2019-02-14T14:11:34-06:00 2018-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2017-10-01 560126590 ASTON PARK HEALTH CARE CENTER INC ASTO 8282534437 380 BREVARD ROAD ASHEVILLE NC 28806 MARSHA KAUFMAN-MCCLURE EXECUTIVE DIRECTOR 8282534437 2019-02-11 1 AMY BIBBY P00445891 8282542254 24.241.144.70 2019-02-11 08:18:01 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D80274681E9CC1823A2CB70D0FAA557DD4368EAD 2017 2019-02-21 02:37:17Z MARSHA KAUFMAN-MCCLURE 380 BREVARD ROAD ASHEVILLE NC 28806 11054588 0 X WWW.ASTONPARKHCC.ORG X 1929 NC TO PROVIDE A CLEAN, SAFE, CARING, RESPECTFUL ENVIRONMENT FOR LONG TERM CARE RESIDENTS 12 12 312 200 0 0 7801 16692 10536075 10857214 125182 155242 50038 18465 10719096 11047613 814 1094 0 0 6587943 6802637 0 0 0 4319820 4678191 10908577 11481922 -189481 -434309 18576053 18589391 5253346 5021380 13322707 13568011 X TO PROVIDE A CLEAN, SAFE, CARING, RESPECTFUL ENVIRONMENT AND A TRAINED PROFESSIONAL STAFF THAT ENSURES THE HIGHEST QUALITY OF LIFE WITH DIGNITY FOR ITS RESIDENTS. WE SUPPORT THE FAMILIES AND CAREGIVERS IN ATTAINING THAT GOAL AND ADHERE TO STATE AND FEDERAL REGULATIONS. 0 0 9469630 1094 10857214 1. ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFITASTON PARK HEALTH CARE CENTER'S MISSION IS TO PROVIDE A CLEAN, SAFE, CARING, RESPECTFUL ENVIRONMENT AND A TRAINED PROFESSIONAL STAFF THAT ENSURES THE HIGHEST QUALITY OF LIFE WITH DIGNITY FOR IT RESIDENTS. WE SUPPORT FAMILIES AND CAREGIVERS IN ATTAINING THAT GOAL AND ADHERE TO STATE AND FEDERAL GUIDELINES. ASTON PARK HEALTH CARE CENTER, INC. WAS ORGANIZED FROM THE ASTON PARK HOSPITAL, WHICH CLOSED OPERATIONS IN 1975. AT THAT TIME, THE ASTON PARK HOSPITAL BOARD OF DIRECTORS FELT THAT THEY COULD BETTER SERVE OUR COMMUNITY WITH A SKILLED AND INTERMEDIATE NURSING FACILITY, WHICH THEY ORGANIZED AND OPENED AS ASTON PARK HEALTH CARE CENTER, INC. IN 1980. THE 501(C)3 STATUS WAS CARRIED OVER FROM THE HOSPITAL TO THE NURSING FACILITY.ASTON PARK HEALTH CARE CENTER IS UNIQUE IN THAT IT IS NOT BACKED BY ANY AFFILIATION RELIGIOUS OR OTHERWISE. ASTON PARK IS FULLY SELF-SUSTAINED. ASTON PARK HEALTH CARE CENTER, INC. HAS SERVED THE SENIOR COMMUNITY WITH REPUTABLE SERVICE FOR 38 YEARS. THERE ARE MANY SENIORS IN THE COMMUNITY THAT DO NOT HAVE RESOURCES TO PAY FOR INSTITUTIONAL CARE. AS IN THE PAST, ASTON PARK HEALTH CARE CENTER WILL NOT DISCRIMINATE BASED ON RACE OR PAYER SOURCE. 2. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTIONMEDICAID IS THE PAYER SOURCE FOR AN AVERAGE OF 70% OF THE RESIDENTS AT ASTON PARK HEALTH CARE CENTER. MANY NURSING FACILITIES ARE LIMITING THE NUMBER OF MEDICAID PATIENTS THAT THEY ARE ADMITTING BECAUSE OF THE REIMBURSEMENT CUTS WITH STATE AND FEDERAL FUNDING. FACILITIES LIKE ASTON PARK HEALTH CARE CENTER ARE NEEDED TO SERVE THE MEDICAL NEEDS OF OUR AGING POPULATION WHEN THEY NO LONGER HAVE THE FINANCIAL RESOURCES TO CARE FOR THEMSELVES. ASTON PARK IS NOT DRIVEN BY REVENUE BUT BY THE NEEDS OF THE RESIDENTS WE SERVE. BEING THAT MORE THAN HALF OF OUR RESIDENT POPULATION IS MEDICAID AND THE COST TO PROVIDE THE SERVICES WE OFFER ARE MORE THAN THE REIMBURSEMENT THAT IS RECEIVED FROM THE MEDICAID PROGRAM, WE INCUR A TREMENDOUS AMOUNT OF UNREIMBURSABLE EXPENSES THAT HAVE TO BE ABSORBED BY THE FACILITY. THIS RESULTED IN $1,643,981.80 IN CONTRACTUAL ADJUSTMENTS AND $140,883.68 IN NONBILLABLE ANCILLARIES FOR MEDICAID RESIDENTS THIS PAST FISCAL YEAR.ASTON PARK HEALTH CARE CENTER ALSO ACCEPTS PAYMENTS FROM MEDICARE, TRICARE AND PRIVATE INSURANCE COMPANIES WITH LONG TERM CARE POLICIES. WE DO NOT REQUIRE INDIVIDUALS TO PROVE AVAILABLE ASSETS TO US BEFORE ADMISSION. THEREFORE, WE HAVE A HIGH PERCENTAGE OF RESIDENTS WHO DEPEND ON MEDICAID TO FUND THEIR STAY HERE. THE FASTEST GROWING SEGMENT OF THE US POPULATION AS A WHOLE IS CURRENTLY THE GROUP AGED 85 AND OLDER. THIS MEANS THAT THERE IS GOING TO BE A GROWING NEED FOR INSTITUTIONAL CARE. WE FEEL THAT ALL INDIVIDUALS ARE ENTITLED TO THE SAME QUALITY OF CARE AND SERVICES DESPITE THEIR ABILITY TO PAY.ASTON PARK HEALTH CARE CENTER, INC. HAS A BOARD OF 13 DIRECTORS WHO MEET AT LEAST MONTHLY (MORE OFTEN IF NEEDED) TO REVIEW THE FINANCIAL STATUS OF THE COMPANY. AT THIS TIME, THEY ARE ALSO INFORMED OF OTHER HAPPENINGS IN THE FACILITY THAT THEY NEED TO BE AWARE OF. THE BOARD MEMBERS ARE INDEPENDENT MEMBERS OF THE COMMUNITY WITH NO RELATED PARTY INTEREST IN ASTON PARK HEALTH CARE CENTER. THERE ARE VARIOUS COMMITTEES THAT MAKE THE MAJOR DECISIONS FOR THE FACILITY. THE FACILITY ADMINISTRATOR TAKES CARE OF THE DAY-TO-DAY DECISIONS. THE FACILITY ENCOURAGES AND REQUIRES TRAINING OF ALL STAFF MEMBERS. AN ORIENTATION IS COMPLETED ON ALL STAFF MEMBERS TO ACCLIMATE THEM TO THE POLICIES AND PROCEDURES OF THE FACILITY. THE NURSING STAFF IS REQUIRED TO ATTEND IN-SERVICES AND TRAINING ON THE VARIOUS ASPECTS OF THE JOBS THAT THEY PERFORM WITH THE RESIDENTS. THERE IS ALSO IN-SERVICE TRAINING FOR ALL OTHER STAFF MEMBERS TOO REGARDING SAFETY, FIRE, ETC.ASTON PARK HEALTH CARE CENTER IS A CLINICAL SITE FOR THE AB TECHNICAL COLLEGE, WESTERN CAROLINA UNIVERSITY, LOCAL HIGH SCHOOLS ALLIED PROGRAMS, HAYWOOD TECHNICAL COMMUNITY COLLEGE RN PROGRAM AND EAST TENNESSEE UNIVERSITY REGISTERED DIETICIAN INTERNSHIP.3. DESCRIPTION OF COMMUNITY BENEFITS PROGRAMSTHE SERVICES OFFERED BY ASTON PARK HEALTH CARE CENTER ARE SHORT-TERM REHAB, ASSISTED LIVING, SKILLED NURSING AND ALZHEIMER'S CARE. WE