MOUNTAINCARE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MOUNTAINCARE INC (EIN 56-2005198)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-15
- IRS object ID
- 201832279349300928
- 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 C
- 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 | 562005198 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CAREPARTNERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 8282742400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 Ridgefield Court No 100 | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGORY DIXON | PersonNm |
| Person Title | VP Finance | PersonTitleTxt |
| Phone | 8282742400 | PhoneNum |
| Signature | 2018-08-14 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
| 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 | TRACY BUCHANAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 Ridgefield Court No 100 | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $103,923,355 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (1) | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://missionhealth.org/member-hospitals/carepa | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | HELPING PEOPLE LIVE FULLY THROUGH LIFE'S JOURNEY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1533 | TotalEmployeeCnt |
| Total Volunteers | 39 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,167,517 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,576,615 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $91,416,092 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $100,330,860 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$104,945 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,638 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $95,478,664 | PYTotalRevenueAmt |
| CY Total Revenue | $103,914,113 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,049 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,105 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $69,890,549 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $72,357,665 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,585,374 | PYOtherExpensesAmt |
| CY Other Expenses | $26,707,355 | CYOtherExpensesAmt |
| PY Total Expenses | $93,482,972 | PYTotalExpensesAmt |
| CY Total Expenses | $99,070,125 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,995,692 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,843,988 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $34,487,043 | TotalAssetsBOYAmt |
| Total Assets EOY | $36,577,391 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,226,929 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,473,289 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,260,114 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,104,102 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CarePartners is a regional nonprofit healthcare organization in western North Carolina providing post-acute services in Home Health, Adult Day, PACE, Inpatient and Outpatient Rehabilitation, Orthotics and Prosthetics, along with Hospice and Palliative care. CarePartners is dedicated to helping people live fully through life's journey. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $83,866,270 | ExpenseAmt |
| Grant | $5,105 | GrantAmt |
| Revenue | $100,330,860 | RevenueAmt |
| Desc | CarePartners Health Services, which recently received the Governor's Award of Performance Excellence in Healthcare, is a local, not-for-profit healthcare organization serving Western North Carolina. CarePartners provides quality health services across the full continuum of post-acute care in the following service areas: Rehabilitation Hospital, Home Health, Outpatient Rehabilitation, Hospice, Palliative Care, Adult Day, Private Duty and Orthotics & Prosthetics. With approximately 1,533 employees and XXX volunteers, CarePartners Health Services is dedicated to helping people of Western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging. CarePartners is a Mission Health affiliate. For more information, please visit carepartners.org The rehabilitation hospital is the only dedicated inpatient rehabilitation hospital in the region. The outpatient rehabilitation program has five outpatient clinics staffed by licensed physical and occupational therapists. The outpatient therapy program performed over 123,587 procedures during the year. The orthotics and prosthetics clinic provides comprehensive care and assistive devices for people living with amputation or disability. In 2017, the facility performed over 6,952 procedures. Industrial rehabilitation services provide specialized services and training to evaluate and reduce the risk of employee injuries and workmen's compensation claims.The Program of All-Inclusive Care for the Elderly ("PACE") provides community-based care and services to people who would otherwise need nursing home level of care. PACE provides all the care and services covered by Medicare and Medicaid, as authorized by the interdisciplinary team, as well as additional medically-necessary care and services not covered by Medicare and Medicaid. This program had over 30,878 adult days of care during the fiscal year.The Organization's Home Health services recently received a 5-star patient satisfaction rating from Home Health Consumer Assessment of Healthcare Providers and Systems. Home health and private duty nurses provide nursing, therapy, social work and personal care to patients throughout our region. Caregivers drive over a million miles each year to care for patients in the comfort of their homes, assisted living facilities and rest homes. The caregivers assist with a range of services including 24-hour nursing as well as everyday tasks like shopping and preparing meals. Skilled nurses as well as physical, occupational and speech-language therapists provide continuing care in your home. Private duty home services include skilled nursing and personal and companion care. There were over 140,615 home health visits. Private duty hours for the year were over 97,814.The Organization's hospice and palliative care program offers physical, emotional and spiritual support to patients with life-limiting or terminal illnesses. Homecare program totaled over 155,886 days. There were almost 2,374 palliative care visits during the year. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | We continue to serve as a clinical affiliation site for therapy and nursing students in the surrounding counties as well as the southeastern states. In addition, we provide opportunities for high school students to shadow at our facility and continue to participate in community activities such as stroke screenings, oversight of support groups, and community organized events to raise money for community programs. We enhanced our volunteer program offering more recreational activities for our patients and administrative support for our staff. We continue to offer specialized programs to our patients such as vestibular therapy, lymphedema therapy, wheelchair seating, and pool therapy. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Hospice: Bereavement programs and our volunteer programs at all three locations began sharing practices. We use same mailing, offer unique counseling session for all our hospice families. These programs are offered to hospice families and to our larger community.Palliative Care: The Supportive and Palliative Care program continued to refine and focus its services in FY17. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Home Health: As western North Carolina continues to have one of the fastest growing elderly populations in the country, our Home Health program expanded to meet the demand for in-home services. During this year, the program provided over 163,000 vhome health visits. Our Home Health program serves a wide spectrum of our community needs, ranging from neonatal abstinence to joint replacement to strokes to complicated surgical wounds to our chronic disease population. The unique needs of our patient population require a staff of generalists and specialists, and this year staff continued to receive a wide variety of clinical training to ensure these needs are met. Working with our regional tertiary hospital, Mission Hospital, Mission clinical specialist and our home care educators we trained our home based staff and increased our competencies to work with our diabetic patients. We used consistent tools in educating patients from inpatient setting to home. The most significant work focused on a smooth transition of our Transylvania and Angel home care programs to CarePartners. Our initial efforts were to move to Joint Commission. This change centered our efforts on standardizing our policies and practice. We began standardizing clinical work, moving to common EMR, and common post-acute policy and procedures. We replicated our joint replacement home care pathways to these two programs. The area orthopedist supported the change; all nurses and therapist were on-board to new practice. We consolidated our performance improvement efforts. Staff from all sites were trained in LEAN principles by Mission engineer. We selected common patient outcomes to attend and shared agency best practices. The entire CarePartners clinical and administrative team remains patient focused, as demonstrated by the continued improvement in our patient outcome scores and patient satisfaction scores. Adult Day: In 2016, Adult Day Services provided over 29,700 days of care compared with over 7,300 in the prior year due to expansion of the programPrivate Duty: During FY16, our private duty program provided services throughout Buncombe and Henderson County to clients ranging from 3 hours to 24 hours care, seven days a week. Over 98,000 hours of private duty care were provided. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $83,866,270 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| 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 |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1533 | 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 | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | MISSION FINANCE DEPARTMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8282577004 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 RIDGEFIELD CT SUITE 100 | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 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 |
|---|---|---|---|---|---|---|---|---|
| Tracy Buchanan | ||||||||
| President/CEO | 60.00 | Yes (X) | Yes (X) | $0 | $391,929 | $67,355 | ||
| Jeff Gould | ||||||||
| Chair | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Larry Harris | ||||||||
| Vice-Chair | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Brady Blackburn | ||||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| K Ray Bailey | ||||||||
| Treasurer | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Charles Campbell | ||||||||
| Immediate Past Chair | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Ruth Zyry | ||||||||
| Director | 1.00 | Yes (X) | $0 | $357,559 | $55,689 | 59.00 | ||
| Sharon Hathaway MD | ||||||||
| Director | 1.00 | Yes (X) | $0 | $236,583 | $20,187 | 40.00 | ||
| Jill Hoggard-Green PhD | ||||||||
| Director | 1.00 | Yes (X) | $0 | $890,724 | $167,269 | 59.00 | ||
| Eileen Hutchison | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Trent McCain MD | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Linda Moore | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Joel B Rosenberg MD | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Robby Russell | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | 3.00 | ||
| Myron W Smith III MD | ||||||||
| Director | 1.00 | Yes (X) | $0 | $369,781 | $15,047 | 40.00 | ||
| Pamela Turner | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Katherine E Volatile MD | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephen D West | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| William Lewin | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Gregg Dixon | ||||||||
| Chief Financial Officer | 50.00 | Yes (X) | $0 | $241,039 | $36,512 | |||
| Michael Parmer DO | ||||||||
| Chief Medical Officer | 40.00 | Yes (X) | $313,121 | $0 | $25,004 | |||
| Cathleen Adams | ||||||||
| Chief Nursing Officer | 50.00 | Yes (X) | $223,587 | $0 | $15,494 | |||
| Edgardo Diez | ||||||||
| Physician | 40.00 | $339,882 | $0 | $25,812 | Yes (X) | |||
| Christopher Min | ||||||||
| Physician | 40.00 | $265,783 | $0 | $18,006 | Yes (X) | |||
| John Langlois | ||||||||
| Physician | 40.00 | $197,807 | $0 | $19,826 | Yes (X) | |||
| Joy DeGuzman | ||||||||
| Physician | 40.00 | $260,812 | $0 | $28,291 | Yes (X) | |||
| Amy Cohen | ||||||||
| Physician | 40.00 | $196,917 | $0 | $13,319 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,797,909 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,487,615 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $507,811 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $94,080 | FederatedCampaignsAmt |
| Related Organizations | $265,405 | RelatedOrganizationsAmt |
| Government Grants | $63,370 | GovernmentGrantsAmt |
| All Other Contributions | $3,153,760 | AllOtherContributionsAmt |
| Total Contributions | $3,576,615 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROGRAM SERVICE FEES | 621110 | $93,984,622 | $93,984,622 |
| Services to Affiliates | 621110 | $3,130,246 | $3,130,246 |
| OTHER OPERATING INCOME | 621110 | $2,811,820 | $2,811,820 |
| INVESTMENT IN ASH HOSP | 621110 | $404,172 | $404,172 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $100,330,860 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,830 | TotalRevenueColumnAmt |
| Exclusion | $13,830 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,050 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,242 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$7,192 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,192 | TotalRevenueColumnAmt |
| Exclusion | -$7,192 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,914,113 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $100,330,860 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,638 | 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 | $5,105 | TotalAmt |
| Program Services | $5,105 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,414,297 | TotalAmt |
| Management And General | $1,414,297 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,307,096 | TotalAmt |
| Program Services | $51,523,630 | ProgramServicesAmt |
| Management And General | $6,783,466 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $971,513 | TotalAmt |
| Program Services | $858,487 | ProgramServicesAmt |
| Management And General | $113,026 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,238,513 | TotalAmt |
| Program Services | $6,396,382 | ProgramServicesAmt |
| Management And General | $842,131 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,426,246 | TotalAmt |
| Program Services | $3,911,295 | ProgramServicesAmt |
