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MOUNTAINCARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MOUNTAINCARE INC (EIN 56-2005198)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201402279349302510
Schema version
2012v2.1
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)
Timestamp2014-08-15T10:24:33-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562005198EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CAREPARTNERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone8282742400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5779AddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28813ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREGORY K DIXONName
TitleCFOTitle
Phone8282742400Phone
Date Signed2014-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
PTINP00445891PTIN
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGREGORY K DIXONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5779AddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28813ZIPCode
FieldValueIRS element (for citing)
Gross Receipts79736407GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
All Affiliates Included1AllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.CAREPARTNERS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionHELPING PEOPLE LIVE FULLY THROUGH LIFE'S JOURNEY.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees1224TotalNbrEmployees
Total Nbr Volunteers861TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1276412ContributionsGrantsPriorYear
Contributions Grants Current Year3319679ContributionsGrantsCurrentYear
Program Service Revenue Prior Year75758077ProgramServiceRevenuePriorYear
Program Service Revenue CY76134515ProgramServiceRevenueCY
Investment Income Prior Year111077InvestmentIncomePriorYear
Investment Income Current Year32938InvestmentIncomeCurrentYear
Other Revenue Prior Year178760OtherRevenuePriorYear
Other Revenue Current Year165182OtherRevenueCurrentYear
Total Revenue Prior Year77324326TotalRevenuePriorYear
Total Revenue Current Year79652314TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year68389GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY47698GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year56810517SalariesEtcPriorYear
Salaries Etc Current Year57922371SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year21108115OtherExpensePriorYear
Other Expenses Current Year22960233OtherExpensesCurrentYear
Total Expenses Prior Year77987021TotalExpensesPriorYear
Total Expenses Current Year80930302TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-662695RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1277988RevenuesLessExpensesCY
Total Assets BOY26713386TotalAssetsBOY
Total Assets EOY24774929TotalAssetsEOY
Total Liabilities BOY12156855TotalLiabilitiesBOY
Total Liabilities EOY10217116TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14556531NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14557813NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHELPING PEOPLE LIVE FULLY THROUGH LIFE'S JOURNEY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense24755395Expense
Grants47698Grants
Revenue4112334Revenue
DescriptionON ANY GIVEN DAY IN FY13, COMMUNITY CAREPARTNERS WAS SERVING OVER 3,000 PATIENTS THROUGH OUR COMPREHENSIVE PROGRAMS IN REHABILITATION, HOME HEALTH, HOSPICE AND ADULT CARE THAT COMPOSE OUR UNIQUE POST-ACUTE CONTINUUM OF CARE. OUR 1,100 EMPLOYEES ARE COMMITTED TO PROVIDING EXCEPTIONAL CARE, EVERY DAY. AT THE BEGINNING OF 2013, CAREPARTNERS INITIATED DISCUSSIONS TO BECOME PART OF THE MISSION HEALTH SYSTEM, SERVING 18 COUNTIES OF WESTERN NORTH CAROLINA. WITH OUR RAPIDLY CHANGING HEALTH CARE ENVIRONMENT, NEW MODELS OF CARE AND DECLINING REIMBURSEMENT, BOTH MISSION AND CAREPARTNERS REALIZED THE NEED TO AFFILIATE AND DEVELOP A SEAMLESS CONTINUUM OF CARE FROM ACUTE CARE TO POST-ACUTE SERVICES. THE AFFILIATION WAS COMPLETED AT THE END OF FY13 (WITH AN EFFECTIVE DATE OF OCTOBER 01, 2013), AND CAREPARTNERS BECAME THE POST-ACUTE CARE ARM OF THE MISSION HEALTH SYSTEM. THE AFFILIATION ACHIEVES THE FOLLOWING GOALS:- IMPROVES ACCESS TO AND DELIVERY OF SERVICES ACROSS THE REGION BY PROVIDING FOR SAFE, SMOOTH AND EFFICIENT TRANSITIONS OF CARE.- INTEGRATES MISSION'S ACUTE CARE EXPERTISE WITH CAREPARTNERS' POST-ACUTE EXPERTISE.- ALLOWS PATIENT DATA TO FLOW ACROSS THE SYSTEM TO ENABLE SAFE, HIGH QUALITY AND EFFICIENT CARE.- ENHANCES THE QUALITY OF CARE WHILE REDUCING COST THROUGH THE ACHIEVEMENT OF MAXIMUM EFFICIENCIES.