ANC TRANSYLVANIA COMMUNITY HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ANC TRANSYLVANIA COMMUNITY HOSPITAL INC (EIN 56-0562293)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-21
IRS object ID: 202002349349300710
Schema version: 2018v3.3
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 D
Schedule H
Schedule I
Schedule J
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-21T10:03:19-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Grant Thornton LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 S COLLEGE ST STE 2500	AddressLine1Txt
City	CHARLOTTE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28244	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	560562293	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ANC Transylvania Community Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ANC HEALTHCARE INC	InCareOfNm
Business Name Control	ANCT	BusinessNameControlTxt
Phone	8475832804	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	425 W NEW ENGLAND AVENUE Suite 300	AddressLine1Txt
City	WINTER PARK	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32789	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MATTHEW RUBIN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8475832804	PhoneNum
Signature	2020-08-17	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHELE N MELCHIOR	PreparerPersonNm
PTIN	P00488037	PTIN
Phone	7046323500	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	173.73.247.211	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	56917520202305000007	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-17	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	4058B3EA21EAEE5489C0AD01C05EAEFC49CCB078	AtSubmissionCreationDeviceId
At Submission Filing Device Id	E47F0F1E0499134EA3825B7EA2931573971158C4	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-19 02:30:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MATTHEW RUBIN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	425 W NEW ENGLAND AVENUE300	AddressLine1Txt
City	WINTER PARK	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32789	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$68,739,236	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1933	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF THE PEOPLE OF WESTERN NORTH CAROLINA AND THE SURROUNDING REGION.	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	2	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	487	TotalEmployeeCnt
Total Volunteers	2	TotalVolunteersCnt
Total Gross UBI	$9,383	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$8,469	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,088,348	PYContributionsGrantsAmt
CY Contributions Grants	$2,010,008	CYContributionsGrantsAmt
PY Program Service Revenue	$65,791,592	PYProgramServiceRevenueAmt
CY Program Service Revenue	$26,028,541	CYProgramServiceRevenueAmt
PY Investment Income	$403,017	PYInvestmentIncomeAmt
CY Investment Income	-$485,073	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$67,282,957	PYTotalRevenueAmt
CY Total Revenue	$27,553,476	CYTotalRevenueAmt
PY Grants And Similar Paid	$507,812	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$178,178	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$25,742,787	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$7,182,145	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$33,641,952	PYOtherExpensesAmt
CY Other Expenses	$12,062,263	CYOtherExpensesAmt
PY Total Expenses	$59,892,551	PYTotalExpensesAmt
CY Total Expenses	$19,422,586	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,390,406	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,130,890	CYRevenuesLessExpensesAmt
Total Assets BOY	$104,249,094	TotalAssetsBOYAmt
Total Assets EOY	$54,155	TotalAssetsEOYAmt
Total Liabilities BOY	$22,697,317	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$81,551,777	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$54,155	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$15,005,295	ExpenseAmt
Grant	$178,178	GrantAmt
Revenue	$26,019,158	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$15,005,295	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	Yes (true)	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	487	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	2	GoverningBodyVotingMembersCnt
Independent Voting Member	2	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ANC HEALTHCARE INC	PersonNm
Phone	8475832804	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	425 NEW ENGLAND AVE STE 300	AddressLine1Txt
City	WINTER PARK	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32789	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DANA CHRISTIANSON MD
PAST CHAIR END JAN 2019	1.0	0.0	Yes (X)	$0	$0	$0
JAMES CRUICKSHANK
CHAIR END JAN 2019	4.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
BRIAN BARROW MD
CHIEF OF STAFF END JAN 2019	1.0	40.0	Yes (X)	$0	$263,877	$37,541
RUFFIN BENTON III MD
TRUSTEE END JAN 2019	1.0	0.0	Yes (X)	$0	$0	$0
TORE BORHAUG
TRUSTEE END JAN 2019	1.0	0.0	Yes (X)	$0	$0	$0
ROS BOWERS
SECRETARY/TREASURER END JAN 19	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
CHIP BROWN
TRUSTEE END JAN 2019	1.0	0.0	Yes (X)	$0	$0	$0
DAVID FRANKLIN
TRUSTEE END JAN 2019	1.0	59.0	Yes (X)	$0	$1,321,182	$213,651
KATHY GUYETTE
TRUSTEE END JAN 2019	1.0	59.0	Yes (X)	$0	$665,221	$109,967
JOHN HOLBROOK
TRUSTEE END JAN 2019	1.0	1.0	Yes (X)	$0	$0	$0
MARK LEMEL MD
TRUSTEE END JAN 2019	1.0	40.0	Yes (X)	$0	$0	$0
PAUL MCDOWELL
TRUSTEE END JAN 2019	1.0	59.0	Yes (X)	$0	$885,665	$152,503
CARL MOONEY
TRUSTEE END JAN 2019	1.0	0.0	Yes (X)	$0	$0	$0
PARKER PLATT
TRUSTEE END JAN 2019	1.0	0.0	Yes (X)	$0	$0	$0
FRANK PORTER
VICE CHAIR END JAN 2019	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
KENNETH RACHT
TRUSTEE END JAN 2019	1.0	4.0	Yes (X)	$0	$0	$0
ORA WELLS MD
TRUSTEE END JAN 2019	2.0	0.0	Yes (X)	$0	$0	$0
MICHELE PILON
PRESIDENT/CNO END JAN 2019	48.0	3.0	Yes (X)	$0	$246,825	$23,868	Yes (X)
Dr John Garrett
Chair	0.25	3.75	Yes (X)	$0	$0	$0	Yes (X)
Tom Maher
Vice Chair	0.25	3.75	Yes (X)	$0	$0	$0	Yes (X)
THERESA PARKER
REG DIR FIN END JAN 2019	29.0	1.0		$0	$123,005	$11,034	Yes (X)
NEIL LURIA
CEO, CHIEF WIND-DOWN OFF	0.25	19.75		$0	$0	$0	Yes (X)
MATTHEW RUBIN
CFO, SEC, TREAS	0.25	19.75		$0	$0	$0	Yes (X)
ELIZABETH PELLETIER
ANESTHESIOLOGIST	40.0	0.0		$180,404	$0	$33,825		Yes (X)
RONDA DAVIS
ANESTHESIOLOGIST	40.0	0.0		$173,123	$0	$27,703		Yes (X)
AMBER SMATHERS
ANESTHESIOLOGIST	40.0	0.0		$157,294	$0	$14,332		Yes (X)
JOSEPH ROMESBERG
ANESTHESIOLOGIST	40.0	0.0		$152,381	$0	$21,835		Yes (X)
STEPHEN MONK
ANESTHESIOLOGIST	40.0	0.0		$143,562	$0	$25,858		Yes (X)
MELINA ARROWOOD
FORMER INTERIM CNO END JAN 19	0.0	0.0		$0	$146,024	$853			Yes (X)
REBECCA CARTER
FORMER COO END JAN 2019	0.0	50.0		$0	$276,792	$14,516			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$806,764	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,928,591	TotReportableCompRltdOrgAmt
Total Other Compensation	$687,486	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	16	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Field	Value	IRS element (for citing)
Person	MSS SOLUTIONS LLC	PersonNm

