MOUNTAINCARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MOUNTAINCARE INC (EIN 56-2005198)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-15
IRS object ID: 201712279349301126
Schema version: 2015v3.0
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	2017-08-15T08:09:37-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	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	2017-08-14	SignatureDt
Discuss With Paid Preparer	0	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$95,583,609	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (1)	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	mission-health.org/member-hospitals.php	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	20	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	1445	TotalEmployeeCnt
Total Volunteers	16	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,872,321	PYContributionsGrantsAmt
CY Contributions Grants	$4,167,517	CYContributionsGrantsAmt
PY Program Service Revenue	$82,621,284	PYProgramServiceRevenueAmt
CY Program Service Revenue	$91,416,092	CYProgramServiceRevenueAmt
PY Investment Income	-$2,385	PYInvestmentIncomeAmt
CY Investment Income	-$104,945	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$86,491,220	PYTotalRevenueAmt
CY Total Revenue	$95,478,664	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,657	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,049	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$60,470,649	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$69,890,549	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$22,722,481	PYOtherExpensesAmt
CY Other Expenses	$23,585,374	CYOtherExpensesAmt
PY Total Expenses	$83,203,787	PYTotalExpensesAmt
CY Total Expenses	$93,482,972	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,287,433	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,995,692	CYRevenuesLessExpensesAmt
Total Assets BOY	$29,814,416	TotalAssetsBOYAmt
Total Assets EOY	$34,487,043	TotalAssetsEOYAmt
Total Liabilities BOY	$10,549,995	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$13,226,929	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$19,264,421	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$21,260,114	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	$81,747,906	ExpenseAmt
Grant	$7,048	GrantAmt
Revenue	$91,518,582	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 1,100 employees and 400 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 99,000 procedures during the year. The orthotics and prosthetics clinic provides comprehensive care and assistive devices for people living with amputation or disability. In 2016, the facility performed over 7,300 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. The Organization began operations by enrolling the first participants in March of 2015. This program had over 25,400 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 162,000 home health visits. Private duty hours for the year were over 104,000.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 112,000 days. There were almost 1,800 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 FY16.	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	$81,747,906	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	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	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	1445	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	20	GoverningBodyVotingMembersCnt
Independent Voting Member	16	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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
CEO	60.00	Yes (X)	Yes (X)	$0	$390,659	$67,703
Charles C Campbell
Immediate Past Chair	1.00	Yes (X)		$0	$0	$0
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
Sharon Hathaway MD
Board Member	1.00	Yes (X)		$0	$237,810	$19,446	40.00
Larry Harris
Vice-Chair	1.00	Yes (X)		$0	$0	$0
Jill Hoggard-Green PhD
Board Member	1.00	Yes (X)		$0	$783,528	$146,300	59.00
Eileen Hutchison
Board Member	1.00	Yes (X)		$0	$0	$0
Trent McCain MD
Board Member	1.00	Yes (X)		$0	$0	$0
Linda Moore
Board Member	1.00	Yes (X)		$0	$0	$0
Charles Pine
Board Member	1.00	Yes (X)		$0	$0	$0
Joel B Rosenberg MD
Board Member	1.00	Yes (X)		$0	$0	$0
Robby Russell
Board Member	1.00	Yes (X)		$0	$0	$0	3.00
Myron W Smith III MD
Board Member	1.00	Yes (X)		$0	$2,048	$0	2.00
Pamela Turner
Board Member	1.00	Yes (X)		$0	$0	$0
Katherine E Volatile MD
Board Member	1.00	Yes (X)		$0	$0	$0
Stephen D West
Board Member	1.00	Yes (X)		$0	$0	$0
Ruth Zyry
Board Member	1.00	Yes (X)		$0	$174,870	$17,480	59.00
Sulaiman Sulaiman thru Dec 15
Board Member	1.00	Yes (X)		$0	$428,366	$85,377	59.00
Gregg Dixon
CFO	50.00		Yes (X)	$0	$231,290	$35,097
Edgardo Diez MD
Physician	40.00			$344,732	$0	$22,254		Yes (X)
Michael Parmer MD
Physician	40.00			$305,959	$0	$23,524		Yes (X)
Christopher Min MD
Physician	40.00			$265,957	$0	$16,848		Yes (X)
John Langlois MD
Physician	40.00			$218,522	$0	$18,627		Yes (X)
Joy DeGuzman MD
Physician	40.00			$267,714	$0	$26,737		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,402,884	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,248,571	TotReportableCompRltdOrgAmt
Total Other Compensation	$479,393	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	33	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAHEC	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	121 Hendersonville Road	AddressLine1Txt
City	Asheville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28803	ZIPCd

Field	Value	IRS element (for citing)
Services	Medical Services	ServicesDesc
Compensation	$108,718	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$73,333	FederatedCampaignsAmt
Related Organizations	$260,601	RelatedOrganizationsAmt
All Other Contributions	$3,833,583	AllOtherContributionsAmt
Total Contributions	$4,167,517	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM SERVICE FEES	621110	$87,663,707	$87,663,707
Services to Affiliates	621110	$2,999,570	$2,999,570
OTHER OPERATING INCOME	621110	$887,073	$887,073
INVESTMENT IN ASH HOSPITAL	621110	-$134,258	-$134,258

Field	Value	IRS element (for citing)
Total Program Service Revenue	$91,416,092	TotalProgramServiceRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$104,945	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$104,945	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$104,945	TotalRevenueColumnAmt
Exclusion	-$104,945	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$95,478,664	TotalRevenueColumnAmt
Related Or Exempt Func Income	$91,416,092	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$104,945	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,050	TotalAmt
Program Services	$2,050	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$4,999	TotalAmt
Program Services	$4,999	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$714,071	TotalAmt
Management And General	$714,071	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$57,694,332	TotalAmt
Program Services	$50,956,806	ProgramServicesAmt
Management And General	$6,737,526	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$922,974	TotalAmt
Program Services	$815,189	ProgramServicesAmt
Management And General	$107,785	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,442,778	TotalAmt
