ANC ANGEL MEDICAL CENTER INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ANC ANGEL MEDICAL CENTER INC (EIN 56-6000064)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-15
- IRS object ID
- 201802279349301100
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-15T08:32:33-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 566000064 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANGEL MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ANGE | BusinessNameControlTxt |
| Phone | 8285248411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1209 | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28744 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LENA COCHRAN | PersonNm |
| Person Title | REGIONAL DIRECTOR - FINANCE | PersonTitleTxt |
| Phone | 8285248411 | PhoneNum |
| Signature | 2018-08-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LENA COCHRAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1209 | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28744 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $63,330,643 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MISSIONHEALTH.ORG/MEMBER-HOSPITALS/ANGEL/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1933 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF THE PEOPLE OF WESTERN NORTH CAROLINA AND THE SURROUNDING REGION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 442 | TotalEmployeeCnt |
| Total Volunteers | 91 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $195,094 | PYContributionsGrantsAmt |
| CY Contributions Grants | $92,429 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $61,562,961 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $62,968,212 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$193,401 | PYInvestmentIncomeAmt |
| CY Investment Income | -$116,493 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $61,564,654 | PYTotalRevenueAmt |
| CY Total Revenue | $62,944,148 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,168 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $17,258 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,487,396 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,160,698 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $116,913 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $36,873,151 | PYOtherExpensesAmt |
| CY Other Expenses | $39,298,611 | CYOtherExpensesAmt |
| PY Total Expenses | $58,363,715 | PYTotalExpensesAmt |
| CY Total Expenses | $62,476,567 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,200,939 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $467,581 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,823,794 | TotalAssetsBOYAmt |
| Total Assets EOY | $40,631,708 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,098,333 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,438,666 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $23,725,461 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,193,042 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GUIDING PRINCIPLES SERVE PEOPLE AS A NOT-FOR-PROFIT HEALTH SYSTEM GOVERNED BY A VOLUNTARY COMMUNITY BOARD. ENSURE SUSTAINABILITY THROUGH STEWARDSHIP OF THE REGION'S ASSETS. SIGNIFICANTLY ENHANCE THE QUALITY OF SERVICES PROVIDED TO PATIENTS IN A COMPASSIONATE AND COST-EFFECTIVE MANNER. COLLABORATE IN ORDER TO IMPROVE ACCESS ACROSS THE ENTIRE CONTINUUM OF CARE. PROMOTE WELLNESS AND HEALTH TO BENEFIT THE REGION. ELIMINATE PREVENTABLE INCIDENTS OF PATIENT HARM.2020 VISION: A REGIONAL INTEGRATED HEALTH SYSTEM PROVIDING MEDICAL CARE AND SERVICE TO PATIENTS AND THEIR FAMILIES THROUGH A FULL CONTINUUM OF INTEGRATED SERVICES, EDUCATION, AND RESEARCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $58,297,640 | ExpenseAmt |
| Grant | $17,258 | GrantAmt |
| Revenue | $62,968,212 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES QUALITY MEDICAL HEALTHCARE SERVICES TO PEOPLE IN ITS SERVICE AREA REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE ORGANIZATION, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES. THE ORGANIZATION FURTHER RECOGNIZES THAT ITS MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND EDUCATION. TO THIS END, THE ORGANIZATION PROVIDES FREE CARE, SUBSIDIZED CARE, AND CARE AT BELOW COST TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. HEALTHCARE ACTIVITIES AND SCREENINGS, PROGRAMS AND EDUCATION TO SUPPORT THE COMMUNITY'S HEALTH ARE ALSO PROVIDED EACH YEAR. | Desc |
| Total Program Service Expenses | $58,297,640 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 442 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FINANCE DEPARTMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8282577063 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 RIDGEFIELD CT SUITE 100 | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JANE C KIMSEY | |||||||||
| CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CONNIE HAIRE | |||||||||
| VICE-CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JANET J GREENE | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KEN MURPHY | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KEN STONEBREAKER | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID FRANKS MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $225,540 | $13,019 | ||||
| JOHNNY MIRA-KNIPPEL | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES BARRIER MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $33,000 | $0 | $0 | ||||
| DALE WEST | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES SUTTON | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEFFREY CLOER | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS BROOKS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT BEDNAREK | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $218,904 | $3,119 | 19.00 | |||
| GWEN MCKINNEY | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $288,287 | $50,882 | 59.00 | |||
