MISSION HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MISSION HOSPITAL INC (EIN 56-0532141)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-12
IRS object ID: 201442249349301734
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 I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-12T12:44:35-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	366055558	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Grant Thornton LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 S College Street Suite 2500	AddressLine1
City	Charlotte	City
State	NC	State
ZIP Code	28244	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	560532141	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Mission Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MISS	NameControl
Phone	8282577004	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 Ridgefield Court No 100	AddressLine1
City	Asheville	City
State	NC	State
ZIP Code	28806	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Charles F Ayscue	Name
Title	Senior VP, Chief Financial Officer	Title
Phone	8282131137	Phone
Date Signed	2014-08-12	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
PTIN	P00488037	PTIN
Phone	7046323500	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	Charles F Ayscue	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	400 Ridgefield Court No 100	AddressLine1
City	Asheville	City
State	NC	State
ZIP Code	28806	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	989544162	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.mission-health.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1955	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	To improve the health of the people of Western North Carolina and the surrounding region.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	7811	TotalNbrEmployees
Total Nbr Volunteers	747	TotalNbrVolunteers
Total Gross UBI	839010	TotalGrossUBI
Net Unrelated Business Txbl Income	584872	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	8191059	ContributionsGrantsPriorYear
Contributions Grants Current Year	8412264	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	905167732	ProgramServiceRevenuePriorYear
Program Service Revenue CY	977467160	ProgramServiceRevenueCY
Investment Income Prior Year	28946	InvestmentIncomePriorYear
Investment Income Current Year	-636041	InvestmentIncomeCurrentYear
Other Revenue Prior Year	970824	OtherRevenuePriorYear
Other Revenue Current Year	1448640	OtherRevenueCurrentYear
Total Revenue Prior Year	914358561	TotalRevenuePriorYear
Total Revenue Current Year	986692023	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3106255	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2228777	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	393706467	SalariesEtcPriorYear
Salaries Etc Current Year	419809490	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	428472176	OtherExpensePriorYear
Other Expenses Current Year	489454285	OtherExpensesCurrentYear
Total Expenses Prior Year	825284898	TotalExpensesPriorYear
Total Expenses Current Year	911492552	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	89073663	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	75199471	RevenuesLessExpensesCY
Total Assets BOY	964220888	TotalAssetsBOY
Total Assets EOY	1031420160	TotalAssetsEOY
Total Liabilities BOY	109429491	TotalLiabilitiesBOY
Total Liabilities EOY	101402793	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	854791397	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	930017367	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	and Part I, line 1, most significant activitiesMission StatementTo improve the health of the people of Western North Carolina and the surrounding region.Guiding Principles Serve people as a not-for-profit health system governed by a voluntary community board Ensure sustainability through stewardship of the region's assets Significantly enhance the quality of services we provide to patients in a compassionate and cost-effective manner Collaborate in order to improve access across the entire continuum of care Promote wellness and health to benefit the region Eliminate preventable incidents of patient harm 2020 Vision A regional integrated health system providing medical care and service to patients and their families through a full continuum of integrated services, education, and research.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	747263247	Expense
Grants	2228777	Grants
Revenue	974297514	Revenue
Description	During the 12 months which ended September 30, 2013, the organization's operating statistics included 40,780 discharges for adult and pediatric, psychiatry and neonatal intensive care patients totaling 203,854 patient days. The quality recognitions below reflect the care given to those patients.US News and World Reports Best Hospitals 2013-2014: Mission Hospital ranked 12th out of 149 North Carolina hospitals. In addition, the hospital received recognition for high performance in Diabetes and Endocrinology, Gastroenterology and GI Surgery, Neurology and Neurosurgery, Pulmonology, and Urology. Business NC Best Hospitals: Mission ranked second in the state based on 12 weighted criteria, such as patient satisfaction, death rates for heart attack, heart failure and pneumonia, readmission rates and complications stemming from surgeries, as well as independent, experiential data compiled by Blue Cross and Blue Shield Inc. of North Carolina, The Leapfrog Group and U.S. News & World Report. Top 15 Health Systems by Truven Health: For the third consecutive year, Mission Health was named one of the nations Top 15 Health Systems by Truven Health Analytics (formerly Thomson Reuters). The Truven Health study analyzes data on clinical performance, efficiency and patient satisfaction from more than 300 health systems. It then identifies the top 15 health systems with the highest achievement in all three categories. In 2013, Mission Health was recognized in the categories of Better Survival Rates, Fewer Complications, Better Patient Safety and Greater Overall Patient Satisfaction. Top 100 Hospital by Truven Health Analytics: For the sixth consecutive year, Mission Hospital made this prestigious list. The annual study evaluates nearly 3,000 hospitals across the nation by measuring overall organizational performance, including patient care, operational efficiency and financial stability.Beckers 100 Great Hospitals: Mission Hospital made this list that includes some of that nations most outstanding health care providers, including Mt. Sinai, Cleveland Clinic, and Mayo Clinic. Becker selects those organizations that continually improve upon themselves and are innovators for medical treatments, research, technology and care delivery. These hospitals are home to medical breakthroughs and act as anchors of health within their respective communities. As the only locally-owned and governed not-for-profit health system in Western N.C.,Mission plays a critical role in the health and economic vitality of the communities it serves. It is also a driving force behind community benefit initiatives address the most significant health issues facing our region: access to health care, including mental health care services; healthy living; obesity, substance abuse and tobacco use. By collaborating with community-based not-for-profit organizations that share Mission's vision and values, we are affecting change that lasts for generations. 2013, the sum of all these activities totaled $1.2 million. These investments in the community are described in greater detail on Schedule I.	Description
Total Program Service Expense	747263247	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	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	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	1	GrantsToOrganizations
Grants To Individuals	1	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	0	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	1	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	516	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	7811	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	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	1	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
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Mission Finance Dept	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8282577004	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 Ridgefield Court Suite 100	AddressLine1
City	Asheville	City
State	NC	State
ZIP Code	28806	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Robert C Roberts
Chairman	1.00	5.00	X	X	0	0	0
Wyatt S Stevens
Vice Chairman & Treasurer	3.00	3.00	X	X	0	0	0
Darryl J Hart
Secretary	2.00	4.00	X	X	0	0	0
Janice W Brumit
Immediate Past Chair	2.00	3.00	X		0	0	0
John R Ball
Director	1.00	1.00	X		0	0	0
George Bilbrey Jr MD
Director	1.00	3.00	X		0	0	0
Richard W Bock MD
Director	4.00	5.00	X		0	0	0
John FAV Cecil
Director	2.00	2.00	X		0	0	0
Suzanne S DeFerie
Director	1.00	2.00	X		0	0	0
Hank Dunn
Director	1.00	1.00	X		0	0	0
Brian K England MD
Director	1.00	1.00	X		0	0	0
John W Garrett MD
Director	1.00	1.00	X		0	0	0
William S Hickman
Director	5.00	5.00	X		0	0	0
John Kimberly
Director	1.00	2.00	X		0	0	0
William E Lee
Director	1.00	2.00	X		0	0	0
Robert M Moore
Director	2.00	2.00	X		0	0	0
Charles D Owen III
Director	4.00	4.00	X		0	0	0
Robby Lee Russell
Director	1.00	3.00	X		0	0	0
Anna S Shivers
Director	3.00	3.00	X		0	0	0
Ronald Paulus MD
System President & CEO	35.00	35.00	X	X	1613565	0	187814
Pam M Turner
Director	3.00	3.00	X		0	0	0
Charles F Ayscue
Chief Financial Officer	30.00	30.00		X	628515	0	121966
Dr Jill Hoggard Green
Hospital President & COO	48.00	12.00		X	656918	0	103138
Ann Y Young
General Counsel	30.00	30.00		X	426482	0	62307
Paul McDowell
VP,CFO Jan 13 - Present	48.00	12.00		X	0	0	0
Dale Fell MD
Chief Medical Officer	30.00	30.00			477861	0	81340	X
Kathy Guyette
Chief Nursing Officer	48.00	12.00			375432	0	63827	X
Sulaiman Sulaiman
Chief Information Officer	30.00	30.00			318335	0	34430	X
Debra Foss
Sr VP Human Resources	30.00	30.00			511160	0	76622	X
Rowena Buffett Timms
Sr VP Marketing	30.00	30.00			333502	0	58332	X
Sonya Greck
Sr. Vp Operations	48.00	12.00			464879	0	65070	X
Dr William Maples
Chief Quality Officer	30.00	30.00			504093	0	80761		X
Rhonda Miller
VP Revenue Cycle	30.00	30.00			340552	0	53546		X
James F Keel MD
Chief Medical Information	48.00	12.00			327860	0	29337		X
John J Maher
VP System Integration	30.00	30.00			321703	0	77140		X
Marc Westle DO
Chief Innovation Officer	30.00	30.00			301555	123416	74955		X
Joseph F Damore
Former CEO and Director	0.00				372657	0	0			X
Brian Aston
Former Chief Operating Officer	0.00				173877	0	0			X
Donald A Jennings
Former Chief Information Officer	0.00				397146	0	34934			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8546092	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	123416	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1205519	TotalOtherCompensation
Number Individuals GT100 K	239	NumberIndividualsGT100K
Formers Listed	1	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
Cancer Care of WNC
PO Box 695	Asheville	NC	28802	Medical Services	9171285
MAHEC
501 Biltmore Avenue	Asheville	NC	28801	Residency Program	9164276
Allcare Clinical
76 Peachtree Road Suite 300	Asheville	NC	28803	Medical Services	3773381
Encore Health Resources LLC
PO BOx 4652	Houston	TX	77210	Consulting Services	2874950
Drinker Biddle & Reath LLP
One Logan Square Suite 2000	Philadelphia	PA	19103	Legal Services	2714187

