ANC BLUE RIDGE HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ANC BLUE RIDGE HOSPITAL INC (EIN 56-1025032)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-12
- IRS object ID
- 201412249349301411
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-12T11:46:41-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561025032 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE RIDGE REGIONAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BLUE | NameControl |
| Phone | 8287654201 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 9 | AddressLine1 |
| City | SPRUCE PINE | City |
| State | NC | State |
| ZIP Code | 287770009 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SONYA RENNICK | Name |
| Title | EXECUTIVE DIRECTOR OF FINANCIAL REP | Title |
| Phone | 8282577065 | Phone |
| Date Signed | 2014-08-12 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SONYA RENNICK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 9 | AddressLine1 |
| City | SPRUCE PINE | City |
| State | NC | State |
| ZIP Code | 287770009 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 39074818 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BLUERIDGEHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1971 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF INPATIENT AND OUTPATIENT HOSPITAL SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 489 | TotalNbrEmployees |
| Total Nbr Volunteers | 48 | TotalNbrVolunteers |
| Total Gross UBI | 377346 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 349448 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 608617 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 226757 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 36606613 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 37722109 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 44831 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1023437 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 76616 | OtherRevenuePriorYear |
| Other Revenue Current Year | 84848 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 37336677 | TotalRevenuePriorYear |
| Total Revenue Current Year | 39057151 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 21660255 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 24510457 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 13412199 | OtherExpensePriorYear |
| Other Expenses Current Year | 15466561 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 35072454 | TotalExpensesPriorYear |
| Total Expenses Current Year | 39977018 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2264223 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -919867 | RevenuesLessExpensesCY |
| Total Assets BOY | 56863466 | TotalAssetsBOY |
| Total Assets EOY | 56047559 | TotalAssetsEOY |
| Total Liabilities BOY | 18330985 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 17869985 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 38532481 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 38177574 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH AND WELLNESS NEEDS OF THE REGION, PARTNERING WITH PATIENTS, FAMILIES, AND FRIENDS THROUGH A COMPREHENSIVE APPROACH TO HEALING THAT MINISTERS TO THE MIND, BODY, AND SPIRIT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 34410964 | Expense |
| Revenue | 37165878 | Revenue |
| Description | BLUE RIDGE REGIONAL HOSPITAL BELIEVES THAT PATIENT AND FAMILY-CENTERED CARE IS THE BEST APPROACH TO MEETING OUR PATIENTS' HEALTHCARE NEEDS. PATIENT AND FAMILY-CENTERED CARE MEANS PATIENTS, THEIR FAMILIES, DOCTORS, NURSES AND OTHER HEALTHCARE PROFESSIONALS FORM A PARTNERSHIP THAT BENEFITS EVERYONE.A FAMILY MEMBER IS RECOGNIZED AS ANYONE WHO PATIENTS REGARD AS SIGNIFICANT IN THEIR LIVES. FAMILIES ARE NOT CONSIDERED VISITORS, BUT ESSENTIAL PARTICIPANTS IN CARE AND DECISIONS THAT AFFECT THE TOTAL HEALING OF THE PATIENT. THE COMPONENTS OF FAMILY-CENTERED CARE ARE RESPECT AND DIGNITY; INFORMATION SHARING; AND PARTICIPATION AND COLLABORATION.THE GOAL IN CARING FOR PATIENTS AT BLUE RIDGE REGIONAL HOSPITAL IS THE SAME FOR PHYSICIANS, MEDICAL STAFF AND FAMILIES TO PROVIDE THE BEST CARE AND OUTCOME FOR THE PATIENT. IT TAKES A COMBINATION OF MODERN MEDICINE, COMPASSIONATE CARE, ADVANCED TECHNOLOGY, DEDICATED STAFF, AS WELL AS CARE PROVIDED BY FAMILIES TO REACH THE BEST POSSIBLE OUTCOME. THE STAFF AT BLUE RIDGE REGIONAL HOSPITAL IS DEDICATED TO CREATING THIS TYPE OF EXPERIENCE FOR EVERY PATIENT AND FAMILY MEMBER WHO ENTERS OUR DOORS. | Description |
| Total Program Service Expense | 34410964 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 62 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 489 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SONYA RENNICK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8287661740 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 HOSPITAL DRIVE P O BOX 9 | AddressLine1 |
| City | SPRUCE PINE | City |
| State | NC | State |
| ZIP Code | 28777 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| COURTNEY MAUZY | ||||||||
| CHAIRMAN | 8.00 | X | X | 0 | 0 | 0 | ||
| JOHN BOYD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| RICHARD MONTAGUE | ||||||||
| SECRETARY/TREASURER | 2.00 | X | X | 0 | 0 | 0 | ||
| MARIAH MCKINNEY | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JANICE BRUMIT | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | 4.00 | ||
| KATHRYN ROYEN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| MARTHA TYNER | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| SAM NASH | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| BYRON PHILLIPS | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| CHAD SMOKER | ||||||||
| BOARD MEMBER | 2.00 | X | 87632 | 0 | 0 | |||
| JERRY BLACK | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| OSCAR WEINMEISTER | ||||||||
| CEO | 50.00 | X | X | 249250 | 0 | 44498 | 1.00 | |
