ANC TRANSYLVANIA COMMUNITY HOSPITAL INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ANC TRANSYLVANIA COMMUNITY HOSPITAL INC (EIN 56-0562293)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-15
- IRS object ID
- 201802279349300545
- Schema version
- 2016v3.0
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-15T08:32:33-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560562293 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA COMMUNITY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TRAN | BusinessNameControlTxt |
| Phone | 8288849111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1116 | AddressLine1Txt |
| City | BREVARD | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28712 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THERESA PARKER | PersonNm |
| Person Title | REGIONAL DIRECTOR OF FINANCE | PersonTitleTxt |
| Phone | 8288849111 | PhoneNum |
| Signature | 2018-08-14 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA REGIONAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1116 | AddressLine1Txt |
| City | BREVARD | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28712 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $75,636,534 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MISSIONHEALTH.ORG/MEMBER-HOSPITALS/TRANSYLVANIA/ | 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 |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 483 | TotalEmployeeCnt |
| Total Volunteers | 140 | TotalVolunteersCnt |
| Total Gross UBI | $6,804 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $4,945 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,282,912 | PYContributionsGrantsAmt |
| CY Contributions Grants | $313,857 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $69,379,867 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $71,944,213 | CYProgramServiceRevenueAmt |
| PY Investment Income | $158,753 | PYInvestmentIncomeAmt |
| CY Investment Income | $953,810 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,114 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $70,824,646 | PYTotalRevenueAmt |
| CY Total Revenue | $73,211,880 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $505,776 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $488,176 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,009,041 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,243,096 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $40,500,516 | PYOtherExpensesAmt |
| CY Other Expenses | $39,863,143 | CYOtherExpensesAmt |
| PY Total Expenses | $65,015,333 | PYTotalExpensesAmt |
| CY Total Expenses | $66,594,415 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,809,313 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,617,465 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $85,103,107 | TotalAssetsBOYAmt |
| Total Assets EOY | $93,160,471 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,776,209 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,375,367 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $64,326,898 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $73,785,104 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GUIDING PRINCIPLES SERVE PEOPLE AS A NOT-FOR-PROFIT HEALTH SYSTEM GOVERNED BY A VOLUNTARY COMMUNITY BOARD. ENSURE SUSTAINABILITY THROUGH STEWARDSHIP OF THE REGION'S ASSETS. SIGNIFICANTLY ENHANCE THE QUALITY OF SERVICES PROVIDED TO PATIENTS IN A COMPASSIONATE AND COST-EFFECTIVE MANNER. COLLABORATE IN ORDER TO IMPROVE ACCESS ACROSS THE ENTIRE CONTINUUM OF CARE. PROMOTE WELLNESS AND HEALTH TO BENEFIT THE REGION. ELIMINATE PREVENTABLE INCIDENTS OF PATIENT HARM.2020 VISION: 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 | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $53,343,810 | ExpenseAmt |
| Grant | $488,176 | GrantAmt |
| Revenue | $71,929,735 | RevenueAmt |
| Desc | GIVING BACK TO THE COMMUNITY.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 BRING 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. | Desc |
| Total Program Service Expenses | $53,343,810 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 483 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSION FINANCE DEPARTMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8282577063 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 RIDGEFIELD CT STE 100 | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| DANA CHRISTIANSON MD | |||||||||
| CHAIRMAN | 4.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES CRUICKSHANK | |||||||||
| VICE-CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH HALL | |||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN HOLBROOK | |||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BRIAN BARROW MD | |||||||||
| VICE CHIEF OF STAFF | 1.00 | 40.00 | Yes (X) | $0 | $264,398 | $32,315 | |||
| RUFFIN BENTON III MD | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| TORE BORHAUG | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROS BOWERS | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID FRANKLIN | |||||||||
| TRUSTEE | 1.00 | 59.00 | Yes (X) | $0 | $731,440 | $174,787 | |||
| KATHY GUYETTE | |||||||||
| TRUSTEE | 1.00 | 59.00 | Yes (X) | $0 | $603,433 | $100,941 | |||
| MARK LEMEL MD | |||||||||