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	138	NumberOfContractorsGT100K
Related Organizations	8412264	RelatedOrganizations
Total Contributions	8412264	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Revenue	900099	966102024	966102024
Dietary Services	722210	4600628		$4,600,628
Joint Ventures	621990	3169646	3169646
Affiliate Income	900099	2755852	2755852
UBI Laboratory	621500	839010			839010

Field	Value	IRS element (for citing)
Total Program Service Revenue	977467160	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	51371	TotalRevenueColumn
Exclusion	$51,371	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1547285	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	915491	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	631794	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	631794	TotalRevenueColumn
Exclusion	$631,794	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	123218	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	810630	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-687412	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-687412	TotalRevenueColumn
Exclusion	-$687,412	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	1942864	GrossSalesOfInventory
Cost Of Goods Sold	1126018	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	816846	TotalRevenueColumn
Exclusion	$816,846	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	986692023	TotalRevenueColumn
Related Or Exempt Function Income	972027522	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	839010	UnrelatedBusinessRevenue
Exclusion	$5,413,227	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2181277	Total
Program Services	2181277	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	47500	Total
Program Services	47500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	8225041	Total
Management And General	8225041	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	328569370	Total
Program Services	249710663	ProgramServices
Management And General	78858707	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11136863	Total
Program Services	8464016	ProgramServices
Management And General	2672847	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	45768026	Total
Program Services	34783700	ProgramServices
Management And General	10984326	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	26110190	Total
Program Services	19843744	ProgramServices
Management And General	6266446	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	4355160	Total
Program Services	3614783	ProgramServices
Management And General	740377	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3235141	Total
Management And General	3235141	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	244103	Total
Management And General	244103	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	126734701	Total
Program Services	105189802	ProgramServices
Management And General	21544899	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4608813	Total
Program Services	3825315	ProgramServices
Management And General	783498	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7486640	Total
Program Services	6213911	ProgramServices
Management And General	1272729	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	16250188	Total
Program Services	13487656	ProgramServices
Management And General	2762532	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	38985523	Total
Program Services	32357984	ProgramServices
Management And General	6627539	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1869059	Total
Program Services	1551319	ProgramServices
Management And General	317740	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	64837407	Total
Program Services	53815048	ProgramServices
Management And General	11022359	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7404854	Total
Program Services	6146029	ProgramServices
Management And General	1258825	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	183158169	177663424	5494745
UBI Taxes	208291	208291
Equipment Leases	11173471	10838267	335204
Medical Equip Repairs &	9595430	9595430

