MOUNTAIN VISTA HEALTH PARK INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MOUNTAIN VISTA HEALTH PARK INC (EIN 56-1255030)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-02-16
IRS object ID: 201500499349300305
Schema version: 2013v4.0
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 C
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-02-16T08:08:58-06:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	561706742	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DAVIDSON HOLLAND WHITESELL & CO PLLC	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	209 13TH AVE PLACE NW SUITE 200	AddressLine1
City	HICKORY	City
State	NC	State
ZIP Code	28601	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	561255030	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNTAIN VISTA HEALTH PARK INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	MOUN	BusinessNameControlTxt
Phone	3368592181	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	POST OFFICE BOX 1547	AddressLine1
City	DENTON	City
State	NC	State
ZIP Code	27239	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AVA BADGETT	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	3368592181	PhoneNum
Signature	2015-02-16	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SUSAN M BALKE	PreparerPersonNm
PTIN	P01056462	PTIN
Phone	8283222070	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	AVA BADGETT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	POST OFFICE BOX 1547	AddressLine1
City	DENTON	City
State	NC	State
ZIP Code	27239	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$6,003,461	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1971	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	PROVIDE QUALITY LONG-TERM NURSING CARE FOR RESIDENTS.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	163	TotalEmployeeCnt
Total Volunteers	35	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$6,273,271	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,935,889	CYProgramServiceRevenueAmt
PY Investment Income	$30,703	PYInvestmentIncomeAmt
CY Investment Income	$66,372	CYInvestmentIncomeAmt
PY Other Revenue	$2,400	PYOtherRevenueAmt
CY Other Revenue	$1,200	CYOtherRevenueAmt
PY Total Revenue	$6,306,374	PYTotalRevenueAmt
CY Total Revenue	$6,003,461	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$3,356,928	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,434,986	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,494,160	PYOtherExpensesAmt
CY Other Expenses	$2,517,143	CYOtherExpensesAmt
PY Total Expenses	$5,851,088	PYTotalExpensesAmt
CY Total Expenses	$5,952,129	CYTotalExpensesAmt
PY Revenues Less Expenses	$455,286	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$51,332	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,465,627	TotalAssetsBOYAmt
Total Assets EOY	$5,560,137	TotalAssetsEOYAmt
Total Liabilities BOY	$482,524	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$513,452	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,983,103	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,046,685	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE QUALITY LONG-TERM SKILLED NURSING CARE AND ASSISTED LIVING SERVICES TO THE SOUTH DAVIDSON COUNTY COMMUNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$4,997,023	ExpenseAmt
Revenue	$5,935,889	RevenueAmt
Desc	MOUNTAIN 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	$4,997,023	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	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	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	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	0	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	5	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	163	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
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TULLOCK MANAGEMENT COMPANY	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	3369985001	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5190 US HWY 158	AddressLine1
City	ADVANCE	City
State	NC	State
ZIP Code	27006	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
MAL MARTIN
PRESIDENT	0.30	Yes (X)	Yes (X)	$0	$0	$0
TONY JACKSON
VICE PRESIDENT	0.30	Yes (X)	Yes (X)	$0	$0	$0
AVA BADGETT
TREASURER	0.30	Yes (X)	Yes (X)	$0	$0	$0
JEANETTE SKEEN
SECRETARY	0.30	Yes (X)	Yes (X)	$0	$0	$0
DEL CRANFORD
DIRECTOR	0.30	Yes (X)	Yes (X)	$0	$0	$0
KURT BEYELER
DIRECTOR	0.30	Yes (X)		$0	$0	$0
SCOTT MORRIS
DIRECTOR	0.30	Yes (X)		$0	$0	$0
DALE FUTRELL
DIRECTOR	0.30	Yes (X)		$0	$0	$0
KATHY MCDONALD
ADMINISTRATOR	40.00		Yes (X)	$98,413	$0	$1,688

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$98,413	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,688	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
LEGACY HEALTHCARE SERVICES INC
PO BOX 951003	CLEVELAND	OH	44193	PHYSICAL, SPEECH & OCC THERAPY	$563,963
BLUE CROSS BLUE SHIELD
PO BOX 580017	CHARLOTTE	NC	28258	GROUP MEDICAL INSURANCE	$378,164
US FOOD SERVICE
125 FORT MILL PARKWAY	FORT MILL	SC	29715	FOOD SERVICE/SUPPLY	$173,254
NEIL MEDICAL GROUP
2545 JETPORT ROAD	KINSTON	NC	28504	NURSING/MEDICAL SUPPLIES	$106,806
YADKIN VALLEY HEALTHCARE
17955 SOUTH HWY 109	DENTON	NC	27239	PHARMACY CONTRACT SERVICE	$105,723

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ROUTINE NURSING CARE	623000	$5,919,554	$5,919,554
ANCILLARIES	623000	$16,335	$16,335

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,935,889	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,372	TotalRevenueColumnAmt
Exclusion	$66,372	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,200	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,200	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,200	TotalRevenueColumnAmt
Exclusion	$1,200	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,003,461	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,935,889	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$67,572	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,077,252	TotalAmt
Program Services	$2,856,605	ProgramServicesAmt
Management And General	$220,647	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$127,102	TotalAmt
Program Services	$93,066	ProgramServicesAmt
Management And General	$34,036	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$230,632	TotalAmt
Program Services	$213,726	ProgramServicesAmt
Management And General	$16,906	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$298,473	TotalAmt
Management And General	$298,473	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,050	TotalAmt
Management And General	$3,050	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$17,400	TotalAmt
Management And General	$17,400	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$12,250	TotalAmt
Management And General	$12,250	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$280,645	TotalAmt
Management And General	$280,645	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,884	TotalAmt
Management And General	$2,884	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,695	TotalAmt
Management And General	$9,695	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$8,388	TotalAmt
Program Services	$4,018	ProgramServicesAmt
Management And General	$4,370	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$44	TotalAmt
Management And General	$44	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$133,377	TotalAmt
Program Services	$133,377	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$308,751	TotalAmt
Program Services	$292,973	ProgramServicesAmt
Management And General	$15,778	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$476,107	$473,347	$2,760
CONTRACT SERVICES	$452,041	$443,091	$8,950
RAW FOOD	$225,610	$225,610
UTILITIES	$207,309	$194,468	$12,841

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$81,119	TotalAmt
Program Services	$66,742	ProgramServicesAmt
Management And General	$14,377	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,952,129	TotalAmt
Program Services	$4,997,023	ProgramServicesAmt
Management And General	$955,106	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,777,647	BOYAmt
EOY	$2,208,088	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$604,182	BOYAmt
EOY	$593,599	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,079	BOYAmt
EOY	$16,626	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$80,184	BOYAmt
EOY	$71,157	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,800,291	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,928,060	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$945,458	BOYAmt
EOY	$872,231	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,043,077	BOYAmt
EOY	$1,798,436	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,465,627	BOYAmt
EOY	$5,560,137	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$453,563	BOYAmt
EOY	$482,463	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,961	BOYAmt
EOY	$30,989	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$482,524	BOYAmt
EOY	$513,452	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,983,103	BOYAmt
EOY	$5,046,685	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,983,103	BOYAmt
EOY	$5,046,685	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,465,627	BOYAmt
EOY	$5,560,137	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$51,332	ReconcilationRevenueExpnssAmt
Investment Expense	$12,250	InvestmentExpenseAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
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)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	0	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,830,748	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,112,172	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,131,780	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,273,271	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,935,889	CurrentTaxYearAmt
Total	$30,283,860	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$1,800	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,400	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,400	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,200	CurrentTaxYearAmt
Total	$7,800	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,830,748	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,113,972	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,134,180	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,275,671	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,937,089	CurrentTaxYearAmt
Total	$30,291,660	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	$30,291,660	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$44,198	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$43,117	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$25,540	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$30,703	CurrentTaxYearMinus1YearAmt
Current Tax Year	$66,372	CurrentTaxYearAmt
Total	$209,930	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$44,198	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$43,117	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$25,540	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$30,703	CurrentTaxYearMinus1YearAmt
Current Tax Year	$66,372	CurrentTaxYearAmt
Total	$209,930	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,874,946	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,157,089	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,159,720	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,306,374	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,003,461	CurrentTaxYearAmt
Total	$30,501,590	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99310	PublicSupportCY509Pct
Public Support PY509	0.99350	PublicSupportPY509Pct
Investment Income CY	0.00690	InvestmentIncomeCYPct
Investment Income PY	0.00650	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	$822	PoliticalExpendituresAmt
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	$822	OtherActivitiesAmt
Total Lobbying Expenditures	$822	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,382,938	OtherCostOrOtherBasisAmt
Depreciation	$1,090,713	DepreciationAmt
Book Value	$292,225	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,620,160	OtherCostOrOtherBasisAmt
Depreciation	$1,280,403	DepreciationAmt
Book Value	$339,757	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$699,268	OtherCostOrOtherBasisAmt
Depreciation	$494,288	DepreciationAmt
Book Value	$204,980	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$78,567	OtherCostOrOtherBasisAmt
Depreciation	$62,656	DepreciationAmt
Book Value	$15,911	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$872,231	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
PATIENT FUNDS	$30,989
CASH VALUE OF LIFE INSURANCE	$303,960
INVESTMENTS	$1,463,487

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,798,436	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	PATIENT FUNDS	Desc
Amt	$30,989	Amt

Field	Value	IRS element (for citing)
Total Liability	$30,989	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$6,003,417	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$6,003,417	RevenueSubtotalAmt
Other Revenues Not Included	$44	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$44	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$6,003,461	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$5,939,835	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$5,939,835	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$12,250	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$44	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$12,294	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$5,952,129	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 SEPTEMBER 30, 2014, 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 DURING THE YEARS ENDED SEPTEMBER 30, 2014 AND 2013.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	INTEREST EXPENSES NETTED AGAINST INCOME ON FINANCIAL STATEMENTS 44.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	INTEREST EXPENSES NETTED AGAINST INCOME ON FINANCIAL STATEMENTS 44.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	MOUNTAIN VISTA HEALTH PARK CONTRACTS TULLOCK MANAGEMENT COMPANY TO PERFORM VARIOUS OPERATIONAL MANAGEMENT DUTIES
FORM 990, PART VI, SECTION B, LINE 11	A DRAFT COPY OF FORM 990 IS GIVEN TO THE DIRECTORS FOR REVIEW PRIOR TO BEING SIGNED BY THE APPROPRIATE OFFICER OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY
FORM 990, PART VI, SECTION B, LINE 15	DIRECTORS 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 19	DOCUMENTS ARE AVAILABLE UPON REQUEST TO THE MANAGEMENT COMPANY DURING NORMAL BUSINESS HOURS.