Program Services	$5,690,392	ProgramServicesAmt
Management And General	$752,386	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,116,394	TotalAmt
Program Services	$3,635,683	ProgramServicesAmt
Management And General	$480,711	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$923,390	TotalAmt
Program Services	$816,685	ProgramServicesAmt
Management And General	$106,705	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$288,161	TotalAmt
Management And General	$288,161	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$5,467	TotalAmt
Management And General	$5,467	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,938,059	TotalAmt
Program Services	$7,020,754	ProgramServicesAmt
Management And General	$917,305	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$33,353	TotalAmt
Program Services	$29,499	ProgramServicesAmt
Management And General	$3,854	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,200,128	TotalAmt
Program Services	$1,061,444	ProgramServicesAmt
Management And General	$138,684	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$746,826	TotalAmt
Program Services	$660,524	ProgramServicesAmt
Management And General	$86,302	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,401,487	TotalAmt
Program Services	$3,892,861	ProgramServicesAmt
Management And General	$508,626	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$975,589	TotalAmt
Program Services	$862,852	ProgramServicesAmt
Management And General	$112,737	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$556	TotalAmt
Program Services	$492	ProgramServicesAmt
Management And General	$64	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,697,193	TotalAmt
Program Services	$1,501,069	ProgramServicesAmt
Management And General	$196,124	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$203,501	TotalAmt
Program Services	$179,985	ProgramServicesAmt
Management And General	$23,516	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Supplies	$4,399,038	$3,933,446	$465,592
Other	$772,626	$683,176	$89,450

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$93,482,972	TotalAmt
Program Services	$81,747,906	ProgramServicesAmt
Management And General	$11,735,066	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,531,738	BOYAmt
EOY	$8,912,432	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,947,501	BOYAmt
EOY	$15,733,182	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$222,643	BOYAmt
EOY	$225,403	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$220,504	BOYAmt
EOY	$200,885	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$13,151,686	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,309,648	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$6,184,669	BOYAmt
EOY	$7,842,038	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,707,361	BOYAmt
EOY	$1,573,103	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,814,416	BOYAmt
EOY	$34,487,043	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,081,822	BOYAmt
EOY	$10,889,962	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$81,440	BOYAmt
EOY	$268,702	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,386,733	BOYAmt
EOY	$2,068,265	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,549,995	BOYAmt
EOY	$13,226,929	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,949,131	BOYAmt
EOY	$20,941,679	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$315,290	BOYAmt
EOY	$318,435	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$19,264,421	BOYAmt
EOY	$21,260,114	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$29,814,416	BOYAmt
EOY	$34,487,043	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,995,692	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	$546,617	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,319,679	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,167,816	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,871,573	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,065,028	CurrentTaxYearAmt
Total	$14,970,713	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$76,487,872	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$76,134,415	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$79,980,081	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$82,621,027	CurrentTaxYearMinus1YearAmt
Current Tax Year	$91,518,582	CurrentTaxYearAmt
Total	$406,741,977	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$178,760	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$165,182	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$177,230	CurrentTaxYearMinus2YearsAmt
Total	$521,172	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$77,213,249	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$79,619,276	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$83,325,127	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$86,492,600	CurrentTaxYearMinus1YearAmt
Current Tax Year	$95,583,610	CurrentTaxYearAmt
Total	$422,233,862	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	$422,233,862	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$126,726	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$117,031	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$266,021	CurrentTaxYearMinus2YearsAmt
Total	$509,778	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$126,726	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$117,031	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$266,021	CurrentTaxYearMinus2YearsAmt
Total	$509,778	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$77,339,975	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$79,736,307	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$83,591,148	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$86,492,600	CurrentTaxYearMinus1YearAmt
Current Tax Year	$95,583,610	CurrentTaxYearAmt
Total	$422,743,640	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99880	PublicSupportCY509Pct
Public Support PY509	0.99840	PublicSupportPY509Pct
Investment Income CY	0.00120	InvestmentIncomeCYPct
Investment Income PY	0.00160	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	$3,990	OtherActivitiesAmt
Total Lobbying Expenditures	$3,990	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. 18% 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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$311,661	BeginningYearBalanceAmt
Contributions	$200	ContributionsAmt
Investment Earnings Or Losses	$15,226	InvestmentEarningsOrLossesAmt
End Year Balance	$327,087	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	$6,788,469	OtherCostOrOtherBasisAmt
Depreciation	$1,702,803	DepreciationAmt
Book Value	$5,085,666	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,933,682	OtherCostOrOtherBasisAmt
Depreciation	$3,444,617	DepreciationAmt
Book Value	$1,489,065	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,429,535	OtherCostOrOtherBasisAmt
Depreciation	$162,228	DepreciationAmt
Book Value	$1,267,307	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$7,842,038	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$499,687
DUE TO AFFILIATES	$1,104,104
Other Reserves	$464,474

Field	Value	IRS element (for citing)
Total Liability	$2,068,265	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