| KATHY GUYETTE | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $603,433 | $100,941 | 59.00 | |||
| KAREN GORBY | |||||||||
| CHIEF NURSING OFFICER | 50.00 | Yes (X) | $218,979 | $0 | $13,642 | ||||
| LENA COCHRAN | |||||||||
| REG DIR - FIN | 20.00 | Yes (X) | $0 | $146,901 | $8,626 | 20.00 | |||
| GILBERTO ROBLES | |||||||||
| PHYSICIAN | 40.00 | $0 | $424,128 | $30,791 | Yes (X) | ||||
| TRAVIS PETRICEK | |||||||||
| PHYSICIAN | 40.00 | $0 | $357,354 | $15,823 | Yes (X) | ||||
| JAMES KESSLER | |||||||||
| PHYSICIAN | 40.00 | $0 | $344,146 | $12,623 | Yes (X) | ||||
| DAVID POORBAUGH | |||||||||
| PHYSICIAN | 40.00 | $0 | $314,739 | $25,982 | Yes (X) | ||||
| WILLIAM SITHER | |||||||||
| PHYSICIAN | 40.00 | $0 | $447,007 | $40,540 | Yes (X) | ||||
| JAMES BROSS | |||||||||
| FORMER CEO | 0.00 | $0 | $143,309 | $0 | 0.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $251,979 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,513,748 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $315,988 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| STAFF CARE INC | |||||
| PO BOX 281923 | ATLANTA | GA | 30384 | MEDICAL STAFFING | $806,619 |
| MORRISON MGMT SPECIALISTS INC | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD & NUTRITION MANAGEMENT | $806,581 |
| CROSS COUNTRY TRAVCORPS CORP | |||||
| PO BOX 404674 | ATLANTA | GA | 30384 | TRAVEL NURSES | $701,260 |
| TOP ECHELON CONTRACTING INC | |||||
| PO BOX 78000 CEPT 781412 | DETROIT | MI | 48278 | STAFFING SERVICES | $416,759 |
| BERNARD RONNELL P | |||||
| 40 OAKCREST LN | WAYNESVILLE | NC | 28786 | ANESTHESIA SERVICES | $367,667 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $37,455 | GovernmentGrantsAmt |
| All Other Contributions | $54,974 | AllOtherContributionsAmt |
| Total Contributions | $92,429 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICES R | 900099 | $61,010,062 | $61,010,062 |
| OTHER OPERATING REVENU | 900099 | $1,958,150 | $1,958,150 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $62,968,212 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,646 | TotalRevenueColumnAmt |
| Exclusion | $11,646 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $255,792 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $255,792 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,564 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $130,703 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$128,139 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$128,139 | TotalRevenueColumnAmt |
| Exclusion | -$128,139 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,944,148 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,968,212 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$116,493 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,258 | TotalAmt |
| Program Services | $17,258 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,312 | TotalAmt |
| Program Services | $185,850 | ProgramServicesAmt |
| Management And General | $46,462 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,657,354 | TotalAmt |
| Program Services | $16,605,045 | ProgramServicesAmt |
| Management And General | $1,999,587 | ManagementAndGeneralAmt |
| Fundraising | $52,722 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,794 | TotalAmt |
| Program Services | $261,477 | ProgramServicesAmt |
| Management And General | $31,487 | ManagementAndGeneralAmt |
| Fundraising | $830 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,588,483 | TotalAmt |
| Program Services | $2,303,749 | ProgramServicesAmt |
| Management And General | $277,419 | ManagementAndGeneralAmt |
| Fundraising | $7,315 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,388,755 | TotalAmt |
| Program Services | $1,235,992 | ProgramServicesAmt |
| Management And General | $148,839 | ManagementAndGeneralAmt |
| Fundraising | $3,924 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $876,879 | TotalAmt |
| Program Services | $745,347 | ProgramServicesAmt |
| Management And General | $131,532 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,105 | TotalAmt |
| Management And General | $69,105 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,553 | TotalAmt |
| Management And General | $11,553 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,911,138 | TotalAmt |
| Program Services | $18,579,777 | ProgramServicesAmt |
| Management And General | $331,361 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,801 | TotalAmt |
| Management And General | $76,331 | ManagementAndGeneralAmt |
| Fundraising | $13,470 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,353 | TotalAmt |
| Program Services | $320,750 | ProgramServicesAmt |
| Management And General | $37,735 | ManagementAndGeneralAmt |
| Fundraising | $18,868 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $837,725 | TotalAmt |
| Program Services | $335,090 | ProgramServicesAmt |
| Management And General | $502,635 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,173,211 | TotalAmt |
| Program Services | $1,936,264 | ProgramServicesAmt |
| Management And General | $217,321 | ManagementAndGeneralAmt |
| Fundraising | $19,626 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,764 | TotalAmt |
| Program Services | $74,549 | ProgramServicesAmt |
| Management And General | $9,057 | ManagementAndGeneralAmt |
| Fundraising | $158 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,571 | TotalAmt |
| Management And General | $26,571 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,535 | TotalAmt |
| Program Services | $93,535 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,611,541 | TotalAmt |
| Program Services | $2,611,541 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,862 | TotalAmt |
| Program Services | $71,283 | ProgramServicesAmt |
| Management And General | $12,579 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS | $7,793,522 | $7,793,522 | |