- PROVIDES FOR INNOVATION AND DEVELOPMENT OF NEW PROGRAMS TO MEET COMMUNITY NEEDS. SOME OF THE SPECIFIC ACCOMPLISHMENTS FOR EACH OF OUR SERVICE AREAS INCLUDE:OUTPATIENT THERAPY: THE OUTPATIENT THERAPY PROGRAM ADMITTED NEARLY 5,000 PATIENTS, PERFORMED OVER 100,000 PROCEDURES AND CONDUCTED OVER 26,000 VISITS IN FY13. THE PROGRAM IMPLEMENTED A NEW ELECTRONIC DOCUMENTATION SYSTEM THAT ACHIEVED: INCREASED COMPLIANCE IN DOCUMENTATION AND CHARGING; IMPROVED EFFICIENCIES; AND INCREASED EFFICIENCIES IN OUTCOME DATA COLLECTION. IN ADDITION TO IMPLEMENTATION OF THE EMR, PACE: THE PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY ("PACE") PROVIDES COMMUNITY-BASED CARE AND SERVICES TO PEOPLE WHO 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. OUR PROGRAM IS CURRENTLY IN DEVELOPMENT WITH AN ANTICIPATED OPENING TO PARTICIPANTS IN OCTOBER 2014. DURING 2013, WE WORKED THROUGH THE APPLICATION APPROVAL PROCESS WITH CMS, NC DIVISION OF MEDICAL ASSISTANCE AND NC DIVISION OF AGING AND ADULT SERVICES. THE FACILITY WAS COMPLETED IN EARLY 2014 AND WE BEGAN THE PROCESS OF HIRING KEY STAFF TO HELP DEVELOP THE MANY SYSTEMS THAT WILL ALLOW US TO EFFECTIVELY CARE FOR OUR PARTICIPANTS. HOW WE USE OUR EXCESS REVENUES:WHILE CAREPARTNERS HAS A MINIMAL SURPLUS OF FUNDS MOST YEARS, EVERY DOLLAR IS REINVESTED IN THE ORGANIZATION TO CONTINUALLY IMPROVE THE QUALITY OF OUR SERVICES AND MEET THE COMMUNITY'S NEEDS. DURING THE PAST YEAR, THESE FUNDS HAVE BEEN USED TO PURCHASE A NEW ELECTRONIC MEDICAL RECORD SYSTEM FOR OUR HOME HEALTH, HOSPICE, PALLIATIVE CARE AND PRIVATE DUTY PROGRAMS THAT WILL ENHANCE SERVICES TO OUR PATIENTS. IN ADDITION, NEW INPATIENT AND OUTPATIENT THERAPY EQUIPMENT WAS PURCHASED, ALONG WITH UPGRADES OF OUR FACILITIES. ANY EXCESS FUNDS ARE USED TO ENHANCE EXISTING SERVICES AND EXPAND SERVICES TO SERVE UNMET NEEDS IN THE COMMUNITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17210029Expense
Revenue28257528Revenue
DescriptionREHABILITATION HOSPITAL: THE REHABILITATION HOSPITAL SERVED 1,341 PATIENTS IN FY13. PATIENT SATISFACTION CONTINUED TO BE VERY STRONG, WITH THE HOSPITAL SCORING IN THE TOP 20% OF THE ORGANIZATIONS PARTICIPATING IN OUR INDUSTRY-SPECIFIC DATABASE. OUR OUTCOME MEASURES, FUNCTIONAL INDEPENDENT MEASURE (FIM), SHOWED AN IMPROVEMENT OVER THE PAST YEAR WITH AN AVERAGE OF 2.61 IMPROVEMENT COMPARED TO A TARGET OF 2.56. IN THE PAST YEAR, WE CONTRACTED WITH A NEW FOOD DELIVERY SERVICE, MORRISON'S, WHICH OFFERS A "CATER TO YOU" PROGRAM FOCUSED ON PATIENT SATISFACTION. WE ADDED MORE PSYCHOLOGY HOURS TO PROVIDE EXPANDED ACCESSIBILITY TO PSYCHOLOGY SERVICES FOR OUR PATIENTS AND ENHANCED OUR VOLUNTEER PROGRAM, UTILIZING VOLUNTEERS FOR MID-STAY PATIENT SATISFACTION SURVEYS AS WELL AS MUSIC THERAPY AND PATIENT VISITS. WE HAVE CONTINUED A PATIENT ADVISORY COUNCIL WHICH SERVES AS A MEANS TO INVOLVE PAST PATIENTS WHO ARE NOW IN THE COMMUNITY TO GIVE FEEDBACK REGARDING THEIR HOSPITAL STAY AND OPPORTUNITIES FOR IMPROVEMENT. 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 CONTINUE TO OFFER SPECIALIZED PROGRAMS TO OUR PATIENTS SUCH AS VESTIBULAR THERAPY, LYMPHEDEMA THERAPY, WHEELCHAIR SEATING, AND POOL THERAPY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense14497785Expense
Revenue21491146Revenue
DescriptionHOSPICE: FOR FY13, HOSPICE ADMITTED 1,014 PATIENTS WITH A TOTAL OF 1,456 PATIENTS SERVED IN OUR HOSPICE PROGRAM. THE AVERAGE DAILY CENSUS IN HOSPICE HOME CARE WAS 258 AND THE AVERAGE DAILY CENSUS FOR OUR SOLACE HOSPICE INPATIENT FACILITY WAS 20. HOSPICE CONTINUES TO PROVIDE CARE AND SERVICES 24/7 WITH ADMISSIONS TO HOSPICE SEVEN DAYS A WEEK. OUR FAMILY SATISFACTION SCORES REMAINED VERY HIGH WITH 93.3% STATING THAT THEY WOULD RECOMMEND OUR HOSPICE TO OTHERS. DEYTA, A NATIONAL COMPANY THAT MEASURES HOSPICE PATIENT AND FAMILY SATISFACTION, RECOGNIZED OUR PROGRAM AS ONE OF THE TOP 10% IN THE COUNTRY IN 2013. THIS AWARD IS EARNED BY CONTINUED HIGH SCORES IN 17 VARIABLES OF THE SATISFACTION SURVEY. OUR BEREAVEMENT PROGRAM SERVED 2,589 INDIVIDUALS IN OUR COMMUNITY BY PROVIDING INDIVIDUAL COUNSELING, GROUP SESSIONS, AND COMMUNITY PROGRAMS IN OUR SCHOOLS. THESE PROGRAMS ARE OFFERED TO HOSPICE FAMILIES AND TO OUR LARGER COMMUNITY. PALLIATIVE CARE: THE SUPPORTIVE AND PALLIATIVE CARE PROGRAM CONTINUED TO EXPAND ITS SERVICES IN FY13. OUR HOSPITAL INPATIENT PALLIATIVE CARE PROGRAM TRANSITIONED TO A NEW MODEL OF CARE DELIVERY TO TIMELY RESPOND TO NEEDS AND ADDED CHAPLAIN SERVICES TO THE PROGRAM. WE PROVIDED 1,357 INITIAL CONSULTS ACROSS ALL THREE AREAS OF SERVICE, INCLUDING AN ACUTE CARE HOSPITAL PROGRAM, A COMMUNITY BASED PROGRAM THAT SERVES PATIENTS IN MULTIPLE SETTINGS IN SEVERAL COUNTIES IN WESTERN NORTH CAROLINA, AND OUR OUTPATIENT PALLIATIVE CARE CLINIC. CAREPARTNERS ALSO GRADUATED ONE FELLOW IN THE NEW ACGME-APPROVED HOSPICE AND PALLIATIVE CARE FELLOWSHIP PROGRAM AND ENROLLED TWO NEW FELLOWS FOR THE 2013-14 YEAR.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense16447820Expense
Revenue22273407Revenue
