MOUNTAIN VISTA HEALTH PARK INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MOUNTAIN VISTA HEALTH PARK INC (EIN 56-1255030)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-07-14
IRS object ID: 201421959349300512
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 C
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-07-14T08:06:00-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	561706742	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	561255030	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	MOUN	NameControl
Phone	3368592181	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	MARIE PALMER	Name
Title	TREASURER	Title
Phone	3368592181	Phone
Date Signed	2014-06-03	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SUSAN M BALKE	Name
PTIN	P01056462	PTIN
Phone	8283222070	Phone

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	MARIE PALMER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	6306374	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1971	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	PROVIDE QUALITY LONG-TERM NURSING CARE FOR RESIDENTS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	158	TotalNbrEmployees
Total Nbr Volunteers	35	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6131780	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6273271	ProgramServiceRevenueCY
Investment Income Prior Year	25540	InvestmentIncomePriorYear
Investment Income Current Year	30703	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2400	OtherRevenuePriorYear
Other Revenue Current Year	2400	OtherRevenueCurrentYear
Total Revenue Prior Year	6159720	TotalRevenuePriorYear
Total Revenue Current Year	6306374	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	3368330	SalariesEtcPriorYear
Salaries Etc Current Year	3356928	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	2569449	OtherExpensePriorYear
Other Expenses Current Year	2494160	OtherExpensesCurrentYear
Total Expenses Prior Year	5937779	TotalExpensesPriorYear
Total Expenses Current Year	5851088	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	221941	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	455286	RevenuesLessExpensesCY
Total Assets BOY	5051680	TotalAssetsBOY
Total Assets EOY	5465627	TotalAssetsEOY
Total Liabilities BOY	523863	TotalLiabilitiesBOY
Total Liabilities EOY	482524	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4527817	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4983103	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE QUALITY LONG-TERM SKILLED NURSING CARE AND ASSISTED LIVING SERVICES TO THE SOUTH DAVIDSON COUNTY COMMUNITY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	4911097	Expense
Revenue	6273271	Revenue
Description	MOUNTAIN VISTA HEALTH PARK, INC. IS A CORPORATION WHICH PROVIDES LONG-TERM NURSING CARE AND ADULT CARE HOME SERVICES. THE FACILITY HAS 60 NURSING AND 60 ADULT-CARE BEDS. WE OFFER SERVICES TO THE PUBLIC WITHOUT REGARD TO RELIGION OR ETHNICITY.DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, WE PROVIDED 21,550 DAYS OF CARE FOR RESIDENTS NEEDING NURSING CARE; WE PROVIDED 19,899 DAYS OF SERVICES FOR OTHER LEVELS OF CARE.	Description
Total Program Service Expense	4911097	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	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	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	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	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	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	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	5	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	158	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
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
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	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	0	InvestmentInJointVenture
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	TULLOCK MANAGEMENT COMPANY	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3369985001	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
DEWEY SNIDER
PRESIDENT	0.30	X	X	0	0	0
TONY JACKSON
VICE PRESIDENT	0.30	X	X	0	0	0
MARIE PALMER
TREASURER	0.40	X	X	0	0	0
JEANETTE SKEEN
SECRETARY	0.30	X	X	0	0	0
AVA BADGETT
ASST TREASURER	0.30	X	X	0	0	0
DEL CRANFORD
DIRECTOR	0.30	X		0	0	0
MAL MARTIN
DIRECTOR	0.30	X		0	0	0
KURT BEYELOR
DIRECTOR	0.30	X		0	0	0
KATHY MCDONALD
ADMINISTRATOR	40.00		X	101206	0	10400

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	101206	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	10400	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	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
LEGACY HEALTHCARE SERVICES INC
PO BOX 951003	CLEVELAND	OH	44193	PHYSICAL, SPEECH & OCCUPATIONAL THERAPY	592010
BLUE CROSS BLUE SHIELD
PO BOX 580017	CHARLOTTE	NC	28258	GROUP MEDICAL INSURANCE	320289
US FOOD SERVICE
125 FORT MILL PARKWAY	FORT MILL	SC	29715	FOOD SERVICE AND SUPPLY	187610
NEIL MEDICAL GROUP
2545 JETPORT ROAD	KINSTON	NC	28504	NURSING AND MEDICAL SUPPLIES	121070
YADKIN VALLEY HEALTH CARE
17955 SOUTH HWY 109	DENTON	NC	27239	PHARMACY CONTRACT SERVICE	106850

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROUTINE NURSING CARE	623000	6259527	6259527
ANCILLARIES	623000	13744	13744

Field	Value	IRS element (for citing)
Total Program Service Revenue	6273271	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	30703	TotalRevenueColumn
Exclusion	$30,703	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2400	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2400	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2400	TotalRevenueColumn
Exclusion	$2,400	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6306374	TotalRevenueColumn
Related Or Exempt Function Income	6273271	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$33,103	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3009220	Total
Program Services	2799070	ProgramServices
Management And General	210150	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	122555	Total
Program Services	90113	ProgramServices
Management And General	32442	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	225153	Total
Program Services	209261	ProgramServices
Management And General	15892	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	314443	Total
Management And General	314443	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	20295	Total
Management And General	20295	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2269	Total
Management And General	2269	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	16948	Total
Program Services	8658	ProgramServices
Management And General	8290	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	26	Total
Management And General	26	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	119253	Total
Program Services	119253	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	303250	Total
Program Services	291799	ProgramServices
Management And General	11451	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	505585	501950	3635
CONTRACT SERVICES	422937	420792	2145
MEDICAID SETTLEMENT	287554		287554
RAW FOOD	224945	224945

