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MOUNTAIN VISTA HEALTH PARK INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN VISTA HEALTH PARK INC (EIN 56-1255030)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-02-15
IRS object ID
201930469349301668
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-02-15T13:47:41-06:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561706742PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DAVIDSON HOLLAND WHITESELL & CO PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1209 13TH AVE PLACE NW SUITE 200AddressLine1Txt
CityHICKORYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561255030EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN VISTA HEALTH PARK INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
Phone9108592181PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 1547AddressLine1Txt
CityDENTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27239ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT MORRISPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9108592181PhoneNum
Signature2019-02-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVIRGINIA LOWDERPreparerPersonNm
PTINP01366403PTIN
Phone8283222070PhoneNum
Preparation2019-02-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address192.80.76.153IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-02-09IPDt
IP Tm12:32:26IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD2DA3174E48D7BC19323995480D862EBA3CCBA99AtSubmissionCreationDeviceId
At Submission Filing Device IdD2DA3174E48D7BC19323995480D862EBA3CCBA99AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSCOTT MORRISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 1547AddressLine1Txt
CityDENTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27239ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,479,812GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MTVISTAHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionPROVIDE QUALITY LONG-TERM NURSING CARE FOR RESIDENTS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee191TotalEmployeeCnt
Total Volunteers36TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$200PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$6,147,524PYProgramServiceRevenueAmt
CY Program Service Revenue$6,628,693CYProgramServiceRevenueAmt
PY Investment Income$128,714PYInvestmentIncomeAmt
CY Investment Income$149,305CYInvestmentIncomeAmt
PY Other Revenue$19,920PYOtherRevenueAmt
CY Other Revenue$17,388CYOtherRevenueAmt
PY Total Revenue$6,296,358PYTotalRevenueAmt
CY Total Revenue$6,795,386CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,514,935PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,706,210CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,704,201PYOtherExpensesAmt
CY Other Expenses$2,803,053CYOtherExpensesAmt
PY Total Expenses$6,219,136PYTotalExpensesAmt
CY Total Expenses$6,509,263CYTotalExpensesAmt
PY Revenues Less Expenses$77,222PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$286,123CYRevenuesLessExpensesAmt
Total Assets BOY$5,939,573TotalAssetsBOYAmt
Total Assets EOY$6,494,499TotalAssetsEOYAmt
Total Liabilities BOY$548,699TotalLiabilitiesBOYAmt
Total Liabilities EOY$749,301TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,390,874NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,745,198NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE QUALITY LONG-TERM SKILLED NURSING CARE AND ASSISTED LIVING SERVICES TO THE SOUTH DAVIDSON COUNTY COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,416,961ExpenseAmt
Revenue$6,628,693RevenueAmt
DescMOUNTAIN VISTA HEALTH PARK, INC. IS A CORPORATION WHICH PROVIDES LONG-TERM NURSING CARE AND ADULT CARE HOME SERVICES. THE FACILITY HAS 60 NURSING AND 60 ADULT-CARE BEDS. WE OFFER SERVICES TO THE PUBLIC WITHOUT REGARD TO RELIGION OR ETHNICITY.Desc
Total Program Service Expenses$5,416,961TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee191EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TULLOCK MANAGEMENT COMPANYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3369985001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15190 US HWY 158AddressLine1Txt
CityADVANCECityNm
State AbbreviationNCStateAbbreviationCd
ZIP27006ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DEL CRANFORD
DIRECTOR0.25Yes (X)$0$0$0
CATHY JACKSON
DIRECTOR0.25Yes (X)$0$0$0
RANDY HARDISTER
DIRECTOR0.25Yes (X)$0$0$0
DIXIE KEARNS
DIRECTOR0.25Yes (X)$0$0$0
KELLY YOUNG
ASST TREASURER0.25Yes (X)$0$0$0Yes (X)
JEANETTE POTTS
TREASURER0.25Yes (X)$0$0$0Yes (X)
ADALYN NOPANEN
SECRETARY0.25Yes (X)$0$0$0Yes (X)
STEWART SEXTON
VICE PRESIDENT0.25Yes (X)$0$0$0Yes (X)
SCOTT MORRIS
PRESIDENT0.25Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LEGACY HEALTHCARE SERVICES INC
PO BOX 951003CLEVELANDOH44193PHYSICAL, SPEECH & OCC THERAPY$701,894
BLUE CROSS BLUE SHIELD
PO BOX 580017CHARLOTTENC28258GROUP MEDICAL INSURANCE$466,437
TULLOCK MANAGEMENT COMPANY
5190 US-158ADVANCENC27006MANAGEMENT$329,408
US FOOD SERVICE
125 FORT MILL PARKWAYFORT MILLSC29715FOOD SERVICE/SUPPLY$227,920
YADKIN VALLEY HEALTHCARE
213 WINSTON RDJONESVILLENC28642NURSING/MEDICAL SUPPLIES$121,939
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID623000$3,847,942$3,847,942
SELF-PAY623000$1,678,530$1,678,530
OTHER THIRD-PARTY PAYO623000$1,102,221$1,102,221
FieldValueIRS element (for citing)
Total Program Service Revenue$6,628,693TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$127,322TotalRevenueColumnAmt
Exclusion$127,322ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,400RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,400RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,400TotalRevenueColumnAmt
Exclusion$2,400ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$706,409SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$683,522SecuritiesAmt
Other$904OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$22,887SecuritiesAmt
Other-$904OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,983TotalRevenueColumnAmt
Exclusion$21,983ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business623000BusinessCd
Total Revenue Column$14,988TotalRevenueColumnAmt
Exclusion$14,988ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$14,988OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,795,386TotalRevenueColumnAmt
