ANC HIGHLANDS CASHIERS HOSPITAL INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ANC HIGHLANDS CASHIERS HOSPITAL INC (EIN 56-0509400)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-15
- IRS object ID
- 201832279349300448
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
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 | 560509400 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS-CASHIERS HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HIGH | BusinessNameControlTxt |
| Phone | 8285261200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 190 | AddressLine1Txt |
| City | HIGHLANDS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28741 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LENA COCHRAN | PersonNm |
| Person Title | REGIONAL DIRECTOR OF FINANCE | PersonTitleTxt |
| Phone | 8285261200 | 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 190 | AddressLine1Txt |
| City | HIGHLANDS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28741 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,997,180 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MISSIONHEALTH.ORG/MEMBER-HOSPITALS/HIGHLANDS-CASH | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | 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 | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 154 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,760,795 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,780,867 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,063,977 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,112,052 | CYProgramServiceRevenueAmt |
| PY Investment Income | $590 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,623 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $19,825,362 | PYTotalRevenueAmt |
| CY Total Revenue | $25,894,542 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $835,218 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $784,135 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,828,106 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,108,309 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $33,935 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,357,095 | PYOtherExpensesAmt |
| CY Other Expenses | $11,234,955 | CYOtherExpensesAmt |
| PY Total Expenses | $17,020,419 | PYTotalExpensesAmt |
| CY Total Expenses | $19,127,399 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,804,943 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,767,143 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,385,743 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,443,664 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,213,124 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,503,902 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,172,619 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,939,762 | 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 | $16,487,370 | ExpenseAmt |
| Grant | $784,135 | GrantAmt |
| Revenue | $20,112,052 | RevenueAmt |
| Desc | THE ORGANIZATION IS A CRITICAL ACCESS HOSPITAL PROVIDING ACUTE CARE TO RESIDENTS OF THE HIGHLANDS-CASHIERS AREA. THE HOSPITAL ALSO OPERATES A LONG-TERM CARE FACILITY TO THE AREA. THE HOSPITAL PROVIDES GENERAL SURGERY, AS WELL AS SPECIALIZED SURGERY IN FIVE KEY AREAS: HAND, ORTHOPEDIC, OPHTHALMOLOGY, GASTROINTESTINAL, AND PLASTIC SURGERY. EVERY PHYSICIAN AT HIGHLANDS-CASHIERS HOSPITAL IS BOARD CERTIFIED, WHICH REQUIRES THEY MAINTAIN CONTINUING MEDICAL EDUCATION CREDITS AND PERIODIC RE-CERTIFICATION EXAMS. PLEASE VISIT US ON THE WEB AT HTTPS://MISSIONHEALTH.ORG/MEMBER-HOSPITALS/HIGHLANDS-CASHIERS/THE ORGANIZATION HAS MADE IT A PRIMARY OBJECTIVE TO ASSURE THAT IT HAS THE LATEST IN STATE-OF-THE-ART DIAGNOSTIC EQUIPMENT TO BETTER ASSESS THE EXTENT OF ITS PATIENTS' CONDITIONS. HIGHLANDS-CASHIERS HOSPITAL STRIVES TO BE AN INTEGRAL PART OF THE COMMUNITY. IT PROVIDES HEALTHCARE FOR ALL WHO COME TO THE HOSPITAL. THE STAFF'S FIRST JOB IS TO USE ITS SKILLS TO TREAT ANYONE WHO NEEDS HELP, WITHOUT REGARD TO THEIR ABILITY TO PAY. IN ADDITION TO THE CHARITY CARE PROVIDED TO INDIVIDUALS UNABLE TO PAY, THE HOSPITAL PROVIDED HEALTH RELATED EDUCATION SEMINARS AND HEALTH SCREENINGS AVAILABLE TO THE COMMUNITY AT LARGE. | Desc |
| Total Program Service Expenses | $16,487,370 | 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 | Yes (1) | 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 | Yes (1) | 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 | 154 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | Yes (1) | 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 |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| 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 STE 100 | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 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 |
|---|---|---|---|---|---|---|---|---|