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	9307335	Total
Program Services	7725088	ProgramServices
Management And General	1582247	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	911492552	Total
Program Services	747263247	ProgramServices
Management And General	164229305	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1162088	BOY
EOY	769408	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	288372808	BOY
EOY	307501613	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	14252680	BOY
EOY	15759221	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7885787	BOY
EOY	12708299	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1331886309	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	658513532	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	632855667	BOY
EOY	673372777	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	19691858	BOY
EOY	21308842	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	964220888	BOY
EOY	1031420160	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	69745393	BOY
EOY	84833297	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	36298827	BOY
EOY	14291382	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
EOY	2069113	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	3385271	BOY
EOY	209001	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	109429491	BOY
EOY	101402793	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	854791397	BOY
EOY	930017367	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	854791397	BOY
EOY	930017367	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	964220888	BOY
EOY	1031420160	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	75199471	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	26499	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	1	DirectContactLegislators
Direct Contact Legislators	$83,325	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$236,000	OtherActivitiesAmount
Total Lobbying Expenditures IIB	319325	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	Mission Hospital employs consultants for health care issues - Other than direct contact with legislators, staffs, government officials or a legislative body, other activities include tracking of proposed and filed legislation, attendance at administrative and legislative committee meetings, advising senior leadership on strategy, organization of briefing sessions and logistics and scheduling of senior leadership visits. Breakdown of above costs: Direct contact with legislators paid to independent contractors $ 51,000 Estimate of portion of AHA dues expended for specific lobbying $ 32,325 Other activities paid to independent contractors(described above) $ 51,000 Advocacy on National Issues $185,000	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5398218	BeginningOfYearBalance
Contributions	121549	Contributions
Investment Earnings Or Losses	618080	InvestmentEarningsOrLosses
Other Expenditures	185982	OtherExpenditures
End Of Year Balance	5951865	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4664953	BeginningOfYearBalance
Contributions	61836	Contributions
Investment Earnings Or Losses	900879	InvestmentEarningsOrLosses
Other Expenditures	229450	OtherExpenditures
End Of Year Balance	5398218	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4711681	BeginningOfYearBalance
Contributions	103544	Contributions
Investment Earnings Or Losses	65168	InvestmentEarningsOrLosses
Other Expenditures	215440	OtherExpenditures
End Of Year Balance	4664953	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4547329	BeginningOfYearBalance
Contributions	131834	Contributions
Investment Earnings Or Losses	183727	InvestmentEarningsOrLosses
Other Expenditures	151209	OtherExpenditures
End Of Year Balance	4711681	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3839833	BeginningOfYearBalance
Contributions	552663	Contributions
Investment Earnings Or Losses	307349	InvestmentEarningsOrLosses
Other Expenditures	152516	OtherExpenditures
End Of Year Balance	4547329	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.15000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.60000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.25000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	41591484	OtherCostOrOtherBasis
Book Value	41591484	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	757681091	OtherCostOrOtherBasis
Depreciation	299754972	Depreciation
Book Value	457926119	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11368433	OtherCostOrOtherBasis
Depreciation	7232716	Depreciation
Book Value	4135717	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	354945099	OtherCostOrOtherBasis
Depreciation	265387037	Depreciation
Book Value	89558062	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	166300202	OtherCostOrOtherBasis
Depreciation	86138807	Depreciation
Book Value	80161395	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	673372777	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Other Liability	Description
Amount	$209,001	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	209001	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	Endowment Funds are held at the Mission Healthcare Foundation, Inc and used for various donor restrictions in accordance with Mission Hospital's tax exempt purpose.
Description of Uncertain Tax Positions Under FIN 48:	Part X, Line 2:	Mission applies the provisions of FASB ASC Topic 740 for 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 Mission's combined financial statements as a result of the application of ASC 740.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
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	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
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	21506565	TotalCommunityBenefitExpense
Net Community Benefit Expense	21506565	NetCommunityBenefitExpense
Percent Of Total Expense	0.02360	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	116990510	TotalCommunityBenefitExpense
Direct Offsetting Revenue	141421611	DirectOffsettingRevenue
Net Community Benefit Expense	-24431101	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	138497075	TotalCommunityBenefitExpense
Direct Offsetting Revenue	141421611	DirectOffsettingRevenue
Net Community Benefit Expense	-2924536	NetCommunityBenefitExpense
Percent Of Total Expense	0.02360	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11993944	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2050631	DirectOffsettingRevenue
Net Community Benefit Expense	9943313	NetCommunityBenefitExpense
Percent Of Total Expense	0.01090	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9576681	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7250597	DirectOffsettingRevenue
Net Community Benefit Expense	2326084	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	67225864	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26020025	DirectOffsettingRevenue
Net Community Benefit Expense	41205839	NetCommunityBenefitExpense
Percent Of Total Expense	0.04520	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2349373	TotalCommunityBenefitExpense
Direct Offsetting Revenue	565718	DirectOffsettingRevenue
Net Community Benefit Expense	1783655	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3535276	TotalCommunityBenefitExpense
Net Community Benefit Expense	3535276	NetCommunityBenefitExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	94681138	TotalCommunityBenefitExpense
Direct Offsetting Revenue	35886971	DirectOffsettingRevenue
Net Community Benefit Expense	58794167	NetCommunityBenefitExpense
Percent Of Total Expense	0.06460	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	233178213	TotalCommunityBenefitExpense
Direct Offsetting Revenue	177308582	DirectOffsettingRevenue
Net Community Benefit Expense	55869631	NetCommunityBenefitExpense
Percent Of Total Expense	0.08820	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	821725	TotalCommunityBuildingExpense
Net Community Building Expense	821725	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	821725	TotalCommunityBuildingExpense
Net Community Building Expense	821725	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$26,821,697	BadDebtExpenseAmount
Amount Attributable To	1915380	AmountAttributableTo
Amount Reimbursed By Medicare	265239999	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	296477949	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-31237950	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

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 AshevilleImagingCenterLLP
Outpatient Imaging Services	0.69000	0.00890	0.30110
2 Asheville MRI
Magnetic Resonance Imaging	0.50000	0.01280	0.48720

Field	Value	IRS element (for citing)
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	Mission Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	509 and 428 Biltmore Avenue	AddressLine1
City	Asheville	City
State	NC	State
ZIP Code	28801	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
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	Mission 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
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
Insurance Status	X	InsuranceStatus
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
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	33	NumberOfOtherFacilities

