2018-08-15T08:32:33-05:00 2017-09-30 990 2016-10-01 560509400 HIGHLANDS-CASHIERS HOSPITAL INC HIGH 8285261200 PO BOX 190 HIGHLANDS NC 28741 LENA COCHRAN REGIONAL DIRECTOR OF FINANCE 8285261200 2018-08-13 2016 2022-09-23 18:48:47Z LENA COCHRAN PO BOX 190 HIGHLANDS NC 28741 25997180 0 X MISSIONHEALTH.ORG/MEMBER-HOSPITALS/HIGHLANDS-CASH X 1947 NC TO IMPROVE THE HEALTH OF THE PEOPLE OF WESTERN NORTH CAROLINA AND THE SURROUNDING REGION. 10 5 154 0 0 0 3760795 5780867 16063977 20112052 590 1623 0 0 19825362 25894542 835218 784135 0 0 5828106 7108309 0 0 33935 10357095 11234955 17020419 19127399 2804943 6767143 19385743 26443664 3213124 3503902 16172619 22939762 X 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. 0 0 16487370 784135 20112052 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. 16487370 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 154 1 0 0 0 0 0 0 0 0 0 0 X 10 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X FINANCE DEPARTMENT 8282577063 400 RIDGEFIELD CT STE 100 ASHEVILLE NC 28806 JOHN MCCOY CHAIRMAN 4.00 X X 0 0 0 SAM LUPAS VICE CHAIRMAN 2.00 X X 0 0 0 ROY COPELAND TREASURER 2.00 X X 0 0 0 THOMAS DUNCAN DIRECTOR 1.00 40.00 X 0 226379 24587 ROBERT BEDNAREK DIRECTOR 1.00 19.00 X 0 218904 3119 KATHY GUYETTE DIRECTOR 1.00 59.00 X 0 603433 100941 WILLIAM HATHAWAY MD DIRECTOR 1.00 59.00 X 0 633388 120003 JAMES MAURIN DIRECTOR 1.00 X 0 0 0 TONY POTTS DIRECTOR 1.00 X 0 0 0 JACQUELINE MEDLAND CNO BEG MAR 2017 49.00 1.00 X X 0 0 0 JACKIE RING CNO THROUGH FEB 2017 49.00 1.00 X X 0 144586 12360 LENA COCHRAN REGIONAL DIRECTOR OF FINAN 19.00 20.00 X 0 146901 8626 ROBERT MEADE PHYSICIAN 40.00 X 0 390496 23471 DINO GRAZIANO PHYSICIAN 40.00 X 0 216899 3516 THOMAS LINDSAY PHYSICIAN 40.00 1.00 X 0 200385 11304 JAMES COTHRAN PHARMACIST 40.00 X 152924 0 13697 THOMAS COX PHARMACIST 40.00 X 123284 0 12178 276208 2781371 333802 7 0 1 0 HERITAGE HEALTHCARE INC 536 OLD HOWELL RD GREENVILLE SC 29615 MEDICAL SERVICES 548820 MORRISON MGMT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 316673 DESIGN STRATEGIES LLC 130 S MAIN ST GREENVILLE SC 29601 ARCHITECT/ENGINEERING SERVICES 296560 BARTON ASSOCIATES INC 300 JUBILEE DR PEABODY MA 01960 STAFFING SERVICES 179718 CROSS COUNTRY TRAVCORPS CORP PO BOX 404674 ATLANTA GA 30384 TRAVEL NURSES 167768 7 5780867 5780867 NET PATIENT REVENUE 621110 19949185 19949185 OTHER ANCILLARY INCOME 900099 162867 162867 20112052 1123 1123 102638 102638 0 500 0 500 500 500 25894542 20112052 0 1623 X 784135 784135 321190 160595 160595 5486770 4224813 1234523 27434 80290 61824 18065 401 804625 619561 181041 4023 415434 319884 93473 2077 301703 241362 60341 6380 6380 1701 1701 6336154 5892623 443531 28288 18387 9901 70879 42527 28352 100625 85531 15094 835058 709799 125259 49188 19675 29513 927 556 371 5364 5364 857552 857552 20095 20095 REPAIRS & MAINTENANCE 820849 697722 123127 MEDICAL SUPPLIES 671243 671243 PHARMACEUTICALS 636001 636001 EQUIPMENT EXPENSE 128070 128070 364878 310146 54732 19127399 16487370 2606094 33935 400 868190 286522 1920292 3168978 84724 94863 522647 525131 8600 20091458 4085513 12026392 16005945 4536166 5780557 19385743 26443664 1651257 922238 500000 1061867 2581664 3213124 3503902 X 16172619 22939762 16172619 22939762 19385743 26443664 6767143 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4758847 225000 97892 5081739 4679150 79697 4758847 4697224 20206 113420 4830850 4561204 54785 81235 4697224 4452260 368470 140474 4961204 0.92700 0.07300 0 1 0 1160240 1160240 10832695 1519090 9313605 4392998 397808 3995190 3562878 2074315 1488563 142647 94300 48347 16005945 DUE FROM RELATED PARTIES 5780557 5780557 ESTIMATED THIRD PARTY SETTLEMENTS 2581664 2581664 X PART X, LINE 2: 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 341797 341797 0.01790 2010115 3139094 0 0.00000 2351912 3139094 341797 0.01790 49076 49076 0.00260 49076 49076 0.00260 2400988 3139094 390873 0.02050 1 857680 8169258 7726774 442484 X 1 1 1 1 HIGHLANDS CASHIERS HOSPITAL 190 HOSPITAL DRIVE HIGHLANDS NC 28714 MISSIONHEALTH.ORG/MEMBER-HOSPITALS/HIG H0193 560509400 X X X X HIGHLANDS CASHIERS HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X SEE PART V - LINE D X SEE PART V - LINE D X X 1 16 1 SEE PART V - SECTION C 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X 1 X 0 X X X X 1 X 0 0 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 6 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 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 0 HIGHLANDS-CASHIERS HOSPITAL FOUNDATION INC PO BOX 190 HIGHLANDS NC 28741 561165833 501(C)(3) 781653 OPERATIONAL SUPPORT. 1 1 1 0 0 0 0 0 0 0 THOMAS DUNCAN DIRECTOR 0 224340 0 613 0 1426 0 6635 0 17952 0 250966 0 0 ROBERT BEDNAREK DIRECTOR 0 120334 0 85419 0 13151 0 2907 0 212 0 222023 0 0 KATHY GUYETTE DIRECTOR 0 381762 0 121907 0 99764 0 91928 0 9013 0 704374 0 93390 WILLIAM HATHAWAY MD DIRECTOR 0 406853 0 147564 0 78971 0 105831 0 14172 0 753391 0 28356 JACKIE RING CNO THROUGH FEB 2017 0 138409 0 0 0 6177 0 4229 0 8131 0 156946 0 0 LENA COCHRAN REGIONAL DIRECTOR OF FINAN 0 125503 0 21038 0 360 0 98 0 8528 0 155527 0 0 ROBERT MEADE PHYSICIAN 0 379810 0 8882 0 1804 0 7083 0 16388 0 413967 0 0 DINO GRAZIANO PHYSICIAN 0 215825 0 0 0 1074 0 0 0 3516 0 220415 0 0 THOMAS LINDSAY PHYSICIAN 0 176344 0 2452 0 21589 0 3317 0 7987 0 211689 0 0 JAMES COTHRAN PHARMACIST 137526 0 0 0 15398 0 4021 0 9676 0 166621 0 0 0 PART I, LINES 4A-B 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 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. ECKERD LIVING CENTER LLC 250 HOSPITAL DRIVE HIGHLANDS NC 28741 475383546 SKILLED NURSING FACILITY NC 405243 1941315 HIGHLANDS-CASHIERS HOSPITAL INC 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 N/A 0 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 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 N/A 0 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 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 DOGWOOD INSURANCE COMPANY LTD PO BOX 30600 GRAND CAYMAN CJ CAPTIVE INSURANCE ENTITY CJ N/A C 0 TRANSYLVANIA SERVICES INC 260 HOSPITAL DRIVE BREVARD NC 28712 561448199 REAL ESTATE NC N/A C 0 MISSION HEALTH PARTNERS INC 509 BILTMORE AVENUE ASHEVILLE NC 28801 465566095 CLINICALLY INTEGRATED NETWORK NC N/A C 0 HEALTHY STATE INC 509 BILTMORE AVENUE ASHEVILLE NC 28801 812108613 ADMINISTRATIVE NC N/A C 0 0 1 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 1 HIGHLANDS-CASHIERS PHYSICIAN SERVICES R 333024 FMV HIGHLANDS-CASHIERS PHYSICIAN SERVICES S 1274358 FMV