| TRUSTEE | 10.00 | 40.00 | Yes (X) | $0 | $485,155 | $26,362 | |||
| PAUL MCDOWELL | |||||||||
| TRUSTEE | 1.00 | 59.00 | Yes (X) | $0 | $448,306 | $104,061 | |||
| CARL MOONEY | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PARKER PLATT | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| FRANK PORTER | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KENNETH RACHT | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| ORA WELLS MD | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $2,405 | $0 | ||||
| MICHELE PILON | |||||||||
| PRESIDENT/CNO | 47.00 | 3.00 | Yes (X) | Yes (X) | $0 | $37,688 | $591 | ||
| THERESA PARKER | |||||||||
| REG DIR FIN | 29.00 | 1.00 | Yes (X) | $0 | $119,702 | $10,960 | |||
| MARK CREASMAN | |||||||||
| PHARMACIST | 40.00 | $167,389 | $0 | $19,837 | Yes (X) | ||||
| ELIZABETH PELLETIER | |||||||||
| ANESTHESIOLOGIST | 40.00 | $203,650 | $0 | $29,652 | Yes (X) | ||||
| ERNESTO DE LA TORRE | |||||||||
| PHYSICIAN | 40.00 | $0 | $274,300 | $30,237 | Yes (X) | ||||
| JAMES KELLING | |||||||||
| PHYSICIAN | 38.00 | 2.00 | $0 | $285,992 | $40,256 | Yes (X) | |||
| RONDA DAVIS | |||||||||
| ANESTHESIOLOGIST | 40.00 | $194,259 | $0 | $12,420 | Yes (X) | ||||
| ROBERT BEDNAREK | |||||||||
| FORMER CEO | 1.00 | 19.00 | $0 | $218,904 | $3,119 | Yes (X) | |||
| REBECCA CARTER | |||||||||
| FORMER COO | 0.00 | 50.00 | $0 | $248,679 | $16,660 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $565,298 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,720,402 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $602,198 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TRANSYLVANIA EMERGENCY PHYSICIANS | |||||
| PO BOX 82368 | LAFEYETTE | LA | 70598 | ER PHYSICIAN SERVICES | $2,175,088 |
| REHAB SERVICES OF BREVARD LLC | |||||
| 3765 GOVERNMENT BLVD STE A | MOBILE | AL | 36693 | PHYSICAL THERAPY | $1,314,164 |
| COMPREHENSIVE HOSPITALIST SVCS | |||||
| PO BOX 82368 | LAFEYETTE | LA | 70598 | HOSPITALIST SERVICES | $1,282,713 |
| ET CONSULTANT SERVICES INC | |||||
| 189 S WILDFLOWER RD | ASHEVILLE | NC | 28804 | MEDICAL SERVICES | $389,591 |
| CROSS COUNTRY TRAVCORPS CORP | |||||
| PO BOX 404674 | ATLANTA | GA | 30384 | TRAVEL NURSES | $381,343 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $313,567 | RelatedOrganizationsAmt |
| All Other Contributions | $290 | AllOtherContributionsAmt |
| Total Contributions | $313,857 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE RE | 900099 | $64,268,286 | $64,268,286 | |
| OTHER REVENUE | 900099 | $7,661,449 | $7,661,449 | |
| PARTNERSHIP INCOME IN | 900099 | $14,478 | $7,674 | $6,804 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $71,944,213 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $158,678 | TotalRevenueColumnAmt |
| Exclusion | $158,678 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,219,786 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,398,372 | SecuritiesAmt |
| Other | $26,282 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $821,414 | SecuritiesAmt |
| Other | -$26,282 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $795,132 | TotalRevenueColumnAmt |
| Exclusion | $795,132 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,211,880 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71,937,409 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $6,804 | UnrelatedBusinessRevenueAmt |
| Exclusion | $953,810 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $488,176 | TotalAmt |
| Program Services | $488,176 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,692 | TotalAmt |
| Program Services | $91,846 | ProgramServicesAmt |
| Management And General | $91,846 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,114,106 | TotalAmt |
| Program Services | $15,220,504 | ProgramServicesAmt |
| Management And General | $5,893,602 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,040 | TotalAmt |
| Program Services | $229,394 | ProgramServicesAmt |
| Management And General | $99,646 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,103,878 | TotalAmt |
| Program Services | $2,163,901 | ProgramServicesAmt |
| Management And General | $939,977 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,512,380 | TotalAmt |
| Program Services | $1,054,372 | ProgramServicesAmt |
| Management And General | $458,008 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,465,132 | TotalAmt |
| Program Services | $1,919,781 | ProgramServicesAmt |
| Management And General | $545,351 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,375 | TotalAmt |
| Management And General | $100,375 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,147 | TotalAmt |
| Management And General | $13,147 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,458 | TotalAmt |
| Management And General | $59,458 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,003,984 | TotalAmt |
| Program Services | $17,103,585 | ProgramServicesAmt |
| Management And General | $1,900,399 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,709 | TotalAmt |
| Management And General | $88,709 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,329 | TotalAmt |
| Program Services | $97,903 | ProgramServicesAmt |
