2016-08-15T00:00:00-05:00 2015-09-30 990 2014-10-01 463395393 MCDOWELL HEALTHCARE FOUNDATION INC MCDO 8286595000 430 RANKIN DRIVE MARION NC 28752 CLINT STEWART REGIONAL DIRECTOR - FINANCE 8286595000 2016-08-16 2014 2016-12-15 16:53:06Z CLINT STEWART 430 RANKIN DRIVE MARION NC 28752 395021 0 X WWW.MCDOWELLHOSPITAL.ORG X 2013 NC TO RAISE FUNDS FOR THE SUPPORT OF THE MCDOWELL HOSPITAL, INC. 11 10 0 10 0 0 187714 392991 0 0 43 2030 0 0 187757 395021 88397 220229 0 0 0 0 0 0 119722 19663 121052 108060 341281 79697 53740 211397 478949 38551 117718 172846 361231 THE FOUNDATION'S PRIMARY MISSION IS TO SUPPORT THE MISSION AND PROGRAMS OF THE MCDOWELL HOSPITAL, INC. 0 0 220891 220229 THE MCDOWELL HEALTHCARE FOUNDATION ("FOUNDATION") WAS ORGANIZED TO SUPPORT THE MISSION AND PROGRAMS OF THE MCDOWELL HOSPITAL ("HOSPITAL"). THE FOUNDATION WORKS WITH THE HOSPITAL TO ENSURE RESIDENTS OF THE COMMUNITY HAVE ACCESS TO COMPREHENSIVE, HIGH QUALITY MEDICAL CARE. THE FOUNDATION ACCOMPLISHES THIS BY RAISING FUNDS AND MAKING CONTRIBUTIONS TO THE HOSPITAL. 220891 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X MISSION FINANCE DEPARTMENT 8282577063 400 RIDGEFIELD CT STE 100 ASHEVILLE NC 28806 NORMAN GUTHRIE DIRECTOR - CHAIRMAN 1.00 X 0 0 0 KENNY GREENE DIRECTOR 1.00 X 0 0 0 HILL EVANS DIRECTOR 1.00 X 0 0 0 LINDA CLOHERTY DIRECTOR 1.00 X 0 0 0 BECKY CROSS DIRECTOR 1.00 X 0 0 0 GLYNDA DEAN DIRECTOR 1.00 X 0 0 0 KATHY RABB DIRECTOR 1.00 X 0 0 0 JED RANKIN DIRECTOR 1.00 4.00 X 0 0 0 HAROLD WALKER DIRECTOR - VICE CHAIRMAN 1.00 1.00 X 0 0 0 LYNN BOGGS HOSPITAL CEO THROUGH DEC. 2014 1.00 59.00 X X 0 427615 70149 MARION BAKER DIRECTOR 1.00 X 0 0 0 CAROL WOLFENBARGER HOSPITAL PRES & CNO BEG MAR 2015 1.00 39.00 X X 0 0 0 CLINT STEWART TREASURER AND SECRETARY 1.00 49.00 X 0 127049 23838 LUKE HOWE DIR. OF PHILANTHROPY BEG. 6/1/15 40.00 0.00 X 0 0 0 0 554664 93987 0 0 1 0 0 126148 266843 392991 2030 2030 395021 0 0 2030 X 220229 220229 120107 327 58 119722 672 101 571 13 13 260 221 39 341281 220891 668 119722 163957 432325 750 4275 2299 44391 42349 211397 478949 38551 0 117718 38551 117718 X 73002 67281 99844 293950 172846 361231 211397 478949 X 53740 -4112 138757 X 0 1 X 1 1 1 X 94145 187714 273269 555128 94145 187714 273269 555128 201707 353421 43 2030 2073 557201 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 99844 410585 220229 290200 25000 74844 99844 25000 25000 1.00000 0 0 0 DUE TO RELATED PARTIES 117718 117718 X 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 THE MCDOWELL HOSPITAL INC 430 RANKIN DRIVE MARION NC 28752 560623938 501(C)(3) 220229 OPERATIONAL ASSISTANCE 1 PART I, LINE 2: THE MCDOWELL HEALTHCARE FOUNDATION PROVIDES SUPPORT TO THE MCDOWELL HOSPITAL, INC. AS PART OF ITS EXEMPT PURPOSE. 