ANC HEALTHCARE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ANC HEALTHCARE INC (EIN 58-1450888)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-21
IRS object ID: 202022349349300312
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 C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule L
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-21T10:03:19-05:00	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	581450888	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ANC HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ANC HEALTHCARE INC	InCareOfNm
Business Name Control	ANCH	BusinessNameControlTxt
Phone	8475832804	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	425 W NEW ENGLAND AVE Suite 300	AddressLine1Txt
City	WINTER PARK	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32789	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MATTHEW RUBIN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8475832804	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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	68.23.17.128	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	56917520202305000016	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-17	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	0C5163C5E0E4E18BB9FC85A78CE1BABD812E3D7F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	66BCC08F45C5522280F29D9EF7A99A39E4FFA4D3	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-19 02:30:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MATTHEW RUBIN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	425 W NEW ENGLAND AVE300	AddressLine1Txt
City	WINTER PARK	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	32789	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$313,523,660	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1981	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	OPERATION OF AN INTEGRATED HEALTH CARE SYSTEM	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	7	TotalVolunteersCnt
Total Gross UBI	$740,816	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$567,562	PYContributionsGrantsAmt
CY Contributions Grants	$4,427,565	CYContributionsGrantsAmt
PY Program Service Revenue	$31,368,626	PYProgramServiceRevenueAmt
CY Program Service Revenue	$11,338,392	CYProgramServiceRevenueAmt
PY Investment Income	$40,725,061	PYInvestmentIncomeAmt
CY Investment Income	$167,162,945	CYInvestmentIncomeAmt
PY Other Revenue	-$169,084	PYOtherRevenueAmt
CY Other Revenue	$128,147	CYOtherRevenueAmt
PY Total Revenue	$72,492,165	PYTotalRevenueAmt
CY Total Revenue	$183,057,049	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,564,221	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$841,582,393	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$170,747,317	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$64,837,341	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	-$131,592,693	PYOtherExpensesAmt
CY Other Expenses	-$39,556,446	CYOtherExpensesAmt
PY Total Expenses	$42,718,845	PYTotalExpensesAmt
CY Total Expenses	$866,863,288	CYTotalExpensesAmt
PY Revenues Less Expenses	$29,773,320	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$683,806,239	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,746,061,012	TotalAssetsBOYAmt
Total Assets EOY	$1,158,076,635	TotalAssetsEOYAmt
Total Liabilities BOY	$964,667,376	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$184,316,763	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,781,393,636	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$973,759,872	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE ORGANIZATION'S MISSION IS TO OPERATE AN INTEGRATED HEALTH DELIVERY SYSTEM FOR THE BENEFIT OF THE RESIDENTS OF WESTERN NORTH CAROLINA	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$996,356,153	ExpenseAmt
Grant	$841,582,393	GrantAmt
Revenue	$7,597,479	RevenueAmt
Desc	THE ORGANIZATION FORMERLY KNOWN AS ANC Healthcare (Fka Mission Health System) PROVIDED ADMINISTRATIVE, LEGAL AND FINANCIAL SERVICES FOR THE MEMBERS OF ANC Healthcare (Fka Mission Health System) IN AREAS SUCH AS CASH, DEBT, INVESTMENT AND BENEFIT MANAGEMENT AND FISCAL, STRATEGIC AND FACILITIES PLANNING. THE ORGANIZATION'S DEPARTMENT OF PHILANTHROPY GUIDED AND SUPPORTED ALL OF THE ORGANIZATION'S MEMBER HOSPITALS' INDIVIDUAL FOUNDATIONS. THOSE FOUNDATIONS PROVIDED PHILANTHROPIC SUPPORT TO ENABLE MEMBERS TO SERVE THEIR LOCAL COMMUNITIES AND REGIONS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,442,591	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$3,986,970	RevenueAmt
Desc	ANC IMAGING SERVICES, FORMERLY KNOWN AS MISSION IMAGING SERVICES, LLC, A SINGLE MEMBER LLC, PROVIDED MEDICAL IMAGING SERVICES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$998,798,744	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	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	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	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	Yes (true)	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	Yes (true)	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	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	Yes (true)	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	859	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