| Management And General | $514,951 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $733,750 | TotalAmt |
| Management And General | $733,750 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,498,543 | TotalAmt |
| Management And General | $1,498,543 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,238 | TotalAmt |
| Management And General | $3,238 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,035,821 | TotalAmt |
| Program Services | $8,682,315 | ProgramServicesAmt |
| Management And General | $1,353,506 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,928 | TotalAmt |
| Program Services | $35,408 | ProgramServicesAmt |
| Management And General | $5,520 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $873,384 | TotalAmt |
| Program Services | $755,593 | ProgramServicesAmt |
| Management And General | $117,791 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $802,790 | TotalAmt |
| Program Services | $694,520 | ProgramServicesAmt |
| Management And General | $108,270 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,332,140 | TotalAmt |
| Program Services | $3,747,875 | ProgramServicesAmt |
| Management And General | $584,265 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $959,387 | TotalAmt |
| Program Services | $829,997 | ProgramServicesAmt |
| Management And General | $129,390 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,622,667 | TotalAmt |
| Program Services | $1,403,822 | ProgramServicesAmt |
| Management And General | $218,845 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,433 | TotalAmt |
| Program Services | $92,079 | ProgramServicesAmt |
| Management And General | $14,354 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $4,936,162 | $4,270,434 | $665,728 |
| Other | $762,112 | $659,328 | $102,784 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,070,125 | TotalAmt |
| Program Services | $83,866,270 | ProgramServicesAmt |
| Management And General | $15,203,855 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,912,432 | BOYAmt |
| EOY | $7,510,583 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,733,182 | BOYAmt |
| EOY | $19,322,211 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,403 | BOYAmt |
| EOY | $201,277 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,885 | BOYAmt |
| EOY | $348,407 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,241,870 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,024,232 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,842,038 | BOYAmt |
| EOY | $7,217,638 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,573,103 | BOYAmt |
| EOY | $1,977,275 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,487,043 | BOYAmt |
| EOY | $36,577,391 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,889,962 | BOYAmt |
| EOY | $8,481,526 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,702 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,068,265 | BOYAmt |
| EOY | $1,991,763 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,226,929 | BOYAmt |
| EOY | $10,473,289 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,941,679 | BOYAmt |
| EOY | $25,785,667 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,435 | BOYAmt |
| EOY | $318,435 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,260,114 | BOYAmt |
| EOY | $26,104,102 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,487,043 | BOYAmt |
| EOY | $36,577,391 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,843,988 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,319,679 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,167,816 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,872,321 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,167,517 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,408,137 | CurrentTaxYearAmt |
| Total | $17,935,470 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $76,134,415 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $79,980,081 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $82,621,284 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $91,416,092 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $100,499,338 | CurrentTaxYearAmt |
| Total | $430,651,210 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $165,182 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $177,230 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $342,412 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,619,276 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $83,325,127 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $86,493,605 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,583,609 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $103,907,475 | CurrentTaxYearAmt |
| Total | $448,929,092 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $448,929,092 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $117,031 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $266,021 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,830 | CurrentTaxYearAmt |
| Total | $396,882 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $117,031 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $266,021 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | $13,830 | CurrentTaxYearAmt |
| Total | $396,882 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,736,307 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $83,591,148 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $86,493,605 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,583,609 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $103,921,305 | CurrentTaxYearAmt |
| Total | $449,325,974 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99910 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99880 | PublicSupportPY509Pct |
| Investment Income CY | 0.00090 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00120 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $4,542 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,542 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The Organization pays annual dues to the Association for Home and Hospice Care of North Carolina. 21% of the dues are used for lobbying expenditures. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $318,435 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $15,571 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,571 | GrantsOrScholarshipsAmt |
| End Year Balance | $318,435 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $315,290 | BeginningYearBalanceAmt |
| Contributions | $3,145 | ContributionsAmt |
| Investment Earnings Or Losses | $15,442 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,442 | GrantsOrScholarshipsAmt |
| End Year Balance | $318,435 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $314,542 | BeginningYearBalanceAmt |
| Contributions | $748 | ContributionsAmt |
| Investment Earnings Or Losses | $15,332 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,332 | GrantsOrScholarshipsAmt |
| End Year Balance | $315,290 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $312,742 | BeginningYearBalanceAmt |
| Contributions | $1,800 | ContributionsAmt |
| Investment Earnings Or Losses | $15,293 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,293 | GrantsOrScholarshipsAmt |
| End Year Balance | $314,542 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $327,087 | BeginningYearBalanceAmt |
| Contributions | $880 | ContributionsAmt |
| Investment Earnings Or Losses | $15,250 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $30,475 | GrantsOrScholarshipsAmt |