| MEDICAL SUPPLIES | $4,337,886 | $4,337,886 | |
| REPAIRS AND MAINTENANCE | $347,674 | $295,523 | $52,151 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $573,491 | TotalAmt |
| Program Services | $493,202 | ProgramServicesAmt |
| Management And General | $80,289 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,476,567 | TotalAmt |
| Program Services | $58,297,640 | ProgramServicesAmt |
| Management And General | $4,062,014 | ManagementAndGeneralAmt |
| Fundraising | $116,913 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,537,388 | BOYAmt |
| EOY | $779,624 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,741 | BOYAmt |
| EOY | $246,280 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,704 | BOYAmt |
| EOY | $20,269 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,055,621 | BOYAmt |
| EOY | $12,993,154 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,440 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,582,389 | BOYAmt |
| EOY | $1,551,506 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,249 | BOYAmt |
| EOY | $29,368 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,489,772 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,478,265 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,098,262 | BOYAmt |
| EOY | $25,011,507 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,823,794 | BOYAmt |
| EOY | $40,631,708 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,779,493 | BOYAmt |
| EOY | $3,563,007 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,716,684 | BOYAmt |
| EOY | $5,173,658 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,602,156 | BOYAmt |
| EOY | $7,702,001 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,098,333 | BOYAmt |
| EOY | $16,438,666 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,588,624 | BOYAmt |
| EOY | $24,029,203 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,837 | BOYAmt |
| EOY | $163,839 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,725,461 | BOYAmt |
| EOY | $24,193,042 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,823,794 | BOYAmt |
| EOY | $40,631,708 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $467,581 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,480,000 | OtherCostOrOtherBasisAmt |
| Book Value | $3,480,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,098,357 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,263,458 | DepreciationAmt |
| Book Value | $10,834,899 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,399,373 | OtherCostOrOtherBasisAmt |
| Depreciation | $679,621 | DepreciationAmt |
| Book Value | $2,719,752 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,948,104 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,155,449 | DepreciationAmt |
| Book Value | $4,792,655 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,563,938 | OtherCostOrOtherBasisAmt |
| Depreciation | $379,737 | DepreciationAmt |
| Book Value | $3,184,201 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,011,507 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY NOTE PAYABLE - MISSION HEALTH SYSTEM | $6,805,000 |
| INTERCOMPANY LIABILITIES | $897,001 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,702,001 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS INCLUDED IN MISSION HEALTH SYSTEM'S CONSOLIDATED AUDIT WHICH APPLIES THE PROVISIONS OF FASB ASC TOPIC 740, INCOME TAXES (ASC 740), IN ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS CURRENTLY NO IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,049,341 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,049,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04880 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,082,792 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,802,419 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,280,373 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02050 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,132,133 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,802,419 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,329,714 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06930 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $147,738 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $147,738 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $76,842 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $76,842 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,251 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,251 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $225,831 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $225,831 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,357,964 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,802,419 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,555,545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07290 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $717 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $717 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,154,863 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $14,114 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $25,042,065 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $23,874,588 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,167,477 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | ANGEL MEDICAL CENTER INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 RIVERVIEW STREET | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28734 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | MISSIONHEALTH.ORG/MEMBER-HOSPITALS/ANG | WebsiteAddressTxt |