| Management And General | $49,426 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $795,717 | TotalAmt |
| Program Services | $477,430 | ProgramServicesAmt |
| Management And General | $318,287 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,770,320 | TotalAmt |
| Program Services | $1,504,772 | ProgramServicesAmt |
| Management And General | $265,548 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,711 | TotalAmt |
| Program Services | $35,131 | ProgramServicesAmt |
| Management And General | $32,580 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,375 | TotalAmt |
| Program Services | $34,319 | ProgramServicesAmt |
| Management And General | $6,056 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,143,426 | TotalAmt |
| Program Services | $1,821,912 | ProgramServicesAmt |
| Management And General | $321,514 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,011 | TotalAmt |
| Management And General | $108,011 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS | $7,175,465 | $6,099,145 | $1,076,320 |
| MEDICAL SUPPLIES | $4,651,220 | $3,953,537 | $697,683 |
| MAINTENANCE & EQUIPMENT | $816,468 | $693,998 | $122,470 |
| UNRELATED BUS INC TAX | $1,683 | $1,683 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,613 | TotalAmt |
| Program Services | $352,421 | ProgramServicesAmt |
| Management And General | $62,192 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,594,415 | TotalAmt |
| Program Services | $53,343,810 | ProgramServicesAmt |
| Management And General | $13,250,605 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,056,472 | BOYAmt |
| EOY | $6,742,727 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,876,210 | BOYAmt |
| EOY | $11,649,147 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,775,389 | BOYAmt |
| EOY | $1,779,242 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,292 | BOYAmt |
| EOY | $22,840 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $47,680,215 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,041,402 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,423,312 | BOYAmt |
| EOY | $35,638,813 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,142,107 | BOYAmt |
| EOY | $9,816,397 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,929,418 | BOYAmt |
| EOY | $5,801,948 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,070,226 | BOYAmt |
| EOY | $10,982,635 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,717,681 | BOYAmt |
| EOY | $10,726,722 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,103,107 | BOYAmt |
| EOY | $93,160,471 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,140,533 | BOYAmt |
| EOY | $3,969,642 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,708 | BOYAmt |
| EOY | $148,715 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,555,968 | BOYAmt |
| EOY | $15,257,010 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,776,209 | BOYAmt |
| EOY | $19,375,367 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,645,950 | BOYAmt |
| EOY | $62,855,059 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,058,404 | BOYAmt |
| EOY | $8,960,790 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,622,544 | BOYAmt |
| EOY | $1,969,255 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,326,898 | BOYAmt |
| EOY | $73,785,104 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,103,107 | BOYAmt |
| EOY | $93,160,471 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,617,465 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $628,771 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,211,970 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,115,217 | BeginningYearBalanceAmt |
| Contributions | $280,750 | ContributionsAmt |
| Investment Earnings Or Losses | $182,293 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $187,472 | OtherExpendituresAmt |
| End Year Balance | $14,390,788 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,044,727 | BeginningYearBalanceAmt |
| Contributions | $8,353,318 | ContributionsAmt |
| Investment Earnings Or Losses | $460,965 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $743,793 | OtherExpendituresAmt |
| End Year Balance | $14,115,217 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.74010 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.25010 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00980 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,111,000 | OtherCostOrOtherBasisAmt |
| Book Value | $7,111,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,923,336 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,382,777 | DepreciationAmt |
| Book Value | $14,540,559 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $354,806 | OtherCostOrOtherBasisAmt |
| Depreciation | $112,031 | DepreciationAmt |
| Book Value | $242,775 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,348,534 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,491,300 | DepreciationAmt |
| Book Value | $5,857,234 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,942,539 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,055,294 | DepreciationAmt |
| Book Value | $7,887,245 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $35,638,813 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ALTERNATIVE INVESTMENTS | Desc |
