2012-08-15T13:31:35-05:00 2011-09-30 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2010-10-01 562005198 COMMUNITY CAREPARTNERS INC COMM 8282742400 PO BOX 5779 ASHEVILLE NC 28813 GREGORY K DIXON 8282742400 2012-08-15 1 AMY BIBBY 8282542254 2010 2016-02-24 21:20:13Z GREGORY K DIXON PO BOX 5779 ASHEVILLE NC 28813 72249052 0 1 X WWW.CAREPARTNERS.ORG X 1996 NC HELPING PEOPLE LIVE FULLY THROUGH LIFE'S JOURNEY. 21 20 1215 347 0 0 1613837 1686371 64022872 70450517 158525 93909 0 0 65795234 72230797 22445 26475 0 0 48353914 54396526 0 0 0 16795014 17475326 65171373 71898327 623861 332470 22918653 23369860 9181241 9299975 13737412 14069885 X HELPING PEOPLE LIVE FULLY THROUGH LIFE'S JOURNEY. 0 0 24560645 26475 19491651 ON ANY GIVEN DAY IN FY11, CAREPARTNERS WAS SERVING NEARLY 3,000 PATIENTS THROUGH EIGHT SERVICE LINES THAT COMPOSE OUR UNIQUE POST-ACUTE CONTINUUM OF CARE. OUR 1,100 EMPLOYEES ARE COMMITTED TO PROVIDING QUALITY CARE WITH EXCEPTIONAL CUSTOMER SERVICE. DURING THE PAST YEAR, CAREPARTNERS HAS CONTINUED TO ENHANCE THE SERVICES PROVIDED TO OUR PATIENTS ACROSS WESTERN NORTH CAROLINA. CAREPARTNERS HAS EXPANDED ITS PERFORMANCE IMPROVEMENT PROGRAM USING THE "LEAN" APPROACH TO ADD VALUE TO THE SERVICES WE PROVIDE AND WAS ONE OF THREE HEALTH CARE ORGANIZATIONS IN THE STATE TO RECEIVE THE GOVERNORS AWARD FOR EXCELLENCE. ON A CONTINUUM-WIDE BASIS, CAREPARTNERS HAS BEEN AN INTEGRAL PLAYER WITH OTHER REGIONAL HEALTH CARE PROVIDERS TO INSURE THE SMOOTH AND SAFE TRANSITION OF PATIENTS FROM ONE HEALTH CARE SETTING TO ANOTHER. MANY OF OUR STAFF SERVE IN LEADERSHIP ROLES WITHIN THE REGION TO IMPROVE THE HEALTH, SAFETY AND WELFARE OF OUR COMMUNITY. SPECIFIC SERVICE LINE ACCOMPLISHMENTS INCLUDE THE FOLLOWING:OUTPATIENT THERAPY: THE OUTPATIENT THERAPY PROGRAM, INCLUDING OUR THERAPY SERVICES AND ORTHOTICS & PROSTHETICS PROGRAM, PROVIDED OVER 108,000 PROCEDURES IN FY11, SERVING NEARLY 5,200 PATIENTS. PROGRAM DEVELOPMENT CONTINUED WITH THE UPPER EXTREMITY PROGRAM, AMPUTEE POOL PROGRAM, PLEGIOCEPHALY HELMETS, HEADACHE CLINIC, AND BALANCE & VESTIBULAR SERVICES. TO PROVIDE ANOTHER OPTION FOR EVALUATION OF SWALLOWING WITHOUT RADIATION, WE PURCHASED THE FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING (FEES) EQUIPMENT. TWO NEW PRIVATE TREATMENT ROOMS WERE BUILT AT OUR EAST ASHEVILLE CLINIC TO ALLOW FOR MORE CONFIDENTIAL EVALUATIONS AND PATIENT/THERAPISTS DISCUSSIONS. ONE OF OUR THERAPISTS ACHIEVED CERTIFICATION IN INTRAMUSCULAR THERAPY OR DRY NEEDLING, WHICH IS A THERAPEUTIC TREATMENT FOR MYOFASCIAL PAIN. WE ALSO RELOCATED THE SEATING CLINIC TO PROVIDE A MORE SEAMLESS APPROACH TO PATIENTS AND CONSOLIDATE RESOURCES. OUR PATIENT OUTCOMES ARE IN THE TOP PERCENTILE FOR THE COUNTRY FOR FUNCTIONAL STATUS CHANGE. HOW WE USE OUR EXCESS REVENUES:WHILE CAREPARTNERS HAS A MINIMAL SURPLUS OF FUNDS MOST YEARS, EVERY DOLLAR IS REINVESTED IN THE ORGANIZATION TO CONTINUALLY IMPROVE THE QUALITY OF OUR SERVICES AND MEET THE COMMUNITY'S