| State License | H0034 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANGEL MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SETION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SETION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | 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 (1) | 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 |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ANGEL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 5: THE ORGANIZATION PARTNERED PREDOMINANTLY WITH THE MACON COUNTY PUBLIC HEALTH, HIGHLANDS-CASHIERS HOSPITAL, MOUNTAINWISE OF MACON COUNTY AND WNC HEALTHY IMPACT. IN 2015, MACON COUNTY PUBLIC HEALTH CONVENED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STEERING COMMITTEE COMPRISED OF VARIOUS COMMUNITY STAKEHOLDERS TO HELP GUIDE LOCAL DATA COLLECTION EFFORTS. BASED ON FEEDBACK FROM THE CHNA GROUP, IT WAS DETERMINED THAT CONCERNS AND ISSUES RAISED FROM COMMUNITY LEADERS AND VULNERABLE POPULATIONS WOULD BE ESSENTIAL TO PROVIDE CONTEXT FOR THE RESEARCH AND STATISTICAL ANALYSIS. IN ORDER TO HEAR THESE DIVERSE COMMUNITY PERSPECTIVES, THE CHNA STEERING COMMITTEE DETERMINED THAT LISTENING SESSIONS AND KEY INFORMANT INTERVIEWS WERE THE BEST METHOD TO COLLECT LOCAL PRIMARY DATA. KEY INFORMANT SURVEY PARTICIPANTS: EXECUTIVE DIRECTOR OF CARENET, EXECUTIVE DIRECTOR OF REACH, SUPERINTENDENT OF MACON COUNTY SCHOOLS, HEALTH DIRECTOR OF MACON COUNTY PUBLIC HEALTH, COUNTY COMMISSIONER OF MACON COUNTY, EXECUTIVE DIRECTOR COMMUNITY CARE CLINIC HIGHLANDS, DIRECTOR OF MACON COUNTY SENIOR SERVICES, DIRECTOR OF MACON COUNTY SOCIAL SERVICES, DIRECTOR OF MACON PROGRAM FOR PROGRESS. THE 12 LISTENING SESSIONS CONDUCTED: LOW INCOME (FRANKLIN), LOW INCOME (HIGHLANDS), THE LATINO COMMUNITY, SENIOR CITIZENS, THOSE AFFECTED WITH MENTAL ILLNESS, CAREGIVERS, YOUTH FROM FRANKLIN AND NANTAHALA. |
| ANGEL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 6A: REGIONAL PARTNERSHIP:ANGEL MEDICAL CENTER'S COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT EFFORT IS ALSO SUPPORTED BY A COMPREHENSIVE PARTNERSHIP WITH OTHER REGIONAL HOSPITALS AND LOCAL HEALTH DEPARTMENTS. THIS INITIATIVE, KNOWN AS WNC HEALTHY IMPACT, REPRESENTS 16 COUNTIES ACROSS THE WESTERN NORTH CAROLINAREGION WORKING COLLABORATIVELY TO IMPROVE COMMUNITY HEALTH. INFORMATION ABOUT THIS INNOVATIVE REGIONAL COLLABORATION, COUNTY-WIDE COMMUNITY HEALTH ASSESSMENTS, AND OVERALL REGIONAL FINDINGS, ARE MADE WIDELY AVAILABLE TO THE PUBLIC AT WWW.WNCHEALTHYIMPACT.COM. |
| ANGEL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: MACON COUNTY PUBLIC HEALTH, MOUNTAINWISE OF MACON COUNTY AND WNC HEALTHY IMPACT. |
| ANGEL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 7D: ORGANIZATION'S WEBSITE: HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/04/2016-ANGEL-MEDICAL-CENTER-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-CHNA.PDF |
| ANGEL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 11: THE FOLLOWING HEALTH ISSUES ARE THE FINAL COMMUNITY-WIDE PRIORITIES: HEART DISEASE, DOMESTIC VIOLENCE AND ECONOMIC DEVELOPMENT. HEART DISEASE: IS ADDRESSED BY INCREASING AVAILABILITY TO HEALTH EDUCATION SERVICES AND ACCESS TO AWARENESS INITIATIVES WHICH WILL BE INCORPORATED INTO THE INTERVENTIONS THAT MOUNTAINWISE OF MACON COUNTY PLANS. CARDIOVASCULAR/HEART DISEASE SUBCOMMITTEE CHAIR WILL STRIVE TO INCREASE HEALTH EDUCATION ACTIVITIES THAT ARE RECOMMENDED AS A KEY COMPONENT FOR FUTURE PROJECTS. THERE ARE MANY HEALTH PROVIDERS AND ADVOCATES WITHIN THE COMMUNITY AND WITHIN MOUNTAINWISE OF MACON COUNTY THAT WILL PROVIDE AREAS OF RESOURCES/INTEREST.DOMESTIC VIOLENCE: IS ADDRESSED BY INCREASING AVAILABILITY TO HEALTH EDUCATION SERVICES AND ACCESS TO AWARENESS INITIATIVES WILL BE INCORPORATED INTO THE INTERVENTIONS THAT MOUNTAINWISE OF MACON COUNTY PLANS. DOMESTIC VIOLENCE SUBCOMMITTEE CHAIR WILL STRIVE TO INCREASE HEALTH EDUCATION ACTIVITIES THAT ARE RECOMMENDED AS A KEY COMPONENT FOR FUTURE PROJECTS. THERE ARE MANY HEALTH PROVIDERS AND ADVOCATES WITHIN THE COMMUNITY AND WITHIN MOUNTAINWISE OF MACON COUNTY THAT WILL PROVIDE AREAS OF RESOURCES/INTEREST.ECONOMIC DEVELOPMENT: MACON COUNTY'S ECONOMIC DEVELOPMENT IS RELATED TO ITS HUMAN DEVELOPMENT, WHICH ENCOMPASSES, AMONG OTHER THINGS, HEALTH AND EDUCATION. THESE FACTORS ARE, HOWEVER, CLOSELY RELATED TO ECONOMIC GROWTH SO THAT DEVELOPMENT AND GROWTH OFTEN GO TOGETHER. MOUNTAINWISE OF MACON COUNTY BEGINS ADDRESSING THE ECONOMIC DEVELOPMENT PRIORITY, INCREASING AVAILABILITY TO HEALTH EDUCATION SERVICES AND ACCESS TO AWARENESS INITIATIVES WILL BE INCORPORATED INTO THE INTERVENTION PLANS. ECONOMIC DEVELOPMENT SUBCOMMITTEE CHAIR WILL STRIVE TO INCREASE HEALTH EDUCATION ACTIVITIES THAT ARE RECOMMENDED AS A KEY COMPONENTS FOR ALL PLANS. THERE ARE MANY HEALTH PROVIDERS AND ADVOCATES WITHIN THE COMMUNITY AND WITHIN MOUNTAINWISE OF MACON COUNTY THAT WILL PROVIDE AREAS OF RESOURCES/INTEREST. LISTENING SESSION AND KEY INFORMANT INTERVIEWS INDICATED A NEED TO FOCUS ON GOOD, CLEAN SMALL BUSINESSES AND DIVERSIFYING OF THE COMMUNITY. |
| ANGEL MEDICAL CENTER, INC. | 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. |
| PART V, PART B, LINE 10A | HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/04/2013-ANGEL-MEDICAL-CENTER-IMPLEMENTATION-STRATEGY.PDF |
| PART V, PART B, LINE 16A | HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/05/FINASSDISCOUNT_POLICY_04.PDF |
| PART V, PART B, LINE 16B | HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/05/PATIENT_FINANCIAL_ASSISTANCE_PAGE.PDF |
| PART V, PART B, LINE 16C | HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/03/FINASSISTPLAIN_LANGUAGE_SUMMARY_4.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ANGEL MYCARE NOW | ||||
| 190 RIVERVIEW ST | FRANKLIN | NC | 28734 | RURAL HEALTH CLINIC |
| 2 - MISSION WOMEN'S CARE FRANKLIN | ||||
| 56 MEDICAL PARK DR | FRANKLIN | NC | 28734 | PHYSICIAN CLINIC |
| 4 - CARDIAC REHAB AT ANGEL MEDICAL CENTER | ||||
| 55 MEDICAL PARK DR | FRANKLIN | NC | 28734 | REHABILITATION |
| 5 - ANGEL ORTHOPAEDICS | ||||
| 56 MEDICAL PARK DR | FRANKLIN | NC | 28734 | ORTHOPAEDICS |
| 6 - ANGEL PEDIATRICS | ||||
| 56 MEDICAL PARK DR | FRANKLIN | NC | 28734 | RURAL HEALTH CLINIC |
