2020-08-21T10:03:19-05:00 2019-09-30 Grant Thornton LLP 201 S COLLEGE ST STE 2500 CHARLOTTE NC 28244 990 2018-10-01 581450888 ANC HEALTHCARE INC % ANC HEALTHCARE INC ANCH 8475832804 425 W NEW ENGLAND AVE Suite 300 WINTER PARK FL 32789 MATTHEW RUBIN CFO 8475832804 2020-08-17 true MICHELE N MELCHIOR P00488037 7046323500 68.23.17.128 56917520202305000016 2020-08-17 P 0C5163C5E0E4E18BB9FC85A78CE1BABD812E3D7F 66BCC08F45C5522280F29D9EF7A99A39E4FFA4D3 2018 2020-11-19 02:30:22Z MATTHEW RUBIN 425 W NEW ENGLAND AVE300 WINTER PARK NC 32789 313523660 false X N/A X 1981 NC OPERATION OF AN INTEGRATED HEALTH CARE SYSTEM X 7 7 0 7 740816 0 567562 4427565 31368626 11338392 40725061 167162945 -169084 128147 72492165 183057049 3564221 841582393 0 0 170747317 64837341 0 0 0 -131592693 -39556446 42718845 866863288 29773320 -683806239 2746061012 1158076635 964667376 184316763 1781393636 973759872 X THE ORGANIZATION'S MISSION IS TO OPERATE AN INTEGRATED HEALTH DELIVERY SYSTEM FOR THE BENEFIT OF THE RESIDENTS OF WESTERN NORTH CAROLINA false true 996356153 841582393 7597479 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. 2442591 0 3986970 ANC IMAGING SERVICES, FORMERLY KNOWN AS MISSION IMAGING SERVICES, LLC, A SINGLE MEMBER LLC, PROVIDED MEDICAL IMAGING SERVICES. 998798744 true true false true false false false false false false true true true false true false false false false false true false false false false false true true true false true false false false false false false false true false false false true true true true true false false true 859 0 true 0 true true true false false false false false false false false false false X 7 7 false false true false false false false true true false false false true true true true true true true true true CA X ANC HEALTHCARE INC 8475832804 425 W NEW ENGLAND AVENUE WINTER PARK FL 32789 JOHN R BALL CHAIR END JAN 2019 5.0 5.0 X X 0 0 0 JOHN W GARRETT MD Chair 2.0 2.0 X X 0 0 0 LAVOY SPOONER JR DIRECTOR 1.0 0.0 X 0 0 0 SUZANNE S DEFERIE DIRECTOR 1.0 0.0 X 0 0 0 WYATT S STEVENS IMM. PAST CHAIR END JAN 2019 2.0 2.0 X X 0 0 0 JANICE W BRUMIT DIRECTOR END JAN 2019 2.0 3.0 X 0 0 0 THOMAS MAHER Vice Chair 2.0 2.0 X X 0 0 0 DANIEL A CASSE DIRECTOR END JAN 2019 2.0 2.0 X 0 0 0 BRIDGET A ECKERD DIRECTOR END JAN 2019 3.0 3.0 X 0 0 0 W LEON ELLISTON MD DIRECTOR END JAN 2019 2.0 2.0 X 0 0 0 CHRIS FLANDERS MD DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM S HICKMAN DIRECTOR END JAN 2019 3.0 3.0 X 0 0 0 LYNN KIEFFER DIRECTOR END JAN 2019 2.0 3.0 X 0 0 0 TOM ORECK DIRECTOR END JAN 2019 2.0 2.0 X 0 0 0 ANNE PONDER DIRECTOR END JAN 2019 2.0 2.0 X 0 0 0 KENNETH RACHT DIRECTOR END JAN 2019 2.0 3.0 X 0 0 0 JEFFREY RANKIN DIRECTOR 1.0 0.0 X 0 0 0 ROBBY RUSSELL DIRECTOR END JAN 2019 2.0 3.0 X 0 0 0 KRISTY ELLIOT DIRECTOR END JAN 2019 2.0 2.0 X 0 0 0 RONALD A PAULUS MD SYSTEM PRES & CEO END JAN 2019 30.0 40.0 X X 0 3403218 617020 David Worley Director 1.0 0.0 X 0 0 0 PAUL MCDOWELL SVP AND CFO END JAN 2019 30.0 30.0 X 0 885665 152503 DONALD ESPOSITO SVP Gen. Council END JAN 2019 30.0 30.0 X 0 519841 105674 Neil Luria CEO/Chief Wind-Down officeR 18.0 2.0 X 0 0 0 Matthew Rubin CFO / Secretary 18.0 2.0 X 0 0 0 Gregory Hagood Chief Transition OffICER 10.0 0.0 X 0 0 0 Meg Finnegan VP HR 10.0 0.0 X 0 0 0 Kira Abramovs VP Finance 25.0 0.0 X 0 0 0 Paul Hogan VP Treas. & Acct 20.0 0.0 X 0 0 0 MARC MALLOY SVP MISSION HEALTH SOLUTIONS 30.0 30.0 X 0 779785 103175 JONATHAN BROWN CHIEF INFORMATION OFFICER 30.0 30.0 X 0 581105 90307 DEBRA FOSS SVP ORG. TRANSFORMATION 30.0 