NEEDS. DURING THE PAST YEAR, THESE FUNDS HAVE BEEN USED TO PURCHASE A NEW ELECTRONIC MEDICAL RECORD SYSTEM FOR OUR HOME HEALTH, HOSPICE, PALLIATIVE CARE AND PRIVATE DUTY PROGRAMS THAT WILL ENHANCE SERVICES TO OUR PATIENTS. IN ADDITION, NEW INPATIENT AND OUTPATIENT THERAPY EQUIPMENT WAS PURCHASED, ALONG WITH UPGRADES OF OUR FACILITIES. ANY EXCESS FUNDS ARE USED TO ENHANCE EXISTING SERVICES AND EXPAND SERVICES TO SERVE UNMET NEEDS IN THE COMMUNITY. 10800630 17992739 REHABILITATION HOSPITAL: THE REHABILITATION HOSPITAL SERVED 1,333 PATIENTS IN FY11. PATIENT SATISFACTION CONTINUED TO BE VERY STRONG, WITH THE HOSPITAL SCORING IN THE 99TH PERCENTILE OF ALL OTHER INPATIENT REHAB HOSPITALS FOR THE LIKELIHOOD TO RECOMMEND OUR FACILITY TO OTHERS. THE REHABILITATION HOSPITAL EXPANDED ITS MEDICAL STAFF WITH ANOTHER EMPLOYED REHABILITATION PHYSICIAN AND A GERIATRIC NURSE PRACTITIONER. WHILE THE HOSPITAL ROUTINELY ADMITS PATIENTS 7 DAYS/WEEK, THE CAPACITY TO INCREASE WEEKEND ADMISSIONS BECAME A FOCUS THIS YEAR AND LED TO SOME CHANGES IN STAFFING FOR KEY AREAS SUCH AS MEDICAL STAFF, PHARMACY AND INTAKE. THE HOSPITAL WAS ALSO FULLY ACCREDITED DURING ITS FIRST ANNUAL SITE SURVEY BY THE DNV'S HEALTHCARE NATIONAL INTEGRATED ACCREDITATION FOR HEALTHCARE ORGANIZATION (DNV/NIAHO). 9301108 14045199 HOSPICE: TO PROVIDE A SEAMLESS CONTINUUM OF CARE TO OUR PATIENTS, WE CONTINUED THE INTEGRATION OF OUR HOSPICE, PALLIATIVE CARE, PRIVATE DUTY AND HOME HEALTH SERVICES THIS YEAR. A SIGNIFICANT STEP TO INTEGRATION IS THE MIGRATION TO ONE ELECTRONIC HEALTH INFORMATION RECORD, AND THIS YEAR HOSPICE MOVED TO THE NEW CERNER SOFTWARE. THIS ELECTRONIC SYSTEM SUPPORTS AND COORDINATES CARE AS PATIENTS MOVE BETWEEN LEVELS OF CARE BASED ON THEIR NEED. HOME HOSPICE HAD AN AVERAGE DAILY CENSUS OF 240 PATIENTS AND OUR INPATIENT HOSPICE FACILITY HAD AN AVERAGE DAILY CENSUS OF 19. THIS GROWTH REQUIRED THE CREATION OF A THIRD CLINICAL TEAM FOR OUR HOME CARE STAFF TO INCLUDE AND ADDITIONAL MEDICAL DIRECTOR. OUR SMALLER TEAMS ALLOWED CLOSER COORDINATION AND ATTENDING TO PATIENT NEEDS.PALLIATIVE CARE: OUR PALLIATIVE CARE SERVICES EXPANDED IN SEVERAL DELIVERY SITES. WE CONTINUED TO PROVIDE HOSPITAL-BASED CARE AND NURSING HOME CARE, WHILE EXTENDING TO HOMES AND CLINIC SERVICES. WE MOVED OUR PROGRAM TO USE THE CERNER ELECTRONIC MEDICAL RECORD, ANOTHER LINK IN AN EFFORT TO INTEGRATE OUR SERVICES AND PATIENT INFORMATION. CAREPARTNERS ALSO DEVELOPED AND IMPLEMENTED THE FIRST ACGME APPROVED HOSPICE AND PALLIATIVE CARE FELLOWSHIP PROGRAM IN WESTERN NORTH CAROLINA, BEGINNING WITH TWO FELLOWS. 