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	7	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	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	false	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	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ANC HEALTHCARE INC	PersonNm
Phone	8475832804	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	425 W NEW ENGLAND AVENUE	AddressLine1Txt
City	WINTER PARK	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32789	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (51 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN R BALL
CHAIR END JAN 2019	5.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN W GARRETT MD
Chair	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
LAVOY SPOONER JR
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SUZANNE S DEFERIE
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
WYATT S STEVENS
IMM. PAST CHAIR END JAN 2019	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
JANICE W BRUMIT
DIRECTOR END JAN 2019	2.0	3.0	Yes (X)		$0	$0	$0
THOMAS MAHER
Vice Chair	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
DANIEL A CASSE
DIRECTOR END JAN 2019	2.0	2.0	Yes (X)		$0	$0	$0
BRIDGET A ECKERD
DIRECTOR END JAN 2019	3.0	3.0	Yes (X)		$0	$0	$0
W LEON ELLISTON MD
DIRECTOR END JAN 2019	2.0	2.0	Yes (X)		$0	$0	$0
CHRIS FLANDERS MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
WILLIAM S HICKMAN
DIRECTOR END JAN 2019	3.0	3.0	Yes (X)		$0	$0	$0
LYNN KIEFFER
DIRECTOR END JAN 2019	2.0	3.0	Yes (X)		$0	$0	$0
TOM ORECK
DIRECTOR END JAN 2019	2.0	2.0	Yes (X)		$0	$0	$0
ANNE PONDER
DIRECTOR END JAN 2019	2.0	2.0	Yes (X)		$0	$0	$0
KENNETH RACHT
DIRECTOR END JAN 2019	2.0	3.0	Yes (X)		$0	$0	$0
JEFFREY RANKIN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ROBBY RUSSELL
DIRECTOR END JAN 2019	2.0	3.0	Yes (X)		$0	$0	$0
KRISTY ELLIOT
DIRECTOR END JAN 2019	2.0	2.0	Yes (X)		$0	$0	$0
RONALD A PAULUS MD
SYSTEM PRES & CEO END JAN 2019	30.0	40.0	Yes (X)	Yes (X)	$0	$3,403,218	$617,020
David Worley
Director	1.0	0.0	Yes (X)		$0	$0	$0
PAUL MCDOWELL
SVP AND CFO END JAN 2019	30.0	30.0		Yes (X)	$0	$885,665	$152,503
DONALD ESPOSITO
SVP Gen. Council END JAN 2019	30.0	30.0		Yes (X)	$0	$519,841	$105,674
Neil Luria
CEO/Chief Wind-Down officeR	18.0	2.0		Yes (X)	$0	$0	$0
Matthew Rubin
CFO / Secretary	18.0	2.0		Yes (X)	$0	$0	$0
Gregory Hagood
Chief Transition OffICER	10.0	0.0		Yes (X)	$0	$0	$0
Meg Finnegan
VP HR	10.0	0.0		Yes (X)	$0	$0	$0
Kira Abramovs
VP Finance	25.0	0.0		Yes (X)	$0	$0	$0
Paul Hogan
VP Treas. & Acct	20.0	0.0		Yes (X)	$0	$0	$0
MARC MALLOY
SVP MISSION HEALTH SOLUTIONS	30.0	30.0			$0	$779,785	$103,175	Yes (X)
JONATHAN BROWN
CHIEF INFORMATION OFFICER	30.0	30.0			$0	$581,105	$90,307	Yes (X)
DEBRA FOSS
SVP ORG. TRANSFORMATION	30.0	30.0			$0	$824,380	$34,177	Yes (X)
ROWENA BUFFETT TIMMS
SVP GOVT & COMMUNITY RELATIONS	30.0	30.0			$0	$442,792	$69,945	Yes (X)
DR JILL HOGGARD GREEN
SVP AND COO	30.0	30.0			$0	$1,072,299	$188,556	Yes (X)
KATHY GUYETTE
SVP PATIENT CARE SVCS REGIONAL	25.0	35.0			$0	$665,221	$109,967	Yes (X)
MARC WESTLE DO
SVP INNOVATION ADMIN	30.0	30.0			$0	$775,069	$130,112	Yes (X)
CHRIS DERIENZO
CHIEF QUALITY OFFICER	28.0	32.0			$0	$624,002	$118,763	Yes (X)
JON YEATMAN
CHIEF STRATEGY OFFICER	30.0	30.0			$0	$492,418	$51,251	Yes (X)
RHONDA MILLER
VP REVENUE CYCLE	30.0	30.0			$0	$233,023	$38,205	Yes (X)
CHARLES SAWYER MD
CHIEF MEDICAL INFORMATION OFF	30.0	30.0			$0	$528,978	$81,835	Yes (X)
GWEN MCKINNEY
CHIEF COMPLIANCE OFFICER	29.0	31.0			$0	$426,622	$62,113	Yes (X)
WILLIAM HATHAWAY MD
CHIEF MEDICAL OFFICER	29.0	31.0			$0	$841,294	$126,879	Yes (X)
SONYA GRECK
SENIOR VICE PRESIDENT	30.0	30.0			$0	$665,002	$111,932	Yes (X)
RUTH ZYRY
CHIEF OPERATIONS OFFICER	29.0	31.0			$0	$455,640	$74,747	Yes (X)
RITA EDWARDS
VICE PRESIDENT	30.0	30.0			$0	$378,655	$25,641		Yes (X)
SHEILA MEADOWS
CHIEF HR OFFICER	30.0	30.0			$0	$356,280	$70,017		Yes (X)
JOSEPH WOLFGRAM
Physician	30.0	30.0			$0	$382,362	$67,327		Yes (X)
LINDA HUMMEL
VP - QUALITY & SAFETY	30.0	30.0			$0	$383,632	$55,800		Yes (X)
Stephanie Baron
PHYSICIAN	30.0	30.0			$0	$271,341	$55,621		Yes (X)
CHARLES F AYSCUE
FORMER SVP AND CFO	0.0	0.0			$0	$140,353	$1,309			Yes (X)
ANN YOUNG
Former GENERAL COUNSEL	0.0	0.0			$0	$398,834	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$16,527,811	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,542,876	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,427,565	RelatedOrganizationsAmt
Total Contributions	$4,427,565	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MISSION IMAGING SERVICES	621400	$3,986,970	$3,986,970
SERVICES TO AFFILIATES	900099	$3,869,361	$3,869,361
OTHER PROGRAM REVENUE	900099	$3,064,397	$3,064,397
PREMIER AND OTHER JOINT VENTURES	900099	$417,664	$391,274	$26,390

