2020-08-21T10:03:19-05:00 2019-09-30 Grant Thornton LLP 201 S COLLEGE ST STE 2500 CHARLOTTE NC 28244 990 2018-10-01 560562293 ANC Transylvania Community Hospital Inc % ANC HEALTHCARE INC ANCT 8475832804 425 W NEW ENGLAND AVENUE Suite 300 WINTER PARK FL 32789 MATTHEW RUBIN CFO 8475832804 2020-08-17 true MICHELE N MELCHIOR P00488037 7046323500 173.73.247.211 56917520202305000007 2020-08-17 P 4058B3EA21EAEE5489C0AD01C05EAEFC49CCB078 E47F0F1E0499134EA3825B7EA2931573971158C4 2018 2020-11-19 02:30:22Z MATTHEW RUBIN 425 W NEW ENGLAND AVENUE300 WINTER PARK FL 32789 68739236 false X N/A X 1933 NC TO IMPROVE THE HEALTH OF THE PEOPLE OF WESTERN NORTH CAROLINA AND THE SURROUNDING REGION. X 2 2 487 2 9383 8469 1088348 2010008 65791592 26028541 403017 -485073 0 0 67282957 27553476 507812 178178 0 0 25742787 7182145 0 0 0 33641952 12062263 59892551 19422586 7390406 8130890 104249094 54155 22697317 0 81551777 54155 X 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. false true 15005295 178178 26019158 SEE SCHEDULE O 15005295 true true false false false false false false false true false false false true false false false false false false false false false false false false true true true false true false false false false false false false false false false false true true true true true false false true X 0 0 487 true true true false false false false false false false false false false false X 2 2 false false true false true true true true true false false false true true true true true false false false NC X ANC HEALTHCARE INC 8475832804 425 NEW ENGLAND AVE STE 300 WINTER PARK FL 32789 DANA CHRISTIANSON MD PAST CHAIR END JAN 2019 1.0 0.0 X 0 0 0 JAMES CRUICKSHANK CHAIR END JAN 2019 4.0 0.0 X X 0 0 0 BRIAN BARROW MD CHIEF OF STAFF END JAN 2019 1.0 40.0 X 0 263877 37541 RUFFIN BENTON III MD TRUSTEE END JAN 2019 1.0 0.0 X 0 0 0 TORE BORHAUG TRUSTEE END JAN 2019 1.0 0.0 X 0 0 0 ROS BOWERS SECRETARY/TREASURER END JAN 19 2.0 0.0 X X 0 0 0 CHIP BROWN TRUSTEE END JAN 2019 1.0 0.0 X 0 0 0 DAVID FRANKLIN TRUSTEE END JAN 2019 1.0 59.0 X 0 1321182 213651 KATHY GUYETTE TRUSTEE END JAN 2019 1.0 59.0 X 0 665221 109967 JOHN HOLBROOK TRUSTEE END JAN 2019 1.0 1.0 X 0 0 0 MARK LEMEL MD TRUSTEE END JAN 2019 1.0 40.0 X 0 0 0 PAUL MCDOWELL TRUSTEE END JAN 2019 1.0 59.0 X 0 885665 152503 CARL MOONEY TRUSTEE END JAN 2019 1.0 0.0 X 0 0 0 PARKER PLATT TRUSTEE END JAN 2019 1.0 0.0 X 0 0 0 FRANK PORTER VICE CHAIR END JAN 2019 2.0 0.0 X X 0 0 0 KENNETH RACHT TRUSTEE END JAN 2019 1.0 4.0 X 0 0 0 ORA WELLS MD TRUSTEE END JAN 2019 2.0 0.0 X 0 0 0 MICHELE PILON PRESIDENT/CNO END JAN 2019 48.0 3.0 X X 0 246825 23868 Dr John Garrett Chair 0.25 3.75 X X 0 0 0 Tom Maher Vice Chair 0.25 3.75 X X 0 0 0 THERESA PARKER REG DIR FIN END JAN 2019 29.0 1.0 X 0 123005 11034 NEIL LURIA CEO, CHIEF WIND-DOWN OFF 0.25 19.75 X 0 0 0 MATTHEW RUBIN CFO, SEC, TREAS 0.25 19.75 X 0 0 0 ELIZABETH PELLETIER ANESTHESIOLOGIST 40.0 0.0 X 180404 0 33825 RONDA DAVIS ANESTHESIOLOGIST 40.0 0.0 X 173123 0 27703 AMBER SMATHERS ANESTHESIOLOGIST 40.0 0.0 X 157294 0 14332 JOSEPH ROMESBERG ANESTHESIOLOGIST 40.0 0.0 X 152381 0 21835 STEPHEN MONK ANESTHESIOLOGIST 40.0 0.0 X 143562 0 25858 MELINA ARROWOOD FORMER INTERIM CNO END JAN 19 0.0 0.0 X 0 146024 853 REBECCA CARTER FORMER COO END JAN 2019 0.0 50.0 X 0 276792 14516 806764 3928591 687486 16 true true false MSS SOLUTIONS LLC 11524 Wilmar Blvd CHARLOTTE NC 28273 PROFESSIONAL SRVCS. 199288 1 2010008 2010008 NET PATIENT SERVICE REVENUE 900099 24455233 24455233 OTHER PROGRAMS 900099 1563925 1563925 PARTNERSHIP REVENUE 900099 9383 9383 26028541 160813 160813 0 0 0 0 0 40539874 45862 41139898 -45862 -600024 -645886 -645886 0 0 0 0 0 0 0 0 0 0 27553476 26019158 9383 -485073 178178 178178 0 0 0 0 0 0 0 5361450 3864903 1496547 0 94144 67141 27003 1116880 796530 320350 609671 434802 174869 478145 372367 105778 133907 133907 12011 12011 0 0 37197 37197 5248774 3657300 1591474 0 18216 18216 47574 47574 224310 134586 89724 0 454545 386363 68182 18842 9776 9066 0 0 32706 27800 4906 0 929272 789881 139391 165909 141023 24886 PHARMACEUTICALS 1869808 1869808 MEDICAL SUPPLIES 1595989 1595989 MAINTENANCE & EQUIPMENT 321299 273104 48195 UNRELATED BUS INC TAX 20327 20327 453432 385417 68015 19422586 15005295 4417291 0 5226760 0 284036 0 0 0 13146761 0 0 0 0 0 0 0 1781445 0 11271 0 37624564 0 10411335 0 6180872 0 10497469 0 0 0 19084581 54155 104249094 54155 4412585 0 0 0 186698 0 0 0 0 0 0 0 0 0 0 0 18098034 0 22697317 0 X 71106958 54155 8475564 0 1969255 0 81551777 54155 104249094 54155 X 8130890 -587289 -89041223 X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9759925 11397454 1553227 9506909 51906 13151791 9108938 432958 218029 9759925 11223306 5888 1179744 3300000 9108938 13359332 167981 810108 3114115 11223306 14390788 11515 569275 1612246 13359332 0.72500 0.00000 0.27500 false true true INVESTMENT IN BLUE RIDGE DME 54155 54155 PART V, LINE 4: 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. true true X true X true X true true false true true 735985 735985 0.03790 1663410 16465911 197499 0.01020 2399395 16465911 933484 0.04810 2399395 16465911 933484 0.04810 true 1732450 7537536 7282749 254787 X true true 1 1 TRANSYLVANIA REGIONAL HOSPITAL 260 HOSPITAL DRIVE BREVARD NC 28712 MISSIONHEALTH.ORG/MEMBER-HOSPITALS/TRA H0111 X X X X TRANSYLVANIA COMMUNITY HOSPITAL INC 1 false false true X X X X X X X X X 15 true true true true X See Part V, Section C X X true 16 true SEE PART V, SECTION C false true X 200. 300. X X X true true X X X X true X PART V, SECTION C X PART V, SECTION C X PART V, SECTION C X X X X X X true X false X X X X true X false false 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/ 10 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 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 true Pisgah Foundation 153 W Jordan Street Brevard NC 28712 561458024 501(c)(3) 173846 0 OPERATIONAL SUPPORT. PART IV NARRATIVE THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS BY DISBURSING ONLY THE AMOUNTS AUTHORIZED AND PAID FOR FUNDRAISING BY THE DEPARTMENT OF PHILANTHROPY. false true false false false false false false false BRIAN BARROW MD CHIEF OF STAFF END JAN 2019 0 219236 0 33450 0 11191 0 11923 0 25618 0 301418 0 0 DAVID FRANKLIN TRUSTEE END JAN 2019 0 782421 0 530538 0 8223 0 200933 0 12718 0 1534833 0 0 KATHY GUYETTE TRUSTEE END JAN 2019 0 406499 0 157955 0 100767 0 101276 0 8691 0 775188 0 93564 PAUL MCDOWELL TRUSTEE END JAN 2019 0 496701 0 317479 0 71485 0 125750 0 26753 0 1038168 0 68245 MICHELE PILON PRESIDENT/CNO END JAN 2019 0 194673 0 50235 0 1917 0 5987 0 17881 0 270693 0 0 MELINA ARROWOOD FORMER INTERIM CNO END JAN 19 0 123993 0 21120 0 911 0 0 0 853 0 146877 0 0 REBECCA CARTER FORMER COO END JAN 2019 0 201533 0 51461 0 23798 0 6133 0 8383 0 291308 0 0 ELIZABETH PELLETIER ANESTHESIOLOGIST 172868 0 2018 0 5518 0 5539 0 28286 0 214229 0 0 0 RONDA DAVIS ANESTHESIOLOGIST 160400 0 1857 0 10866 0 5025 0 22678 0 200826 0 0 0 AMBER SMATHERS ANESTHESIOLOGIST 148720 0 1629 0 6945 0 4618 0 9714 0 171626 0 0 0 JOSEPH ROMESBERG ANESTHESIOLOGIST 124258 0 0 0 28123 0 3889 0 17946 0 174216 0 0 0 STEPHEN MONK ANESTHESIOLOGIST 123670 0 0 0 19892 0 3900 0 21958 0 169420 0 0 0 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 Cash 2019-02-01 26927 CASH BASIS 384091276 MH MASTER HOLDINGS LLLP PO BOX 570 NASHVILLE TN 37202 LLLP Accounts Receivable 2019-02-01 9917486 SALE VALUATION 384091276 MH MASTER HOLDINGS LLLP PO BOX 570 NASHVILLE TN 37202 LLLP Inventory 2019-02-01 1824455 SALE VALUATION 384091276 MH MASTER HOLDINGS LLLP PO BOX 570 NASHVILLE NASHVILLE TN 37202 LLLP Property Plant and Equipment 2019-02-01 40534471 SALE VALUATION 384091276 MH MASTER HOLDINGS LLLP PO BOX 570 NASHVILLE TN 37202 LLLP Cash 2019-02-01 498 Book Value 581450888 ANC Healthcare Inc 425 W New England Ave Ste 300 Winter Park FL 32789 501(c)(3) Accounts Receivable 2019-02-01 640049 Book Value 581450888 ANC Healthcare Inc 425 W New England Ave Ste 300 Winter Park FL 32789 501(c)(3) Intercompany Accounts Receivable 2019-02-01 19249244 Book Value 581450888 ANC Healthcare Inc 425 W New England Ave Ste 300 Winter Park FL 32789 501(C)(3) INVESTMENT 2019-02-01 16366811 Book Value 581450888 ANC Healthcare Inc 425 W New England Ave Ste 300 Winter Park FL 32789 501(C)(3) false true false false 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. 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 TRANSYLVANIA HOSPITAL IMAGING SERVICES 260 HOSPITAL DRIVE BREVARD NC 28712 MED IMAGING NC 0 0 TCH 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 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 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 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 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 DOGWOOD INSURANCE COMPANY LTD PO BOX 3060 GRAND CAYMAN CJ CAPTIVE INSURAN CJ NA C CORP 0 0 false TRANSYLVANIA SERVICES INC 260 HOSPITAL DRIVE BREVARD NC 28712 561448199 REAL ESTATE NC NA C CORP -3818516 0 false MISSION HEALTH PARTNERS INC 509 BILTMORE AVENUE ASHEVILLE NC 28801 465566095 CLINICALLY INTEGR NC NA C CORP 0 0 false HEALTHY STATE INC 509 BILTMORE AVENUE ASHEVILLE NC 28801 812108613 ADMINISTRATIVE NC NA C CORP 0 0 false AVENU HEALTH INC 509 BILTMORE AVENUE ASHEVILLE NC 28801 823337055 HEALTH CARE CLINI NC NA C CORP 0 0 false false true true false true false false false false false false false true true false true true true true PISGAH FOUNDATION c 2010008 FMV PISGAH FOUNDATION B 173846 FMV ADDRESSES LISTED ON SCHEDULE R: 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.