| JOHN MCCOY | ||||||||
| CHAIRMAN | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SAM LUPAS | ||||||||
| VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROY COPELAND | ||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| THOMAS DUNCAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $226,379 | $24,587 | 40.00 | ||
| ROBERT BEDNAREK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $218,904 | $3,119 | 19.00 | ||
| KATHY GUYETTE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $603,433 | $100,941 | 59.00 | ||
| WILLIAM HATHAWAY MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $633,388 | $120,003 | 59.00 | ||
| JAMES MAURIN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TONY POTTS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JACQUELINE MEDLAND | ||||||||
| CNO BEG MAR 2017 | 49.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | 1.00 | |
| JACKIE RING | ||||||||
| CNO THROUGH FEB 2017 | 49.00 | Yes (X) | Yes (X) | $0 | $144,586 | $12,360 | 1.00 | |
| LENA COCHRAN | ||||||||
| REGIONAL DIRECTOR OF FINAN | 19.00 | Yes (X) | $0 | $146,901 | $8,626 | 20.00 | ||
| ROBERT MEADE | ||||||||
| PHYSICIAN | 40.00 | $0 | $390,496 | $23,471 | Yes (X) | |||
| DINO GRAZIANO | ||||||||
| PHYSICIAN | 40.00 | $0 | $216,899 | $3,516 | Yes (X) | |||
| THOMAS LINDSAY | ||||||||
| PHYSICIAN | 40.00 | $0 | $200,385 | $11,304 | 1.00 | Yes (X) | ||
| JAMES COTHRAN | ||||||||
| PHARMACIST | 40.00 | $152,924 | $0 | $13,697 | Yes (X) | |||
| THOMAS COX | ||||||||
| PHARMACIST | 40.00 | $123,284 | $0 | $12,178 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $276,208 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,781,371 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $333,802 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| HERITAGE HEALTHCARE INC | |||||
| 536 OLD HOWELL RD | GREENVILLE | SC | 29615 | MEDICAL SERVICES | $548,820 |
| MORRISON MGMT SPECIALISTS INC | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD SERVICES | $316,673 |
| DESIGN STRATEGIES LLC | |||||
| 130 S MAIN ST | GREENVILLE | SC | 29601 | ARCHITECT/ENGINEERING SERVICES | $296,560 |
| BARTON ASSOCIATES INC | |||||
| 300 JUBILEE DR | PEABODY | MA | 01960 | STAFFING SERVICES | $179,718 |
| CROSS COUNTRY TRAVCORPS CORP | |||||
| PO BOX 404674 | ATLANTA | GA | 30384 | TRAVEL NURSES | $167,768 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,780,867 | RelatedOrganizationsAmt |
| Total Contributions | $5,780,867 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $19,949,185 | $19,949,185 |
| OTHER ANCILLARY INCOME | 900099 | $162,867 | $162,867 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,112,052 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,123 | TotalRevenueColumnAmt |
| Exclusion | $1,123 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $102,638 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $102,638 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $500 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $500 | TotalRevenueColumnAmt |
| Exclusion | $500 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,894,542 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,112,052 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,623 | 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 | $784,135 | TotalAmt |
| Program Services | $784,135 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,190 | TotalAmt |
| Program Services | $160,595 | ProgramServicesAmt |
| Management And General | $160,595 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,486,770 | TotalAmt |
| Program Services | $4,224,813 | ProgramServicesAmt |
| Management And General | $1,234,523 | ManagementAndGeneralAmt |
| Fundraising | $27,434 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,290 | TotalAmt |
| Program Services | $61,824 | ProgramServicesAmt |
| Management And General | $18,065 | ManagementAndGeneralAmt |
| Fundraising | $401 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $804,625 | TotalAmt |
| Program Services | $619,561 | ProgramServicesAmt |
| Management And General | $181,041 | ManagementAndGeneralAmt |
| Fundraising | $4,023 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,434 | TotalAmt |
| Program Services | $319,884 | ProgramServicesAmt |
| Management And General | $93,473 | ManagementAndGeneralAmt |
| Fundraising | $2,077 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,703 | TotalAmt |
| Program Services | $241,362 | ProgramServicesAmt |
| Management And General | $60,341 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,380 | TotalAmt |
| Management And General | $6,380 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,701 | TotalAmt |
| Management And General | $1,701 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,336,154 | TotalAmt |
| Program Services | $5,892,623 | ProgramServicesAmt |