12821703 18729111 HOME HEALTH: WESTERN NORTH CAROLINA HAS ONE OF THE FASTEST GROWING ELDERLY POPULATIONS IN THE COUNTRY, AND OUR HOME HEALTH PROGRAM CONTINUES TO GROW TO MEET THE DEMAND. DURING THE PAST YEAR, THE PROGRAM SERVED OVER 7,000 PATIENTS WITH AN AVERAGE DAILY CENSUS OF OVER 1,500 PATIENTS. THE PROGRAM WAS RECOGNIZED BY OCS HOMECARE AND DECISIONHEALTH AS ONE OF THE TOP 25% OF HOME HEALTH AGENCIES BASED ON AN ANALYSIS OF QUALITY OUTCOMES, QUALITY IMPROVEMENT AND FINANCIAL PERFORMANCE. THE HOME HEALTH PROGRAM CONTINUES TO ENHANCE THE CHRONIC PATIENT PROGRAM. ELEVEN OF OUR VISITING STAFF RECEIVED "HEALTH COACHING" TRAINING. THE ATTENTION TO OUR CHRONIC POPULATION DECREASED OUR RE-HOSPITALIZATION RATE TO 22% AS COMPARED TO THE STATE AND NATIONAL AVERAGE OF 29%. ADULT DAY: ADULT DAY SERVICES CONTINUED TO BE CERTIFIED TO SERVE 70 PARTICIPANTS PER DAY AND MAINTAINED A FULL CENSUS THROUGH THE YEAR. OVER 200 BUNCOMBE COUNTY RESIDENTS PARTICIPATED IN THE ADULT DAY PROGRAM IN FY11. DUE TO THE GROWING DEMAND, A DAY RESPITE SERVICE WAS INITIATED TO SERVE A SMALL GROUP OF PARTICIPANTS WHO ARE ABLE TO FUNCTION INDEPENDENTLY AND DO NOT REQUIRE ANY NURSING OVERSIGHT FOR HEALTH CARE NEEDS. CAREPARTNERS WAS SELECTED BY THE STATE AS ONE OF THE FOUR OVERNIGHT RESPITE DEMONSTRATION SITES. PLANS WERE ALSO DEVELOPED TO EXPAND THE PROGRAM IN FY12 TO ACCOMMODATE FIFTEEN ADDITIONAL PARTICIPANTS EACH DAY AND UP TO FOUR PARTICIPANTS EACH NIGHT FOR THE OVERNIGHT RESPITE PROGRAM. PRIVATE DUTY: 223 PATIENTS WERE SERVED BY NURSES, CERTIFIED NURSE ASSISTANTS AND COMPANIONS IN FY11 THROUGH OUR PRIVATE DUTY PROGRAM. TO MEET PATIENT NEEDS, THE PROGRAM NOW PROVIDES 24/7 ON CALL SCHEDULING AND NURSING SUPERVISION, AND OFFERS AN IN-HOME ASSESSMENT AT NO CHARGE TO PATIENTS. THE PROGRAM IMPLEMENTED A NEW COMPUTER SYSTEM TO RECORD STAFF TIME AND DOCUMENT SERVICES PROVIDED, WHICH REQUIRED THE TRAINING OF ALL STAFF IN THE CERNER AND CAREWATCH SYSTEMS. 12821703 18729111 57484086 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 50 0 1 1215 1 0 0 0 0 0 0 0 0 0 0 X 21 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X X GREGORY K DIXON CFO 8282742400 68 SWEETEN CREEK ROAD ASHEVILLE NC 28803 TRACY BUCHANAN 40.00 X X 225793 0 90648 DENNIS KING ED D 1.00 X X 0 0 0 CHARLES C CAMPBELL 1.00 X X 0 0 0 ROBBY RUSSELL 1.00 X X 0 0 0 JEFF GOULD 1.00 X X 0 0 0 JAMES H ROBISON 1.00 X 0 0 0 KERRY A FRIEDMAN 1.00 X 0 0 0 HARRY G BURTON III MD 1.00 X 0 0 0 DAVID L CAPPIELLO MD 1.00 X 0 0 0 JOHN W CARROLL 1.00 X 0 0 0 KELLIE CONDRA MD 1.00 X 0 0 0 STEVEN COVERT 1.00 X 0 0 0 CECIL T DURHAM MD 1.00 X 0 0 0 LARRY HARRIS 1.00 X 0 0 0 PATSY KEEVER 1.00 X 0 0 0 JOHN E LAWRENCE JR MD 1.00 X 0 0 0 CHARLES PINE 1.00 X 0 0 0 JOHN M QUIGLEY 1.00 X 0 0 0 JOEL B ROSENBERG 1.00 X 0 0 0 KATHERINE E VOLATILE MD 1.00 X 0 0 0 BRUCE GOFORTH 1.00 X 0 0 0 GARY BOWERS 40.00 X 171916 0 52851 DIANN BOLICK 40.00 X 160020 0 11052 ODIN BERG 40.00 X 50863 0 519 GREGORY DIXON 40.00 X 0 0 0 CARLOS A VARGAS 40.00 X 204444 0 12737 JOHN P LANGLOIS 40.00 X 185492 0 18492 ROBERT K BALLARD 40.00 X 150337 0 13257 JEFFERY STILLSON 32.00 X 149154 0 9911 PAMELA TIDWELL 40.00 X 132347 0 34184 1430366 0 243651 15 0 1 0 COURTYARD REHABILITATION AND NURSING 455 VICTORIA ROAD ASHEVILLE NC 28801 HEALTHCARE 189296 J BRENDLE MEDIA LLC (DBA) JACQUELYN N 6 INDIAN PLACE