ANC TRANSYLVANIA COMMUNITY HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ANC TRANSYLVANIA COMMUNITY HOSPITAL INC (EIN 56-0562293)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-15
- IRS object ID
- 201732279349300128
- Schema version
- 2015v3.0
- 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 | 2017-08-15T08:09:37-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | 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 | 2017-08-14 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $72,636,242 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MISSION-HEALTH.ORG/MEMBER-HOSPITALS.PHP | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1933 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | PROVISION OF MEDICAL SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 518 | TotalEmployeeCnt |
| Total Volunteers | 139 | TotalVolunteersCnt |
| Total Gross UBI | $15,092 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $13,085 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,950,466 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,282,912 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $66,114,418 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $69,379,867 | CYProgramServiceRevenueAmt |
| PY Investment Income | $776,133 | PYInvestmentIncomeAmt |
| CY Investment Income | $158,753 | CYInvestmentIncomeAmt |
| PY Other Revenue | $154,046 | PYOtherRevenueAmt |
| CY Other Revenue | $3,114 | CYOtherRevenueAmt |
| PY Total Revenue | $68,995,063 | PYTotalRevenueAmt |
| CY Total Revenue | $70,824,646 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $478,891 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $505,776 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,588,662 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,009,041 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $31,691,528 | PYOtherExpensesAmt |
| CY Other Expenses | $40,500,516 | CYOtherExpensesAmt |
| PY Total Expenses | $62,759,081 | PYTotalExpensesAmt |
| CY Total Expenses | $65,015,333 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,235,982 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,809,313 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $79,135,375 | TotalAssetsBOYAmt |
| Total Assets EOY | $85,103,107 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,461,796 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,776,209 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $58,673,579 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $64,326,898 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TRANSYLVANIA COMMUNITY HOSPITAL PROMOTES WELLNESS AND PROVIDES ACCESS TO QUALITY HEALTH SERVICES FOR THE PEOPLE IN THE REGION.HTTP://WWW.MISSION-HEALTH.ORG/ABOUT-TRANSYLVANIA-REGIONAL-HOSPITAL.PHP | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $52,335,020 | ExpenseAmt |
| Grant | $505,776 | GrantAmt |
| Revenue | $69,364,775 | 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 | $52,335,020 | 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 | 0 | 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 | Yes (1) | 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 |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 518 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| 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 (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| ROSWELL BOWERS | |||||||||
| CHAIRMAN | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN HOLBROOK | |||||||||
| VICE-CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES CRUICKSHANK | |||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PARKER PLATT | |||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| G RUFFIN BENTON III MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DEBORAH HALL | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DANA CHRISTIANSON MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRIAN MORROW MD | |||||||||
| VICE CHIEF OF STAFF | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHY GUYETTE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $543,135 | $79,029 | 59.00 | |||
| CHARLES F AYSCUE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $846,429 | $24,223 | 59.00 | |||