| 7 - ANGEL SURGICAL ASSOCIATES | ||||
| 190 RIVERVIEW ST | FRANKLIN | NC | 28734 | OUTPATIENT |
| 8 - ANGEL PRIMARY CARE | ||||
| 190 RIVERVIEW ST | FRANKLIN | NC | 28734 | RURAL HEALTH CLINIC |
| 9 - ANGEL REHAB CENTER | ||||
| 834 DEPOT ST | FRANKLIN | NC | 28734 | REHABILITATION |
| 10 - COUMADIN CLINIC | ||||
| 834 DEPOT ST | FRANKLIN | NC | 28734 | OUTPATIENT |
| 11 - ANGEL INFUSION CENTER | ||||
| 834 DEPOT ST | FRANKLIN | NC | 28734 | INFUSION |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE NCHA ANDI REPORTS WERE USED WHICH ARE BASED ON THE IRS GUIDELINES TO DERIVE A COST-TO-CHARGE RATIO USED IN THE CALCULATION OF COMMUNITY BENEFIT EXPENSE AT COST. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | WORKFORCE DEVELOPMENT: VOLUNTEERS FROM NURSING AND ALLIED HEALTH DEPARTMENTS PARTICIPATE ANNUALLY IN A PROGRAM WITH THE LOCAL HIGH SCHOOL AND COMMUNITY COLLEGE THAT ALLOWS STUDENTS FROM HEALTH OCCUPATIONS CLASSES TO OBSERVE AND LEARN FROM ACTUAL EXPERIENCE RATHER THAN JUST CLASS ROOM ACTIVITIES. |
| PART III, LINE 2: | THE ORGANIZATION USES A COST TO CHARGE RATIO TO ESTIMATE BAD DEBT. |
| PART III, LINE 3: | THE ORGANIZATION USES THE COST TO CHARGE RATIO APPLIED TO BAD DEBTS RECLASSIFIED TO CHARITY CARE AS OF THE MOST RECENT DATE AVAILABLE AFTER YEAR END. |
| PART III, LINE 4: | THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR MISSION HEALTH SYSTEM. THE COST OF THE ORGANIZATION'S BAD DEBT IS INCLUDED IN TOTAL COST OF UNCOLLECTIBLE ACCOUNTS REPORTED ON THESE AUDITED FINANCIALS. |
| PART III, LINE 8: | PER THE INSTRUCTIONS, THE MEDICARE COST REPORT IS THE BASIS FOR CALCULATING THE COSTS USING ALLOWABLE COSTS RELATED TO THE REVENUE REPORTED. |
| PART III, LINE 9B: | PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND OTHER CHARITY CARE ARENOTIFIED 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: "MISSIONHOSPITAL WILL MAKE EVERY EFFORT TO THOROUGHLY SCREEN ALL PATIENTS THAT AREUNINSURED OR UNDERINSURED IN AN EFFORT TO IDENTIFY A SOURCE OF FINANCIALSPONSORSHIP. ONLY AFTER A FINAL DETERMINATION IS MADE THAT THE PATIENT ISNOT ELIGIBLE FOR ANY SOURCE OF FUNDING TO COVER THE MEDICAL EXPENSES WILLTHE ACCOUNT BE ELIGIBLE FOR CONSIDERATION OF FINANCIAL ASSISTANCE."AFTER THE NOTIFICATIONS AND PROCESSES REFERENCED ABOVE HAVE BEENCOMPLETED, STANDARD DEBT COLLECTION POLICIES ARE IN EFFECT FOR THE PORTIONOF THE BILL FOR WHICH THE PATIENT IS RESPONSIBLE.. |
| PART VI, LINE 2: | MACON COUNTY IS A DIVERSE MIXTURE OF MOUNTAIN LIVING, SMALL CITY HUSTLE, RURAL LANDSCAPES AND HIGH TECH POTENTIAL. APPROXIMATELY 34,000 COUNTY RESIDENTS RESIDE ACROSS 519 SQUARE MILES, MOST OF THEM MOUNTAINOUS AND SPARSELY INHABITED. IN ADDITION, 46% OF THIS AREA INCLUDE FEDERAL LANDS THAT LIE WITHIN THE NANTAHALA FOREST AND ARE OVERSEEN BY THE US FOREST SERVICE. THE COUNTY'S LARGEST NATURAL WATER SUPPLY IS THE CULLASAJA RIVER. THERE IS A SLIGHTLY HIGHER PROPORTION OF FEMALES TO MALES IN MACON COUNTY WHICH IS CONSISTENT WITH REGION AND STATE-WIDE DATA. THE COUNTY HAS A MEDIAN AGE SEVERAL YEARS OLDER THAN THE REGIONAL MEAN AND THE STATE AVERAGE MEDIAN AGE. THIS, AND PROJECTED GROWTH OF POPULATION OVER THE AGE OF 65 OVER THE NEXT TWO DECADES, FIT WITH THE REGIONAL CHARACTERISTIC OF A SIGNIFICANTLY LARGE POPULATION OF SENIOR CITIZENS AND THE ISSUES THAT ACCOMPANY THIS POPULATION. MACON COUNTY HAS SIGNIFICANTLY LOWER PROPORTIONS OF ALL MINORITY RACIAL GROUPS THAN THE WNC REGION AND NC AS A WHOLE. HOWEVER, THE COUNTY IS HOME TO A HIGHER PROPORTION OF ETHNIC HISPANICS OR LATINOS THAN THE WNC AVERAGE. THE POPULATION IN EACH MAJOR AGE GROUP AGE 65 AND OLDER IN MACON COUNTY IS PROJECTED TO INCREASE BETWEEN 2010 AND 2030. THE PROPORTION OF THE POPULATION AGE 85 AND OLDER WILL APPROXIMATELY DOUBLE IN THAT PERIOD; THE POPULATION AGE 75-84 WILL INCREASE BY 46%. BY 2030, PROJECTIONS ESTIMATE THERE WILL BE MORE THAN 10,250 PERSONS AGE 65 AND OVER IN MACON COUNTY. ADDITIONAL SOCIOECONOMIC AND DEMOGRAPHIC DATA CAN BE FOUND IN THE MACON COUNTY WEBSITE: WWW.MACONNC.ORGDATA COLLECTION PROCESS THE FOLLOWING SECTION DESCRIBES HOW DATA WAS OBTAINED, COMPILED AND ANALYZED IN OUR ASSESSMENT PROCESS. WNC HEALTHY IMPACT WNC HEALTHY IMPACT IS A PARTNERSHIP AND COORDINATED PROCESS BETWEEN HOSPITALS AND HEALTH DEPARTMENTS IN WESTERN NORTH CAROLINA TO IMPROVE COMMUNITY HEALTH. AS PART OF A LARGER, AND CONTINUOUS, COMMUNITY HEALTH IMPROVEMENT PROCESS, THESE PARTNERS ARE COLLABORATING TO CONDUCT COMMUNITY HEALTH (NEEDS) ASSESSMENTS ACROSS WESTERN NORTH CAROLINA WWW.WNCHEALTHYIMPACT.COM. ANGEL MEDICAL CENTER IS ALSO INVOLVED IN THIS REGIONAL/LOCAL VISION HENDERSON, JACKSON, MACON, MADISON, MCDOWELL, MITCHELL, POLK, RUTHERFORD, SWAIN, TRANSYLVANIA AND YANCEY. CORE DATASET COLLECTION THE DATA REVIEWED AS PART OF OUR COMMUNITY'S HEALTH NEEDS ASSESSMENT CAME FROM THE WNC HEALTHY IMPACT REGIONAL CORE SET OF DATA. WNC HEALTHY IMPACT'S CORE REGIONAL DATASET INCLUDES SECONDARY (EXISTING) AND PRIMARY (NEWLY COLLECTED) DATA COMPILED TO REFLECT A COMPREHENSIVE LOOK AT HEALTH. THE FOLLOWING DATA SET ELEMENTS AND COLLECTION ARE SUPPORTED BY WNC HEALTHY IMPACT DATA CONSULTING TEAM, A SURVEY VENDOR, AND PARTNER DATA NEEDS AND INPUT: - A COMPREHENSIVE SET OF PUBLICALLY AVAILABLE SECONDARY DATA METRICS WITH OUR TARGET POPULATION COMPARED TO THE OTHER WNC REGIONS AS "PEER" - SET OF MAPS ACCESSED FROM COMMUNITY COMMONS AND NC CENTER FOR HEALTH STATISTICS - TELEPHONE SURVEY OF A RANDOM SAMPLE OF ADULTS IN THE COUNTY SEE THE MACON COUNTY LOCAL COMMUNITY HEALTH ASSESSMENTS FOR MORE DETAILS ON THE REGIONAL DATA COLLECTION METHODOLOGY - MACON COUNTY WEBSITE: WWW.MACONNC.ORGADDITIONAL COMMUNITY-LEVEL DATA IN FEBRUARY 2015, MACON COUNTY PUBLIC HEALTH CONVENED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STEERING COMMITTEE COMPRISED OF VARIOUS COMMUNITY STAKEHOLDERS TO HELP GUIDE LOCAL DATA COLLECTION EFFORTS. BASED ON FEEDBACK FROM THE CHNA GROUP, IT WAS DETERMINED THAT CONCERNS AND