ASHEVILLE NC 28805 ADVERTISING 142510 2 1362820 323551 15896 1686371 PROGRAM SERVICE FEES 621110 69251591 69251591 OTHER OPERATING INCOME 621110 1099269 1099269 CAFETERIA & VENDING 722210 191817 191817 INVESTMENT IN ASH HOSP 621110 -92160 -92160 70450517 112164 112164 18255 -18255 -18255 -18255 72230797 70258700 0 285726 26475 26475 768098 768098 44033413 37188647 6844766 6199677 5146201 1053476 3395338 2818388 576950 40436 40436 54536 54536 5299071 5151810 147261 229462 4259 225203 4588870 3684491 904379 3297283 442660 2854623 933340 892864 40476 3176 2836 340 94747 94747 1274359 1274359 641214 641214 BAD DEBT 837666 837666 MISCELLANEOUS 181166 13430 167736 71898327 57484086 14414241 0 1450 1550 4065119 4460397 8986526 8834179 461507 543952 507924 530247 19181945 13163918 6384239 6018027 1014106 1107430 1021014 928854 476768 945224 22918653 23369860 8246883 8326514 707204 530408 227154 443053 9181241 9299975 X 13428598 13758223 308814 311662 13737412 14069885 22918653 23369860 332470 0 X 0 1 1 X 0 X 1053192 1874859 1502020 1613837 1686371 7730279 59771628 64206169 64539011 63815417 70258700 322590925 187311 221991 217582 207455 191817 1026156 61012131 66303019 66258613 65636709 72136888 331347360 0 0 0 331347360 1163641 1017466 811730 150664 112104 3255605 1163641 1017466 811730 150664 112104 3255605 62175772 67320485 67070343 65787373 72248992 334602965 0.99030 0.98630 0.00970 0.01370 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8736857 5188276 3548581 9754502 7343241 2411261 690586 632401 58185 6018027 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 443053 443053 72230797 71898327 332470 0 332470 73349165 1118368 1118368 72230797 0 72230797 73016695 1118368 1118368 71898327 0 71898327 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: CAREPARTNERS IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501 (A) OF THE IRC. CAREPARTNERS HAS DETERMINED THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2011. FISCAL YEARS ENDING ON OR AFTER 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. 1 1 1 X 1 X 0 1 1 0 1 1 357056 357056 0.00500 8750787 6292143 2458644 0.03460 2427 2427 0.00000 9110270 6292143 2818127 0.03960 154800 154800 0.00220 2737863 2293521 444342 0.00630 65858 65858 0.00090 2958521 2293521 665000 0.00940 12068791 8585664 3483127 0.04900 1919 4777 4777 0.00010 1919 4777 4777 0.00010 0 591224 43110948 41878245 1232703 X 1 1 1 1 COMMUNITY CAREPARTNERS INC

68 SWEETEN CREEK RD ASHEVILLE NC 28803

X REHAB, OUTPATIENT, HOSPICE NA 1 6 CAREPARTNERS OUTPATIENT NORTH CLINIC

204 STONE RIDGE BLVD ASHEVILLE NC 28804

OUTPATIENT CLINIC CAREPARTNERS OUTPATIENT SOUTH CLINIC

3 TOWN SQUARE BLVD ASHEVILLE NC 28803

OUTPATIENT CLINIC CAREPARTNERS OUTPATIENT EAST CLINIC

2358 US HWY 70 SWANNANOA NC 28778

OUTPATIENT CLINIC CAREPARTNERS OUTPATIENT WEST CLINIC

1390 SAND HILL RD SUITE 1 CANDLER NC 28715

OUTPATIENT CLINIC ORTHOTICS & PROSTHETICS CLINIC - ASH

639 BILTMORE AVE ASHEVILLE NC 28801