Field	Value	IRS element (for citing)
Total Program Service Revenue	$11,338,392	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,470,598	TotalRevenueColumnAmt
Related Or Exempt Func Income	$272,446	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$586,279	UnrelatedBusinessRevenueAmt
Exclusion	$18,611,873	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$893	TotalRevenueColumnAmt
Exclusion	$893	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$157,789	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$157,789	RealAmt

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)
Securities	$166,873,078	SecuritiesAmt
Other	$110,998,712	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$130,369,119	SecuritiesAmt
Other	-$188,783	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$36,503,959	SecuritiesAmt
Other	$111,187,495	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$147,691,454	TotalRevenueColumnAmt
Exclusion	$147,691,454	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	$256,633	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$128,486	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$128,147	TotalRevenueColumnAmt
Unrelated Business Revenue	$128,147	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$183,057,049	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,584,448	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$740,816	UnrelatedBusinessRevenueAmt
Exclusion	$166,304,220	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$841,582,393	TotalAmt
Program Services	$841,582,393	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
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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	$50,147,625	TotalAmt
Program Services	$1,284,708	ProgramServicesAmt
Management And General	$48,862,917	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,353,387	TotalAmt
Program Services	$28,993	ProgramServicesAmt
Management And General	$1,324,394	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,004,186	TotalAmt
Program Services	$209,619	ProgramServicesAmt
Management And General	$9,794,567	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,332,143	TotalAmt
Program Services	$99,042	ProgramServicesAmt
Management And General	$3,233,101	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,752,941	TotalAmt
Management And General	$2,752,941	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,511,996	TotalAmt
Management And General	$7,511,996	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,340,522	TotalAmt
Management And General	$1,340,522	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$129,774	TotalAmt
Program Services	$129,774	ProgramServicesAmt

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	$2,179,946	TotalAmt
Management And General	$2,179,946	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$21,656,289	TotalAmt
Program Services	$712,044	ProgramServicesAmt
Management And General	$20,944,245	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$673,094	TotalAmt
Management And General	$673,094	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,374,401	TotalAmt
Management And General	$1,374,401	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,946,338	TotalAmt
Program Services	$8,757,070	ProgramServicesAmt
Management And General	$2,189,268	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,759,367	TotalAmt
Program Services	$290,332	ProgramServicesAmt
Management And General	$1,469,035	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$315,006	TotalAmt
Program Services	$3,491	ProgramServicesAmt
Management And General	$311,515	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	$3,402,043	TotalAmt
Program Services	$2,721,634	ProgramServicesAmt
Management And General	$680,409	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,611,651	TotalAmt
Program Services	$8,504,946	ProgramServicesAmt
Management And General	$2,106,705	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,477,761	TotalAmt
Program Services	$4,382,209	ProgramServicesAmt
Management And General	$1,095,552	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
ALLOCATION TO MEMBERS	-$113,275,586	$128,362,210	-$241,637,796
OTHER EXPENSE	$2,537,713	$862,132	$1,675,581
EQUIPMENT LEASES	$1,050,298	$868,147	$182,151

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$866,863,288	TotalAmt
Program Services	$998,798,744	ProgramServicesAmt
Management And General	-$131,935,456	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$27,452,481	BOYAmt
EOY	$271,634	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$102,785,022	BOYAmt
EOY	$500,752,289	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	$453,060,549	BOYAmt
EOY	$43,878,123	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	$48,680,379	BOYAmt
EOY	$2,331,587	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$46,124	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$358,999	BOYAmt
EOY	$2,919,466	EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$13,822,161	BOYAmt
EOY	$0	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$499,901,932	BOYAmt
EOY	$51,168,511	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$292,295,250	BOYAmt
EOY	$449,049,836	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,297,651,616	BOYAmt
EOY	$72,672,792	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,610,792	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,395,707	BOYAmt
EOY	$35,032,397	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,746,061,012	BOYAmt
EOY	$1,158,076,635	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$384,154,024	BOYAmt
EOY	$184,316,763	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	$302,159,691	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	$38,559,845	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	$239,793,816	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$964,667,376	BOYAmt
EOY	$184,316,763	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,781,393,636	BOYAmt
EOY	$973,759,872	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	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,781,393,636	BOYAmt
EOY	$973,759,872	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,746,061,012	BOYAmt
EOY	$1,158,076,635	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$683,806,239	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,128,691	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$122,698,834	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
Supported Organizations	2	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
MISSION HOSPITAL INC
560532141	3	Yes (true)	$0	$0
MISSION HEALTH SYSTEM FOUNDATION INC
561881331	7	Yes (true)	$854,741	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	2	SupportedOrganizationsTotalCnt
Support Sum	$854,741	SupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (true)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$129,774	OtherActivitiesAmt
Total Lobbying Expenditures	$129,774	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1, LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	PAYMENTS MADE TO CONSULTANTS TO ADVOCATE ON HEALTH CARE RELATED ISSUES	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp
Buildings		BuildingsGrp
Leasehold Improvements		LeaseholdImprovementsGrp
Equipment		EquipmentGrp
Other Land Buildings		OtherLandBuildingsGrp
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN PARTNERSHIPS	Desc
Book Value	$449,049,836	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$449,049,836	TotalBookValueSecuritiesAmt
Total Book Value Program Rltd	$0	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt
Total Liability	$0	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Investments	$65,384,634
Europe (Including Iceland and Greenland)	Investments	$4,143,370

