2023-08-11T13:01:41-05:00 2022-09-30 366055558 GRANT THORNTON LLP 1415 VANTAGE PARK DRIVE SUITE 500 CHARLOTTE NC 28203 990 2021-10-01 581450888 ANC HEALTHCARE INC ANCH 3219723585 425 W NEW ENGLAND AVE SUITE 300 WINTER PARK FL 32789 NEIL LURIA CEO 3219723585 2023-08-11 1 NEIL LURIA XXX-XX-XXXX MICHELE N MELCHIOR P00488037 7046323500 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z NEIL LURIA 425 W NEW ENGLAND AVE SUITE 300 WINTER PARK FL 32789 13530943 0 X N/A X 1981 NC SEE FORM 990, PART III, LINE 1. 5 5 0 5 0 0 0 0 6939534 6573125 64275 1014712 1788792 162051 8792601 7749888 185009964 0 0 0 0 0 0 0 0 5594413 4737695 190604377 4737695 -181811776 3012193 120132251 111723890 36652934 31132479 83479317 80591411 THE ORGANIZATION'S MISSION IS TO OPERATE AN INTEGRATED HEALTH DELIVERY SYSTEM FOR THE BENEFIT OF THE RESIDENTS OF WESTERN NORTH CAROLINA. THE ORGANIZATION'S OPERATIONS CEASED DUE TO SALE OF A SUBSTANTIAL PORTION OF ITS ASSETS ON 2/1/19. 0 0 502157 0 0 THE ENTITY SOLD THE OPERATING FACILITIES OF THE HEALTH SYSTEM AND A SUBSTANTIAL PORTION OF THE ASSETS, INCLUDING THOSE OF ITS SUBSIDIARIES, IN A PRIOR YEAR. THE ORGANIZATION CONTINUES TO MAINTAIN OVERSITE OF ITS SUBSIDIARIES DURING THE PROCESS OF LIQUIDATION AND EVENTUAL TERMINATION. CURRENT ACTIVITY INCLUDES WINDING DOWN THE REMAINING AFFAIRS OF THE HEALTH SYSTEM, INCLUDING COLLECTION AND SETTLEMENT OF OUTSTANDING RECEIVABLES AND LIABILITIES, AND DISTRIBUTION OF ASSETS. THE ENTITY IS IN THE PROCESS OF WINDING DOWN FOR EVENTUAL TERMINATION. 502157 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 7 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 CA X ANC HEALTHCARE INC 3219723585 425 W NEW ENGLAND AVENUE WINTER PARK FL 32789 X JOHN W GARRETT MD CHAIR 2.00 2.00 X X 0 0 0 THOMAS MAHER VICE CHAIR 2.00 2.25 X X 0 0 0 LAVOY SPOONER JR DIRECTOR ( THRU 1/31/2022) 1.00 0.00 X 0 0 0 SUZANNE S DEFERIE DIRECTOR 1.00 0.00 X 0 0 0 DR CHRISTOPHER FLANDERS DIRECTOR ( THRU 2/01/2022) 1.00 0.00 X 0 0 0 JEFFREY RANKIN DIRECTOR 1.00 0.00 X 0 0 0 DAVID WORLEY DIRECTOR 1.00 0.00 X 0 0 0 NEIL LURIA CEO/CHIEF WIND-DOWN OFFICE 10.00 2.00 X 0 0 0 MATTHEW RUBIN CFO/SECRETARY (THRU 6/01/2022) 10.00 2.00 X 0 0 0 GREGORY HAGOOD CHIEF TRANSITION OFFICER 2.00 0.00 X 0 0 0 MEG FINNEGAN VP HR 2.00 0.00 X 0 0 0 KIRA ABRAMOVS CFO, VP FINANCE, SEC 20.00 2.00 X 0 0 0 PAUL HOGAN CONTROLLER 5.00 0.00 X 0 0 0 0 0 0 0 0 0 0 FAEGRE DRINKER BIDDLE & REATH LLP ONE LOGAN SQUARE PHILADELPHIA PA 19103 LEGAL 1831525 SOLIC CAPITAL ADVISORS LLC 425 W NEW ENGLAD AVE WINTER PARK FL 32789 WIND DOWN CONSULTING 496801 NERA ECONOMIC CONSULTING 1166 AVENUE OF THE AMERICAS 24TH F NEW YORK NY 10036 CONSULTING 248960 KPMG LLP 620 S TYRON ST SUITE 1000 CHARLOTTE NC 28203 FINANCIAL AUDIT FEES 171900 BRADLEY ARANT BOULT CUMMINGS 214 NORTH TYRON STREET SUITE 3700 CAHARLOTTE NC 28202 LEGAL 170564 8 MEDICARE/MEDICAID ADJUSTMENTS 900099 5467659 5467659 JOINT VENTURE INCOME 900099 1065428 1065428 DRUG PROGRAM REIMBURSEMENT 900099 40038 40038 6573125 1013454 1013454 5782313 5781055 1258 1258 1258 OTHER REFUNDS 900099 162051 162051 162051 7749888 6735176 0 1014712 527139 527139 1988013 1988013 498830 498830 2196 2196 273550 273550 31806 31806 6037 6037 830745 830745 INCOME AND OTHER TAXES 317157 317157 LITIGATION SETTLEMENTS 185000 185000 WRITE-OFFS 40619 40619 CONTINGENCY FEES 35468 35468 1135 1135 4737695 502157 4235538 0 0 0 110435286 108161914 51832 0 323375 43221 0 0 0 0 0 0 0 0 2040365 1661465 0 0 0 0 0 0 5415019 0 1866374 1857290 0 0 0 0 120132251 111723890 462868 894259 36190066 30238220 36652934 31132479 X 78073006 80591411 5406311 0 83479317 80591411 120132251 111723890 X 3012193 -1057661 -4842438 X 0 1 X 1 0 X X 2 MISSION HOSPITAL INC 560532141 3 1 0 0 MISSION HEALTH SYSTEM FOUNDATION INC 561881331 7 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 VARIOUS SETTLEMENTS 30238220 30238220 X PART X, LINE 2: ANC APPLIES THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES, IN ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC TOPIC 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 SIGNIFICANT IMPACT ON ANC'S CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC TOPIC 740. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION IS IN PROCESS OF WINDING DOWN THE AFFAIRS OF THE HEALTH SYSTEM AND AS SUCH THE BOARD HAS ENGAGED AN UNRELATED THIRD PARTY (ACTING UNDER THE BOARD'S SUPERVSION) TO CARRY OUT THE FUNCTIONS OF MANAGEMENT DURING THIS TIME. ALL CURRENT OFFICERS LISTED IN PART VII ARE EMPLOYEES OF THE INDEPENDENT CONTRACTOR. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A FINAL COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS THE WEEK AFTER FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST EXPECTATION IS STATED AT THE BEGINNING OF EACH BOARD MEETING. EDUCATION ABOUT THE RESPONSIBILITIES OF A BOARD MEMBER INCLUDING CONFLICTS OF INTEREST IS PROVIDED DURING ORIENTATION FOR NEW BOARD MEMBERS. BOARD MEETINGS BEGIN WITH A COMMENT SUMMARIZING THE CONFLICT OF INTEREST EXPECTATION, THE DUTY TO DISCLOSE CONFLICTS, AND THE DUTY TO RECUSE IF A CONFLICT IS PRESENT. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE INTERESTED PERSON DOES NOT PARTICIPATE IN ANY DECISION RELATING TO THE 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 ISSUE UNDER CONSIDERATION. IN ADDITION TO BOARD MEMBERS, THE ORGANIZATION'S CONFLICT OF INTEREST EXPECTATION APPLIES TO THE ORGANIZATION'S OFFICERS AND DIRECTORS, AS WELL AS IMMEDIATE FAMILY MEMBERS OF SUCH INTERESTED PERSONS AND ENTITIES IN WHICH INTERESTED PERSONS HAVE A MATERIAL FINANCIAL INTEREST. THE ORGANIZATION EXPECTS THAT ALL INTERESTED PERSONS 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. INTERNAL AND EXTERNAL AUDITORS OR OUTSIDE COUNSEL WILL PERIODICALLY REVIEW AND ADVISE TO DETERMINE WHETHER THE ORGANIZATION IS IN COMPLIANCE WITH THE EXPECTATION AND APPLICABLE LAW. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REFLECTED IN THIS FORM 990 IS FOR CALENDAR YEAR 2020 AND WAS PAID TO THE FORMER SYSTEM PRESIDENT & CEO. ANC HEALTHCARE HAD NO OTHER EMPLOYEES AND THEREFORE 15B IS NOT APPLICABLE FOR THE YEAR 2020. THE FOLLOWING REFLECTS THE POLICIES AND PROCESSES THAT WERE IN PLACE AND THAT WERE RELEVANT TO THE COMPENSATION REFLECTED IN THIS FORM 990. 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 OF THE RELATED ORGANIZATION (COMMITTEE) REVIEWS THIS DATA AND RECOMMENDS TO THE BOARD OF THE RELATED ORGANIZATION 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 THE ORGANIZATION'S 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 XI, LINE 9: SUBSIDIARY ACTIVITY NOT ON THE 990 -4,842,438. ANC IMAGING SERVICES LLC 425 W NEW ENGLAND AVE NO 300 WINTER PARK FL 32789 465181350 MDEI. IMAGING NC 0 0 ANC INC ANC HIGHLANDS-CASHIERS HOSPITAL INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK FL 32789 560509400 HOSPITAL NC 501(C)(3) LINE 3 ANC INC 1 MISSION HOSPITAL INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK FL 32789 560532141 HOSPITAL NC 501(C)(3) LINE 3 ANC INC 1 MISSION HEALTH SYSTEM FOUNDATION INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK FL 32789 561881331 FOUNDATION NC 501(C)(3) LINE 7 ANC INC 1 ANC MEDICAL ASSOCIATES INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK FL 32789 263627231 PHYSICIAN GRP NC 501(C)(3) LINE 10 ANC INC 1 ANC MCDOWELL HOSPITAL INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK FL 32789 560623938 HOSPITAL NC 501(C)(3) LINE 3 ANC INC 1 ANC BLUE RIDGE HOSPITAL INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK FL 32789 561025032 HOSPITAL NC 501(C)(3) LINE 3 ANC INC 1 ANC TRANSYLVANIA COMMUNITY HOSPITAL INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK FL 32789 560562293 HOSPITAL NC 501(C)(3) LINE 3 ANC INC 1 ANC TRANSYLVANIA PHYSICIAN SERVICES INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK FL 32789 561920816 PHYSICIAN SERVICE NC 501(C)(3) LINE 3 TCH INC 0 ANC ANGEL MEDICAL CENTER INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK FL 32789 586000064 HOSPITAL NC 501(C)(3) LINE 3 ANC INC 1 ASHEVILLE IMAGING LLP 425 W NEW ENGLAND AVENUE WINTER PARK FL 32789 561907111 DISCONTINUED OPRTN NC N/A N/A 0 0 BLUE RIDGE DMELLC 425 W NEW ENGLAND AVENUE WINTER PARK FL 32789 263570174 EQUIPMENT SALES NC N/A N/A 0 0 HEALTHCARE LIMITED LIABILITY 425 W ENGLAND NEW AVENUE WINTER PARK FL 32789 RENTAL NC N/A N/A 0 0 ANC SPECIALTY HOSPITAL 425 NEW ENGLAND AVENUE WINTER PARK FL 32789 DISCONTINUED OPERATIONS NC ANC INC RELATED 0 1 0.67000 TRANSYLVANIA SERVICES INC 425 W NEW ENGLAND AVENUE NO 300 WINTER PARK FL 32789 561448199 REAL ESTATE NC N/A C 1 AVENU HEALTH INC 425 W NEW ENGLAND AVENUE NO 300 WINTER PARK FL 32789 823337055 DISCONTINUED OPERATIONS NC ANC INC C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 BLUE RIDGE DME LLC S 1047947 FMV ANC BLUE RIDGE HOSPITAL INC S 1468442 FMV ANC TRANSYLVANIA PHYSICIAN SERVICES INC S 61185 FMV SCHEDULE R, PART V DURING FISCAL YEAR 2022, ANC RECEIVED THE UNDERLYING ASSETS OF A JOINT VENTURE FROM ITS SUBSIDIARIES: ANC BLUE RIDGE HOSPITAL INC AND ANC TRANSYLVANIA PHYSICIAN SERVICES INC.