| Management And General | $443,531 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,288 | TotalAmt |
| Program Services | $18,387 | ProgramServicesAmt |
| Management And General | $9,901 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,879 | TotalAmt |
| Program Services | $42,527 | ProgramServicesAmt |
| Management And General | $28,352 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,625 | TotalAmt |
| Program Services | $85,531 | ProgramServicesAmt |
| Management And General | $15,094 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $835,058 | TotalAmt |
| Program Services | $709,799 | ProgramServicesAmt |
| Management And General | $125,259 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,188 | TotalAmt |
| Program Services | $19,675 | ProgramServicesAmt |
| Management And General | $29,513 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $927 | TotalAmt |
| Program Services | $556 | ProgramServicesAmt |
| Management And General | $371 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,364 | TotalAmt |
| Program Services | $5,364 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $857,552 | TotalAmt |
| Program Services | $857,552 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,095 | TotalAmt |
| Management And General | $20,095 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS & MAINTENANCE | $820,849 | $697,722 | $123,127 |
| MEDICAL SUPPLIES | $671,243 | $671,243 | |
| PHARMACEUTICALS | $636,001 | $636,001 | |
| EQUIPMENT EXPENSE | $128,070 | $128,070 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,878 | TotalAmt |
| Program Services | $310,146 | ProgramServicesAmt |
| Management And General | $54,732 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,127,399 | TotalAmt |
| Program Services | $16,487,370 | ProgramServicesAmt |
| Management And General | $2,606,094 | ManagementAndGeneralAmt |
| Fundraising | $33,935 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400 | BOYAmt |
| EOY | $868,190 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,522 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,920,292 | BOYAmt |
| EOY | $3,168,978 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,724 | BOYAmt |
| EOY | $94,863 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $522,647 | BOYAmt |
| EOY | $525,131 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,600 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,091,458 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,085,513 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,026,392 | BOYAmt |
| EOY | $16,005,945 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,536,166 | BOYAmt |
| EOY | $5,780,557 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,385,743 | BOYAmt |
| EOY | $26,443,664 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,651,257 | BOYAmt |
| EOY | $922,238 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,061,867 | BOYAmt |
| EOY | $2,581,664 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,213,124 | BOYAmt |
| EOY | $3,503,902 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,172,619 | BOYAmt |
| EOY | $22,939,762 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,172,619 | BOYAmt |
| EOY | $22,939,762 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,385,743 | BOYAmt |
| EOY | $26,443,664 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,767,143 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,758,847 | BeginningYearBalanceAmt |
| Contributions | $225,000 | ContributionsAmt |
| Investment Earnings Or Losses | $97,892 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,081,739 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,679,150 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $79,697 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,758,847 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,697,224 | BeginningYearBalanceAmt |
| Contributions | $20,206 | ContributionsAmt |
| Investment Earnings Or Losses | $113,420 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,830,850 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,561,204 | BeginningYearBalanceAmt |
| Contributions | $54,785 | ContributionsAmt |
| Investment Earnings Or Losses | $81,235 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,697,224 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,452,260 | BeginningYearBalanceAmt |
| Contributions | $368,470 | ContributionsAmt |
| Investment Earnings Or Losses | $140,474 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,961,204 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.92700 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.07300 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | 0 | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,160,240 | OtherCostOrOtherBasisAmt |