Field	Value	IRS element (for citing)
Subtotal Spent	$69,528,004	SubtotalSpentAmt
Total Spent	$69,528,004	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
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	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$532,886	BadDebtExpenseAmt
Reimbursed By Medicare	$2,722,402	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,458,010	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$735,608	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	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASHEVILLE SPECIALTY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	428 BILTMORE AVENUE 4TH FLOOR	AddressLine1Txt
City	ASHEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28801	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.ASHLTCH.COM/	WebsiteAddressTxt
State License	H0279	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Other	LONG TERM ACUTE CARE HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ASHEVILLE SPECIALTY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ASHEVILLE SPECIALTY HOSPITAL:	The hospital facility in this Schedule H was 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 ANC Healthcare, Inc. from Mission Health System after the sale and it no longer owns an interest in this facility. ASHEVILLE SPECIALTY HOSPITAL: PART V, SECTION B, LINE 4: CHNA Tax Year The organizations 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. ASHEVILLE SPECIALTY HOSPITAL: PART V, SECTION B, LINE 5: COMMUNITY INPUT 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.
ASHEVILLE SPECIALTY HOSPITAL:	Part V, Section B, Line 6a: Mission Hospital, Inc. And Community Carepartners, Inc.
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
ASHEVILLE SPECIALTY HOSPITAL:	Part V, Section B, Line 7d: https://missionhealth.org/ our-commitment-to-you/ community-investment/ our-communitys-health-needs/
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 ANC Healthcare 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 The Health System 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.
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. Form 990 schedule h line 10a The website for the implementation strategy adopted in November 2017 truncates on the schedule h form, so the address is listed below: https://missionhealth.org/wp-content/uploads /2018/04/2017-asheville-specialty-hospital- implementation-strategy.pdf FORM 990 SCHEDULE H, LINES 16A,16B AND 16C 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_ assistance_page.pdf 16C: PLAIN LANGUAGE SUMMARY: https://missionhealth.org/wp-content/ uploads/2018/03/finassistplain_ language_summary_4.pdf

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MISSION IMAGING SERVICES
534 BILTMORE AVENUE	ASHEVILLE	NC	28801	OUTPATIENT IMAGING SERVICES
MISSION IMAGING SERVICES
2695 HENDERSONVILLE ROAD	ARDEN	NC	28704	OUTPATIENT IMAGING SERVICES
MISSION IMAGING SERVICES
2 TOWN SQUARE	ASHEVILLE	NC	28803	OUTPATIENT IMAGING SERVICES
MISSION IMAGING SERVICES
490 HOSPITAL DRIVE	CLYDE	NC	28721	OUTPATIENT IMAGING SERVICES
MISSION IMAGING SERVICES
149 W PARKER ROAD	MORGANTON	NC	28655	OUTPATIENT IMAGING SERVICES

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	Due to the sale of the hospital facility during the current 2018 tax year, the organization does not have information on financial assistance at cost to report. PART III, LINE 2: THE COST TO CHARGES RATIO IS APPLIED TO BAD DEBT EXPENSE BASED ON CHARGES AND CONVERTED TO THE COST OF PROVIDING CARE
PART III, LINE 8:	THE SHORTFALL REPORTED IS BASED ON USING THE MEDICARE ALLOWABLE COSTS. PER THE FORM 990 INSTRUCTIONS, THE MEDICARE COST REPORT IS THE BASIS FOR CALCULATING THE COSTS USING COSTS RELATED TO THE REVENUE REPORTED. The HEALTH SYSTEM IS REPORTING 2/3 OF THE TOTAL SHORTFALL AS ITS PRO RATA OWNERSHIP IN ASHEVILLE SPECIALTY HOSPITAL.
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 HOSPITAL 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 THE HEALTH SYSTEM. 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, The Health System 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. The Health System'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 (The Health System FACILITY 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:	The organzation'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 IS THE PRIMARY POST-ACUTE CARE PROVIDER IN WNC SERVING 15 COUNTIES, AND CAREPARTNERS IS AN AFFILIATE OF THE HEALTH SYSTEM. CAREPARTNERS PROVIDES THE FOLLOWING SERVICES IN BUNCOMBE COUNTY, REHABILITATION 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. OPERATES AN INPATIENT FACILITY FOR ACUTE REHABILITATION LOCATED IN ASHEVILLE, NORTH CAROLINA, AND PROVIDES A WIDE VARIETY OF POST-ACUTE CARE SERVICES TO RESIDENTS OF WESTERN NORTH CAROLINA, INCLUDING REHABILITATION, HOME HEALTH, ADULT CARE, AND HOSPICE AND PALLIATIVE CARE. MSJHS AND CCP JOINT DEVELOPMENT COMPANY DBA ASHEVILLE SPECIALTY HOSPITAL OPERATES AN INPATIENT FACILITY FOR LONG-TERM ACUTE CARE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Dogwood Health Trust
890 Hendersonville Rd	ASHEVILLE	NC	28803	830590696	501(C)(3)	$800,857,060	Assistance to local Nonprofit
Nantahala Health Foundation
PO Box 1954	FRANKLIN	NC	287441954	832682447	501(c)(3)	$350,000	Assistance to local Nonprofit
AMY Wellness Foundation
890 HENDERSONVILLE RD	ASHEVILLE	NC	28803	582172660	501(C)(3)	$5,036,352	Assistance to local Nonprofit
Gateway Wellness Foundation
890 HENDERSONVILLE RD	ASHEVILLE	NC	28803	463395393	501(C)(3)	$5,030,892	Assistance to local Nonprofit
Highlands-Cashiers Foundation
PO BOX 190	HIGHLANDS	NC	28741	561165833	501(C)(3)	$5,000,000	Assistance to local Nonprofit
CarePartners Foundation
PO BOX 25338	ASHEVILLE	NC	28813	562110357	501(C)(3)	$5,000,000	Assistance to local Nonprofit
Pisgah Health Foundation
890 HENDERSONVILLE RD	ASHEVILLE	NC	28803	561458024	501(C)(3)	$5,097,467	Assistance to local Nonprofit
Asheville Area Chamber of Commerce FDN
PO BOX 1010	ASHEVILLE	NC	28802	561762978	501(C)(3)	$65,000	Assistance to local Nonprofit
Asheville Buncombe Community College
340 VICTORIA ROAD	ASHEVILLE	NC	28801	560792170	501(C)(3)	$150,000	Assistance to local Nonprofit
University of North Carolina Asheville
1 Univ Heights	ASHEVILLE	NC	288043251	566002370	501(C)(3)	$45,000	Assistance to local Nonprofit
Glory Hound Inc
PO Box 19256	Asheville	NC	28815	263668441		$8,400	Assistance to local Nonprofit
United States Tennis Association incoporated
70 W RED OAK LANE	WHITE PLAINS	NY	10604	135459420	501(C)(6)	$30,000	Assistance to local Nonprofit
Community Foundation of Western NC INC
4 vanderbilt pk drive	asheville	NC	28803	561223384	501(C)(3)	$10,000	Assistance to local Nonprofit
Homeward Bound of Western Asheville
PO BOX 1166	ASHEEVILLE	NC	28802	561568917	501(C)(3)	$10,000	Assistance to local Nonprofit
Mission Health System Foundation
890 Hendersonville Rd	ASHEVILLE	NC	28803	561881331	501(C)(3)	$854,741	Support of Mission Healthcare Fndn.
ANC MISSION MEDICAL ASSOCIATES INC
425 W New England ave	winter park	FL	32789	263627231	501(c)(3)	$14,000,000	Operational Support