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$125,075	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$125,075	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,919,657	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,834,975	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,084,682	NetCommunityBenefitExpnsAmt
Total Expense	0.02230	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,418	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,901	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,517	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,063,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,847,876	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,215,274	NetCommunityBenefitExpnsAmt
Total Expense	0.02370	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$547,188	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,384	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$505,804	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,097	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$96,097	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,009,401	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$286,084	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$723,317	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,109	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,109	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,658,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$327,468	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,331,327	NetCommunityBenefitExpnsAmt
Total Expense	0.01420	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,721,945	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,175,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,546,601	NetCommunityBenefitExpnsAmt
Total Expense	0.03790	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,850	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,850	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,850	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,850	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$220,242	BadDebtExpenseAmt
Reimbursed By Medicare	$49,044,209	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$49,340,661	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$296,453	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	Information GapsInformationGapsInd	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	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Strategy AttachedStrategyAttachedInd	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	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	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	FAP Notice DisplayedFAPNoticeDisplayedInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit Report To Credit AgencyPermitReportToCreditAgencyInd	Permit Legal Judicial ProcessPermitLegalJudicialProcessInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	No Emergency CareNoEmergencyCareInd	Medicare RatesMedicareRatesInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Income Level CriteriaIncomeLevelCriteriaInd	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)	http://www.carepartners.org/about_community.html	Yes (X)	http://www.mission-health.org/community-health-needs-assessment.php	Yes (X)	Yes (X)	Yes (1)	13	Yes (1)	http://www.mission-health.org/community-health-needs-assessment.php	0	0	Yes (1)	Yes (X)	150.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	http://www.carepartners.org/	Yes (X)	https://www.mission-health.org/financial-assistance.php	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	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)	0	Yes (1)	Yes (X)	See Other for website	Yes (X)	HTTP://CDN3.MISSION-HEALTH.ORG	Yes (X)	Yes (X)	0					0	Yes (1)	Yes (X)	150.000000000000	300.000000000000		Yes (X)	Yes (X)		Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)										Yes (1)			0	Yes (X)			Yes (1)		Yes (X)	0	0	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (13 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: Community Input & EngagementIncluding 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.
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)
COMMUNITY CAREPARTNERS, INC.	Part V, Section B, Line 7d: Buncombe County Health Department Website
Asheville Specialty Hospital	Part V, Section B, Line 7d: http://www.mission-health.org/community-health-needs-assessment.php
COMMUNITY CAREPARTNERS, INC.	Part V, Section B, Line 11: Priority Health Issue #1: Healthy Weight and Healthy LivingCarePartners, through its work in Buncombe County, is a partner in the work to address Healthy Weight and Healthy Living.Support community efforts to increase the number of people who have access to screenings, education and follow up related to being overweight and/or obese and their related chronic conditions.a. Through community collaboration, planning and partnerships with Mission Hospital, co-offer screenings for chronic conditions such as diabetes, hypertension and hyperlipidemia utilizing their services of Heart Outreach, Stroke Outreach and Employer Outreach Events teams.b. Through CarePartners Asheville Mall Walkers program, offer a safe and available year-round walking location with support through a healthy monthly breakfast, monthly health education, access to doctors and clinicians, and blood pressure checks.c. Provide year-round opportunities for the general public to access medical professionals, programs, and healthy living information through our Mindful Living health education series and other outreach events.d. With our Balance for Life program, offer information, resources and practical tools regarding falls prevention and medication management as it relates to falls. Also included are one-on-one balance screenings and evaluations by physical therapists with individualized recommendations for improvement.e. Numerous educational classes are also offered on Advance Directives education, SMART goals and chronic conditions counseling.2. Promote increased physical activity for the public in our community.a. CarePartners offers low-cost exercise classes accessible to the public to improve strength, balance, and flexibility in a positive environment Examples include: adaptations to Tai Chi for Arthritis classes, taught by a certified instructor/physical therapist; exercises classes taught in a low-impact therapy pool; yoga.Sponsor numerous local physical fitness events that include access to physical therapist and medical staff to answer health related questions.Examples include: Chamber Challenge, The Amazing Race, and CarePartners for United Way 5K.CarePartners, through its work with Buncombe County, is a partner in the work to address Early Childhood Development.CarePartners, through its work with Buncombe County, is a partner in the work to address Access to Care.CarePartners Bereavement Services are available to all who are experiencing grief as related to the death of a loved one. Ability to pay is not a consideration to receive counseling.Partner with MAHEC, CCWNC, and WNC Health Network to provide informationon Advance Directives educationNeeds 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 of Mission Health, Mission Hospital has more resources and experts to address this communityneed.
