STRATEGY STUDIO / PUBLIC DATA EXPLORER

MOUNTAIN VISTA HEALTH PARK INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN VISTA HEALTH PARK INC (EIN 56-1255030)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-02-15
IRS object ID
201720469349302332
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-02-15T14:06:13-06:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561706742PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1209 13TH AVE PLACE NW SUITE 200AddressLine1Txt
CityHICKORYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561255030EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN VISTA HEALTH PARK INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
Phone3368592181PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAVA BADGETTPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3368592181PhoneNum
Signature2017-02-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVIRGINIA LOWDERPreparerPersonNm
PTINP01609579PTIN
Phone8283222070PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAVA BADGETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 1547AddressLine1Txt
CityDENTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27239ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,082,997GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionPROVIDE QUALITY LONG-TERM NURSING CARE FOR RESIDENTS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee166TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$6,141,590PYProgramServiceRevenueAmt
CY Program Service Revenue$5,969,628CYProgramServiceRevenueAmt
PY Investment Income-$28,056PYInvestmentIncomeAmt
CY Investment Income$58,835CYInvestmentIncomeAmt
PY Other Revenue$4,765PYOtherRevenueAmt
CY Other Revenue$2,200CYOtherRevenueAmt
PY Total Revenue$6,118,299PYTotalRevenueAmt
CY Total Revenue$6,030,663CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,423,978PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,420,387CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,612,911PYOtherExpensesAmt
CY Other Expenses$2,630,453CYOtherExpensesAmt
PY Total Expenses$6,036,889PYTotalExpensesAmt
CY Total Expenses$6,050,840CYTotalExpensesAmt
PY Revenues Less Expenses$81,410PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$20,177CYRevenuesLessExpensesAmt
Total Assets BOY$5,717,775TotalAssetsBOYAmt
Total Assets EOY$5,708,318TotalAssetsEOYAmt
Total Liabilities BOY$574,893TotalLiabilitiesBOYAmt
Total Liabilities EOY$497,793TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,142,882NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,210,525NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE QUALITY LONG-TERM SKILLED NURSING CARE AND ASSISTED LIVING SERVICES TO THE SOUTH DAVIDSON COUNTY COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,073,753ExpenseAmt
Revenue$5,969,628RevenueAmt
DescMOUNTAIN VISTA HEALTH PARK, INC. IS A CORPORATION WHICH PROVIDES LONG-TERM NURSING CARE AND ADULT CARE HOME SERVICES. THE FACILITY HAS 60 NURSING AND 60 ADULT-CARE BEDS. WE OFFER SERVICES TO THE PUBLIC WITHOUT REGARD TO RELIGION OR ETHNICITY.Desc
Total Program Service Expenses$5,073,753TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee166EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line15190 US HWY 158AddressLine1Txt
CityADVANCECityNm
State AbbreviationNCStateAbbreviationCd
ZIP27006ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MAL MARTIN
PRESIDENT0.25Yes (X)Yes (X)$0$0$0
SCOTT MORRIS
VICE PRESIDENT0.25Yes (X)Yes (X)$0$0$0
AVA BADGETT
TREASURER0.25Yes (X)Yes (X)$0$0$0
ADALYN NOPANEN
SECRETARY0.25Yes (X)Yes (X)$0$0$0
DEL CRANFORD
DIRECTOR0.25Yes (X)Yes (X)$0$0$0
KURT BEYELER
DIRECTOR0.25Yes (X)$0$0$0
RANDY HARDISTER
DIRECTOR0.25Yes (X)$0$0$0
JEANETTE POTTS
DIRECTOR0.25Yes (X)$0$0$0
DALE FUTRELL
ASST TREASURER0.25Yes (X)$0$0$0
PRISCILLA VINT
ADMINISTRATOR40.00Yes (X)$77,267$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$77,267TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LEGACY HEALTHCARE SERVICES INC
PO BOX 951003CLEVELANDOH44193PHYSICAL, SPEECH & OCC THERAPY$797,915
BLUE CROSS BLUE SHIELD
PO BOX 580017CHARLOTTENC28258GROUP MEDICAL INSURANCE$499,059
TULLOCK MANAGEMENT COMPANY
5190 US-158ADVANCENC27006MANAGEMENT$314,443
US FOOD SERVICE
125 FORT MILL PARKWAYFORT MILLSC29715FOOD SERVICE/SUPPLY$261,021
YADKIN VALLEY HEALTHCARE
213 WINSTON RDJONESVILLENC28642NURSING/MEDICAL SUPPLIES$135,610
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ROUTINE NURSING CARE623000$5,957,874$5,957,874
ANCILLARIES623000$11,754$11,754
FieldValueIRS element (for citing)
Total Program Service Revenue$5,969,628TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$111,169TotalRevenueColumnAmt
Exclusion$111,169ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,200RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,200RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,200TotalRevenueColumnAmt
Exclusion$2,200ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$52,334OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$52,334OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$52,334TotalRevenueColumnAmt
Exclusion-$52,334ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,030,663TotalRevenueColumnAmt