Field	Value	IRS element (for citing)
Total501c3 Org	14	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ANC Healthcare (Fka Mission Health System) provides support to the Mission Healthcare Foundation, INC. As part of its exempt purpose. The health system has oversight through review of the monthly financials of the foundation to ensure that it continues to operate in accordance with its exempt purpose. Other grants are provided to local nonprofits to support activities which benefit the community in the areas of health and education. The Organization reviews the activities of nonprofits periodically to evaluate the merits of donating to them.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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 (25 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
RONALD A PAULUS MD
SYSTEM PRES & CEO END JAN 2019	$0	$1,103,073	$0	$1,154,710	$0	$1,145,435	$0	$586,951	$0	$30,069	$0	$4,020,238	$0	$1,138,532
ANN YOUNG
Former GENERAL COUNSEL	$0	$245,546	$0	$153,288	$0	$0	$0	$0	$0	$0	$0	$398,834	$0	$0
MARC MALLOY
SVP MISSION HEALTH SOLUTIONS	$0	$407,325	$0	$288,581	$0	$83,879	$0	$92,441	$0	$10,734	$0	$882,960	$0	$79,934
PAUL MCDOWELL
SVP AND CFO END JAN 2019	$0	$496,701	$0	$317,479	$0	$71,485	$0	$125,750	$0	$26,753	$0	$1,038,168	$0	$68,245
JONATHAN BROWN
CHIEF INFORMATION OFFICER	$0	$337,347	$0	$207,254	$0	$36,504	$0	$72,115	$0	$18,192	$0	$671,412	$0	$33,564
DEBRA FOSS
SVP ORG. TRANSFORMATION	$0	$414,881	$0	$312,045	$0	$97,454	$0	$13,750	$0	$20,427	$0	$858,557	$0	$0
ROWENA BUFFETT TIMMS
SVP GOVT & COMMUNITY RELATIONS	$0	$276,979	$0	$110,149	$0	$55,664	$0	$58,446	$0	$11,499	$0	$512,737	$0	$52,985
DR JILL HOGGARD GREEN
SVP AND COO	$0	$652,986	$0	$253,400	$0	$165,913	$0	$169,250	$0	$19,306	$0	$1,260,855	$0	$153,374
KATHY GUYETTE
SVP PATIENT CARE SVCS REGIONAL	$0	$406,499	$0	$157,955	$0	$100,767	$0	$101,276	$0	$8,691	$0	$775,188	$0	$93,564
MARC WESTLE DO
SVP INNOVATION ADMIN	$0	$404,487	$0	$297,406	$0	$73,176	$0	$102,133	$0	$27,979	$0	$905,181	$0	$69,036
CHRIS DERIENZO
CHIEF QUALITY OFFICER	$0	$431,770	$0	$137,018	$0	$55,214	$0	$92,750	$0	$26,013	$0	$742,765	$0	$53,373
JON YEATMAN
CHIEF STRATEGY OFFICER	$0	$278,796	$0	$174,209	$0	$39,413	$0	$49,343	$0	$1,908	$0	$543,669	$0	$37,581
RHONDA MILLER
VP REVENUE CYCLE	$0	$191,160	$0	$110	$0	$41,753	$0	$34,134	$0	$4,071	$0	$271,228	$0	$39,998
CHARLES SAWYER MD
CHIEF MEDICAL INFORMATION OFF	$0	$330,169	$0	$191,902	$0	$6,907	$0	$62,435	$0	$19,400	$0	$610,813	$0	$0
GWEN MCKINNEY
CHIEF COMPLIANCE OFFICER	$0	$241,221	$0	$157,904	$0	$27,497	$0	$50,589	$0	$11,524	$0	$488,735	$0	$24,040
WILLIAM HATHAWAY MD
CHIEF MEDICAL OFFICER	$0	$445,542	$0	$320,356	$0	$75,396	$0	$113,272	$0	$13,607	$0	$968,173	$0	$70,863
SONYA GRECK
SENIOR VICE PRESIDENT	$0	$418,324	$0	$171,439	$0	$75,239	$0	$104,472	$0	$7,460	$0	$776,934	$0	$69,744
RUTH ZYRY
CHIEF OPERATIONS OFFICER	$0	$330,063	$0	$104,728	$0	$20,849	$0	$59,443	$0	$15,304	$0	$530,387	$0	$16,316
DONALD ESPOSITO
SVP Gen. Council END JAN 2019	$0	$370,781	$0	$147,000	$0	$2,060	$0	$77,139	$0	$28,535	$0	$625,515	$0	$0
RITA EDWARDS
VICE PRESIDENT	$0	$290,850	$0	$84,375	$0	$3,430	$0	$7,634	$0	$18,007	$0	$404,296	$0	$0
SHEILA MEADOWS
CHIEF HR OFFICER	$0	$242,250	$0	$86,110	$0	$27,920	$0	$50,516	$0	$19,501	$0	$426,297	$0	$20,074
JOSEPH WOLFGRAM
Physician	$0	$240,737	$0	$140,353	$0	$1,272	$0	$44,417	$0	$22,910	$0	$449,689	$0	$0
LINDA HUMMEL
VP - QUALITY & SAFETY	$0	$228,230	$0	$125,781	$0	$29,621	$0	$36,656	$0	$19,144	$0	$439,432	$0	$26,483
CHARLES F AYSCUE
FORMER SVP AND CFO	$0	$43,389	$0	$20,033	$0	$76,931	$0	$1,184	$0	$125	$0	$141,662	$0	$71,744
Stephanie Baron
PHYSICIAN	$0	$208,957	$0	$51,276	$0	$11,108	$0	$31,501	$0	$24,120	$0	$326,962	$0	$9,617