| ANN YOUNG | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $656,661 | $38,666 | 59.00 | |||
| KENNETH RACHT | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 2.00 | |||
| ORA WELLS MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK LEMEL MD | |||||||||
| CHIEF OF STAFF | 10.00 | Yes (X) | $0 | $533,447 | $24,708 | 40.00 | |||
| CATHY LANDIS | |||||||||
| PRES AND CNO THROUGH APR 2016 | 50.00 | Yes (X) | Yes (X) | $0 | $248,268 | $16,532 | 3.00 | ||
| MELINA ARROWOOD | |||||||||
| INTERIM PRES AND CNO BEG AUG 2016 | 40.00 | Yes (X) | Yes (X) | $0 | $76,456 | $840 | 1.00 | ||
| THERESA PARKER | |||||||||
| REG DIR - FIN BEG JAN 2016 | 49.00 | Yes (X) | $0 | $60,718 | $9,213 | 1.00 | |||
| MARC NAKAGAWA | |||||||||
| REG DIR - FIN END DEC 2015 | 24.00 | Yes (X) | $0 | $164,021 | $29,934 | 26.00 | |||
| JOAN SEVY MAJERS | |||||||||
| INTERIM PRES AND CNO MAY-AUG 2016 | 40.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| ELIZABETH PELLETIER | |||||||||
| CRNA | 40.00 | $201,679 | $0 | $28,256 | 0.00 | Yes (X) | |||
| JOSEPH ROMESBERG | |||||||||
| PHARMACIST | 40.00 | $134,298 | $0 | $18,926 | 0.00 | Yes (X) | |||
| KATRINA YOUNGBLOOD | |||||||||
| CRNA | 40.00 | $145,751 | $0 | $16,993 | 0.00 | Yes (X) | |||
| LAUREL JOHNSON | |||||||||
| CRNA | 40.00 | $147,565 | $0 | $3,869 | 0.00 | Yes (X) | |||
| MARK CREASMAN | |||||||||
| PHARMACIST | 40.00 | $164,318 | $0 | $18,660 | 0.00 | Yes (X) | |||
| ROBERT BEDNAREK | |||||||||
| FORMER CEO/CURRENT VP - RURAL HEALTH PLNG & DEV | 0.00 | $0 | $322,366 | $33,182 | 60.00 | Yes (X) | |||
| CRAIG JAMES | |||||||||
| FORMER INTERIM CEO | 0.00 | $0 | $262,585 | $680 | 0.00 | Yes (X) | |||
| REBECCA CARTER | |||||||||
| FORMER COO/CURRENT CNO BRH | 0.00 | $0 | $253,117 | $15,205 | 50.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $793,611 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,967,203 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $358,916 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | 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 (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TRANSYLVANIA EMERGENCY PHYSICIANS PLLC | |||||
| PO BOX 82368 | LAFEYETTE | LA | 70598 | ER PHYSICIAN SERVICES | $2,410,742 |
| COMPREHENSIVE HOSPITALIST SERVICES OF NC | |||||
| PO BOX 82368 | LAFEYETTE | LA | 70598 | HOSPITALIST SERVICES | $817,425 |
| REHAB SERVICES OF BREVARD LLC | |||||
| 3765 GOVERNMENT BLVD STE A | MOBILE | AL | 36693 | PHYSICAL THERAPY | $112,796 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,282,343 | RelatedOrganizationsAmt |
| All Other Contributions | $569 | AllOtherContributionsAmt |
| Total Contributions | $1,282,912 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $61,876,148 | $61,876,148 | |
| OTHER REVENUE | 900099 | $7,477,148 | $7,477,148 | |
| PARTNERSHIP INCOME IN BLUE RIDGE | 900099 | $26,571 | $11,479 | $15,092 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $69,379,867 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $151,532 | TotalRevenueColumnAmt |
| Exclusion | $151,532 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,114 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,114 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,114 | TotalRevenueColumnAmt |
| Exclusion | $3,114 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,818,817 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,616,002 | SecuritiesAmt |
| Other | $195,594 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $202,815 | SecuritiesAmt |
| Other | -$195,594 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,221 | TotalRevenueColumnAmt |
| Exclusion | $7,221 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,824,646 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $69,364,775 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $15,092 | UnrelatedBusinessRevenueAmt |
| Exclusion | $161,867 | 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 | $505,776 | TotalAmt |
| Program Services | $505,776 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,254 | TotalAmt |
| Program Services | $405,803 | ProgramServicesAmt |
| Management And General | $101,451 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,136,660 | TotalAmt |