| Book Value | $1,160,240 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,832,695 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,519,090 | DepreciationAmt |
| Book Value | $9,313,605 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,392,998 | OtherCostOrOtherBasisAmt |
| Depreciation | $397,808 | DepreciationAmt |
| Book Value | $3,995,190 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,562,878 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,074,315 | DepreciationAmt |
| Book Value | $1,488,563 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $142,647 | OtherCostOrOtherBasisAmt |
| Depreciation | $94,300 | DepreciationAmt |
| Book Value | $48,347 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,005,945 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM RELATED PARTIES | Desc |
| Book Value | $5,780,557 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,780,557 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED THIRD PARTY SETTLEMENTS | Desc |
| Amt | $2,581,664 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,581,664 | 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 |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| 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 | $341,797 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $341,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01790 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,010,115 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,139,094 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,351,912 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,139,094 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $341,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01790 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,076 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $49,076 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,076 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $49,076 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,400,988 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,139,094 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $390,873 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $857,680 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $8,169,258 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,726,774 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $442,484 | 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 | HIGHLANDS CASHIERS HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 HOSPITAL DRIVE | AddressLine1Txt |
| City | HIGHLANDS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28714 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | MISSIONHEALTH.ORG/MEMBER-HOSPITALS/HIG | WebsiteAddressTxt |
| State License | H0193 | StateLicenseNum |
| Subordinate Hospital EIN | 560509400 | SubordinateHospitalEIN |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| 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 | HIGHLANDS CASHIERS HOSPITAL | 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 - LINE D | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V - LINE D | OtherWebsiteURLTxt |
| 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 - SECTION 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 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V | 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 |
|---|---|
| HIGHLANDS CASHIERS HOSPITAL | PART V, SECTION B, LINE 5: COMMUNITY HEALTH NEEDS ASSESSMENT PARTNERS IN JACKSON AND MACON COUNTIES COLLABORATED ON DATA COLLECTION AND COMMUNITY INPUT.JACKSON COUNTY LEAD PARTNERS: HARRIS REGIONAL HOSPITAL - CHA STEERING COMMITTEE, CHA WORK TEAM, JACKSON COUNTY DEPARTMENT OF PUBLIC HEALTH - CHA WORK TEAM, CHA FACILITATOR, CHA STEERING COMMITTEE , JACKSON COUNTY DEPARTMENT OF SOCIAL SERVICES - CHA STEERING COMMITTEE, COMMUNITY MEMBERS (3) - CHA STEERING COMMITTEE (3), CHA WORK TEAM (4), WESTERN CAROLINA UNIVERSITY - CHA STEERING COMMITTEE, CHA WORK TEAM, JACKSON COUNTY DEPARTMENT OF AGING - CHA STEERING COMMITTEE, FAMILY RESOURCES CENTER - CHA STEERING COMMITTEE, JACKSON COUNTY PARKS AND RECREATION DEPARTMENT - CHA STEERING COMMITTEE, SMOKY MOUNTAIN LME/MCO - CHA STEERING COMMITTEE, JACKSON COUNTY PUBLIC SCHOOLS - CHA STEERING COMMITTEE, MOUNTAIN PROJECTS, INC. - CHA STEERING COMMITTEE, GOOD SAMARITAN CLINIC - CHA STEERING COMMITTEE AND AREA AGENCY ON AGING - CHA STEERING COMMITTEE. KEY STAKEHOLDER INTERVIEWS: DEAN, HEALTH AND HUMAN SCIENCES AT WESTERN CAROLINA UNIVERSITY, EXECUTIVE DIRECTOR AT THE COMMUNITY TABLE, TOWN MANAGER OF TOWN OF SYLVA, TEACHER AT JACKSON COUNTY PUBLIC SCHOOLS, DIRECTOR OF DEPARTMENT OF SOCIAL SERVICES, DIRECTOR OF DEPARTMENT ON AGING, EXTENSION DIRECTOR AT COOPERATIVE EXTENSION, DIRECTOR OF JACKSON COUNTY DEPARTMENT OF PUBLIC HEALTH, CEO OF HARRIS REGIONAL HOSPITAL, EXECUTIVE DIRECTOR AT THE