2019-02-15T13:47:41-06:00 2018-09-30 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2017-10-01 561255030 MOUNTAIN VISTA HEALTH PARK INC MOUN 9108592181 POST OFFICE BOX 1547 DENTON NC 27239 SCOTT MORRIS PRESIDENT 9108592181 2019-02-09 1 VIRGINIA LOWDER P01366403 8283222070 2019-02-08 192.80.76.153 2019-02-09 12:32:26 ES P D2DA3174E48D7BC19323995480D862EBA3CCBA99 D2DA3174E48D7BC19323995480D862EBA3CCBA99 2017 2019-02-21 02:37:17Z SCOTT MORRIS POST OFFICE BOX 1547 DENTON NC 27239 7479812 0 X WWW.MTVISTAHEALTH.COM X 1971 NC PROVIDE QUALITY LONG-TERM NURSING CARE FOR RESIDENTS. 9 9 191 36 0 0 200 0 6147524 6628693 128714 149305 19920 17388 6296358 6795386 0 0 0 0 3514935 3706210 0 0 0 2704201 2803053 6219136 6509263 77222 286123 5939573 6494499 548699 749301 5390874 5745198 TO PROVIDE QUALITY LONG-TERM SKILLED NURSING CARE AND ASSISTED LIVING SERVICES TO THE SOUTH DAVIDSON COUNTY COMMUNITY. 0 0 5416961 6628693 MOUNTAIN 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. 5416961 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 1 191 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 1 1 0 1 1 0 0 0 0 1 1 1 1 0 NC X TULLOCK MANAGEMENT COMPANY 3369985001 5190 US HWY 158 ADVANCE NC 27006 X DEL CRANFORD DIRECTOR 0.25 X 0 0 0 CATHY JACKSON DIRECTOR 0.25 X 0 0 0 RANDY HARDISTER DIRECTOR 0.25 X 0 0 0 DIXIE KEARNS DIRECTOR 0.25 X 0 0 0 KELLY YOUNG ASST TREASURER 0.25 X X 0 0 0 JEANETTE POTTS TREASURER 0.25 X X 0 0 0 ADALYN NOPANEN SECRETARY 0.25 X X 0 0 0 STEWART SEXTON VICE PRESIDENT 0.25 X X 0 0 0 SCOTT MORRIS PRESIDENT 0.25 X X 0 0 0 0 0 0 0 0 0 0 LEGACY HEALTHCARE SERVICES INC PO BOX 951003 CLEVELAND OH 44193 PHYSICAL, SPEECH & OCC THERAPY 701894 BLUE CROSS BLUE SHIELD PO BOX 580017 CHARLOTTE NC 28258 GROUP MEDICAL INSURANCE 466437 TULLOCK MANAGEMENT COMPANY 5190 US-158 ADVANCE NC 27006 MANAGEMENT 329408 US FOOD SERVICE 125 FORT MILL PARKWAY FORT MILL SC 29715 FOOD SERVICE/SUPPLY 227920 YADKIN VALLEY HEALTHCARE 213 WINSTON RD JONESVILLE NC 28642 NURSING/MEDICAL SUPPLIES 121939 6 MEDICARE/MEDICAID 623000 3847942 3847942 SELF-PAY 623000 1678530 1678530 OTHER THIRD-PARTY PAYO 623000 1102221 1102221 6628693 127322 127322 2400 0 2400 2400 2400 706409 683522 904 22887 -904 21983 21983 MISCELLANEOUS INCOME 623000 14988 14988 14988 6795386 6628693 0 166693 X 3366642 3103944 262698 98598 91800 6798 240970 222865 18105 330625 330625 13590 13590 19584 19584 4213 4213 24935 24935 242150 242150 6155 6155 56 56 2004 2004 15060 9397 5663 163 163 160804 160804 393841 338080 55761 CONTRACT SERVICES 596879 596879 SUPPLIES 588714 588714 UTILITIES 155741 155741 EQUIPMENT RENTAL AND MA 96262 96262 152277 50471 101806 6509263 5416961 1092302 0 1119253 538569 276388 0 473142 479065 11951 20991 108369 79427 5458080 3071895 830937 2386185 2936199 3119533 54063 5939573 6494499 519383 710423 29316 38878 548699 749301 X 5390874 5745198 5390874 5745198 5939573 6494499 286123 68201 0 X X 0 1 X 1 0 X 200 200 5935889 5141590 5969628 6147524 6628693 29823324 1200 4765 5965 5937089 5146355 5969628 6147724 6628693 29829489 0 0 0 29829489 66372 -20432 113369 110144 127322 396775 66372 -20432 113369 110144 127322 396775 6003461 5125923 6082997 6257868 6756015 30226264 0.98690 0.98990 0.01310 0.01010 X 620 0 0 0 0 0 0 0 0 1 0 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. 19358 19358 2991091 1356542 1634549 1606155 1191089 415066 841476 524264 317212 2386185 INVESTMENTS 2936199 F 2936199 PATIENTS LIABILITY 38878 38878 X 6801142 68200 68200 6732942 24935 37509 62444 6795386 6446819 0 6446819 24935 37509 62444 6509263 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. FORM 990, PART VI, SECTION A, LINE 3 MOUNTAIN VISTA HEALTH PARK CONTRACTS TULLOCK MANAGEMENT COMPANY TO PERFORM VARIOUS OPERATIONAL MANAGEMENT DUTIES FORM 990, PART VI, SECTION A, LINE 6 THREE MEMBERS OF THE BOARD SERVE ON THE NOMINATING COMMITTEE. FORM 990, PART VI, SECTION A, LINE 7A THREE 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 11B THE PRESIDENT AND THE MANAGEMENT COMPANY REVIEW AND APPROVE THE 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15 DIRECTORS 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 19 FINANCIAL STATEMENTS ARE PUBLIC RECORD THROUGH THE DEPARTMENT OF HUMAN SERVICES. FORM 990, PART IX, LINE 24E BAD 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 ACCT THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.