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	276655	Total
Program Services	245256	ProgramServices
Management And General	31399	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	5851088	Total
Program Services	4911097	ProgramServices
Management And General	939991	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3200360	BOY
EOY	2777647	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	574425	BOY
EOY	604182	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13399	BOY
EOY	15079	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	41831	BOY
EOY	80184	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3740141	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2794683	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	897463	BOY
EOY	945458	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	324202	BOY
EOY	1043077	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5051680	BOY
EOY	5465627	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	499661	BOY
EOY	453563	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	24202	BOY
EOY	28961	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	523863	BOY
EOY	482524	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4527817	BOY
EOY	4983103	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4527817	BOY
EOY	4983103	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5051680	BOY
EOY	5465627	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	455286	ReconcilationRevenueExpenses
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 Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	0	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2440	CurrentTaxYearMinus4Years
Total	2440	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5756949	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5830748	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6112172	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6131780	CurrentTaxYearMinus1Year
Current Tax Year	6273271	CurrentTaxYear
Total	30104920	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	1800	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2400	CurrentTaxYearMinus1Year
Current Tax Year	2400	CurrentTaxYear
Total	6600	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5759389	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5830748	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6113972	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6134180	CurrentTaxYearMinus1Year
Current Tax Year	6275671	CurrentTaxYear
Total	30113960	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	30113960	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	52361	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	44198	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	43117	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	25540	CurrentTaxYearMinus1Year
Current Tax Year	30703	CurrentTaxYear
Total	195919	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	52361	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	44198	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	43117	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	25540	CurrentTaxYearMinus1Year
Current Tax Year	30703	CurrentTaxYear
Total	195919	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5811750	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5874946	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6157089	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6159720	CurrentTaxYearMinus1Year
Current Tax Year	6306374	CurrentTaxYear
Total	30309879	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99350	PublicSupportPercentage509
Prior Year Support Percentage	0.99180	PriorYearSupportPercentage
Investment Income Percentage	0.00650	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00820	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	785	PoliticalExpenditures
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	$785	OtherActivitiesAmount
Total Lobbying Expenditures IIB	785	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES:	PART I-A, LINE 1:	A PORTION OF THE DUES PAID TO THE NORTH CAROLINA HEALTH CARE FACILITIES ASSOCIATION BY THE ENTITY WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES.
EXPLANATION OF LOBBYING ACTIVITIES:	PART II-B, LINE 1:	A PORTION OF THE DUES PAID TO THE NORTH CAROLINA HEALTH CARE FACILITIES ASSOCIATION BY THE ENTITY WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19358	OtherCostOrOtherBasis
Book Value	19358	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1382938	OtherCostOrOtherBasis
Depreciation	1061883	Depreciation
Book Value	321055	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1587875	OtherCostOrOtherBasis
Depreciation	1219283	Depreciation
Book Value	368592	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	671403	OtherCostOrOtherBasis
Depreciation	460407	Depreciation
Book Value	210996	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	78567	OtherCostOrOtherBasis
Depreciation	53110	Depreciation
Book Value	25457	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	945458	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
PATIENT FUNDS	28961
CASH VALUE OF LIFE INSURANCE	300000
INVESTMENTS	714116

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1043077	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	PATIENT FUNDS	Description
Amount	$28,961	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	28961	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	6306348	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	6306348	RevenueSubtotal
Other Revenues Not Included	26	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	26	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	6306374	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	5851062	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	5851062	ExpensesSubtotal
Other Expenses Not Included	26	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	26	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	5851088	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	THE COMPANY HAS IMPLEMENTED THE NEW ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOUSURE AND TRANSITION. AS OF SEPTEMBER 30, 2013, THE COMPANY HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AND RECOGNIZED NO SUCH INTEREST OR PENALTIES DURING TEH YEARS ENDED SEPTEMBER 30, 2013 AND 2012.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		INTEREST EXPENSES NETTED AGAINST INCOME ON FINANCIAL STATEMENTS 26.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		INTEREST EXPENSES NETTED AGAINST INCOME ON FINANCIAL STATEMENTS 26.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3	MOUNTAIN VISTA HEALTH PARK CONTRACTS TULLOCK MANAGEMENT COMPANY TO PERFORM VARIOUS OPERATIONAL MANAGEMENT DUTIES
FORM 990, PART VI, SECTION B, LINE 11	A DRAFT COPY OF FORM 990 IS GIVEN TO THE DIRECTORS FOR REVIEW PRIOR TO BEING SIGNED BY THE APPROPRIATE OFFICER OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY
FORM 990, PART VI, SECTION B, LINE 15	DIRECTORS RECEIVE NO COMPENSATION. KEY EMPLOYEE COMPENSATION IS REVIEWED BY THE MANAGEMENT COMPANY AND THE ADMINISTRATOR ANNUALLY. COMPENSATION RATES FOR KEY EMPLOYEES ARE COMMENSURATE WITH SIMILAR POSITIONS AS COMPARED WITH INDUSTRY DATA.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS ARE AVAILABLE UPON REQUEST TO THE MANAGEMENT COMPANY DURING NORMAL BUSINESS HOURS.