GOOD SAMARITAN CLINIC, PLANNING DIRECTOR AT JACKSON COUNTY AND COMMUNITY MEMBERS. LISTENING SESSIONS: JACKSON COUNTY EARLY COLLEGE - 9-10TH GRADERS, CASHIERS SENIOR CENTER - OLDER ADULTS, GOOD SAMARITAN CLINIC - UNINSURED ADULTS, WCU NUTRITION CLUB - JUNIORS AND SENIORS AT WCU, WCU ON-CAMPUS STUDENTS - FRESHMEN AT WCU.MACON COUNTY LEAD PARTNERS: MACON COUNTY PUBLIC HEALTH, ANGEL MEDICAL CENTER, MOUNTAINWISE OF MACON COUNTY, WNC HEALTHY IMPACT. KEY INFORMANT SURVEY PARTICIPANTS: EXECUTIVE DIRECTOR, CARENET, EXECUTIVE DIRECTOR, REACH, SUPERINTENDENT, MACON COUNTY SCHOOLS, HEALTH DIRECTOR, MACON COUNTY PUBLIC HEALTH, COUNTY COMMISSIONER AND BUSINESS OWNER, EXECUTIVE DIRECTOR, COMMUNITY CARE CLINIC HIGHLANDS, DIRECTOR, MACON COUNTY SENIOR SERVICES, DIRECTOR, MACON COUNTY SOCIAL SERVICES, DIRECTOR, MACON PROGRAM FOR PROGRESS. TWELVE LISTENING SESSIONS CONDUCTED: LOW INCOME RESIDENTS (FRANKLIN), LOW INCOME RESIDENTS (HIGHLANDS), LATINO RESIDENTS, SENIOR CITIZENS, RESIDENTS AFFECTED WITH MENTAL ILLNESS, CAREGIVERS AND YOUTH FRANKLIN & NANTAHALA. |
| HIGHLANDS CASHIERS HOSPITAL | PART V, SECTION B, LINE 6A: REGIONAL PARTNERSHIPHIGHLANDS-CASHIERS HOSPITAL 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 CAROLINA REGION WORKING COLLABORATIVELY TO IMPROVE COMMUNITY HEALTH. INFORMATION ABOUT THIS INNOVATIVE REGIONAL COLLABORATION, COUNTY-WIDE COMMUNITY HEALTH ASSESSMENTS, AND OVERALL REGIONAL FINDINGS, WHICH ARE MADE AVAILABLE TO THE PUBLIC AT WWW.WNCHEALTHYIMPACT.COM. |
| HIGHLANDS CASHIERS HOSPITAL | PART V, SECTION B, LINE 6B: THE ORGANIZATION'S CHNA WAS CONDUCTED WITH THE JACKSON COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE MACON COUNTY OF PUBLIC HEALTH. |
| HIGHLANDS CASHIERS HOSPITAL | PART V, SECTION B, LINE 7D: ORGANIZATION'S WEBSITE: HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/04/2016-HIGHLANDS-CASHIERS-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-CHNA.PDFOTHER WEBSITESJACKSON COUNTY: HTTP://HEALTH.JACKSONNC.ORG/COMMUNITY-HEALTH-DATA-1/ AND MACON COUNTY: HTTPS://WWW.MACONNC.ORG/IMAGES/HEALTHY-CAROLINIANS/MACON%20COUNTY%202015%20COMMUNITY%20HEALTH%20ASSESSMENT.PDF |
| HIGHLANDS CASHIERS HOSPITAL | PART V, SECTION B, LINE 11: PHYSICAL ACTIVITY AND NUTRITION, INJURY AND SUBSTANCE ABUSE PREVENTION AND CHRONIC DISEASE. COLLABORATIVE ACTION PLANNING WITH HOSPITALS AND OTHER COMMUNITY PARTNERS WILL RESULT IN THE CREATION OF A COMMUNITY-WIDE PLAN THAT OUTLINES WHAT WILL BE ALIGNED, SUPPORTED AND/OR IMPLEMENTED TO ADDRESS THE PRIORITY HEALTH ISSUES IDENTIFIED THROUGH THIS ASSESSMENT PROCESS. DURING THE SIX MONTHS FOLLOWING THE COMPLETION OF THE CHA, THE CHA FACILITATOR WILL CONVENE COMMUNITY PARTNERS INTERESTED IN EACH HEALTH PRIORITY. AT THESE MEETINGS, PARTNERS WILL BRAINSTORM AND DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THAT BEGINS BY LOOKING OUTSIDE OF THE PERFORMANCE OF AN INDIVIDUAL ORGANIZATION SERVING A SPECIFIC SEGMENT OF THE COMMUNITY TO THE WAY IN WHICH THE ACTIVITIES OF MANY ORGANIZATIONS CONTRIBUTE TO COMMUNITY HEALTH IMPROVEMENT. (NACCHO, 2010) THE CHIP WILL DETAIL AN IMPROVEMENT PLAN TO ADDRESS EACH HEALTH PRIORITY, INCLUDING PARTNER RESPONSIBILITIES, EVIDENCE-BASED STRATEGIES, TIMELINES, AND MORE. |
| HIGHLANDS CASHIERS HOSPITAL | PART V, SECTION B, LINE 15E: THE ORGANIZATION'S STAFF WORK IN COLLABORATION WITH THE PATIENT AND APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED OF HEALTH CARE SERVICES TO DETERMINE AVAILABLE FUNDING SOURCES. |
| PART V SECTION B LINE 10A: | HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/04/2016-HIGHLANDS-CASHIERS-HOSPITAL-IMPLEMENTATION-STRATEGY.PDF |
| PART V SECTION B LINE 16A: | HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/05/FINASSDISCOUNT_POLICY_04.PDF |
| PART V SECTION B LINE 16B: | HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/05/PATIENT_FINANCIAL_ASSISTANCE_PAGE.PDF |
| PART V SECTION B LINE 16C: | HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/03/FINASSISTPLAIN_LANGUAGE_SUMMARY_4.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - HCH PHYSICAL THERAPY - CASHIERS | ||||
| 73 SLAB TOWN RD | CASHIERS | NC | 28717 | PHYSICAL THERAPY |
| 2 - HCH PHYSICAL THERAPY - HIGHLANDS | ||||
| 171 HOSPITAL DRIVE | HIGHLANDS | NC | 28741 | PHYSICAL THERAPY |
| 3 - HEALTHTRACK CARDIAC REHAB | ||||
| 171 HOSPITAL DRIVE | HIGHLANDS | NC | 28741 | REHABILITATION |
| 4 - MISSION COMM PRIMARY CARE HIGHLANDS | ||||
| 209 HOSPITAL DR | HIGHLANDS | NC | 28741 | PRIMARY CARE |
| 5 - HIGHLANDS-CASHIERS HOSPITAL MRI | ||||
| 209 HOSPITAL DR | HIGHLANDS | NC | 28741 | MRI SERVICES |
| 6 - CASHIERS MEDICAL CENTER | ||||
| 57 WHITEOUT LANE | CASHIERS | NC | 28717 | PRIMARY CARE |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE ORGANIZATION USED THE COSTS-TO-CHARGES RATIO FROM ITS ANDI REPORT TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST. THE ANDI REPORT IS A CALCULATION OF COMMUNITY BENEFIT DEVELOPED BY THE NORTH CAROLINA HOSPITAL ASSOCIATION |