| Program Services | $13,795,025 | ProgramServicesAmt |
| Management And General | $5,341,635 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,881 | TotalAmt |
| Program Services | $197,213 | ProgramServicesAmt |
| Management And General | $85,668 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,686,156 | TotalAmt |
| Program Services | $1,872,682 | ProgramServicesAmt |
| Management And General | $813,474 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,396,090 | TotalAmt |
| Program Services | $973,299 | ProgramServicesAmt |
| Management And General | $422,791 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,140,467 | TotalAmt |
| Program Services | $2,445,715 | ProgramServicesAmt |
| Management And General | $694,752 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,438 | TotalAmt |
| Management And General | $104,438 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,588 | TotalAmt |
| Management And General | $16,588 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,045 | TotalAmt |
| Management And General | $58,045 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,778,462 | TotalAmt |
| Program Services | $16,000,617 | ProgramServicesAmt |
| Management And General | $1,777,845 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,685 | TotalAmt |
| Program Services | $3,212 | ProgramServicesAmt |
| Management And General | $72,473 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,854 | TotalAmt |
| Program Services | $232,485 | ProgramServicesAmt |
| Management And General | $117,369 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,399 | TotalAmt |
| Program Services | $309,239 | ProgramServicesAmt |
| Management And General | $206,160 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,963,934 | TotalAmt |
| Program Services | $1,669,344 | ProgramServicesAmt |
| Management And General | $294,590 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,789 | TotalAmt |
| Program Services | $42,435 | ProgramServicesAmt |
| Management And General | $39,354 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,985 | TotalAmt |
| Program Services | $149,587 | ProgramServicesAmt |
| Management And General | $26,398 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,496,212 | TotalAmt |
| Program Services | $2,121,780 | ProgramServicesAmt |
| Management And General | $374,432 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,885 | TotalAmt |
| Management And General | $83,885 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS | $6,903,221 | $5,867,738 | $1,035,483 |
| MEDICAL SUPPLIES | $4,206,142 | $3,575,221 | $630,921 |
| MAINTENANCE | $1,307,345 | $1,111,243 | $196,102 |
| UNRELATED BUSINESS INCO | $4,896 | $2,115 | $2,781 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,238,169 | TotalAmt |
| Program Services | $1,054,491 | ProgramServicesAmt |
| Management And General | $183,678 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,015,333 | TotalAmt |
| Program Services | $52,335,020 | ProgramServicesAmt |
| Management And General | $12,680,313 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,164,738 | BOYAmt |
| EOY | $12,056,472 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $907,368 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,634,181 | BOYAmt |
| EOY | $9,876,210 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,446,912 | BOYAmt |
| EOY | $1,775,389 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,674 | BOYAmt |
| EOY | $112,292 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,037,937 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,614,625 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,921,675 | BOYAmt |
| EOY | $30,423,312 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,779,975 | BOYAmt |
| EOY | $6,142,107 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,601,465 | BOYAmt |
| EOY | $3,929,418 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,396,546 | BOYAmt |
| EOY | $12,070,226 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,227,841 | BOYAmt |
| EOY | $8,717,681 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,135,375 | BOYAmt |
| EOY | $85,103,107 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,196,483 | BOYAmt |