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11524 Wilmar Blvd	AddressLine1Txt
City	CHARLOTTE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28273	ZIPCd

Field	Value	IRS element (for citing)
Services	PROFESSIONAL SRVCS.	ServicesDesc
Compensation	$199,288	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,010,008	RelatedOrganizationsAmt
Total Contributions	$2,010,008	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	900099	$24,455,233	$24,455,233
OTHER PROGRAMS	900099	$1,563,925	$1,563,925
PARTNERSHIP REVENUE	900099	$9,383		$9,383

Field	Value	IRS element (for citing)
Total Program Service Revenue	$26,028,541	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$160,813	TotalRevenueColumnAmt
Exclusion	$160,813	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$40,539,874	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$45,862	SecuritiesAmt
Other	$41,139,898	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$45,862	SecuritiesAmt
Other	-$600,024	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$645,886	TotalRevenueColumnAmt
Exclusion	-$645,886	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,553,476	TotalRevenueColumnAmt
Related Or Exempt Func Income	$26,019,158	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,383	UnrelatedBusinessRevenueAmt
Exclusion	-$485,073	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$178,178	TotalAmt
Program Services	$178,178	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$5,361,450	TotalAmt
Program Services	$3,864,903	ProgramServicesAmt
Management And General	$1,496,547	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$94,144	TotalAmt
Program Services	$67,141	ProgramServicesAmt
Management And General	$27,003	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,116,880	TotalAmt
Program Services	$796,530	ProgramServicesAmt
Management And General	$320,350	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$609,671	TotalAmt
Program Services	$434,802	ProgramServicesAmt
Management And General	$174,869	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$478,145	TotalAmt
Program Services	$372,367	ProgramServicesAmt
Management And General	$105,778	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$133,907	TotalAmt
Management And General	$133,907	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$12,011	TotalAmt
Management And General	$12,011	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$37,197	TotalAmt
Management And General	$37,197	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,248,774	TotalAmt
Program Services	$3,657,300	ProgramServicesAmt
Management And General	$1,591,474	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$18,216	TotalAmt
Management And General	$18,216	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$47,574	TotalAmt
Management And General	$47,574	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$224,310	TotalAmt
Program Services	$134,586	ProgramServicesAmt
Management And General	$89,724	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$454,545	TotalAmt
Program Services	$386,363	ProgramServicesAmt
Management And General	$68,182	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$18,842	TotalAmt
Program Services	$9,776	ProgramServicesAmt
Management And General	$9,066	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$32,706	TotalAmt
Program Services	$27,800	ProgramServicesAmt
Management And General	$4,906	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$929,272	TotalAmt
Program Services	$789,881	ProgramServicesAmt
Management And General	$139,391	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$165,909	TotalAmt
Program Services	$141,023	ProgramServicesAmt
Management And General	$24,886	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHARMACEUTICALS	$1,869,808	$1,869,808
MEDICAL SUPPLIES	$1,595,989	$1,595,989
MAINTENANCE & EQUIPMENT	$321,299	$273,104	$48,195
UNRELATED BUS INC TAX	$20,327	$20,327

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$453,432	TotalAmt
Program Services	$385,417	ProgramServicesAmt
Management And General	$68,015	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,422,586	TotalAmt
Program Services	$15,005,295	ProgramServicesAmt
Management And General	$4,417,291	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,226,760	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$284,036	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,146,761	BOYAmt
EOY	$0	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,781,445	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,271	BOYAmt
EOY	$0	EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$37,624,564	BOYAmt
EOY	$0	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$10,411,335	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,180,872	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$10,497,469	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$19,084,581	BOYAmt
EOY	$54,155	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$104,249,094	BOYAmt
EOY	$54,155	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,412,585	BOYAmt
EOY	$0	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$186,698	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,098,034	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,697,317	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$71,106,958	BOYAmt
EOY	$54,155	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,475,564	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,969,255	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$81,551,777	BOYAmt
EOY	$54,155	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$104,249,094	BOYAmt
EOY	$54,155	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,130,890	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$587,289	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$89,041,223	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,759,925	BeginningYearBalanceAmt
Contributions	$11,397,454	ContributionsAmt
Investment Earnings Or Losses	$1,553,227	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$9,506,909	GrantsOrScholarshipsAmt
Administrative Expenses	$51,906	AdministrativeExpensesAmt
End Year Balance	$13,151,791	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,108,938	BeginningYearBalanceAmt
Contributions	$432,958	ContributionsAmt
Investment Earnings Or Losses	$218,029	InvestmentEarningsOrLossesAmt
End Year Balance	$9,759,925	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,223,306	BeginningYearBalanceAmt
Contributions	$5,888	ContributionsAmt
Investment Earnings Or Losses	$1,179,744	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,300,000	GrantsOrScholarshipsAmt
End Year Balance	$9,108,938	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,359,332	BeginningYearBalanceAmt
Contributions	$167,981	ContributionsAmt
Investment Earnings Or Losses	$810,108	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,114,115	GrantsOrScholarshipsAmt
End Year Balance	$11,223,306	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,390,788	BeginningYearBalanceAmt
Contributions	$11,515	ContributionsAmt
Investment Earnings Or Losses	$569,275	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,612,246	GrantsOrScholarshipsAmt
End Year Balance	$13,359,332	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.72500	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.27500	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd
Land		LandGrp
Buildings		BuildingsGrp
Leasehold Improvements		LeaseholdImprovementsGrp
Equipment		EquipmentGrp
Other Land Buildings		OtherLandBuildingsGrp

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN BLUE RIDGE DME	Desc
Book Value	$54,155	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$54,155	TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	Pisgah health foundation, formerly known as Transylvania regional hospital Foundation, Inc., a related organization, maintains endowments to be used For the hospital's exempt purpose of providing healthcare to its Community. Endowments are maintained to assist with charitable healthcare Funding.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$735,985	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$735,985	NetCommunityBenefitExpnsAmt
Total Expense	0.03790	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,663,410	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,465,911	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$197,499	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,399,395	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,465,911	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$933,484	NetCommunityBenefitExpnsAmt
Total Expense	0.04810	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,399,395	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,465,911	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$933,484	NetCommunityBenefitExpnsAmt
Total Expense	0.04810	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,732,450	BadDebtExpenseAmt
Reimbursed By Medicare	$7,537,536	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$7,282,749	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$254,787	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRANSYLVANIA REGIONAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	260 HOSPITAL DRIVE	AddressLine1Txt
City	BREVARD	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28712	ZIPCd

