2014-02-07T15:02:54-06:00 2013-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2012-10-01 560126590 ASTON PARK HEALTH CARE CENTER INC ASTO 8282534437 380 BREVARD ROAD ASHEVILLE NC 28806 MARSHA KAUFMAN-MCCLURE 8282534437 2014-02-07 1 JEREMY NAESS P01306905 8282542254 2012 2015-11-30 17:44:51Z MARSHA KAUFMAN-MCCLURE 380 BREVARD ROAD ASHEVILLE NC 28806 10450166 0 X WWW.ASTONPARKHCC.ORG X 1929 NC TO PROVIDE A CLEAN, SAFE, CARING, RESPECTFUL ENVIRONMENT FOR LONG TERM CARE RESIDENTS 13 13 229 325 0 0 7972 4840 10425756 10277189 255998 80160 80162 84486 10769888 10446675 888 1450 0 0 5839238 5810164 0 0 0 4242314 4168198 10082440 9979812 687448 466863 16972477 17610220 5543460 5327982 11429017 12282238 X TO PROVIDE A CLEAN, SAFE, CARING, RESPECTFUL ENVIRONMENT AND A TRAINED PROFESSIONAL STAFF THAT ENSURES THE HIGHEST QUALITY OF LIFE WITH DIGNITY FOR ITS RESIDENTS. WE SUPPORT THE FAMILIES AND CAREGIVERS IN ATTAINING THAT GOAL AND ADHERE TO STATE AND FEDERAL REGULATIONS. 0 0 8192820 1450 10277189 1. ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFITASTON PARK HEALTH CARE CENTER'S MISSION IS TO PROVIDE A CLEAN, SAFE, CARING, RESPECTFUL ENVIRONMENT AND A TRAINED PROFESSIONAL STAFF THAT ENSURES THE HIGHEST QUALITY OF LIFE WITH DIGNITY FOR IT RESIDENTS. WE SUPPORT FAMILIES AND CAREGIVERS IN ATTAINING THAT GOAL AND ADHERE TO STATE AND FEDERAL GUIDELINES. ASTON PARK HEALTH CARE CENTER, INC. WAS ORGANIZED FROM THE ASTON PARK HOSPITAL, WHICH CLOSED OPERATIONS IN 1975. AT THAT TIME, THE ASTON PARK HOSPITAL BOARD OF DIRECTORS FELT THAT THEY COULD BETTER SERVE OUR COMMUNITY WITH A SKILLED AND INTERMEDIATE NURSING FACILITY, WHICH THEY ORGANIZED AND OPENED AS ASTON PARK HEALTH CARE CENTER, INC. IN 1980. THE 501(C)(3) STATUS WAS CARRIED OVER FROM THE HOSPITAL TO THE NURSING FACILITY.ASTON PARK HEALTH CARE CENTER IS UNIQUE IN THAT IT IS NOT BACKED BY ANY AFFILIATION, RELIGIOUS OR OTHERWISE. ASTON PARK IS FULLY SELF-SUSTAINED. ASTON PARK HEALTH CARE CENTER HAS SERVED THE SENIOR COMMUNITY WITH REPUTABLE SERVICE FOR 33 YEARS. BUNCOMBE COUNTY IS A DIVERSE, MULTI-CULTURAL COMMUNITY. BECAUSE OF THIS, THERE ARE MANY SENIORS IN THE COMMUNITY THAT DO NOT HAVE RESOURCES TO PAY FOR INSTITUTIONAL CARE. AS IN THE PAST, ASTON PARK HEALTH CARE CENTER WILL NOT DISCRIMINATE BASED ON RACE OR PAYER SOURCE. 2. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTIONMEDICAID IS THE PAYER SOURCE FOR AN AVERAGE OF 70% OF THE RESIDENTS AT ASTON PARK HEALTH CARE CENTER. MANY NURSING FACILITIES ARE LIMITING THE NUMBER OF MEDICAID PATIENTS THAT THEY ARE ADMITTING BECAUSE OF THE REIMBURSEMENT CUTS WITH STATE AND FEDERAL FUNDING. FACILITIES LIKE ASTON PARK HEALTH CARE CENTER ARE NEEDED TO SERVE THE MEDICAL NEEDS OF OUR AGING POPULATION WHEN THEY NO LONGER HAVE THE FINANCIAL RESOURCES TO CARE FOR THEMSELVES. ASTON PARK IS NOT DRIVEN BY REVENUE BUT BY THE NEEDS OF THE RESIDENTS WE SERVE. BEING THAT MORE THAN HALF OF OUR RESIDENT POPULATION IS MEDICAID AND THE COST TO PROVIDE THE SERVICES WE OFFER ARE MORE THAN THE REIMBURSEMENT THAT IS RECEIVED FROM THE MEDICAID PROGRAM, WE INCUR A TREMENDOUS AMOUNT OF UNREIMBURSABLE EXPENSES THAT MUST BE ABSORBED BY THE FACILITY. THIS RESULTED IN $1,284,426 IN CONTRACTUAL ADJUSTMENTS AND $119,416 IN UNBILLABLE ANCILLARIES FOR MEDICAID RESIDENTS THIS PAST FISCAL YEAR.ASTON PARK HEALTH CARE CENTER ALSO ACCEPTS PAYMENTS FROM MEDICARE, TRICARE AND PRIVATE INSURANCE COMPANIES WITH LONG TERM CARE POLICIES. WE DO NOT REQUIRE INDIVIDUALS TO PROVE AVAILABLE ASSETS TO US BEFORE ADMISSION. THEREFORE, WE HAVE A HIGH PERCENTAGE OF RESIDENTS WHO DEPEND ON MEDICAID TO FUND THEIR STAY HERE. THE FASTEST GROWING SEGMENT OF THE U.S. POPULATION AS A WHOLE IS CURRENTLY THE GROUP AGED 85 AND OLDER. THIS MEANS THAT THERE WILL BE A GROWING NEED FOR INSTITUTIONAL CARE. WE FEEL THAT ALL INDIVIDUALS ARE ENTITLED TO THE SAME QUALITY OF CARE AND SERVICES DESPITE THEIR ABILITY TO PAY.ASTON PARK HEALTH CARE CENTER, INC. HAS A BOARD OF 13 DIRECTORS WHO MEET AT LEAST MONTHLY (MORE OFTEN IF NEEDED) TO REVIEW THE FINANCIAL STATUS OF THE COMPANY. AT THIS TIME, THEY ARE ALSO INFORMED OF OTHER HAPPENINGS IN THE FACILITY THAT THEY NEED TO BE AWARE OF. THE BOARD MEMBERS ARE INDEPENDENT MEMBERS OF THE COMMUNITY WITH NO RELATED PARTY INTEREST IN ASTON PARK HEALTH CARE CENTER. THERE ARE VARIOUS COMMITTEES THAT MAKE THE MAJOR DECISIONS FOR THE FACILITY. THE FACILITY ADMINISTRATOR TAKES CARE OF THE DAY-TO-DAY DECISIONS. THE FACILITY ENCOURAGES AND REQUIRES TRAINING OF ALL STAFF MEMBERS. AN ORIENTATION IS COMPLETED ON ALL STAFF MEMBERS TO ACCLIMATE THEM TO THE POLICIES AND PROCEDURES OF THE FACILITY. THE NURSING STAFF IS REQUIRED TO ATTEND IN-SERVICES AND TRAINING ON THE VARIOUS ASPECTS OF THE JOBS THAT THEY PERFORM WITH THE RESIDENTS. THERE IS ALSO IN-SERVICE TRAINING FOR ALL OTHER STAFF MEMBERS REGARDING SAFETY, FIRE, ETC.ASTON PARK HEALTH CARE CENTER IS A CLINICAL SITE FOR THE AB TECHNICAL COLLEGE, WESTERN CAROLINA UNIVERSITY, LOCAL HIGH SCHOOLS ALLIED PROGRAMS, HAYWOOD TECHNICAL COMMUNITY COLLEGE RN PROGRAM AND EAST TENNESSEE UNIVERSITY REGISTERED DIETICIAN INTERNSHIP.3. DESCRIPTION