| PART III, LINE 2: | THE ORGANIZATION USES THE COST TO CHARGE RATIO. |
| 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: | THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. |
| 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: | HIGHLANDS-CASHIERS HOSPITAL PRIMARILY SERVES JACKSON AND MACON COUNTIES IN WESTERN NORTH CAROLINA. JACKSON COUNTY IS "A TIER 1, RURAL COUNTY LOCATED IN THE HEART OF WESTERN NORTH CAROLINA (WNC), SURROUNDED BY THE GREAT SMOKY MOUNTAINS AND THE BLUE RIDGE PARKWAY. JACKSON COUNTY CONSISTS OR 494 SQUARE MILES OF MOUNTAINS, ROLLING HILLS, AND FERTILE VALLEYS." THE 2015 MACON COUNTY COMMUNITY HEALTH ASSESSMENT DESCRIBES MACON COUNTY AS, "A DIVERSE MIXTURE OF MOUNTAIN LIVING, CITY HUSTLE, RURAL LANDSCAPES AND HIGH TECH POTENTIAL. ACCORDING TO 2009 CENSUS ESTIMATES THE COUNTY HAS 32,600 RESIDENTS RESIDING ACROSS 519 SQUARE MILES, MOST OF THEM MOUNTAINOUS AND SPARSELY INHABITED." BECAUSE THE AREA IS ATTRACTIVE TO TOURISTS AND RETIREES, HIGHLANDS-CASHIERS HOSPITAL SERVES A POPULATION WITH A WIDE SOCIOECONOMIC RANGE, AND THE POPULATION FLUCTUATES GREATLY AT DIFFERENT POINTS THROUGHOUT THE YEAR. AS SUCH, HIGHLANDS-CASHIERS HOSPITAL PROVIDES A LIMITED RANGE OF SERVICES. THE FOLLOWING SECTION DESCRIBES HOW DATA WAS OBTAINED, COMPILED AND ANALYZED IN OUR ASSESSMENT PROCESS. 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. HIGHLANDS-CASHIERS HOSPITAL IS ALSO INVOLVED IN THIS REGIONAL/LOCAL VISION AND COLLABORATION. PARTICIPATING COUNTIES INCLUDE: BUNCOMBE, CHEROKEE, CLAY, GRAHAM, HAYWOOD, HENDERSON, JACKSON, MACON, MADISON, MCDOWELL, MITCHELL, POLK, RUTHERFORD, SWAIN, TRANSYLVANIA AND YANCEY. 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 JACKSON COUNTY (HTTP://HEALTH.JACKSONNC.ORG/S/NEW-2015-JACKSON-COUNTY-CHA_NOAPPENDICES.PDF) AND MACON COUNTY (HTTP://WWW.MACONNC.ORG/IMAGES/HEALTHY-CAROLINIANS/MACON%20COUNTY%202015%20COMMUNITY%20HEALTH%20ASSESSMENT.PDF) LOCAL COMMUNITY HEALTH ASSESSMENTS FOR MORE DETAILS ON THE REGIONAL DATA COLLECTION METHODOLOGY. THE JACKSON COUNTY CHA WORK TEAM CONDUCTED INTERVIEWS AND LISTENING SESSIONS WITH KEY STAKEHOLDERS, INCLUDING: OLDER ADULTS, ADULTS WHO RELY ON THE LOCAL FREE HEALTH CLINIC, WESTERN CAROLINA UNIVERSITY STUDENTS WHO LIVE ON CAMPUS, WESTERN CAROLINA UNIVERSITY NUTRITION STUDENTS, AND HIGH SCHOOL STUDENTS. IN MACON COUNTY, A COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE DECIDED THAT, "CONCERNS AND ISSUES RAISED FROM COMMUNITY LEADERS AND VULNERABLE POPULATIONS WOULD BE ESSENTIAL TO PROVIDE CONTEXT FOR THE RESEARCH AND STATISTICAL ANALYSIS." THE COMMITTEE CONDUCTED LISTENING SESSIONS AND KEY INFORMANT INTERVIEWS TO ENSURE THE PROCESS CAPTURED DIVERSE COMMUNITY PERSPECTIVES. DETAILS ABOUT ADDITIONAL COMMUNITY-LEVEL DATA GATHERED IN THESE COUNTIES ARE AVAILABLE IN EACH COUNTY'S RESPECTIVE CHA REPORT, LINKED ABOVE. INFORMATION GAPS WERE NOT SPECIFIED. SEE JACKSON COUNTY (HTTP://HEALTH.JACKSONNC.ORG/S/NEW-2015-JACKSON-COUNTY-CHA_NOAPPENDICES.PDF) AND MACON COUNTY (HTTP://WWW.MACONNC.ORG/IMAGES/HEALTHY-CAROLINIANS/MACON%20COUNTY%202015%20COMMUNITY%20HEALTH%20ASSESSMENT.PDF) LOCAL COMMUNITY HEALTH ASSESSMENTS FOR MORE DETAILS ON THE REGIONAL DATA COLLECTION METHODOLOGY. 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. |
| PART VI, LINE 3: | WE PROVIDE INFORMATION TO OUR PATIENTS REGARDING HOW TO APPLY FOR FINANCIAL ASSISTANCE/CHARITY CARE IN THE FOLLOWING WAYS: A PLAIN LANGUAGE DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL FACILITY'S WEBSITE, ATTACHED TO BILLING INVOICES, POSTED IN THE EMERGENCY ROOMS OR WAITING ROOMS AND IN THE ADMISSIONS OFFICES. IT IS ALSO PROVIDED IN WRITING TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY, AND UPON REQUEST. THE ORGANIZATION'S INTERNET WEBSITE AND BROCHURES CONTAIN INFORMATION ABOUT FINANCIAL ASSISTANCE THAT OFFER HELP IN OBTAINING FINANCIAL ASSISTANCE, OPTIONS FOR INSURANCE PROCESSING AND PAYMENT FOR SERVICES. IN ADDITION, ASSISTANCE IS OFFERED TO HELP IN DETERMINING IF A PATIENT QUALIFIES FOR STATE AGENCY PROGRAMS AND MEDICAID BENEFITS AS WELL AS ASSISTANCE WITH THE APPLICATION PROCESS. THE WEBSITE AND BROCHURES EXPLAIN THAT THE HOSPITAL OFFERS DISCOUNTS BASED ON CERTAIN CRITERIA, AND NOTES THE RANGE OF DISCOUNTS AND HOW HOUSEHOLD INCOME GUIDELINES ARE USED TO DETERMINE DISCOUNT ELIGIBILITY.THE PATIENT IS DIRECTED TO CALL THE CUSTOMER SERVICE CENTER OR VISIT THE HOSPITAL'S BUSINESS OFFICE AND LISTS THE HOURS THE OFFICE AND CENTER ARE OPEN.THERE ARE ALSO MESSAGES ON PATIENT BILLS GIVING INFORMATION ON FINANCIAL ASSISTANCE AND HOW TO CONTACT THE HOSPITAL IF THEY HAVE QUESTIONS OR WANT TO APPLY. |