| JON YEATMAN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 174605 | 1198 | 48.00 | ||
| JENNIFER LARSON MD | ||||||||
| CHIEF OF STAFF - INTERNIST | 50.00 | X | 100487 | 0 | 18040 | |||
| JOHN MAHER | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 321703 | 77140 | 58.00 | ||
| JONATHAN SMITH | ||||||||
| VP FIN & OPS: THROUGH APRIL 2013 | 50.00 | X | 132506 | 0 | 23799 | 1.00 | ||
| SONYA RENNICK | ||||||||
| VP FIN & BUSINESS SERVICES: BEGINNING JUNE 2013 | 50.00 | X | 0 | 0 | 0 | |||
| MARVIN VICE | ||||||||
| STAFF PHYSICIAN | 40.00 | 478804 | 0 | 24522 | X | |||
| DAVID ROBINSON | ||||||||
| STAFF PHYSICIAN | 40.00 | 373307 | 0 | 17716 | X | |||
| SHEHLA KAHN | ||||||||
| STAFF PHYSICIAN | 40.00 | 339278 | 0 | 33341 | X | |||
| KEVIN HOLLIFIELD | ||||||||
| CRNA | 40.00 | 218969 | 0 | 29249 | X | |||
| RICHARD RHEINBOLT | ||||||||
| STAFF PHYSICIAN | 40.00 | 197226 | 0 | 15266 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2177459 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 496308 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 284769 | TotalOtherCompensation |
| Number Individuals GT100 K | 24 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HEALTHCARE SERVICES GROUP INC | |||||
| 3220 TILLMAN DR 300 | BENSALEM | PA | 19020 | NUTRITION SERVICES | 460570 |
| HORIZON CSA LLC | |||||
| 265 PIT RD | MOORESVILLE | NC | 28115 | EQUIPMENT SERVICES | 248646 |
| SPRUCE PINE EMERGENCY SERVICES | |||||
| 1501 NW 49TH ST STE 140 | FORT LAUDERDALE | FL | 33309 | MEDICAL SERVICES | 232000 |
| INFOLAB INC | |||||
| 17400 US 61 | CLARKSDALE | MS | 38614 | SOFTWARE SERVICES | 171069 |
| COMPREHENSIVE PAIN CONSULTANTS OF THE CA | |||||
| 11523 PALM BRUSH TRAIL 354 | BRADENTON | FL | 34202 | PHYSICIAN SERVICES | 126000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 226757 | RelatedOrganizations |
| Total Contributions | 226757 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 900099 | 36179383 | 36179383 | ||
| OTHER PROGRAM SERVICE REVENUE | 900099 | 761893 | 761893 | ||
| PARTNERSHIP REVENUE | 900099 | 556231 | 178885 | 377346 | |
| CAFETERIA REVENUE | 722210 | 224602 | $224,602 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 37722109 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 195568 | TotalRevenueColumn |
| Exclusion | $195,568 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 102515 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 17667 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 84848 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 84848 | TotalRevenueColumn |
| Exclusion | $84,848 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 827869 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 827869 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 827869 | TotalRevenueColumn |
| Exclusion | $827,869 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39057151 | TotalRevenueColumn |
| Related Or Exempt Function Income | 37120161 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 377346 | UnrelatedBusinessRevenue |
| Exclusion | $1,332,887 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 328841 | Total |
| Program Services | 218311 | ProgramServices |
| Management And General | 110530 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19491616 | Total |
| Program Services | 16600412 | ProgramServices |
| Management And General | 2891204 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 306285 | Total |
| Program Services | 260343 | ProgramServices |
| Management And General | 45942 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3043412 | Total |
| Program Services | 2586900 | ProgramServices |
| Management And General | 456512 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1340303 | Total |
| Program Services | 1139258 | ProgramServices |
| Management And General | 201045 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 446976 | Total |
| Program Services | 379930 | ProgramServices |
| Management And General | 67046 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47353 | Total |
| Management And General | 47353 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65571 | Total |
| Management And General | 65571 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66536 | Total |
| Program Services | 66536 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1901554 | Total |
| Program Services | 1602580 | ProgramServices |
| Management And General | 298974 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136728 | Total |
| Program Services | 116219 | ProgramServices |
| Management And General | 20509 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2992348 | Total |
| Program Services | 2543507 | ProgramServices |
| Management And General | 448841 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 122028 | Total |
| Program Services | 103724 | ProgramServices |
| Management And General | 18304 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 746635 | Total |
| Program Services | 746635 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119373 | Total |
| Program Services | 101466 | ProgramServices |
| Management And General | 17907 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16697 | Total |
| Program Services | 16697 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2193775 | Total |
| Program Services | 1864709 | ProgramServices |
| Management And General | 329066 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 726635 | Total |
| Program Services | 617640 | ProgramServices |
| Management And General | 108995 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 2521088 | 2521088 | |
| REPAIRS AND MAINTENANCE | 1351603 | 1201356 | 150247 |
| UNRELATED BUSINESS INCO | 91605 | 91605 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1920056 | Total |
| Program Services | 1632048 | ProgramServices |