Related Or Exempt Func Income$5,969,628RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$61,035ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$77,267TotalAmt
Management And General$77,267ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,007,710TotalAmt
Program Services$2,865,460ProgramServicesAmt
Management And General$142,250ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$92,851TotalAmt
Program Services$87,632ProgramServicesAmt
Management And General$5,219ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$242,559TotalAmt
Program Services$218,666ProgramServicesAmt
Management And General$23,893ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$299,142TotalAmt
Management And General$299,142ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,438TotalAmt
Management And General$2,438ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,000TotalAmt
Management And General$18,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$22,826TotalAmt
Management And General$22,826ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$263,870TotalAmt
Management And General$263,870ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,493TotalAmt
Management And General$2,493ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,275TotalAmt
Program Services$5,342ProgramServicesAmt
Management And General$3,933ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$38TotalAmt
Management And General$38ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$135,430TotalAmt
Program Services$135,430ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$370,005TotalAmt
Program Services$329,297ProgramServicesAmt
Management And General$40,708ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
CONTRACT SERVICES$633,487$633,487
SUPPLIES$548,347$548,347
UTILITIES$168,826$168,826
EQUIPMENT RENTAL AND MA$68,606$68,606

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$87,670TotalAmt
Program Services$12,660ProgramServicesAmt
Management And General$75,010ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,050,840TotalAmt
Program Services$5,073,753ProgramServicesAmt
Management And General$977,087ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$1,104,374EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,525,941BOYAmt
EOY$276,112EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$510,395BOYAmt
EOY$438,818EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$16,344BOYAmt
EOY$14,556EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$78,038BOYAmt
EOY$72,675EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,013,099LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,125,555LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$809,340BOYAmt
EOY$887,544EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,777,717BOYAmt
EOY$2,914,239EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,717,775BOYAmt
EOY$5,708,318EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$542,575BOYAmt
EOY$461,044EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,318BOYAmt
EOY$36,749EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$574,893BOYAmt
EOY$497,793EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,142,882BOYAmt
EOY$5,210,525EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,142,882BOYAmt
EOY$5,210,525EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,717,775BOYAmt
EOY$5,708,318EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$20,177ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$87,820NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,131,780CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,273,271CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,935,889CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,141,590CurrentTaxYearMinus1YearAmt
Current Tax Year$5,969,628CurrentTaxYearAmt
Total$29,452,158TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,400CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,765CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$10,765TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,134,180CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,275,671CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,937,089CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,146,355CurrentTaxYearMinus1YearAmt
Current Tax Year$5,969,628CurrentTaxYearAmt
Total$29,462,923TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$29,462,923PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,540CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,703CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,372CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$20,432CurrentTaxYearMinus1YearAmt
Current Tax Year$113,369CurrentTaxYearAmt
Total$215,552TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,540CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,703CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,372CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$20,432CurrentTaxYearMinus1YearAmt
Current Tax Year$113,369CurrentTaxYearAmt
Total$215,552TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,159,720CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,306,374CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,003,461CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,125,923CurrentTaxYearMinus1YearAmt