Asheville Specialty Hospital	Part V, Section B, Line 11: Collaborative Action PlanningThe Organization will participate in a collaborative action planning process with our community partners which results in the creation of a community-wide plan at the county level. We will then develop a facility specific implementation strategy that speaks to our specific contributions to the identified priority health issue. We aim to leverage existing assets, avoid duplication, and implement evidence-based and innovative efforts, while working towards a vision of collective impact.The organization addresses access to care as an acute long-term care hospital, and other organizations in the Mission Health Care System as well as community organizations address other priorities identified in the CHNA.Asheville Specialty Hospital (ASH) is a long-term acute care facility that provides access to health care for all those who need long-term acute care. Needs other than this are addressed by other organizations in the community, as well as through ASH's relationship with Mission Health and CarePartners as an independent affiliate.Moving the needle on population level health priorities requires an array of initiatives across the community and is the collective accountability of the programs, agencies, and service systems striving to address these priority health issues. As part of a collaborative response to addressing health needs in our community, our hospital facility is an important contributor to meaningful progress on these health priorities.The hospital facility is licensed as a long-term acute care facility and is unable to provide emergency care due to the nature of the services provided. The facility has a policy for emergency services and surgical care that states that though a formal emergency department is not available at Asheville Specialty Hospital, basic emergency care will be available to treat patients as necessary. Financial Assistance is addressed through the Consent for Treatment document.
Asheville Specialty Hospital	Part V, Section B, Line 16i: EVERY PATIENT RECEIVES THE POLICY AS PART OF THE PATIENT CONSENT TO TREATMENT AND FINANCIAL AUTHORIZATION FORM. SEE LANGUAGE ABOVE FOR DISCLOSURE.
Asheville Specialty Hospital	Part V, Section B, Line 21d: THE HOSPITAL FACILITY IS LICENSED AS A LONG-TERM ACUTE FACILITY AND IS UNABLE TO PROVIDE EMERGENCY CARE DUE TO THE NATURE OF THE SERVICES PROVIDED. THE FACILITY HAS A POLICY FOR EMERGENCY SERVICES AND SURGICAL CARE THAT STATES THAT THOUGH A FORMAL EMERGENCY DEPARTMENT IS NOT AVAILABLE AT ASHEVILLE SPECIALTY HOSPITAL, BASIC EMERGENCY CARE WILL BE AVAILABLE TO TREAT PATIENTS AS NECESSARY. FINANCIAL ASSISTANCE IS ADDRESSED THROUGH THE CONSENT FOR TREATMENT DOCUMENT.
SCHEDULE H, PART V, ASHEVILLE SPECIALTY HOSPITAL	ASHEVILLE SPECIALTY HOSPITAL USES THE FINANCIAL ASSISTANCE POLICY OF ITS MAJORITY PARTNER, MISSION HEALTH SYSTEM, INC.