DescriptionHOME 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 SERVED OVER 7,350 PATIENTS WITH AN AVERAGE DAILY CENSUS OF OVER 1,500 PATIENTS. 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 IN-SERVICE TRAINING TO ENSURE THESE NEEDS ARE MET. WORKING WITH OUR REGIONAL TERTIARY HOSPITAL, MISSION HOSPITAL, OUR CLINICAL SPECIALIST WORKED WITH PULMONOLOGY LEADERS TO ENSURE A SAFE TRANSITION OF THESE COPD PATIENTS. THIS PROGRAM CREATED A SAFE TRANSITION HOME AND RELIED ON TELEMONITORING SUPPORT IN CONJUNCTION WITH HOME HEALTH SERVICES. DURING THIS YEAR WE TRANSITIONED TO A NEW ELECTRONIC MEDICAL RECORD AND ADDED NUMEROUS TECHNOLOGICAL SERVICES. THE TRANSITION WAS TIME CONSUMING, BUT PROVIDES A MORE ROBUST AND COMPREHENSIVE ELECTRONIC RECORD OF THE PATIENTS' CARE. 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: ADULT DAY SERVICES EXPANDED SERVICES TO OUR COMMUNITY IN A VARIETY OF WAYS DURING FY13. OUR ASHEVILLE-BASED ADULT DAY CARE/HEALTH CENTER COMPLETED A MAJOR RENOVATION AND EXPANSION, AND INCREASED ITS CERTIFIED CAPACITY TO SERVE UP TO 82 PARTICIPANTS PER DAY. APPROXIMATELY 200 BUNCOMBE COUNTY RESIDENTS PARTICIPATED IN THE ADULT DAY PROGRAM IN FY13. THE CENTER PROVIDED SHORT TERM OVERNIGHT RESPITE SERVICES 11 MONTHS OF THE YEAR. THE SERVICE WAS VERY SUCCESSFUL IN MEETING NEEDS OF BOTH CAREGIVERS AND PARTICIPANTS, WITH STAYS RANGING FROM 2 -14 NIGHTS. THE CLUB CAREPARTNERS- GROUP DAY RESPITE PROGRAM GREW THROUGHOUT THE YEAR SERVING AN AVERAGE OF 10 MEMBERS EACH DAY. CAREPARTNERS BEGAN OFFERING ADULT DAY CARE/HEALTH SERVICES IN HENDERSON COUNTY, AVERAGING 20 PARTICIPANTS IN ATTENDANCE PER DAY.PRIVATE DUTY: THE PRIVATE DUTY PROGRAM GREW TREMENDOUSLY DURING FY13 TO SERVE PATIENT NEEDS, RANGING FROM THREE HOURS A DAY TO 24 HOURS A DAY, SEVEN DAYS A WEEK. WITH AN AVERAGE DAILY CENSUS OF 225 PATIENTS, WE'VE EXPERIENCED RECORD VOLUMES. WE'VE FOCUSED THIS YEAR ON IMPROVING PATIENT SATISFACTION WITH AN "EXCEPTIONAL CARE, EVERY DAY" CAMPAIGN/ACTION PLAN. WE ARE ALSO PARTICIPATING IN A BENCHMARKING STUDY WHICH PROVIDES MORE TARGETS TO ASSESS OUR SERVICES. AS WE LOOK AHEAD, OUR FOCUS WILL TURN TO HIRING AND MANAGING CASES WITH BENEFITED STAFF VS PRN STAFF.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp16447820TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev22273407TotalOfOtherProgramServiceRev
Total Program Service Expense72911029TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109656NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1224NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GREGORY K DIXON CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8282742400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line168 SWEETEN CREEK ROADAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28803ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
TRACY BUCHANAN
CEO40.00XX2600610108077
CHARLES C CAMPBELL
CHAIR1.00XX000
JEFF GOULD
VICE CHAIR1.00XX000
LARRY HARRIS
SECRETARY1.00XX000
BRADY BLACKBURN
TREASURER1.00XX000
DENNIS KING ED D
IMMEDIATE PAST CHAIR1.00X000
K RAY BAILEY
BOARD MEMBER1.00X000
DAVID L CAPPIELLO MD
BOARD MEMBER1.00X000
CAROLYN COWARD
BOARD MEMBER1.00X000
SHARON HATHAWAY MD
BOARD MEMBER1.00X000
KERRY A FRIEDMAN
BOARD MEMBER1.00X000
JOEL ROSENBER MD
BOARD MEMBER1.00X000
EILEEN HUTCHSION
BOARD MEMBER1.00X000
PATSY KEEVER
BOARD MEMBER1.00X000
TRENT MCCAIN MD
BOARD MEMBER1.00X000
CHARLES PINE
BOARD MEMBER1.00X000
ROBBY RUSSELL
BOARD MEMBER1.00X000
MYRON W SMITH III MD
BOARD MEMBER1.00X000
KATHERINE E VOLATILE MD
BOARD MEMBER1.00X000
GARY BOWERS
COO40.00X206086095194
GREGORY DIXON
CFO40.00X180712074130
CHRISTOPHER MIN
MD. HOSPITAL MEDICAL SERVI40.0021171509363X
JOHN P LANGLOIS
MD. HOSPITAL MEDICAL SERVI40.00207439023840X
JOY DEGUZMAN
MD. HOSPITAL MEDICAL SERVI40.00243436024509X
VIRGINIA BARNHARDT
MD. HOSPITAL MEDICAL SERVI40.00163437017417X
MARIANNE SOUFAS
MD. HOSPITAL MEDICAL SERVI40.00162896011475X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1635782TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation364005TotalOtherCompensation
Number Individuals GT100 K25NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1J BRENDLE MEDIA LLC (DBA) JACQUELYN NBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16 INDIAN PLACEAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28805ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesADVERTISINGDescriptionOfServices
Compensation124264Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants182237GovernmentGrants
All Other Contributions3137442AllOtherContributions
Total Contributions3319679TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PROGRAM SERVICE FEES6211107515212575152125
OTHER OPERATING INCOME621110707940707940
INVESTMENT IN ASH HOSPITAL621110274450274450
FieldValueIRS element (for citing)
Total Program Service Revenue76134515TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column117031TotalRevenueColumn
Exclusion$117,031ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other84093Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-84093Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-84093TotalRevenueColumn
Exclusion-$84,093ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCAFETERIA & VENDINGDescription
Business Code722210BusinessCode
Total Revenue Column165182TotalRevenueColumn
Exclusion$165,182ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue165182TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column79652314TotalRevenueColumn