Current Tax Year$6,082,997CurrentTaxYearAmt
Total$29,678,475TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99270PublicSupportCY509Pct
Public Support PY5090.99510PublicSupportPY509Pct
Investment Income CY0.00730InvestmentIncomeCYPct
Investment Income PY0.00490InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures$677PoliticalExpendituresAmt
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$677OtherActivitiesAmt
Total Lobbying Expenditures$677TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,382,938OtherCostOrOtherBasisAmt
Depreciation$1,319,902DepreciationAmt
Book Value$63,036BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,739,854OtherCostOrOtherBasisAmt
Depreciation$1,229,891DepreciationAmt
Book Value$509,963BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$817,546OtherCostOrOtherBasisAmt
Depreciation$575,762DepreciationAmt
Book Value$241,784BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,403OtherCostOrOtherBasisAmt
Book Value$53,403BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$887,544TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
PATIENT FUNDS$36,749
CASH VALUE OF LIFE INSURANCE$331,519
INVESTMENTS$2,545,971
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,914,239TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPATIENTS LIABILITYDesc
Amt$36,749Amt
FieldValueIRS element (for citing)
Total Liability$36,749TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,095,619TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$87,820NetUnrealizedGainsInvstAmt
Revenue Not Reported$87,820RevenueNotReportedAmt
Revenue Subtotal$6,007,799RevenueSubtotalAmt
Investment Expenses Not Incld$22,826InvestmentExpensesNotIncldAmt
Other Revenues Not Included$38OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$22,864RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,030,663TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,027,976TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,027,976ExpensesSubtotalAmt
Investment Expenses Not Incld2$22,826InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$38OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$22,864ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,050,840TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE COMPANY HAS IMPLEMENTED THE NEW ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOUSURE AND TRANSITION. AS OF THE CURRENT YEAR, THE COMPANY HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AND RECOGNIZED NO SUCH INTEREST OR PENALTIES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INTEREST EXPENSE NETTED AGAINST INCOME ON FINANCIAL STATEMENTS 38.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INTEREST EXPENSES NETTED AGAINST INCOME ON FINANCIAL STATEMENTS 38.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3MOUNTAIN VISTA HEALTH PARK CONTRACTS TULLOCK MANAGEMENT COMPANY TO PERFORM VARIOUS OPERATIONAL MANAGEMENT DUTIES
FORM 990, PART VI, SECTION B, LINE 11A DRAFT COPY OF FORM 990 IS GIVEN TO THE TREASURER TO REVIEW BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY
FORM 990, PART VI, SECTION B, LINE 15DIRECTORS RECEIVE NO COMPENSATION. KEY EMPLOYEE COMPENSATION IS REVIEWED BY THE MANAGEMENT COMPANY AND THE ADMINISTRATOR ANNUALLY. COMPENSATION RATES FOR KEY EMPLOYEES ARE COMMENSURATE WITH SIMILAR POSITIONS AS COMPARED WITH INDUSTRY DATA.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST TO THE MANAGEMENT COMPANY DURING NORMAL BUSINESS HOURS.
FORM 990, PART IX, LINE 24EMISCELLANEOUS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 26,978. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,978. SUPPLIES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,215. UTILITIES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,165. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,165. TAXES AND LICENSE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,384. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,384. MISCELLANEOUS : PROGRAM SERVICE EXPENSES 10,499. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,499. DUES AND SUBSCRIPTIONS : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,165. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,165. BANK FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,359. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,359. TRANSPORTATION : PROGRAM SERVICE EXPENSES 2,161. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,161. CONTRACT SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 684. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 684. EQUIPMENT RENTAL AND MAINTENANCE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 60. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60.
FORM 990, PART XII, LINE 2C AUDIT OVERSIGHT/SELECTION-INDEPENDENT ACCTTHE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR; HOWEVER, THIS QUESTION HAD PREVIOUSLY BEEN ANSWERED NO BECAUSE THERE IS NOT A SEPARATE COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTS AN INDEPENDENT ACCOUNTANT. THE MEMBERS OF THE BOARD HAVE ALWAYS BEEN RESPONSIBLE FOR THESE ACTIONS AS OUTLINED IN THE ORGANIZATION'S GOVERNING DOCUMENTS. FOR THIS REASON, THE RESPONSE HAS BEEN CHANGED TO "YES" TO MORE ACCURATELY REFLECT THE BOARD'S RESPONSIBILITY REGARDING THESE FUNCTIONS.