0 1 0 0 0 0 0 0 0 LYNN BOGGS HOSPITAL CEO THROUGH DEC. 2014 0 281124 0 0 0 146491 0 54031 0 16118 0 497764 0 0 CLINT STEWART TREASURER AND SECRETARY 0 118188 0 0 0 8861 0 3409 0 20429 0 150887 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 DIRECTORS, OFFICERS, KEY EMPLOYEES AND TOP FIVE EMPLOYEES WHO RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THESE PAYMENTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J, PAGE 2. LYNN BOGGS $77,318 DIRECTORS, OFFICERS, KEY EMPLOYEES AND TOP FIVE EMPLOYEES WHO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH CONTRIBUTION AMOUNTS. THESE AMOUNTS ARE DISCLOSED IN THE DEFERRED COMPENSATION SECTION OF SCHEDULE J. LYNN BOGGS $43,631 FORM 990, PART VI, SECTION A, LINE 6 THE MCDOWELL HOSPITAL, INC. A NORTH CAROLINA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS SHALL BE ELECTED BY THE SOLE MEMBER, THE MCDOWELL HOSPITAL, INC. (MEMBER). THE BOARD OF DIRECTORS MAY NOMINATE PERSONS TO BE ELECTED AS DIRECTORS BY THE MEMBER. THE MEMBER MAY CHOOSE TO ELECT OR NOT ELECT ANY PERSONS WHO ARE NOMINATED IN SUCH MANNER. FORM 990, PART VI, SECTION A, LINE 7B AS STATED ON LINE 7A PART VI, SECTION A, THE MCDOWELL HOSPITAL, INC. IS THE SOLE MEMBER OF THE FOUNDATION AND MAY ADD OR REMOVE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION PROVIDES DATA TO THE SR. TREASURY ANALYST OF TREASURY SERVICES FOR MISSION HEALTH SYSTEM, INC. THE 990 IS PREPARED BY STAFF AND REVIEWED BY MANAGEMENT. AFTER THIS REVIEW, REVISIONS FOR CLARIFICATIONS OR CORRECTIONS ARE MADE AND THE FULL COPY OF THE 990 IS PROVIDED TO THE BOARD PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C ALL VOTING BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY AND NOTE ANY CONFLICTS THAT ARE PRESENT AT EACH BOARD MEETING. ALL VOTING BOARD MEMBERS ARE RESPONSIBILE FOR MAKING CONFLICTS OF INTEREST KNOWN AND POTENTIALLY INTERESTED PARTIES ARE EXCUSED FROM DISCUSSIONS AND VOTES. 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 CEO, THE CFO, AND PRESIDENT AS WELL AS ALL OTHER EXECUTIVES, WHICH WOULD INCLUDE ALL KEY EMPLOYEES. THE COMMITTEE KEEPS AND DISTRIBUTES MINUTES OF ALL ITS MEETINGS TO ITS MEMBERS. ITEMS OF A SENSITIVE NATURE ARE REFERENCED IN THE MINUTES WITH DETAILED, SUPPORTING DOCUMENTATION RETAINED ON FILE. THE COMMITTEE ALSO DISCLOSES ANY POTENTIAL CONFLICTS OF INTEREST SITUATIONS TO THE COMMITTEE CHAIRMAN THAT MAY AFFECT THEIR INDEPENDENT DIRECTORS' STATUS AS SOON AS THEY ARISE, AND MAINTAINS COMPLETE DOCUMENTATION OF ALL MATTERS DISCUSSED BY THE COMMITTEE. THE COMMITTEE OBTAINS EDUCATION AND TRAINING TO EXERCISE ALL RESPONSIBILITIES EFFECTIVELY AND KEEPS ABREAST OF SIGNIFICANT DEVELOPMENTS IN EXECUTIVE COMPENSATION PRACTICES AND REGULATIONS, AND ENSURES THAT ALL ASPECTS OF 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 THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 327. MANAGEMENT AND GENERAL EXPENSES 58. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 385. DEPARTMENT OF PHILANTHROPY ALLOCATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 119,722. TOTAL EXPENSES 119,722. FORM 990, PART XI, LINE 9: TRANSFER FROM THE MCDOWELL HOSPITAL, INC. 138,757. MISSION HOSPITAL INC 400 RIDGEFIELD COURT SUITE 100 ASHEVILLE NC 28806 560532141 ACUTE CARE HOSPITAL NC 501(C)(3) LINE 3 MISSION HEALTH SYSTEM INC 0 MISSION HEALTH SYSTEM INC 400 RIDGEFIELD COURT SUITE 100 ASHEVILLE NC 28806 581450888 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 11A, I N/A 0 THE MCDOWELL HOSPITAL INC 430 RANKIN AVENUE