OF COMMUNITY BENEFITS PROGRAMSTHE SERVICES OFFERED BY ASTON PARK HEALTH CARE CENTER ARE SHORT-TERM REHAB, ASSISTED LIVING, SKILLED NURSING AND ALZHEIMER'S CARE. WE HAVE ONE OF THE VERY FEW MEDICAID CERTIFIED ALZHEIMER'S SPECIAL CARE UNITS IN OUR AREA.OUR SHORT TERM REHAB UNIT IS UTILIZED MAINLY FOR PEOPLE REQUIRING THERAPY AFTER SURGERY TO HELP THEM RETURN TO THEIR OWN HOMES. THESE ARE USUALLY PEOPLE WHO LIVE ALONE OR HAVE SPOUSES THAT CANNOT CARE FOR THEM AFTER THEIR SURGERIES. THIS ALLOWS THEM TIME TO REGAIN STRENGTH AND AMBULATION TO HOPEFULLY MAINTAIN THE SAME QUALITY OF LIFE THEY HAD BEFORE THE SURGERY. OUR GOAL WITH THESE PEOPLE IS TO HELP THEM RETURN TO AS NORMAL A LIFE AS POSSIBLE.THE ALZHEIMER'S UNIT HAS 32 BEDS. THIS UNIT WAS DESIGNED TO ALLOW FREEDOM OF MOVEMENT SINCE RESIDENTS ON THIS UNIT ARE AMBULATORY AND TEND TO WANDER. THE UNIT WAS ALSO DESIGNED TO CREATE A SAFER AND HOME-LIKE ENVIRONMENT FOR THESE RESIDENTS. ALZHEIMER'S IS A DISEASE OF THE MIND AND THESE RESIDENTS STRUGGLE TO REMEMBER THINGS FROM THEIR PAST; THEREFORE, THERE ARE MEMORY BOXES OUTSIDE OF EACH RESIDENT'S ROOM WHERE FAMILY MEMBERS CAN PUT OBJECTS THAT ENCOURAGE THEM TO REMEMBER. ALZHEIMER'S PATIENTS CAN BECOME DIFFICULT FOR FAMILIES TO TAKE CARE OF AT HOME DUE TO THEIR TENDENCY TO WANDER AND THEIR FORGETFULNESS. THIS UNIT STAYS CONSISTENTLY FULL AND FILLS A GREAT NEED IN OUR COMMUNITY.ASTON PARK HOSTS AN ALZHEIMER'S MEETING EACH MONTH AT THE FACILITY. THIS IS FOR ANY FAMILY THAT WANTS TO KNOW MORE ABOUT ALZHEIMER'S OR THOSE WITH FAMILY MEMBERS WITH THE DISEASE THAT NEED SUPPORT FROM OTHERS EXPERIENCING THE SAME SITUATION. THIS IS OPEN TO THE GENERAL PUBLIC AND NOT JUST THOSE WITH RESIDENTS AT OUR FACILITY. WE ALSO ARE SPONSORS FOR THE ALZHEIMER'S WALK EACH YEAR.WE HAVE ALSO MADE DONATIONS TO SUPPORT MANNA FOOD BANK, MEALS ON WHEELS, THE ASHEVILLE FIRE FIGHTER ASSOCIATION, MAKE-A-WISH OF WNC, CAREPARTNERS HOSPICE AND THE GREAT 100 NURSES OF NC, INC. 8192820 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 29 0 1 229 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X MARSHA KAUFMAN-MCCLURE 8282534437 380 BREVARD ROAD ASHEVILLE NC 28806 JAY SWAIN 0.50 0.50 X X 0 0 0 KEITH SNYDER 0.50 0.50 X X 0 0 0 BRUCE ATKINS 0.50 0.50 X X 0 0 0 GARY ROBERTS 0.50 0.50 X X 0 0 0 GERRI CASSE 0.50 0.50 X 0 0 0 HAROLD GOLLBERG MD 0.50 0.50 X 0 0 0 ED GREEN 0.50 0.50 X 0 0 0 DOUG JONES 0.50 0.50 X 0 0 0 THOMAS RICE 0.50 0.50 X 0 0 0 KENT CAMPBELL 0.50 0.50 X 0 0 0 REBECCA KNIGHT 0.50 0.50 X 0 0 0 HAROLD SCHUTTE MD 0.50 0.50 X 0 0 0 JESSE RAY JR 0.50 0.50 X 0 0 0 JASON YOUNG 0.50 X 0 0 0 DANNY TOLAR 0.50 X 0 0 0 MARSHA W KAUFMAN-MCCLURE 50.00 0.50 X 146240 0 5167 146240 0 5167 1 0 1 0 REHAB SOLUTIONS INC 3029 SENNA DRIVE MATTHEWS NC 28105 THERAPY SERVICES 853413 GOFORTH BUILDERS INC 1 CEDAR RIDGE DRIVE ASHEVILLE NC 28803 CONSTRUCTION 797122 SODEXO INC PO BOX 536922 ATLANTA GA 303536922 DIETARY SERVICES 508634 METZ CULINARY MANAGEMENT INC TWO WOODLAND DRIVE DALLAS PA 18612 DIETARY SERVICES 314944 4 4840 4840 NET PATIENT SERVICES 623000 10277189 10277189 10277189 83651 83651 3491 -3491 -3491 -3491 MISCELLANEOUS 623000 36630 36630 BARBER & BEAUTY INCOME 623000 29616 29616 LAUNDRY INCOME 812300 18240 18240 84486 10446675 10277189 0 164646 X 1450 1450 159456 159456 59544 59544 4708301 4246583 461718 29447 25735 3712 404661 386747 17914 448755 421505 27250 72420 72420 1836134 1827336 8798 48578 48578 1033794 420031 613763 34533 34533 203331 203331 23063 11079 11984 797 797 190377 190377 395519 395519 130457 130457 MEDICAL SUPPLIES 140822 140822 MISCELLANEOUS 39571 34336 5235 BAD DEBT EXPENSE 18802 18802 9979812 8192820 1786992 0 479581 1482044 4044844 3451693 856898 886571 24229 30796 77614 75422 11222332 4655035 6674056 6567297 4043124 4478907 328273 366741 443858 270749 16972477 17610220 839064 709475 4704396 4618507 5543460 5327982 X 11429017 12282238 11429017 12282238 16972477 17610220 X 466863 347889 38469 X X 0 1 X 1 1 1 X 57994 57994 9735992 3754420 5981572 44057 42018 2039 759481 356154 403327 624808 502443 122365 6567297 X 10836524 347889 41960 389849 10446675 0 10446675 9983303 3491 3491 9979812 0 9979812 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATIONS ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATIONS HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2013. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUES OF CONSOLIDATED FOUNDATION 38,469. GAIN/LOSS ON SALE OF ASSET 3,491. PART XII, LINE 2D - OTHER ADJUSTMENTS: GAIN/LOSS ON SALE OF ASSET 3,491. X 0 0 0 0 0 0 0 0 0 MARSHA W KAUFMAN-MCCLURE 141460 0 1267 0 3513 0 1493 0 3674 0 151407 0 0 0 MICHAEL MCCLURE FAMILY RELATIONSHIP WITH EXECUTIVE DIRECTOR 59544 MICHAEL MCCLURE IS COMPENSATED AS DIRECTOR OF OPERATIONS OF THE ORGANIZATION. 0 FORM 990, PART VI, SECTION A, LINE 1 THERE SHALL BE AN EXECUTIVE COMMITTEE CONSISTING OF SEVEN MEMBERS OF THE BOARD OF DIRECTORS. MEMBERSHIP OF THE EXECUTIVE COMMITTEE SHALL INCLUDE THE ELECTED OFFICERS OF THE BOARD (TO WIT, THE PRESIDENT, VICE PRESIDENT, TREASURER, AND SECRETARY) AND THREE (3) OTHER DIRECTORS AMONG WHOM SHALL BE INCLUDED THE CHAIRMAN OF THE NOMINATING AND PUBLIC RELATIONS COMMITTEE AND THE CHAIRMAN OF THE LONG RANGE PLANNING AND PROPERTY COMMITTEE. AN "AT LARGE" DIRECTOR MEMBER OF THIS COMMITTEE SHALL BE ELECTED BY THE BOARD AT THE ANNUAL MEETING. THE EXECUTIVE COMMITTEE MAY MEET AT STATED TIME OR ON NOTICE TO ALL BY ANY OF THEIR NUMBER. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 TAX RETURN WAS PROVIDED TO EACH BOARD MEMBER PRESENT AT THE BOARD MEETING WHILE A REPRESENTATIVE FROM THE TAX PREPARER'S OFFICE WAS AVAILABLE TO DISCUSS AND ANSWER QUESTIONS. THOSE NOT PRESENT AT THE BOARD MEETING WERE MAILED A COPY OF THE 990 TAX RETURN BY CERTIFIED MAIL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER, AND COMMITTEE MEMBER WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAD READ AND UNDERSTANDS THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY. PERIODIC REVIEWS SHALL BE CONDUCTED TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE BASED ON COMPETENT SURVEY INFORMATION AND THE RESULT OF ARM'S LENGTH. THESE REVIEWS WILL ALSO DETERMINE WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ORGANIZATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. THE ORGANIZATION MAY USE OUTSIDE ADVISORS BUT ARE NOT REQUIRED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR PRESENTS ALL DEPARTMENT MANAGERS' SALARIES AND PROPOSED INCREASES TO THE BOARD OF DIRECTORS PRIOR TO AN INDIVIDUAL'S ANNUAL REVIEW. THE EXECUTIVE DIRECTOR PERFORMS A SEARCH FOR PAY RATES FOR COMPARISON TO THE PAY RATES OF DEPARTMENT MANAGERS AND SOMETIMES POLLS OTHER ADMINISTRATORS TO FIND OUT WHAT IS COMMON PAY FOR CERTAIN POSITIONS. THE BOARD APPROVES PROPOSED INCREASES OR ADJUSTS IT ACCORDINGLY. WHEN IT IS TIME FOR THE EXECUTIVE DIRECTOR'S ANNUAL REVIEW AND PAY CONSIDERATION, THE PRESIDENT OF THE BOARD DISCUSSES THE ANNUAL REVIEW WITH THE BOARD OF DIRECTORS. THE BOARD APPROVES PROPOSED INCREASES OR ADJUSTS IT ACCORDINGLY. THE PRESIDENT OF THE BOARD THEN DISCUSSES THE OUTCOME WITH THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,827,336. MANAGEMENT AND GENERAL EXPENSES 8,798. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,836,134. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: NET INCOME OF CONSOLIDATED FOUNDATION 38,469. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ASTON PARK HEALTH CARE CENTER FOUNDATION INC 380 BREVARD ROAD ASHEVILLE NC 28806 562153714 TO ASSIST IN ASTON PARK HEALTH CARE CENTER'S PRIMARY ACTIVITY NC 501(C)(3) 11 TYPE 1 ASTON PARK HEALTH CARE CENTER INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0