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	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. Ronald Paulus $573,201 Jill Hoggard Green $155,500 Kathy Guyette $ 84,776 Rowena Buffett Timms $ 47,681 Chris Derienzo $ 81,750 Sonya Greck $ 87,972 Marc Westle $ 85,633 William Hathaway $ 96,772 Paul Mcdowell $112,000 Jonathan Brown $ 58,365 Marc Malloy $ 84,191 Jon Yeatman $ 41,604 Rhonda Miller $ 22,650 Charles Sawyer $ 56,643 Gwen Mckinney $ 36,021 Donald Esposito $ 75,750 Sheila Meadows $ 35,805 Linda Hummel $ 27,269 Joseph Wolfgram $ 36,934 Stephanie Baron $ 25,135 Ruth Zyry $ 56,100 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). Ronald Paulus $1,138,532 Charles Ayscue $ 71,744 Jill Hoggard Green $ 153,374 Kathy Guyette $ 93,564 Rowena Buffett Timms $ 52,985 Marc Westle $ 69,036 Chris Derienzo $ 53,373 Paul Mcdowell $ 68,245 Jonathan Brown $ 33,564 Jon Yeatman $ 37,581 Marc Malloy $ 79,934 Rhonda Miller $ 39,998 William Hathaway $ 70,863 Sonya Greck $ 69,744 Gwen Mckinney $ 24,040 Sheila Meadows $ 20,074 Linda Hummel $ 26,483 Stephanie Baron $ 9,617 Ruth Zyry $ 16,316	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	WYATT STEVENS	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$244,420	TransactionAmt
Transaction	PARTNERSHIP	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	FormAndLineReferenceDesc
Explanation	(A) Name of person: Wyatt Stevens (B) Relationship between interested person and organization: Board member (C) Amount of transaction $244,420. (D) Description of transaction: partnership in a law firm, including the board member and a family member, which performs legal services for the organization. The organization engages the law firm for legal services in arms-length transactions at fair market value. The board member is not involved in negotiating the pricing for the services rendered, nor does he perform any of the services engaged by the hospital. (E) Sharing of organization revenues? = no	ExplanationTxt

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	$616,134	BOOK VALUE	384091276	PO Box 570	NASHVILLE	TN	37202	LLLP
MH Master Holdings LLLP
Property, Plant, and Equipement	2019-02-01	$31,944,691	SALE VALUATION	384091276	PO Box 570	NASHVILLE	TN	37202	LLLP
MH Master Holdings LLLP
Investment in Sub & Partnerships	2019-02-01	$9,268,662	SALE VALUATION	384091276	PO Box 570	NASHVILLE	TN	37202	LLLP
MH Hospital Holdings Inc
Investment in Sub & Partnerships	2019-02-01	$745,277	SALE VALUATION	831616567	PO Box 570	NASHVILLE	TN	37202	CORPORATION
MH Hospital Manager LLC
Cash	2019-02-01	$5,412,516	BOOK VALUE	364907465	PO Box 570	NASHVILLE	TN	37202	LLC
MH Hospital Manager LLC
AccountS Receivable	2019-02-01	$4,931,088	SALE VALUATION	364907465	PO Box 570	NASHVILLE	TN	37202	LLC
MH Hospital Manager LLC
Inventory	2019-02-01	$52,046	SALE VALUATION	364907465	PO Box 570	NASHVILLE	TN	37202	LLC
MH Hospital Manager LLC
Prepaid Expenses	2019-02-01	$5,187,456	SALE VALUATION	364907465	PO Box 570	NASHVILLE	TN	37202	LLC

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

ASSUMPTION OF LIABILITIES: As a part of the sale, purchasers also took over the liabilities amounting to $43,115,818