MARION NC 28742 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 P O 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 HOSPITAL FOUNDATION NC 501(C)(3) LINE 11A, I BLUE RIDGE REGIONAL HOSPITAL INC 0 TRANSYLVANIA COMMUNITY HOSPITAL INC 260 HOSPITAL DRIVE BREVARD NC 28712 560562293 COMMUNITY HOSPITAL NC 501(C)(3) LINE 3 MISSION HEALTH SYSTEM 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 TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC PO BOX 2440 BREVARD NC 28712 561458024 FOUNDATION NC 501(C)(3) LINE 11A, I TRANSYLVANIA COMMUNITY HOSPITAL 0 TRANSYLVANIA PHYSICIAN SERVICES INC 260 HOSPITAL DRIVE BREVARD NC 28712 561920816 PHYSICIAN SERVICES NC 501(C)(3) LINE 3 TRANSYLVANIA COMMUNITY HOSPITAL 0 MISSION MEDICAL ASSOCIATES 400 RIDGEFIELD COURT SUITE 100 ASHEVILLE NC 28806 263627231 EMPLOYED PHYSICIAN GROUP NC 501(C)(3) LINE 9 MISSION HEALTH SYSTEM INC 0 ANGEL MEDICAL CENTER AUXILIARY 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 ASHEVILLE IMAGING LLP 534 BILTMORE AVENUE ASHEVILLE NC 28801 561907201 OUTPATIENT IMAGING SERVICES NC N/A IMAGING REALTY LLP 534 BILTMORE AVENUE ASHEVILLE NC 28801 561907203 MEDICAL OFFICE BUILDING NC N/A MSJHS AND CCP JOINT DEVELOPMENT COMPANY LLC 438 BILTMORE AVENUE ASHEVILLE NC 28801 562250464 LONG TERM ACUTE CARE HOSPITAL NC N/A BLUE RIDGE DME LLC 125 HOSPITAL DRIVE SPRUCE PINE NC 28777 263570174 HOME MEDICAL EQUIPMENT AND SUPPLIES SALES NC N/A MCDOWELL MRI LLC 414 RANKIN AVENUE MARION NC 28752 753046378 MEDICAL IMAGING NC N/A BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC 260 HOSPITAL DRIVE BREVARD NC 28712 203281110 MEDICAL IMAGING NC N/A TRANSYLVANIA HEALTHCARE II LIMITED PARTNERSHIP 2 MEDICAL PARK DRIVE BREVARD NC 28712 200333230 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 WESTERN NC HEALTHCARE INNOVATORS LLC 5935 CARNEGIE BLVD CHARLOTTE NC 28209 800787882 REAL ESTATE RENTAL NC N/A WESTERN REGIONAL RADIATION THERAPY CENTER 68 HOSPITAL DR SYLVA NC 28779 561849395 RADIATION THERAPY NC N/A ASHEVILLE MRI PO BOX 2959 ASHEVILLE NC 28802 561665863 IMAGING SERVICES NC N/A WNC STONE CENTER 509 BILTMORE AVE ASHEVILLE NC 28801 272152974 LITHOTRIPTER RENTAL NC N/A WESTERN NC HEALTHCARE INNOVATORS III LLC 5935 CARNEGIE BLVD CHARLOTTE NC 28209 464053310 REAL ESTATE RENTAL NC N/A BLUE RIDGE-TKC LLC 5935 CARNEGIE BLVD CHARLOTTE NC 28209 471382912 REAL ESTATE RENTAL NC N/A SPRUCE PINE HEALTHCARE LLC 5935 CARNEGIE BLVD CHARLOTTE NC 28209 471390107 REAL ESTATE NC N/A MISSION VENTURES INC 400 RIDGEFIELD COURT ASHEVILLE NC 28806 561341621 HOLDING COMPANY NC N/A C 0 HORIZON MANAGEMENT SERVICES INC MERGED INTO MISSION VENTURES INC SEP 2014 400 RIDGEFIELD COURT ASHEVILLE NC 28806 561341624 COLLECTIONS, BILLING AND MEDICAL PROPERTY NC N/A C 0 DOGWOOD INSURANCE COMPANY LTD THEGRANDPAVILIONCOMMERCIALCENTREPOB CAYMAN ISALNDS CJ CAPTIVE INSURANCE ENTITY CJ N/A C 0 TRANSYLVANIA SERVICES INC 260 HOSPITAL DRIVE BREVARD NC 28712 561448199 REAL ESTATE NC N/A C 0 MISSION HEALTH PARTNERS INC 509 BILTMORE AVENUE ASHEVILLE NC 28801 465566095 CLINICALLY INTEGRATED NETWORK NC N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0