Related Or Exempt Func Income$6,628,693RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$166,693ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,366,642TotalAmt
Program Services$3,103,944ProgramServicesAmt
Management And General$262,698ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$98,598TotalAmt
Program Services$91,800ProgramServicesAmt
Management And General$6,798ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$240,970TotalAmt
Program Services$222,865ProgramServicesAmt
Management And General$18,105ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$330,625TotalAmt
Management And General$330,625ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,590TotalAmt
Management And General$13,590ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,584TotalAmt
Management And General$19,584ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$4,213TotalAmt
Management And General$4,213ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$24,935TotalAmt
Management And General$24,935ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$242,150TotalAmt
Management And General$242,150ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,155TotalAmt
Management And General$6,155ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$56TotalAmt
Management And General$56ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,004TotalAmt
Program Services$2,004ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,060TotalAmt
Program Services$9,397ProgramServicesAmt
Management And General$5,663ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$163TotalAmt
Management And General$163ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$160,804TotalAmt
Program Services$160,804ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$393,841TotalAmt
Program Services$338,080ProgramServicesAmt
Management And General$55,761ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
CONTRACT SERVICES$596,879$596,879
SUPPLIES$588,714$588,714
UTILITIES$155,741$155,741
EQUIPMENT RENTAL AND MA$96,262$96,262

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$152,277TotalAmt
Program Services$50,471ProgramServicesAmt
Management And General$101,806ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,509,263TotalAmt
Program Services$5,416,961ProgramServicesAmt
Management And General$1,092,302ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,119,253BOYAmt
EOY$538,569EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$276,388BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$473,142BOYAmt
EOY$479,065EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,951BOYAmt
EOY$20,991EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$108,369BOYAmt
EOY$79,427EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,458,080LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,071,895LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$830,937BOYAmt
EOY$2,386,185EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$2,936,199EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,119,533BOYAmt
EOY$54,063EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,939,573BOYAmt
EOY$6,494,499EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$519,383BOYAmt
EOY$710,423EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,316BOYAmt
EOY$38,878EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$548,699BOYAmt
EOY$749,301EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,390,874BOYAmt
EOY$5,745,198EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,390,874BOYAmt
EOY$5,745,198EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,939,573BOYAmt
EOY$6,494,499EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$286,123ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$68,201NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$200CurrentTaxYearMinus1YearAmt
Total$200TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,935,889CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,141,590CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,969,628CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,147,524CurrentTaxYearMinus1YearAmt
Current Tax Year$6,628,693CurrentTaxYearAmt
Total$29,823,324TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,765CurrentTaxYearMinus3YearsAmt
Total$5,965TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,937,089CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,146,355CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,969,628CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,147,724CurrentTaxYearMinus1YearAmt
Current Tax Year$6,628,693CurrentTaxYearAmt
Total$29,829,489TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$29,829,489PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,372CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$20,432CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$113,369CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$110,144CurrentTaxYearMinus1YearAmt
Current Tax Year$127,322CurrentTaxYearAmt
Total$396,775TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,372CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$20,432CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$113,369CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$110,144CurrentTaxYearMinus1YearAmt
Current Tax Year$127,322CurrentTaxYearAmt
Total$396,775TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,003,461CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,125,923CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,082,997CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,257,868CurrentTaxYearMinus1YearAmt
Current Tax Year$6,756,015CurrentTaxYearAmt
Total$30,226,264TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98690PublicSupportCY509Pct
Public Support PY5090.98990PublicSupportPY509Pct
Investment Income CY0.01310InvestmentIncomeCYPct
Investment Income PY0.01010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures$620PoliticalExpendituresAmt
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Total Lobbying Expenditures$0TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I-A, LINE 1:A PORTION OF THE DUES PAID TO THE NORTH CAROLINA HEALTH CARE FACILITIES ASSOCIATION BY THE ENTITY WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES.