| EOY | $5,140,533 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,154 | BOYAmt |
| EOY | $79,708 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,023,224 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,232,935 | BOYAmt |
| EOY | $15,555,968 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,461,796 | BOYAmt |
| EOY | $20,776,209 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,992,631 | BOYAmt |
| EOY | $48,645,950 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,058,404 | BOYAmt |
| EOY | $14,058,404 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,622,544 | BOYAmt |
| EOY | $1,622,544 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,673,579 | BOYAmt |
| EOY | $64,326,898 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,135,375 | BOYAmt |
| EOY | $85,103,107 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,809,313 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $396,903 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$552,897 | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 | 0.80810 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.18460 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00730 | 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 | $20,886,234 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,897,116 | DepreciationAmt |
| Book Value | $14,989,118 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $792,827 | OtherCostOrOtherBasisAmt |
| Depreciation | $775,734 | DepreciationAmt |
| Book Value | $17,093 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,215,795 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,777,450 | DepreciationAmt |
| Book Value | $5,438,345 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,032,081 | OtherCostOrOtherBasisAmt |
| Depreciation | $164,325 | DepreciationAmt |
| Book Value | $2,867,756 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,423,312 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INTEREST IN NET ASSETS OF TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION | $12,017,255 | C |
| INTEREST IN BLUE RIDGE DME | $52,971 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $12,070,226 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RECEIVABLES FROM RELATED THIRD PARTIES | $7,568,161 |
| GOODWILL | $1,131,520 |
| INTEREST IN TRANSYLVANIA SERVICES, INC. | $18,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,717,681 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY RESERVES | $4,732,927 |
| PAYABLES TO RELATED THIRD PARTIES | $10,823,041 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,555,968 | 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 |
| Percent400 | Yes (X) | Percent400Ind |
| 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 | $1,328,039 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,328,039 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02040 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,706,263 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,732,052 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$1,025,789 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,034,302 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,732,052 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $302,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02040 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $65,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $65,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,124,302 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,732,052 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $392,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02180 | 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 | $3,850,543 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $23,358 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $24,761,730 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $23,778,049 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $983,681 | 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 | WWW.TRHOSPITAL.ORG | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| 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 | SEE PART VI | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART VI | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART VI | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 | 400.000000000000 | 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.MISSION-HEALTH.ORG/FINANCIAL-ASSISTANCE.PHP | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| TRANSYLVANIA COMMUNITY HOSPITAL, INC. | PART V, SECTION B, LINE 5: AFTER GATHERING ALL PUBLICLY AVAILABLE SECONDARY HEALTH DATA FOR THE PRIMARY SERVICE AREA, THE TRANSYLVANIA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT EMPLOYED A STRATIFIED RANDOM SAMPLE OF APPROXIMATELY 200 RESIDENTS OF TRANSYLVANIA COUNTY, N.C. TO SUPPLEMENT THE SECONDARY CORE DATASET, MEET ADDITIONAL STAKEHOLDER DATA NEEDS, AND HEAR FROM COMMUNITY MEMBERS ABOUT THEIR CONCERNS AND PRIORITIES, A COMMUNITY SURVEY, 2015 WNC HEALTHY IMPACT SURVEY, WAS DEVELOPED AND IMPLEMENTED IN 16 COUNTIES ACROSS WESTERN NORTH CAROLINA. THE SURVEY INSTRUMENT WAS DEVELOPED BY WNC HEALTHY IMPACT'S DATA WORKGROUP, CONSULTING TEAM, AND LOCAL PARTNERS WITH ASSISTANCE FROM PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). MANY OF THE QUESTIONS ARE DERIVED FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS OTHER PUBLIC HEALTH SURVEYS; OTHER QUESTIONS WERE DEVELOPED SPECIFICALLY FOR WNC HEALTHY IMPACT TO ADDRESS PARTICULAR ISSUES OF INTEREST TO COMMUNITIES IN WESTERN NORTH CAROLINA. EACH COUNTY WAS GIVEN THE OPPORTUNITY TO INCLUDE THREE ADDITIONAL QUESTIONS OF PARTICULAR INTEREST TO THEIR COUNTY, WHICH WERE ASKED OF THEIR COUNTY'S RESIDENTS. TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW METHODOLOGY (ONE THAT INCORPORATES BOTH LANDLINE AND CELL PHONE INTERVIEWS) WAS EMPLOYED. THE SAMPLE DESIGN USED FOR THIS REGIONAL EFFORT CONSISTED OF A STRATIFIED RANDOM SAMPLE OF 3,300 INDIVIDUALS AGE 18 AND OLDER IN WESTERN NORTH CAROLINA. OUR COUNTY'S SAMPLE SIZE WAS 200.THE INTERVIEWS WERE CONDUCTED IN EITHER ENGLISH OR SPANISH, AS PREFERRED BY RESPONDENTS. FOR THE TRANSYLVANIA COUNTY FINDINGS, THE MAXIMUM ERROR RATE IS 6.9%. IN ADDITION, SEVERAL COMMUNITY-WIDE LISTENING SESSIONS WERE CONDUCTED TO HEAR THE COMMUNITY'S CONCERNS AND TO RANK THE COMMUNITY HEALTH PRIORITIES BASED ON THE SURVEY RESULTS. |
| 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 22D: THE ORGANIZATION USED THE LOOK-BACK METHOD IN DETERMINING AMOUNTS GENERALLY BILLED (AGB) FOR ANY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IT PROVIDES TO A FAP-ELIGIBLE INDIVIDUAL. THE AGB PERCENTAGE WAS BE CALCULATED ANNUALLY BY DIVIDING THE SUM OF ALL CLAIMS FOR EMERGENCY AND MEDICALLY NECESSARY CARE THAT HAVE BEEN PAID IN FULL DURING A PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. CLAIMS PAID INCLUDE CLAIMS PAID BY BOTH MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS AS PRIMARY PAYERS, TOGETHER WITH ANY ASSOCIATED PORTIONS OF THESE CLAIMS PAID BY MEDICARE BENEFICIARIES OR INSURED INDIVIDUALS IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. |
| 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 SUITE B | BREVARD | NC | 28712 | PROVIDER-BASED CLINICS |
| 6 - KOALA | ||||
| 23 MEDICAL PARK CIRCLE | 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 (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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.THE ABOVE ESTIMATES WERE DEVELOPED USING THE METHODOLOGY ADOPTED BY THE NORTH CAROLINA HOSPITAL ASSOCIATION IN 2006 FOR SUCH COSTS, INCLUDING INFORMATION FROM MISSION'S COST REPORTING SYSTEMS USED TO SUPPORT ITS RELATED FILINGS WITH THE MEDICARE AND MEDICAID PROGRAMS. |
| PART III, LINE 8: | PER THE INSTRUCTIONS, THE MEDICARE COST REPORT IS THE BASIS FOR CALCULATING THE COSTS USING COSTS RELATED TO THE REVENUE REPORTED. |
| PART III, LINE 9B: | PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND OTHER CHARITY CARE ARE NOTIFIED USING THE PROCESS DESCRIBED IN THE EDUCATION OF PATIENTS' ELIGIBILITY IN PART VI, ON LINE 3. |
| PART VI, LINE 2: | THE ORGANIZATION PARTICIPATES IN A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA)EVERY THREE YEARS, WITH THE MOST RECENT ASSESSMENT COMPLETED IN DECEMBER 2015. |