Other Facilities OtherFacilities (33 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Asheville Surgery Center
5 Medical Park Drive	Asheville	NC	28803	Ambulatory Surgical Services
Radiation Therapy
21 Hospital Drive	Asheville	NC	28801	Radiation Therapy
Cardiopulmonary HealthSleep Center
5 Vanderbilt Park Drive	Asheville	NC	28803	Pulmonary Rehab, Sleep Studies
Positronic Emissions Testing
21 Hospital Drive	Asheville	NC	28801	Imaging Radiology
Mission Radiology & Interventional SPine
7 Vanderbilt Park Dr	Asheville	NC	28803	Radiological Services
Outpatient Infusion
21 Hospital Drive	Asheville	NC	28801	Infusion Services
Wound Care
1 Hospital Drive	Asheville	NC	28803	Wound Therapy
Mission Rehabilitation Services
534 Biltmore Avenue	Asheville	NC	28801	Rehabilitation Services
Children's Services
11 Vanderbilt Drive	Asheville	NC	28803	Outpatient Children's Services
MCC Procedure & Radiology Suites
11 Vanderbilt Drive	Asheville	NC	28803	Radiological Suites
Mission Radiology at Hope
100 Ridgefield Court	Asheville	NC	28806	Radiology
Mission Outpatient Clinical Pharmacy Svs
1 Hospital Drive	Asheville	NC	28803	Anticoagulation & Pharmacotherapy Programs
Mission Outpatient Infusion at Hope
100 Ridgefield Court	Asheville	NC	28806	Outpatient Infusion
Pediatric HematologyOncology
21 Hospital Drive	Asheville	NC	28801	Pediatric Cancer Services
Occumed & Staff Health Services
1 Hospital Drive	Asheville	NC	28803	Company & Staff Health Services
Mission Radiology at Victoria Urological
100 Victoria Road	Asheville	NC	28803	Radiology
Mission Health Education Program
1 Hospital Drive	Asheville	NC	28803	Health Education-Diabetes;Asthma;Cholesterol;Nutrition
Genetics Center
11 Vanderbilt Drive	Asheville	NC	28803	Genetics Testing
Mission Radiology
100 Victoria Road	Asheville	NC	28801	Radiological Services
Mission My Care Plus
1388 Sand Hill Road	Asheville	NC	28806	Radiological Services
Low Vision Center
240 Sardis Road	Asheville	NC	28806	Low Vision, Staff Health
Asheville Imaging Center LLC
534 Biltmore Avenue	Asheville	NC	28801	Outpatient Imaging Services
Asheville MRI LLC
222 Asheland Avenue	Asheville	NC	28801	MRI Facility
Sports Medicine Program
One University Heights	Asheville	NC	28804	Sports Medicine
Wound Healing Center
490 Hospital Drive	Clyde	NC	28721	Laboratory & Radiology
Breastfeeding Center
2 Medical Park Drive	Asheville	NC	28803	Education
High Risk OB
490 Hospital Drive	Clyde	NC	28721	OB Consultations
Occumed
2 Medical Park Drive	Asheville	NC	28801	Company Health Services
Mission Rehabilitation Services
200 Racquet Club Road	Asheville	NC	28803	Rehabilitation Services
Mission Rehabilitation Services
One University Heights	Asheville	NC	28806	Rehabilitation Services
Mission Rehabilitation Services
151 Weaverville Plaza	Weaverville	NC	28787	Rehabilitation Services
Mission Rehabilitation Services
1388 Sand Hill Road	Asheville	NC	28806	Rehabilitation Services
Sports Medicine Program
534 Biltmore Avenue	Asheville	NC	28801	Sports Medicine, PT