| Management And General | 288008 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39977018 | Total |
| Program Services | 34410964 | ProgramServices |
| Management And General | 5566054 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8083473 | BOY |
| EOY | 2600737 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4988136 | BOY |
| EOY | 6106492 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37500 | BOY |
| EOY | 25000 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 745518 | BOY |
| EOY | 866833 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 214878 | BOY |
| EOY | 158969 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 54508674 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 24427260 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30106872 | BOY |
| EOY | 30081414 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4217754 | BOY |
| EOY | 6416083 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7305553 | BOY |
| EOY | 8530717 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 999520 | BOY |
| EOY | 981160 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 164262 | BOY |
| EOY | 280154 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56863466 | BOY |
| EOY | 56047559 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2587749 | BOY |
| EOY | 3225655 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 935000 | BOY |
| EOY | 735000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2310038 | BOY |
| EOY | 1100857 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60000 | BOY |
| EOY | 40000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12438198 | BOY |
| EOY | 12768473 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18330985 | BOY |
| EOY | 17869985 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38532481 | BOY |
| EOY | 38177574 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38532481 | BOY |
| EOY | 38177574 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56863466 | BOY |
| EOY | 56047559 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -919867 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 564960 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $434 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 434 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | BLUE RIDGE REGIONAL HOSPITAL IS A MEMBER OF THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA) EACH YEAR, THIS ORGANIZATION ENGAGES IN LOBBYING ACTIVITIES ON BEHALF OF THE MEMBERSHIP BODIES. FOR THE CURRENT YEAR, APPROXIMATELY 23.65% OF NCHA DUES HAVE BEEN ALLOCATED TO LOBBYING EXPENDITURES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2498577 | OtherCostOrOtherBasis |
| Book Value | 2498577 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 37440208 | OtherCostOrOtherBasis |
| Depreciation | 13257561 | Depreciation |
| Book Value | 24182647 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 380047 | OtherCostOrOtherBasis |
| Depreciation | 191411 | Depreciation |
| Book Value | 188636 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13657655 | OtherCostOrOtherBasis |
| Depreciation | 10978288 | Depreciation |
| Book Value | 2679367 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 532187 | OtherCostOrOtherBasis |
| Book Value | 532187 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30081414 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| ALTERNATIVE INVESTMENTS | 3925850 | F |
| COLLECTIVE TRUST FUND VEHICLES | 4565172 | F |
| REAL ESTATE FUNDS | 39695 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 8530717 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NOTE PAYABLE TO RELATED PARTIES | Description |
| Amount | $12,768,473 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12768473 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | INCOME TAXES - THE HOSPITAL AND THE FOUNDATION HAVE BEEN RECOGNIZED AS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501 (A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) AND, THEREFORE, RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. THE HOSPITAL INCURS UNRELATED BUSINESS INCOME TAX ON THE INVESTMENT IN BLUE RIDGE HOME CARE UNDER THE INTERNAL REVENUE CODE. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. BOTH THE HOSPITAL AND THE FOUNDATION HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2013. THE HOSPITAL AND FOUNDATION APPLY THE PROVISIONS OF FASB ASC 740, INCOME TAXES, IN ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS CURRENTLY NO IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 828028 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 828028 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02070 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5080159 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3597123 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1483036 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03710 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5908187 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3597123 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2311064 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05780 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 548545 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 548545 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01370 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 283120 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 283120 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00710 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12129 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 12129 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 843794 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 843794 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02110 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6751981 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3597123 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3154858 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07890 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 275019 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 275019 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00690 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 275019 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 275019 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00690 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,676,308 | BadDebtExpenseAmount |
