2014-08-12T11:46:41-05:00 2013-09-30 990 2012-10-01 561025032 BLUE RIDGE REGIONAL HOSPITAL INC BLUE 8287654201 PO BOX 9 SPRUCE PINE NC 287770009 SONYA RENNICK 8282577065 2014-08-12 2012 2015-11-30 17:44:51Z SONYA RENNICK PO BOX 9 SPRUCE PINE NC 287770009 39074818 0 X WWW.BLUERIDGEHOSPITAL.ORG X 1971 NC PROVISION OF INPATIENT AND OUTPATIENT HOSPITAL SERVICES 15 9 489 48 377346 349448 608617 226757 36606613 37722109 44831 1023437 76616 84848 37336677 39057151 0 0 0 0 21660255 24510457 0 0 0 13412199 15466561 35072454 39977018 2264223 -919867 56863466 56047559 18330985 17869985 38532481 38177574 X 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. 0 0 34410964 37165878 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. 34410964 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 62 0 1 489 1 1 1 0 0 0 0 0 0 0 0 0 X 15 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X SONYA RENNICK 8287661740 125 HOSPITAL DRIVE P O BOX 9 SPRUCE PINE NC 28777 COURTNEY MAUZY 8.00 X X 0 0 0 JOHN BOYD 2.00 X 0 0 0 RICHARD MONTAGUE 2.00 X X 0 0 0 MARIAH MCKINNEY 2.00 X 0 0 0 JANICE BRUMIT 1.00 4.00 X 0 0 0 KATHRYN ROYEN 2.00 X 0 0 0 MARTHA TYNER 2.00 X 0 0 0 SAM NASH 2.00 X 0 0 0 BYRON PHILLIPS 2.00 X 0 0 0 CHAD SMOKER 2.00 X 87632 0 0 JERRY BLACK 2.00 X 0 0 0 OSCAR WEINMEISTER 50.00 1.00 X X 249250 0 44498 JON YEATMAN 2.00 48.00 X 0 174605 1198 JENNIFER LARSON MD 50.00 X 100487 0 18040 JOHN MAHER 2.00 58.00 X 0 321703 77140 JONATHAN SMITH 50.00 1.00 X 132506 0 23799 SONYA RENNICK 50.00 X 0 0 0 MARVIN VICE 40.00 X 478804 0 24522 DAVID ROBINSON 40.00 X 373307 0 17716 SHEHLA KAHN 40.00 X 339278 0 33341 KEVIN HOLLIFIELD 40.00 X 218969 0 29249 RICHARD RHEINBOLT 40.00 X 197226 0 15266 2177459 496308 284769 24 0 1 0 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 5 226757 226757 NET PATIENT REVENUE 900099 36179383 36179383 OTHER PROGRAM SERVICE REVENUE 900099 761893 761893 PARTNERSHIP REVENUE 900099 556231 178885 377346 CAFETERIA REVENUE 722210 224602 224602 37722109 195568 195568 102515 17667 84848 84848 84848 827869 0 827869 827869 827869 39057151 37120161 377346 1332887 328841 218311 110530 19491616 16600412 2891204 306285 260343 45942 3043412 2586900 456512 1340303 1139258 201045 446976 379930 67046 47353 47353 65571 65571 66536 66536 1901554 1602580 298974 136728 116219 20509 2992348 2543507 448841 122028 103724 18304 746635 746635 119373 101466 17907 16697 16697 2193775 1864709 329066 726635 617640 108995 MEDICAL SUPPLIES 2521088 2521088 REPAIRS AND MAINTENANCE 1351603 1201356 150247 UNRELATED BUSINESS INCO 91605 91605 1920056 1632048 288008 39977018 34410964 5566054 0 8083473 2600737 4988136 6106492 37500 25000 745518 866833 214878 158969 54508674 24427260 30106872 30081414 4217754 6416083 7305553 8530717 999520 981160 164262 280154 56863466 56047559 2587749 3225655 935000 735000 2310038 1100857 60000 40000 12438198 12768473 18330985 17869985 X 38532481 38177574 38532481 38177574 56863466 56047559 -919867 564960 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 434 434 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: 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. 2498577 2498577 37440208 13257561 24182647 380047 191411 188636 13657655 10978288 2679367 532187 532187 30081414 ALTERNATIVE INVESTMENTS 3925850 F COLLECTIVE TRUST FUND VEHICLES 4565172 F REAL ESTATE FUNDS 39695 F 8530717 NOTE PAYABLE TO RELATED PARTIES 12768473 12768473 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: 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. 1 1 1 X 1 X 1 1 0 1 1 828028 828028 0.02070 5080159 3597123 1483036 0.03710 5908187 3597123 2311064 0.05780 548545 548545 0.01370 283120 283120 0.00710 12129 12129 0.00030 843794 843794 0.02110 6751981 3597123 3154858 0.07890 275019 275019 0.00690 275019 275019 0.00690 1 2676308 908607 13135997 12379632 756365 X 1 1 1 1 BLUE RIDGE REGIONAL HOSPITAL

125 HOSPITAL DRIVE SPRUCE PINE NC 28777

X X X BLUE RIDGE REGIONAL HOSPITAL INC 1 1 X X X X X X X X X 12 1 1 1 X X X X X X X X X X 1 0 1 1 200.000000000000 1 300.000000000000 1 X X X X X 1 1 X X 1 0 X X X X X 1 X X 0 0 12 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 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. PART II: 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 III, LINE 3 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 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. BLUE RIDGE REGIONAL HOSPITAL, INC. 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. 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. REPORTS FILED WITH STATES PART VI, LINE 7 NC X X X X X 0 1 0 0 0 0 0 0 0 OSCAR WEINMEISTER 193227 0 50000 0 6023 0 21696 0 22802 0 293748 0 0 0 JON YEATMAN 0 139721 0 34219 0 665 0 220 0 978 0 175803 0 0 JOHN MAHER 0 260635 0 58433 0 2635 0 56048 0 21092 0 398843 0 0 JONATHAN SMITH 119956 0 0 0 12550 0 15301 0 8498 0 156305 0 0 0 MARVIN VICE 462626 0 0 0 16178 0 0 0 24522 0 503326 0 0 0 DAVID ROBINSON 332282 0 35029 0 5996 0 0 0 17716 0 391023 0 0 0 SHEHLA KAHN 275124 0 63646 0 508 0 10534 0 22807 0 372619 0 0 0 KEVIN HOLLIFIELD 186990 0 35 0 31944 0 6601 0 22648 0 248218 0 0 0 RICHARD RHEINBOLT 156807 0 33329 0 7090 0 3867 0 11399 0 212492 0 0 0 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 OSCAR WEINMEISTER EMPLOYEE RECRUITMENT LOAN X 37500 25000 0 1 1 25000 MELISSA SMITH FAMILY RELATIONSHIP 51632 COMPENSATION 0 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. 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 N/A 0 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 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 377346 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 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 THE GRANT PAVILION COMMERCIAL CENTR CJ CAPTIVE INSURANCE ENTITY CJ N/A C 0 TRANSYLVANIA SERVICES INC 260 HOSPITAL DRIVE BREVARD NC 28712 561448199 REAL ESTATE NC N/A C 0 0 0 1 0 1 0 0 0 0 1 0 0 1 1 1 1 0 0 1 BLUE RIDGE DME LLC S 575111 FMV BLUE RIDGE REGIONAL HOSPITAL FOUNDATION INC C 226757 FMV