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 7: Mission used worksheets 1 through 8 provided by the IRS, using the cost to charge ratio method. For physician clinics, as described in subsidized health services, actual costs were used plus indirect costs calculated using the Medicare cost report because the cost to charge ratio did not accurately capture costs for those areas. The financials include all patient segments, including inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, and self-pay. A cost to charge ratio was generated using the IRS Worksheet 2 and used for all community benefits reported except for subsidized services which used direct expenses plus overhead to more accurately report the costs involved. See note on subsidized health services. Medicaid Direct Offsetting Revenue includes $12,757,110 in revenue from prior years that was finalized in the current year. Medicaid surplus from current year programs would have been $11,673,991 without the prior period revenue.
Part I, Line 7g: Subsidized health services include physician clinics primarily serving pediatric specialty patients. Other services include trauma, psychiatric and senior services. $67,225,864 in cost, less $26,020,025 in net patient and other revenue calculates to $41,205,839 in community benefits from subsidized health services provided.
Part II: Workplace development: Recruitment of Physicians and other health professionals to medical shortage areas.
Part III, Line 4: Per the Footnotes to the Consolidated Financial Statements: "Costs of services associated with uncollectible accounts are estimated at $52,309,000 and $46,017,000 for September 30, 2013 and 2012, respectively."Above numbers are for entire Health system, which includes the above amount for Mission Hospital.Schedule H, Part III, Line 2: Bad debt expense is completed at the estimated cost to provide the services which were uncollectible.Schedule H, Part III, Line 3: Estimated bad debt expense attributable to patients eligible under the organization's financial assistance policy is based on estimated charity care provided for the fiscal year ended September 30, 2013 but for which information was not available until after the fiscal year end. The above estimates were developed using the methodology adopted by the North Carolina Hospital Association in 2006 for such costs, including information from Mission's cost reporting systems used to support its related filings with the Medicare and Medicaid programs. Charitable discounts and other discounts decrease net patient revenue as reported on page 9 of the core form of the 990. Recoveries of previous bad debt written off are netted against bad debt expense before reducing to the cost basis.
Part III, Line 8: The shortfall reported is based on using the Medicare allowable costs. However, if full costing were used, there would be a shortfall of approximately $56 million dollars. Per the Form 990 instructions, the Medicare cost report is the basis for calculating the costs using costs related to the revenue reported, including DSH and IME.
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. Mission's stated policy with respect to financial assistance: "Mission Hospital will make every effort to thoroughly screen all patients that are uninsured or underinsured in an effort to identify a source of financial sponsorship. Only after a final determination is made that the patient is not eligible for any source of funding to cover the medical expenses will the account be eligible for consideration of financial assistance."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.
Part V, Section B, Line 3: In a random-sample survey that was administered in our county as part of this community health needs assessment, 300 community members completed a questionnaire regarding their health status, health behaviors, interactions with clinical care areas, support for certain health-related policies, and factors that impact their quality of life. In addtion, in our county, community members and partners were involved in the "Tell Us What You Think!" community listening project.Two oustide consulting groups were hired to engage community residents in the community listening project. The collaborative team hired seven Community Partners to serve as community liaisons, using their expertise about their local communities to help shape and faciliate the primary data collection process.To collect data that would be both in-depth, and engage a large number of community residents, three primary data collection methods were used: Six 90-minute community listening sessions with 45 participants total, 297 brief community resident surveys collected by community partners and four telephone interviews with service providers.As part of WNC Healthy Impact, a regional data workgroup of public health and hospital representatives and regional partners, with support of a consulting team, made recommendations to the steering committee on the data approach and content used to help inform regional data collection. From data collected as part of this core dataset, the consulting team compiled secondary data for each county in the region. This data was then compared to the data collected in the 2011 Madison County CHA and 2010 Buncombe County CHA to identify similarities and differences.As part of the collaborative health assessment process in our communities, Mission representatives were involved in the prioritization process in both counties and will be involved in the subsequent Community Health Improvement Plans. In North Carolina, community-level prioritization is a required part of the community health (needs) assessment process.	Mission Hospital, Inc.
Part V, Section B, Line 4: Regional PartnershipMission Hospital'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.	Mission Hospital, Inc.
Part V, Section B, Line 12h: In addition to the other items listed, Mission'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.	Mission Hospital, Inc.
Part V, Section B, Line 14g: See Part VI, line 3: Mission provides information to patients on the financial assistance policy by directing patients to a patient billing representative on the Mission Hospital website; 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. As of October 2012, contact information on how to request the policy was posted on the Hospital website and information on financial assistance is provided to the patient when services are provided.	Mission Hospital, Inc.
Part V, Section B, Line 18e: Mission performs these actions before initiating any collection actions.	Mission 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.	Mission Hospital, Inc.
Part VI, Line 2: Mission Hospital participates in a Community Health Needs Assessment (CHNA) every three years, with the most recent assessment completed in December 2012. Process and Product:The Mission Hospital community health needs assessment (CHNA) was conducted in partnership with the Buncombe County Department of Health, the Madison County Health Department, and Western North Carolina Healthy Impact Project. This written report describes:The community served by the hospital.Community demographics;Existing health resources in the community available to respond to needs.The data collection process for the assessment.Health needs and issues of uninsured, low-income, and minority groups.The process for identifying and prioritizing community needs, and the available services to address those needs.The process for consulting with persons representing the communitys interests.Information gaps that limit the hospital facilitys ability to assess the communitys health needs.Regional Partnership:Mission Hospital'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. Prioritization Process:Community Health Needs Assessment (CHNA) is the foundation for improving and promoting the health of our communities. Mission Hospital partnered closely with both the Buncombe County Department of Health and the Madison County Health Department to conduct a comprehensive CHNA. In addition, Mission, and both counties were key partners in the WNC Healthy Impact efforts. The role of the CHNA is to identify factors that affect the health of the residents of both Madison and Buncombe counties, Mission Hospitals defined services areas, and determined the availability of resources within the county to adequately address those factors. The process involves the collection and analysis of a large range of secondary data as well as primary data. The evaluation and prioritization of identified health needs involved teams of representatives from a broad range of health and human service agencies, local non-profit organizations as well as community partners and residentsLocal Health Departments in North Carolina are required to conduct a comprehensive community health assessment at least every four years. In Madison County the last assessment was conducted in 2011 and in Buncombe County, 2010. As a part of the Affordable Care Act, non-profit hospitals are also required to conduct a community health needs assessment at least every three years. In order to achieve the requirements for health department and hospital needs, both Madison County and Buncombe County, along with other hospitals and health departments in our 16 county regions, a new CHNA was completed in 2012. For this reason,the 2012 CHNA has involved the examination of the 2011 priority areas for Madison County and the 2010 priority areas for Buncombe County and the engagement of a smaller number of community leaders rather than re-creating the extensive process that took place in 2011 and 2010 respectively.As part of WNC Healthy Impact, a regional data workgroup of public health and hospital representatives and regional partners, with support of a consulting team, made recommendations to the steering committee on the data approach and content used to help inform regional data collection. From data collected as part of this core dataset, the consulting team compiled secondary data for each county in the region. This data was then compared to the data collected in the 2011 Madison County CHA and 2010 Buncombe County CHA to identify similarities and differences.As part of the collaborative health assessment process in our communities, Mission representatives were involved in the prioritization process in both counties and will be involved in the subsequent Community Health Improvement Plans. In North Carolina, community-level prioritization is a required part of the community health (needs) assessment process.
Part VI, Line 3: We provide information to our patients regarding how to apply for financial assistance/charity care in the following ways: Our internet website and our brochures contain the following information about financial assistance:We understand your concerns about the cost of your healthcare, and we're here to help you find financial assistance if you need it. If you choose to submit your own insurance claim to your insurance company instead of assigning benefits to Mission, or do not have insurance to cover your services, you must pay "up front" for services at the time of your visit. However, if you are unable to pay your bill due to insufficient insurance coverage, no insurance coverage, or limited income, we have staff available to assist you in applying for financial assistance through the following sources:State Agency Programs: We'll help you determine if you qualify for a variety of state agency programs.Medicaid: We can help you determine whether you qualify for Medicaid benefits, and help you apply for Medicaid if you are unable to go to your local DSS (Department of Social Services) office.Hospital Discounts: You may qualify for discounts on your balance owed. Hospital discounts are determined using criteria such as household income, asset and other fund sources available, considered in relation to total amount owed.Based upon these criteria, you may be eligible to receive a 25%, 50%, 62%, 75% or a 100% discount. Mission Hospital's financial assistance policy utilizes household income guidelines published by the Health and Human Services department to determine discount eligibility. Our staff can assist you in making application for a discount.There are also a variety of state agency assistance programs available to North Carolina residents. Our staff can help you determine if you qualify for help from these programs. To make a payment or apply for financial assistance, visit our Business Office or call our Customer Service Center:(828) 213-1500 or (800) 848-8732 M - F, 8:00 a.m. - 4:30 p.m.There are also messages on patient bills giving information on financial assistance and how to contact the hospital if they have questions or want to apply.
Part VI, Line 4: For Buncombe County and the surrounding counties representing the primary and secondary service areas, the percentage of uninsured adults ranges from 18-20%, children living in poverty from 24-30%, and unemployment ranges from 8.4-13.2%. (NC County Health Rankings 2012)The persons living in these counties with only a high school education or less ranges from 39.7-58.6%. The 2010 populations for these counties are as follows:(Southern Rural Development Data Center 2010) 0-24 years 26.5-29.5 % 25-64 years 50.9-54.9 % 65+ years 16.0-22.4 %
Part VI, Line 5: See Program Service Accomplishments listed in Schedule O for Form 990, Part II, line 4.
Part VI, Line 6: 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.;The McDowell Hospital, Inc.;Angel Medical Center, Inc. and Transylvania Community Hospital, Inc.The System's mission is to support the activities of Mission Hospital Inc and Mission Healthcare Foundation, Inc. Mission Hospital, Inc. is a regional integrated health facility 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.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.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.
NC	Reports Filed With States	Part VI, Line 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (26 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Asheville Buncombe Community Christian Ministry
155 Livingston St	Asheville	NC	28801	561987021	501(c)(3)	400000	Assistance to local nonprofit to provide access to healthcare.
Asheville Chamber of Commerce
151 Haywood Road	Asheville	NC	28801	560125440	501(c)(6)	25000	Assistance to local nonprofit
All Souls Counseling Ctr
9 Swan Street	Asheville	NC	28803	562200862	501(c)(3)	106000	Access to and continuity of a mental health home
Council on Aging
1617 Hendersonville Road	Asheville	NC	28803	237410586	501(c)(3)	32500	Access to and continuity of primary care home
Community Care of WNC
53 S French Broad Suite 300	Asheville	NC	28801	562097503	501(c)(3)	107291	Access to and continuity of primary care home
MAHEC
121 Hendersonville Road	Asheville	NC	28803	561071426	501(c)(3)	15000	Improve women's health during childbearing years
Memory Care
100 Far Horizons Lane	Asheville	NC	28803	562178294	501(c)(3)	110000	Access to and continuity of a mental health home
Buncombe County Health Department
35 Woodfin St	Asheville	NC	28801	566000279	Buncombe County	175000	Promote healthy weights through healthy living
Pisgah Legal Services
89 Montford Avenue	Asheville	NC	28802	561191115	501(c)(3)	100000	Improve children's outcomes
YWCA
185 South French Broad Avenue	Asheville	NC	28801	560547476	501(c)(3)	37500	Promote healthy weights through healthy living
Manna Food Bank
627 Swannanoa River Road	Asheville	NC	28805	581514800	501(c)(3)	25000	Improve children's outcomes
American Red Cross
100 Edgewood Road	Asheville	NC	28801	530196605	501(c)(3)	15000	Assistance to local nonprofits
Buncombe County Medical Society
PO Box 15126	Asheville	NC	28813	581480867	501(c)(3)	150000	Access to and continuity of a primary care home
YMCA
53 Ashland Avenue Suite 105	Asheville	NC	28801	560530013	501(c)(3)	66000	Promote healthy weights through healthy living
Western Carolina University
230 HFR Admin Building	Cullowhee	NC	28723	245150850	Governmental	50000	Assistance to local nonprofit
Three Streams Family Health Center
1710 Old Haywood Road	Asheville	NC	28806	562252990	501(c)(3)	100000	Access to and continuity of a primary care home
Cancer Care of WNC
PO BOx 695	Asheville	NC	28802	561693667		10400	Access to Health Care
Homeward Bound of Asheville
35 Grove St	Asheville	NC	28801	561560917	501(c)(3)	45000	Access to and continuity of a mental health home
Mission Healthcare Foundation Inc
980 Hendersonville Road	Asheville	NC	28803	561881331	501(c)(3)		Assistance to local nonprofit	217865	Cost	Equipment
Mountain Area Child & Family
2586 Riceville Road	Asheville	NC	28805	562040462	501(c)(3)	22000	Promote healthy weights through healthy living
Child Abuse Prevention Services Inc
50 S FrenchBroadAve Ste 152	Asheville	NC	28801	581828408	501(c)(3)	37000	Improving children's outcomes
Girls on the Run of WNC Inc
50 S FrenchBroadAve Ste 249	Asheville	NC	28801	352177794	501(c)(3)	7000	Promote healthy weights through healthy living
Western Carolinians For Criminal Justice
PO Box 7472	Asheville	NC	28802	581491257	501(c)(3)	22500	Improve women's health during childbearing years
WNC Aids Project
PO Box 2411	Asheville	NC	28802	581772685	501(c)(3)	16000	Access to and continuity of primary care home
Norman Regional Health
PO Box 1665	Norman	OK	73070	731203942	501(c)(3)	10000	Tornado Disaster ReliefTornado Disaster ReliefTornado Disaster Relief
Hands of Faith Cancer Outreach
PO BOX 16948	Asheville	NC	28816	461945275	501(c)(3)	55000	Assistance to Local Nonprofit