| Amount Attributable To | 908607 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 13135997 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 12379632 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 756365 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE RIDGE REGIONAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 HOSPITAL DRIVE | AddressLine1 |
| City | SPRUCE PINE | City |
| State | NC | State |
| ZIP Code | 28777 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE RIDGE REGIONAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Medicaid Medicare | X | MedicaidMedicare |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 12 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| BLUE RIDGE MEDICAL CENTER YANCEY CAMPUS | ||||
| 800 MEDICAL CAMPUS DRIVE | BURNSVILLE | NC | 28714 | RURAL HEALTH CLINIC |
| BLUE RIDGE MEDICAL CENTER MAYLAND CAMPUS | ||||
| 7968 HIGHWAY 19E | SPRUCE PINE | NC | 28777 | RURAL HEALTH CLINIC |
| BLUE RIDGE MEDICAL CENTER GENERAL SURGER | ||||
| 125 HOSPITAL DRIVE | SPRUCE PINE | NC | 28777 | GENERAL SURGERY |
| BLUE RIDGE MEDICAL CENTER SPRUCE PINE CA | ||||
| 496 ALTAPASS ROAD | SPRUCE PINE | NC | 28777 | RURAL HEALTH CLINIC |
| BLUE RIDGE MEDICAL CENTER PAIN CLINIC | ||||
| 125 HOSPITAL DRIVE | SPRUCE PINE | NC | 28777 | CLINIC |
| TOE RIVER CHILDRENS DENTAL CLINIC | ||||
| 89 N MITCHELL AVE | BAKERSVILLE | NC | 28705 | PHYSICIANS PRIVATE OFFICES |
| BRIE FOLKNER MD | ||||
| 88 HOSPITAL DRIVE | SPRUCE PINE | NC | 28777 | PHYSICIANS PRIVATE OFFICES |
| BLUE RIDGE REGIONAL HOSPITAL - RADIOLOGY | ||||
| 800 MEDICAL CAMPUS DRIVE | BURNSVILLE | NC | 28714 | RURAL HEALTH CLINIC |
| BLUE RIDGE FITNESS AND REHABILITATION CE | ||||
| 155 LOVE FOX ROAD | BAKERSVILLE | NC | 28705 | FITNESS CENTER |
| BLUE RIDGE MEDICAL CENTER ORTHOPAEDICS | ||||
| 11728 SOUTH 226 HWY | SPRUCE PINE | NC | 28777 | ORTHOPEDICS |
| DOROTHY DEGUZMAN MD | ||||
| 86 N MITCHELL AVE | BURNSVILLE | NC | 28714 | DELIVERY ROOM & LABOR |
| BLUE RIDGE REGIONAL HOSPITAL - LAB | ||||
| 800 MEDICAL CAMPUS DRIVE | BURNSVILLE | NC | 28714 | RURAL HEALTH CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)
| ExplanationExplanation | Return ReferenceReturnReference | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 7: BLUE RIDGE REGIONAL HOSPITAL USED THE NCHA ANDI REPORTS WHICH ARE BASED ON THE IRS GUIDELINES TO DERIVE A COST-TO-CHARGE RATIO USED IN THE CALCULATION OF COMMUNITY BENEFIT EXPENSE AT COST. | ||
| SERVING THE COMMUNITY FOR OVER 55 YEARS, BLUE RIDGE REGIONAL HOSPITAL PLAYS A VITAL ROLE IN THE DEVELOPMENT AND SUPPORT OF THE REGION IT SERVES. BLUE RIDGE REGIONAL HOSPITAL PROVIDES FACILITY SPACE FOR MEETINGS AND RESOURCES THROUGH THE AMERICAN CANCER SOCIETY INCLUDING A PATIENT RESOURCE ROOM AND BI-MONTHLY LOOK GOOD, FEEL GOOD CLASSES. BLUE RIDGE REGIONAL HOSPITAL PROVIDES PRIVILEGES AND SPACES FOR VISITING SPECIALTY PHYSICIANS ON A REGULAR BASIS. THIS ARRANGEMENT ALLOWS COMMUNITY RESIDENTS TO RECEIVE NEEDED SPECIALTY CARE WITHOUT HAVING TO TRAVEL 50 OR MORE MILES ONE WAY. THIS SPACE IS PROVIDED AT MINIMAL COST TO THE VISITING PHYSICIANS TO PROVIDE COMFORT AND CONVENIENCE TO PATIENTS IN THE COMMUNITY. EMPLOYEES AT BLUE RIDGE REGIONAL HOSPITAL PARTICIPATE AND ARE MEMBERS OF MULTIPLE AGENCIES THAT SERVE THE COMMUNITY AS WELL AS MANY NON-PROFIT ORGANIZATIONS.ECONOMIC DEVELOPMENT - A MEMBER OF THE EXECUTIVE TEAM WHO SERVES AS CHAIRMAN OF THE LOCAL ECONOMIC DEVELOPMENT COMMISSION AND FOUNDING CHAIRMAN OF THE LOCAL PARTNERSHIP FOR CHILDREN, WORKS DILIGENTLY TO FIND OPPORTUNITIES TO BRING MORE BUSINESS & JOBS TO THE PEOPLE OF OUR COMMUNITY, THUS PROVIDING A GREATER LIFE POTENTIAL FOR THOSE IN NEED.WORKFORCE DEVELOPMENT - AS AN UNDERSERVED COMMUNITY WITH EVIDENT MEDICAL SHORTAGE IN ALL AREAS OF GENERAL AND SPECALITY HEALTH CARE, BLUE RIDGE STRIVES TO RECRUIT, OBTAIN AND RETAIN PHYSICIANS AND OTHER HEALTH CARE PROVIDERS TO PROVIDE SERVICES FOR MEMBERS OF THE SURROUNDING COMMUNITIES. | PART II: | |
| APPROXIMATELY 68% OF BLUE RIDGE'S BAD DEBT WRITE OFFS ARE SELF-PAY PATIENTS. ABOUT 50% OF THOSE ARE UNEMPLOYED. THESE PERCENTAGES MULTIPLIED BY THE BAD DEBT COST OF $2.6 MILLION EQUALS THE ESTIMATED AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. | PART III, LINE 3 | |
| PART III, LINE 4: BLUE RIDGE REGIONAL HOSPITAL DOES NOT DISCLOSE THE COST OF BAD DEBT IN THE FOOTNOTES OF THE FINANCIALS; HOWEVER IT REPORTS THE COST OF BAD DEBT AS PART OF A REPORT TO THE NORTH CAROLINA HOSPITAL ASSOCIATION'S DATA INITIATIVE. THE FINANCIAL STATEMENTS NET BAD DEBT AGAINST PATIENT REVENUES TO ARRIVE AT "NET PATIENT REVENUE LESS PROVISION FOR BAD DEBTS". | ||
| PART III, LINE 8: PER THE INSTRUCTIONS, THE MEDICARE COST REPORT IS THE BASIS FOR CALCULATING THE COSTS USING COSTS RELATED TO THE REVENUE REPORTED. | ||
| PART III, LINE 9B: PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND OTHER CHARITY CARE ARE NOTIFIED USING THE PROCESS DESCRIBED IN THE EDUCATION OF PATIENTS' ELIGIBILITY IN PART VI, ON LINE 3. | ||