| 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. IN ADDITION TO THIS, THE EMERGENCY DEPARTMENT UTILIZES A HEALTH RESOURCE NAVIGATOR TO HELP FIND FINANCIAL ASSISTANCE RESOURCES FOR SELF-PAY PATIENTS. THE PATIENT FINANCIAL ASSISTANCE POLICY ALSO RESIDES ON MISSION HEALTH SYSTEM'S WEBSITE: HTTP://WWW.MISSION-HEALTH.ORG/FINANCIAL-ASSISTANCE.PHP |
| PART VI, LINE 4: | THE PRIMARY SERVICE AREA FOR THE ORGANIZATION IS TRANSYLVANIA COUNTY, NORTH CAROLINA, WITH A RESIDENT POPULATION OF 33,090 INCLUDING GLOUCESTER TOWNSHIP IN THE UPPER END OF THE COUNTY, WHICH IS FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA. NEARLY 14.3% 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 2016 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 | $500,734 | CashGrantAmt |
| Purpose Of Grant | OPERATIONS SUPPORT. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | 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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KATHY GUYETTE | ||||||||||||||
| BOARD MEMBER | $0 | $360,580 | $0 | $142,400 | $0 | $40,155 | $0 | $66,890 | $0 | $12,139 | $0 | $622,164 | $0 | $34,027 |
| CHARLES F AYSCUE | ||||||||||||||
| BOARD MEMBER | $0 | $583,660 | $0 | $182,468 | $0 | $80,301 | $0 | $13,250 | $0 | $10,973 | $0 | $870,652 | $0 | $69,084 |
| ANN YOUNG | ||||||||||||||
| BOARD MEMBER | $0 | $416,564 | $0 | $77,299 | $0 | $162,798 | $0 | $15,900 | $0 | $22,766 | $0 | $695,327 | $0 | $94,293 |
| MARK LEMEL MD | ||||||||||||||
| CHIEF OF STAFF | $0 | $496,462 | $0 | $27,957 | $0 | $9,028 | $0 | $11,158 | $0 | $13,550 | $0 | $558,155 | $0 | $63,318 |
| CATHY LANDIS | ||||||||||||||
| PRES AND CNO THROUGH APR 2016 | $0 | $194,912 | $0 | $49,000 | $0 | $4,356 | $0 | $346 | $0 | $16,186 | $0 | $264,800 | $0 | $0 |
| MARC NAKAGAWA | ||||||||||||||
| REG DIR - FIN END DEC 2015 | $0 | $138,610 | $0 | $24,269 | $0 | $1,142 | $0 | $5,941 | $0 | $23,993 | $0 | $193,955 | $0 | $0 |
| ELIZABETH PELLETIER | ||||||||||||||
| CRNA | $200,666 | $0 | $162 | $0 | $851 | $0 | $5,553 | $0 | $22,703 | $0 | $229,935 | $0 | $0 | $0 |
| JOSEPH ROMESBERG | ||||||||||||||
| PHARMACIST | $123,351 | $0 | $162 | $0 | $10,785 | $0 | $3,533 | $0 | $15,393 | $0 | $153,224 | $0 | $0 | $0 |
| KATRINA YOUNGBLOOD | ||||||||||||||
| CRNA | $141,877 | $0 | $162 | $0 | $3,712 | $0 | $4,412 | $0 | $12,581 | $0 | $162,744 | $0 | $0 | $0 |
| LAUREL JOHNSON | ||||||||||||||
| CRNA | $33,486 | $0 | $0 | $0 | $114,079 | $0 | $1,001 | $0 | $2,868 | $0 | $151,434 | $0 | $0 | $0 |
| MARK CREASMAN | ||||||||||||||
| PHARMACIST | $145,326 | $0 | $162 | $0 | $18,830 | $0 | $3,002 | $0 | $15,658 | $0 | $182,978 | $0 | $0 | $0 |
| ROBERT BEDNAREK | ||||||||||||||
| FORMER CEO/CURRENT VP - RURAL HEALTH | $0 | $242,967 | $0 | $0 | $0 | $79,399 | $0 | $9,960 | $0 | $23,222 | $0 | $355,548 | $0 | $30,791 |
| CRAIG JAMES | ||||||||||||||
| FORMER INTERIM CEO | $0 | $3,380 | $0 | $0 | $0 | $259,205 | $0 | $106 | $0 | $574 | $0 | $263,265 | $0 | $0 |
| REBECCA CARTER | ||||||||||||||
| FORMER COO/CURRENT CNO BRH | $0 | $184,671 | $0 | $47,863 | $0 | $20,583 | $0 | $5,600 | $0 | $9,605 | $0 | $268,322 | $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, LINES 4A-B | SEVERANCE PAY - CRAIG JAMES $227,346 OFFICERS AS WELL AS KEY EMPLOYEES AND TOP FIVE HIGHEST COMPENSATED EMPLOYEES WHO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH CONTRIBUTION AMOUNTS. KATHY GUYETTE $53,640 OFFICERS AS WELL AS KEY EMPLOYEES AND TOP FIVE HIGHEST COMPENSATED EMPLOYEES WHO RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. CHARLES AYSCUE $69,084 KATHY GUYETTE $34,027 ANN YOUNG $94,293 BOB BEDNAREK $30,791 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 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 3 | THE ORGANIZATION HIRED JOAN SEVY MAJERS AS INTERIM CHIEF NURSING OFFICER THROUGH GALILEO SEARCH, LLC FROM APRIL 2016 THROUGH AUGUST 2016. |