30.0 X 0 824380 34177 ROWENA BUFFETT TIMMS SVP GOVT & COMMUNITY RELATIONS 30.0 30.0 X 0 442792 69945 DR JILL HOGGARD GREEN SVP AND COO 30.0 30.0 X 0 1072299 188556 KATHY GUYETTE SVP PATIENT CARE SVCS REGIONAL 25.0 35.0 X 0 665221 109967 MARC WESTLE DO SVP INNOVATION ADMIN 30.0 30.0 X 0 775069 130112 CHRIS DERIENZO CHIEF QUALITY OFFICER 28.0 32.0 X 0 624002 118763 JON YEATMAN CHIEF STRATEGY OFFICER 30.0 30.0 X 0 492418 51251 RHONDA MILLER VP REVENUE CYCLE 30.0 30.0 X 0 233023 38205 CHARLES SAWYER MD CHIEF MEDICAL INFORMATION OFF 30.0 30.0 X 0 528978 81835 GWEN MCKINNEY CHIEF COMPLIANCE OFFICER 29.0 31.0 X 0 426622 62113 WILLIAM HATHAWAY MD CHIEF MEDICAL OFFICER 29.0 31.0 X 0 841294 126879 SONYA GRECK SENIOR VICE PRESIDENT 30.0 30.0 X 0 665002 111932 RUTH ZYRY CHIEF OPERATIONS OFFICER 29.0 31.0 X 0 455640 74747 RITA EDWARDS VICE PRESIDENT 30.0 30.0 X 0 378655 25641 SHEILA MEADOWS CHIEF HR OFFICER 30.0 30.0 X 0 356280 70017 JOSEPH WOLFGRAM Physician 30.0 30.0 X 0 382362 67327 LINDA HUMMEL VP - QUALITY & SAFETY 30.0 30.0 X 0 383632 55800 Stephanie Baron PHYSICIAN 30.0 30.0 X 0 271341 55621 CHARLES F AYSCUE FORMER SVP AND CFO 0.0 0.0 X 0 140353 1309 ANN YOUNG Former GENERAL COUNSEL 0.0 0.0 X 0 398834 0 0 16527811 2542876 0 true true false 0 4427565 4427565 MISSION IMAGING SERVICES 621400 3986970 3986970 SERVICES TO AFFILIATES 900099 3869361 3869361 OTHER PROGRAM REVENUE 900099 3064397 3064397 PREMIER AND OTHER JOINT VENTURES 900099 417664 391274 26390 11338392 19470598 272446 586279 18611873 893 893 0 157789 157789 0 0 0 166873078 110998712 130369119 -188783 36503959 111187495 147691454 147691454 0 0 0 0 0 0 256633 128486 128147 128147 0 183057049 11584448 740816 166304220 841582393 841582393 0 0 0 0 0 0 0 50147625 1284708 48862917 1353387 28993 1324394 10004186 209619 9794567 3332143 99042 3233101 2752941 2752941 7511996 7511996 1340522 1340522 129774 129774 0 2179946 2179946 21656289 712044 20944245 673094 673094 1374401 1374401 10946338 8757070 2189268 0 1759367 290332 1469035 315006 3491 311515 0 0 3402043 2721634 680409 0 10611651 8504946 2106705 5477761 4382209 1095552 ALLOCATION TO MEMBERS -113275586 128362210 -241637796 OTHER EXPENSE 2537713 862132 1675581 EQUIPMENT LEASES 1050298 868147 182151 866863288 998798744 -131935456 0 27452481 271634 102785022 500752289 0 0 453060549 43878123 0 0 0 0 48680379 2331587 46124 0 358999 2919466 13822161 0 499901932 51168511 292295250 449049836 1297651616 72672792 7610792 0 2395707 35032397 2746061012 1158076635 384154024 184316763 0 0 0 0 302159691 0 0 0 0 0 38559845 0 0 0 239793816 0 964667376 184316763 X 1781393636 973759872 0 0 0 0 1781393636 973759872 2746061012 1158076635 X -683806239 -1128691 -122698834 X false false true true X X 2 MISSION HOSPITAL INC 560532141 3 true 0 0 MISSION HEALTH SYSTEM FOUNDATION INC 561881331 7 true 854741 0 2 854741 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 129774 129774 false PART II-B, LINE 1, LOBBYING ACTIVITIES: PAYMENTS MADE TO CONSULTANTS TO ADVOCATE ON HEALTH CARE RELATED ISSUES INVESTMENT IN PARTNERSHIPS 449049836 F 449049836 0 0 0 Central America and the Caribbean Investments 65384634 Europe (Including Iceland and Greenland) Investments 4143370 69528004 69528004 true false true true true false true true true X true X true true false true true false 532886 2722402 3458010 -735608 X true true 1 1 ASHEVILLE SPECIALTY HOSPITAL 428 BILTMORE AVENUE 4TH FLOOR ASHEVILLE NC 28801 HTTP://WWW.ASHLTCH.COM/ H0279 X LONG TERM ACUTE CARE HOSPITAL ASHEVILLE SPECIALTY HOSPITAL 1 false false true X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X X true 16 true SEE PART V, SECTION C false true X 200. 