Field	Value	IRS element (for citing)
Website Address	MISSIONHEALTH.ORG/MEMBER-HOSPITALS/TRA	WebsiteAddressTxt
State License	H0111	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TRANSYLVANIA COMMUNITY HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
TRANSYLVANIA COMMUNITY HOSPITAL, INC.:	PART V, SECTION B, LINE 4: CHNA TAX YEAR THE ORGANIZATIONS LAST CHNA WAS CONDUCTED IN TAX YEAR 2015. IN ACCORDANCE WITH IRC SECTION 501(R)(3)(D)(4), "A HOSPITAL ORGANIZATION IS NOT REQUIRED TO MEET THE REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO A HOSPITAL FACILITY IN A TAXABLE YEAR IF, BEFORE THE END OF THAT TAXABLE YEAR, THE HOSPITAL ORGANIZATION TRANSFERS ALL OWNERSHIP OF THE HOSPITAL FACILITY TO ANOTHER ORGANIZATION OR OTHERWISE CEASES ITS OPERATION OF THE HOSPITAL FACILITY OR THE FACILITY CEASES TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED AS A HOSPITAL BY A STATE." DUE TO THE SALE OF THE HOSPITAL FACILITY DURING THE CURRENT 2018 TAX YEAR, THE ORGANIZATION DID NOT CONDUCT A NEW CHNA. TRANSYLVANIA COMMUNITY HOSPITAL, INC.: PART V, SECTION B, LINE 5: in the collaborative assessment process for Our community, the Transylvania county department of public health is a Key partner. They provided coordination for the local process that we help support and partner to implement. Transylvania regional hospital collaborated with the Transylvania department of public health and other Key community stakeholders to develop a written description of the Activities that hospital facilities, public health agencies, and other Local organizations plan to undertake collectively to address specific Health needs in our community. Community participation: representatives from boys & girls club, Transylvania county ems, Transylvania county board of health, Transylvania public health, Transylvania County planning & economic development, blue ridge community health services, Brevard College, Transylvania county parks & recreation, Transylvania regional Hospital, western Carolina community action, C.A.R.E. coalition, NAACP Health committee, Transylvania county fire marshal, city of Brevard, Transylvania county commissioners, Brevard rotary club, Brevard city council, Transylvania county schools, Transylvania county manager, blue ridge community health services, Brevard/Transylvania chamber of commerce, the haven of Transylvania County, train, vision Transylvania, united Way of Transylvania county, Val smith -Transylvania regional hospital leadership team and Pisgah forest rotary club. Surveys included: 12 community/business leaders, 1 physician, 6 public Health representatives, 2 other health providers and 9 social service Providers.
TRANSYLVANIA COMMUNITY HOSPITAL, INC.:	PART V, SECTION B, LINE 6A: REGIONAL PARTNERSHIP: Transylvania regional 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.
TRANSYLVANIA COMMUNITY HOSPITAL, INC.:	PART V, SECTION B, LINE 6B: Transylvania county department of public Health and the Macon county public health department.
TRANSYLVANIA COMMUNITY HOSPITAL, INC.:	PART V, SECTION B, LINE 7D: HTTPS://MISSIONHEALTH.ORG/OUR-COMMITMENT-TO-YOU/COMMUNITY-INVESTMENT/OUR-C OMMUNITYS-HEALTH-NEEDS/
TRANSYLVANIA COMMUNITY HOSPITAL, INC.:	PART V, SECTION B, LINE 11: the organization's leaders are involved with C.A.R.E. coalition, working with community partners on initiatives to Reduce the misuse/abuse of prescription drugs, nicotine, opioids and Others, as well as harm reduction tools like naloxone and awareness about the impacts of adverse childhood experiences. The organization's emergency department provided more than 20 medication Lockboxes to help patients manage controlled substances and reduced Dispensation of opioids by more than 100,000 pills over the past two Years. Established multi-sector "high utilizer" group to support patients with Frequent usage of emergency department services; utilization for patients Supported by this group decreased from 7.2 patients to 6.7 patients over the past 2 years. Increased referrals to the fresh start program, supporting patients with Mental illness, by 40% since 2013, and provided more than 130 annual hours of meeting time to the local chapter of national alliance for mental illness. The organization's leadership was represented at more than 90% of county Multi-sector crisis provider meetings. The organization's diabetes management connected with local partner, mountainwise, to implement NC diabetes prevention programming and train Two staff members; the organization received CDC diabetes prevention Recognition approval to begin programming. Nearly 400 middle and high school students received sports medicine Treatment from the system's athletic trainers. There are no significant needs identified which are not being addressed.
TRANSYLVANIA COMMUNITY HOSPITAL, INC.:	PART V, SECTION B, LINE 15E: the organization's staff work in Collaboration with the patient and appropriate community health and human services agencies and other organizations that assist people in need of health care services to determine available funding sources. PART V, SECTION B, LINE 10A HTTPS://MISSIONHEALTH.ORG/OUR-COMMITMENT-TO-YOU/COMMUNITY-INVESTMENT/OUR-C OMMUNITYS-HEALTH-NEEDS/ PART V, SECTION B, LINE 16A HTTPS://MISSIONHEALTH.ORG/OUR-COMMITMENT-TO-YOU/COMMUNITY-INVESTMENT/OUR-C OMMUNITYS-HEALTH-NEEDS/ PART V, SECTION B, LINE 16B HTTPS://MISSIONHEALTH.ORG/OUR-COMMITMENT-TO-YOU/COMMUNITY-INVESTMENT/OUR-C OMMUNITYS-HEALTH-NEEDS/ PART V, SECTION B, LINE 16C HTTPS://MISSIONHEALTH.ORG/OUR-COMMITMENT-TO-YOU/COMMUNITY-INVESTMENT/OUR-C OMMUNITYS-HEALTH-NEEDS/

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
TRH OUTPATIENT REHABILITATION
316 CHESTNUT STREET	BREVARD	NC	28712	OUTPATIENT REHAB
TOXAWAY HEALTH CENTER
16825 ROSMAN HWY	LAKE TOXAWAY	NC	28747	PROVIDER-BASED CLINICS
BREVARD FAMILY PRACTICE
187 MEDICAL PARK DR	BREVARD	NC	28712	PROVIDER-BASED CLINICS
MEDICAL ASSOCIATES OF TRH
377 GALLIMORE ROAD	BREVARD	NC	28712	PROVIDER-BASED CLINICS
BREVARD INTERNAL MEDICINE&PULMONOLOGY
159 MEDICAL PARK DR	BREVARD	NC	28712	PROVIDER-BASED CLINICS
THE SLEEP CENTER
159 MEDICAL PARK DR	BREVARD	NC	28712	OUTPATIENT
BREVARD CANCER & INFUSION CENTER
89 HOSPITAL DR	BREVARD	NC	28712	OUTPATIENT
TRANSYLVANIA HOSPITAL IMAGING SERVICE
301 HOSPITAL DRIVE	BREVARD	NC	28712	MEDICAL IMAGING
MISSION PRIMARY CARE - HAYWOOD
360 HOSPITAL DR	CLYDE	NC	28721	PROVIDER-BASED CLINICS
MISSION PAIN MANAGEMENT- TRANSYLVANIA
89 HOSPITAL DR	BREVARD	NC	28712	OUTPATIENT

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE ORGANIZATION USED THE NCHA ANDI REPORTS WHICH ARE BASED ON THE IRS GUIDELINES. 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 AND INDIRECT COSTS.
PART II, COMMUNITY BUILDING ACTIVITIES:	The organization participates in workforce development in the community and state to help advocate the health needs of our area. Through Participation, the hospital guarantees a focused discussion on the health care issues that directly impact Transylvania county.
PART III, LINE 2:	The organization uses a cost to charge ratio to estimate bad debt.
PART III, LINE 3:	The organization uses historical percentage to estimate bad debt Attributable to patients eligible under the financial assistance policy.
PART III, LINE 8:	Per the instructions, the Medicare cost report is the basis for Calculating the costs using costs related to the revenue reported.
PART III, LINE 9B:	Patients who qualify for financial assistance and other charity care are Notified using the process described in the education of patients' Eligibility in part vi, on line 3. the health system'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 VI, LINE 2:	Transylvania county was home to approximately 33,090 residents in 2010, With a median age of 49, which is several years older than the state average of 37.9. Its population growth is expected to slow through 2020, but the percent of senior adults in the county is expected to continue to rise. Transylvania county has higher a proportion of whites (92.4%) than the region or state and lower proportions of all racial and ethnic minority groups. Only 0.8% of households have limited skill in speaking English. About 19% of households had children under age 18, and 69% of these were headed by a married couple. (us census bureau). WNC healthy impact is a partnership and coordinated process between Hospitals and health departments in western North Carolina to improve Community health. As part of a larger, and continuous, community health Improvement process, these partners are collaborating to conduct community health (needs) assessments across western North Carolina Www.wnchealthyimpact.com. Transylvania regional hospital is also involved in this regional/local vision and collaboration. Participating counties include: buncombe, Cherokee, clay, graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, swain, Transylvania and Yancey. The data reviewed as part of our community's health needs assessment came from the WNC healthy impact regional core set of data. WNC healthy Impact's core regional dataset includes secondary (existing) and primary (newly collected) data compiled to reflect a comprehensive look at health. The following data set elements and collection are supported by WNC Healthy impact data consulting team, a survey vendor, and partner data Needs and input: - a comprehensive set of publically available secondary data metrics with our target population compared to the other WNC regions as "peer" - set of maps accessed from community commons and NC center for health Statistics - telephone survey of a random sample of adults in the county - email survey of community leaders and other key informants See Transylvania county http://transylvaniahealth.org/wp-content/uploads/2019/04/2018-Transylvania -County-CHA-1.pdf for more details on the regional data. Cha team members invited the members of several organizations to share Their thoughts about health concerns in Transylvania county. The CHA team also advertised for a public meeting in the local paper and used this open public session to discuss health issues, identified opportunities, and Challenges the community might face. Feedback from these groups was used to inform data collection and analysis. In addition, reports from the local preschool task force and the C.A.R.E. coalition were used as data sources in this process.
PART VI, LINE 3:	The organization places signage for its patient financial assistance Policies in patient areas in the hospital, in the patient accounting Office, and the patient registration area. At the point of registration And pre-registration, patients are notified of the patient financial Assistance policy. In the patient accounting office, the available Financial assistance programs are verbally communicated by financial Counselors to patients who might be eligible. Billing statements are Printed with invitations to seek patient financial assistance through the patient accounting office. The patient financial assistance policy also resides on the health system's website: Https://missionhealth.org/patients-visitors/financial-assistance/
PART VI, LINE 4:	The primary service area for the organization is Transylvania county, North Carolina, with a resident population of 33,956 including Gloucester township in the upper end of the county, which is federally designated as a medically underserved area. Nearly 16.6% of Transylvania county's total resident population have a household income below the federal poverty level. Transylvania regional hospital is the only local hospital serving this primary service area. Transylvania regional hospital's secondary coverage area includes Additional residents in southern Jackson county, North Carolina, including the medically underserved area of cashiers township, as well as western Henderson county, NC which has a federally designated medically Underserved population of low income, migrant farm workers. Besides Transylvania regional hospital, three additional community Hospitals provide some coverage to these residents in the secondary Coverage area; however, Transylvania regional hospital is in many cases The closest, most readily accessible provider of care for many of these Residents.
PART VI, LINE 5:	As a not-for-profit hospital, the organization is committed to giving back to the community to help those who are uninsured or underinsured as well as providing health education and benefits for the wellbeing of the Entire community. Fiscal year 2017 was a challenging year for our Community as we experienced the lingering effects of a depressed economy. This has left many in our community without health insurance and Struggling to make ends meet. Despite challenging financial times for the Hospital, the organization continued to generously help those in need.
PART VI, LINE 6:	ANC HEALTHCARE, INC. (FKA MISSION HEALTH SYSTEM) IS THE PARENT ORGANIZATION FOR THE CHARITABLE ORGANIZATIONS OF MISSION HOSPITAL, INC.; MISSION HEALTH SYSTEM FOUNDATION, INC.; ANC MISSION MEDICAL ASSOCIATES, INC; ANC BLUE RIDGE HOSPITAL, INC.; ANC MCDOWELL HOSPITAL, INC.; ANC ANGEL MEDICAL CENTER,INC.; ANC TRANSYLVANIA COMMUNITY HOSPITAL, INC.; ANC HIGHLANDS-CASHIERS HOSPITAL, INC. AND MOUNTAIN CARE, INC. (FKA COMMUNITY CAREPARTNERS, INC.) THE SYSTEM'S MISSION IS TO OPERATE AN INTEGRATED HEALTH CARE SYSTEM FOR THE BENEFIT OF THE RESIDENTS OF WESTERN NORTH CAROLINA. 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. ANC 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. ANC BLUE RIDGE HOSPITAL SERVES AS A COMMUNITY HOSPITAL IN MITCHELL, YANCEY AND SURROUNDING COUNTIES. ANC MCDOWELL HOSPITAL SERVES AS A COMMUNITY HOSPITAL IN MCDOWELL AND THE SURROUNDING COUNTIES. MISSION HEALTH SYSTEM FOUNDATION, INC. SUPPORTS THE MISSION AND PROGRAMS OF MISSION HOSPITAL, INC. AND ANC HEALTHCARE, INC. (MISSION HEALTH SYSTEM, INC.) AND 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. ANC ANGEL MEDICAL CENTER, INC. SERVES AS A COMMUNITY HOSPITAL IN MACON AND SURROUNDING COUNTIES. ANC TRANSYLVANIA COMMUNITY HOSPITAL, INC. SERVES AS A COMMUNITY HOSPITAL IN TRANSYLVANIA AND SURROUNDING COUNTIES. ANC HIGHLANDS-CASHIERS HOSPITAL, INC. SERVES AS A COMMUNITY HOSPITAL FOR JACKSON AND MACON AND SURROUNDING COUNTIES. MOUNTAINCARE, INC. OPERATES AN INPATIENT FACILITY FOR ACUTE REHABILITATION LOCATED IN ASHEVILLE, NORTH CAROLINA, AND PROVIDES A WIDE VARIETY OF POST-ACUTE CARE SERVICES TO RESIDENTS OF WESTERN NORTH CAROLINA, INCLUDING REHABILITATION, HOME HEALTH, ADULT CARE, AND HOSPICE AND PALLIATIVE CARE. MSJHS AND CCP JOINT DEVELOPMENT COMPANY DBA ASHEVILLE SPECIALTY HOSPITAL OPERATES AN INPATIENT FACILITY FOR LONG-TERM ACUTE CARE.
PART VI, LINE 7, List of States Receiving Community Benefit Report:	NC

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Pisgah Foundation	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	153 W Jordan Street	AddressLine1Txt
City	Brevard	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28712	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	561458024	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$173,846	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	OPERATIONAL SUPPORT.	PurposeOfGrantTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV NARRATIVE	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS BY DISBURSING ONLY THE AMOUNTS AUTHORIZED AND PAID FOR FUNDRAISING BY THE DEPARTMENT OF PHILANTHROPY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRIAN BARROW MD
CHIEF OF STAFF END JAN 2019	$0	$219,236	$0	$33,450	$0	$11,191	$0	$11,923	$0	$25,618	$0	$301,418	$0	$0
DAVID FRANKLIN
TRUSTEE END JAN 2019	$0	$782,421	$0	$530,538	$0	$8,223	$0	$200,933	$0	$12,718	$0	$1,534,833	$0	$0
KATHY GUYETTE
TRUSTEE END JAN 2019	$0	$406,499	$0	$157,955	$0	$100,767	$0	$101,276	$0	$8,691	$0	$775,188	$0	$93,564
PAUL MCDOWELL
TRUSTEE END JAN 2019	$0	$496,701	$0	$317,479	$0	$71,485	$0	$125,750	$0	$26,753	$0	$1,038,168	$0	$68,245
MICHELE PILON
PRESIDENT/CNO END JAN 2019	$0	$194,673	$0	$50,235	$0	$1,917	$0	$5,987	$0	$17,881	$0	$270,693	$0	$0
MELINA ARROWOOD
FORMER INTERIM CNO END JAN 19	$0	$123,993	$0	$21,120	$0	$911	$0	$0	$0	$853	$0	$146,877	$0	$0
REBECCA CARTER
FORMER COO END JAN 2019	$0	$201,533	$0	$51,461	$0	$23,798	$0	$6,133	$0	$8,383	$0	$291,308	$0	$0
ELIZABETH PELLETIER
ANESTHESIOLOGIST	$172,868	$0	$2,018	$0	$5,518	$0	$5,539	$0	$28,286	$0	$214,229	$0	$0	$0
RONDA DAVIS
ANESTHESIOLOGIST	$160,400	$0	$1,857	$0	$10,866	$0	$5,025	$0	$22,678	$0	$200,826	$0	$0	$0
AMBER SMATHERS
ANESTHESIOLOGIST	$148,720	$0	$1,629	$0	$6,945	$0	$4,618	$0	$9,714	$0	$171,626	$0	$0	$0
JOSEPH ROMESBERG
ANESTHESIOLOGIST	$124,258	$0	$0	$0	$28,123	$0	$3,889	$0	$17,946	$0	$174,216	$0	$0	$0
STEPHEN MONK
ANESTHESIOLOGIST	$123,670	$0	$0	$0	$19,892	$0	$3,900	$0	$21,958	$0	$169,420	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3:

Compensation for officers and executives are set by ANC HEALTHCARE, INC. See schedule o for additional detail.

PART I, LINE 4B:

Persons who participated in a supplemental non-qualified retirement plan Are listed below. The contributions to the supplemental non-qualified Retirement plan are included on schedule j, part ii, column c as part of Deferred compensation. David franklin $ 192,683 Paul McDowell $ 112,000 KATHY GUYETTE $ 84,776 Persons who received a payment from a supplemental nonqualified retirement plan are listed below. The payments are included on schedule j, part ii, Column b(iii). Kathy Guyette $ 93,564 Paul McDowell $ 68,245

Schedule N IRS990ScheduleN

Field	Value	IRS element (for citing)
Liquidation Of Assets Table		LiquidationOfAssetsTableGrp

Disposition Of Assets Detail DispositionOfAssetsDetail (8 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc	DistributionDistributionDt	Fair Market Value Of AssetFairMarketValueOfAssetAmt	Method Of FMV DeterminationMethodOfFMVDeterminationTxt	EINEIN	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	IRC SectionIRCSectionTxt
MH MASTER HOLDINGS LLLP
Cash	2019-02-01	$26,927	CASH BASIS	384091276	PO BOX 570	NASHVILLE	TN	37202	LLLP
MH MASTER HOLDINGS LLLP
Accounts Receivable	2019-02-01	$9,917,486	SALE VALUATION	384091276	PO BOX 570	NASHVILLE	TN	37202	LLLP
MH MASTER HOLDINGS LLLP
Inventory	2019-02-01	$1,824,455	SALE VALUATION	384091276	PO BOX 570 NASHVILLE	NASHVILLE	TN	37202	LLLP
MH MASTER HOLDINGS LLLP
Property Plant and Equipment	2019-02-01	$40,534,471	SALE VALUATION	384091276	PO BOX 570	NASHVILLE	TN	37202	LLLP
ANC Healthcare Inc
Cash	2019-02-01	$498	Book Value	581450888	425 W New England Ave Ste 300	Winter Park	FL	32789	501(c)(3)
ANC Healthcare Inc
Accounts Receivable	2019-02-01	$640,049	Book Value	581450888	425 W New England Ave Ste 300	Winter Park	FL	32789	501(c)(3)
ANC Healthcare Inc
Intercompany Accounts Receivable	2019-02-01	$19,249,244	Book Value	581450888	425 W New England Ave Ste 300	Winter Park	FL	32789	501(C)(3)
ANC Healthcare Inc
INVESTMENT	2019-02-01	$16,366,811	Book Value	581450888	425 W New England Ave Ste 300	Winter Park	FL	32789	501(C)(3)

Field	Value	IRS element (for citing)
Director Of Successor2	false	DirectorOfSuccessor2Ind
Employee Of Successor2	Yes (true)	EmployeeOfSuccessor2Ind
Owner Of Successor2	false	OwnerOfSuccessor2Ind
Receive Compensation2	false	ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE N, PART II, LINE 1

BOARD RESOLUTION FOR SALE OF ENTITY: THE ENTITY'S OPERATIONS CEASED DUE TO SALE OF ITS ASSETS ON 2/1/19. THE ENTITY IS IN PROCESS OF WINDING DOWN FOR EVENTUAL TERMINATION. SEE ATTACHED FOR A COPY OF BOARD RESOLUTION FOR SALE OF ENTITY. ASSUMPTION OF LIABILITIES: AS A PART OF THE SALE, MH MASTER HOLDINGS, LLLP ALSO TOOK OVER THE WORKING CAPITAL LIABILITIES AMOUNTING TO $2,145,776 As a part of the transfer, ANC Healthcare, Inc. took over the following liabilities; Accounts Payable of $173,833, Intercompany account payable of $1,977,959, and working capital liabilities of $7,631,465.

SCHEDULE N, PART II, LINE 2B

SUCCESSOR ORGANIZATION EMPLOYEES: THE FOLLOWING DIRECTORS AND OFFICERS BECAME EMPLOYEES OF A COMPANY THAT IS RELATED TO MH MASTER HOLDINGS, LLLP, THE ENTITY WHICH PURCHASED THE ASSETS: BRIAN BARROW, MD DAVID FRANKLIN KATHY GUYETTE MICHELE PILON PAUL MCDOWELL THERESA PARKER NONE ARE DIRECTORS OR OFFICERS OF THE SUCCESSOR COMPANY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3:	THE ENTITY'S OPERATIONS CEASED DUE TO SALE OF ITS ASSETS ON 2/1/19. THE ENTITY IS IN PROCESS OF WINDING DOWN FOR EVENTUAL TERMINATION. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: AS A NOT-FOR-PROFIT HOSPITAL, THE ORGANIZATION IS COMMITTED TO GIVING BACK TO THE COMMUNITY HELPING THOSE WHO ARE UNINSURED OR UNDERINSURED AS WELL AS PROVIDING HEALTH EDUCATION AND BENEFITS FOR THE WELL BEING OF THE ENTIRE COMMUNITY. -THE ORGANIZATION OFFERS FREE OR LOW-COST EDUCATIONAL PROGRAMS FOR THE COMMUNITY EACH MONTH. PROGRAMS FEATURE TIMELY HEALTH TOPICS, AND ARE PRESENTED BY PHYSICIANS, NURSES, NURSE EDUCATORS, DIETITIANS AND OTHER CLINICAL PROFESSIONALS. -THE ORGANIZATION OFFERS HEALTHCARE SERVICES THAT ARE NEEDED BY THIS COMMUNITY, REGARDLESS OF WHETHER OR NOT A MARGIN IS ACHIEVED BY PROVIDING CARE. EXAMPLES INCLUDE: EMERGENCY SERVICES AND BIRTHING CENTER. -THE ORGANIZATION CONTINUED A CARE MANAGEMENT PROGRAM FOR COPD PATIENTS IN OUR COMMUNITY SUPPORTED BY GRANT FUNDING. -THE ORGANIZATION ALONG WITH THE TRANSYLVANIA COUNTY HEALTH DEPARTMENT, THE FREE CLINIC AND OTHERS-WORKED COLLABORATIVELY TO BRINGN A BLUE RIDGE COMMUNITY HEALTH SERVICES CLINIC TO OUR LOCAL COMMUNITY. THE BREVARD HEALTH CENTER WAS OPENED TO INCREASE ACCESS TO AFFORDABLE, COMPREHENSIVE HEALTH SERVICES IN TRANSYLVANIA COUNTY. THIS FEDERAL HEALTH CENTER OFFERS A FULL SPECTRUM OF HEALTH SERVICES TO RESIDENTS, INCLUDING PRIMARY CARE FOR ADULTS AND CHILDREN, DENTAL SERVICES, MEDICATION ASSISTANCE AND BEHAVIORAL HEALTH.ASSISTANCE AND BEHAVIORAL HEALTH. ASSISTANCE AND BEHAVIORAL HEALTH.ASSISTANCE AND BEHAVIORAL HEALTH. FORM 990, PART IV, LINE 20B: THE ORGANIZATION DID NOT HAVE AN AUDIT PERFORMED FOR THE FILING PERIOD SINCE ITS OPERATIONS CEASED DUE TO SALE OF ITS ASSETS ON 2/1/2019. A COPY OF THE MOST RECENT AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE PERIOD ENDED SEPTEMBER 30, 2018 IS ATTACHED TO THIS RETURN. FORM 990, PART V, LINE 1A THE ORGANIZATION'S PAYMENTS WHICH WOULD OTHERWISE BE REPORTED ON FORMS 1099 ARE PAID AND REPORTED TO THE IRS ON FORM 1096 BY THE ORGANIZATION'S PARENT ORGANIZATION ANC HEALTHCARE, INC., HOWEVER THE EXPENSES RELATED TO THOSE PAYMENTS ARE RECORDED ON THE FINANCIAL ACTIVITY OF THE ORGANIZATION TO WHICH THEY RELATE. THEREFORE, THERE ARE PROFESSIONAL SERVICES REPORTED ON PART IX, BUT NO 1099'S FILED BY THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 4:	Transylvania community hospital, Inc. Changed its name to ANC Transylvania Community hospital, Inc. During calendar year 2019. The filing organization will hereby be referred to as "the organization" throughout the return unless otherwise indicated by its old name Transylvania community hospital, Inc. THE ORGANIZATION AMENDED ITS BYLAWS EFFECTIVE FEBRUARY 1, 2019 TO UPDATE THE NUMBER OF BOARD MEMBERS TO TWO (2), UPDATED THE OFFICERS OF THE CORPORATION AND MADE OTHER UPDATES CONSISTENT WITH THE SALE OF ASSETS AND WIND-DOWN OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6:	The organization formerly known as Transylvania community hospital, Inc. is a membership corporation, of which the sole member (the "member") is ANC Healthcare (FKA Mission Health System).
FORM 990, PART VI, SECTION A, LINE 7A:	EFFECTIVE FEBRUARY 1, 2019: THE CORPORATION SHALL HAVE ONLY ONE (1) MEMBER, WHICH SHALL BE ANC HEALTHCARE, INC. (THE "PARENT"), AN ORGANIZATION WHICH IS EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND ITS SUCCESSORS AND ASSIGNS. ANY DIRECTOR MAY BE REMOVED, EITHER FOR OR WITHOUT CAUSE, BY THE PARENT BOARD. ANY POSITION OF ANY DIRECTOR THAT HAS BEEN REMOVED AS PROVIDED IN THIS SECTION 4.3 SHALL BE FILLED BY THE PARENT BOARD.
FORM 990, PART VI, SECTION A, LINE 7B:	EFFECTIVE FEBRUARY 1, 2019: THE BOARD OF DIRECTORS SHALL NOT TAKE OR AGREE TO TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT THE PRIOR WRITTEN CONSENT OF THE PARENT BOARD, WHICH CONSENT MAY BE WITHHELD, CONDITIONED OR DELAYED IN THE ABSOLUTE DISCRETION OF THE PARENT BOARD: (I) ISSUE, SELL (OR OTHER DISPOSITION), SPLIT, COMBINE OR RECLASSIFY ANY SHARES OF THE CAPITAL STOCK (OR EQUIVALENT EQUITY INTERESTS) OF THE CORPORATION, GRANT OF ANY OPTIONS, WARRANTS OR OTHER RIGHTS TO PURCHASE OR OBTAIN (INCLUDING UPON CONVERSION, EXCHANGE OR EXERCISE) ANY CAPITAL STOCK (OR OTHER EQUITY INTERESTS), OR DECLARATION OR PAYMENT OF ANY DIVIDENDS OR DISTRIBUTIONS ON OR IN RESPECT OF ANY CAPITAL STOCK (OR OTHER EQUITY INTERESTS) OR REDEMPTION, PURCHASE OR ACQUISITION OF ANY CAPITAL STOCK (OR OTHER EQUITY INTERESTS); (II) MATERIALLY CHANGE IN ANY METHOD OF ACCOUNTING OR ACCOUNTING PRACTICE OF THE CORPORATION OR ITS CASH MANAGEMENT PRACTICES OR POLICIES, PRACTICES, EXCEPT AS REQUIRED BY THE U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES; (III) TRANSFER, ASSIGN, SELL OR OTHERWISE DISPOSE OF ANY OF THE ASSETS OF THE CORPORATION OUTSIDE OF THE ORDINARY COURSE OF BUSINESS; (IV) TRANSFER, ASSIGN OR GRANT OF ANY LICENSE OR SUBLICENSE OF ANY MATERIAL RIGHTS UNDER OR WITH RESPECT TO ANY INTELLECTUAL PROPERTY OF THE CORPORATION; (V) MATERIALLY DAMAGE, DESTROY OR LOSE THE PROPERTY OR ASSETS OF THE CORPORATION; (VI) INVEST IN ANY MATERIAL CAPITAL EXPENDITURES OR LOAN (OR FORGIVE ANY LOAN) TO ANY PERSON OR ENTITY; (VII) ACCELERATE, TERMINATE, MATERIALLY MODIFY OR CANCEL ANY MATERIAL CONTRACT OR AGREEMENT TO WHICH THE CORPORATION IS A PARTY OR OTHERWISE BOUND; (VIII) (I) GRANT OF ANY BONUSES, WHETHER MONETARY OR OTHERWISE, OR INCREASE IN ANY WAGES, SALARY, SEVERANCE, PENSION OR OTHER COMPENSATION OR BENEFITS IN RESPECT OF CURRENT OR FORMER EMPLOYEES, OFFICERS, DIRECTORS, INDEPENDENT CONTRACTORS OR CONSULTANTS, EXCEPT AS MAY BE REQUIRED BY APPLICABLE LAWS (II) MATERIALLY CHANGE THE TERMS OF EMPLOYMENT FOR ANY EMPLOYEE OR ANY TERMINATION OF ANY EMPLOYEES, OR (III) ACCELERATE THE VESTING OR PAYMENT OF ANY COMPENSATION OR BENEFIT FOR ANY CURRENT OR FORMER EMPLOYEE, OFFICER, DIRECTOR, INDEPENDENT CONTRACTOR OR CONSULTANT; (IX) ENTER INTO A NEW LINE OF BUSINESS MATERIALLY DIFFERENT FROM THE BUSINESS OF THE CORPORATION, OR ABANDON OR DISCONTINUE LINES OF BUSINESS; (X) ADOPT ANY PLAN OF MERGER, DIVISION, CONSOLIDATION, REORGANIZATION, LIQUIDATION OR DISSOLUTION OR FILE OF A PETITION IN BANKRUPTCY UNDER ANY PROVISIONS OF FEDERAL OR STATE BANKRUPTCY LAW OR CONSENT TO THE FILING OF ANY BANKRUPTCY PETITION AGAINST IT UNDER ANY SIMILAR LAW; (XI) ENTER INTO OR AGREE TO ENTER INTO AN ACQUISITION BY MERGER OR CONSOLIDATION WITH, OR BY PURCHASE OF A SUBSTANTIAL PORTION OF THE ASSETS OR STOCK OF, OR BYANY OTHER MANNER, ANY BUSINESS OR ANY PERSON, OR ENTITY OR ANY DIVISION THEREOF; PURCHASE, LEASE OR OTHERWISE ACQUIRE THE RIGHT TO OWN, USE OR LEASE ANY PROPERTY OR ASSETS FOR AN AMOUNT IN EXCESS OF $20,000, INDIVIDUALLY (IN THE CASE OF A LEASE, PER ANNUM) OR $50,000 IN THE AGGREGATE (IN THE CASE OF A LEASE, FOR THE ENTIRE TERM OF THE LEASE, NOT INCLUDING ANY OPTION TERM), EXCEPT FOR PURCHASES OF INVENTORY OR SUPPLIES IN THE ORDINARY COURSE OF BUSINESS; CHANGE OR RESCIND ANY TAX ELECTION, AMEND ANY MATERIAL TAX RETURN OR TAKE ANY POSITION ON ANY MATERIAL TAX RETURN; OR ENTER INTO A CONTRACT OR AGREEMENT TO DO ANY OF THE FOREGOING, OR TAKE ANY ACTION OR OMIT TO TAKE ANY ACTION THAT WOULD RESULT IN ANY OF THE FOREGOING.
FORM 990, PART VI, SECTION B, LINE 11B:	The form 990 is PREPARED 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 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 member is recused from discussion and a vote on the conflicting matter, and may be excused. The policy is adhered to during meetings in executive session for CEO evaluation and compensation discussion, audit planning, and other times as required.
FORM 990, PART VI, SECTION B, LINE 15:	The organization does not compensate its CEO, officers, or key employees. a Related 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 the 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:	Photocopies of recent filings of the form 990 are available upon request at the organization's administrative office. Photocopies of the organization's governing documents and conflict of interest policy are available upon request at the organization's administrative office.
FORM 990, PART XI, LINE 9:	TRANSFER OF NET ASSETS TO THE SOLE MEMBER, ANC HEALTHCARE, INC. (SALE PROCEEDS, CASH, RECEIVABLES, LIABILITIES, AND OTHER ASSETS), AND OTHER ADJUSTMENTS TO THE BALANCE SHEET AND NET ASSETS AS A RESULT OF THE SALE: ($89,041,223).
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR - MEDICAL TOTAL FEES:2653359
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1184880
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR - ADMIN. TOTAL FEES:622969
FORM 990 PART IX LINE 11G	DESCRIPTION:FEES TOTAL FEES:471088
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER EXPENSES TOTAL FEES:316478

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	TRANSYLVANIA HOSPITAL IMAGING SERVICES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	260 HOSPITAL DRIVE	AddressLine1Txt
City	BREVARD	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28712	ZIPCd

Field	Value	IRS element (for citing)
Primary Activities	MED IMAGING	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	TCH INC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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	false
MISSION HOSPITAL INC
425 W NEW ENGLAND AVE NO 300	WINTER PARK	FL	32789	560532141	HOSPITAL	NC	501(C)(3)	LINE 3	ANC INC	false
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	false
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	false
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	false
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	false
AMY WELLNESS FOUNDATION INC
31 CROSS STREET STE 266	SPRUCE PINE	NC	28777	582172660	FOUNDATION	NC	501(C)(3)	LINE 12A, I	BRH INC	false
PISGAH HEALTH FOUNDATION
153 WEST JORDAN STREET	BREVARD	NC	28712	561458024	FOUNDATION	NC	501(C)(3)	LINE 12A, I	TCH INC	Yes (true)
ANC TRANSYLVANIA PHYSICIAN SERVICES INC
425 W NEW ENGLAND AVE NO 300	WINTER PARK	FL	32789	561920816	PHYSICIAN SER	NC	501(C)(3)	LINE 3	TCH INC	Yes (true)
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	false
ANGEL MEDICAL CENTER AUXILIARY INC
PO BOX 1209	FRANKLIN	NC	28744	562133719	SUPPORTING	NC	501(C)(3)	LINE 12A, I	AMC INC	false
MOUNTAINCARE INC
68 SWEETEN CREEK ROAD	ASHEVILLE	NC	28803	562005198	ADULT DAYCARE	NC	501(C)(3)	LINE 10	ANC INC	false
GATEWAY WELLNESS FOUNDATION
135 SOUTH MAIN STREET	MARION	NC	28752	463395393	FOUNDATION	NC	501(C)(3)	LINE 7	TMH INC	false
ANC HEALTHCARE INC
425 W NEW ENGLAND AVE NO 300	WINTER PARK	FL	32789	581450888	SUPPORTING	NC	501(C)(3)	LINE 12A, I	NA	false
HIGHLANDS-CASHIERS PHYSICIAN SERVICES
425 W NEW ENGLAND AVE NO 300	WINTER PARK	FL	32789	452422428	PHYSICIAN SER	NC	501(C)(3)	LINE 12A, I	HCH INC	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
ASHEVILLE IMAGING LLP
534 BILTMORE AVENUE	ASHEVILLE	NC	28801	561907201	DISCONTINED OPRTN	NC	NA	N/A	$0	$0	false	false
ASHEVILLE MRI
PO BOX 2959	ASHEVILLE	NC	28802	561665863	DISCONTINED OPRTN	NC	NA	N/A	$0	$0	false	false
BLUE RIDGE DME LLC
425 W NEW ENGLAND AVENUE NO 300	WINTER PARK	FL	32789	263570174	EQUIPMENT SALES	NC	NA	N/A	$0	$0	false	false
BLUE RIDGE-TKC LLC
5935 CARNEGIE BLVD	CHARLOTTE	NC	28209	471382912	REAL ESTATE RENT	NC	NA	N/A	$0	$0	false	false
HEALTHCARE III LIMITED PARTNERSHIP
425 W NEW ENGLAND AVENUE NO 300	WINTER PARK	FL	32789	561599596	RENTAL	NC	NA	N/A	$0	$0	false	false
HEALTHCARE LIMITED LIABILITY COMPANY VII
425 W NEW ENGLAND AVENUE NO 300	WINTER PARK	FL	32789	200343455	RENTAL	NC	NA	N/A	$0	$0	false	false
IMAGING REALTY LLP
534 BILTMORE AVENUE	ASHEVILLE	NC	28801	561907203	MEDICAL BUILDING	NC	NA	N/A	$0		false	false
MSJHS & CCP JOINT DEVELOPMENT CO INC
425 W NEW ENGLAND AVENUE NO 300	WINTER PARK	FL	32789	562250464	LT ACUTE CARE	NC	NA	N/A	$0	$0	false	false
SPRUCE PINE HEALTHCARE LLC
5935 CARNEGIE BLVD	CHARLOTTE	NC	28209	471390107	REAL ESTATE	NC	NA	N/A	$0	$0	false	false
TRANSYLVANIA HEALTHCARE II LP
2 MEDICAL PARK DRIVE	BREVARD	NC	28712	200333230	RENTAL	NC	NA	N/A	$0	$0	false	false
WESTERN NC HEALTHCARE INNOVATORS LLC
5935 CARNEGIE BLVD	CHARLOTTE	NC	28209	800787882	REAL ESTATE RENT	NC	NA	N/A	$0	$0	false	false
WNC STONE CENTER
509 BILTMORE AVENUE	ASHEVILLE	NC	28801	272152974	LITHOTRIPTER RENT	NC	NA	N/A	$0	$0	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
DOGWOOD INSURANCE COMPANY LTD
PO BOX 3060 GRAND CAYMAN	CJ	CAPTIVE INSURAN	CJ	NA	C CORP	$0	$0	false
TRANSYLVANIA SERVICES INC
		REAL ESTATE		NA	C CORP	-$3,818,516	$0	false	260 HOSPITAL DRIVE	BREVARD	NC	28712	561448199	NC
MISSION HEALTH PARTNERS INC
		CLINICALLY INTEGR		NA	C CORP	$0	$0	false	509 BILTMORE AVENUE	ASHEVILLE	NC	28801	465566095	NC
HEALTHY STATE INC
		ADMINISTRATIVE		NA	C CORP	$0	$0	false	509 BILTMORE AVENUE	ASHEVILLE	NC	28801	812108613	NC
AVENU HEALTH INC
		HEALTH CARE CLINI		NA	C CORP	$0	$0	false	509 BILTMORE AVENUE	ASHEVILLE	NC	28801	823337055	NC

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PISGAH FOUNDATION
c	$2,010,008	FMV
PISGAH FOUNDATION
B	$173,846	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	ADDRESSES LISTED ON SCHEDULE R:	FormAndLineReferenceDesc
Explanation	THE ADDRESSES LISTED ON SCHEDULE R REFLECT THE MOST CURRENT MAILING ADDRESS FOR EACH ENTITY, WHICH MAY REFLECT ADDRESSES IN FLORIDA OR TENNESSEE. ALL PHYSICAL LOCATIONS ARE LOCATED IN THE WESTERN MOUNTAIN AREA OF NORTH CAROLINA.	ExplanationTxt