| PART V, SECTION B, LINE 3: AS PART OF WNC HEALTHY IMPACT, A REGIONAL DATA WORKGROUP OF PUBLIC HEALTH AND HOSPITAL REPRESENTATIVES AND REGIONAL PARTNERS, WITH SUPPORT FROM THE CONSULTING TEAM, MADE RECOMMENDATIONS TO THE STEERING COMMITTEE ON THE DATA APPROACH AND CONTENT USED TO HELP INFORM REGIONAL DATA COLLECTION. THE CORE REGIONAL DATASET WAS INFORMED BY STAKEHOLDER DATA NEEDS, GUIDELINES, AND REQUIREMENTS. FROM DATA COLLECTED AS PART OF THIS CORE DATASET, THE CONSULTING TEAM COMPILED SECONDARY (EXISTING) DATA AND NEW SURVEY FINDINGS FOR EACH COUNTY IN THE 16-COUNTY REGION. THIS ASSESSMENT INCLUDES DATA INTEGRATED FROM THE SECONDARY DATA EFFORTS AS WELL AS THE COMMUNITY HEALTH SURVEY FOR OUR COUNTY.IN THE RANDOM-SAMPLE SURVEY THAT WAS ADMINISTERED IN OUR COUNTY AS PART OF THIS COMMUNITY HEALTH ASSESSMENT, 200 COMMUNITY MEMBERS COMPLETED A QUESTIONNAIRE REGARDING THEIR HEALTH STATUS, HEALTH BEHAVIORS, INTERACTIONS WITH CLINICAL CARE SERVICES, SUPPORT FOR CERTAIN HEALTH-RELATED POLICIES, AND FACTORS THAT IMPACT THEIR QUALITY OF LIFE. IN ADDITION, IN OUR COUNTY, COMMUNITY MEMBERS AND PARTNERS ACTED AS THE CHA TEAM AND WERE INVOLVED IN LOCAL DATA INTERPRETATION AND PRIORITY SETTING. | BLUE RIDGE REGIONAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 4: REGIONAL PARTNERSHIP:BLUE RIDGE'S COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT EFFORT IS ALSO SUPPORTED BY A COMPREHENSIVE PARTNERSHIP WITH OTHER REGIONAL HOSPITALS AND LOCAL HEALTH DEPARTMENTS. THIS INITIATIVE, KNOWN AS WNC HEALTHY IMPACT, REPRESENTS 16 COUNTIES ACROSS THE WESTERN NORTH CAROLINA REGION WORKING COLLABORATIVELY TO IMPROVE COMMUNITY HEALTH. INFORMATION ABOUT THIS INNOVATIVE REGIONAL COLLABORATION, COUNTY-WIDE COMMUNITY HEALTH ASSESSMENTS, AND OVERALL REGIONAL FINDINGS, ARE MADE WIDELY AVAILABLE TO THE PUBLIC AT WWW.WNCHEALTHYIMPACT.COM. | BLUE RIDGE REGIONAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 5C: THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE VIEWED AT WWW.WNCHEALTHYIMPACT.COM BY NAVIGATING TO "LOCAL STORIES" AND THEN TO "MITCHELL". THIS INFORMATION CAN ALSO BE FOUND WITHIN THE MISSION HEALTH SYSTEM WEBSITE: HTTP://WWW.MISSION-HEALTH.ORG/ABOUT-US/VISION-VALUES/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. | BLUE RIDGE REGIONAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 12H: IN ADDITION TO THE OTHER ITEMS LISTED, BLUE RIDGE'S POLICY CONTAINS A CATASTROPHIC PROVISION DISCOUNT WHEREIN PATIENTS WHO QUALIFY UNDER OUR FINANCIAL ASSISTANCE POLICY WILL NOT OWE MORE THAN 15% OF THEIR ANNUAL INCOME. | BLUE RIDGE REGIONAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 14G: SEE PART VI, LINE 3: THE BLUE RIDGE HOSPITAL PROVIDES INFORMATION TO PATIENTS REGARDING THE FINANCIAL ASSISTANCE POLICY BY DIRECTING PATIENTS TO A PATIENT BILLING REPRESENTATIVE OR BY DIRECTING PATIENTS TO THE MISSION HEALTH SYSTEM WEBSITE (WHICH APPLY TO ALL MISSION HEALTH LOCATIONS); MESSAGES ON BILLING STATEMENTS AND IN BROCHURES PROVIDED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS; WAITING ROOMS; AND ADMISSIONS OFFICES, WAS WELL AS ON ADMISSION TO THE HOSPITAL FACILITY. FINANCIAL ASSISTANCE APPLICATION CAN BE A COMPLICATED AND CONFUSING PROCESS TO PATIENTS AND THEIR FAMILY AND THE PROCESS IS BETTER UNDERSTOOD WHEN THE PATIENT HAS AN OPPORTUNITY TO ASK QUESTIONS AND HAVE THE APPLICATION EXPLAINED IN PERSON. PATIENTS MAY ALSO CONTACT MISSION'S CUSTOMER SERVICE CENTER AT (800) 848-8732 WITH ANY QUESTIONS. | BLUE RIDGE REGIONAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 18E: BLUE RIDGE REGIONAL HOSPITAL PERFORMS THESE ACTIONS BEFORE INITIATING ANY COLLECTION ACTIONS. | BLUE RIDGE REGIONAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 20D: IT IS THE INTENT OF THIS POLICY THAT ALL UNINSURED PATIENTS QUALIFYING UNDER THE POLICY WILL RECEIVE A DISCOUNT EQUIVALENT TO THE DISCOUNT RECEIVED BY MEDICARE AND COMMERCIALLY INSURED PATIENTS. THIS MINIMUM DISCOUNT LEVEL FOR UNINSURED PATIENTS IS CALCULATED AT LEAST ANNUALLY BY DIVIDING THE SUM OF ALL MEDICARE AND COMMERCIAL INSURANCE PAYMENTS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE FROM CLAIMS THAT HAVE BEEN PAID IN FULL, BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. | BLUE RIDGE REGIONAL HOSPITAL, INC. | |
| PART VI, LINE 2: BLUE RIDGE REGIONAL HOSPITAL PARTICIPATES IN A COMMUNITY HEALTH ASSESSMENT (CHA) EVERY THREE YEARS, WITH THE MOST RECENT ASSESSMENT COMPLETED IN DECEMBER 2012.PROCESS AND PRODUCT:THE BLUE RIDGE REGIONAL HOSPITAL ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH THE TOE RIVER HEALTH DISTRICT, MITCHELL COMMUNITY HEALTH PARTNERSHIP, HEALTHY YANCEY, AND OTHER NON-PROFIT COMMUNITY ORGANIZATIONS. THIS WRITTEN REPORT DESCRIBES: THE COMMUNITY SERVED BY THE HOSPITAL COMMUNITY DEMOGRAPHICS EXISTING HEALTH RESOURCES IN THE COMMUNITY AVAILABLE TO RESPOND TO NEEDS HOW DATA WAS COLLECTED IN THE ASSESSMENT PROCESS THE PRIORITY HEALTH NEEDS OF THE COMMUNITY HEALTH NEEDS AND ISSUES OF UNINSURED, LOW-INCOME, AND MINORITY GROUPS THE PROCESS FOR IDENTIFYING AND PRIORITIZING COMMUNITY NEEDS AND SERVICES TO MEET THE NEEDS THE PROCESS FOR CONSULTING WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS INFORMATION GAPS THAT LIMIT THE HOSPITAL FACILITY'S ABILITY TO ASSESS THE COMMUNITY'S HEALTH NEEDSSHARING OF RESULTS:DETAILED FINDINGS FOR OUR ASSESSMENT(S) WERE POSTED ON BLUE RIDGE REGIONAL HOSPITAL WEBSITE HTTP://WWW.BLUERIDGEHOSPITAL.ORG/ABOUT-US IN SEPTEMBER 2013. THE CHNA WAS PRESENTED TO THE BLUE RIDGE REGIONAL HOSPITAL ON SEPTEMBER 23, 2013 FOR APPROVAL AND DISCUSSION. DOCUMENTATION OF THIS BOARD APPROVAL IS AVAILABLE IN THE BLUE RIDGE REGIONAL HOSPITAL BOARD MINUTES FROM SEPTEMBER 23, 2013. | ||