| Book Value | $5,801,948 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $5,801,948 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INTEREST IN NET ASSETS OF TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION | $10,929,223 | C |
| INTEREST IN BLUE RIDGE DME | $53,412 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $10,982,635 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RECEIVABLES FROM RELATED THIRD PARTIES | $9,577,202 |
| GOODWILL | $1,131,520 |
| INTEREST IN TRANSYLVANIA SERVICES, INC. | $18,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,726,722 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY RESERVES | $5,837,010 |
| PAYABLES TO RELATED THIRD PARTIES | $9,420,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,257,010 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | 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. |
| PART X, LINE 2: | THE ORGANIZATION IS INCLUDED IN MISSION HEALTH SYSTEM'S CONSOLIDATED AUDIT WHICH APPLIES THE PROVISIONS OF FASB ASC TOPIC 740, INCOME TAXES (ASC 740), IN ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS CURRENTLY NO IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,219,392 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,219,392 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03330 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,548,435 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,494,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,054,175 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04590 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,767,827 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,494,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,273,567 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07920 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $50,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $51,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,819,327 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,494,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,325,067 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $250,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $250,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $250,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $250,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,562,700 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $15,546 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $24,528,698 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $23,527,945 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,000,753 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | 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 (1) | 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 (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 COUNTY BOARD OF HEALTH, TRANSYLVANIA PUBLIC HEALTH, TRANSYLVANIA COUNTY PLANNING & ECONOMIC DEVELOPMENT, BLUE RIDGE COMMUNITY HEALTH SERVICES, TRANSYLVANIA COUNTY BOARD OF HEALTH, TRANSYLVANIA COUNTY EMS, 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, BLUE RIDGE COMMUNITY HEALTH SERVICES, TRANSYLVANIA PUBLIC HEALTH, BREVARD CITY COUNCIL, TRANSYLVANIA COUNTY SCHOOLS, TRANSYLVANIA COUNTY MANAGER, TRANSYLVANIA COUNTY BOARD OF HEALTH, BLUE RIDGE COMMUNITY HEALTH SERVICES, TRANSYLVANIA COUNTY COMMISSIONERS, TRANSYLVANIA PUBLIC HEALTH, BREVARD/TRANSYLVANIA CHAMBER OF COMMERCE, THE HAVEN OF TRANSYLVANIA COUNTY, TRAIN, TRANSYLVANIA COUNTY SCHOOLS, VISION TRANSYLVANIA, UNITED WAY OF TRANSYLVANIA COUNTY, TRANSYLVANIA PUBLIC HEALTH, TRANSYLVANIA PUBLIC HEALTH, TRANSYLVANIA COUNTY BOARD OF HEALTH, VAL SMITH - TRANSYLVANIA REGIONAL HOSPITAL LEADERSHIP TEAM, TRANSYLVANIA COUNTY BOARD OF HEALTH, PISGAH FOREST ROTARY CLUB, AND TRANSYLVANIA COUNTY BOARD OF HEALTH. 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 CAROLINAREGION 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: ORGANIZATION'S WEBSITE: HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/04/2016-TRANSYLVANIA-REGIONAL-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-CHNA.PDF |
| TRANSYLVANIA COMMUNITY HOSPITAL, INC. | PART V, SECTION B, LINE 11: OBESITY AND CHRONIC DISEASE PREVENTION: TRANSYLVANIA REGIONAL HOSPITAL LEADERSHIP ATTENDS THE LOCAL FARMER'S MARKET MULTIPLE TIMES EACH YEAR TO INCREASE AWARENESS OF THE DIETARY NEEDS OF THE COMMUNITY AND RESOURCES AVAILABLE TO THOSE IN NEED. THE HOSPITAL ALSO SPONSORS THE FARMER'S MARKET FINANCIALLY.MENTAL HEALTH AND SUBSTANCE ABUSE: TRANSYLVANIA REGIONAL HOSPITAL ENGAGES WITH COMMUNITY EFFORTS TO INCREASE ACCESS TO MENTAL HEALTH RESOURCES. THE HOSPITAL HOSTS AND REFERS TO THE FRESH START PROGRAM, WHICH PROVIDES MEDICATION MANAGEMENT AND GROUP THERAPY FOR OLDER ADULTS WITH MENTAL HEALTH NEEDS. THE HOSPITAL PROVIDED MORE THAN 100 HOURS OF MEETING TIME FOR THE LOCAL CHAPTER OF NAMI (NATIONAL ALLIANCE ON MENTAL ILLNESS) LAST YEAR, AND HOSPITAL LEADERSHIP ATTENDS COUNTY CRISIS PROVIDER MEETINGS REGULARLY. TRANSYLVANIA REGIONAL HOSPITAL ALSO SUPPORTS THE TRANSYLVANIA CARE COALITION, A LOCAL COLLABORATIVE WITH PUBLIC HEALTH AND COMMUNITY GROUPS WORKING TO REDUCE