HAVE ONE OF THE VERY FEW MEDICAID CERTIFIED ALZHEIMER'S SPECIAL CARE UNITS IN OUR AREA.OUR SHORT TERM REHAB UNIT IS UTILIZED MAINLY FOR PEOPLE REQUIRING THERAPY AFTER SURGERY TO HELP THEM RETURN TO THEIR OWN HOMES. THESE ARE USUALLY PEOPLE WHO LIVE ALONE OR HAVE SPOUSES THAT CANNOT CARE FOR THEM AFTER THEIR SURGERIES. THIS ALLOWS THEM TIME TO REGAIN STRENGTH AND AMBULATION TO HOPEFULLY MAINTAIN THE SAME QUALITY OF LIFE THEY HAD BEFORE THE SURGERY. OUR GOAL WITH THESE PEOPLE IS TO HELP THEM RETURN TO AS NORMAL A LIFE AS POSSIBLE.THE ALZHEIMER'S UNIT THAT WE HAVE HAS 32 BEDS. THIS UNIT WAS DESIGNED TO ALLOW THEM FREEDOM OF MOVEMENT SINCE ALL OF THE RESIDENTS ON THIS UNIT ARE AMBULATORY AND TEND TO WANDER. THE UNIT WAS ALSO DESIGNED TO CREATE A SAFER AND HOME-LIKE ENVIRONMENT FOR THESE RESIDENTS. ALZHEIMER'S IS A DISEASE OF THE MIND AND THESE RESIDENTS STRUGGLE TO REMEMBER THINGS FROM THEIR PAST; THEREFORE, THERE ARE MEMORY BOXES OUTSIDE OF EACH RESIDENTS ROOM THAT FAMILY MEMBERS CAN PUT OBJECTS THAT ENCOURAGE THEM TO REMEMBER. ALZHEIMER'S PATIENTS CAN BECOME DIFFICULT FOR FAMILIES TO TAKE CARE OF AT HOME DUE TO THEIR TENDENCY TO WANDER AND THEIR FORGETFULNESS. THIS UNIT CONSISTENTLY STAYS FULL AND ALSO FILLS A GREAT NEED IN OUR COMMUNITY.ASTON PARK HOSTS AN ALZHEIMER'S MEETING EACH MONTH AT THE FACILITY. THIS IS FOR ANY FAMILY THAT WANTS TO KNOW MORE ABOUT ALZHEIMER'S OR THOSE WITH FAMILY MEMBERS WITH THE DISEASE THAT NEED SUPPORT FROM OTHERS EXPERIENCING THE SAME SITUATION. THIS IS OPEN TO THE GENERAL PUBLIC AND NOT JUST THOSE WITH RESIDENTS AT OUR FACILITY. WE ALSO ARE SPONSORS FOR THE ALZHEIMER'S WALK EACH YEAR.WE HAVE ALSO MADE DONATIONS TO SUPPORT MEALS ON WHEELS, ASHEVILLE FIREFIGHTERS, ASHEVILLE FOP AND WOUNDED WARRIOR PROJECT. 9469630 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 36 0 1 312 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X MARSHA KAUFMAN-MCCLURE 8282534437 380 BREVARD ROAD ASHEVILLE NC 28806 JESSE RAY PRESIDENT 0.50 0.50 X X 0 0 0 KENT CAMPBELL VICE PRESIDENT 0.50 0.50 X X 0 0 0 CLINT MARTIN TREASURER 0.50 0.50 X X 0 0 0 TOMMY RICE SECRETARY 0.50 0.50 X X 0 0 0 NANCY WHITMAN BOARD MEMBER 0.50 0.50 X 0 0 0 GARY ROBERTS BOARD MEMBER 0.50 0.50 X 0 0 0 HAROLD SCHUTTE MD BOARD MEMBER 0.50 0.50 X 0 0 0 KATHLEEN RODBERG BOARD MEMBER 0.50 0.50 X 0 0 0 JERRY VEHAUN BOARD MEMBER 0.50 0.50 X 0 0 0 DANNY TOLAR BOARD MEMBER 0.50 0.50 X 0 0 0 KATHY HUGHES BOARD MEMBER 0.50 0.50 X 0 0 0 JAMES SWAIN BOARD MEMBER 0.50 0.50 X 0 0 0 MARSHA W MCCLURE EXECUTIVE DIRECTOR 40.00 0.50 X 176106 0 7339 KAREN YOUNG DIRECTOR OF NURSING 40.00 X 111045 0 6789 BERNADETTE MALOTE REGISTERED NURSE 40.00 X 102799 0 6570 389950 0 20698 3 0 1 0 METZ CULINARY MANAGEMENT INC TWO WOODLAND DRIVE DALLAS PA 18612 DIETARY SERVICES 947354 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 606809056 THERAPY SERVICES 406067 BROAD RIVER REHABILITATION 775 HAYWOOD RD SUITE H ASHEVILLE NC 28806 THERAPY SERVICES 288327 PRUITT PHARMACY 4022 STIRRUP CREEK DRIVE DURHAM NC 27703 PHARMACY SERVICES 228017 4 16692 16692 NET PATIENT SERVICES 623000 10839625 10839625 BARBER & BEAUTY INCOME 623000 14694 14694 LAUNDRY INCOME 812300 2895 2895 10857214 162217 162217 6975 -6975 -6975 -6975 MISCELLANEOUS 623000 18465 18465 18465 11047613 10857214 0 173707 X 1094 1094 190048 190048 5525995 4951636 574359 27320 19313 8007 606641 573689 32952 452633 421969 30664 64106 64106 2048032 2030911 17121 65024 65024 360835 243421 117414 134198 134198 228437 228437 10429 5129 5300 1706 1706 171413 171413 420211 420211 116451 116451 MEDICAID PROVIDER TAX 478485 478485 MEDICAL SUPPLIES 440244 440244 BAD DEBT EXPENSE 105110 105110 MISCELLANEOUS 33510 28466 5044 11481922 9469630 2012292 0 1049486 584558 833562 843225 1179765 992712 35595 33486 66583 83535 12048893 6522580 5711233 5526313 8905524 9703692 499432 547967 294873 273903 18576053 18589391 1015816 889246 4237530 4132134 5253346 5021380 X 13322707 13568011 13322707 13568011 18576053 18589391 X -434309 631078 48535 X X 0 1 X 1 1 1 X 57994 57994 7316673 3192609 4124064 3205473 2391272 814201 1313972 857962 456010 154781 80737 74044 5526313 X 11734201 631078 55510 686588 11047613 0 11047613 11488897 6975 6975 11481922 0 11481922 PART X, LINE 2: THE ORGANIZATIONS ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATIONS HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUES OF CONSOLIDATED FOUNDATION (INCLUDING UNREALIZED GAINS) 48,535. GAIN/LOSS ON SALE OF ASSET 6,975. PART XII, LINE 2D - OTHER ADJUSTMENTS: GAIN/LOSS ON SALE OF ASSET 6,975. X 0 0 0 0 0 0 0 0 0 MARSHA W MCCLURE EXECUTIVE DIRECTOR 157842 0 1437 0 16827 0 1801 0 5538 0 183445 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THERE SHALL BE AN EXECUTIVE COMMITTEE CONSISTING OF SEVEN MEMBERS OF THE BOARD OF DIRECTORS. MEMBERSHIP OF THE EXECUTIVE COMMITTEE SHALL INCLUDE THE ELECTED OFFICERS OF THE BOARD (TO WIT, THE PRESIDENT, VICE PRESIDENT, TREASURER, AND SECRETARY) AND THREE (3) OTHER DIRECTORS AMONG WHOM SHALL BE INCLUDED THE CHAIRMAN OF THE NOMINATING AND PUBLIC RELATIONS COMMITTEE AND THE CHAIRMAN OF THE LONG RANGE PLANNING AND PROPERTY COMMITTEE. AN "AT LARGE" DIRECTOR MEMBER OF THIS COMMITTEE SHALL BE ELECTED BY THE BOARD AT THE ANNUAL MEETING. THE EXECUTIVE COMMITTEE MAY MEET AT STATED TIME OR ON NOTICE TO ALL BY ANY OF THEIR NUMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 TAX RETURN WAS PROVIDED TO EACH BOARD MEMBER PRESENT AT THE BOARD MEETING WHILE A REPRESENTATIVE FROM THE TAX PREPARER'S OFFICE WAS AVAILABLE TO DISCUSS AND ANSWER QUESTIONS. THOSE NOT PRESENT AT THE BOARD MEETING WERE MAILED A COPY OF THE 990 TAX RETURN BY CERTIFIED MAIL PRIOR OR A COPY WAS EMAILED TO THEM BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER, AND COMMITTEE MEMBER WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAD READ AND UNDERSTANDS THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY. PERIODIC REVIEWS SHALL BE CONDUCTED TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE BASED ON COMPETENT SURVEY INFORMATION AND THE RESULT OF ARM'S LENGTH. THESE REVIEWS WILL ALSO DETERMINE WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ORGANIZATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. THE ORGANIZATION MAY USE OUTSIDE ADVISORS BUT ARE NOT REQUIRED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR PRESENTS ALL DEPARTMENT MANAGERS' SALARIES AND PROPOSED INCREASES TO THE BOARD OF DIRECTORS PRIOR TO AN INDIVIDUAL'S ANNUAL REVIEW. THE EXECUTIVE DIRECTOR PERFORMS A SEARCH FOR PAY RATES FOR COMPARISON TO THE PAY RATES OF DEPARTMENT MANAGERS AND SOMETIMES POLLS OTHER ADMINISTRATORS TO FIND OUT WHAT IS COMMON PAY FOR CERTAIN POSITIONS. THE BOARD APPROVES PROPOSED INCREASES OR ADJUSTS IT ACCORDINGLY. WHEN IT IS TIME FOR THE EXECUTIVE DIRECTOR'S ANNUAL REVIEW AND PAY CONSIDERATION, THE PRESIDENT OF THE BOARD DISCUSSES THE ANNUAL REVIEW WITH THE BOARD OF DIRECTORS. THE BOARD APPROVES PROPOSED INCREASES OR ADJUSTS IT ACCORDINGLY. THE PRESIDENT OF THE BOARD THEN DISCUSSES THE OUTCOME WITH THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 66,174. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,174. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,339,405. MANAGEMENT AND GENERAL EXPENSES 17,121. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,356,526. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 287,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 287,200. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 218,492. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 218,492. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 119,640. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,640. FORM 990, PART XI, LINE 9: NET INCOME OF CONSOLIDATED FOUNDATION (INCLUDING UNREALIZED GAINS) 48,535. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ASTON PARK HEALTH CARE CENTER FOUNDATION INC 380 BREVARD ROAD ASHEVILLE NC 28806 562153714 TO ASSIST IN ASTON PARK HEALTH CARE CENTER'S PRIMARY ACTIVITY NC 501(C)(3) 11 TYPE 1 ASTON PARK HEALTH CARE CENTER INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0