| 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 16 VOTING MEMBERS. UP TO TWO 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 NINE (9) AND NO MORE THAN THIRTEEN (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 B 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 11 | 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 - MEDICAL: PROGRAM SERVICE EXPENSES 7,536,052. MANAGEMENT AND GENERAL EXPENSES 837,339. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,373,391. CONTRACT LABOR - NON-MEDICAL: PROGRAM SERVICE EXPENSES 640,505. MANAGEMENT AND GENERAL EXPENSES 71,167. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 711,672. OTHER FEES: PROGRAM SERVICE EXPENSES 4,165,879. MANAGEMENT AND GENERAL EXPENSES 462,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,628,754. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,307,033. MANAGEMENT AND GENERAL EXPENSES 367,448. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,674,481. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 220,707. MANAGEMENT AND GENERAL EXPENSES 24,523. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 245,230. CONTRACT LABOR - OFFICER: PROGRAM SERVICE EXPENSES 130,441. MANAGEMENT AND GENERAL EXPENSES 14,493. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144,934. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER FROM FOUNDATION 3,114,115. EQUITY EARNINGS IN FOUNDATION -3,663,692. OTHER CHANGES IN NET ASSETS -3,320. |
| 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 | $639,292 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | |||||||||||
| PO BOX 2440 | BREVARD | NC | 28712 | 561458024 | FOUNDATION | NC | 501(C)(3) | LINE 11A, I | TRANSYLVANIA COMMUNITY HOSPITAL INC | Yes (1) | |
| 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) | |
| MISSION HEALTH SYSTEM INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 581450888 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| MISSION MEDICAL ASSOCIATES INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 263627231 | EMPLOYED PHYSICIAN GROUP | NC | 501(C)(3) | LINE 9 | 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 | |
| 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 | |
| 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 | |
| BLUE RIDGE REGIONAL HOSPITAL FOUNDATION | |||||||||||
| PO BOX 247 | SPRUCE PINE | NC | 28777 | 582172660 | FOUNDATION | NC | 501(C)(3) | LINE 11A, I | BLUE RIDGE REGIONAL HOSPITAL 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 | |
| MCDOWELL HEALTHCARE FOUNDATION INC | |||||||||||
| 430 RANKIN DRIVE | MARION | NC | 28752 | 463395393 | FOUNDATION | NC | 501(C)(3) | LINE 7 | THE MCDOWELL HOSPITAL INC | 0 | |
| 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 | |
| ANGEL MEDICAL CENTER AUXILIARY INC | |||||||||||
| PO BOX 1209 | FRANKLIN | NC | 28744 | 562133719 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 11A, I | ANGEL MEDICAL CENTER 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 11A, I | HIGHLANDS-CASHIERS HOSPITAL INC | 0 | |
| COMMUNITY CAREPARTNERS INC | |||||||||||
| PO BOX 5779 | ASHEVILLE | NC | 28813 | 562005198 | LONG TERM REHABILITATION | NC | 501(C)(3) | LINE 9 | MISSION HEALTH SYSTEM INC | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||||
| 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 III LLC | ||||||||||||
| 5935 CARNEGIE BOULEVARD | CHARLOTTE | NC | 28209 | 464053310 | REAL ESTATE 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 | |||||
| MCDOWELL MRI LLC | ||||||||||||
| 414 RANKIN DRIVE | MARION | NC | 28752 | 753046378 | MEDICAL IMAGING | NC | THE MCDOWELL HOSPITAL INC | UNRELATED | 0 | 0 | ||
| BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC | ||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 203281110 | MEDICAL IMAGING | NC | TRANSYLVANIA COMMUNITY HOSPITAL INC | RELATED | 0 | Yes (1) | 1.00000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRANSYLVANIA SERVICES INC | |||||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561448199 | REAL ESTATE | NC | TRANSYLVANIA COMMUNITY HOSPITAL INC | C | 1.00000 | Yes (1) | |||||
| MISSION VENTURES INC | |||||||||||||||
| 400 RIDGEFIELD CT SUITE 100 | ASHEVILLE | NC | 28806 | 561341621 | DISSOLVED SEPTEMBER 2016 | NC | C | 0 | N/A | ||||||
| DOGWOOD INSURANCE COMPANY LTD | |||||||||||||||
| CAPTIVE INSURANCE ENTITY | C | 0 | N/A | PO BOX 30600 THE GRAND PAVILION COM | GRAND CAYMAN | CJ | CJ | ||||||||
| 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 | $505,776 | CASH |
| TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | ||
| C | $1,282,343 | CASH |
| TRANSYLVANIA PHYSICIAN SERVICES INC | ||
| S | $3,195,050 | CASH |
Comments