300. X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false 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 5 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 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. true Dogwood Health Trust 890 Hendersonville Rd ASHEVILLE NC 28803 830590696 501(C)(3) 800857060 Assistance to local Nonprofit Nantahala Health Foundation PO Box 1954 FRANKLIN NC 287441954 832682447 501(c)(3) 350000 Assistance to local Nonprofit AMY Wellness Foundation 890 HENDERSONVILLE RD ASHEVILLE NC 28803 582172660 501(C)(3) 5036352 Assistance to local Nonprofit Gateway Wellness Foundation 890 HENDERSONVILLE RD ASHEVILLE NC 28803 463395393 501(C)(3) 5030892 Assistance to local Nonprofit Highlands-Cashiers Foundation PO BOX 190 HIGHLANDS NC 28741 561165833 501(C)(3) 5000000 Assistance to local Nonprofit CarePartners Foundation PO BOX 25338 ASHEVILLE NC 28813 562110357 501(C)(3) 5000000 Assistance to local Nonprofit Pisgah Health Foundation 890 HENDERSONVILLE RD ASHEVILLE NC 28803 561458024 501(C)(3) 5097467 Assistance to local Nonprofit Asheville Area Chamber of Commerce FDN PO BOX 1010 ASHEVILLE NC 28802 561762978 501(C)(3) 65000 Assistance to local Nonprofit Asheville Buncombe Community College 340 VICTORIA ROAD ASHEVILLE NC 28801 560792170 501(C)(3) 150000 Assistance to local Nonprofit University of North Carolina Asheville 1 Univ Heights ASHEVILLE NC 288043251 566002370 501(C)(3) 45000 Assistance to local Nonprofit Glory Hound Inc PO Box 19256 Asheville NC 28815 263668441 8400 Assistance to local Nonprofit United States Tennis Association incoporated 70 W RED OAK LANE WHITE PLAINS NY 10604 135459420 501(C)(6) 30000 Assistance to local Nonprofit Community Foundation of Western NC INC 4 vanderbilt pk drive asheville NC 28803 561223384 501(C)(3) 10000 Assistance to local Nonprofit Homeward Bound of Western Asheville PO BOX 1166 ASHEEVILLE NC 28802 561568917 501(C)(3) 10000 Assistance to local Nonprofit Mission Health System Foundation 890 Hendersonville Rd ASHEVILLE NC 28803 561881331 501(C)(3) 854741 Support of Mission Healthcare Fndn. ANC MISSION MEDICAL ASSOCIATES INC 425 W New England ave winter park FL 32789 263627231 501(c)(3) 14000000 Operational Support 14 2 PART I, LINE 2: 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. X X X X false true false false false false false false false RONALD A PAULUS MD SYSTEM PRES & CEO END JAN 2019 0 1103073 0 1154710 0 1145435 0 586951 0 30069 0 4020238 0 1138532 ANN YOUNG Former GENERAL COUNSEL 0 245546 0 153288 0 0 0 0 0 0 0 398834 0 0 MARC MALLOY SVP MISSION HEALTH SOLUTIONS 0 407325 0 288581 0 83879 0 92441 0 10734 0 882960 0 79934 PAUL MCDOWELL SVP AND CFO END JAN 2019 0 496701 0 317479 0 71485 0 125750 0 26753 0 1038168 0 68245 JONATHAN BROWN CHIEF INFORMATION OFFICER 0 337347 0 207254 0 36504 0 72115 0 18192 0 671412 0 33564 DEBRA FOSS SVP ORG. TRANSFORMATION 0 414881 0 312045 0 97454 0 13750 0 20427 0 858557 0 0 ROWENA BUFFETT TIMMS SVP GOVT & COMMUNITY RELATIONS 0 276979 0 110149 0 55664 0 58446 0 11499 0 512737 0 52985 DR JILL HOGGARD GREEN SVP AND COO 0 652986 0 253400 0 165913 0 169250 0 19306 0 1260855 0 153374 KATHY GUYETTE SVP PATIENT CARE SVCS REGIONAL 0 406499 0 157955 0 100767 0 101276 0 8691 0 775188 0 93564 MARC WESTLE DO SVP INNOVATION ADMIN 0 404487 0 297406 0 73176 0 102133 0 27979 0 905181 0 69036 CHRIS DERIENZO CHIEF QUALITY OFFICER 0 431770 0 137018 0 55214 0 92750 0 26013 0 742765 0 53373 JON YEATMAN CHIEF STRATEGY OFFICER 0 278796 0 174209 0 39413 0 49343 0 1908 0 543669 0 37581 RHONDA MILLER VP REVENUE CYCLE 0 191160 0 110 0 41753 0 34134 0 4071 0 271228 0 39998 CHARLES SAWYER MD CHIEF MEDICAL INFORMATION OFF 0 330169 0 191902 0 6907 0 62435 0 19400 0 610813 0 0 GWEN MCKINNEY CHIEF COMPLIANCE OFFICER 0 241221 0 157904 0 27497 0 50589 0 11524 0 488735 0 24040 WILLIAM HATHAWAY MD CHIEF MEDICAL OFFICER 0 445542 0 320356 0 75396 0 113272 0 13607 0 968173 0 70863 SONYA GRECK SENIOR VICE PRESIDENT 0 418324 0 171439 0 75239 0 104472 0 7460 0 776934 0 69744 RUTH ZYRY CHIEF OPERATIONS OFFICER 0 330063 0 104728 0 20849 0 59443 0 15304 0 530387 0 16316 DONALD ESPOSITO SVP Gen. Council END JAN 2019 0 370781 0 147000 0 2060 0 77139 0 28535 0 625515 0 0 RITA EDWARDS VICE PRESIDENT 0 290850 0 84375 0 3430 0 7634 0 18007 0 404296 0 0 SHEILA MEADOWS CHIEF HR OFFICER 0 242250 0 86110 0 27920 0 50516 0 19501 0 426297 0 20074 JOSEPH WOLFGRAM Physician 0 240737 0 140353 0 1272 0 44417 0 22910 0 449689 0 0 LINDA HUMMEL VP - QUALITY & SAFETY 0 228230 0 125781 0 29621 0 36656 0 19144 0 439432 0 26483 CHARLES F AYSCUE FORMER SVP AND CFO 0 43389 0 20033 0 76931 0 1184 0 125 0 141662 0 71744 Stephanie Baron PHYSICIAN 0 208957 0 51276 0 11108 0 31501 0 24120 0 326962 0 9617 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. 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 WYATT STEVENS BOARD MEMBER 244420 PARTNERSHIP false SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (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 Cash 2019-02-01 616134 BOOK VALUE 384091276 MH Master Holdings LLLP PO Box 570 NASHVILLE TN 37202 LLLP Property, Plant, and Equipement 2019-02-01 31944691 SALE VALUATION 384091276 MH Master Holdings LLLP PO Box 570 NASHVILLE TN 37202 LLLP Investment in Sub & Partnerships 2019-02-01 9268662 SALE VALUATION 384091276 MH Master Holdings LLLP PO Box 570 NASHVILLE TN 37202 LLLP Investment in Sub & Partnerships 2019-02-01 745277 SALE VALUATION 831616567 MH Hospital Holdings Inc PO Box 570 NASHVILLE TN 37202 CORPORATION Cash 2019-02-01 5412516 BOOK VALUE 364907465 MH Hospital Manager LLC PO Box 570 NASHVILLE TN 37202 LLC AccountS Receivable 2019-02-01 4931088 SALE VALUATION 364907465 MH Hospital Manager LLC PO Box 570 NASHVILLE TN 37202 LLC Inventory 2019-02-01 52046 SALE VALUATION 364907465 MH Hospital Manager LLC PO Box 570 NASHVILLE TN 37202 LLC Prepaid Expenses 2019-02-01 5187456 SALE VALUATION 364907465 MH Hospital Manager LLC PO Box 570 NASHVILLE TN 37202 LLC false true false false 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. 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) ANC Imaging Services LLC 509 BILTMORE AVENUE asheville NC 28801 465181350 MEDI. IMAGING NC 1452178 16297126 ANC INC WNC CARESOURCE LLC 509 BILTMORE AVENUE Asheville NC 28801 581450888 SUPPORT NC 10967 1240325 ANC INC 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 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 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 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 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 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 true AMY WELLNESS FOUNDATION INC 31 CROSS STREET STE 266 SPRUCE PINE NC 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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 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 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