SCHEDULE N, PART II, LINE 2B

SUCCESSOR ORGANIZATION EMPLOYEES: THE FOLLOWING DIRECTORS AND OFFICERS BECAME EMPLOYEES OF A COMPANY THAT IS RELATED TO MH MASTER HOLDINGS, LLLP, THE ENTITY WHICH PURCHASED THE ASSETS. Chris Flanders, M.D. Debra Foss Donald Esposito Dr. Jill Hoggard Green Gwen Mckinney Jon Yeatman Jonathan Brown Kathy Guyette Marc Malloy Marc Westle, D.O. Paul Mcdowell Rita Edwards Rowena Buffett Timms Ruth Zyry Sonya Greck William Hathaway, M.D. NONE ARE DIRECTORS OR OFFICERS OF THE SUCCESSOR COMPANY. RONALD A. PAULUS, M.D. BECAME AN INDEPENDENT CONTRACTOR OF THE SUCCESSOR ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 3:	THE ENTITY SOLD A SUBSTANTIAL PORTION OF THE FACILITIES AND OTHER OPERATING ASSETS OF THE HEALTH SYSTEM, INCLUDING THOSE OF ITS SUBSIDIARIES, ON 2/1/2019. THE ORGANIZATION CONTINUES TO MAINTAIN OVERSITE OF ITS SUBSIDIARIES DURING THE PROCESS OF LIQUIDATION AND EVENTUAL TERMINATION. FORM 990, PART IV, LINE 20B: The organization did not have an audit performed for the filing period since it sold a substantial portion of the facilities and other operating 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 VI, SECTION A, LINE 4: MISSION HEALTH SYSTEM, INC. CHANGED ITS NAME TO ANC HEALTHCARE, INC. DURING CALENDAR YEAR 2019. THE FILING ORGANIZATION WILL HEREBY BE REFERRED TO AS "THE ORGANIZATION" THROUGHOUT THE RETURN UNLESS OTHERWISE INDICATED BY ITS OLD NAME, MISSION HEALTH SYSTEM, INC. INDICATED BY ITS OLD NAME, MISSION HEALTH SYSTEM, INC.
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 WAS PROVIDED TO THE BOARD OF DIRECTORS THE WEEK AFTER FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C:	THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS REVIEWED AND UPDATED ANNUALLY. EDUCATION ABOUT THE POLICY AND THE RESPONSIBILITIES OF A BOARD MEMBER INCLUDING CONFLICTS OF INTEREST IS PROVIDED DURING ORIENTATION FOR NEW BOARD MEMBERS. BOARD MEETINGS BEGIN WITH A COMMENT SUMMARIZING THE CONFLICT OF INTEREST POLICY AND THE DUTY TO DISCLOSE CONFLICTS. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE INTERESTED PERSON DOES NOT PARTICIPATE IN ANY DECISION RELATING TO THE TRANSACTION ISSUE. A CONFLICT OF INTEREST IS A PARTICULAR RELATIONSHIP OR ARRANGEMENT THAT WOULD REASONABLY BE EXPECTED TO EXERT AN INFLUENCE ON THE INDIVIDUAL'S JUDGMENT AND PRECLUDE THE INDIVIDUAL FROM BEING AN INDEPENDENT DIRECTOR OR BEING INDEPENDENT WITH RESPECT TO THE TRANSACTION UNDER CONSIDERATION. IN ADDITION TO BOARD MEMBERS, THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO MEMBERS OF SENIOR LEADERSHIP, MEDICAL STAFF, CLINICAL SERVICE LINE LEADERS, ELECTED MEDICAL STAFF LEADERS, DEPARTMENTAL DIRECTORS, STAFF MEMBERS WORKING IN THE PURCHASING DEPARTMENT, AND ALL OTHER STAFF MEMBERS WITH PURCHASING AUTHORITY, AS WELL AS IMMEDIATE FAMILY MEMBERS OF SUCH INTERESTED PERSONS AND ENTITIES IN WHICH INTERESTED PERSONS HAVE A MATERIAL FINANCIAL INTEREST. THE ORGANIZATION'S POLICY IS FOR ALL INTERESTED PERSONS TO DISCLOSE ANY AND ALL CONFLICTS OF INTEREST IN ACCORDANCE WITH THE IRS GUIDELINES FOR TAX-EXEMPT ENTITIES AS WELL AS ANY OTHER APPLICABLE STATE OR FEDERAL LAW. UPON INITIAL ASSUMPTION OF DUTIES, INTERESTED PERSONS ARE PROVIDED WITH A COPY OF THE CONFLICT OF INTEREST POLICY AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THEREAFTER, THE STATEMENTS WILL BE COMPLETED ANNUALLY. PERIODICALLY ALL STAFF MEMBERS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. INTERNAL AND EXTERNAL AUDITORS, GENERAL COUNSEL OR OUTSIDE COUNSEL WILL PERIODICALLY CONDUCT A REVIEW OF THE DISCLOSURE PROCESS TO DETERMINE WHETHER THE ORGANIZATION IS IN COMPLIANCE WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15:	THE 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 prepares an annual report to the community and makes its financial statements and significant accomplishments available on the organization's website. The articles of incorporation are available to the public through the North Carolina secretary of state website. Conflict of interest policy and by-laws are available upon request.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:	TRANSFER OF NET ASSETS FROM RELATED SUBSIDIARIES (SALE PROCEEDS, CASH, RECEIVABLES, LIABILITIES, AND OTHER ASSETS), AND OTHER ADJUSTMENTS TO THE BALANCE SHEET AND NET ASSETS AS A RESULT OF THE SALE: ($122,698,834)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ANC Imaging Services LLC
509 BILTMORE AVENUE	asheville	NC	28801	465181350	MEDI. IMAGING	NC	$1,452,178	$16,297,126	ANC INC
WNC CARESOURCE LLC
509 BILTMORE AVENUE	Asheville	NC	28801	581450888	SUPPORT	NC	$10,967	$1,240,325	ANC INC

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 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	Yes (true)
MISSION HOSPITAL INC
425 W NEW ENGLAND AVE NO 300	WINTER PARK	FL	32789	560532141	HOSPITAL	NC	501(C)(3)	LINE 3	ANC INC	Yes (true)
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	Yes (true)
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	Yes (true)
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	Yes (true)
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	Yes (true)
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 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	Yes (true)
PISGAH HEALTH FOUNDATION
153 WEST JORDAN STREET	BREVARD	NC	28712	561458024	FOUNDATION	NC	501(C)(3)	LINE 12A, I	TCH 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
ANC ANGEL MEDICAL CENTER INC
425 W NEW ENGLAND AVE NO 300	WINTER PARK	FL	32789	586000064	HOSPITAL	NC	501(C)(3)	LINE 3	ANC INC	Yes (true)
ANGEL MEDICAL CENTER AUXILIARY INC
PO BOX 1209	FRANKLIN	NC	28744	562133719	SUPPORTING	NC	501(C)(3)	LINE 12A, I	AMC INC	false
MOUNTAINCARE INC
68 SWEETEN CREEK ROAD	ASHEVILLE	NC	28803	562005198	ADULT DAYCARE	NC	501(C)(3)	LINE 10	ANC INC	Yes (true)
GATEWAY WELLNESS FOUNDATION
135 SOUTH MAIN STREET	MARION	NC	28752	463395393	FOUNDATION	NC	501(C)(3)	LINE 7	TMH INC	false
HIGHLANDS-CASHIERS PHYSICIAN SERVICES
425 W NEW ENGLAND AVE NO 300	WINTER PARK	FL	32789	452422428	PHYSICIAN SER	NC	501(C)(3)	LINE 12A, I	HCH 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	561907203	DISCONTINED OPRTN	NC	NA	N/A	$0	$0	false	$0	false	0.00000
ASHEVILLE MRI
PO BOX 2959	ASHEVILLE	NC	28801	561665863	DISCONTINED OPRTN	NC	NA	N/A	$0	$0	false	$0	false	0.00000
BLUE RIDGE DME LLC
425 W NEW ENGLAND AVENUE 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	02880	471382912	REAL ESTATE RENT	NC	NA	N/A	$0	$0	false	$0	false	0.00000
HEALTHCARE III LIMITED PARTNER
425 W NEW ENGLAND AVENUE 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 AVENUE 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	ANC INC	RELATED	$0	$0	false	$0	Yes (true)	0.69000
MSJHS & CCP JOINT DEVELOPMENT CO INC
425 W NEW ENGLAND AVENUE NO 300	WINTER PARK	FL	32789	562250464	LT ACUTE CARE	NC	ANC INC	RELATED	$0	$0	false	$0	Yes (true)	0.67000
SPRUCE PINE HEALTHCARE LLC
5935 CARNEGIE BLVD	CHARLOTTE	NC	28209	471390107	REAL ESTATE	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	28209	800787882	REAL ESTATE RENT	NC	ANC INC	Related	$0	$0	false	$0	Yes (true)	0.80000
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	ANC INC	C CORP	$0	$0	1.00000	Yes (true)
TRANSYLVANIA SERVICES INC
			REAL ESTATE		NA	C CORP	$0	$0		Yes (true)	425 W NEW ENGLAND AVENUE NO 300	WINTER PARK	FL	32789	561448199	NC
MISSION HEALTH PARTNERS INC
			CLINICALLY INTEGR		ANC INC	C CORP	-$738,018	$0	1.00000	Yes (true)	PO BOX 570	NASHVILLE	TN	37202	465566095	NC
HEALTHY STATE INC
			ADMINISTRATIVE		ANC INC	C CORP	$25,917	$0	1.00000	Yes (true)	PO BOX 570	NASHVILLE	TN	37202	812108613	NC
AVENU HEALTH INC
			HEALTH CARE CLINI		ANC INC	C CORP	-$550,655	$894,785	1.00000	Yes (true)	425 W NEW ENGLAND AVENUE NO 300	WINTER PARK	FL	32789	823337055	NC

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	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	Yes (true)	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

Transactions Related Org TransactionsRelatedOrgGrp (19 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mission Health System Foundation
C	$4,427,565	CASH VALUE
AMY Wellness Foundation
B	$5,036,352	CASH VALUE
Gateway Wellness Foundation
B	$5,030,892	CASH VALUE
Highlands-Cashiers Foundation
B	$5,000,000	CASH VALUE
CarePartners Foundation
B	$5,000,000	CASH VALUE
Pisgah Health Foundation
B	$5,097,467	CASH VALUE
Mission Health System Foundation
B	$854,741	CASH VALUE
ANC Mission Medical Associates Inc
B	$14,000,000	CASH VALUE
ANC HIGHLANDS-CASHIERS HOSPITAL INC
S	$677,529	CASH VALUE
MISSION HOSPITAL INC
S	$37,679,216	CASH VALUE
MISSION HEALTH SYSTEM FOUNDATION INC
R	$3,084,094	CASH VALUE
ANC MEDICAL ASSOCIATES INC
R	$21,049,182	CASH VALUE
ANC MCDOWELL HOSPITAL INC
S	$5,264,611	CASH VALUE
ANC BLUE RIDGE HOSPITAL INC
S	$1,115,866	CASH VALUE
ANC TRANSYLVANIA COMMUNITY HOSPITAL INC
S	$3,416,200	CASH VALUE
PISGAH HEALTH FOUNDATION
R	$2,341,737	CASH VALUE
ANC TRANSYLVANIA PHYSICIAN SERVICES INC
R	$993,464	CASH VALUE
ANC ANGEL MEDICAL CENTER INC
S	$429,411	CASH VALUE
MOUNTAINCARE INC
S	$2,068,862	CASH VALUE