOLLOWING SERVICES IN BUNCOMBE COUNTY: REHABILITAION HOSPITAL, HOME HEALTH, HOSPICE, ADULT DAY, OUTPATIENT REHABILITATION, PRIVATE DUTY, ORTHOTICS AND PROSTHETICS, AND PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY). DESCRIPTIONS OF THE GEOGRAPHIC AREAS SERVED BUNCOMBE AND MADISON COUNTIES CAN BE FOUND IN THE RESPECTIVE COMMUNITY HEALTH ASSESSMENTS FOR THOSE COUNTIES. |
| PART VI, LINE 5: | THE HEALTH SYSTEM HAS AN OPEN MEDICAL STAFF, A COMMUNITY BOARD AND USES ITS SURPLUS FUNDS TO INVEST IN THE COMMUNITY THROUGH INVESTMENTS IN FACILITIES AND EQUIPMENT FOR PATIENT CARE AND DIRECT DONATIONS TO COMMUNITY ORGANIZATIONS TO PROMOTE THE HEALTH OF THE COMMUNITY. ASHEVILLE SPECIALTY HOSPITAL IS A LICENSED LONG-TERM ACUTE CARE HOSPITAL SITUATED WITHIN MISSION HOSPITAL. ASHEVILLE SPECIALTY HOSPITAL AND MISSION HOSPITAL ARE BOTH PART OF THE HEALTH SYSTEM GROUP OF AFFILIATED ENTITIES. PROMOTION OF COMMUNITY HEALTH IS HANDLED BY MISSION HOSPITAL. |
| PART VI, LINE 6: | ANC HEALTHCARE, INC. (FKA MISSION HEALTH SYSTEM) IS THE PARENT ORGANIZATION FOR THE CHARITABLE ORGANIZATIONS OF MISSION HOSPITAL, INC.; MISSION HEALTH SYSTEM FOUNDATION, INC.; ANC MISSION MEDICAL ASSOCIATES, INC; ANC BLUE RIDGE HOSPITAL, INC.; ANC MCDOWELL HOSPITAL, INC.; ANC ANGEL MEDICAL CENTER,INC.; ANC TRANSYLVANIA COMMUNITY HOSPITAL, INC.; ANC HIGHLANDS-CASHIERS HOSPITAL, INC. AND MOUNTAIN CARE, INC. (FKA COMMUNITY CAREPARTNERS, INC.) THE SYSTEM'S MISSION IS TO OPERATE AN INTEGRATED HEALTH CARE SYSTEM FOR THE BENEFIT OF THE RESIDENTS OF WESTERN NORTH CAROLINA. MISSION HOSPITAL, INC. IS A REGIONAL INTEGRATED HEALTH FACILITY PROVIDING SUPERIOR CARE AND SERVICE TO PATIENTS AND THEIR FAMILIES THROUGH A FULL CONTINUUM OF INTEGRATED SERVICES, EDUCATION, AND RESEARCH. IT SERVES AS A TRAUMA CENTER TO PEOPLE OF WESTERN NORTH CAROLINA AND THE SURROUNDING COUNTIES. ANC MISSION MEDICAL ASSOCIATES' MISSION IS TO PROVIDE PHYSICIAN SERVICES IN PREDOMINANTLY RURAL AREAS THAT ARE INSUFFICIENTLY SERVED, THEREBY IMPROVING THE HEALTH CARE OF THE GENERAL PUBLIC. IN MANY CASES THIS INVOLVES RECRUITING AND PLACING PRIMARY CARE PHYSICIANS, AS WELL AS PEDIATRIC AND ADULT SPECIALTY SERVICES CLOSE TO WHERE PEOPLE LIVE AND WORK. ANC BLUE RIDGE HOSPITAL SERVES AS A COMMUNITY HOSPITAL IN MITCHELL, YANCEY AND SURROUNDING COUNTIES. ANC MCDOWELL HOSPITAL SERVES AS A COMMUNITY HOSPITAL IN MCDOWELL AND THE SURROUNDING COUNTIES. MISSION HEALTH SYSTEM FOUNDATION, INC. SUPPORTS THE MISSION AND PROGRAMS OF MISSION HOSPITAL, INC. AND ANC HEALTHCARE, INC. (MISSION HEALTH SYSTEM, INC.) AND OTHER ORGANIZATIONS THAT ARE TAX EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND WORKS TO BENEFIT THE COMMUNITY AND REGION SERVED BY THE ENTITIES LISTED ABOVE. ANC ANGEL MEDICAL CENTER, INC. SERVES AS A COMMUNITY HOSPITAL IN MACON AND SURROUNDING COUNTIES. ANC TRANSYLVANIA COMMUNITY HOSPITAL, INC. SERVES AS A COMMUNITY HOSPITAL IN TRANSYLVANIA AND SURROUNDING COUNTIES. ANC HIGHLANDS-CASHIERS HOSPITAL, INC. SERVES AS A COMMUNITY HOSPITAL FOR JACKSON AND MACON AND SURROUNDING COUNTIES. MOUNTAINCARE, INC. CURRENTLY PROVIDES ADULT DAY CARE, GRIEF SUPPORT, MUSIC THERAPY, AND A HOSPITALITY HOUSE. MSJHS AND CCP JOINT DEVELOPMENT COMPANY DBA ASHEVILLE SPECIALTY HOSPITAL OPERATES AN INPATIENT FACILITY FOR LONG-TERM ACUTE CARE. |
| PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: | NC |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRACY BUCHANAN | ||||||||||||||
| PRESIDENT/CEO END 2/1/2019 | $0 | $320,726 | $0 | $127,526 | $0 | $45,255 | $0 | $60,184 | $0 | $12,226 | $0 | $565,917 | $0 | $42,025 |
| RUTH ZYRY | ||||||||||||||
| DIRECTOR END 2/1/2019 | $0 | $330,063 | $0 | $104,728 | $0 | $20,849 | $0 | $59,443 | $0 | $15,304 | $0 | $530,387 | $0 | $16,316 |
| SHARON HATHAWAY MD | ||||||||||||||
| DIRECTOR | $0 | $182,068 | $0 | $21,033 | $0 | $2,041 | $0 | $9,272 | $0 | $9,174 | $0 | $223,588 | $0 | $0 |
| JILL HOGGARD GREEN PHD | ||||||||||||||
| DIRECTOR END 2/1/2019 | $0 | $652,986 | $0 | $253,400 | $0 | $165,913 | $0 | $169,250 | $0 | $19,306 | $0 | $1,260,855 | $0 | $153,374 |
| MYRON W SMITH III MD | ||||||||||||||
| DIRECTOR END 2/1/2019 | $0 | $605,379 | $0 | $0 | $0 | $16,161 | $0 | $11,000 | $0 | $27,396 | $0 | $659,936 | $0 | $0 |
| ANGELA FLETCHER | ||||||||||||||
| DIRECTOR END 2/1/19 | $0 | $214,515 | $0 | $51,359 | $0 | $40,490 | $0 | $37,146 | $0 | $18,555 | $0 | $362,065 | $0 | $38,406 |
| GREGG DIXON | ||||||||||||||
| CFO END 2/1/2019 | $0 | $192,208 | $0 | $54,426 | $0 | $28,999 | $0 | $28,565 | $0 | $20,138 | $0 | $324,336 | $0 | $27,008 |
| MICHAEL PARMER DO | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $268,076 | $0 | $68,500 | $0 | $3,372 | $0 | $8,220 | $0 | $18,674 | $0 | $366,842 | $0 | $0 |
| CATHLEEN ADAMS | ||||||||||||||
| CHIEF NURSING OFFICER | $0 | $224,136 | $0 | $39,984 | $0 | $1,699 | $0 | $5,958 | $0 | $6,565 | $0 | $278,342 | $0 | $0 |
| EDGARDO DIEZ | ||||||||||||||
| PHYSICIAN | $311,890 | $0 | $13,136 | $0 | $26,836 | $0 | $3,250 | $0 | $25,689 | $0 | $380,801 | $0 | $0 | $0 |
| CHRISTOPHER MIN | ||||||||||||||
| PHYSICIAN | $278,705 | $0 | $0 | $0 | $16,976 | $0 | $7,262 | $0 | $8,407 | $0 | $311,350 | $0 | $0 | $0 |
| KIMBERLY ADELMAN | ||||||||||||||
| HOME HEALTH SERVICES | $157,940 | $0 | $25,786 | $0 | $1,444 | $0 | $4,847 | $0 | $12,344 | $0 | $202,361 | $0 | $0 | $0 |
| JOY DEGUZMAN | ||||||||||||||
| PHYSICIAN | $270,734 | $0 | $13,136 | $0 | $2,096 | $0 | $8,084 | $0 | $25,689 | $0 | $319,739 | $0 | $0 | $0 |
| MIKE HEILIG | ||||||||||||||
| PHYSICIAL THERAPIST | $128,068 | $0 | $23,854 | $0 | $5,312 | $0 | $8,123 | $0 | $26,160 | $0 | $191,517 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3: | COMPENSATION FOR OFFICERS AND EXECUTIVES ARE SET BY ANC HEALTHCARE. SEE SCHEDULE O FOR ADDITIONAL DETAIL. |