| PART VI, LINE 4: | THE ORGANIZATION PRIMARILY SERVES THE RURAL MOUNTAIN COMMUNITIES OF MACON AND JACKSON COUNTIES IN NORTH CAROLINA. THE COMBINED POPULATION IS APPROXIMATELY 77,705 RESIDENTS, WITH 23.17% OF THE POPULATION OVER THE AGE OF 65. THE PERCENTAGE OF PERSONS LIVING BELOW THE POVERTY LINE IS 18.9% WHICH IS HIGHER THAN NORTH CAROLINA AVERAGE OF 15.4%. |
| PART VI, LINE 5: | THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE AS IT EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY AND WORKS TO RECRUIT PHYSICIANS FOR UNDERSERVED AREAS OR SPECIALTIES. THE BOARD OF DIRECTORS INCLUDES INDEPENDENT RESIDENTS OF THE COMMUNITY WHO ARE ABLE TO PROVIDE INSIGHT ABOUT COMMUNITY CONCERNS AND NEEDS.IN THE WINTER MONTHS, THE POPULATION OF THE AREA SHRINKS TO APPROXIMATELY 9,000 RESIDENTS FROM 31,000 DURING THE WARMER MONTHS. THIS FLUCTUATION CAUSES THE HOSPITAL TO SUSTAIN ANNUAL LOSSES WHICH ARE COVERED THROUGH PHILANTHROPY BY THE HIGHLANDS-CASHIERS HOSPITAL FOUNDATION, INC. |
| PART VI, LINE 6: | HIGHLANDS-CASHIERS HOSPITAL 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 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 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.ANGEL MEDICAL CENTER, INC. SERVES AS A COMMUNITY HOSPITAL IN 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS-CASHIERS HOSPITAL FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 190 | AddressLine1Txt |
| City | HIGHLANDS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28741 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 561165833 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $781,653 | CashGrantAmt |
| Purpose Of Grant | OPERATIONAL SUPPORT. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS DUNCAN | ||||||||||||||
| DIRECTOR | $0 | $224,340 | $0 | $613 | $0 | $1,426 | $0 | $6,635 | $0 | $17,952 | $0 | $250,966 | $0 | $0 |
| ROBERT BEDNAREK | ||||||||||||||
| DIRECTOR | $0 | $120,334 | $0 | $85,419 | $0 | $13,151 | $0 | $2,907 | $0 | $212 | $0 | $222,023 | $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 |
| WILLIAM HATHAWAY MD | ||||||||||||||
| DIRECTOR | $0 | $406,853 | $0 | $147,564 | $0 | $78,971 | $0 | $105,831 | $0 | $14,172 | $0 | $753,391 | $0 | $28,356 |
| JACKIE RING | ||||||||||||||
| CNO THROUGH FEB 2017 | $0 | $138,409 | $0 | $0 | $0 | $6,177 | $0 | $4,229 | $0 | $8,131 | $0 | $156,946 | $0 | $0 |
| LENA COCHRAN | ||||||||||||||
| REGIONAL DIRECTOR OF FINAN | $0 | $125,503 | $0 | $21,038 | $0 | $360 | $0 | $98 | $0 | $8,528 | $0 | $155,527 | $0 | $0 |
| ROBERT MEADE | ||||||||||||||
| PHYSICIAN | $0 | $379,810 | $0 | $8,882 | $0 | $1,804 | $0 | $7,083 | $0 | $16,388 | $0 | $413,967 | $0 | $0 |
| DINO GRAZIANO | ||||||||||||||
| PHYSICIAN | $0 | $215,825 | $0 | $0 | $0 | $1,074 | $0 | $0 | $0 | $3,516 | $0 | $220,415 | $0 | $0 |
| THOMAS LINDSAY | ||||||||||||||
| PHYSICIAN | $0 | $176,344 | $0 | $2,452 | $0 | $21,589 | $0 | $3,317 | $0 | $7,987 | $0 | $211,689 | $0 | $0 |
| JAMES COTHRAN | ||||||||||||||
| PHARMACIST | $137,526 | $0 | $0 | $0 | $15,398 | $0 | $4,021 | $0 | $9,676 | $0 | $166,621 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | FormAndLineReferenceDesc |
| Explanation | FORMER OFFICERS WHO RECEIVED SEVERANCE PAY: CRAIG JAMES $ 2,654 MIKE DAIKEN $60,548 DIRECTORS WHO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH CONTRIBUTION AMOUNTS. KATHY GUYETTE $ 78,678 WILLIAM HATHAWAY $ 89,931 DIRECTORS WHO RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. KATHY GUYETTE $ 93,390 WILLIAM HATHAWAY $ 76,410 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE BOARD MAY DESIGNATE AN EXECUTIVE COMMITTEE, WHICH SHALL CONSIST OF FIVE (5) DIRECTORS, AT LEAST ONE (1) OF WHOM SHALL BE A MISSION DIRECTOR AND A MAJORITY OF WHOM SHALL BE COMMUNITY DIRECTORS. ONE (1) OF THE MEMBERS OF THE EXECUTIVE COMMITTEE SHALL BE THE CHAIRMAN OF THE CORPORATION. THE EXECUTIVE COMMITTEE MAY MAKE RECOMMENDATIONS TO THE BOARD OR MISSION ON ANY MATTER AND SHALL ACT SOLELY IN AN ADVISORY CAPACITY. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS MISSION HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | MISSION HEALTH SYSTEM HAS THE ABILITY TO ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | MISSION HEALTH SYSTEM MAKES THE FINAL DECISION FOR FUNDAMENTAL MATTERS RELATING TO THE ORGANIZATION; (II) ALL AMENDMENTS TO OR RESTATEMENT OF THE GOVERNING INSTRUMENTS, (III) THE CORPORATION'S MISSION, VISION AND VALUE STATEMENTS; (IV) ANY AFFILITATION, MERGER, DISSOLUTION, OR SALE; ANY DEBT ISSUANCE, REFINANCING OR RETIREMENT; (V) ANY DECISION TO ENTER INTO INSOLVENCY, BANKRUPTCY, RECEIVERSHIP, FORECLOSURE, OR ASSIGNMENT FOR THE BENEFIT OF CREDITORS; (VI) REMOVAL OF THE CORPORATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER; (VII) APPROVAL OF THE NOMINATIONS FOR THE CORPORATION'S BOARD MEMBERS; AND (VII) ELECTING AND REMOVING ANY MISSION DIRECTOR (AS DEFINED BELOW). |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION PROVIDES DATA TO THE TREASURY MANAGER OF TAX SERVICES FOR MISSION HEALTH SYSTEM, INC. THE 990 IS PREPARED AND REVIEWED BY MANAGEMENT PRIOR TO THE REVIEW BY THE HIGHLANDS-CASHIERS HOSPITAL 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 18 | PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART VI, SECTION C, LINE 19 | PHOTOCOPIES OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,781,637. MANAGEMENT AND GENERAL EXPENSES 284,639. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,066,276. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,536,751. MANAGEMENT AND GENERAL EXPENSES 115,669. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,652,420. OTHER FEES: PROGRAM SERVICE EXPENSES 574,235. MANAGEMENT AND GENERAL EXPENSES 43,223. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 617,458. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ECKERD LIVING CENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 HOSPITAL DRIVE | AddressLine1Txt |
| City | HIGHLANDS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28741 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 475383546 | EIN |
| Primary Activities | SKILLED NURSING FACILITY | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Total Income | $405,243 | TotalIncomeAmt |
| End Of Year Assets | $1,941,315 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS-CASHIERS HOSPITAL INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 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 | 0 | |
| ANGEL MEDICAL CENTER INC | |||||||||||
| PO BOX 1209 | FRANKLIN | NC | 28744 | 566000064 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| BLUE RIDGE REGIONAL HOSPITAL FOUNDATION INC | |||||||||||
| PO BOX 247 | SPRUCE PINE | NC | 28777 | 582172660 | FOUNDATION | NC | 501(C)(3) | LINE 12A, I | BLUE RIDGE REGIONAL HOSPITAL INC | 0 | |
| BLUE RIDGE REGIONAL HOSPITAL INC | |||||||||||
| POST OFFICE BOX 9 | SPRUCE PINE | NC | 28777 | 561025032 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM 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 FOUNDATION INC | |||||||||||
| PO BOX 190 | HIGHLANDS | NC | 28741 | 561165833 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| HIGHLANDS-CASHIERS PHYSICIAN SERVICES INC | |||||||||||
| PO BOX 190 | HIGHLANDS | NC | 28741 | 452422428 | PHYSICIAN SERVICES | NC | 501(C)(3) | LINE 12A, I | HIGHLANDS-CASHIERS HOSPITAL INC | Yes (1) | |
| MCDOWELL HEALTHCARE FOUNDATION INC | |||||||||||
| 430 RANKIN DRIVE | MARION | NC | 28752 | 463395393 | FOUNDATION | NC | 501(C)(3) | LINE 7 | THE MCDOWELL HOSPITAL INC | 0 | |
| MISSION HEALTH SYSTEM FOUNDATION INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE100 | ASHEVILLE | NC | 28806 | 561881331 | FOUNDATION | NC | 501(C)(3) | LINE 7 | MISSION HEALTH SYSTEM INC | 0 | |
| MISSION HEALTH SYSTEM INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE100 | ASHEVILLE | NC | 28806 | 581450888 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| MISSION HOSPITAL INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE100 | ASHEVILLE | NC | 28806 | 560532141 | ACUTE CARE HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| MISSION MEDICAL ASSOCIATES INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE100 | ASHEVILLE | NC | 28806 | 263627231 | PHYSICIAN SERVICES | 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 | |
| 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 PHYSICIAN SERVICES INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561920816 | PHYSICIAN SERVICES | NC | 501(C)(3) | LINE 3 | TRANSYLVANIA COMMUNITY HOSPITAL 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 | |
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 | NC | N/A |
| ASHEVILLE MRI | |||||||
| PO BOX 2959 | ASHEVILLE | NC | 28802 | 561665863 | MEDICAL IMAGING | NC | N/A |
| BLUE RIDGE DME LLC | |||||||
| 125 HOSPITAL DRIVE | SPRUCE PINE | NC | 28777 | 263570174 | HOME MEDICAL EQUIPMENT & 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 LLC | |||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907203 | MEDICAL BUILDING | NC | N/A |
| MCDOWELL MRI LLC | |||||||
| 414 RANKIN DRIVE | MARION | NC | 28752 | 753046378 | DISSOLVED DECEMBER 2016 | NC | N/A |
| MSJHS AND CCP JOINT DEVELOPMENT COMPANY LLC | |||||||
| 428 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 562250464 | LONG TERM ACUTE CARE | 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 LLC | |||||||
| 509 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 272152974 | LITHOTRIPTER RENTAL | NC | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | 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 | |||||||||||||
| PO BOX 30600 | 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 | 0 | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HIGHLANDS-CASHIERS PHYSICIAN SERVICES | ||
| R | $333,024 | FMV |
| HIGHLANDS-CASHIERS PHYSICIAN SERVICES | ||
| S | $1,274,358 | FMV |