PART II-B, LINE 1:A PORTION OF THE DUES PAID TO THE NORTH CAROLINA HEALTH CARE FACILITIES ASSOCIATION BY THE ENTITY WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,358OtherCostOrOtherBasisAmt
Book Value$19,358BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,991,091OtherCostOrOtherBasisAmt
Depreciation$1,356,542DepreciationAmt
Book Value$1,634,549BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,606,155OtherCostOrOtherBasisAmt
Depreciation$1,191,089DepreciationAmt
Book Value$415,066BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$841,476OtherCostOrOtherBasisAmt
Depreciation$524,264DepreciationAmt
Book Value$317,212BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,386,185TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTSDesc
Book Value$2,936,199BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$2,936,199TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPATIENTS LIABILITYDesc
Amt$38,878Amt
FieldValueIRS element (for citing)
Total Liability$38,878TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,801,142TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$68,200NetUnrealizedGainsInvstAmt
Revenue Not Reported$68,200RevenueNotReportedAmt
Revenue Subtotal$6,732,942RevenueSubtotalAmt
Investment Expenses Not Incld$24,935InvestmentExpensesNotIncldAmt
Other Revenues Not Included$37,509OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$62,444RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,795,386TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,446,819TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,446,819ExpensesSubtotalAmt
Investment Expenses Not Incld2$24,935InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$37,509OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$62,444ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,509,263TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE COMPANY HAS IMPLEMENTED THE NEW ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOUSURE AND TRANSITION. AS OF THE CURRENT & PRIOR YEAR, THE COMPANY HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AND RECOGNIZED NO SUCH INTEREST OR PENALTIES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE RECLASSED 37,509.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE RECLASSED 37,509.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3MOUNTAIN VISTA HEALTH PARK CONTRACTS TULLOCK MANAGEMENT COMPANY TO PERFORM VARIOUS OPERATIONAL MANAGEMENT DUTIES
FORM 990, PART VI, SECTION A, LINE 6THREE MEMBERS OF THE BOARD SERVE ON THE NOMINATING COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 7ATHREE MEMBERS OF THE BOARD SERVE ON THE NOMINATING COMMITTEE. THESE NOMINATIONS ARE ACTED ON BY THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE PRESIDENT AND THE MANAGEMENT COMPANY REVIEW AND APPROVE THE 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 15DIRECTORS RECEIVE NO COMPENSATION. KEY EMPLOYEE COMPENSATION IS REVIEWED BY THE MANAGEMENT COMPANY AND THE ADMINISTRATOR ANNUALLY. COMPENSATION RATES FOR KEY EMPLOYEES ARE COMMENSURATE WITH SIMILAR POSITIONS AS COMPARED WITH INDUSTRY DATA.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS ARE PUBLIC RECORD THROUGH THE DEPARTMENT OF HUMAN SERVICES.
FORM 990, PART IX, LINE 24EBAD DEBT EXPENSE : PROGRAM SERVICE EXPENSES 37,509. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,509. CONTRACT SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 26,379. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,379. TAXES AND LICENSE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,005. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,005. UTILITIES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,206. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,206. SUPPLIES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 14,004. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,004. MISCELLANEOUS : PROGRAM SERVICE EXPENSES 12,962. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,962. MISCELLANEOUS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,898. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,898. DUES AND SUBSCRIPTIONS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,671. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,671. BANK FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,603. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,603. EQUIPMENT RENTAL AND MAINTENANCE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,040. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,040.
FORM 990, PART XII, LINE 2C AUDIT OVERSIGHT/SELECTION-INDEPENDENT ACCTTHE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.