ISSUES RAISED FROM COMMUNITY LEADERS AND VULNERABLE POPULATIONS WOULD BE ESSENTIAL TO PROVIDE CONTEXT FOR THE RESEARCH AND STATISTICAL ANALYSIS. IN ORDER TO HEAR THESE DIVERSE COMMUNITY PERSPECTIVES, THE CHNA STEERING COMMITTEE DETERMINED THAT LISTENING SESSIONS AND KEY INFORMANT INTERVIEWS WERE THE BEST METHOD TO COLLECT LOCAL PRIMARY DATA. GAPS IN AVAILABLE INFORMATION WHILE THIS ASSESSMENT IS QUITE COMPREHENSIVE, IT CANNOT MEASURE ALL POSSIBLE ASPECTS OF HEALTH IN THE COMMUNITY, NOR CAN IT ADEQUATELY REPRESENT ALL POSSIBLE POPULATIONS OF INTEREST. IT MUST BE RECOGNIZED THAT THESE INFORMATION GAPS MIGHT LIMIT THE ABILITY COMPREHENSIVELY ASSESS THE COMMUNITY'S HEALTH NEEDS. FOR EXAMPLE, CERTAIN POPULATION GROUPS (SUCH AS THE HOMELESS, INSTITUTIONALIZED PERSONS OR THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH OR SPANISH) ARE NOT REPRESENTED IN THE SURVEY DATA. OTHER POPULATION GROUPS (FOR EXAMPLE, PREGNANT WOMEN, LESBIAN/GAY/BISEXUAL/TRANSGENDER RESIDENTS, UNDOCUMENTED RESIDENTS AND MEMBERS OF CERTAIN RACIAL/ETHNIC OR IMMIGRANT GROUPS) MIGHT NOT BE REPRESENTED IN NUMBERS SUFFICIENT FOR INDEPENDENT ANALYSIS. IN TERMS OF CONTENT, THIS ASSESSMENT WAS DESIGNED TO PROVIDE A COMPREHENSIVE AND BROAD PICTURE OF THE OVERALL COMMUNITY'S HEALTH. HOWEVER, THERE ARE A GREAT NUMBER OF MEDICAL CONDITIONS THAT ARE NOT SPECIFICALLY ADDRESSED IN THIS SURVEY. COMMUNITY INPUT THROUGHOUT THE COLLABORATIVE HEALTH NEEDS ASSESSMENT PROCESS IN OUR COMMUNITY, INPUT WAS OBTAINED IN A NUMBER OF WAYS. SEE BELOW FOR A LIST OF THE ORGANIZATIONS THAT PROVIDED INPUT INTO THIS PROCESS, THE PERIOD OF TIME THEY WERE INVOLVED, HOW THEIR INPUT WAS OBTAINED, AND THE NATURE AND EXTENT OF THEIR INPUT.MACON COUNTY COMMUNITY INPUT IS LED BY THE MOUNTAINWISE LEADERSHIP TEAM. THIS PUBLIC AND PRIVATE HEALTHCARE PARTNERSHIP IS COMPRISED OF MORE THAN TWENTY-FIVE COMMUNITY LEADERS WHO REVIEWED SURVEY RESULTS, GUIDED THE PRIORITIZATION PROCESS AND DETERMINED TOP PRIORITIES TO BE ADDRESSED BY EACH OF THREE TASK FORCES. THROUGH THIS TEAM, COMMUNITY MEMBERS AND LEADERS, REPRESENTATIVES OF PUBLIC HEALTH, HOSPITALS, HUMAN SERVICE ORGANIZATIONS, CHURCHES, SCHOOLS AND BUSINESSES WORK TOGETHER TO COLLABORATIVELY ORGANIZE AND MOBILIZE RESOURCES. 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 MACON COUNTY PUBLIC HEALTH CENTER IS A KEY PARTNER. THEY PROVIDED COORDINATION FOR THE LOCAL PROCESS THAT WE HELP SUPPORT AND PARTNER TO 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 HEALTHINFLUENCE HEALTH ARE INCLUDED IN THE FULL COMMUNITY HEALTH ASSESSMENTS FOR EACH COUNTY IN OUR COMMUNITY. THE COLLABORATIVE LOCAL ASSESSMENTS INCLUDE A BASIC REVIEW OF TRENDS AND PROGRESS AND CHANGES IN HEALTH STATUS FOR THE BROAD COMMUNITY. THESE ASSESSMENTS ALSO INCLUDE DETAILS ON POPULATIONS AT RISK OR FACING HEALTH DISPARITIES IN OUR COMMUNITY. HEALTH ISSUES PROCESS TO IDENTIFY THE SIGNIFICANT HEALTH ISSUES IN OUR COMMUNITY, OUR KEY PARTNERS REVIEWED DATA AND DISCUSSED THE FACTS AND CIRCUMSTANCES OF OUR COMMUNITY. WE USED THE FOLLOWING CRITERIA TO IDENTIFY SIGNIFICANT HEALTH ISSUES: -COUNTY DATA DEVIATES NOTABLY FROM THE REGION, STATE OR BENCHMARK -SIGNIFICANT DISPARITIES EXIST -DATA REFLECTS A CONCERNING BURDEN, SCOPE OR SEVERITY -SURFACED AS A PRIORITY COMMUNITY CONCERN IDENTIFIED ISSUES THE FOLLOWING HEALTH ISSUES WERE SURFACED THROUGH THE ABOVE SURVEY PROCESS: -CHRONIC DISEASE: THIS INCLUDES HEART DISEASE, DIABETES, CEREBROVASCULAR DISEASE (I.E. STROKE), CANCER AND CHRONIC LOWER RESPIRATORY DISEASE. - OBESITY: THIS INCLUDES OBESITY RATES OF CHILDREN AGES 0-5, 6-12 & 13-18 AND ADULTS AGE 19 AND UP. - TEEN PREGNANCY: THIS INCLUDES TEENS THAT BECAME PREGNANT UNDER AGE 19. - SUBSTANCE ABUSE: THIS INCLUDES NOT ONLY THOSE WHO USE DRUGS BUT ALSO THOSE WHO ENABLE DRUG USE BEHAVIORS ALONG WITH THE NEED FOR DRUG USE PREVENTION EFFORTS. -INTIMATE PARTNER VIOLENCE: THIS INCLUDES SEXUAL ASSAULT AND DOMESTIC VIOLENCE. -TOBACCO: THIS INCLUDES TOBACCO USE DURING PREGNANCY AND THE NEED FOR TOBACCO POLICIES (TOBACCO-FREE PLACES). - SOCIAL DETERMINANTS OF HEALTH: THIS INCLUDES ECONOMIC DEVELOPMENT AND AFFORDABLE HOUSING. |
| PART VI, LINE 3: | THE CURRENT INDIGENT CARE POLICY IS POSTED AT THE REGISTRATION AREAS. PATIENTS ARE ENCOURAGED TO SPEAK WITH A PATIENT COUNSELOR TO SEEK FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: | ANGEL MEDICAL CENTER SERVES MACON COUNTY, NC WITH A POPULATION OF APPROXIMATELY 34,732, 28.2% OF WHICH ARE OVER THE AGE 65, 16.4% OF WHICH ARE BELOW POVERTY LEVEL AND 4.8% OF WHICH ARE UNEMPLOYED. THE AVERAGE ANNUAL HOUSEHOLD INCOME IS ALMOST $39,593. THE ETHNIC DEMOGRAPHICS OF THE AREA INCLUDE 7.3% HISPANIC POPULATION, 1.6% AFRICAN AMERICAN POPULATION AND OTHER MINORITY POPULATIONS TOTALING 2.1%. THESE STATISTICS ARE ACCORDING TO THE US CENSUS BUREAU AND THE EMPLOYMENT SECURITIES COMMISSION OF NC. |
| PART VI, LINE 5: | SEE PROGRAM SERVICES ACCOMPLISHMENTS ON PAGE 2 OF THE 990. |
| PART VI, LINE 6: | ANGEL MEDICAL CENTER IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WITH THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES DESCRIBED BELOW IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.MISSION HEALTH SYSTEM, INC. IS THE PARENT ORGANIZATION FOR THE CHARITABLE ORGANIZATIONS OF MISSION HOSPITAL, INC.; MISSION HEALTH SYSTEM FOUNDATION, INC.; MISSION MEDICAL ASSOCIATES, INC.; BLUE RIDGE REGIONAL HOSPITAL, INC.; THE MCDOWELL HOSPITAL, INC.; ANGEL MEDICAL CENTER, INC.; TRANSYLVANIA COMMUNITY HOSPITAL, INC.; HIGHLANDS-CASHIERS HOSPITAL, INC. AND 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. 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.BLUE RIDGE REGIONAL HOSPITAL SERVES AS A COMMUNITY HOSPITAL IN MITCHELL, YANCEY AND SURROUNDING COUNTIES.THE 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 MISSION HEALTH SYSTEM, INC. AND OF 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.TRANSYLVANIA COMMUNITY HOSPITAL, INC. SERVES AS A COMMUNITY HOSPITAL IN TRANSYLVANIA AND SURROUNDING COUNTIES.HIGHLANDS-CASHIERS HOSPITAL, INC. SERVES AS A COMMUNITY HOSPITAL FOR JACKSON AND MACON AND SURROUNDING COUNTIES.COMMUNITY CAREPARTNERS, 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. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NC |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID FRANKS MD | ||||||||||||||