| End Year Balance | $312,742 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,982,849 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,630,951 | DepreciationAmt |
| Book Value | $5,351,898 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,850,878 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,976,794 | DepreciationAmt |
| Book Value | $874,084 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,408,143 | OtherCostOrOtherBasisAmt |
| Depreciation | $416,487 | DepreciationAmt |
| Book Value | $991,656 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,217,638 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN ADVANCED SERVICES | $500,000 | C |
| INVESTMENT IN ASHEVILLE SPECIALTY HOSPITAL | $1,477,275 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $1,977,275 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates and other | $826,952 |
| Other Reserves | $1,164,811 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,991,763 | 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 | 0 | ExpensesExceedBudgetInd |
| 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 | $100,129 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,129 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,133,061 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,932,218 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,200,843 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01210 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,295 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,723 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,572 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,258,485 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,951,941 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,306,544 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01320 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,243 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,243 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,512,047 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $306,973 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,205,074 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01220 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $471,465 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $471,465 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,083,755 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $306,973 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,776,782 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01800 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,342,240 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,258,914 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,083,326 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $678,843 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $49,970,864 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $49,792,203 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $178,661 | 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 | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|
| COMMUNITY CAREPARTNERS INC | ||||||||
| 1 | 68 SWEETEN CREEK RD | ASHEVILLE | NC | 28803 | http://www.carepartners.org/ | H0081 | Yes (X) | REHAB, OUTPATIENT, HOSPICE |
| Asheville Specialty Hospital | ||||||||
| 2 | 428 BILTMORE AVENUE 4TH FLOOR | ASHEVILLE | NC | 28801 | http://www.ashltch.com/ | H0279 | Yes (X) | LONG TERM ACUTE CARE HOSPITAL |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Other MethodOtherMethodInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Other PublicityOtherPublicityInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY CAREPARTNERS INC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | See explanation at 7d | Yes (X) | Yes (X) | Yes (1) | 16 | Yes (1) | See Schedule H Part VI | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V Section C | Yes (X) | See Part V Section C | Yes (X) | See Part V Section C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |
| Asheville Specialty Hospital | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | See explanation at 7d | Yes (X) | Yes (X) | Yes (1) | 16 | Yes (1) | See Part V, Section C | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V Section C | Yes (X) | See Part V Section C | Yes (X) | See Part V Section C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) |
Supplemental Information SupplementalInformationGrp (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COMMUNITY CAREPARTNERS, INC. | Part V, Section B, Line 5: Including input from the community is an important element of the community health assessment process. The following primary data (collected directly from community members via surveys or focus groups) was reviewed. You will note icons for each data type. The same icons appear throughout this document as each data type is referenced.Results from Primary Survey of 300 Buncombe County residents done by Professional Research Consultants, Inc. (PRC) as part of the WNC Healthy Impact Partnership. The same survey was done of 200 residents of partnering counties for comparison.Electronic survey of 43 local community leaders across Buncombe County who have leadership roles in community health, businesses, social service, mental health and healthcare organizations. This survey was also done by PRC and so was done in many other western NC counties.Locally compiled electronic surveys collected from 60 community health partners currently working within agencies in Buncombe County to understand what they see as their clients greatest health concerns and challenges.Survey data from 400 older adults completed through The Area Council on Aging, Aging Planning Consortium to gather information on healthy lifestyles.Women and Children s Safety Coalition s Intimate Partner Violence Victim Focus Group results that gathered input from women experiencing intimate partner violence to help improve the system.Survey data from residents of a local public housing community asking about their biggest health concerns and challenges.Responses from pregnant and parenting women in our community who were asked, What are the main issues impacting your health and pregnancy? as part of the Community Centered Health Home Project through MAHEC. In addition, results from the Photovoice Project conducted by Positive Parenting Program and Buncombe Partnership for Children that captured the voice of pregnant and parenting women through their photos and stories to better understand the challenges and needs facing these women.In addition to the WNC Healthy Impact s Core Data Set, Buncombe County CHIP Data Team reviewed many additional secondary (already existing) data sources including:Smoky Mountain Local Management Entities 2015 Provider Capacity, Community Needs Assessment and Gap Analysis for 2013-2014,The Homelessness Count,Department of Social Services Regional Data Report,MAHEC's Community Centered Health Home Epidemiology Report,NC Center for Health Statistics Data on Adverse Childhood Experiences in NC.The CHIP Data Team (made up of representatives from BCHHS, Mission Hospital, MAHEC and NC Center for Health & Wellness) reviewed and prioritized key data concerns identified that were also community concerns voiced in the surveys and focus groups. Results of the data review were shared with the CHIP Advisory, which provides leadership for our CHIP. The Advisory Board's 30+ community leaders prioritized the health concerns and recommended the top four health priorities. Partners and stakeholders will come together around the priorities to gather input on what is currently happening, gaps and additional opportunities to better address the issues. |
| Asheville Specialty Hospital | Part V, Section B, Line 5: Throughout the collaborative health needs assessment process in our community, input was obtained in a number of ways. Community input in Buncombe County is led by the Buncombe County Community Health Improvement Process (CHIP) Advisory Board, comprised of 30+ community leaders who collectively lead and guide the process, including prioritizing health concerns and recommending top priorities.Community input in Madison County is coordinated through the Madison Community Health Consortium, which has been working to improve health in Madison County since 1989. The Consortium works with community agencies and groups throughout the needs assessment process, and currently has more than 50 members representing 25 community organizations.Further information about community engagement can be found in the Local Community Health Assessments which can be found at each county's website. Our collaborative health needs assessment process solicited and took into account input from the following:Public Health DepartmentIn the collaborative assessment process for our community, the Buncombe County Department of Health and Human Services, and the Madison County Health Department are key partners. The Health Departments provided coordination for the local process that Mission Hospital and CarePartners help to support and implement.Medically underserved, low-income, and minority populationsOur process included input regarding the needs of medically underserved, low-income, and minority populations in two ways. (1) As part of our collaborative data collection effort, a community-wide telephone survey was conducted to better understand the specific health needs and status of all of the community, which includes these special populations. (2) In addition, a survey of key informants was conducted to gain input from the individuals and organizations in our community representing the interests of these populations in their local efforts.Written CommentsThrough our partners at Mission Hospital and CarePartners, our facility also considers any written comments received since the last CHNA and implementation strategy. Mission Hospital maintains public access to its CHNA and implementation strategy on its website, and accepts comments through the Community Investment office. |
| COMMUNITY CAREPARTNERS, INC. | Part V, Section B, Line 6a: Mission Hospital, Inc. |
| Asheville Specialty Hospital | Part V, Section B, Line 6a: MISSION HOSPITAL, INC. and Community CarePartners, Inc. |
| COMMUNITY CAREPARTNERS, INC. | Part V, Section B, Line 6b: Buncombe County Department of HealthWNC Healthy ImpactMountain Area Health Education Center (MAHEC) |
| Asheville Specialty Hospital | Part V, Section B, Line 6b: Buncombe County Health and Human ServicesMountain Area Health Education Center (MAHEC)WNC Healthy ImpactMadison County Health Department |
| COMMUNITY CAREPARTNERS, INC. | Part V, Section B, Line 7d: Because the 990 does not contain space for the link to the CHA, the addresses are listed below for 7a and 7b7a website - The Organization's website:https://missionhealth.org/wp-content/uploads/2018/04/Buncombe-County-CHA-2015.pdf |
| Asheville Specialty Hospital | Part V, Section B, Line 7d: 7a website - The Organization's website:https://missionhealth.org/wp-content/uploads/2018/07/FINAL-Asheville-Specialty-Hospital-CHNA-Summary.pdf |
| COMMUNITY CAREPARTNERS, INC. | Part V, Section B, Line 11: Priority Health Issue #1: Obesity and Chronic Disease PreventionThe organization will provide health education opportunities and health services that help individuals manage/prevent chronic diseases and maintain a healthy weight. Description of Activities - As a post-acute care provider, CarePartners primarily serves individuals who are recovering from an acute episode related to a chronic condition. Our clinical expertise is in preventing chronic diseases from getting worse and preventing the development of a secondary or tertiary condition. The following programs are part of CarePartners: Mindful Living Education Series - Year-round educational classes on SMART Goals and chronic disease therapy Outpatient Clinic offers balance screenings and rehabilitation therapy.The Organization will also work through partner agencies promote increased physical activity in our community. Description of Activities: CarePartners PACE will partner with YMCA to offer low cost exercise classes to individuals with Parkinson's or any other movement disorders. In addition other movement programs will be offered to the community at various Organization locations. Priority Health Issue #2: Mental Health and Substance AbuseThe Organization will support vulnerable individuals and families through free and low cost bereavement and mental health counselling. Description of Activities - The Organization offers bereavement services to all who are experiencing mental health issues as related to the death of a loved one. Ability to pay is not a consideration to receive support. Priority Health Issue #3: Infant MortalityThe Organization will grow and strengthen the program for infants with neonatal withdrawal syndrome (NWS) and continue to increase the intervention and treatment for vulnerable babies suffering from NWS and families who are returning home. Needs Not Addressed in This PlanThough we recognize that each community health need identified by the community is important, for the reasons described below, our hospital facility will not have a specific role in the implementation of strategies to address the following issues:Intimate Partner ViolenceIntimate partner violence is not a clinical core competency of CarePartners and the hospital does not necessarily have the expertise or resources to address this need directly. As an affiliate of Mission Health, Mission Hospital has more resources and experts to address this community need.Substance AbuseSubstance abuse is not a clinical core competency of CarePartners and the hospital does not necessarily have the expertise or resources to address this need directly. As an affiliate ofMission Health, Mission Hospital has more resources and experts to address this community need. |
| Asheville Specialty Hospital | Part V, Section B, Line 11: Asheville Specialty Hospital (ASH) is connected to community outreach beyond the limited scope of its clinical services through its affiliation with Mission Health and Carepartners. Typical of long-term, acute care facilities, ASH engages in minimal community outreach and education.Obesity & Chronic Disease Prevention and Healthy Weight needs are addressed through the Clinical Dietician on staff for routine patient care, and rounds with a multi-disciplinary team four days a week in addition to providing services seven days per week. Nutrition assessment administered to every patient within 72 hours of admission. Discharge Planners/Case Managers refer patients to community resources to ensure support at discharge or next level of care.Mental Health and Substance Abuse are addressed as nearly 15% of ASH patients at any given time are patients referred for medical treatment support due to identified IV drug use. ASH provides monitoring while patients receive IV antibiotics. ASH works closely with licensed clinical social workers to screen and support these patients through their treatment and identified appropriate services upon discharge. Patients are connected with local primary care providers as part of discharge planning to ensure their care continues.Due to ASH's limited scope of services, and the resources provided through affiliation with Mission Health and CarePartners, which are better equipped to support community efforts, ASH does not have a specific role in addressing Intimate Partner Violence or Infant Mortality. Intimate Partner Violence and Infant Mortality are addressed by community partners in Buncombe County, as well as hospital implementation strategies by Mission Hospital and CarePartners. |
| COMMUNITY CAREPARTNERS, INC. | Part V, Section B, Line 15e: The Organization's staff will 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. |
| Asheville Specialty 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. |
| Asheville Specialty Hospital | Part V, Section B, Line 16j: EVERY PATIENT RECEIVES THE POLICY AS PART OF THE PATIENT CONSENT TO TREATMENT AND FINANCIAL AUTHORIZATION FORM. |
| Schedule H, Part V, question 10a, all facilities | THE WEBSITE FOR THE IMPLEMENTATION STRATEGY ADOPTED IN NOVEMBER 2017TRUNCATES ON THE SCHEDULE H FORM, SO THE ADDRESSES ARE LISTED BELOW:Community CarePartners, Inc.: https://missionhealth.org/wp-content/uploads/2018/04/2016-CarePartners-Implementation-Strategy.pdfAsheville Specialty Hospital:HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/04/2017-ASHEVILLE-SPECIALTY-HOSPITALIMPLEMENTATION-STRATEGY.PDF |
| Part V, Section B, Line 16a, 16b and 16c all facilities | 16A FAP WEBSITE:HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/05/FINASSDISCOUNT_POLICY_04.PDF16B: FAP APPLICATION FORM:HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/05/PATIENT_FINANCIAL_ASSISTANCE_PAGE.PDF16C: PLAIN LANGUAGE SUMMARY:HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/03/FINASSISTPLAIN_LANGUAGE_SUMMARY_4.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 18 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - CAREPARTNERS OUTPATIENT NORTH CLINIC | |||||
| 40 N Merrimon Avenue Ste 115 | ASHEVILLE | NC | 28804 | OUTPATIENT CLINIC | |
| 2 - CAREPARTNERS OUTPATIENT SOUTH CLINIC | |||||
| 3 TOWN SQUARE BLVD | ASHEVILLE | NC | 28803 | OUTPATIENT CLINIC | |
| 3 - CAREPARTNERS OUTPATIENT WEST CLINIC | |||||
| 1388 SAND HILL RD STE 210 | CANDLER | NC | 28715 | OUTPATIENT CLINIC | |
| 4 - ORTHOTICS & PROSTHETICS CLINIC - ASH | |||||
| 1 DOCTORS DRIVE | ASHEVILLE | NC | 28801 | ORTHOTICS AND PROSTHETICS CLINIC | |
| 5 - CarePartners Home Care and Hospice | |||||
| 170 CHURCH STREET | FRANKLIN | NC | 28734 | HOME CARE AND HOSPICE | |
| 6 - CarePartners Home Care and Hospice | |||||
| 1266 ASHEVILLE HWY STE B | BREVARD | NC | 28712 | HOME CARE AND HOSPICE | |
| 7 - CAREPARTNERS OUTPATIENT | |||||
| SECU CANCER CENTER 21 Hospital | ASHEVILLE | NC | 28801 | OUTPATIENT REHABILITATION SERVICES | Drive |
| 8 - CAREPARTNERS OUTPATIENT MAIN CAMPUS | |||||
| 68 SWEETEN CREEK ROAD | ASHEVILLE | NC | 28803 | OUTPATIENT REHABILITATION SERVICES | |
| 9 - CAREPARTNERS BILTMORE CLINIC | |||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | OUTPATIENT REHABILITATION SERVICES | |
| 10 - CAREPARTNERS OUTPATIENT | |||||
| UNCAJusticeCenterOneUniversityHeigh | ASHEVILLE | NC | 28804 | OUTPATIENT REHABILITATION SERVICES | s |
| 11 - CAREPARTNERS HOME HEALTH SERVICES | |||||
| 95 FRANCIS ROAD | HENDERSONVILLE | NC | 28792 | HOME HEALTH SERVICES | |
| 12 - CAREPARTNERS HOME HEALTH SERVICES | |||||
| 88 WAYNESVILLE PLAZA | WAYNESVILLE | NC | 28786 | HOME HEALTH SERVICES | |
| 13 - CAREPARTNERS ADULT DAY CARE | |||||
| 114 College Drive | Flat Rock | NC | 28731 | ADULT DAY SERVICES | |
| 14 - TRANSYLVANIA ADULT DAY CARE | |||||
| 23 Medical Park Circle | BREVARD | NC | 28712 | ADULT DAY SERVICES | |
| 15 - CAREPARTNERS ADULT DAY CARE | |||||
| 68-A SweetEN CREEK ROAD | ASHEVILLE | NC | 28803 | ADULT DAY SERVICES | |
| 16 - CarePartners Home Care and Hospice | |||||
| 575 Airport Road | Marion | NC | 28752 | HOME CARE AND HOSPICE | |
| 17 - Hope Women's Cancer Center | |||||
| 100 Ridgefield Court | ASHEVILLE | NC | 28806 | OUTPATIENT REHABILITATION SERVICES | |
| 18 - OutpatientRehab atAsheville Orthopaedics | |||||
| 310 Long Shoals Road | Arden | NC | 28704 | OUTPATIENT REHABILITATION SERVICES | |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | WORKSHEET 2 OF THE 2015 SCHEDULE H INSTRUCTIONS WAS USED TO DERIVE A COST-TO-CHARGES RATIO THAT THE ORGANIZATION USED TO COMPUTE COMMUNITY BENEFIT EXPENSES AT COST FOR LINES 7(A) AND 7(B). |
| PART V, SECTION B, LINE 20 - all facilities | Accounts for elective and not medically necessary services are not eligible for financial assistance discounts. Some examples of these services include, but are not limited to: Cosmetic procedures and surgery Food Products SupplementsOther services that are not eligible for financial assistance discounts include: Prosthetics and Orthotics Adult Day Care Private Duty Nursing Hospice Transitional Care Driving Evaluations Outpatient rehab services beyond the Medicaid treatment guidelines for patients with Medicaid and uninsured patients. Weight Management Center Program Fees |
| Part III, Line 2: | A ratio of cost to charges is applied to derive bad debt expense at cost. |
| Part III, Line 4: | Per the footnotes to the consolidated financial statements in which Community CarePartners, Inc. is included: "Costs of services associated with uncollectible accounts are estimated at $38,924,000 and $40,248,000 for September 30, 2017 and 2016, respectively." Above numbers are for the entire health system which includes the bad debt for Community CarePartners, Inc. and Asheville Specialty Hospital.The above estimates were developed using the methodology adopted by the North Carolina Hospital Association in 2006 for such costs, including information from Mission's cost reporting systems used to support its related filings with the Medicare and Medicaid programs. |
| 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: "MISSIONWILL 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: | THE ORGANIZATION'S FACILITY ASHEVILLE SPECIALTY HOSPITAL IS PART OF MISSION HEALTH SYSTEM (MISSION HEALTH). THE SYSTEM'S APPROACH TO ASSESSING COMMUNITY HEALTH IS DESCRIBED BELOW.WESTERN NORTH CAROLINA IS HOME TO A UNIQUE COLLABORATION BETWEEN HOSPITALS AND HEALTH DEPARTMENTS WORKING TOGETHER TO IDENTIFY HEALTH NEEDS AND IMPROVE HEALTH. TOGETHER, MISSION HEALTH AND OTHER HOSPITALS AND HEALTH DEPARTMENTS IN THE REGION CONDUCT COMMUNITY HEALTH ASSESSMENTS EVERY THREE (3) YEARS TO DETERMINE THE GREATEST HEALTH NEEDS IN THE COMMUNITIES WE SERVE.MISSION HEALTH'S HOSPITAL FACILITIES SERVE 18 COUNTIES IN WESTERN NORTH CAROLINA, WITH SEVEN (7) OF THOSE COUNTIES INCLUDED IN OUR PRIMARY SERVICE AREAS. REPRESENTATIVES FROM EACH HOSPITAL PARTNER WITH LOCAL HEALTH DEPARTMENTS IN THEIR PRIMARY SERVICE COUNTIES AND WITH WNC HEALTHY IMPACT TO ASSESS AND PRIORITIZE COMMUNITY HEALTH NEEDS, AND PLAN TO ADDRESS THEM.HOW WE PLAN TO ADDRESS COMMUNITY HEALTH NEEDSIN THE COMMUNITY HEALTH ASSESSMENT PROCESS, HOSPITALS AND HEALTH DEPARTMENTS PRODUCE PARALLEL REPORTS DETAILING HOW THE COMMUNITY HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED, AND EACH ENTITY'S STRATEGY FOR ADDRESSING THE IDENTIFIED NEEDS. THESE REPORTS ARE MADE PUBLICLY AVAILABLE BY EACH ENTITY (MISSION HEALTH FACILITY REPORTS ARE LISTED BELOW).REPORTS PRODUCED BY EACH HOSPITAL:COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EXECUTIVE SUMMARYHOSPITAL IMPLEMENTATION STRATEGYREPORTS PRODUCED BY EACH COUNTY HEALTH DEPARTMENT:COMMUNITY HEALTH ASSESSMENT (CHA)COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)HEALTH PRIORITIES AND REPORTSCOMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE FACILITY-SPECIFIC AND UNIQUE TO THE COMMUNITIES SERVED BY EACH HOSPITAL. IMPLEMENTATION STRATEGIES ARE BASED ON COLLABORATIVE PLANNING, AND OUTLINE THE WAYS EACH HOSPITAL WILL SUPPORT SPECIFIC EFFORTS TO ADDRESS THE IDENTIFIED HEALTH NEEDS AS PART OF A COMMUNITY-WIDE PLAN.ASHEVILLE SPECIALTY HOSPITAL'S ABILITY TO ADDRESS ACCESS TO CARE AS A LONG-TERM ACUTE FACILITY THAT PROVIDES ACCESS TO HEALTHCARE FOR ALL THOSE WHO NEED LONG-TERM ACUTE CARE IS AN IMPORTANT RESOURCE IN ADDRESSING THE COMMUNITY'S NEEDS. NEEDS OTHER THAN THIS ARE ADDRESSED BY ORGANIZATIONS IN THE COMMUNITY AS WELL AS THROUGH ITS RELATIONSHIPS WITH MISSION HOSPITAL, INC. AND COMMUNITY CAREPARTNERS. |
| Part VI, Line 3: | Mission Health's website contains detailed information and various pamphlets and signs are available and prominently displayed in waiting areas. Bills for services contain information about financial assistance and patients who call are also informed of financial assistance available.Every patient is provided a copy of the financial assistance policy as part of the consent to treatment and financial authorization form. |
| Part VI, Line 4: | Mission Hospital is the flagship hospital for Mission Health System, serving 18 counties in the Western North Carolina region. Mission Hospital primarily serves Buncombe and Madison Counties, however, as the facility with the region s only dedicated Level II trauma center, Mission Hospital routinely serves residents of all 18 counties.CarePartners is the primary post-acute care provider in WNC serving 15 counties, and is CarePartners is an affiliate of Mission Health System. CarePartners s provides the following services in Buncombe County, Rehabilitation Hospital, Home Health, Hospice, Adult Day, Outpatient Rehabilitation, Private Duty, Orthotics and Prosthetics, and PACE (Program of All-inclusive Care for the Elderly)Descriptions of the geographic areas served Buncombe and Madison Counties can be found in the respective Community Health Assessments for those counties. |
| Part VI, Line 5: | Mission Health System has an open medical staff, a community board and uses its surplus funds to invest in the community through investments in facilities and equipment for patient care and direct donations to community organizations to promote the health of the community.Asheville Specialty Hospital is a licensed long term acute care hospital situated within Mission Hospital. Asheville Specialty Hospital and Mission Hospital are both part of the Mission Health System group of affiliated entities. Promotion of community health is handled by Mission Hospital. |
| Part VI, Line 6: | Mission Health System, Inc. is the parent organization for the charitable organizations of Mission Hospital, Inc.; Mission Healthcare Foundation, Inc.; Mission Medical Associates, Inc; Blue Ridge Regional Hospital, Inc. The McDowell Hospital, Inc. Angel Medical Center, Inc.; Transylvania Community Hospital, Inc. Highlands-Cashiers Hospital, Inc. and Community CarePartners, Inc.The System's mission is to operate an integrated health care system for the benefit of the residents of Western North Carolina. Mission Hospital, Inc. is a regional integrated health facility providing superior care and service to patients and their families through a full continuum of integrated services, education, and research. It serves as a trauma center to people of Western North Carolina and the surrounding counties. Mission Medical Associates' mission is to provide physician services in predominantly rural areas that are insufficiently served, thereby improving the health care of the general public. In many cases this involves recruiting and placing primary care physicians, as well as pediatric and adult specialty services close to where people live and work.Blue Ridge Regional Hospital serves as a community hospital in Mitchell, Yancey and surrounding counties.The McDowell Hospital serves as a community hospital in McDowell and the surrounding counties.Mission Health System Foundation, Inc. supports the mission and programs of Mission Hospital, Inc. and Mission Health System, Inc. and of other organizations that are tax exempt under the provisions of Section 501(c)(3) of the Internal Revenue Code and works to benefit the community and region served by the entities listed above.Angel Medical Center, Inc. serves as a community hospital in Macon and surrounding counties.Transylvania Community Hospital, Inc. serves as a community hospital in Transylvania and surrounding counties.Highlands-Cashiers Hospital, Inc. serves as a community hospital for Jackson and Macon and surrounding counties.Community CarePartners, Inc. operates an inpatient facility for acute rehabilitation located in Asheville, North Carolina, and provides a wide variety of post-acute care services to residents of western North Carolina, including rehabilitation, home health, adult care, and hospice and palliative care.MSJHS and CCP Joint Development Company dba Asheville Specialty hospital operates an inpatient facility for long-term acute care. |
| Part VI, Line 7, Reports Filed With States | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tracy Buchanan | ||||||||||||||
| President/CEO | $0 | $291,729 | $0 | $97,728 | $0 | $2,472 | $0 | $53,488 | $0 | $13,867 | $0 | $459,284 | $0 | $0 |
| Ruth Zyry | ||||||||||||||
| Director | $0 | $270,574 | $0 | $86,063 | $0 | $922 | $0 | $41,541 | $0 | $14,148 | $0 | $413,248 | $0 | $0 |
| Sharon Hathaway MD | ||||||||||||||
| Director | $0 | $218,757 | $0 | $16,911 | $0 | $915 | $0 | $8,912 | $0 | $11,275 | $0 | $256,770 | $0 | $0 |
| Jill Hoggard-Green PhD | ||||||||||||||
| Director | $0 | $592,025 | $0 | $194,179 | $0 | $104,520 | $0 | $149,718 | $0 | $17,551 | $0 | $1,057,993 | $0 | $96,226 |
| Myron W Smith III MD | ||||||||||||||
| Director | $0 | $359,939 | $0 | $0 | $0 | $9,842 | $0 | $0 | $0 | $15,047 | $0 | $384,828 | $0 | $0 |
| Gregg Dixon | ||||||||||||||
| Chief Financial Officer | $0 | $189,131 | $0 | $50,376 | $0 | $1,532 | $0 | $26,592 | $0 | $9,920 | $0 | $277,551 | $0 | $0 |
| Michael Parmer DO | ||||||||||||||
| Chief Medical Officer | $262,586 | $0 | $44,130 | $0 | $6,405 | $0 | $7,418 | $0 | $17,586 | $0 | $338,125 | $0 | $0 | $0 |
| Cathleen Adams | ||||||||||||||
| Chief Nursing Officer | $191,381 | $0 | $31,809 | $0 | $397 | $0 | $5,795 | $0 | $9,699 | $0 | $239,081 | $0 | $0 | $0 |
| Edgardo Diez | ||||||||||||||
| Physician | $224,321 | $0 | $93,860 | $0 | $21,701 | $0 | $3,750 | $0 | $22,062 | $0 | $365,694 | $0 | $0 | $0 |
| Christopher Min | ||||||||||||||
| Physician | $188,937 | $0 | $54,762 | $0 | $22,084 | $0 | $5,866 | $0 | $12,140 | $0 | $283,789 | $0 | $0 | $0 |
| John Langlois | ||||||||||||||
| Physician | $191,313 | $0 | $0 | $0 | $6,494 | $0 | $5,850 | $0 | $13,976 | $0 | $217,633 | $0 | $0 | $0 |
| Joy DeGuzman | ||||||||||||||
| Physician | $203,959 | $0 | $52,291 | $0 | $4,562 | $0 | $6,359 | $0 | $21,932 | $0 | $289,103 | $0 | $0 | $0 |
| Amy Cohen | ||||||||||||||
| Physician | $192,121 | $0 | $0 | $0 | $4,796 | $0 | $4,552 | $0 | $8,767 | $0 | $210,236 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: TRACY BUCHANAN - $ 37,588 Gregory Dixon - $ 21,788 JILL HOGGARD-GREEN $ 113,584 Sulaiman Sulaiman $ 52,522 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1 | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN, VICE CHAIRMAN AND IMMEDIATE PAST CHAIRMAN OF THE BOARD OF DIRECTORS, THE SECRETARY AND TREASURER OF THE CORPORATION, AND SUCH OTHER MEMBER OR MEMBERS OF THE BOARD OF DIRECTORS AS THE CHAIRMAN MAY APPOINT. THE EXECUTIVE COMMITTEE SHALL HOLD SCHEDULED MEETINGS AS NECESSARY AND SPECIAL MEETINGS AT THE CALL OF THE CHAIRMAN OR AS CALLED BY HIM AT THE REQUEST OF ANY MEMBER OF THE COMMITTEE, AND IT SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, UNLESS PROHIBITED BY THE ARTICLES OF INCORPORATION, OR BY THESE BYLAWS, OR BY A RESOLUTION OF THE BOARD OF DIRECTORS. MINUTES OF ALL MEETINGS OF THIS COMMITTEE SHALL BE KEPT AND RECORDED IN THE MINUTE BOOK OF THE CORPORATION. |
| Form 990, Part VI, Section A, line 2 | Four board members work for the Member, Mission Health System, Inc. in senior leadership. |
| Form 990, Part VI, Section A, line 6 | THE ORGANIZATION HAS A SOLE MEMBER, MISSION HEALTH SYSTEM, INC. |
| Form 990, Part VI, Section A, line 7a | THE SOLE MEMBER, MISSION HEALTH SYSTEM, INC., HAS THE POWER TO APPROVE THE ELECTION OF NEW DIRECTORS TO THE BOARD. |
| Form 990, Part VI, Section A, line 7b | MISSION, THE SOLE MEMBER, SHALL MAKE THE FINAL DECISION AS TO (I) ALL FUNDAMENTAL MATTERS RESPECTING THE ORGANIZATION, (II) ELECTING AND REMOVING ANY MISSION REPRESENTATIVES, AND (III) REMOVAL OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION. |
| Form 990, Part VI, Section B, line 11b | THE 990 WAS PRESENTED TO THE BOARD AT A MEETING LEAD BY THE TAX PREPARERS. COPIES WERE SENT TO MEMBERS NOT IN ATTENDANCE. |
| Form 990, Part VI, Section B, line 12c | A CONFLICT OF INTEREST DISCLOSURE IS SENT TO EACH NEW BOARD AND/OR GOVERNANCE COMMITTEE MEMBER AND TO ALL BOARD MEMBERS ON AN ANNUAL BASIS. THIS INFORMATION IS SUPPLIED BY EACH BOARD AND/OR GOVERNANCE COMMITTEE MEMBER, SIGNED AND DATED, AND RETURNED TO THE PRESIDENT'S OFFICE FOR THE CORPORATION'S PERMANENT FILES. |
| 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 revising as appropriate and conducts an annual evaluation of the Committee's performance. |
| Form 990, Part VI, Section C, line 18 | THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. |
| Form 990, Part VI, Section C, line 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. |
| Form 990, Part IX, line 11g | Other: Program service expenses 5,525,334. Management and general expenses 1,353,506. Fundraising expenses 0. Total expenses 6,878,840. Medical Services: Program service expenses 3,156,981. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,156,981. |
| FORM 990, PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ANGEL MEDICAL CENTER | |||||||||||
| PO BOX 1209 | FRANKLIN | NC | 28744 | 566000064 | COMMUNITY HOSPITAL | NC | 501(c)(3) | Line 3 | MISSION HEALTH SYSTEM INC | 0 | |
| ANGEL MEDICAL CENTER AUXILIARY | |||||||||||
| PO BOX 5779 | ASHEVILLE | NC | 28813 | 562133719 | SUPPORTING ORGANIZATION | NC | 501(c)(3) | Line 12a, I | ANGEL MEDICAL CENTER INC | 0 | |
| BLUE RIDGE REGIONAL HOSPITAL | |||||||||||
| PO BOX 9 | SPRUCE PINE | NC | 28777 | 561025032 | COMMUNITY HOSPITAL | NC | 501(c)(3) | Line 3 | MISSION HEALTH SYSTEM INC | 0 | |
| BLUE RIDGE REGIONAL HOSPITAL FOUNDATION | |||||||||||
| PO BOX 247 | SPRUCE PINE | NC | 28777 | 582172660 | FOUNDATION | NC | 501(c)(3) | Line 12a, I | BLUE RIDGE REGIONAL HOSPITAL INC | 0 | |
| HIGHLANDS-CASHIERS HOSPITAL INC | |||||||||||
| PO BOX 190 | HIGHLANDS | NC | 28741 | 560509400 | COMMUNITY HOSPITAL | NC | 501(c)(3) | Line 3 | MISSION HEALTH SYSTEM INC | 0 | |
| HIGHLANDS-CASHIERS PHYSICIAN SERVICES INC | |||||||||||
| PO BOX 742 | HIGHLANDS | NC | 28741 | 452422428 | PHYSICIAN SERVICES | NC | 501(c)(3) | Line 3 | HIGHLANDS-CASHIERS HOSPITAL INC | 0 | |
| MCDOWELL HEALTHCARE FOUNDATION INC | |||||||||||
| 430 RANKIN AVENUE | MARION | NC | 28752 | 463395393 | SUPPORTING ORGANIZATION | NC | 501(c)(3) | Line 7 | THE MCDOWELL HOSPITAL INC | 0 | |
| MISSION HEALTH SYSTEM FOUNDATION INC | |||||||||||
| 980 HENDERSONVILLE ROAD | ASHEVILLE | NC | 28803 | 561881331 | FOUNDATION | NC | 501(c)(3) | Line 7 | MISSION HEALTH SYSTEM INC | 0 | |
| MISSION HEALTH SYSTEM INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 581450888 | PARENT COMPANY SUPPORT | NC | 501(c)(3) | Line 12a, I | 0 | N/A | |
| MISSION HOSPITAL INC | |||||||||||
| 509 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 560532141 | ACUTE CARE HOSPITAL | NC | 501(c)(3) | Line 3 | MISSION HEALTH SYSTEM INC | 0 | |
| MISSION MEDICAL ASSOCIATES | |||||||||||
| 866 HENDERSONVILLE ROAD | ASHEVILLE | NC | 28803 | 263627231 | EMPLOYED PHYSICIAN GROUP | NC | 501(c)(3) | Line 10 | MISSION HEALTH SYSTEM INC | 0 | |
| THE MCDOWELL HOSPITAL | |||||||||||
| 430 RANKIN AVENUE | 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 | HEALTHCARE | NC | 501(c)(3) | Line 3 | TRANSYLVANIA COMMUNITY HOSPITAL INC | 0 | |
| Transylvania Regional Hospital Foundation Inc | |||||||||||
| PO BOX 2440 | BREVARD | NC | 28712 | 561458024 | SUPPORTING ORGANIZATION | NC | 501(c)(3) | Line 12a, I | TRANSYLVANIA COMMUNITY HOSPITAL INC | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ASHEVILLE IMAGING LLP | ||||||||||||
| 534 BILTMORE AVE | 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 and Sales | NC | N/A | |||||
| Blue Ridge TKC LLC | ||||||||||||
| 5935 Carnegie Blvd | Charlotte | NC | 28209 | 471382912 | Real Estate Rental | NC | N/A | |||||
| Healthcare III Limited Partnership | ||||||||||||
| 260 Hospital Drive | Brevard | NC | 28712 | 561599596 | Rental | NC | N/A | |||||
| Healthcare Limited Liability Company VII | ||||||||||||
| 260 Hospital Drive | Brevard | NC | 28712 | 200343455 | Rental | NC | N/A | |||||
| IMAGING REALTY LLP | ||||||||||||
| 534 BILTMORE AVE | ASHEVILLE | NC | 28801 | 561907203 | MEDICAL BUILDING | NC | N/A | |||||
| MCDOWELL MRI LLC | ||||||||||||
| 414 RANKIN AVE | MARION | NC | 28752 | 753046378 | Dissolved December 2016 | NC | N/A | |||||
| MSJHS AND CCP JOINT DEVELOPMENT COMPANY LLC DBA ASHEVILLE SPECIALTY HOSPITA | ||||||||||||
| 428 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 562250464 | Long Term Acute Care Hospital | NC | Mission Health System Inc | Related | 0 | Yes (1) | 0.33330 | |
| 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 | Dissolved September 2016 | NC | N/A | |||||
| Western NC Healthcare Innovators LLC | ||||||||||||
| 5935 Carnegie Blvd | Charlotte | NC | 28209 | 800787882 | Real Estate Rental | NC | N/A | |||||
| Western Regional Radiation Therapy Center | ||||||||||||
| 68 Hospital Drive | Sylva | NC | 28779 | 561849395 | Radiation Therapy | NC | N/A | |||||
| WNC Stone Center | ||||||||||||
| 509 Biltmore Avenue | Asheville | NC | 28801 | 272152974 | Lithotripter Rental | NC | N/A | |||||
| BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC | ||||||||||||
| 260 Hospital Drive | BREvard | NC | 28712 | 203281110 | Medical Imaging | NC | N/A | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOGWOOD INSURANCE COMPANY LTD | |||||||||||||
| 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 DR | BREVARD | NC | 28712 | 561448199 | NC | ||||
| MISSION HEALTH PARTNERS INC | |||||||||||||
| CLINICALLY INTEGRATED NETWORK | N/A | C | 0 | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 465566095 | NC | ||||
| Healthy State Inc | |||||||||||||
| Administrative | N/A | C | 0 | 509 BILTMORE AVE | 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 | 0 | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | 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 |