ORTHOTICS AND PROSTHETICS CLINIC ORTHOTICS & PROSTHETICS CLINIC - HVL

2 S BROWN CT HENDERSONVILLE NC 28791

ORTHOTICS AND PROSTHETICS CLINIC PART I, LINE 3C: PATIENTS THAT MEET THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FEDERAL POVERTY AND THE INDIGENT CARE POLICY GUIDELINES WILL BE APPROVED FOR A DISCOUNT BASED ON A SLIDING SCALE (ATTACHED) RANGING FROM 25% TO 100% OF CHARGES. FEDERAL POVERTY GUIDELINES ARE UPDATED ANNUALLY AND PUBLISHED IN THE FEDERAL REGISTER. PART I, LINE 7: WORKSHEET 2 OF THE 2010 SCHEDULE H INSTRUCTIONS WAS USED TO DERIVE A COST-TO-CHARGES RATIO THAT THE ORGANIZATION USED TO COMPUTE COMMUNITY BENEFIT EXPENSES AT COST FOR LINES 7(A) AND 7(B). PART I, LINE 7G: ADULT DAY SERVICE PROVIDES A SAFE, STIMULATING EVNIRONMENT FOR AGING AND IMPAIRED ADULTS WHO CAN NO LONGER BE SAFELY LEFT ALONE DURING THE DAY WHILE FAMILY MEMBERS AND CAREGIVERS ARE AT WORK OR TAKING CARE OF OTHER RESPONSIBILITIES. PALLIATIVE CARE (COMFORT CARE) IS A CHOICE FOR THOSE WHO ARE NOT READY FOR HOSPICE. PATIENTS WHO HAVE A SERIOUS OR CHRONIC, LIFE-LIMITING ILLNESS THAT MAY STILL RESPOND TO CURE-ORIENTED TREATMENT MAY WISH TO PARTICIPATE IN THE CAREPARTNERS PALLIATIVE CARE PROGRAM. PALLIATIVE CARE, OR COMFORT CARE, BENEFITS PATIENTS THROUGHOUT ALL STAGES OF THEIR ILLNESS. IT OPTIMIZES QUALITY OF LIFE BY ANTICIPATING, PREVENTING AND TREATING THE DISTRESS OF LIVING WITH A SERIOUS ILLNESS. PART I, L7 COL(F): THE AMOUNT OF TOTAL EXPENSE ON FORM 990, PART XI, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $837,666 THAT HAS BEEN REMOVED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART III, LINE 4: THERE IS NO FOOTNOTE ADDRESSING BAD DEBT IN THE ORGANIZATION'S FINANCIAL STATEMENTS.THE ANDI METHODOLOGY, WHICH USED A FACILITY-WIDE RATIO OF COST TO CHARGES AS DESCRIBED IN 2011 NCHA COMMUNITY BENEFITS GUIDELINES, IS USED TO DETERMINE THE BAD DEBT EXPENSE. PART III, LINE 9B: PATIENTS WHO ARE KNOWN TO QUALIFY FOR A SLIDING SCALE DISCOUNT ARE GIVEN A DISCOUNT OF BETWEEN 100% AND 15% BASED ON FINANCIAL NEED. THE NORMAL COLLECTION PROCEDURES ARE FOLLOWED FOR THE REMAINING BALANCE. THERE ARE SOME SERVICES CAREPARTNERS OFFERS THAT ARE PATIENTS' RESPONSIBILITY AS SELF-PAY AND NOT ELIGIBLE FOR FINANCIAL ASSISTANCE. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO: ADULT DAY SERVICES, PRIVATE DUTY NURSING SERVICES, DRIVING EVALUATIONS, LASER THERAPY, CONSTRAINT INDUCED THERAPY, FCE, MASSAGE THERAPY, WELLNESS PROGRAM, AND WALK AIDS. SERVICES EXCLUDED FROM MEDICARE OR MEDICAID BENEFIT COVERAGE WOULD REMAIN THE PATIENTS' SELF-PAY RESPONSIBILITY AND WOULD NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR SELF PAY DISCOUNT. HOWEVER, HOSPICE TRANSITIONAL CARE IS ELIGIBLE FOR FINANCIAL ASSISTANCE. HOSPICE TRANSITIONAL CARE IS NOT ELIGIBLE FOR THE SELF-PAY DISCOUNT.INPATIENT REHABILITATION, OUTPATIENT REHABILITATION, AND HOME HEALTH SERVICESPATIENTS THAT HAVE COMPLETED AND SUBMITTED A MEDICAID APPLICATION (MEDICAID PENDING) AND OTHERS WITH NO MEANS OF PAYMENT MUST COMPLETE THE FINANCIAL ASSISTANCE FORM AND PROVIDE REQUESTED SUPPORTING FINANCIAL DOCUMENTATION. PATIENTS MUST BE INFORMED OF THE POSSIBILITY OF SELF-PAY RESPONSIBILITY FOR ALL OR A PORTION OF THE CHARGES FOR SERVICES RENDERED. HOSPICE SERVICESPATIENTS THAT REQUEST FINANCIAL ASSISTANCE MUST COMPLETE THE FINANCIAL ASSISTANCE FORM. IF A PAYMENT PLAN IS REQUESTED, THE PATIENT MUST MAKE ARRANGEMENTS WITH THE FINANCIAL COUNSELOR. MEDICAID APPROVED PATIENTS IN NEED OF TRANSITIONAL CARE IN SOLACE WILL NEED TO MEET WITH FINANCIAL COUNSELOR TO DETERMINE ROOM AND BOARD CHARGE. ANY UNPAID BALANCE WHICH HAD BEEN DETERMINED TO BE THE PATIENT'S RESPONSIBILITY WILL BE SUBMITTED TO THE PATIENT'S ESTATE.FREE OR DISCOUNTED CARE FOR THE MEDICALLY INDIGENT: AT THE END OF THE 09/30/2011 FISCAL YEAR, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY DID NOT ADDRESS FREE AND DISCOUNTED CARE FOR THE MEDICALLY INDIGENT, BUT A CHANGE TO THE POLICY THAT WILL INCLUDE THE MEDICALLY INDIGENT WILL BE IMPLEMENTED BY THE END OF THE 09/30/2012 FISCAL YEAR. PART VI, LINE 2: CAREPARTNERS IS UNIQUE IN THAT WE HAVE CLOSE WORKING RELATIONSHIPS WITH MISSION HOSPITAL (THE REGIONAL HOSPITAL IN WNC), LONG TERM CARE FACILITIES, REGIONAL HOSPITALS AND PHYSICIAN PRACTICES. WE HAVE DESIGNATED STAFF WHO LIAISON WITH THESE ORGANIZATIONS ON A DAILY, WEEKLY, AND MONTHLY BASIS TO LEARN ABOUT THE NEEDS OF THEIR PATIENTS. OUR CLINICAL SERVICES COMMITTEE IS COMPRISED OF LOCAL PHYSICIANS AND HEALTHCARE PROVIDERS FROM THROUGHOUT THE WNC REGION. THEY ARE CHARGED WITH IDENTIFYING UNMET HEALTHCARE NEEDS AND CREATING SYSTEMS AND PROCESSES TO MEET THOSE NEEDS. DURING OUR STRATEGIC PLANNING PROCESS, CAREPARTNERS SENIOR LEADERSHIP ANALYZES THE ENVIRONMENT AND SEEKS THE INPUT OF STAKEHOLDERS WITHIN THE ORGANIZATION AS WELL AS THE COMMUNITY. MANY CAREPARTNERS STAFF SIT ON NUMEROUS COMMUNITY HEALTHCARE RELATED BOARDS OR ACT AS MEMBERS OF THE ORGANIZATIONS. PART VI, LINE 3: WHEN PATIENTS ARE PREPARING FOR DISCHARGE FROM THE ACUTE CARE ORGANIZATION, THE DISCHARGE PLANNER WILL NOTIFY THE LIASIONS IF THE PATIENTS HAVE NO PAYER SOURCE. THE LIASIONS ASSESS THE PATIENTS' ABILITY TO COMMUNICATE AND UNDERSTAND FINANCIAL INFORMATION AND THEY NOTIFY THE FINANCIAL COUNSELOR. SHE/HE WILL WORK WITH THE PATIENT AND/OR FAMILY MEMBER TO GATHER THE FINANCIAL INFORMATION AND EDUCATE THEM ON THE ASSISTANCE AVAILABLE, INCLUDING MEDICAID, VOCATIONAL REHABILITATION, PROJECT ACCESS, AND THE CHARITY CARE PROVIDED BY CAREPARTNERS HEALTH SERVICES. ONCE THE FINANCIAL COUNSELOR HAS GATHERED ALL OF THE REQUIRED DOCUMENTS, SHE/HE WILL FORWARD THEM TO MEDICAID OR ANY PROGRAMS FOR WHICH THE PATIENT MAY QUALIFY. ALL OFFICES HAVE SIGNS UP IN BOTH ENGLISH AND SPANISH INFORMING PATIENTS THAT ASSISTANCE IS AVAILABLE. INTERPRETERS ARE PROVIDED WHERE NECESSARY. THERE ARE DEDICATED STAFF AVAILABLE TO ASSIST PATIENTS IN THIS MANNER. CAREPARTNERS FOLLOWS THE MEDICAID GUIDELINES ON WHAT DOCUMENTS AND INFORMATION WE COLLECT. THE CHARITY ASSISTANCE WILL RANGE FROM 100% FREE CARE TO A 15% DISCOUNT DEPENDING ON THE FINANCIAL NEED. PART VI, LINE 4: CAREPARTNERS HEALTH SERVICES IS THE ONLY POST-ACUTE CONTINUUM IN WNC. MOST OF OUR SERVICES ARE PROVIDED IN BUNCOMBE, HENDERSON, AND HAYWOOD COUNTY (WHERE WE HAVE OFFICES) BUT WE ALSO REACH MORE RURAL COMMUNITIES LIKE MITCHELL, YANCEY, TRANSYLVANIA AND MADISON. MEDIAN HOUSEHOLD INCOME FOR BUNCOMBE COUNTY IS $44,190 AS COMPARED TO $38,580 IN MADISON COUNTY. POPULATION GROWTH THAT HAS OCCURRED IN THE WNC REGION IS GENERALLY CONFINED TO THOSE OVER AGE 64. UNLIKE MANY AREAS, THIS GROWTH IS CHARACTERIZED NOT BY A NATURALLY-AGING NATIVE POPULATION BUT BY A TREMENDOUS INFLUX OF NON-NATIVE RETIREES. CAREPARTNERS SERVES A HIGHER PERCENTAGE OF OLDER ADULTS DUE TO THE NATURE OF OUR SERVICES - HOME HEALTH, HOSPICE, REHABILITATION HOSPITAL. WE DO SERVE YOUNGER POPULATIONS BUT AS A WHOLE, OUR TYPICAL PATIENT IS 45 YEARS OR OLDER. OUR LARGEST PAYOR IS MEDICARE. WNC HAS HISTORICALLY HAD A SMALL PERCENTAGE OF AFRICAN-AMERICAN RESIDENTS WHEN COMPARED TO THE STATE OVERALL AND THIS TREND SHOWS NO SIGNS OF CHANGING. HISPANICS, HOWEVER, HAVE QUINTUPLED THEIR PRESENCE IN THE AREA SINCE 1990 AND ARE ON TRACK TO MAINTAIN INCREASES IN THEIR REPRESENTATION OVER THE NEXT TWO DECADES. THE UNEMPLOYMENT RATE IN THE WNC REGION HAS INCREASED OVER THE PAST YEAR. PART VI, LINE 6: CAREPARTNERS HEALTH SERVICES HAS BEEN AN INTEGRAL PART OF THE WNC COMMUNITY SINCE ITS FOUNDING IN 1939. ALTHOUGH OUR TYPE OF CARE HAS CHANGED THROUGH THE YEARS, THE LEVEL OF CARE WE PROVIDE CONTINUES TO STRIVE FOR EXCELLENCE. WE ARE BEDROCK TO THIS COMMUNITY BY PROVIDING MORE THAN JUST GREAT POST-ACUTE SERVICES. WE FOSTER GOOD HEALTH AND NUTRITION BY SPONSORING BOTH MALL WALKER PROGRAMS AT THE LOCAL MALLS. TWICE A YEAR WE HOST AN 8 WEEK COMPREHENSIVE EDUCATIONAL SERIES OPEN TO THE COMMUNITY. TOPICS RANGE FROM AGING IN PLACE TO NUTRITION TO HOW TO CREATE YOUR WILL. WE HOST NUMEROUS SUPPORT GROUPS ON OUR CAMPUS EACH MONTH AND ARE INVOLVED IN COMMUNITY-WIDE HEALTH FAIRS. STAFF PARTICIPATE IN LOCAL AGING CONSORTIUMS AND ARE LEADERS OF AGING ISSUES SUCH AS FALLS PREVENTION AND CHRONIC ILLNESSES. ALL OF OUR COMMUNITY ACTIVITIES FOCUS ON DISEASE PREVENTION AND MANAGEMENT AS WELL AS CONNECTING THE LARGER COMMUNITY TO RESOURCES WITHIN CAREPARTNERS AND ACROSS WNC.ANY SURPLUS OF FUNDS IS RETURNED TO THE COMMUNITY THROUGH IMPROVING THE QUALITY OF PATIENT CARE OR EXPANDING TYPES OF CARE THAT ARE PROVIDED TO REACH MORE PATIENTS. REPORTS FILED WITH STATES PART VI, LINE 7 NC 1 SCHOLARSHIPS - EMPLOYEES 7 15837 SCHOLARSHIPS - LOCAL SCHOOLS 24 13200 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION REQUIRES THAT POTENTIAL GRANT RECIPIENTS INDICATE HOW THE FUNDS WILL BE USED IN ORDER TO ENSURE THAT THE FUNDS WILL BE USED PROPERLY AND IN ACCORDANCE WITH THE ORGANIZATION'S EXEMPT PURPOSE. THE ORGANIZATION ALSO TOURS THE FACILITIES OF A POTENTIAL RECIPIENT TO GAIN A THOROUGH UNDERSTANDING OF THEIR OPERATIONS. AFTER A GRANT IS AWARDED, THE ORGANIZATION MEETS WITH THE MANAGMENT OF THE RECIPIENT ORGANIZATION TO REVIEW HOW THE FUNDS ARE BEING USED. A REPORT IS GIVEN TO THE BOARD OF DIRECTORS RELATED TO THESE FINDINGS. ON OCCASIONS THE GRANT RECIPIENT WILL ALSO PRESENT THEIR OUTCOMES DIRECTLY TO THE BOARD OF DIRECTORS. X 1 1 X X X 0 1 0 0 0 1 0 0 0 TRACY BUCHANAN 186930 0 24781 0 14082 0 80967 0 9681 0 316441 0 0 0 GARY BOWERS 150433 0 19610 0 1873 0 43984 0 8867 0 224767 0 0 0 DIANN BOLICK 108351 0 15306 0 36363 0 0 0 11052 0 171072 0 0 0 CARLOS A VARGAS 188843 0 15601 0 0 0 3870 0 8867 0 217181 0 0 0 JOHN P LANGLOIS 169584 0 15908 0 0 0 9625 0 8867 0 203984 0 0 0 ROBERT K BALLARD 110910 0 35904 0 3523 0 4412 0 8845 0 163594 0 0 0 JEFFERY STILLSON 143634 0 5520 0 0 0 5738 0 4173 0 159065 0 0 0 PAMELA TIDWELL 116678 0 15110 0 559 0 26376 0 7808 0 166531 0 0 0 PART I, LINE 1A THE ORGANIZAION PROVIDED TAX GROSS-UPS FOR THE VEHICLE PROVIDED TO THE CEO. THESE ITEMS WERE INCLUDED IN THE RECIPIENTS' INCOME. PART I, LINE 4B TRACY BUCHANAN - $41,095 GARY BOWERS - $32,313 DIANN BOLICK - $14,412 PART I, LINE 6 THE ORGANIZATION HAS A PAY FOR PERFORMANCE (PFP) PLAN. GOALS INCLUDED OVERALL PROFIT MARGIN AND OVERALL PERFORMANCE INDEX SCORE. PFP PAYMENTS ARE BASED ON GOALS ESTABLISHED AND APPROVED BY THE BOARD IN ADVANCE OF THE BEGINNING OF EACH YEAR. THE AMOUNT OF THIS POSSIBLE PAYMENT IS CONSIDERED IN THE DETERMINATION OF THE APPROPRIATE COMPENSATION FOR EACH POSITION. NANCY BOWERS WIFE OF GARY BOWERS, COO 61570 COMPENSATION 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 WAS PRESENTED TO THE BOARD AT A MEETING LEAD BY THE TAX PREPARERS. COPIES WERE SENT TO MEMBERS NOT IN ATTENDANCE. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST DISCLOSURE IS SENT TO EACH NEW BOARD AND/OR GOVERNANCE COMMITTEE MEMBER AND TO ALL BOARD MEMBERS ON AN ANNUAL BASIS. THIS INFORMATION IS SUPPLIED BY EACH BOARD AND/OR GOVERNANCE COMMITTEE MEMBER, SIGNED AND DATED, AND RETURNED TO THE PRESIDENT'S OFFICE FOR THE CORPORATION'S PERMANENT FILES. FORM 990, PART VI, SECTION B, LINE 15 THE CAREPARTNERS COMPENSATION PROGRAM IS DESIGNED TO ENSURE THAT ALL STAFF ARE PAID EQUITABLY. THE PLAN HAS THREE COMPONENTS: BASE COMPENSATION, PERFORMANCE BONUS (PAY FOR PERFORMANCE), AND ORGANIZATIONAL AWARD. BASE COMPENSATION IS DETERMINED BY THE MARKET VALUE OF THE POSITION, WHILE THE PERFORMANCE BONUS (PFP) IS BASED ON ACHIEVEMENT GOALS. THE THIRD COMPONENT, ORGANIZATIONAL AWARD, IS BASED ON CAREPARTNERS' OVERALL FINANCIAL PERFORMANCE. FOR THE OFFICERS, A REBUTTABLE PRESUMPTION OF REASONABLENESS CHECKLIST IS PREPARED AND COMPLETED BASED ON COMPARABILITY DATA AND REVIEWED AND APPROVED BY THE BOARD OR DESIGNEE. FOR COMPARABILITY, DATA FROM THE STATE AND INTERNAL FACTORS ARE CONSIDERED. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.