Related Or Exempt Function Income76134515RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$198,120ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total47698Total
Program Services47698ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total924260Total
Management And General924260ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total45756659Total
Program Services42129426ProgramServices
Management And General3627233ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1365488Total
Program Services1232350ProgramServices
Management And General133138ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6036004Total
Program Services5447480ProgramServices
Management And General588524ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3839960Total
Program Services3465555ProgramServices
Management And General374405ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total98770Total
Management And General98770ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total76086Total
Management And General76086ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6399811Total
Program Services5963354ProgramServices
Management And General436457ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total155985Total
Program Services155698ProgramServices
Management And General287ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2942535Total
Program Services2270119ProgramServices
Management And General672416ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total276702Total
Program Services273301ProgramServices
Management And General3401ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4718355Total
Program Services4377234ProgramServices
Management And General341121ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1318604Total
Program Services1217195ProgramServices
Management And General101409ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total514Total
Program Services400ProgramServices
Management And General114ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total216Total
Program Services212ProgramServices
Management And General4ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1612647Total
Program Services1612647ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total638154Total
Management And General638154ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES29631342963134
BAD DEBT17534891753489
MISCELLANEOUS34943494
SPECIAL EVENTS17371737

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total80930302Total
Program Services72911029ProgramServices
Management And General8019273ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1752BOY
EOY1650EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7496315BOY
EOY4519195EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8534805BOY
EOY10956714EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY378324BOY
EOY391484EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY597837BOY
EOY528967EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22193751LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15787841LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6581617BOY
EOY6405910EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1546281BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1061865BOY
EOY1295974EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY514590BOY
EOY675035EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26713386BOY
EOY24774929EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11428949BOY
EOY9765950EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY353612BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY374294BOY
EOY451166EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12156855BOY
EOY10217116EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14244869BOY
EOY14246151EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY311662BOY
EOY311662EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14556531BOY
EOY14557813EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26713386BOY
EOY24774929EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1277988ReconcilationRevenueExpenses
Reconcilation Donated Services1279270ReconcilationDonatedServices
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1502020CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1613837CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1686371CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year546617CurrentTaxYearMinus1Year
Current Tax Year3319679CurrentTaxYear
Total8668524Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64539011CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63815417CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70258700CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year76487872CurrentTaxYearMinus1Year
Current Tax Year76134415CurrentTaxYear
Total351235415Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years217582CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years207455CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years191817CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year178760CurrentTaxYearMinus1Year