Field	Value	IRS element (for citing)
Facility	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CAREPARTNERS OUTPATIENT NORTH CLINIC
40 N Merrimon Avenue	ASHEVILLE	NC	28804	OUTPATIENT CLINIC
2 - CAREPARTNERS OUTPATIENT SOUTH CLINIC
3 TOWN SQUARE BLVD	ASHEVILLE	NC	28803	OUTPATIENT CLINIC
3 - CAREPARTNERS OUTPATIENT EAST CLINIC
2358 US HWY 70	SWANNANOA	NC	28778	OUTPATIENT CLINIC
4 - CAREPARTNERS OUTPATIENT WEST CLINIC
1390 SAND HILL RD SUITE 1	CANDLER	NC	28715	OUTPATIENT CLINIC
5 - ORTHOTICS & PROSTHETICS CLINIC - ASH
1 DOCTORS DRIVE	ASHEVILLE	NC	28801	ORTHOTICS AND PROSTHETICS CLINIC
6 - ANGEL HOME CARE AND HOSPICE
170 CHURCH STREET	FRANKLIN	NC	28734	HOME CARE AND HOSPICE
7 - TRANSYLVANIA HOME CARE AND HOSPICE
1266 ASHEVILLE HWY SUITE 5	BREVARD	NC	29712	HOME CARE AND HOSPICE
8 - CAREPARTNERS OUTPATIENT
SECU CANCERT CENTER	ASHEVILLE	NC	28801	OUTPATIENT REHABILITATION SERVICES
9 - CAREPARTNERS OUTPATIENT MAIN CAMPUS
68 SWEETEN CREEK ROAD	ASHEVILLE	NC	28813	OUTPATIENT REHABILITATION SERVICES
10 - CAREPARTNERS BILTMORE CLINIC
534 BILTMORE AVENUE	ASHEVILLE	NC	28801	OUTPATIENT REHABILITATION SERVICES
11 - CAREPARTNERS OUTPATIENT
UNCA	ASHEVILLE	NC	28804	OUTPATIENT REHABILITATION SERVICES
12 - CAREPARTNERS HOME HEALTH SERVICES
95 FRANCIS ROAD	HENDERSONVILLE	NC	28792	HOME HEALTH SERVICES
13 - CAREPARTNERS HOME HEALTH SERVICES
88 WAYNESVILLE PLAZA	WAYNESVILLE	NC	28786	HOME HEALTH SERVICES
14 - CAREPARTNERS ADULT DAY CARE
114 College Drive	Flat Rock	NC	28731	ADULT DAY SERVICES
15 - TRANSYLVANIA ADULT DAY CARE
23 Medical Park Circle	BREVARD	NC	28712	ADULT DAY SERVICES
16 - CAREPARTNERS ADULT DAY CARE
68 SweetEN CREEK ROAD	ASHEVILLE	NC	28803	ADULT DAY SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 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 - Community Care Partners	THERE ARE SOME SERVICES CAREPARTNERS OFFERS THAT ARE PATIENTS' RESPONSIBILITY AS SELF-PAY AND NOT ELIGIBLE FOR FINANCIAL ASSISTANCE. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO: ADULT DAY SERVICES, PRIVATE DUTY NURSING SERVICES, DRIVING EVALUATIONS, LASER THERAPY, CONSTRAINT INDUCED THERAPY, FCE, MASSAGE THERAPY, WELLNESS PROGRAM, AND WALK AIDS. SERVICES EXCLUDED FROM MEDICARE OR MEDICAID BENEFIT COVERAGE WOULD REMAIN THE PATIENTS' SELF-PAY RESPONSIBILITY AND WOULD NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR SELF PAY DISCOUNT. HOWEVER, HOSPICE TRANSITIONAL CARE IS ELIGIBLE FOR FINANCIAL ASSISTANCE. HOSPICE TRANSITIONAL CARE IS NOT ELIGIBLE FOR THE SELF-PAY DISCOUNT.INPATIENT REHABILITATION, OUTPATIENT REHABILITATION, AND HOME HEALTH SERVICESPATIENTS THAT HAVE COMPLETED AND SUBMITTED A MEDICAID APPLICATION (MEDICAID PENDING) AND OTHERS WITH NO MEANS OF PAYMENT MUST COMPLETE THE FINANCIAL ASSISTANCE FORM AND PROVIDE REQUESTED SUPPORTING FINANCIAL DOCUMENTATION. PATIENTS MUST BE INFORMED OF THE POSSIBILITY OF SELF-PAY RESPONSIBILITY FOR ALL OR A PORTION OF THE CHARGES FOR SERVICES RENDERED. HOSPICE SERVICESPATIENTS THAT REQUEST FINANCIAL ASSISTANCE MUST COMPLETE THE FINANCIAL ASSISTANCE FORM. IF A PAYMENT PLAN IS REQUESTED, THE PATIENT MUST MAKE ARRANGEMENTS WITH THE FINANCIAL COUNSELOR. MEDICAID APPROVED PATIENTS IN NEED OF TRANSITIONAL CARE IN SOLACE WILL NEED TO MEET WITH FINANCIAL COUNSELOR TO DETERMINE ROOM AND BOARD CHARGE. ANY UNPAID BALANCE WHICH HAD BEEN DETERMINED TO BE THE PATIENT'S RESPONSIBILITY WILL BE SUBMITTED TO THE PATIENT'S ESTATE.
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 $40,248,000 and $37,257,000 for September 30, 2016 and 2015, respectively." Above numbers are for the entire health system which includes the above amount 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 8:	Allowable costs per Medicare Cost Report are presented in accordance with IRS guidelines, and the shortfall should be treated as community benefit. If full costing had been used, the community benefit and shortfall would have been greater.