SUBSTANCE USE AND UNDERAGE DRINKING THROUGH ENVIRONMENTAL CHANGE.NUTRITION, PHYSICAL ACTIVITY AND WEIGHT: SILVERMONT SENIOR ACTIVITY CENTER AND THE TRANSYLVANIA COUNTY PARKS AND RECREATION SENIOR GAMES PROGRAMS PROVIDE A VALUABLE SOURCE OF APPROPRIATE PHYSICAL ACTIVITY OPPORTUNITIES FOR THE COUNTY'S OLDER RESIDENTS. THE COUNTY OFFERS NUMEROUS OPPORTUNITIES FOR PHYSICAL ACTIVITY IN ITS PUBLIC LANDS, BUT ACCESS MAY BE LIMITED BY FINANCES, TIME, AND TRANSPORTATION. THE AREAS AROUND BREVARD HAVE A GROWING SYSTEM OF INTERCONNECTED SIDEWALKS AND BIKE PATHS, BUT OUTLYING AREAS HAVE VERY LITTLE INFRASTRUCTURE THAT SUPPORTS PHYSICAL ACTIVITY. COUNTY FOOD PANTRIES AND THE HUNGER COALITION OF TRANSYLVANIA COUNTY ARE WORKING TO CREATE ADDITIONAL COMMUNITY VENUES FOR FRESH PRODUCE AND NUTRITIOUS FOODS AND ARE COORDINATING GLEANING EFFORTS WITH LOCAL FARMERS AND THE TRANSYLVANIA COUNTY FARMER'S MARKET. |
| 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/WP-CONTENT/UPLOADS/2018/04/2016-TRANSYLVANIA-REGIONAL-HOSPITAL-IMPLEMENTATION-STRATEGY.PDF |
| PART V, SECTION B, LINE 16A | HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/05/FINASSDISCOUNT_POLICY_04.PDF |
| PART V, SECTION B, LINE 16B | HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/05/PATIENT_FINANCIAL_ASSISTANCE_PAGE.PDF |
| PART V, SECTION B, LINE 16C | HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/2018/03/FINASSISTPLAIN_LANGUAGE_SUMMARY_4.PDF |
| 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 |
|---|---|---|---|---|
| 1 - TRH OUTPATIENT REHABILITATION | ||||
| 316 CHESTNUT STREET | BREVARD | NC | 28712 | OUTPATIENT REHAB |
| 2 - TOXAWAY HEALTH CENTER | ||||
| 16825 ROSMAN HWY | LAKE TOXAWAY | NC | 28747 | PROVIDER-BASED CLINICS |
| 3 - BREVARD FAMILY PRACTICE | ||||
| 187 MEDICAL PARK DR | BREVARD | NC | 28712 | PROVIDER-BASED CLINICS |
| 4 - MEDICAL ASSOCIATES OF TRH | ||||
| 377 GALLIMORE ROAD | BREVARD | NC | 28712 | PROVIDER-BASED CLINICS |
| 5 - BREVARD INTERNAL MEDICINE&PULMONOLOGY | ||||
| 159 MEDICAL PARK DR | BREVARD | NC | 28712 | PROVIDER-BASED CLINICS |
| 6 - THE SLEEP CENTER | ||||
| 159 MEDICAL PARK DR | BREVARD | NC | 28712 | OUTPATIENT |
| 7 - BREVARD CANCER & INFUSION CENTER | ||||
| 89 HOSPITAL DR | BREVARD | NC | 28712 | OUTPATIENT |
| 8 - TRANSYLVANIA HOSPITAL IMAGING SERVICES | ||||
| 301 HOSPITAL DRIVE | BREVARD | NC | 28712 | MEDICAL IMAGING |
| 9 - MISSION PRIMARY CARE - HAYWOOD | ||||
| 360 HOSPITAL DR | CLYDE | NC | 28721 | PROVIDER-BASED CLINICS |
| 10 - MISSION PAIN MANAGEMENT - TRANSYLVANIA | ||||
| 89 HOSPITAL DR | BREVARD | NC | 28712 | OUTPATIENT |
Supplemental Information Detail SupplementalInformationDetail (13 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 DEVELOPEMT 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 4: | THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR MISSION HEALTH SYSTEM. THE COST OF THE ORGANIZATION'S BAD DEBT IS INCLUDED IN TOTAL COST OF UNCOLLECTIBLE ACCOUNTS REPORTED ON THESE AUDITED FINANCIALS, WHICH ARE ATTACHED TO THIS RETURN. |
| 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 ARENOTIFIED USING THE PROCESS DESCRIBED IN THE EDUCATION OF PATIENTS'ELIGIBILITY IN PART VI, ON LINE 3.MISSION'S STATED POLICY WITH RESPECT TO FINANCIAL ASSISTANCE: "MISSIONHOSPITAL WILL MAKE EVERY EFFORT TO THOROUGHLY SCREEN ALL PATIENTS THAT AREUNINSURED OR UNDERINSURED IN AN EFFORT TO IDENTIFY A SOURCE OF FINANCIALSPONSORSHIP. ONLY AFTER A FINAL DETERMINATION IS MADE THAT THE PATIENT ISNOT ELIGIBLE FOR ANY SOURCE OF FUNDING TO COVER THE MEDICAL EXPENSES WILLTHE ACCOUNT BE ELIGIBLE FOR CONSIDERATION OF FINANCIAL ASSISTANCE."AFTER THE NOTIFICATIONS AND PROCESSES REFERENCED ABOVE HAVE BEENCOMPLETED, STANDARD DEBT COLLECTION POLICIES ARE IN EFFECT FOR THE PORTIONOF 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 OF49, 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/2015/07/TRANSYLVANIA-CHA-2015-WITH-APPENDICES.PDF LOCAL COMMUNITY HEALTH ASSESSMENTS FOR MORE DETAILS ON THE REGIONAL DATA COLLECTION METHODOLOGY. 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 MISSION 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 WELL BEING 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: | THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WITH THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES DESCRIBED BELOW IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.MISSION HEALTH SYSTEM, INC. IS THE PARENT ORGANIZATION FOR THE CHARITABLE ORGANIZATIONS OF MISSION HOSPITAL, INC.; MISSION HEALTHCARE FOUNDATION, INC.; MISSION MEDICAL ASSOCIATES, INC; BLUE RIDGE REGIONAL HOSPITAL, INC.;THE MCDOWELL HOSPITAL, INC.; ANGEL MEDICAL CENTER, INC.; TRANSYLVANIA COMMUNITY HOSPITAL, INC.; HIGHLANDS-CASHIERS HOSPITAL, INC. AND 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. 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.BLUE RIDGE REGIONAL HOSPITAL SERVES AS A COMMUNITY HOSPITAL IN MITCHELL, YANCEY AND SURROUNDING COUNTIES.THE 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 MISSION HEALTH SYSTEM, INC. AND OF 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.ANGEL MEDICAL CENTER, INC. SERVES AS A COMMUNITY HOSPITAL IN MACON AND SURROUNDING COUNTIES.HIGHLANDS-CASHIERS HOSPITAL, INC. SERVES AS A COMMUNITY HOSPITAL FOR JACKSON AND MACON AND SURROUNDING COUNTIES.COMMUNITY CAREPARTNERS, 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, REPORTS FILED WITH STATES | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 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 | $468,992 | CashGrantAmt |
| Purpose Of Grant | OPERATIONAL SUPPORT. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | 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 | ||||||||||||||
| VICE CHIEF OF STAFF | $0 | $242,432 | $0 | $16,492 | $0 | $5,474 | $0 | $10,344 | $0 | $21,971 | $0 | $296,713 | $0 | $0 |
| DAVID FRANKLIN | ||||||||||||||
| TRUSTEE | $0 | $677,944 | $0 | $50,000 | $0 | $3,496 | $0 | $168,656 | $0 | $6,131 | $0 | $906,227 | $0 | $0 |
| KATHY GUYETTE | ||||||||||||||
| TRUSTEE | $0 | $381,762 | $0 | $121,907 | $0 | $99,764 | $0 | $91,928 | $0 | $9,013 | $0 | $704,374 | $0 | $93,390 |
| MARK LEMEL MD | ||||||||||||||
| TRUSTEE | $0 | $442,788 | $0 | $33,935 | $0 | $8,432 | $0 | $11,158 | $0 | $15,204 | $0 | $511,517 | $0 | $0 |
| PAUL MCDOWELL | ||||||||||||||
| TRUSTEE | $0 | $382,557 | $0 | $0 | $0 | $65,749 | $0 | $81,951 | $0 | $22,110 | $0 | $552,367 | $0 | $63,591 |
| MARK CREASMAN | ||||||||||||||
| PHARMACIST | $146,662 | $0 | $0 | $0 | $20,727 | $0 | $3,022 | $0 | $16,815 | $0 | $187,226 | $0 | $0 | $0 |
| ELIZABETH PELLETIER | ||||||||||||||
| ANESTHESIOLOGIST | $202,922 | $0 | $0 | $0 | $728 | $0 | $5,409 | $0 | $24,243 | $0 | $233,302 | $0 | $0 | $0 |
| ERNESTO DE LA TORRE | ||||||||||||||
| PHYSICIAN | $0 | $259,393 | $0 | $9,697 | $0 | $5,210 | $0 | $7,715 | $0 | $22,522 | $0 | $304,537 | $0 | $0 |
| JAMES KELLING | ||||||||||||||
| PHYSICIAN | $0 | $254,028 | $0 | $18,986 | $0 | $12,978 | $0 | $13,202 | $0 | $27,054 | $0 | $326,248 | $0 | $0 |
| RONDA DAVIS | ||||||||||||||
| ANESTHESIOLOGIST | $188,968 | $0 | $5,000 | $0 | $291 | $0 | $0 | $0 | $12,420 | $0 | $206,679 | $0 | $0 | $0 |
| ROBERT BEDNAREK | ||||||||||||||
| FORMER CEO | $0 | $120,334 | $0 | $85,419 | $0 | $13,151 | $0 | $2,907 | $0 | $212 | $0 | $222,023 | $0 | $0 |
| REBECCA CARTER | ||||||||||||||
| FORMER COO | $0 | $192,017 | $0 | $44,517 | $0 | $12,145 | $0 | $5,871 | $0 | $10,789 | $0 | $265,339 | $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 MISSION HEALTH SYSTEM. SEE SCHEDULE O FOR ADDITIONAL DETAIL. |
| PART I, LINE 4B | OFFICERS AS WELL AS KEY EMPLOYEES AND TOP FIVE HIGHEST COMPENSATED EMPLOYEES WHO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH CONTRIBUTION AMOUNTS. DAVID FRANKLIN $168,656 KATHY GUYETTE $ 78,678 PAUL MCDOWELL $ 71,351 OFFICERS AS WELL AS KEY EMPLOYEES AND TOP FIVE HIGHEST COMPENSATED EMPLOYEES WHO RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. KATHY GUYETTE $ 93,390 PAUL MCDOWELL $ 63,591 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE TERM OF OFFICE OF THE ELECTED MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE ONE YEAR OR UNTIL A SUCCESSOR SHALL HAVE BEEN DULY ELECTED BY THE BOARD OF TRUSTEES. ANY VACANCY IN THE POSITION OF THE ELECTED MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE FILLED AS SOON AS POSSIBLE AFTER THE OCCURRENCE OF THE VACANCY. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE PERIODS BETWEEN MEETINGS OF THE BOARD OF TRUSTEES SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF TRUSTEES AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE SHALL, EXCEPT IN EMERGENCY, BE REFERRED TO THE BOARD OF TRUSTEES. MINUTES OF THE EXECUTIVE COMMITTEE MEETINGS WILL BE SUBMITTED TO THE BOARD, AND ITS ACTIONS SHALL BE SUBJECT TO APPROVAL AT THE NEXT REGULAR BOARD MEETING. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE HOSPITAL IS A MEMBERSHIP CORPORATION, OF WHICH THE SOLE MEMBER (THE "MEMBER") IS MISSION HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF TRUSTEES WILL CONSIST OF NOT LESS THAN 11 AND NOT MORE THAN 20 VOTING MEMBERS. UP TO 3 TRUSTEES MAY BE APPOINTED BY MISSION AT ANY TIME (THE "MISSION TRUSTEES") AND IN ALL EVENTS, AT LEAST A MAJORITY OF THE TRUSTEES MUST BE COMMUNITY TRUSTEES. TRUSTEES OTHER THAN MISSION TRUSTEES ARE REFERRED TO HEREIN AS "COMMUNITY TRUSTEES." THERE WILL BE NOT LESS THAN 9 AND NO MORE THAN 13 COMMUNITY TRUSTEES. THE HOSPITAL SHALL EACH YEAR, NO LATER THAN THE MONTH OF AUGUST, SUBMIT FOR RATIFICATION TO THE MEMBER THE NAMES OF PERSONS TO FILL VACANCIES AMONG THE COMMUNITY TRUSTESS CAUSED BY THE EXPIRATION OF THE TERMS OF OFFICE OR OTHERWISE. THE RATIFICATION OF THE COMMUNITY TRUSTEES BY THE MEMBER SHALL TAKE PLACE BEFORE THE END OF SEPTEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | FOR SO LONG AS IT IS THE MEMBER, MISSION HEALTH SYSTEM, NC. AND ITS SUCCESSORS AND ASSIGNS ("MISSION OR "MEMBER"), SHALL HAVE THE AUTHORITY TO APPROVE THE FOLLOWING REGARDING THE HOSPITAL WITHOUT ANY SEPARATE OR FURTHER ACTION OF THE BOARD OF TRUSTEES OF THE HOSPITAL: (A) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS; PROVIDED HOWEVER, THE TERMS OF SECTION III.3 OF THESE BYLAWS MAY NOT BE AMENDED AT ANY TIME WITHOUT THE JOINT APPROVAL OF MISSION AND TRANSYLVANIA COMMUNITY HOSPITAL ("HOSPITAL") (B) THE MISSION, VISION AND VALUES STATEMENTS AND ANY AMENDMENTS THERETO. (C) THE SALE, LEASE OR OTHER TRANSFER OF A MATERIAL PORTION, SUBSTANTIALLY ALL OR ALL OF THE ASSETS OF THE HOSPITAL. (D) THE PLEDGE OF, OR GRANTING OF ANY LIEN OR ENCUMBRANCE ON, A MATERIAL PORTION, SUBSTANTIALLY ALL OR ALL OF THE ASSETS OF THE HOSPITAL TO SECURE THE OBLIGATIONS OF THE HOSPITAL OR ANY OF ITS SUBSIDIARIES. (E) THE PURCHASE, LEASE, PLEDGE OR SALE OF REAL OR PERSONAL PROPERTY OUTSIDE THE ORDINARY COURSE OF BUSINESS. (F) THE DISSOLUTION OR ANY MERGER, SALE, CONSOLIDATION OR OTHER BUSINESS COMBINATION. (G) THE FORMATION AND GOVERNING DOCUMENTS OF, AND INVESTMENT BY THE HOSPITAL IN, ANY NEW CORPORATION, PARTNERSHIP OR EQUITY OR CONTRACTUAL JOINT VENTURE IN WHICH THE HOSPITAL PROPOSES TO HAVE AN INTEREST THROUGH MEMBERSHIP, VOTING STOCK OR OTHER EQUITY PARTICIPATION. (H) THE REMOVAL OF THE PRESIDENT/CHIEF NURSING OFFICER OF THE HOSPITAL. (I) ANY DEBT ISSUANCE OR INCURRENCE, REFINANCING AND RETIREMENT OF DEBT, INCLUDING WITHOUT LIMITATION INDEBTEDNESS FOR BORROWED MONEY AND CAPITAL LEASES, INCLUDING ANY PROPOSALS AND RECOMMENDATIONS AS TO SAME BY THE BOARD OF TRUSTESS. (J) THE CAPITAL AND OPERATING BUDGETS (BASED ON RECOMMENDATIONS FROM THE BOARD OF TRUSTESS) AND ANY EXPENDITURES THAT WOULD CAUSE ANY LINE ITEM EXPENSE IN ANY APPROVED BUDGET TO EXCEED THE LIMITS ESTABLISHED FROM TIME TO TIME BY MISSION BASED ON RECOMMENDATIONS FROM THE BOARD OF TRUSTEES. (K) STRATEGIC AND FINANCIAL PLANS, INCLUDING ANY PROPOSALS AND RECOMMENDATIONS FOR REVISIONS TO SAME BY THE BOARD OF TRUSTEES. (L) THE SELECTION OF EXTERNAL AUDITORS AND LEGAL COUNSEL; PROVIDED HOWEVER, THE COMMUNITY DIRECTORS (AS DEFINED IN THE BYLAWS OF THE MEMBER) SHALL HAVE THE EXCLUSIVE RIGHT TO SELECT LEGAL COUNSEL TO ENFORCE THE HOSPITAL'S RIGHTS UNDER THE AFFILIATION AGREEMENT. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION PROVIDES DATA TO THE TREASURY MANAGER FOR MISSION HEALTH SYSTEM, INC. THE 990 IS PREPARED AND REVIEWED BY MANAGEMENT PRIOR TO THE REVIEW BY THE ORGANIZATION'S FINANCE COMMITTEE. AFTER REVIEW BY THE BOARD, AND REVISIONS FOR ANY CLARIFICATIONS OR CORRECTIONS, THE FULL COPY OF THE 990 IS PROVIDED TO THE BOARD PRIOR TO FILING THE 990. |
| 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 | 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 PRESIDENT & CNO, THE CFO, AS WELL AS ALL OTHER EXECUTIVES, WHICH WOULD INCLUDE ALL KEY EMPLOYEES. THE COMMITTEE KEEPS AND DISTRIBUTES MINUTES OF ALL ITS MEETINGS TO ITS MEMBERS. ITEMS OF A SENSITIVE NATURE ARE REFERENCED IN THE MINUTES WITH DETAILED, SUPPORTING DOCUMENTATION RETAINED ON FILE. THE COMMITTEE ALSO DISCLOSES ANY POTENTIAL CONFLICTS OF INTEREST SITUATIONS TO THE COMMITTEE CHAIRMAN THAT MAY AFFECT THEIR INDEPENDENT DIRECTORS' STATUS AS SOON AS THEY ARISE, AND MAINTAINS COMPLETE DOCUMENTATION OF ALL MATTERS DISCUSSED BY THE COMMITTEE. THE COMMITTEE OBTAINS EDUCATION AND TRAINING TO EXERCISE ALL RESPONSIBILITIES EFFECTIVELY AND KEEPS ABREAST OF SIGNIFICANT DEVELOPMENTS IN EXECUTIVE COMPENSATION PRACTICES AND REGULATIONS, AND ENSURES THAT ALL ASPECTS OF MISSION HEALTH SYSTEM AND HOSPITAL EXECUTIVE COMPENSATION ADHERE TO ALL RELEVANT REGULATORY REQUIREMENTS, AND REVIEWS THE COMMITTEE CHARTER ANNUALLY REVISING AS APPROPRIATE AND CONDUCTS AN ANNUAL EVALUATION OF THE COMMITTEE'S PERFORMANCE. |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES OF RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART VI, SECTION C, LINE 19 | PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. AN ANNUAL REPORT OF THE ORGANIZATION'S FINANCIAL STATEMENTS IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AND IS PUBLISHED ANNUALLY IN THE LOCAL NEWSPAPER. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR - MECONTRACT LABOR - MEDICALDICAL: PROGRAM SERVICE EXPENSES 10,788,236. MANAGEMENT AND GENERAL EXPENSES 1,198,693. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,986,929. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,989,969. MANAGEMENT AND GENERAL EXPENSES 332,219. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,322,188. FEES: PROGRAM SERVICE EXPENSES 1,937,114. MANAGEMENT AND GENERAL EXPENSES 215,235. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,152,349. CONTRACT LABOR - ADMINISTRATIVE: PROGRAM SERVICE EXPENSES 1,186,039. MANAGEMENT AND GENERAL EXPENSES 131,782. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,317,821. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 202,227. MANAGEMENT AND GENERAL EXPENSES 22,470. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 224,697. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER FROM FOUNDATION 3,300,000. EQUITY EARNINGS IN FOUNDATION -1,088,032. OTHER CHANGES IN NET ASSETS 2. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA HOSPITAL IMAGING SERVICES LLC | 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 | MEDICAL IMAGING | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $1,042,402 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSYLVANIA COMMUNITY HOSPITAL 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ANGEL MEDICAL CENTER AUXILIARY INC | |||||||||||
| PO BOX 1209 | FRANKLIN | NC | 28744 | 562133719 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | ANGEL MEDICAL CENTER INC | 0 | |
| ANGEL MEDICAL CENTER INC | |||||||||||
| PO BOX 1209 | FRANKLIN | NC | 28744 | 566000064 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| BLUE RIDGE REGIONAL HOSPITAL FOUNDATION | |||||||||||
| PO BOX 247 | SPRUCE PINE | NC | 28777 | 582172660 | FOUNDATION | NC | 501(C)(3) | LINE 12A, I | BLUE RIDGE REGIONAL HOSPITAL INC | 0 | |
| BLUE RIDGE REGIONAL HOSPITAL INC | |||||||||||
| PO BOX 9 | SPRUCE PINE | NC | 28777 | 561025032 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| COMMUNITY CAREPARTNERS INC | |||||||||||
| PO BOX 5779 | ASHEVILLE | NC | 28813 | 562005198 | LONG TERM REHABILITATION | NC | 501(C)(3) | LINE 10 | MISSION HEALTH SYSTEM INC | 0 | |
| HIGHLANDS-CASHIERS HOSPITAL INC | |||||||||||
| PO BOX 190 | HIGHLANDS | NC | 28741 | 560509400 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| HIGHLANDS-CASHIERS PHYSICIAN SERVICES INC | |||||||||||
| PO BOX 742 | HIGHLANDS | NC | 28741 | 452422428 | PHYSICIAN SERVICES | NC | 501(C)(3) | LINE 12A, I | HIGHLANDS-CASHIERS HOSPITAL INC | 0 | |
| MCDOWELL HEALTHCARE FOUNDATION INC | |||||||||||
| 430 RANKIN DRIVE | MARION | NC | 28752 | 463395393 | FOUNDATION | NC | 501(C)(3) | LINE 7 | THE MCDOWELL HOSPITAL INC | 0 | |
| MISSION HEALTH SYSTEM FOUNDATION INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 561881331 | FOUNDATION | NC | 501(C)(3) | LINE 7 | MISSION HEALTH SYSTEM INC | 0 | |
| MISSION HEALTH SYSTEM INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 581450888 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| MISSION HOSPITAL INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 560532141 | ACUTE CARE HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| MISSION MEDICAL ASSOCIATES INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 263627231 | EMPLOYED PHYSICIAN GROUP | NC | 501(C)(3) | LINE 10 | MISSION HEALTH SYSTEM INC | 0 | |
| THE MCDOWELL HOSPITAL INC | |||||||||||
| 430 RANKIN DRIVE | MARION | NC | 28752 | 560623938 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| TRANSYLVANIA PHYSICIAN SERVICES INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561920816 | PHYSICIAN SERVICES | NC | 501(C)(3) | LINE 3 | TRANSYLVANIA COMMUNITY HOSPITAL INC | Yes (1) | |
| TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | |||||||||||
| PO BOX 2440 | BREVARD | NC | 28712 | 561458024 | FOUNDATION | NC | 501(C)(3) | LINE 12A, I | TRANSYLVANIA COMMUNITY HOSPITAL INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| ASHEVILLE IMAGING LLP | |||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907201 | MEDICAL IMAGING | NC | N/A |
| ASHEVILLE MRI | |||||||
| PO BOX 2959 | ASHEVILLE | NC | 28802 | 561665863 | MEDICAL IMAGING | NC | N/A |
| BLUE RIDGE DME LLC | |||||||
| 125 HOSPITAL DRIVE | SPRUCE PINE | NC | 28777 | 263570174 | HOME MEDICAL EQUIPMENT AND SUPPLIES SALES | NC | N/A |
| BLUE RIDGE-TKC LLC | |||||||
| 5935 CARNEGIE BOULEVARD | CHARLOTTE | NC | 28209 | 471382912 | REAL ESTATE RENTAL | NC | N/A |
| HEALTHCARE III LIMITED PARTNERSHIP | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561599596 | RENTAL | NC | N/A |
| HEALTHCARE LIMITED LIABILITY COMPANY VII | |||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 200343455 | RENTAL | NC | N/A |
| IMAGING REALTY LLP | |||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907203 | MEDICAL BUILDING | NC | N/A |
| MCDOWELL MRI LLC | |||||||
| 414 RANKIN DRIVE | MARION | NC | 28752 | 753046378 | DISSOLVED DECEMBER 2016 | NC | N/A |
| MSJHS AND CCP JOINT DEVELOPMENT COMPANY LLC | |||||||
| 428 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 562250464 | LONG TERM ACUTE CARE HOSPITAL | NC | N/A |
| SPRUCE PINE HEALTHCARE LLC | |||||||
| 5935 CARNEGIE BOULEVARD | CHARLOTTE | NC | 28209 | 471390107 | REAL ESTATE | NC | N/A |
| TRANSYLVANIA HEALTHCARE II LIMITED PARTNERSHIP | |||||||
| 2 MEDICAL PARK DR | BREVARD | NC | 28712 | 200333230 | RENTAL | NC | N/A |
| WESTERN NC HEALTHCARE INNOVATORS LLC | |||||||
| 5935 CARNEGIE BOULEVARD | CHARLOTTE | NC | 28209 | 800787882 | REAL ESTATE RENTAL | NC | N/A |
| WESTERN REGIONAL RADIATION THERAPY CENTER | |||||||
| 68 HOSPITAL DRIVE | SYLVA | NC | 28779 | 561849395 | RADIATION THERAPY | NC | N/A |
| WNC STONE CENTER | |||||||
| 509 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 272152974 | LITHOTRIPTER RENTAL | NC | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRANSYLVANIA SERVICES INC | |||||||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561448199 | REAL ESTATE | NC | TRANSYLVANIA COMMUNITY HOSPITAL INC | C | $92,791 | $6,025,446 | 1.00000 | Yes (1) | |||||
| DOGWOOD INSURANCE COMPANY LTD | |||||||||||||||||
| CAPTIVE INSURANCE ENTITY | C | 0 | PO BOX 30600 THE GRAND PAVILION COM | GRAND CAYMAN | CJ | CJ | N/A | ||||||||||
| MISSION HEALTH PARTNERS INC | |||||||||||||||||
| 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 465566095 | CLINICALLY INTEGRATED NETWORK | NC | C | 0 | N/A | ||||||||
| HEALTHY STATE INC | |||||||||||||||||
| 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 812108613 | ADMINISTRATIVE | NC | C | 0 | N/A | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | ||
| B | $468,992 | CASH |
| TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | ||
| C | $313,567 | CASH |
| TRANSYLVANIA PHYSICIAN SERVICES INC | ||
| S | $1,577,403 | CASH |
Comments