Current Tax Year165182CurrentTaxYear
Total960796Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66258613CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65636709CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years72136888CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year77213249CurrentTaxYearMinus1Year
Current Tax Year79619276CurrentTaxYear
Total360864735Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509360864735PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years811730CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years150664CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years112104CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year126726CurrentTaxYearMinus1Year
Current Tax Year117031CurrentTaxYear
Total1318255Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years811730CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years150664CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years112104CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year126726CurrentTaxYearMinus1Year
Current Tax Year117031CurrentTaxYear
Total1318255Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67070343CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65787373CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years72248992CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year77339975CurrentTaxYearMinus1Year
Current Tax Year79736307CurrentTaxYear
Total362182990Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99640PublicSupportPercentage509
Prior Year Support Percentage0.99370PriorYearSupportPercentage
Investment Income Percentage0.00360InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00630PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance312000BeginningOfYearBalance
Investment Earnings Or Losses16000InvestmentEarningsOrLosses
Grants Or Scholarships16000GrantsOrScholarships
End Of Year Balance312000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance312000BeginningOfYearBalance
Investment Earnings Or Losses15000InvestmentEarningsOrLosses
Grants Or Scholarships15000GrantsOrScholarships
End Of Year Balance312000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance309000BeginningOfYearBalance
Contributions3000Contributions
Investment Earnings Or Losses15000InvestmentEarningsOrLosses
Grants Or Scholarships15000GrantsOrScholarships
End Of Year Balance312000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance303000BeginningOfYearBalance
Contributions6000Contributions
Investment Earnings Or Losses15000InvestmentEarningsOrLosses
Grants Or Scholarships15000GrantsOrScholarships
End Of Year Balance309000EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance298000BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses14000InvestmentEarningsOrLosses
Grants Or Scholarships14000GrantsOrScholarships
End Of Year Balance303000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis10597758OtherCostOrOtherBasis
Depreciation6900140Depreciation
Book Value3697618BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11595993OtherCostOrOtherBasis
Depreciation8887701Depreciation
Book Value2708292BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6405910TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN NCHEWCF40652F
INVESTMENT IN ADVANCED SERVICES500000C
INVESTMENT IN ASHEVILLE SPECIALTY HOSPITAL755322C
FieldValueIRS element (for citing)
Total Of Book Value Program Related1295974TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED THIRD-PARTY PAYOR SETTLEMENTSDescription
Amount$451,166Amount
FieldValueIRS element (for citing)
Total Of Amounts451166TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt79178095TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities1279270DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F9901279270RevenueNotRptdF990
Revenue Subtotal77898825RevenueSubtotal
Other Revenues Not Included1753489OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1753489RevenueNotRptdOnFinStmt
Total Revenue Per Form99079652314TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt79176813TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal79176813ExpensesSubtotal
Other Expenses Not Included1753489OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1753489ExpensesNotRptdOnFinStmt
Total Expenses Per Form99080930302TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:CAREPARTNERS IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501 (A) OF THE IRC. CAREPARTNERS HAS DETERMINED THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2013. FISCAL YEARS ENDING ON OR AFTER 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 1,753,489.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 1,753,489.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent0FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense428698TotalCommunityBenefitExpense
Net Community Benefit Expense428698NetCommunityBenefitExpense
Percent Of Total Expense0.00540PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense8692528TotalCommunityBenefitExpense