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	24	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Scholarship program for health careers for members of minority groups - $2,500 scholarships	TypeOfGrant
Number Of Recipients	19	NumberOfRecipients
Amount Of Cash Grant	47500	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: The Hospital donates funds to various local and national non-profits in furtherance of its charitable mission. For grants to organizations, Mission makes grants to governmental and 501(c)(3) entities. These entities have demonstrated their mission through their qualification as exempt organizations. A special committee reviews grant requests received through the application process and allocates donations each year. To qualify for a Kesha Young Health Careers Scholarship, the following requirements must be met and provided along with an application for the scholarship. Be a member of a minority group. Minority is defined according to the guidelines of the federal and state governments as African-American, Hispanic, Asian/Pacific Islander, and Native American. Be a resident of Western North Carolina. Maintain a minimum cumulative Grade Point Average of 2.75 on a 4.0 scale. Pursue a field of study for which Mission Hospital has an employment need. Students must be interested in pursuing a career in the following areas: Occupational Therapist, Pharmacist, Paramedic, Registered Nurse ( ADN or AND-BSN programs),Physical Therapist, Physical Therapist Assistant, SpeechTherapist,Surgical Tech.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
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	1	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 (18 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
Ronald Paulus MD
System President & CEO	784913	0	429667	0	398985	0	160917	0	26897	0	1801379	0	0	0
Charles F Ayscue
Chief Financial Officer	410784	0	166760	0	50971	0	117039	0	4927	0	750481	0	0	0
Dr Jill Hoggard Green
Hospital President & COO	444915	0	207563	0	4440	0	84808	0	18330	0	760056	0	0	0
Ann Y Young
General Counsel	295586	0	90738	0	40158	0	53339	0	8968	0	488789	0	19403	0
Dale Fell MD
Chief Medical Officer	349275	0	123729	0	4857	0	64154	0	17186	0	559201	0	0	0
Kathy Guyette
Chief Nursing Officer	270248	0	101392	0	3792	0	52284	0	11543	0	439259	0	0	0
Sulaiman Sulaiman
Chief Information Officer	187713	0	99949	0	30673	0	20192	0	14238	0	352765	0	0	0
Debra Foss
Sr VP Human Resources	296145	0	126375	0	88640	0	59105	0	17517	0	587782	0	0	0
Rowena Buffett Timms
Sr VP Marketing	237946	0	94620	0	936	0	46894	0	11438	0	391834	0	0	0
Sonya Greck
Sr. Vp Operations	406726	0	57000	0	1153	0	60297	0	4773	0	529949	0	0	0
Dr William Maples
Chief Quality Officer	350031	0	151550	0	2512	0	77632	0	3129	0	584854	0	0	0
Rhonda Miller
VP Revenue Cycle	238526	0	68003	0	34023	0	44540	0	9006	0	394098	0	8525	0
James F Keel MD
Chief Medical Information	279600	0	44310	0	3950	0	15873	0	13464	0	357197	0	0	0
John J Maher
VP System Integration	260635	0	58433	0	2635	0	56048	0	21092	0	398843	0	0	0
Marc Westle DO
Chief Innovation Officer	196517	122823	103750	0	1288	593	34264	17293	14399	8999	350218	149708	0	0
Joseph F Damore
Former CEO and Director	0	0	0	0	372657	0	0	0	0	0	372657	0	346596	0
Brian Aston
Former Chief Operating Officer	0	0	0	0	173877	0	0	0	0	0	173877	0	0	0
Donald A Jennings
Former Chief Information Officer	262155	0	61295	0	73696	0	17000	0	17934	0	432080	0	23103	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 1a

First class travel and charter travel are approved for unusual circumstances. First class travel can be approved if coach class is unavailable and travel is necessary for an urgent business purpose. Charter travel can be approved if it is a less expensive alternative to booking multiple individual seats on commercial aircraft. Board member travelled first class for required hospital business when economy was not available. Management and board members used charter travel when it was less expensive than commercial travel for required hospital business.

Part I, Lines 4a-b

Joseph Damore, former CEO received severance pay of $372,657 in calendar year 2012. Brian Aston, Former COO received severance pay of $173,877 in calendar year 2012. Key Employees and Highest Compensated Employees who participated in a Supplemental Non-Qualified retirement plan with contribution amounts. These amounts are included in Retirement and other Deferred Compensation on page 2 of Schedule J: Ronald Paulus $150,917 Charles Ayscue 102,039 Jill Hoggard Green $81,346 Dale Fell $51,672 Ann Young $36,339 Debra Foss $58,182 Sulaiman Sulaiman $20,192 Kathy Guyette $42,284 Rowena Buffett Timms $45,494 Sonya Greck $47,797 Rhonda Miller $24,932 John Maher $46,048 William Maples $47,632 Marc Westle $34,557 Key Employees and Highest Compensated who received payments from a supplemental non-qualified retirement plan. These payments are included in Other Reportable Compensation on Schedule J, page 2. Charles Ayscue 69,053 Rhonda Miller 44,348 Dale Fell 41,906 Ann Young 34,019 Donald Jennings 6,620

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Janet Garrett
Wife of Board Member	19208	See Below Compensation paid to board member's wife for her service on board committee of Organization.	0
William Lee
Board Member	515117	See BelowThe board member has an ownership interest in a business from which the organization purchases supplies. Supplies are purchased at fair market value, and the price for the supplies is negotiated through a group purchasing arrangement and not directly with the vendor. The board member is not involved in negotiating the pricing for these goods.	0
Wyatt Stevens
Board Member	159636	See BelowThe board member and another family member are partners in a law firm which performs legal services for the Organization. The Organization engages the law firm for legal services in arms-length transactons at fair market value. The board member is not involved in negotiating the pricing for the services rendered, nor does he perform any of the services engaged by the hospital.	0
John FAV Cecil
Board Member	911206	See BelowLease between the Organization and a business in which the board member has an ownership interest. Lease payments as based on arm-length negotiated terms at fair market value.	0
John FAV Cecil
Board Member	4399858	See BelowThe Organization purchased land at fair market value from a business in which the board member has an ownership interest.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 2	Mr. Charles Owen, board member and Ms. Janice Brumit, board member have a business relationship, as Mr. Owen & Ms. Brumit's spouse have a business relationship.
Form 990, Part VI, Section A, line 6	Mission Health System, Inc, a 501(c)(3) is the parent company of Mission Hospital, Inc. It is the sole member of Mission Hospital, Inc.
Form 990, Part VI, Section A, line 7a	Mission Health System, the sole member of Mission Hospital, Inc has reserved powers relating to the governing body of Mission Hospital as follows: Appointment of members of the Board of Directors of the Hospital, including the power to fill any vacancies on the Hospital Board of Directors. Removal, with or without cause, and at any time, of members of the Board of Directors of the Hospital. Appointment and/or removal of the President of the Hospital.
Form 990, Part VI, Section A, line 7b	Mission Health System as sole member of Mission Hospital has reserve powers as follows: Approval of any plan of dissolution, consolidation or merger of the Hospital. Approval of the acquisition, purchase, sale or disposition of assets of the Hospital with a value in excess of $5,000,000. Approval of the incurrence of long-term debt. Development and implementation of strategies for contracting with managed care providers and other payors, including the development of a physician-hospital organization. Approval of strategic and financial plans of the Hospital. Approval of capital and operating budgets of the Hospital. Approval of any material expansion or elimination of any clinical service or non-clinical service at the Hospital.
Form 990, Part VI, Section B, line 11	A draft of the Form 990 is prepared by the Manager of Tax Services at Mission Hospital. The Form 990 is reviewed by the organization's CEO, CFO, General Counsel and Compliance Officer. In addition, an outside accounting firm is engaged to review and sign the 990 and prepare the return for final filing with the IRS. Before filing, highlights of Form 990 are reviewed by Board Committees which may include the Audit and Compliance Committee; Finance and Property Committee and HR and Compensation Committee. After committee review, a draft of the 990 is provided to the Mission Hospital Board of Directors for review. Highlights of the governance, compensation, and financial statements are reviewed with the board and they have the opportunity to ask questions and suggest improvements or provide corrections. If there are changes as a result of board review, a corrected Form 990 will be provided for final approval before filing. After final approval, the Form 990 will be filed with the IRS.
Form 990, Part VI, Section B, line 12c	The Organizations Conflict of Interest Policy is reviewed and updated annually. Education about the policy and the responsibilities of a board member occurs annually and for new board members during orientation. If a conflict of interest is identified, the interested person does not participate in any decision relating to the transaction issue. A conflict of interest is a particular relationship or arrangement that would reasonably be expected to exert an influence on the individual's judgment and preclude the individual from being an Independent Director or being independent with respect to the transaction under consideration. In addition to board members, the organization's conflict of interest policy applies to members of senior leadership, medical staff, clinical service line leaders, elected medical staff leaders, departmental directors, staff members working in the purchasing department, and all other staff members with purchasing authority, as well as immediate family members of such interested persons and entities in which interested persons have a material financial interest. The organization's policy is for all interested persons to disclose any and all conflicts of interest in accordance with the IRS guidelines for tax-exempt entities as well as any other applicable state or federal law. Upon initial assumption of duties, interested persons are provided with a copy of the conflict of interest policy and submit a conflict of interest disclosure statement. Thereafter, the statements will be completed annually. Periodically all staff members are asked to complete a conflict of interest disclosure statement. Internal and external auditors, General Counsel or outside counsel will periodically conduct a review of the disclosure process to determine whether the organization is in compliance with the policy.
Form 990, Part VI, Section B, line 15	The Organization draws wage comparison data from outside executive compensation consultants to ensure compensation levels are at fair market value The Human Resources and Compensation Committee (Committee) reviews this data and recommends to the Board any revisions to the overall philosophy and policy to guide the determination of compensation and benefit packages for executives which includes the CEO, the CFO, and President as well as all other executives, which would include all key employees. The Committee keeps and distributes minutes of all its meetings to its members. Items of a sensitive nature are referenced in the minutes with detailed, supporting documentation retained on file. The Committee also discloses any potential conflicts of interest situations to the Committee Chairman that may affect their independent directors' status as soon as they arise, and maintains complete documentation of all matters discussed by the Committee. The Committee obtains education and training to exercise all responsibilities effectively and keeps abreast of significant developments in executive compensation practices and regulations, and ensures that all aspects of Mission Health System and Hospital executive compensation adhere to all relevant regulatory requirements, and reviews the Committee charter annually revising as appropriate and conducts an annual evaluation of the Committee's performance.
Form 990, Part VI, Section C, line 19	Mission Hospital prepares an annual report to the community and makes its significant accomplishments available through this report on the Mission Hospital website. Audited Financials are attached to the 990. The articles of incorporation are available to the public through the North Carolina Secretary of State website. Conflict of interest policy and by-laws are available upon request.
Form 990, Part IX, line 11g	Medical Contract Labor: Program service expenses 31,312,902. Management and general expenses 6,413,486. Fundraising expenses 0. Total expenses 37,726,388. Purchased Services: Program service expenses 31,003,592. Management and general expenses 6,350,133. Fundraising expenses 0. Total expenses 37,353,725. Other Fees: Program service expenses 27,407,875. Management and general expenses 5,613,662. Fundraising expenses 0. Total expenses 33,021,537. Physician Contract Labor: Program service expenses 6,375,208. Management and general expenses 1,305,765. Fundraising expenses 0. Total expenses 7,680,973. Medical Fees: Program service expenses 5,616,778. Management and general expenses 1,150,424. Fundraising expenses 0. Total expenses 6,767,202. Consulting Fees: Program service expenses 3,473,447. Management and general expenses 711,429. Fundraising expenses 0. Total expenses 4,184,876.	Other Fees

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Mission Health System Inc
400 Ridgefield Court Suite 100	Asheville	NC	28806	581450888	Parent Company Support ServicesMissionHospital,MissionHealthcareFoundation	NC	501(c)(3)	Line 11a, I	0
Mission Medical Associates Inc
866 Hendersonville Road	Asheville	NC	28803	263627231	Employed Physician Group	NC	501(c)(3)	Line 9	0	Mission Health System Inc
The McDowell Hospital Inc
430 Rankin Avenue	Marion	NC	28742	560623938	Community Hospital	NC	501(c)(3)	Line 3	0	Mission Health System Inc
Mission Healthcare Foundation Inc
980 Hendersonville Road	Asheville	NC	28803	561881331	Foundation	NC	501(c)(3)	Line 7	0	Mission Health System Inc
Blue Ridge Regional Hospital Inc
P O Box 9	Spruce Pine	NC	28777	561025032	Community Hospital	NC	501(c)(3)	Line 3	0	Mission Health System Inc
Blue Ridge Regional Hospital Foundation
PO Box 247	Spruce Pine	NC	28777	582172660	Hospital Foundation	NC	501(c)(3)	Line 11a, I	0	Blue Ridge Regional Hospital Inc
Transylvania Community Hospital Inc
260 Hospital Drive	Brevard	NC	28712	560562293	Community Hospital	NC	501(c)(3)	Line 3	0	Mission Health System Inc
Angel Medical Center Inc
PO Box 1209	Franklin	NC	28744	566000064	Community Hospital	NC	501(c)(3)	Line 3	0	Mission Health System Inc
Transylvania Regional Hospital Foundation Inc
PO Box 2440	Brevard	NC	28712	561458024	Hospital Foundation	NC	501(c)(3)	Line 11a, I	0	Transylvania Community Hospital Inc
Transylvania Physician Services Inc
260 Hospital Drive	Brevard	NC	28712	561920816	Healthcare	NC	501(c)(3)	Line 3	0	Transylvania Community Hospital Inc
Transylvania Health System Inc
260 Hospital Drive	Brevard	NC	28712	561456987	Dissolved	NC	501(c)(3)	Line 11b, II	0	Dissolved
Angel Medical Center Auxiliary
PO Box 1209	Franklin	NC	28744	562133719	Supporting Organization	NC	501(c)(3)	Line 11a, I	0	Angel Medical Center Inc
McDowell Healthcare Foundation Inc
430 Rankin Avenue	Marion	NC	28752	463395393	Supporting Organization	NC	501(c)(3)	Line 7	0	The McDowell Hospital Inc

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	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
Asheville Imaging LLP
534 Biltmore Avenue	Asheville	NC	28801	561907201	Outpatient Imaging Services	NC	Mission Hospital Inc	Related	1302178	507756	0	1	0.69000
Imaging Realty LLP
534 Biltmore Avenue	Asheville	NC	28801	561907203	Medical Office Building	NC								N/A
MSJHS and CCP Joint Development Company LLC
428 Biltmore Avenue	Asheville	NC	28801	562250464	Long Term Acute Care Hospital	NC								N/A
Blue Ridge DME LLC
125 Hospital Drive	Spruce Pine	NC	28777	263570174	Home Medical Equipment and Supplies Sales	NC								N/A
McDowell MRI LLC
414 Rankin Avenue	Marion	NC	28752	753046378	Medical Imaging	NC								N/A
Brevard MRI at Transylvania Regional HospitalLLC
260 Hospital Drive	Brevard	NC	28712	203281110	Medical	NC								N/A
Transylvania Healthcare 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	28779	561849395	Radiation Therapy	NC	Mission Hospital Inc	Related	-24985	668235	0	1	0.33330
Asheville MRI
PO Box 2959	Asheville	NC	28802	561665863	Imaging Services	NC	Mission Hospital Inc	Related	1819873	1452263	0	1	0.50000
WNC Stone Center
509 Biltmore Avenue	Asheville	NC	28801	272152974	Lithotripsy Rental	NC	Mission Hospital Inc	Related	195588	1384	0	1	0.33330

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	Province Or StateAddressForeign/ProvinceOrState	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 Inc
213 Ridgefield Court	Asheville	NC	28806	561341624	Patient Billing and Collection Services, Medical Property Rental	NC	N/A	C	0
Dogwood Insurance Company Ltd
					Captive Insurance Entity		N/A	C	0	TheGrandPavilionCommercialCentrePOB	Cayman Islands	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	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	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	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	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	0	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 (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Asheville Imaging LLP
S	591838	Cash
Asheville Imaging LLP
J	38220	FMV
Asheville Imaging LLP
L	62176	FMV