| DIRECTOR | $0 | $220,664 | $0 | $2,661 | $0 | $2,215 | $0 | $2,247 | $0 | $10,772 | $0 | $238,559 | $0 | $0 |
| ROBERT BEDNAREK | ||||||||||||||
| DIRECTOR | $0 | $120,334 | $0 | $85,419 | $0 | $13,151 | $0 | $2,907 | $0 | $212 | $0 | $222,023 | $0 | $0 |
| GWEN MCKINNEY | ||||||||||||||
| DIRECTOR | $0 | $218,733 | $0 | $68,450 | $0 | $1,104 | $0 | $40,741 | $0 | $10,141 | $0 | $339,169 | $0 | $0 |
| KATHY GUYETTE | ||||||||||||||
| DIRECTOR | $0 | $381,762 | $0 | $121,907 | $0 | $99,764 | $0 | $91,928 | $0 | $9,013 | $0 | $704,374 | $0 | $93,390 |
| KAREN GORBY | ||||||||||||||
| CHIEF NURSING OFFICER | $153,353 | $0 | $63,680 | $0 | $1,946 | $0 | $0 | $0 | $13,642 | $0 | $232,621 | $0 | $0 | $0 |
| LENA COCHRAN | ||||||||||||||
| REG DIR - FIN | $0 | $125,503 | $0 | $21,038 | $0 | $360 | $0 | $98 | $0 | $8,528 | $0 | $155,527 | $0 | $0 |
| GILBERTO ROBLES | ||||||||||||||
| PHYSICIAN | $0 | $399,200 | $0 | $21,058 | $0 | $3,870 | $0 | $6,983 | $0 | $23,808 | $0 | $454,919 | $0 | $0 |
| TRAVIS PETRICEK | ||||||||||||||
| PHYSICIAN | $0 | $339,645 | $0 | $17,373 | $0 | $336 | $0 | $6,983 | $0 | $8,840 | $0 | $373,177 | $0 | $0 |
| JAMES KESSLER | ||||||||||||||
| PHYSICIAN | $0 | $329,843 | $0 | $12,759 | $0 | $1,544 | $0 | $4,540 | $0 | $8,083 | $0 | $356,769 | $0 | $0 |
| DAVID POORBAUGH | ||||||||||||||
| PHYSICIAN | $0 | $300,620 | $0 | $7,298 | $0 | $6,821 | $0 | $7,950 | $0 | $18,032 | $0 | $340,721 | $0 | $0 |
| WILLIAM SITHER | ||||||||||||||
| PHYSICIAN | $0 | $432,480 | $0 | $12,008 | $0 | $2,519 | $0 | $13,196 | $0 | $27,344 | $0 | $487,547 | $0 | $0 |
| JAMES BROSS | ||||||||||||||
| FORMER CEO | $0 | $0 | $0 | $0 | $0 | $143,309 | $0 | $0 | $0 | $0 | $0 | $143,309 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION FOR OFFICERS AND EXECUTIVES ARE SET BY MISSION HEALTH SYSTEM. SEE SCHEDULE O FOR ADDITIONAL DETAIL. |
| PART I, LINE 4B | OFFICERS AS WELL AS KEY EMPLOYEES AND TOP FIVE HIGHEST COMPENSATED EMPLOYEES WHO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH CONTRIBUTION AMOUNTS. KATHY GUYETTE $78,678 GWEN MCKINNEY $27,545 OFFICERS AS WELL AS KEY EMPLOYEES AND TOP FIVE HIGHEST COMPENSATED EMPLOYEES WHO RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. KATHY GUYETTE $93,390 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | MISSION HEALTH SYSTEM, INC. A NORTH CAROLINA NONPROFIT CORPORATION, HAS THE RIGHT TO APPOINT UP TO SEVEN MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER HAS THE FOLLOWING RIGHTS WITH RESPECT TO THE CORPORATION (A) APPROVAL OF THE GOVERNING INSTRUMENTS OF THE CORPORATION, (B) APPROVAL OF THE MISSION, VISION, AND VALUES STATEMENT, (C) ELECTION AND REMOVAL OF THE BOARD OF DIRECTORS, (D) APPROVAL OF THE PLEDGE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, THE PURCHASE OR SALE OF PROPERTY, AND LONG-TERM BORROWING, (E) APPROVAL OF DISSOLUTION, MERGER, SALE, OR CONSOLIDATION, (F) APPROVAL OF THE FORMATION AND GOVERNANCE OF NEW CORPORATIONS, PARTNERSHIPS, OR JOINT VENTURES (ABOVE FINANCIAL AND OTHER LIMITS), (G) APPROVAL OF THE CAPITAL AND OPERATING BUDGET, (H) APPROVAL OF THE CONSOLIDATION, MATERIAL EXPANSION, OR ELIMINATION OF ANY CLINICAL SERVICE, (I) APPROVAL OF THE ELECTION OF THE PRESIDENT/CEO, (J) THE OPTION TO REMOVE THE PRESIDENT/CEO. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION PROVIDES DATA TO THE SENIOR TREASURY ANALYST OF MISSION HEALTH SYSTEM, INC. THE 990 IS PREPARED AND REVIEWED BY MANAGEMENT PRIOR TO THE REVIEW BY THE ORGANIZATION'S BOARD OF DIRECTORS. AFTER REVIEW BY THE BOARD, AND REVISIONS FOR ANY CLARIFICATIONS OR CORRECTIONS, THE FULL COPY OF THE 990 IS PROVIDED TO THE BOARD PRIOR TO FILING THE 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS CIRCULATES A CONFLICT OF INTEREST POLICY ANNUALLY, REQUIRING ALL VOTING BOARD MEMBERS TO REVIEW, SIGN, AND RETURN. MEMBERS PRESENTING A POTENTIAL CONFLICT OF INTEREST RECUSE THEMSELVES BEFORE ANY DISCUSSION OR VOTE ON A TOPIC THAT INCLUDES AN INTERESTED PARTY OR TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | A RELATED ORGANIZATION DRAWS WAGE COMPARISON DATA FROM OUTSIDE EXECUTIVE COMPENSATION CONSULTANTS TO ENSURE COMPENSATION LEVELS ARE AT FAIR MARKET VALUE THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION(COMMITTEE) REVIEWS THIS DATA AND RECOMMENDS TO THE BOARD OF THE RELATED ORGANIZATION ANY REVISIONS TO THE OVERALL PHILOSOPHY AND POLICY TO GUIDE THE DETERMINATION OF COMPENSATION AND BENEFIT PACKAGES FOR EXECUTIVES WHICH INCLUDES THE CEO, THE CFO, AND PRESIDENT AS WELL AS ALL OTHER EXECUTIVES, WHICH WOULD INCLUDE ALL KEY EMPLOYEES. THE COMMITTEE KEEPS AND DISTRIBUTES MINUTES OF ALL ITS MEETINGS TO ITS MEMBERS. ITEMS OF A SENSITIVE NATURE ARE REFERENCED IN THE MINUTES WITH DETAILED, SUPPORTING DOCUMENTATION RETAINED ON FILE. THE COMMITTEE ALSO DISCLOSES ANY POTENTIAL CONFLICTS OF INTEREST SITUATIONS TO THE COMMITTEE CHAIRMAN THAT MAY AFFECT THEIR INDEPENDENT DIRECTORS' STATUS AS SOON AS THEY ARISE, AND MAINTAINS COMPLETE DOCUMENTATION OF ALL MATTERS DISCUSSED BY THE COMMITTEE. THE COMMITTEE OBTAINS EDUCATION AND TRAINING TO EXERCISE ALL RESPONSIBILITIES EFFECTIVELY AND KEEPS ABREAST OF SIGNIFICANT DEVELOPMENTS IN EXECUTIVE COMPENSATION PRACTICES AND REGULATIONS, AND ENSURES THAT ALL ASPECTS OF MISSION HEALTH SYSTEM AND HOSPITAL EXECUTIVE COMPENSATION ADHERE TO ALL RELEVANT REGULATORY REQUIREMENTS, AND REVIEWS THE COMMITTEE CHARTER ANNUALLY REVISES AS APPROPRIATE AND CONDUCTS AN ANNUAL EVALUATION OF THE COMMITTEE'S PERFORMANCE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ANGEL MEDICAL CENTER'S FY 2015 AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THIS RETURN. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 13,736,052. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,736,052. INTERCOMPANY FEES: PROGRAM SERVICE EXPENSES 3,516,809. MANAGEMENT AND GENERAL EXPENSES 240,586. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,757,395. OTHER FEES: PROGRAM SERVICE EXPENSES 509,836. MANAGEMENT AND GENERAL EXPENSES 34,878. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 544,714. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 817,080. MANAGEMENT AND GENERAL EXPENSES 55,897. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 872,977. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ANGEL MEDICAL CENTER AUXILIARY INC | |||||||||||
| PO BOX 1209 | FRANKLIN | NC | 28744 | 562133719 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | ANGEL MEDICAL CENTER INC | Yes (1) | |
| MISSION HEALTH SYSTEM INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 581450888 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| MISSION MEDICAL ASSOCIATES INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 263627231 | EMPLOYED PHYSICIAN GROUP | NC | 501(C)(3) | LINE 10 | MISSION HEALTH SYSTEM INC | 0 | |
| THE MCDOWELL HOSPITAL INC | |||||||||||
| 430 RANKIN DRIVE | MARION | NC | 28752 | 560623938 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| MISSION HEALTH SYSTEM FOUNDATION INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 561881331 | FOUNDATION | NC | 501(C)(3) | LINE 7 | MISSION HEALTH SYSTEM INC | 0 | |
| MISSION HOSPITAL INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 560532141 | ACUTE CARE HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| BLUE RIDGE REGIONAL HOSPITAL INC | |||||||||||
| P O BOX 9 | SPRUCE PINE | NC | 28777 | 561025032 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| BLUE RIDGE REGIONAL HOSPITAL FOUNDATION | |||||||||||
| PO BOX 247 | SPRUCE PINE | NC | 28777 | 582172660 | FOUNDATION | NC | 501(C)(3) | LINE 12A, I | BLUE RIDGE REGIONAL HOSPITAL INC | 0 | |
| TRANSYLVANIA COMMUNITY HOSPITAL INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 560562293 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | |||||||||||
| PO BOX 2440 | BREVARD | NC | 28712 | 561458024 | FOUNDATION | NC | 501(C)(3) | LINE 12A, I | TRANSYLVANIA COMMUNITY HOSPITAL INC | 0 | |
| TRANSYLVANIA PHYSICIAN SERVICES INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561920816 | PHYSICIAN SERVICES | NC | 501(C)(3) | LINE 3 | TRANSYLVANIA COMMUNITY HOSPITAL INC | 0 | |
| MCDOWELL HEALTHCARE FOUNDATION INC | |||||||||||
| 430 RANKIN DRIVE | MARION | NC | 28752 | 463395393 | FOUNDATION | NC | 501(C)(3) | LINE 7 | THE MCDOWELL HOSPITAL INC | 0 | |
| COMMUNITY CAREPARTNERS INC | |||||||||||
| PO BOX 5779 | ASHEVILLE | NC | 28813 | 562005198 | LONG TERM REHABILITATION | NC | 501(C)(3) | LINE 10 | MISSION HEALTH SYSTEM INC | 0 | |
| HIGHLANDS-CASHIERS HOSPITAL INC | |||||||||||
| PO BOX 190 | HIGHLANDS | NC | 28741 | 560509400 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| HIGHLANDS-CASHIERS PHYSICIAN SERVICES INC | |||||||||||
| PO BOX 742 | HIGHLANDS | NC | 28741 | 452422428 | PHYSICIAN SERVICES | NC | 501(C)(3) | LINE 12A, I | HIGHLANDS-CASHIERS HOSPITAL INC | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| ASHEVILLE IMAGING LLP | |||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907201 | MEDICAL IMAGING SERVICES | NC | N/A |
| ASHEVILLE MRI | |||||||
| PO BOX 2959 | ASHEVILLE | NC | 28802 | 561665863 | IMAGING SERVICES | NC | N/A |
| BLUE RIDGE DME LLC | |||||||
| 125 HOSPITAL DRIVE | SPRUCE PINE | NC | 28777 | 263570174 | HOME MEDICAL EQUIPMENT AND SUPPLIES SALES | NC | N/A |
| BLUE RIDGE-TKC LLC | |||||||
| 5935 CARNEGIE BLVD | CHARLOTTE | NC | 28209 | 471382912 | REAL ESTATE RENTAL | NC | N/A |
| HEALTHCARE III LIMITED PARTNERSHIP | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561599596 | RENTAL | NC | N/A |
| HEALTHCARE LIMITED LIABILITY COMPANY VII | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 200343455 | RENTAL | NC | N/A |
| IMAGING REALTY LLP | |||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907203 | MEDICAL BUILDING | NC | N/A |
| MCDOWELL MRI LLC | |||||||
| 414 RANKING DRIVE | MARION | NC | 28752 | 753046378 | FINAL RETURN FILED 2016 | NC | N/A |
| MSJHS AND CCP JOINT DEVELOPMENT COMPANY LLC | |||||||
| 428 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 562250464 | LONG TERM ACUTE CARE HOSPITAL | NC | N/A |
| SPRUCE PINE HEALTHCARE LLC | |||||||
| 5935 CARNEGIE BLVD | CHARLOTTE | NC | 28209 | 471390107 | REAL ESTATE | NC | N/A |
| TRANSYLVANIA HEALTHCARE II LIMITED PARTNERSHIP | |||||||
| 2 MEDICAL PARK DRIVE | BREVARD | NC | 28712 | 200333230 | RENTAL | NC | N/A |
| WESTERN NC HEALTHCARE INNOVATORS LLC | |||||||
| 5935 CARNEGIE BLVD | CHARLOTTE | NC | 28209 | 800787882 | REAL ESTATE RENTAL | NC | N/A |
| WESTERN REGIONAL RADIATION THERAPY CENTER | |||||||
| 68 HOSPITAL DRIVE | SYLVA | NC | 28779 | 561849395 | RADIATION THERAPY | NC | N/A |
| WNC STONE CENTER | |||||||
| 509 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 272152974 | LITHOTRIPTER RENTAL | NC | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOGWOOD INSURANCE COMPANY LTD | |||||||||||||
| THEGRANDPAVILIONCOMMERCIALCENTREPOB | GRAND CAYMAN | CJ | CAPTIVE INSURANCE ENTITY | CJ | N/A | C | 0 | ||||||
| TRANSYLVANIA SERVICES INC | |||||||||||||
| REAL ESTATE | N/A | C | 0 | 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561448199 | NC | ||||
| MISSION HEALTH PARTNERS INC | |||||||||||||
| CLINICALLY INTEGRATED NETWORK | N/A | C | 0 | 509 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 465566095 | NC | ||||
| HEALTHY STATE INC | |||||||||||||
| ADMINISTRATIVE | N/A | C | 0 | 509 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 812108613 | NC | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |