2018-08-15T08:32:33-05:00 2017-09-30 990 2016-10-01 560562293 TRANSYLVANIA COMMUNITY HOSPITAL INC TRAN 8288849111 PO BOX 1116 BREVARD NC 28712 THERESA PARKER REGIONAL DIRECTOR OF FINANCE 8288849111 2018-08-14 2016 2022-09-23 18:48:47Z TRANSYLVANIA REGIONAL HOSPITAL PO BOX 1116 BREVARD NC 28712 75636534 0 X MISSIONHEALTH.ORG/MEMBER-HOSPITALS/TRANSYLVANIA/ X 1933 NC TO IMPROVE THE HEALTH OF THE PEOPLE OF WESTERN NORTH CAROLINA AND THE SURROUNDING REGION. 18 12 483 140 6804 4945 1282912 313857 69379867 71944213 158753 953810 3114 0 70824646 73211880 505776 488176 0 0 24009041 26243096 0 0 0 40500516 39863143 65015333 66594415 5809313 6617465 85103107 93160471 20776209 19375367 64326898 73785104 X 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. 0 0 53343810 488176 71929735 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. 53343810 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 483 1 1 1 0 0 0 0 0 0 0 0 0 X 18 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X MISSION FINANCE DEPARTMENT 8282577063 400 RIDGEFIELD CT STE 100 ASHEVILLE NC 28806 DANA CHRISTIANSON MD CHAIRMAN 4.00 2.00 X X 0 0 0 JAMES CRUICKSHANK VICE-CHAIRMAN 2.00 X X 0 0 0 DEBORAH HALL TREASURER 2.00 X X 0 0 0 JOHN HOLBROOK SECRETARY 2.00 X X 0 0 0 BRIAN BARROW MD VICE CHIEF OF STAFF 1.00 40.00 X 0 264398 32315 RUFFIN BENTON III MD TRUSTEE 1.00 X 0 0 0 TORE BORHAUG TRUSTEE 1.00 X 0 0 0 ROS BOWERS TRUSTEE 1.00 X 0 0 0 DAVID FRANKLIN TRUSTEE 1.00 59.00 X 0 731440 174787 KATHY GUYETTE TRUSTEE 1.00 59.00 X 0 603433 100941 MARK LEMEL MD TRUSTEE 10.00 40.00 X 0 485155 26362 PAUL MCDOWELL TRUSTEE 1.00 59.00 X 0 448306 104061 CARL MOONEY TRUSTEE 1.00 X 0 0 0 PARKER PLATT TRUSTEE 1.00 X 0 0 0 FRANK PORTER TRUSTEE 1.00 X 0 0 0 KENNETH RACHT TRUSTEE 1.00 4.00 X 0 0 0 ORA WELLS MD TRUSTEE 2.00 X 0 2405 0 MICHELE PILON PRESIDENT/CNO 47.00 3.00 X X 0 37688 591 THERESA PARKER REG DIR FIN 29.00 1.00 X 0 119702 10960 MARK CREASMAN PHARMACIST 40.00 X 167389 0 19837 ELIZABETH PELLETIER ANESTHESIOLOGIST 40.00 X 203650 0 29652 ERNESTO DE LA TORRE PHYSICIAN 40.00 X 0 274300 30237 JAMES KELLING PHYSICIAN 38.00 2.00 X 0 285992 40256 RONDA DAVIS ANESTHESIOLOGIST 40.00 X 194259 0 12420 ROBERT BEDNAREK FORMER CEO 1.00 19.00 X 0 218904 3119 REBECCA CARTER FORMER COO 0.00 50.00 X 0 248679 16660 565298 3720402 602198 13 1 1 0 TRANSYLVANIA EMERGENCY PHYSICIANS PO BOX 82368 LAFEYETTE LA 70598 ER PHYSICIAN SERVICES 2175088 REHAB SERVICES OF BREVARD LLC 3765 GOVERNMENT BLVD STE A MOBILE AL 36693 PHYSICAL THERAPY 1314164 COMPREHENSIVE HOSPITALIST SVCS PO BOX 82368 LAFEYETTE LA 70598 HOSPITALIST SERVICES 1282713 ET CONSULTANT SERVICES INC 189 S WILDFLOWER RD ASHEVILLE NC 28804 MEDICAL SERVICES 389591 CROSS COUNTRY TRAVCORPS CORP PO BOX 404674 ATLANTA GA 30384 TRAVEL NURSES 381343 15 313567 290 313857 NET PATIENT SERVICE RE 900099 64268286 64268286 OTHER REVENUE 900099 7661449 7661449 PARTNERSHIP INCOME IN 900099 14478 7674 6804 71944213 158678 158678 3219786 2398372 26282 821414 -26282 795132 795132 73211880 71937409 6804 953810 X 488176 488176 183692 91846 91846 21114106 15220504 5893602 329040 229394 99646 3103878 2163901 939977 1512380 1054372 458008 2465132 1919781 545351 100375 100375 13147 13147 59458 59458 19003984 17103585 1900399 88709 88709 147329 97903 49426 795717 477430 318287 1770320 1504772 265548 67711 35131 32580 40375 34319 6056 2143426 1821912 321514 108011 108011 PHARMACEUTICALS 7175465 6099145 1076320 MEDICAL SUPPLIES 4651220 3953537 697683 MAINTENANCE & EQUIPMENT 816468 693998 122470 UNRELATED BUS INC TAX 1683 1683 414613 352421 62192 66594415 53343810 13250605 0 12056472 6742727 9876210 11649147 1775389 1779242 112292 22840 47680215 12041402 30423312 35638813 6142107 9816397 3929418 5801948 12070226 10982635 8717681 10726722 85103107 93160471 5140533 3969642 79708 148715 15555968 15257010 20776209 19375367 X 48645950 62855059 14058404 8960790 1622544 1969255 64326898 73785104 85103107 93160471 X 6617465 628771 2211970 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11223306 5888 1179744 3300000 9108938 13359332 167981 810108 3114115 11223306 14390788 11515 569275 1612246 13359332 14115217 280750 182293 187472 14390788 6044727 8353318 460965 743793 14115217 0.74010 0.25010 0.00980 0 1 1 7111000 7111000 21923336 7382777 14540559 354806 112031 242775 9348534 3491300 5857234 8942539 1055294 7887245 35638813 ALTERNATIVE INVESTMENTS 5801948 F 5801948 INTEREST IN NET ASSETS OF TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION 10929223 C INTEREST IN BLUE RIDGE DME 53412 C 10982635 RECEIVABLES FROM RELATED THIRD PARTIES 9577202 GOODWILL 1131520 INTEREST IN TRANSYLVANIA SERVICES, INC. 18000 10726722 ESTIMATED THIRD PARTY RESERVES 5837010 PAYABLES TO RELATED THIRD PARTIES 9420000 15257010 X 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 2219392 2219392 0.03330 6548435 3494260 3054175 0.04590 8767827 3494260 5273567 0.07920 50000 50000 0.00080 1500 1500 0.00000 51500 51500 0.00080 8819327 3494260 5325067 0.08000 250000 250000 0.00380 250000 250000 0.00380 1 2562700 15546 24528698 23527945 1000753 X 1 1 1 1 TRANSYLVANIA REGIONAL HOSPITAL 260 HOSPITAL DRIVE BREVARD NC 28712 MISSIONHEALTH.ORG/MEMBER-HOSPITALS/TRA H0111 X X X X TRANSYLVANIA COMMUNITY HOSPITAL INC 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X PART V, SECTION C X X 1 16 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X X 1 X PART V, SECTION C X PART V, SECTION C X PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 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 10 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 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 1 TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC 223 W JORDAN STREET BREVARD NC 28712 561458024 501(C)(3) 468992 OPERATIONAL SUPPORT. 1 0 1 0 0 0 0 0 0 0 BRIAN BARROW MD VICE CHIEF OF STAFF 0 242432 0 16492 0 5474 0 10344 0 21971 0 296713 0 0 DAVID FRANKLIN TRUSTEE 0 677944 0 50000 0 3496 0 168656 0 6131 0 906227 0 0 KATHY GUYETTE TRUSTEE 0 381762 0 121907 0 99764 0 91928 0 9013 0 704374 0 93390 MARK LEMEL MD TRUSTEE 0 442788 0 33935 0 8432 0 11158 0 15204 0 511517 0 0 PAUL MCDOWELL TRUSTEE 0 382557 0 0 0 65749 0 81951 0 22110 0 552367 0 63591 MARK CREASMAN PHARMACIST 146662 0 0 0 20727 0 3022 0 16815 0 187226 0 0 0 ELIZABETH PELLETIER ANESTHESIOLOGIST 202922 0 0 0 728 0 5409 0 24243 0 233302 0 0 0 ERNESTO DE LA TORRE PHYSICIAN 0 259393 0 9697 0 5210 0 7715 0 22522 0 304537 0 0 JAMES KELLING PHYSICIAN 0 254028 0 18986 0 12978 0 13202 0 27054 0 326248 0 0 RONDA DAVIS ANESTHESIOLOGIST 188968 0 5000 0 291 0 0 0 12420 0 206679 0 0 0 ROBERT BEDNAREK FORMER CEO 0 120334 0 85419 0 13151 0 2907 0 212 0 222023 0 0 REBECCA CARTER FORMER COO 0 192017 0 44517 0 12145 0 5871 0 10789 0 265339 0 0 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 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. 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