Direct Offsetting Revenue6251468DirectOffsettingRevenue
Net Community Benefit Expense2441060NetCommunityBenefitExpense
Percent Of Total Expense0.03080PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense36829TotalCommunityBenefitExpense
Direct Offsetting Revenue28419DirectOffsettingRevenue
Net Community Benefit Expense8410NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense9158055TotalCommunityBenefitExpense
Direct Offsetting Revenue6279887DirectOffsettingRevenue
Net Community Benefit Expense2878168NetCommunityBenefitExpense
Percent Of Total Expense0.03630PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense116057TotalCommunityBenefitExpense
Direct Offsetting Revenue1475DirectOffsettingRevenue
Net Community Benefit Expense114582NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1525126TotalCommunityBenefitExpense
Direct Offsetting Revenue814276DirectOffsettingRevenue
Net Community Benefit Expense710850NetCommunityBenefitExpense
Percent Of Total Expense0.00900PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense83734TotalCommunityBenefitExpense
Net Community Benefit Expense83734NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1724917TotalCommunityBenefitExpense
Direct Offsetting Revenue815751DirectOffsettingRevenue
Net Community Benefit Expense909166NetCommunityBenefitExpense
Percent Of Total Expense0.01150PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10882972TotalCommunityBenefitExpense
Direct Offsetting Revenue7095638DirectOffsettingRevenue
Net Community Benefit Expense3787334NetCommunityBenefitExpense
Percent Of Total Expense0.04780PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs3396NumberOfActivitiesOrPrograms
Total Community Building Expense19746TotalCommunityBuildingExpense
Net Community Building Expense19746NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3396NumberOfActivitiesOrPrograms
Total Community Building Expense19746TotalCommunityBuildingExpense
Net Community Building Expense19746NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,215,572BadDebtExpenseAmount
Amount Reimbursed By Medicare45813324AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare44086062CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1727262MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CAREPARTNERS INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line168 SWEETEN CREEK RDAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28803ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
OtherREHAB, OUTPATIENT, HOSPICEOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CAREPARTNERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed1AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent150.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
No Emergency CareXNoEmergencyCare
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CAREPARTNERS OUTPATIENT NORTH CLINIC
204 STONE RIDGE BLVDASHEVILLENC28804OUTPATIENT CLINIC
CAREPARTNERS OUTPATIENT SOUTH CLINIC
3 TOWN SQUARE BLVDASHEVILLENC28803OUTPATIENT CLINIC
CAREPARTNERS OUTPATIENT EAST CLINIC
2358 US HWY 70SWANNANOANC28778OUTPATIENT CLINIC
CAREPARTNERS OUTPATIENT WEST CLINIC
1390 SAND HILL RD SUITE 1CANDLERNC28715OUTPATIENT CLINIC
ORTHOTICS & PROSTHETICS CLINIC - ASH
639 BILTMORE AVEASHEVILLENC28801ORTHOTICS AND PROSTHETICS CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: PATIENTS THAT MEET THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FEDERAL POVERTY AND THE INDIGENT CARE POLICY GUIDELINES WILL BE APPROVED FOR A DISCOUNT BASED ON A SLIDING SCALE (ATTACHED) RANGING FROM 25% TO 100% OF CHARGES. FEDERAL POVERTY GUIDELINES ARE UPDATED ANNUALLY AND PUBLISHED IN THE FEDERAL REGISTER.
PART I, LINE 7: WORKSHEET 2 OF THE 2012 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 I, LINE 7G: PALLIATIVE CARE (COMFORT CARE) IS A CHOICE FOR THOSE WHO ARE NOT READY FOR HOSPICE. PATIENTS WHO HAVE A SERIOUS OR CHRONIC, LIFE-LIMITING ILLNESS THAT MAY STILL RESPOND TO CURE-ORIENTED TREATMENT MAY WISH TO PARTICIPATE IN THE CAREPARTNERS PALLIATIVE CARE PROGRAM. PALLIATIVE CARE, OR COMFORT CARE, BENEFITS PATIENTS THROUGHOUT ALL STAGES OF THEIR ILLNESS. IT OPTIMIZES QUALITY OF LIFE BY ANTICIPATING, PREVENTING AND TREATING THE DISTRESS OF LIVING WITH A SERIOUS ILLNESS.
PART I, L7 COL(F): THE AMOUNT OF TOTAL EXPENSE ON FORM 990, PART XI, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $1,753,489 THAT HAS BEEN REMOVED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
PART III, LINE 4: THERE IS NO FOOTNOTE ADDRESSING BAD DEBT IN THE ORGANIZATION'S FINANCIAL STATEMENTS.THE ANDI METHODOLOGY, WHICH USED A FACILITY-WIDE RATIO OF COST TO CHARGES AS DESCRIBED IN 2012 NCHA COMMUNITY BENEFITS GUIDELINES, IS USED TO DETERMINE THE BAD DEBT EXPENSE.
PART III, LINE 9B: PATIENTS WHO ARE KNOWN TO QUALIFY FOR A SLIDING SCALE DISCOUNT ARE GIVEN A DISCOUNT OF BETWEEN 100% AND 15% BASED ON FINANCIAL NEED. THE NORMAL COLLECTION PROCEDURES ARE FOLLOWED FOR THE REMAINING BALANCE.