Part III, Line 9b:	PATIENTS WHO ARE KNOWN TO QUALIFY FOR A SLIDING SCALE DISCOUNT ARE GIVEN A DISCOUNT OF BETWEEN 100% AND 70% BASED ON FINANCIAL NEED. THE NORMAL COLLECTION PROCEDURES ARE FOLLOWED FOR THE REMAINING BALANCE.
Part VI, Line 2:	CAREPARTNERS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP WITH THE BUNCOMBE COUNTY DEPARTMENT OF HEALTH AND WESTERN NORTH CAROLINA HEALTHY IMPACT PROJECT. CAREPARTNERS IS ALSO UNIQUE IN THAT WE ARE AN AFFILIATE OF MISSION HOSPITAL (THE REGIONAL HOSPITAL IN WNC) AND HAVE CLOSE RELATIONSHIPS WITH LONG TERM CARE FACILITIES, REGIONAL HOSPITALS AND PHYSICIAN PRACTICES. WE HAVE DESIGNATED STAFF WHOM LIAISON WITH THESE ORGANIZATIONS ON A DAILY, WEEKLY, AND MONTHLY BASIS TO LEARN ABOUT THE NEEDS OF THEIR PATIENTS. OUR CLINICAL SERVICES COMMITTEE IS COMPRISED OF LOCAL PHYSICIANS AND HEALTHCARE PROVIDERS FROM THROUGHOUT THE WNC REGION. THEY ARE CHARGED WITH IDENTIFYING UNMET HEALTHCARE NEEDS AND CREATING SYSTEMS AND PROCESSES TO MEET THOSE NEEDS. DURING OUR STRATEGIC PLANNING PROCESS, CAREPARTNERS SENIOR LEADERSHIP ANALYZES THE ENVIRONMENT AND SEEKS INPUT OF STAKEHOLDERS WITHIN THE ORGANIZATION AS WELL AS THE COMMUNITY. MANY CAREPARTNERS STAFF SIT ON NUMEROUS COMMUNITY HEALTHCARE RELATED BOARDS OR ACT AS MEMBERS OF THE ORGANIZATIONS.
Part VI, Line 3:	WHEN PATIENTS ARE PREPARING FOR DISCHARGE FROM THE ACUTE CARE ORGANIZATION, THE DISCHARGE PLANNER WILL NOTIFY THE LIAISONS IF THE PATIENTS HAVE NO PAYER SOURCE. THE LIAISONS ASSESS THE PATIENT'S ABILITY TO COMMUNICATE AND UNDERSTAND FINANCIAL INFORMATION AND THEY NOTIFY THE FINANCIAL COUNSELOR. SHE/HE WILL WORK WITH THE PATIENT AND/OR FAMILY MEMBER TO GATHER THE FINANCIAL INFORMATION AND EDUCATE THEM ON THE ASSISTANCE AVAILABLE, INCLUDING MEDICAID, VOCATIONAL REHABILITATION, PROJECT ACCESS, AND THE CHARITY CARE PROVIDED BY CAREPARTNERS HEALTH SERVICES. ONCE THE FINANCIAL COUNSELOR HAS GATHERED ALL OF THE REQUIRED DOCUMENTS, SHE/HE WILL FORWARD THEM TO MEDICAID OR ANY PROGRAMS FOR WHICH THE PATIENT MAY QUALIFY. ALL OFFICES HAVE SIGNS UP IN BOTH ENGLISH AND SPANISH INFORMING PATIENTS THAT ASSISTANCE IS AVAILABLE. INTERPRETERS ARE PROVIDED WHERE NECESSARY. THERE ARE DEDICATED STAFF AVAILABLE TO ASSIST PATIENTS IN THIS MANNER. CAREPARTNERS FOLLOWS THE MEDICAID GUIDELINES ON WHAT DOCUMENTS AND INFORMATION WE COLLECT. THE CHARITY ASSISTANCE WILL RANGE FROM 100% FREE CARE TO A 70% DISCOUNT DEPENDING ON THE FINANCIAL NEED.
Part VI, Line 4:	Initially referred to as the "State of Buncombe" due to its vastness, Buncombe County was established in 1791 by the North Carolina House of Commons. It is located in the southwestern portion of North Carolina. Already an established crossroads for the region at the turn of the Twentieth Century, Buncombe County has undergone tremendous development and transformation since its inception. Buncombe County has a total land and water area of 660 square miles. Buncombe County is made up of a variety of tightly knit unincorporated communities as well as six distinct municipalities: City of Asheville, Town of Biltmore Forest, Town of Black Mountain, Town of Montreat, Town of Weaverville and Town of Woodfin. The county is located in the Blue Ridge Mountains at the confluence of the Swannanoa and the French Broad Rivers. The French Broad River is the 3rd oldest river in the world and one of the few rivers to flow from south to north. The river enters the county at its border with Henderson County to the south and flows north into Madison County. The source of the Swannanoa River, which joins the French Broad River in Asheville, is in northeast Buncombe County near Mount Mitchell. The amount of Buncombe County land categorized as "rural" decreased by 17% between 2000 and 2010. Interstate 40 runs east/west and future I-26 runs north/south through BuncombeAsheville is the county seat of Buncombe County. It is the largest city in Western North Carolina, and the 11th largest city in North Carolina. Originally, Asheville was named Morristown and known in Thomas Wolfe's novel Look Homeward Angel as Altamont. Thomas Wolfe was born and raised in Asheville. The city's population was 83,393 according to the 2010 United States census. It is the principal city in the four-county Asheville metropolitan area, with a population of 424,858 in 2010. Asheville is home to the United States National Climatic Data Center (NCDC), the world's largest active archive of weather data. Asheville is also home to the Biltmore House, the largest private residence in North America. Most recently, readers of Conde Nast Traveler voted Asheville #3 among "The Best Small Cities in America." The leading major industry employment types include health services, retail, leisure and hospitality, government and manufacturing.Buncombe County has a total population of 238,318 (2010 Census) with a median age of 40.6 which is 4.1 years"younger" than the western North Carolina (WNC) region but 3.2 years "older" than the NC average. Buncombehas significantly lower proportions of African Americans, American Indians, Asians and Hispanics than NC as awhole but slightly higher proportions of African Americans and Hispanics than WNC region.A double-digit rate of growth in Buncombe County is expected to continue for the next two decades, at nearly twice the rate of growth of WNC and surpassing the pace of growth for NC as a whole. The proportion of the population in each major age group 65 and older in Buncombe County will increase between 2010 and 2030. The population in the county age 65-74 is expected to grow by 44% between 2010 and 2013. The population ages 75-84 will grow by 63% and the population over the age of 85 will grow by 21% over the same period. By 2030, projections estimate there will be more than 70,500 persons age 65+ in Buncombe County. The portion of Buncombe County's population categorized as "rural" decreased by 17% from 2000 (29.2%) to 2010 (24.1%). (NC Office of Budget and Management; US Census Bureau)In the 5-year period from 2009-2013, an estimated 1,916 Buncombe County grandparents living with their minor-aged grandchildren also were financially responsible for them. Over the same period, there were an estimated 100,838 households in Buncombe County, 23,662 of them with children under 18 years of age. Among the households with minor-age children, a married couple headed 66%. A female single parent headed an additional 26%, and 8% were headed by a male single parent. (US Census Bureau)By 2009-2013 estimates, Buncombe County was home to higher proportions of veterans under the age of 54 and lower proportions of veterans age 55 and older than the WNC region overall. Of the estimated 100,838 households in Buncombe County in the 2009-2013 period, 1,936 (2%) were categorized as having limited skill in speaking English. (US Census Bureau, 2015)
Part VI, Line 5:	CAREPARTNERS HEALTH SERVICES HAS BEEN AN INTEGRAL PART OF THE WNC COMMUNITY SINCE ITS FOUNDING IN 1939. ALTHOUGH OUR TYPE OF CARE HAS CHANGED THROUGH THE YEARS, THE LEVEL OF CARE WE PROVIDE CONTINUES TO STRIVE FOR EXCELLENCE. WE ARE BEDROCK TO THIS COMMUNITY BY PROVIDING MORE THAN JUST GREAT POST-ACUTE SERVICES. WE FOSTER GOOD HEALTH AND NUTRITION BY SPONSORING A MALL WALKER PROGRAM AND BLOOD PRESSURE SCREEN AT THE LOCAL MALL. TWICE A YEAR WE HOST AN EIGHT WEEK COMPREHENSIVE EDUCATIONAL SERIES (MINDFUL LIVING) OPEN TO THE COMMUNITY. TOPICS RANGE FROM AGING IN PLACE TO NUTRITION ON HOW TO CREATE YOUR WILL. WE HOST NUMEROUS SUPPORT GROUPS ON OUR CAMPUS EACH MONTH AND ARE INVOLVED IN NUMEROUS COMMUNITY WIDE HEALTH FAIRS. STAFF PARTICIPATE IN LOCAL AGING CONSORTIUMS AND LEADERS OF AGING ISSUES SUCH AS FALL PREVENTION AND CHRONIC ILLNESSES. ALL OF OUR COMMUNITY ACTIVITIES FOCUS ON DISEASE PREVENTION AND MANAGEMENT AS WELL AS CONNECTING THE LARGER COMMUNITY TO RESOURCES WITHIN CAREPARTNERS AND ACROSS WNC.ANY SURPLUS OF FUNDS IS RETURNED TO THE COMMUNITY THROUGH IMPROVING THE QUALITY OF PATIENT CARE OR EXPANDING TYPES OF CARE THAT ARE PROVIDED TO REACH MORE PATIENTS.
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
Scedule H, Part VI, question 2 Asheville Specialty Hospital	HE 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 LINKED 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION REQUIRES THAT POTENTIAL GRANT RECIPIENTS INDICATE HOW THE FUNDS WILL BE USED IN ORDER TO ENSURE THAT THE FUNDS WILL BE USED PROPERLY AND IN ACCORDANCE WITH THE ORGANIZATION'S EXEMPT PURPOSE. THE ORGANIZATION ALSO TOURS THE FACILITIES OF A POTENTIAL RECIPIENT TO GAIN A THOROUGH UNDERSTANDING OF THEIR OPERATIONS. AFTER A GRANT IS AWARDED, THE ORGANIZATION MEETS WITH THE MANAGMENT OF THE RECIPIENT ORGANIZATION TO REVIEW HOW THE FUNDS ARE BEING USED. A REPORT IS GIVEN TO THE BOARD OF DIRECTORS RELATED TO THESE FINDINGS. ON OCCASIONS THE GRANT RECIPIENT WILL ALSO PRESENT THEIR OUTCOMES DIRECTLY TO THE BOARD OF DIRECTORS.	ExplanationTxt

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 (11 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
CEO	$0	$275,146	$0	$83,025	$0	$32,488	$0	$53,488	$0	$14,215	$0	$458,362	$0	$0
Sharon Hathaway MD
Board Member	$0	$220,919	$0	$15,934	$0	$957	$0	$8,983	$0	$10,463	$0	$257,256	$0	$0
Jill Hoggard-Green PhD
Board Member	$0	$562,385	$0	$213,304	$0	$7,839	$0	$124,184	$0	$22,116	$0	$929,828	$0	$0
Ruth Zyry
Board Member	$0	$99,794	$0	$75,000	$0	$76	$0	$12,500	$0	$4,980	$0	$192,350	$0	$0
Sulaiman Sulaiman thru Dec 15
Board Member	$0	$326,292	$0	$99,334	$0	$2,740	$0	$58,717	$0	$26,660	$0	$513,743	$0	$0
Gregg Dixon
CFO	$0	$182,328	$0	$47,968	$0	$994	$0	$25,983	$0	$9,114	$0	$266,387	$0	$0
Edgardo Diez MD
Physician	$234,685	$0	$84,643	$0	$25,404	$0	$1,000	$0	$21,254	$0	$366,986	$0	$0	$0
Michael Parmer MD
Physician	$253,342	$0	$45,788	$0	$6,829	$0	$7,127	$0	$16,397	$0	$329,483	$0	$0	$0
Christopher Min MD
Physician	$197,833	$0	$53,315	$0	$14,809	$0	$5,848	$0	$11,000	$0	$282,805	$0	$0	$0
John Langlois MD
Physician	$206,775	$0	$5,162	$0	$6,585	$0	$5,140	$0	$13,487	$0	$237,149	$0	$0	$0
Joy DeGuzman MD
Physician	$212,748	$0	$53,624	$0	$1,342	$0	$6,314	$0	$20,423	$0	$294,451	$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 (11 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 11	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 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 11a, 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 11a, 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 11a, 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 9	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 11a, I	TRANSYLVANIA COMMUNITY HOSPITAL INC	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 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	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	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	MEDICAL IMAGING	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	-$147,207	$1,893,262	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 III LLC
5935 Carnegie Blvd	Charlotte	NC	28209	464053310	Real Estate Rental	NC	N/A
Western NC Healthcare Innovators LLC
5935 Carnegie Blvd	Charlotte	NC	28209	800787882	Real Estate Rental	NC	N/A
Western Regional Radiation Therapy Center
68 Hospital Drive	Sylva	NC	28779	561849395	Radiation Therapy	NC	N/A
WNC Stone Center
509 Biltmore Avenue	Asheville	NC	28801	272152974	Lithotripter Rental	NC	N/A
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 (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MISSION VENTURES INC
400 RIDGEFIELD CT STE 100	ASHEVILLE	NC	28806	561341621	Dissolved September 2016	NC	N/A	C	0
DOGWOOD INSURANCE COMPANY LTD
					CAPTIVE INSURANCE ENTITY		N/A	C	0	PO BOX 30600	GRAND CAYMAN	CJ	CJ
TRANSYLVANIA SERVICES INC
260 HOSPITAL DR	BREVARD	NC	28712	561448199	REAL ESTATE	NC	N/A	C	0
MISSION HEALTH PARTNERS INC
509 BILTMORE AVE	ASHEVILLE	NC	28801	465566095	CLINICALLY INTEGRATED NETWORK	NC	N/A	C	0
Healthy State Inc
509 BILTMORE AVE	Asheville	NC	28801	812108613	Administrative	NC	N/A	C	0

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