| PART VI, LINE 3: BLUE RIDGE REGIONAL HOSPITAL PROVIDES INFORMATION TO OUR PATIENTS REGARDING HOW THEY WILL BE BILLED FOR PATIENT CARE AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY IN THE FOLLOWING WAYS: DURING THE REGISTRATION PROCESS WE VERIFY INSURANCE INFORMATION ON EACH PATIENT. IF THERE IS NO INSURANCE, THE PATIENTS ARE ASKED A SERIES OF QUESTIONS TO DETERMINE POTENTIAL MEDICAID ELIGIBILITY. IF THE PATIENT IS DETERMINED TO HAVE POTENTIAL ELIGIBILITY THE PATIENT'S ACCOUNT INFORMATION IS FORWARDED TO OUR ONSITE DSS WORKER FOR FURTHER INQUIRIES AND POSSIBLY AN APPOINTMENT IS SCHEDULED TO COMPLETE A MEDICAID APPLICATION. IF THE PATIENT DOES NOT MEET ELIGIBILITY REQUIREMENTS, OTHER OPTIONS SUCH AS PAYMENT ARRANGEMENTS AND/OR FINANCIAL ASSISTANCE IS DISCUSSED. AT THIS TIME, THE PATIENT MAY BE GIVEN A FINANCIAL ASSISTANCE APPLICATION (CHARITY CARE) TO COMPLETE AND RETURN TO THE BUSINESS OFFICE FOR PROCESSING. AFTER THE NOTIFICATIONS AND PROCESSES REFERENCED ABOVE HAVE BEEN COMPLETED, STANDARD DEBT COLLECTION POLICIES ARE IN EFFECT FOR THE PORTION OF THE BILL FOR WHICH THE PATIENT IS RESPONSIBLE.IN ADDITION TO GOING THROUGH THIS PROCESS VERBALLY WITH OUR PATIENTS OUR INTERNET WEB SITE INCLUDES THE FOLLOWING INFORMATION:ABOUT YOUR BILL WE ARE HERE TO HELP. IF YOU HAVE ANY QUESTIONS OR CONCERNS ABOUT THE STATEMENTS YOU RECEIVE, PLEASE CALL US AS SOON AS POSSIBLE AT 828-765-4201.INSURANCE: THE FIRST STEP IS TO CHECK WITH YOUR INSURANCE COMPANY BEFORE ANY INPATIENT OR OUTPATIENT PROCEDURES TO BE SURE THAT YOU HAVE MET THEIR REQUIREMENTS, SUCH AS A REFERRAL FROM A PRIMARY CARE PHYSICIAN. ALSO BE SURE TO ASK YOUR INSURANCE PROVIDER ABOUT ANY DEDUCTIBLES OR CO-PAYS THAT MAY BE YOUR RESPONSIBILITY. BLUE RIDGE REGIONAL HOSPITAL WILL FILE A CLAIM WITH YOUR INSURANCE COMPANY, BUT DEDUCTIBLES AND CO-PAYS MUST BE PAID AT THE TIME OF SERVICE.UNINSURED:IF YOU DO NOT HAVE INSURANCE THEN YOU MUST PAY 'UP FRONT' AT THE TIME OF THE VISIT. HOWEVER, PLEASE DO NOT LET THIS STOP YOU FROM SEEKING THE MEDICAL CARE YOU NEED. IF YOU CAN'T PAY YOUR BILL DUE TO LACK OF INSURANCE OR LIMITED INCOME, A PATIENT REPRESENTATIVE IS AVAILABLE TO HELP YOU APPLY FOR FINANCIAL ASSISTANCE.FINANCIAL ASSISTANCE:OUR PROCESS FOR DETERMINING FINANCIAL ASSISTANCE IS KEPT STRICTLY CONFIDENTIAL AND ELIGIBILITY IS DETERMINED ON AN INDIVIDUAL BASIS. THE STEPS FOR REQUESTING FINANCIAL ASSISTANCE INCLUDE:CALL A PATIENT REPRESENTATIVE AT 828-765-4201;PARTICIPATE IN A BRIEF PHONE INTERVIEW TO DETERMINE ELIGIBILITY;FINANCIAL ASSISTANCE APPLICATION IS MAILED TO YOU OR WE CAN SCHEDULE AN APPOINTMENT TO DISCUSS THE APPLICATION PROCESS. YOU WILL NEED TO PROVIDE SPECIFIC FINANCIAL INFORMATION. DECISION ABOUT ASSISTANCE IS MADE ONCE ALL PAPERWORK IS COMPLETE BLUE RIDGE REGIONAL HOSPITAL DETERMINES ELIGIBILITY FOR ASSISTANCE BY FOLLOWING THE HOUSEHOLD INCOME GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. AFTER WE REVIEW YOUR ASSISTANCE APPLICATION, WE MAY DETERMINE THAT YOU QUALIFY FOR A DISCOUNT, MEDICAID BENEFITS, OR OTHER STATE ASSISTANCE AVAILABLE TO NORTH CAROLINA RESIDENTS.MEDICAID:IF YOU HAVE MEDICAID, BE SURE TO BRING YOUR CARD WITH YOU EACH TIME YOU VISIT THE HOSPITAL FOR ANY MEDICAL SERVICES. MEDICAID MAY REQUIRE YOU TO BE REFERRED BY YOUR PRIMARY CARE DOCTOR AND THEY MAY NOT COVER CERTAIN SERVICES. THE BEST WAY TO BE SURE IS TO CALL YOUR CASE WORKER AT THE DEPARTMENT OF SOCIAL SERVICES.MEDICARE PATIENTS:PLEASE BE AWARE THAT WE ARE REQUIRED BY LAW TO ASK CERTAIN QUESTIONS ABOUT YOUR RETIREMENT AND INSURANCE COVERAGE EVERY TIME YOU RECEIVE SERVICES AT BLUE RIDGE REGIONAL HOSPITAL. WE SEND A CLAIM TO YOUR SUPPLEMENTAL INSURANCE COMPANY BEFORE SUBMITTING A BILL TO MEDICARE. YOU ARE RESPONSIBLE FOR ANY PART OF YOUR BILL THAT'S NOT COVERED BY SUPPLEMENTAL INSURANCE AND MEDICARE.CONTACT INFORMATION:IF YOU HAVE ANY QUESTIONS, YOU CAN SEND THEM THROUGH OUR ONLINE FORM, OR FEEL FREE TO CALL 828-765-4201.IF YOU NEED HELP OUTSIDE OF NORMAL BUSINESS HOURS, PLEASE LEAVE A MESSAGE IN THE BUSINESS OFFICE AND A PATIENT REPRESENTATIVE WILL RETURN YOUR CALL. | ||
| PART VI, LINE 4: BLUE RIDGE REGIONAL HOSPITAL SERVES THE RURAL MOUNTAINOUS AREA OF MITCHELL, YANCEY, LOWER AVERY AND UPPER MCDOWELL COUNTIES IN WESTERN NORTH CAROLINA. THE POPULATION WE SERVE IS A LARGELY INDIGENT POPULATION AND EVER-INCREASING ELDERLY POPULATION. IN 2013, BLUE RIDGE REGIONAL HOSPITAL PROVIDED $5.1 MILLION IN UNCOMPENSATED CARE TO THE COMMUNITY IT SERVES. IN 2013 MORE THAN 62% OF THE PATIENT POPULATION WAS MEDICAID, MEDICARE OR SELF-PAY PATIENTS. | ||
| PART VI, LINE 5: SEE PROGRAM SERVICE ACCOMPLISHMENTS ON PAGE 2 OF THE 990. | ||
| PART VI, LINE 6: BLUE RIDGE REGIONAL HOSPITAL IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WITH THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES DESCRIBED BELOW IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.MISSION HEALTH SYSTEM, INC. IS THE PARENT ORGANIZATION FOR THE CHARITABLE ORGANIZATIONS OF MISSION HOSPITAL, INC.; MISSION HEALTHCARE FOUNDATION, INC.; MISSION MEDICAL ASSOCIATES, INC; BLUE RIDGE REGIONAL HOSPITAL, INC.; AND THE MCDOWELL HOSPITAL, INC.MISSION HOSPITAL, INC. IS A REGIONAL INTEGRATED HEALTH SYSTEM PROVIDING SUPERIOR CARE AND SERVICE TO PATIENTS AND THEIR FAMILIES THROUGH A FULL CONTINUUM OF INTEGRATED SERVICES, EDUCATION, AND RESEARCH. IT SERVES AS A TRAUMA CENTER TO PEOPLE OF WESTERN NORTH CAROLINA AND THE SURROUNDING COUNTIES. MISSION MEDICAL ASSOCIATES MISSION IS TO PROVIDE PHYSICIAN SERVICES IN PREDOMINANTLY RURAL AREAS THAT ARE INSUFFICIENTLY SERVED, THEREBY IMPROVING THE HEALTH CARE OF THE GENERAL PUBLIC. IN MANY CASES THIS INVOLVES RECRUITING AND PLACING PRIMARY CARE PHYSICIANS, AS WELL AS PEDIATRIC AND ADULT SPECIALTY SERVICES CLOSE TO WHERE PEOPLE LIVE AND WORK.BLUE RIDGE REGIONAL HOSPITAL SERVES AS A COMMUNITY HOSPITAL IN MITCHELL, YANCEY AND SURROUNDING COUNTIES.ANGEL MEDICAL CENTER, INC. SERVES AS A COMMUNITY HOSPITAL IN MACON AND SURROUNDING COUNTIES.TRANSYLVANIA COMMUNITY HOSPITAL, INC.SERVES AS A COMMUNITY HOSPITAL IN TRANSYLVANIA AND SURROUNDING COUNTIES.THE MCDOWELL HOSPITAL SERVES AS A COMMUNITY HOSPITAL IN MCDOWELL AND THE SURROUNDING COUNTIES.MISSION HEALTHCARE FOUNDATION, INC. SUPPORTS THE MISSION AND PROGRAMS OF MISSION HOSPITAL, INC. AND MISSION HEALTH SYSTEM, INC. AND OF OTHER ORGANIZATIONS THAT ARE TAX EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND WORKS TO BENEFIT THE COMMUNITY AND REGION SERVED BY THE ENTITIES LISTED ABOVE. | ||
| NC | PART VI, LINE 7 | REPORTS FILED WITH STATES |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OSCAR WEINMEISTER | ||||||||||||||
| CEO | 193227 | 0 | 50000 | 0 | 6023 | 0 | 21696 | 0 | 22802 | 0 | 293748 | 0 | 0 | 0 |
| JON YEATMAN | ||||||||||||||
| BOARD MEMBER | 0 | 139721 | 0 | 34219 | 0 | 665 | 0 | 220 | 0 | 978 | 0 | 175803 | 0 | 0 |
| JOHN MAHER | ||||||||||||||
| BOARD MEMBER | 0 | 260635 | 0 | 58433 | 0 | 2635 | 0 | 56048 | 0 | 21092 | 0 | 398843 | 0 | 0 |
| JONATHAN SMITH | ||||||||||||||
| VP FIN & OPS: THROUGH APRIL 2013 | 119956 | 0 | 0 | 0 | 12550 | 0 | 15301 | 0 | 8498 | 0 | 156305 | 0 | 0 | 0 |
| MARVIN VICE | ||||||||||||||
| STAFF PHYSICIAN | 462626 | 0 | 0 | 0 | 16178 | 0 | 0 | 0 | 24522 | 0 | 503326 | 0 | 0 | 0 |
| DAVID ROBINSON | ||||||||||||||
| STAFF PHYSICIAN | 332282 | 0 | 35029 | 0 | 5996 | 0 | 0 | 0 | 17716 | 0 | 391023 | 0 | 0 | 0 |
| SHEHLA KAHN | ||||||||||||||
| STAFF PHYSICIAN | 275124 | 0 | 63646 | 0 | 508 | 0 | 10534 | 0 | 22807 | 0 | 372619 | 0 | 0 | 0 |
| KEVIN HOLLIFIELD | ||||||||||||||
| CRNA | 186990 | 0 | 35 | 0 | 31944 | 0 | 6601 | 0 | 22648 | 0 | 248218 | 0 | 0 | 0 |
| RICHARD RHEINBOLT | ||||||||||||||
| STAFF PHYSICIAN | 156807 | 0 | 33329 | 0 | 7090 | 0 | 3867 | 0 | 11399 | 0 | 212492 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 4B | OSCAR WEINMEISTER - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: $18,927. |
| PART I, LINE 7 | PART I, LINE 4B: THE FOLLOWING RECEIVED SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS FROM THE FILING ORGANIZATION: JONATHAN SMITH: $3,559 THE FOLLOWING RECEIVED SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS FROM A RELATED ORGANIZATION: JON YEATMAN: $16,686 JOHN MAHER: $11,512 |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | OSCAR WEINMEISTER | NamePerson |
| Relationship With Organization | EMPLOYEE | RelationshipWithOrganization |
| Purpose Of Loan | RECRUITMENT LOAN | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $37,500 | OriginalPrincipalAmount |
| Balance Due | 25000 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 25000 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MELISSA SMITH | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY RELATIONSHIP | Relationship |
| Amount Of Transaction | 51632 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS MISSION HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE DIRECTORS OF THE CORPORATION SHALL BE APPOINTED AT THE ANNUAL MEETING OF THE MEMBER (MISSION HEALTH SYSTEM) OF THE CORPORATION. THE TWO EX-OFFICO DIRECTORS SHALL BE EX-OFFICIO BOARD MEMBERS WHO SERVE IN THE POSITIONS OF CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND CHIEF OF STAFF OF THE HOSPITAL. THE BOARD OF DIRECTORS OF THE CORPORATION SHALL ELECT THE SEVEN INDIVIDUALS TO SERVE AS COMMUNITY DIRECTORS AS SOON AS REASONABLY POSSIBLE SUBSEQUENT TO THE APPOINTMENT OF THE SOLE MEMBER'S DIRECTORS. THE COMMUNITY DIRECTORS ELECTED MUST BE APPROVED BY THE MEMBER OF THE CORPORATION; HOWEVER, SAID APPROVAL SHALL NOT BE ARBITRARILY AND CAPRICIOUSLY WITHHELD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER HAS THE FOLLOWING RIGHTS WITH RESPECT TO THE CORPORATION (A) APPROVAL OF THE GOVERNING INSTRUMENTS OF THE CORPORATION, (B) APPROVAL OF THE MISSION, VISION, AND VALUES STATEMENT, (C) ELECTION AND REMOVAL OF THE BOARD OF DIRECTORS, (D) APPROVAL OF THE PLEDGE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, THE PURCHASE OR SALE OF PROPERTY, AND LONG-TERM BORROWING, (E) APPROVAL OF DISSOLUTION, MERGER, SALE, OR CONSOLIDATION, (F) APPROVAL OF THE FORMATION AND GOVERNANCE OF NEW CORPORATIONS, PARTNERSHIPS, OR JOINT VENTURES (ABOVE FINANCIAL AND OTHER LIMITS), (G) APPROVAL OF THE CAPITAL AND OPERATING BUDGET, (H) APPROVAL OF THE CONSOLIDATION, MATERIAL EXPANSION, OR ELIMINATION OF ANY CLINICAL SERVICE, (I) APPROVAL OF THE ELECTION OF THE PRESIDENT/CEO, (J) THE OPTION TO REMOVE THE PRESIDENT/CEO. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY STAFF FROM BLUE RIDGE REGIONAL HOSPITAL AND MISSION HEALTH SYSTEM WITH THE ASSISTANCE FROM MANAGEMENT. THE FINAL REVIEW WAS COMPLETED BY AN INDEPENDENT ACCOUNTANT. THE RETURN WAS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. PRIOR TO FILING WITH THE IRS, THE COMPLETED RETURN WAS GIVEN TO THE FULL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE INDEPENDENT DIRECTORS WILL REVIEW CONFLICTS OF INTEREST AND DISABLING SITUATIONS, CONSIDER ANY ISSUES INVOLVING CONFLICTS AND MAKE DETERMINATIONS AS TO WHETHER A PARTICULAR RELATIONSHIP OR ARRANGEMENT WOULD DISABLE AN INDIVIDUAL FROM SERVING AS A FIDUCIARY FOR THE BOARD OR WOULD REASONABLY BE EXPECTED TO EXERT AN INFLUENCE ON THE INDIVIDUAL'S JUDGMENT AND THEREFORE PRECLUDE THE INDIVIDUAL FROM BEING AN INDEPENDENT DIRECTOR. THE BOARD MAY RETAIN COUNSEL FROM OUTSIDE AUDIT, LEGAL, GOVERNANCE OR OTHER EXPERTS. ANY DETERMINATION OF PERCENT OF REVENUE OR INCOME RECEIVED BY AN INDIVIDUAL OR ENTITY MAY BE BASED ON CERTIFICATIONS FROM OUTSIDE AUDITORS OF DISCLOSURES MADE DIRECTLY BY THE INDIVIDUAL TO THE AUDIT FIRM. PROCEDURES UPON DETERMINATION OF A CONFLICT OF INTEREST: THE INTERESTED PERSON SHALL NOT PARTICIPATE IN ANY DISCUSSION OR VOTE REGARDING THE BUSINESS RELATIONSHIP ISSUE, AND SHALL NOT BE PRESENT IN THE MEETING ROOM FOR ANY PART OF THE DISCUSSION OR VOTE RELATING TO THE BUSINESS RELATIONSHIP ISSUE. THE BOARD OF DIRECTORS WILL DISCUSS THE BUSINESS RELATIONSHIP BUT WILL NOT FORMALLY APPROVE SUCH BUSINESS RELATIONSHIP UNLESS THE DISINTERESTED MEMBERS OF THE BOARD HAVE DECIDED BY MAJORITY VOTE THAT THE BUSINESS RELATIONSHIP IS IN THE BEST INTERESTS OF AND FOR THE BENEFIT OF BLUE RIDGE AND IS FAIR AND REASONABLE THERETO IN ALL RESPECTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | ANNUALLY, THE FINANCE COMMITTEE OF THE BOARD REVIEWS AND COMPARES COMPENSATION DATA FOR THE TOP EXECUTIVE AND OTHER KEY POSITIONS USING DATA FROM FOUR DIFFERENT COMPARABLE SOURCES, INCLUDING THE FORM 990 FROM OTHER ORGANIZATIONS, TWO NATIONAL SALARY SURVEYS, AND ONE STATE SALARY SURVEY. THE CEO'S COMPENSATION PACKAGE IS APPROVED BY THE FINANCE COMMITTEE. THE CEO AND FINANCE COMMITTEE WORK TOGETHER TO SET COMPENSATION FOR OTHER KEY POSITIONS. THE BOARD REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO, CFO, VP OF NURSING, VP OF PHYSICIAN PRACTICES, AND THE VP OF OUTREACH. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, DETAILS FROM THE ORGANIZATION'S FINANCIAL STATEMENTS ARE WIDELY DISTRIBUTED IN THE HOSPITAL'S COMMUNITY BENEFIT REPORT TO THE COMMUNITY, AS WELL AS BEING ATTACHED TO THIS RETURN. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUE RIDGE REGIONAL HOSPITAL FOUNDATION | |||||||||||
| PO BOX 247 | SPRUCE PINE | NC | 28777 | 582172660 | SUPPORTING ORGANIZATION/FUNDRAISING | NC | 501(C)(3) | LINE 11A, I | BLUE RIDGE REGIONAL HOSPITAL INC | 1 | |
| MISSION HEALTH SYSTEM INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 581450888 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| MISSION HOSPITAL INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 560532141 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| MISSION HEALTHCARE FOUNDATION INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 561881331 | FUNDRAISING | NC | 501(C)(3) | LINE 7 | MISSION HEALTH SYSTEM INC | 0 | |
| MISSION MEDICAL ASSOCIATES | |||||||||||
| 12 ARDMORE STREET | ASHEVILLE | NC | 28803 | 263627231 | HEALTHCARE | NC | 501(C)(3) | LINE 9 | MISSION HEALTH SYSTEM INC | 0 | |
| THE MCDOWELL HOSPITAL INC | |||||||||||
| 430 RANKIN AVENUE | MARION | NC | 28752 | 560623938 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| BLUE RIDGE REGIONAL HOSPITAL | |||||||||||
| PO BOX 9 | SPRUCE PINE | NC | 28777 | 561025032 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| MCDOWELL HEALTHCARE FOUNDATION INC | |||||||||||
| 430 RANKIN AVENUE | MARION | NC | 28752 | 463395393 | FOUNDATION | NC | 501(C)(3) | LINE 7 | THE MCDOWELL HOSPITAL | 0 | |
| TRANSYLVANIA COMMUNITY HOSPITAL INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 560562293 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | |||||||||||
| PO BOX 2440 | BREVARD | NC | 28712 | 561450824 | FOUNDATION | NC | 501(C)(3) | LINE 7 | TRANSYLVANIA COMMUNITY HOSPITAL | 0 | |
| ANGEL MEDICAL CENTER INC | |||||||||||
| PO BOX 1209 | FRANKLIN | NC | 28744 | 566000064 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| TRANSYLVANIA PHYSICIAN SERVICES INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561920816 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | TRANSYLVANIA COMMUNITY HOSPITAL | 0 | |
| TRANSYLVANIA HEALTH SYSTEM INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561456987 | MERGED WITH TRANSYLVANIA COMMUNITY HOSPITAL JUNE 2013 | NC | 501(C)(3) | LINE 11B, II | DISSOLVED | 0 | |
| ANGEL MEDICAL CENTER AUXILIARY | |||||||||||
| PO BOX 1209 | FRANKLIN | NC | 28744 | 562133719 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 11A, I | ANGEL MEDICAL CENTER INC | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUE RIDGE DME LLC | |||||||||||||||
| 125 HOSPITAL DRIVE | SPRUCE PINE | NC | 28777 | 263570174 | HOME MEDICAL EQUIPMENT AND SUPPLIES SALES | NC | BLUE RIDGE REGIONAL HOSPITAL INC | UNRELATED | 625332 | 1045076 | 0 | $377,346 | 1 | 0.96000 | |
| IMAGING REALTY LLP | |||||||||||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907203 | REAL ESTATE HOLDING | NC | N/A | ||||||||
| MSJHS AND CCP JOINT DEVELOPMENT COMPANY | |||||||||||||||
| 428 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 562250464 | HEALTHCARE | NC | N/A | ||||||||
| MCDOWELL MRI | |||||||||||||||
| 414 RANKIN AVENUE | MARION | NC | 28752 | 753046378 | MEDICAL IMAGING | NC | N/A | ||||||||
| ASHEVILLE IMAGING LLP | |||||||||||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907201 | OUTPATIENT IMAGING | NC | N/A | ||||||||
| BREVARD MRI AT TRANSYLVANIA REGIONAL HOSPITAL LLC | |||||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 203281110 | MEDICAL | NC | N/A | ||||||||
| TRANSYLVANIA HEALTHECARE II LIMITED PARTNERSHIP | |||||||||||||||
| 2 MEDICAL PARK DRIVE | BREVARD | NC | 28712 | 200333230 | RENTAL | NC | N/A | ||||||||
| HEALTHCARE III LIMITED PARTNERSHIP | |||||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561599696 | RENTAL | NC | N/A | ||||||||
| HEALTHCARE LIMITED LIABILITY COMPANY VII | |||||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 200343455 | RENTAL | NC | N/A | ||||||||
| WESTERN NC HEALTHCARE INNOVATORS LLC | |||||||||||||||
| 5935 CARNEGIE BLVD | CHARLOTTE | NC | 28209 | 800787882 | REAL ESTATE RENTAL | NC | N/A | ||||||||
| WESTERN REGIONAL RADIATION THERAPY CENTER | |||||||||||||||
| 68 HOSPITAL DRIVE | SYLVA | NC | 28799 | 561849395 | RADIATION THERAPY | NC | N/A | ||||||||
| ASHEVILLE MRI | |||||||||||||||
| PO BOX 2959 | ASHEVILLE | NC | 28802 | 561665863 | IMAGING SERVICES | NC | N/A | ||||||||
| WNC STONE CENTER | |||||||||||||||
| 509 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 272152974 | LITHOTRIPSY RENTAL | NC | N/A | ||||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HORIZON HEALTH CORP | ||||||||||||
| 213 RIDGEFIELD COURT | ASHEVILLE | NC | 28806 | 561341621 | HOLDING COMPANY | NC | N/A | C | 0 | |||
| HORIZON MANAGEMENT SERVICES | ||||||||||||
| 213 RIDGEFIELD COURT | ASHEVILLE | NC | 28806 | 561341624 | COLLECTIONS, BILLING, MEDICAL PROPERTY | NC | N/A | C | 0 | |||
| DOGWOOD INSURANCE COMPANY LTD | ||||||||||||
| CAPTIVE INSURANCE ENTITY | N/A | C | 0 | THE GRANT PAVILION COMMERCIAL CENTR | CJ | CJ | ||||||
| TRANSYLVANIA SERVICES INC | ||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561448199 | REAL ESTATE | NC | N/A | C | 0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| BLUE RIDGE DME LLC | ||
| S | 575111 | FMV |
| BLUE RIDGE REGIONAL HOSPITAL FOUNDATION INC | ||
| C | 226757 | FMV |