| PART I, LINE 4B: | PERSONS WHO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE LISTED BELOW. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C AS PART OF DEFERRED COMPENSATION. TRACY BUCHANAN $ 43,684 GREGG DIXON $ 23,715 JILL HOGGARD GREEN $ 155,500 RUTH ZYRY $ 56,100 ANGELA FLETCHER $ 25,971 PERSONS WHO RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE LISTED BELOW.THE PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B(III). TRACY BUCHANAN $ 42,025 GREGG DIXON $ 27,008 JILL HOGGARD GREEN $ 153,374 RUTH ZYRY $ 16,316 ANGELA FLETCHER $ 38,406 |
Schedule N IRS990ScheduleN
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liquidation Of Assets Table | LiquidationOfAssetsTableGrp |
Disposition Of Assets Detail DispositionOfAssetsDetail (8 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| MH MASTER HOLDINGS LLLP | |||||||||
| CASH | 2019-02-01 | $632,874 | Cash Basis | 384091276 | PO BOX 570 | NASHVILLE | TN | 37202 | LLLP |
| MH MASTER HOLDINGS LLLP | |||||||||
| Accounts Receivable | 2019-02-01 | $11,606,097 | SALE VALUATION | 384091276 | PO BOX 570 | NASHVILLE | TN | 37202 | LLLP |
| MH MASTER HOLDINGS LLLP | |||||||||
| INVENTORY AND PREPAID SUPPLIES | 2019-02-01 | $307,420 | SALE VALUATION | 384091276 | PO BOX 570 | NASHVILLE | TN | 37202 | LLLP |
| MH MASTER HOLDINGS LLLP | |||||||||
| PREPAID EXPENSES | 2019-02-01 | $40,509 | SALE VALUATION | 384091276 | PO BOX 570 | NASHVILLE | TN | 37202 | LLLP |
| MH MASTER HOLDINGS LLLP | |||||||||
| LAND, BUILDING, EQUIP, PROJECTS | 2019-02-01 | $6,459,426 | SALE VALUATION | 384091276 | PO BOX 570 | NASHVILLE | TN | 37202 | LLLP |
| ANC Healthcare Inc | |||||||||
| CASH | 2019-02-01 | $18,312,531 | BOOK VALUE | 581450888 | 425 W New England Ave Ste 300 | Winter Park | FL | 32789 | 501(C)(3) |
| ANC Healthcare Inc | |||||||||
| ACCOUNTS RECEIVABLE | 2019-02-01 | $162,404 | Book Value | 581450888 | 425 W New England Ave Ste 300 | WINTER PARK | FL | 32789 | 501(c)(3) |
| ANC Healthcare Inc | |||||||||
| INTERCOMPANY ACCOUNTS RECEIVABLE | 2019-02-01 | $321,251 | Book Value | 581450888 | 425 W New England Ave Ste 300 | Winter Park | FL | 32789 | 501(c)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | Yes (true) | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE N, PART II, LINE 1: | BOARD RESOLUTION FOR SALE OF ENTITY: THE ORGANIZATION AMENDED ITS ARTICLE OF INCORPORATION AND RESTATED ITS BYLAWS EFFECTIVE FEBRUARY 1, 2019. THE GOVERNING DOCUMENTS WERE UPDATED TO REFLECT CHANGES IN THE ORGANIZATION'S MISSION AND ORGANIZATIONAL STRUCTURE DUE TO THE SALE OF SUBSTANTIALLY ALL OF ITS ASSETS TO HCA AND AFFILIATIES ON THIS DATE. ASSUMPTION OF LIABILITIES: As a part of the sale, MH Master Holdings, LLLP also took over the working capital liabilities amounting to $3,939,939. As a part of the transfer, ANC Healthcare, Inc. took over the following liabilities; accounts payable of $559,092, intercompany accounts payable of $4,132,100, and working capital liabilities of $2,074,959. |
| PART II, LINE 2B: | SUCCESSOR ORGANIZATION EMPLOYEES THE FOLLOWING INDIVIDUAL BECAME AN EMPLOYEE OF A COMPANY THAT IS RELATED TO MH MASTER HOLDINGS, LLLP, THE ENTITY WHICH PURCHASED THE ASSETS. SHE IS NOT A DIRECTOR NOR OFFICER OF THE SUCCESSOR COMPANY. ELIZABETH WILLIAMS |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | THE ORGANIZATION TERMINATED ITS INPATIENT AND OUTPATIENT REHABILITATION SERVICES EFFECTIVE 2/1/19. IT CONTINUES TO OFFER THE FOLLOWING SERVICES: ADULT DAY, GRIEF SUPPORT, MUSIC THERAPY AND A HOSPITALITY HOUSE. FORM 990, PART IV, LINE 20B: THE ORGANIZATION DID NOT HAVE AN AUDIT PERFORMED FOR THE FILING PERIOD SINCE ITS OPERATIONS CEASED DUE TO SALE OF ITS ASSETS ON 2/1/2019. A COPY OF THE MOST RECENT AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE PERIOD ENDED SEPTEMBER 30, 2018 IS ATTACHED TO THIS RETURN. FORM 990, PART V, LINE 1A: The organization's payments which would otherwise be reported on forms 1099 are paid and reported to the IRS on form 1096 by the organization's parent organization ANC Healthcare, Inc., however the expenses related to those payments are recorded on the financial activity of the organization to which they relate. Therefore, there are professional services reported on page 8, but no 1099's filed by the organization. FORM 990, PART VI, SECTION A, LINE 1: THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN, VICE CHAIRMAN AND IMMEDIATE PAST CHAIRMAN OF THE BOARD OF DIRECTORS, THE SECRETARY AND TREASURER OF THE CORPORATION, AND SUCH OTHER MEMBER OR MEMBERS OF THE BOARD OF DIRECTORS AS THE CHAIRMAN MAY APPOINT. THE EXECUTIVE COMMITTEE SHALL HOLD SCHEDULED MEETINGS AS NECESSARY AND SPECIAL MEETINGS AT THE CALL OF THE CHAIRMAN OR AS CALLED BY HIM OR HER AT THE REQUEST OF ANY MEMBER OF THE COMMITTEE, AND IT SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, UNLESS PROHIBITED BY THE ARTICLES OF INCORPORATION, OR BY THESE BYLAWS, OR BY A RESOLUTION OF THE BOARD OF DIRECTORS. MINUTES OF ALL MEETINGS OF THIS COMMITTEE SHALL BE KEPT AND RECORDED IN THE MINUTE BOOK OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 2: | AT CERTAIN POINTS DURING THE YEAR SOME OF THE BOARD MEMBERS WORKED FOR THE SOLE MEMBER, ANC HEALTHCARE, INC (FKA MISSION HEALTH SYSTEM). AT CERTAIN POINTS DURING THE YEAR SOME OF THE BOARD MEMBERS WORKED FOR THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 4: | COMMUNITY CAREPARTNERS, INC. CHANGED ITS NAME TO MOUNTAINCARE, INC. DURING CALENDAR YEAR 2019. THE FILING ORGANIZATION WILL HEREBY BE REFERRED TO AS "THE ORGANIZATIONMOUNTAINCARE, INC. THROUGHOUT THE RETURN UNLESS OTHERWISE INDICATED BY ITS OLD NAME, COMMUNITY CAREPARTNERS, INC. THE ORGANIZATION AMENDED ITS ARTICLES OF INCORPORATION AND RESTATED ITS BYLAWS EFFECTIVE FEBRUARY 1, 2019. THE GOVERNING DOCUMENTS WERE UPDATED TO REFLECT CHANGES IN THE ORGANIZATION'S MISSION AND ORGANIZATIONAL STRUCTURE DUE TO THE SALE OF SUBSTANTIALLY ALL OF ITS ASSETS TO HCA AND AFFILIATIES ON THIS DATE. |
| FORM 990, PART VI, SECTION A, LINE 6: | THE ORGANIZATION HAS A SOLE MEMBER, ANC HEALTHCARE, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A: | LINE 7A AND 7B EXPLANATION THE SOLE MEMBER, ANC HEALTHCARE, INC., HAS THE POWER TO APPROVE THE ELECTION OF NEW DIRECTORS TO THE BOARD. THE SOLE MEMBER SHALL MAKE THE FINAL DECISION AS TO (I) ALL FUNDAMENTAL MATTERS RESPECTING THE ORGANIZATION, (II) SELECTION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION UPON RECOMMENDATION OF THE BOARD AND (III) REMOVAL OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION AFTER FIRST PROVIDING THE BOARD WITH ADVANCE WRITTEN NOTICE OF INTENT TO REMOVE AND AN EXPLANATION OF THE REMOVAL. |
| FORM 990, PART VI, SECTION A, LINE 7B: | SEE ANSWER TO 7A |
| FORM 990, PART VI, SECTION B, LINE 11B: | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. A FINAL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C: | A CONFLICT OF INTEREST DISCLOSURE IS SENT TO EACH NEW BOARD AND/OR GOVERNANCE COMMITTEE MEMBER AND TO ALL BOARD MEMBERS ON AN ANNUAL BASIS. THIS INFORMATION IS SUPPLIED BY EACH BOARD AND/OR GOVERNANCE COMMITTEE MEMBER, SIGNED AND DATED, AND RETURNED TO THE PRESIDENT'S OFFICE FOR THE CORPORATION'S PERMANENT FILES. |
| FORM 990, PART VI, SECTION B, LINE 15: | A RELATED ORGANIZATION DRAWS WAGE COMPARISON DATA FROM OUTSIDE EXECUTIVE COMPENSATION CONSULTANTS TO ENSURE COMPENSATION LEVELS ARE AT FAIR MARKET VALUE. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION (COMMITTEE) REVIEWS THIS DATA AND RECOMMENDS TO THE BOARD OF THE RELATED ORGANIZATION ANY REVISIONS TO THE OVERALL PHILOSOPHY AND POLICY TO GUIDE THE DETERMINATION OF COMPENSATION AND BENEFIT PACKAGES FOR EXECUTIVES WHICH INCLUDES THE CEO, THE CFO, AND PRESIDENT AS WELL AS ALL OTHER EXECUTIVES, WHICH WOULD INCLUDE ALL KEY EMPLOYEES. THE COMMITTEE KEEPS AND DISTRIBUTES MINUTES OF ALL ITS MEETINGS TO ITS MEMBERS. ITEMS OF A SENSITIVE NATURE ARE REFERENCED IN THE MINUTES WITH DETAILED, SUPPORTING DOCUMENTATION RETAINED ON FILE. THE COMMITTEE ALSO DISCLOSES ANY POTENTIAL CONFLICTS OF INTEREST SITUATIONS TO THE COMMITTEE CHAIRMAN THAT MAY AFFECT THEIR INDEPENDENT DIRECTORS' STATUS AS SOON AS THEY ARISE, AND MAINTAINS COMPLETE DOCUMENTATION OF ALL MATTERS DISCUSSED BY THE COMMITTEE. THE COMMITTEE OBTAINS EDUCATION AND TRAINING TO EXERCISE ALL RESPONSIBILITIES EFFECTIVELY AND KEEPS ABREAST OF SIGNIFICANT DEVELOPMENTS IN EXECUTIVE COMPENSATION PRACTICES AND REGULATIONS, AND ENSURES THAT ALL ASPECTS OF THE HEALTH SYSTEM AND HOSPITAL EXECUTIVE COMPENSATION ADHERE TO ALL RELEVANT REGULATORY REQUIREMENTS, AND REVIEWS THE COMMITTEE CHARTER ANNUALLY REVISING AS APPROPRIATE AND CONDUCTS AN ANNUAL EVALUATION OF THE COMMITTEE'S PERFORMANCE. |
| FORM 990, PART VI, SECTION C, LINE 19: | THE ORGANIZATION'S FORM 1023, RECENT FILINGS OF THE FORM 990, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF NET ASSETS TO THE SOLE MEMBER, ANC HEALTHCARE, INC. (SALE PROCEEDS, CASH, RECEIVABLES, LIABILITIES, AND OTHER ASSETS), AND OTHER ADJUSTMENTS TO THE BALANCE SHEET AND NET ASSETS AS A RESULT OF THE SALE: ($32,157,255). |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL FEES TOTAL FEES:2492821 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER TOTAL FEES:758548 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ADMIN TOTAL FEES:187008 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ANC ANGEL MEDICAL CENTER INC | ||||||||||
| 425 W New England AVE No 300 | Winter Park | FL | 32789 | 566000064 | HOSPITAL | NC | 501(C)(3) | LINE 3 | ANC INC | false |
| ANGEL MEDICAL CENTER AUXILIARY INC | ||||||||||
| PO BOX 1209 | FRANKLIN | NC | 28744 | 562133719 | SUPPORTING | NC | 501(c)(3) | LINE 12A, I | AMC INC | false |
| ANC BLUE RIDGE HOSPITAL INC | ||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 561025032 | HOSPITAL | NC | 501(C)(3) | LINE 3 | ANC INC | false |
| AMY WELLNESS FOUNDATION INC | ||||||||||
| 31 CROSS STREET STE 266 | SPRUCE PINE | NC | 28777 | 582172660 | FOUNDATION | NC | 501(C)(3) | LINE 12A, I | BRH INC | false |
| ANC HIGHLANDS-CASHIERS HOSPITAL INC | ||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 560509400 | HOSPITAL | NC | 501(C)(3) | LINE 3 | ANC INC | false |
| HIGHLANDS-CASHIERS PHYSICIAN SVCS INC | ||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 452422428 | PHYSICIAN SER | NC | 501(C)(3) | LINE 12A, I | HCHINC | false |
| GATEWAY WELLNESS FOUNDATION | ||||||||||
| 135 SOUTH MAIN STREET | MARION | NC | 28752 | 463395393 | FOUNDATION | NC | 501(c)(3) | LINE 7 | TMH INC | false |
| MISSION HEALTH SYSTEM FOUNDATION INC | ||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 561881331 | FOUNDATION | NC | 501(C)(3) | LINE 7 | ANC INC | false |
| ANC HEALTHCARE INC | ||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 581450888 | SUPPORT | NC | 501(c)(3) | LINE 12A, I | NA | false |
| MISSION HOSPITAL INC | ||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 560532141 | ACUTE CARE | NC | 501(C)(3) | LINE 3 | ANC INC | false |
| ANC MEDICAL ASSOCIATES INC | ||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 263627231 | PHYSICIAN GRP | NC | 501(C)(3) | LINE 10 | ANC INC | false |
| ANC MCDOWELL HOSPITAL INC | ||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 560623938 | HOSPITAL | NC | 501(C)(3) | LINE 3 | ANC INC | false |
| ANC TRANSYLVANIA COMMUNITY HOSPITAL INC | ||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 560562293 | HOSPITAL | NC | 501(C)(3) | LINE 3 | ANC INC | false |
| ANC TRANSYLVANIA PHYSICIAN SERVICES INC | ||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 561920816 | PHYSICIAN SER | NC | 501(c)(3) | LINE 3 | TCH INC | false |
| PISGAH HEALTH FOUNDATION | ||||||||||
| 153 WEST JORDAN STREET | BREVARD | NC | 28712 | 561458024 | FOUNDATION | NC | 501(C)(3) | LINE 12A, I | TCH INC | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ASHEVILLE IMAGING LLP | ||||||||||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907201 | DISCONTINED OPRTN | NC | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| ASHEVILLE MRI | ||||||||||||||
| PO BOX 2959 | ASHEVILLE | NC | 28802 | 561665863 | DISCONTINED OPRTN | NC | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| BLUE RIDGE DME LLC | ||||||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 263570174 | EQUIPMENT SALES | NC | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| BLUE RIDGE-TKC LLC | ||||||||||||||
| 5935 CARNEGIE BLVD | CHARLOTTE | NC | 28209 | 471382912 | REAL ESTATE RENT | NC | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| HEALTHCARE III LIMITED PARTNERSHIP | ||||||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 561599596 | RENTAL | NC | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| HEALTHCARE LIMITED LIABILITY COMPANY VII | ||||||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 200343455 | RENTAL | NC | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| IMAGING REALTY LLP | ||||||||||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907203 | MEDICAL BUILDING | NC | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| MSJHS & CCP JOINT DEVELOPMENT CO INC | ||||||||||||||
| 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 562250464 | LT ACUTE CARE | NC | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| SPRUCE PINE HEALTHCARE LLC | ||||||||||||||
| 5935 CARNEGIE BLVD | CHARLOTTE | NC | 28209 | 471390107 | REAL ESTAE | NC | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| TRANSYLVANIA HEALTHCARE II LP | ||||||||||||||
| 2 MEDICAL PARK DRIVE | BREVARD | NC | 28712 | 200333230 | RENTAL | NC | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| WESTERN NC HEALTHCARE INNOVATORS LLC | ||||||||||||||
| 5935 CARNEGIE BLVD | CHARLOTTE | NC | 28712 | 800787882 | REAL ESTATE RENT | NC | NA | $0 | $0 | false | $0 | false | 0.00000 | |
| WNC STONE CENTER | ||||||||||||||
| 509 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 272152974 | LITHOTRIPTER RENT | NC | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOGWOOD INSURANCE COMPANY LTD | ||||||||||||||||
| PO BOX 3060 | GRAND CAYMAN | CJ | CAPTIVE INSURAN | CJ | NA | C CORP | $0 | $0 | 0.00000 | false | ||||||
| TRANSYLVANIA SERVICES INC | ||||||||||||||||
| REAL ESTATE | NA | C CORP | $0 | $0 | 0.00000 | false | 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 561448199 | NC | ||||
| MISSION HEALTH PARTNERS INC | ||||||||||||||||
| CLINICALLY INTEGR | NA | C CORP | $0 | $0 | 0.00000 | false | PO BOX 570 | NASHVILLE | TN | 37202 | 465566095 | NC | ||||
| HEALTHY STATE INC | ||||||||||||||||
| ADMINISTRATIVE | NA | C CORP | $0 | $0 | 0.00000 | false | PO BOX 570 | NASHVILLE | TN | 37202 | 812108613 | NC | ||||
| AVENU HEALTH INC | ||||||||||||||||
| HEALTH CARE CLINI | NA | C CORP | $0 | $0 | 0.00000 | false | 425 W NEW ENGLAND AVE NO 300 | WINTER PARK | FL | 32789 | 823337055 | NC | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |