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MOUNTAIN VISTA HEALTH PARK INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN VISTA HEALTH PARK INC (EIN 56-1255030)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-02-14
IRS object ID
201830459349301458
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-02-14T13:28:47-06:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561706742PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DAVIDSON HOLLAND WHITESELL & CO PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1209 13TH AVE PLACE NW SUITE 200AddressLine1Txt
CityHICKORYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561255030EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN VISTA HEALTH PARK INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
Phone9108592181PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 1547AddressLine1Txt
CityDENTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27239ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT MORRISPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9108592181PhoneNum
Signature2018-02-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVIRGINIA LOWDERPreparerPersonNm
PTINP01366403PTIN
Phone8283222070PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address192.80.76.153IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-02-13IPDt
IP Tm11:59:54IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id62B6F9D89139577DF3E924E6295A67728740EE54AtSubmissionCreationDeviceId
At Submission Filing Device Id62B6F9D89139577DF3E924E6295A67728740EE54AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSCOTT MORRISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 1547AddressLine1Txt
CityDENTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27239ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,755,130GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionPROVIDE QUALITY LONG-TERM NURSING CARE FOR RESIDENTS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee154TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$200CYContributionsGrantsAmt
PY Program Service Revenue$5,969,628PYProgramServiceRevenueAmt
CY Program Service Revenue$6,147,524CYProgramServiceRevenueAmt
PY Investment Income$58,835PYInvestmentIncomeAmt
CY Investment Income$128,714CYInvestmentIncomeAmt
PY Other Revenue$2,200PYOtherRevenueAmt
CY Other Revenue$19,920CYOtherRevenueAmt
PY Total Revenue$6,030,663PYTotalRevenueAmt
CY Total Revenue$6,296,358CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,420,387PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,514,935CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,630,453PYOtherExpensesAmt
CY Other Expenses$2,704,201CYOtherExpensesAmt
PY Total Expenses$6,050,840PYTotalExpensesAmt
CY Total Expenses$6,219,136CYTotalExpensesAmt
PY Revenues Less Expenses-$20,177PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$77,222CYRevenuesLessExpensesAmt
Total Assets BOY$5,708,318TotalAssetsBOYAmt
Total Assets EOY$5,939,573TotalAssetsEOYAmt
Total Liabilities BOY$497,793TotalLiabilitiesBOYAmt
Total Liabilities EOY$548,699TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,210,525NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,390,874NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE QUALITY LONG-TERM SKILLED NURSING CARE AND ASSISTED LIVING SERVICES TO THE SOUTH DAVIDSON COUNTY COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,167,306ExpenseAmt
Revenue$6,147,524RevenueAmt
DescMOUNTAIN VISTA HEALTH PARK, INC. IS A CORPORATION WHICH PROVIDES LONG-TERM NURSING CARE AND ADULT CARE HOME SERVICES. THE FACILITY HAS 60 NURSING AND 60 ADULT-CARE BEDS. WE OFFER SERVICES TO THE PUBLIC WITHOUT REGARD TO RELIGION OR ETHNICITY.Desc
Total Program Service Expenses$5,167,306TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee154EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TULLOCK MANAGEMENT COMPANYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3369985001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15190 US HWY 158AddressLine1Txt
CityADVANCECityNm
State AbbreviationNCStateAbbreviationCd
ZIP27006ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DEL CRANFORD
DIRECTOR0.25Yes (X)$0$0$0
CATHY JACKSON
DIRECTOR0.25Yes (X)$0$0$0
RANDY HARDISTER
DIRECTOR0.25Yes (X)$0$0$0
DIXIE KEARNS
DIRECTOR0.25Yes (X)$0$0$0
KELLY YOUNG
ASST TREASURER0.25Yes (X)$0$0$0Yes (X)
JEANETTE POTTS
TREASURER0.25Yes (X)$0$0$0Yes (X)
ADALYN NOPANEN
SECRETARY0.25Yes (X)$0$0$0Yes (X)
STEWART SEXTON
VICE PRESIDENT0.25Yes (X)$0$0$0Yes (X)
SCOTT MORRIS
PRESIDENT0.25Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LEGACY HEALTHCARE SERVICES INC
PO BOX 951003CLEVELANDOH44193PHYSICAL, SPEECH & OCC THERAPY$544,956
BLUE CROSS BLUE SHIELD
PO BOX 580017CHARLOTTENC28258GROUP MEDICAL INSURANCE$459,415
TULLOCK MANAGEMENT COMPANY
5190 US-158ADVANCENC27006MANAGEMENT$318,159
US FOOD SERVICE
125 FORT MILL PARKWAYFORT MILLSC29715FOOD SERVICE/SUPPLY$216,282
YADKIN VALLEY HEALTHCARE
213 WINSTON RDJONESVILLENC28642NURSING/MEDICAL SUPPLIES$117,672
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$200AllOtherContributionsAmt
Total Contributions$200TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID623000$3,714,395$3,714,395
SELF-PAY623000$1,368,853$1,368,853
OTHER THIRD-PARTY PAYORS623000$1,064,276$1,064,276
FieldValueIRS element (for citing)
Total Program Service Revenue$6,147,524TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$107,344TotalRevenueColumnAmt
Exclusion$107,344ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,800RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,800RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,800TotalRevenueColumnAmt
Exclusion$2,800ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,480,142SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,450,124SecuritiesAmt
Other$8,648OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$30,018SecuritiesAmt
Other-$8,648OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,370TotalRevenueColumnAmt
Exclusion$21,370ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business623000BusinessCd
Total Revenue Column$17,120TotalRevenueColumnAmt
Exclusion$17,120ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$17,120OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,296,358TotalRevenueColumnAmt
Related Or Exempt Func Income$6,147,524RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$148,634ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,188,502TotalAmt
Program Services$2,924,636ProgramServicesAmt
Management And General$263,866ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$95,706TotalAmt
Program Services$88,846ProgramServicesAmt
Management And General$6,860ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$230,727TotalAmt
Program Services$211,910ProgramServicesAmt
Management And General$18,817ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$305,140TotalAmt
Management And General$305,140ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,915TotalAmt
Management And General$8,915ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,584TotalAmt
Management And General$19,584ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$19,878TotalAmt
Management And General$19,878ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$249,910TotalAmt
Management And General$249,910ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,684TotalAmt
Management And General$3,684ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,938TotalAmt
Program Services$7,098ProgramServicesAmt
Management And General$4,840ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$243TotalAmt
Management And General$243ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$146,934TotalAmt
Program Services$146,934ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$375,931TotalAmt
Program Services$328,283ProgramServicesAmt
Management And General$47,648ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT SERVICES$625,225$598,937$26,288
SUPPLIES$594,469$583,595$10,874
UTILITIES$164,810$149,755$15,055
EQUIPMENT RENTAL AND MA$75,084$75,049$35

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$102,456TotalAmt
Program Services$52,263ProgramServicesAmt
Management And General$50,193ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,219,136TotalAmt
Program Services$5,167,306ProgramServicesAmt
Management And General$1,051,830ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,104,374BOYAmt
EOY$1,119,253EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$276,112BOYAmt
EOY$276,388EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$438,818BOYAmt
EOY$473,142EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$14,556BOYAmt
EOY$11,951EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$72,675BOYAmt
EOY$108,369EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,804,476LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,973,539LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$887,544BOYAmt
EOY$830,937EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,914,239BOYAmt
EOY$3,119,533EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,708,318BOYAmt
EOY$5,939,573EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$461,044BOYAmt
EOY$519,383EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,749BOYAmt
EOY$29,316EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$497,793BOYAmt
EOY$548,699EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,210,525BOYAmt
EOY$5,390,874EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,210,525BOYAmt
EOY$5,390,874EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,708,318BOYAmt
EOY$5,939,573EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$77,222ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$103,127NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$200CurrentTaxYearAmt
Total$200TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,273,271CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,935,889CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,141,590CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,969,628CurrentTaxYearMinus1YearAmt
Current Tax Year$6,147,524CurrentTaxYearAmt
Total$29,467,902TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,765CurrentTaxYearMinus2YearsAmt
Total$8,365TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,275,671CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,937,089CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,146,355CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,969,628CurrentTaxYearMinus1YearAmt
Current Tax Year$6,147,724CurrentTaxYearAmt
Total$29,476,467TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$29,476,467PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,703CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,372CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$20,432CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$113,369CurrentTaxYearMinus1YearAmt
Current Tax Year$110,144CurrentTaxYearAmt
Total$300,156TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,703CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,372CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$20,432CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$113,369CurrentTaxYearMinus1YearAmt
Current Tax Year$110,144CurrentTaxYearAmt
Total$300,156TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,306,374CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,003,461CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,125,923CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,082,997CurrentTaxYearMinus1YearAmt
Current Tax Year$6,257,868CurrentTaxYearAmt
Total$29,776,623TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98990PublicSupportCY509Pct
Public Support PY5090.99270PublicSupportPY509Pct
Investment Income CY0.01010InvestmentIncomeCYPct
Investment Income PY0.00730InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures$615PoliticalExpendituresAmt
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Total Lobbying Expenditures$0TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I-A, LINE 1:A PORTION OF THE DUES PAID TO THE NORTH CAROLINA HEALTH CARE FACILITIES ASSOCIATION BY THE ENTITY WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES.
PART II-B, LINE 1:A PORTION OF THE DUES PAID TO THE NORTH CAROLINA HEALTH CARE FACILITIES ASSOCIATION BY THE ENTITY WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,358OtherCostOrOtherBasisAmt
Book Value$19,358BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,379,022OtherCostOrOtherBasisAmt
Depreciation$1,334,592DepreciationAmt
Book Value$44,430BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,606,674OtherCostOrOtherBasisAmt
Depreciation$1,147,040DepreciationAmt
Book Value$459,634BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$732,364OtherCostOrOtherBasisAmt
Depreciation$491,907DepreciationAmt
Book Value$240,457BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,058OtherCostOrOtherBasisAmt
Book Value$67,058BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$830,937TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
PATIENT FUNDS$29,316
CASH VALUE OF LIFE INSURANCE$338,316
INVESTMENTS$2,751,901
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,119,533TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPATIENTS LIABILITYDesc
Amt$29,316Amt
FieldValueIRS element (for citing)
Total Liability$29,316TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,342,516TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$103,127NetUnrealizedGainsInvstAmt
Revenue Not Reported$103,127RevenueNotReportedAmt
Revenue Subtotal$6,239,389RevenueSubtotalAmt
Investment Expenses Not Incld$19,878InvestmentExpensesNotIncldAmt
Other Revenues Not Included$37,091OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$56,969RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,296,358TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,162,167TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,162,167ExpensesSubtotalAmt
Investment Expenses Not Incld2$19,878InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$37,091OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$56,969ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,219,136TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE COMPANY HAS IMPLEMENTED THE NEW ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOUSURE AND TRANSITION. AS OF THE CURRENT & PRIOR YEAR, THE COMPANY HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AND RECOGNIZED NO SUCH INTEREST OR PENALTIES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE RECLASSED 37,091.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE RECLASSED 37,091.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3MOUNTAIN VISTA HEALTH PARK CONTRACTS TULLOCK MANAGEMENT COMPANY TO PERFORM VARIOUS OPERATIONAL MANAGEMENT DUTIES
FORM 990, PART VI, SECTION A, LINE 6THREE MEMBERS OF THE BOARD SERVE ON THE NOMINATING COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 7ATHREE MEMBERS OF THE BOARD SERVE ON THE NOMINATING COMMITTEE. THESE NOMINATIONS ARE ACTED ON BY THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE PRESIDENT AND THE MANAGEMENT COMPANY REVIEW AND APPROVE THE 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 15DIRECTORS RECEIVE NO COMPENSATION. KEY EMPLOYEE COMPENSATION IS REVIEWED BY THE MANAGEMENT COMPANY AND THE ADMINISTRATOR ANNUALLY. COMPENSATION RATES FOR KEY EMPLOYEES ARE COMMENSURATE WITH SIMILAR POSITIONS AS COMPARED WITH INDUSTRY DATA.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS ARE PUBLIC RECORD THROUGH THE DEPARTMENT OF HUMAN SERVICES.
FORM 990, PART IX, LINE 11GBED ASSESSMENT FEE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 249,910. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 249,910.
FORM 990, PART IX, LINE 24EBAD DEBT EXPENSE : PROGRAM SERVICE EXPENSES 37,091. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,091. MISCELLANEOUS : PROGRAM SERVICE EXPENSES 13,928. MANAGEMENT AND GENERAL EXPENSES 14,844. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,772. TAXES AND LICENSE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 26,540. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,540. DUES AND SUBSCRIPTIONS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,388. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,388. BANK FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,421. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,421. TRANSPORTATION : PROGRAM SERVICE EXPENSES 1,244. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,244.
FORM 990, PART XII, LINE 2C AUDIT OVERSIGHT/SELECTION-INDEPENDENT ACCTTHE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.