PART V, SECTION B, LINE 3: CAREPARTNERS ASSIGNED THE V.P. OF MARKETING TO REPRESENT THE ORGANIZATION TO WORK LOCALLY AND REGIONALLY ON A COMMUNITY HEALTH IMPROVEMENT PROCESS TO ASSESS THE HEALTH NEEDS, DEVELOP COLLABORATIVE PLANS, TAKE COORDINATED ACTION, AND ASSIST WITH EVALUATING PROGRESS AND IMPACT. AS A MEMBER OF SENIOR LEADERSHIP, HE IS ABLE TO INTERNALLY COMMUNICATE THE COMMUNITY'S NEEDS AND DIRECT ORGANIZATIONAL RESOURCES TO MEET THOSE NEEDS. THE MARKETING DEPARTMENT ALSO HAS A COMMUNITY OUTREACH COORDINATOR WHO LIAISONS WITH LOCAL HEALTH AGENCIES TO IDENTIFY GAPS AND TO PROVIDE APPROPRIATE ORGANIZATIONAL RESOURCES. CAREPARTNERS ALSO HAS BOTH CLINICAL AND NON-CLINICAL STAFF REPRESENTATION WITH THE BUNCOMBE COUNTY INFRASTRUCTURE TO ADDRESS THEIR CHIP STRATEGIES. EFFORTS WERE MADE TO ALIGN THE RIGHT CLINICAL AND OPERATIONAL RESOURCES WITHIN CAREPARTNERS TO BEST SUPPORT THE COUNTY EFFORTS.COMMUNITY CAREPARTNERS, INC.
PART V, SECTION B, LINE 14G: OUR FINANCIAL COUNSELORS REVIEW ALL NO PAYOR SOURCES PRIOR TO ADMISSION.COMMUNITY CAREPARTNERS, INC.
PART V, SECTION B, LINE 20D: PERCENT DISCOUNT OFF OF GROSS CHARGES OR 15% DISCOUNT FOR SELF PAY IF NOT ELIGIBLE FOR INDIGENT.COMMUNITY CAREPARTNERS, INC.
PART V, SECTION B, LINE 22: ALL PATIENTS ARE CHARGE (GROSS REVENUE) THE SAME. A 15% DISCOUNT OFF GROSS CHARGES FOR INELIGIBLE PATIENTS IS APPLIED TO THEIR ACCOUNT. IF ELIGIBLE FOR INDIGENT, THE QUALIFIED PERCENT IS APPLIED TO GROSS CHARGES AND A CONTRACTUAL IS APPLIED TO THE PATIENT ACCOUNT.COMMUNITY CAREPARTNERS, INC.
PART VI, LINE 2: CAREPARTNERS DEFINES ITS PRIMARY SERVICE COMMUNITY AS BUNCOMBE COUNTY AND COMMITS RESOURCES TO ITS IDENTIFIED HEALTH NEEDS. CAREPARTNERS PARTNERS WITH BUNCOMBE COUNTY DEPARTMENT OF HEALTH AND WNC HEALTHY IMPACT TO CONDUCT A COMMUNITY HEALTH NEED ASSESSMENT (CHNA) IN BUNCOMBE COUNTY EVERY THREE YEARS TO DETERMINE COMMUNITY HEALTH NEEDS. THE MOST RECENT CHNA WAS COMPLETED ON DECEMBER 3, 2012. CAREPARTNERS ALSO HAS CLOSE WORKING RELATIONSHIPS WITH MISSION HOSPITAL (THE REGIONAL HOSPITAL IN WNC), 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 PATIENTS' 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 15% DISCOUNT DEPENDING ON THE FINANCIAL NEED.
PART VI, LINE 4: CAREPARTNERS HEALTH SERVICES IS THE ONLY POST-ACUTE CONTINUUM IN WNC. MOST OF OUR SERVICES ARE PROVIDED IN BUNCOMBE, HENDERSON, AND HAYWOOD COUNTIES (WHERE WE HAVE OFFICES) BUT WE ALSO REACH MORE RURAL COMMUNITIES LIKE MITCHELL, YANCEY, TRANSYLVANIA, MCDOWELL, AND MADISON. MEDIAN HOUSEHOLD INCOME FOR BUNCOMBE COUNTY IS $44,206 AS COMPARED TO $38,658 IN MADISON COUNTY. POPULATION GROWTH THAT HAS OCCURRED IN THE WNC REGION IS GENERALLY CONFINED TO THOSE OVER AGE 64. UNLIKE MANY AREAS, THIS GROWTH IS CHARACTERIZED NOT BY A NATURALLY-AGING NATIVE POPULATION BUT BY A TREMENDOUS INFLUX OF NON-NATIVE RETIREES. CAREPARTNERS SERVES A HIGHER PERCENTAGE OF OLDER ADULTS DUE TO THE NATURE OF OUR SERVICES - HOME HEALTH, HOSPICE, REHABILITATION HOSPITAL, PALLIATIVE CARE, AND ADULT DAY CARE. WE DO SERVE YOUNGER POPULATIONS BUT AS A WHOLE, OUR TYPICAL PATIENT IS 45 YEARS OR OLDER. OUR LARGEST PAYOR IS MEDICARE. WNC HAS HISTORICALLY HAD A SMALL PERCENTAGE OF AFRICAN-AMERICAN RESIDENTS WHEN COMPARED TO THE STATE OVERALL AND THIS TREND SHOWS NO SIGNS OF CHANGING. HISPANCIS, HOWEVER, HAVE QUINTUPLED THEIR PRESENCE IN THE AREA SINCE 1990 AND ARE ON TRACK TO MAINTAIN INCREASES IN THEIR REPRESENTATION OVER THE NEXT TWO DECADES. THE UNEMPLOYMENT RATE IN THE WNC REGION HAS DECREASED OVER THE PAST YEAR.
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 BOTH MALL WALKER PROGRAMS AT THE LOCAL MALLS. 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. CAREPARTNERS IS ALSO PROACTIVE IN OFFERING NEW SERVICES TO BENEFIT THOSE MOST NEEDY WITHIN OUR COMMUNITY. CAREPARTNERS BEGAN CONSTRUCTION ON A PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) SITE THAT WILL PROVIDE MEDICAL CARE AND SOCIAL SERVICES TO THE ELDERLY OF BUNCOMBE AND HENDERSON COUNTIES. 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.
NCREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS - EMPLOYEES1532298
SCHOLARSHIPS - LOCAL SCHOOLS141400
SCHOLARSHIPS1514000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TRACY BUCHANAN
CEO1985330402030213250956810123960368138000
GARY BOWERS
COO1527230330530203100788200163740301280000
GREGORY DIXON
CFO134969028276017467064428097020254842000
CHRISTOPHER MIN
MD. HOSPITAL MEDICAL SERVI16850402672701648403165061980221078000
JOHN P LANGLOIS
MD. HOSPITAL MEDICAL SERVI179598011057016784075670162730231279000
JOY DEGUZMAN
MD. HOSPITAL MEDICAL SERVI186883039953016600082360162730267945000
VIRGINIA BARNHARDT
MD. HOSPITAL MEDICAL SERVI14044502184801144011440162730180854000
MARIANNE SOUFAS
MD. HOSPITAL MEDICAL SERVI1230680800203182605277061980174371000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATHE ORGANIZAION PROVIDED TAX GROSS-UPS FOR THE VEHICLE PROVIDED TO THE CEO. THESE ITEMS WERE INCLUDED IN THE RECIPIENTS' INCOME.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN (457(F)) AND/OR DEFINED BENEFIT PLAN FOR 2012, AS FOLLOWS. THE AMOUNTS ARE REPRESENTED IN PART II, COLUMN (C): TRACY BUCHANAN - $87,244 GARY BOWERS - 71,727 GREGORY DIXON- 61,360
PART I, LINE 6THE ORGANIZATION HAS A PAY FOR PERFORMANCE (PFP) PLAN. GOALS INCLUDED OVERALL PROFIT MARGIN AND OVERALL PERFORMANCE INDEX SCORE. PFP PAYMENTS ARE BASED ON GOALS ESTABLISHED AND APPROVED BY THE BOARD IN ADVANCE OF THE BEGINNING OF EACH YEAR. THE AMOUNT OF THIS POSSIBLE PAYMENT IS CONSIDERED IN THE DETERMINATION OF THE APPROPRIATE COMPENSATION FOR EACH POSITION.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonNANCY BOWERSNamePerson
FieldValueIRS element (for citing)
RelationshipWIFE OF GARY BOWERS, COORelationship
Amount Of Transaction61520AmountOfTransaction
Description Of TransactionCOMPENSATIONDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 1THE 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 B, LINE 11THE 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 12CA 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 15AN ANNUAL REVIEW OF MARKET DATA AND ORGANIZATIONAL PARITY IS CONDUCTED THROUGH THE HUMAN RESOURCES/COMPENSATION DEPARTMENT ON ALL SENIOR LEADERSHIP POSITIONS. THIS YEAR THAT REVIEW INCLUDED INPUT FROM MISSION HEALTH SYSTEM. RECOMMENDATIONS ARE MADE REGARDING SALARY ADJUSTMENTS AND ARE REVIEWED AND APPROVED AT THE BOARD LEVEL AS PART OF THE BUDGET PROCESS.
FORM 990, PART VI, SECTION C, LINE 18THE 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MSJHS AND CCP JOINT DEVELOPMENT COMPANY LLC DBA ASHEVILLE SPECIALTY HOSPITABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1428 BILTMORE AVENUEAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28801ZIPCode
FieldValueIRS element (for citing)
EIN562250464EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateNCLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MISSION HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeLONG-TERM ACUTE CAREPredominantIncomeType
Share Of Total Income4717142ShareOfTotalIncome
Share Of EOY Assets1135472ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.33330PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg