ANC BLUE RIDGE HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ANC BLUE RIDGE HOSPITAL INC (EIN 56-1025032)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-14
- IRS object ID
- 201502269349304070
- Schema version
- 2013v4.0
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-14T16:10:34-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561025032 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE RIDGE REGIONAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLUE | BusinessNameControlTxt |
| Phone | 8287654201 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 9 | AddressLine1 |
| City | SPRUCE PINE | City |
| State | NC | State |
| ZIP Code | 287770009 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CLINT STEWART | PersonNm |
| Person Title | REGIONAL VP OF FINANCE | PersonTitleTxt |
| Phone | 8287654201 | PhoneNum |
| Signature | 2015-08-14 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CLINT STEWART | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 9 | AddressLine1 |
| City | SPRUCE PINE | City |
| State | NC | State |
| ZIP Code | 287770009 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $39,821,600 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BLUERIDGEHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | PROVISION OF INPATIENT AND OUTPATIENT HOSPITAL SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 471 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $387,370 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $277,470 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $226,757 | PYContributionsGrantsAmt |
| CY Contributions Grants | $211,294 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $37,722,109 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $37,971,912 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,023,437 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,560,222 | CYInvestmentIncomeAmt |
| PY Other Revenue | $84,848 | PYOtherRevenueAmt |
| CY Other Revenue | $65,353 | CYOtherRevenueAmt |
| PY Total Revenue | $39,057,151 | PYTotalRevenueAmt |
| CY Total Revenue | $39,808,781 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,510,457 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,580,869 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,466,561 | PYOtherExpensesAmt |
| CY Other Expenses | $18,432,222 | CYOtherExpensesAmt |
| PY Total Expenses | $39,977,018 | PYTotalExpensesAmt |
| CY Total Expenses | $40,013,091 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$919,867 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$204,310 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $56,047,559 | TotalAssetsBOYAmt |
| Total Assets EOY | $58,348,916 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,869,985 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,358,811 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,177,574 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,990,105 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH AND WELLNESS NEEDS OF THE REGION, PARTNERING WITH PATIENTS, FAMILIES, AND FRIENDS THROUGH A COMPREHENSIVE APPROACH TO HEALING THAT MINISTERS TO THE MIND, BODY, AND SPIRIT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $34,232,542 | ExpenseAmt |
| Revenue | $37,392,564 | RevenueAmt |
| Desc | BLUE RIDGE REGIONAL HOSPITAL BELIEVES THAT PATIENT AND FAMILY-CENTERED CARE IS THE BEST APPROACH TO MEETING OUR PATIENTS' HEALTHCARE NEEDS. PATIENT AND FAMILY-CENTERED CARE MEANS PATIENTS, THEIR FAMILIES, DOCTORS, NURSES AND OTHER HEALTHCARE PROFESSIONALS FORM A PARTNERSHIP THAT BENEFITS EVERYONE.A FAMILY MEMBER IS RECOGNIZED AS ANYONE WHO PATIENTS REGARD AS SIGNIFICANT IN THEIR LIVES. FAMILIES ARE NOT CONSIDERED VISITORS, BUT ESSENTIAL PARTICIPANTS IN CARE AND DECISIONS THAT AFFECT THE TOTAL HEALING OF THE PATIENT. THE COMPONENTS OF FAMILY-CENTERED CARE ARE RESPECT AND DIGNITY; INFORMATION SHARING; AND PARTICIPATION AND COLLABORATION.THE GOAL IN CARING FOR PATIENTS AT BLUE RIDGE REGIONAL HOSPITAL IS THE SAME FOR PHYSICIANS, MEDICAL STAFF AND FAMILIES TO PROVIDE THE BEST CARE AND OUTCOME FOR THE PATIENT. IT TAKES A COMBINATION OF MODERN MEDICINE, COMPASSIONATE CARE, ADVANCED TECHNOLOGY, DEDICATED STAFF, AS WELL AS CARE PROVIDED BY FAMILIES TO REACH THE BEST POSSIBLE OUTCOME. THE STAFF AT BLUE RIDGE REGIONAL HOSPITAL IS DEDICATED TO CREATING THIS TYPE OF EXPERIENCE FOR EVERY PATIENT AND FAMILY MEMBER WHO ENTERS OUR DOORS. | Desc |
| Total Program Service Expenses | $34,232,542 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | 0 | 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 | 0 | 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 | 82 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 471 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28787 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 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 |
|---|---|---|---|---|---|---|---|---|
| COURTNEY MAUZY | ||||||||
| CHAIRMAN | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN BOYD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD MONTAGUE | ||||||||
| SECRETARY/TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JANICE BRUMIT | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | 4.00 | ||
| KATHRYN ROYEN | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARTHA TYNER | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $3,275 | $0 | $0 | |||
| SAM NASH | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| CARROLL BROWD OLSON MD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | 0.00 | ||
| BYRON PHILLIPS | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JERRY BLACK | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| OSCAR WEINMEISTER | ||||||||
| CEO THROUGH MARCH 2014 | 25.00 | Yes (X) | Yes (X) | $257,466 | $0 | $57,838 | 25.00 | |
| KATHRYN GUYETTE | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $427,330 | $70,993 | 58.00 | ||
| JENNIFER LARSON MD | ||||||||
| CHIEF OF STAFF - INTERNIST | 50.00 | Yes (X) | $130,981 | $0 | $24,681 | |||
| LYNN BOGGS | ||||||||
| CEO STARTING MARCH 2014 | 28.00 | Yes (X) | Yes (X) | $0 | $330,069 | $57,338 | 32.00 | |
| SONYA RENNICK | ||||||||
| VP FIN & BUSINESS SERVICES | 49.00 | Yes (X) | $71,164 | $0 | $668 | 1.00 | ||
| MARVIN VICE | ||||||||
| PHYSICIAN | 40.00 | $450,853 | $0 | $28,745 | Yes (X) | |||
| DAVID ROBINSON | ||||||||
| PHYSICIAN | 40.00 | $339,676 | $0 | $20,518 | Yes (X) | |||
| SHEHLA KAHN | ||||||||
| PHYSICIAN | 40.00 | $360,616 | $0 | $33,997 | Yes (X) | |||
| KEVIN HOLLIFIELD | ||||||||
| PHYSICIAN | 40.00 | $250,195 | $0 | $23,213 | Yes (X) | |||
| RICHARD RHEINBOLT | ||||||||
| PHYSICIAN | 40.00 | $125,871 | $0 | $8,255 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,990,097 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $757,399 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $326,246 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 26 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT SPECIALIST INC | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD SERVICES | $406,691 |
| SPRUCE PINE EMERGENCY SERVICES | |||||
| 1501 NW 49TH ST STE 140 | FORT LAUDERDALE | FL | 33309 | MEDICAL SERVICES | $335,295 |
| INFOLAB INC | |||||
| 17400 US 61 | CLARKSDALE | MS | 38614 | IT SERVICES | $242,443 |
| COMPREHENSIVE PAIN CONSULTANTS OF THE CA | |||||
| 26 GLEN COVE DRIVE | ARDEN | NC | 28704 | MEDICAL SERVICES | $225,118 |
| CPSI | |||||
| 6600 WALL STREET | MOBILE | AL | 36695 | INFORMATION SERVICES | $214,113 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $131,294 | RelatedOrganizationsAmt |
| All Other Contributions | $80,000 | AllOtherContributionsAmt |
| Total Contributions | $211,294 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 900099 | $35,489,347 | $35,489,347 | ||
| OTHER PROGRAM SERVICE REVENUE | 900099 | $1,903,217 | $1,903,217 | ||
| PARTNERSHIP REVENUE | 900099 | $387,370 | $387,370 | ||
| CAFETERIA REVENUE | 722210 | $191,978 | $191,978 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $37,971,912 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $213,659 | TotalRevenueColumnAmt |
| Exclusion | $213,659 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $66,882 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,529 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $65,353 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,353 | TotalRevenueColumnAmt |
| Exclusion | $65,353 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,357,853 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $11,290 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,357,853 | SecuritiesAmt |
| Other | -$11,290 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,346,563 | TotalRevenueColumnAmt |
| Exclusion | $1,346,563 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,808,781 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,392,564 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $387,370 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,817,553 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $386,906 | TotalAmt |
| Program Services | $256,859 | ProgramServicesAmt |
| Management And General | $130,047 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,158,662 | TotalAmt |
| Program Services | $14,613,506 | ProgramServicesAmt |
| Management And General | $2,545,156 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,997 | TotalAmt |
| Program Services | $191,248 | ProgramServicesAmt |
| Management And General | $33,749 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,584,352 | TotalAmt |
| Program Services | $2,196,699 | ProgramServicesAmt |
| Management And General | $387,653 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,225,952 | TotalAmt |
| Program Services | $1,042,059 | ProgramServicesAmt |
| Management And General | $183,893 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $536,635 | TotalAmt |
| Program Services | $456,140 | ProgramServicesAmt |
| Management And General | $80,495 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $459,305 | TotalAmt |
| Management And General | $459,305 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,717 | TotalAmt |
| Management And General | $13,717 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,420 | TotalAmt |
| Management And General | $3,420 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,395 | TotalAmt |
| Management And General | $109,395 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,851,628 | TotalAmt |
| Program Services | $3,273,883 | ProgramServicesAmt |
| Management And General | $577,745 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,316 | TotalAmt |
| Program Services | $100,569 | ProgramServicesAmt |
| Management And General | $17,747 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,791,905 | TotalAmt |
| Program Services | $2,373,130 | ProgramServicesAmt |
| Management And General | $418,775 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,463 | TotalAmt |
| Program Services | $96,444 | ProgramServicesAmt |
| Management And General | $17,019 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $813,568 | TotalAmt |
| Program Services | $813,568 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,193 | TotalAmt |
| Program Services | $74,964 | ProgramServicesAmt |
| Management And General | $13,229 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,218 | TotalAmt |
| Program Services | $7,218 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,937,627 | TotalAmt |
| Program Services | $1,646,983 | ProgramServicesAmt |
| Management And General | $290,644 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $683,909 | TotalAmt |
| Program Services | $581,323 | ProgramServicesAmt |
| Management And General | $102,586 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $3,767,534 | $3,767,534 | |
| REPAIRS AND MAINTENANCE | $1,281,214 | $1,138,791 | $142,423 |
| UNRELATED BUSINESS INCO | $164,838 | $164,838 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,690,337 | TotalAmt |
| Program Services | $1,436,786 | ProgramServicesAmt |
| Management And General | $253,551 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,013,091 | TotalAmt |
| Program Services | $34,232,542 | ProgramServicesAmt |
| Management And General | $5,780,549 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,600,737 | BOYAmt |
| EOY | $2,753,957 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,106,492 | BOYAmt |
| EOY | $5,735,027 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $866,833 | BOYAmt |
| EOY | $719,846 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,969 | BOYAmt |
| EOY | $276,814 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $56,249,722 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,144,241 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,081,414 | BOYAmt |
| EOY | $30,105,481 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,416,083 | BOYAmt |
| EOY | $5,360,612 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,530,717 | BOYAmt |
| EOY | $10,600,579 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $981,160 | BOYAmt |
| EOY | $2,796,600 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,154 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,047,559 | BOYAmt |
| EOY | $58,348,916 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,225,655 | BOYAmt |
| EOY | $6,304,332 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $735,000 | BOYAmt |
| EOY | $535,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,100,857 | BOYAmt |
| EOY | $1,231,088 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,000 | BOYAmt |
| EOY | $20,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,768,473 | BOYAmt |
| EOY | $12,268,391 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,869,985 | BOYAmt |
| EOY | $20,358,811 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,177,574 | BOYAmt |
| EOY | $37,910,105 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $80,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,177,574 | BOYAmt |
| EOY | $37,990,105 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,047,559 | BOYAmt |
| EOY | $58,348,916 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$204,310 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $16,841 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,420 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,420 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | BLUE RIDGE REGIONAL HOSPITAL IS A MEMBER OF THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA) EACH YEAR, THIS ORGANIZATION ENGAGES IN LOBBYING ACTIVITIES ON BEHALF OF THE MEMBERSHIP BODIES. FOR THE CURRENT YEAR, APPROXIMATELY 22.8% OF NCHA DUES HAVE BEEN ALLOCATED TO LOBBYING EXPENDITURES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $110,000 | BeginningYearBalanceAmt |
| End Year Balance | $110,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $110,000 | BeginningYearBalanceAmt |
| End Year Balance | $110,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,498,577 | OtherCostOrOtherBasisAmt |
| Book Value | $2,498,577 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,852,376 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,352,072 | DepreciationAmt |
| Book Value | $23,500,304 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $480,132 | OtherCostOrOtherBasisAmt |
| Depreciation | $228,926 | DepreciationAmt |
| Book Value | $251,206 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,248,966 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,563,243 | DepreciationAmt |
| Book Value | $2,685,723 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,169,671 | OtherCostOrOtherBasisAmt |
| Book Value | $1,169,671 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,105,481 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| ALTERNATIVE INVESTMENTS | $5,048,607 | F |
| COLLECTIVE TRUST FUND VEHICLES | $5,551,972 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $10,600,579 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NOTE PAYABLE TO RELATED PARTIES | Desc |
| Amt | $12,268,391 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,268,391 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MISSION APPLIES THE PROVISIONS OF FASB ASC TOPIC 740 FOR INCOME TAXES 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 MISSION'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| 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 | 0 | ExpensesExceedBudgetInd |
| 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 | $1,596,866 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,596,866 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03990 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,061,468 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,979,663 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$918,195 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,658,334 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,979,663 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $678,671 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03990 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $252,894 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $252,894 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $290,446 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $290,446 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $71,098 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $71,098 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $614,438 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $614,438 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01540 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,272,772 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,979,663 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,293,109 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05530 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $101,460 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $101,460 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $101,460 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $101,460 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,119,229 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $12,241,441 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,579,032 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $662,409 | 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 | BLUE RIDGE REGIONAL HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 HOSPITAL DRIVE | AddressLine1 |
| City | SPRUCE PINE | City |
| State | NC | State |
| ZIP Code | 28777 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | BLUERIDGEHOSPITAL.ORG | WebsiteAddressTxt |
| State License | H0169 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE RIDGE REGIONAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BLUERIDGEHOSPITAL.ORG | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://WWW.MISSION-HEALTH.ORG/ABOUT-US/VISION- | OtherWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BLUE RIDGE REGIONAL HOSPITAL, INC. | PART V, SECTION B, LINE 3: AS PART OF WNC HEALTHY IMPACT, A REGIONAL DATA WORKGROUP OF PUBLIC HEALTH AND HOSPITAL REPRESENTATIVES AND REGIONAL PARTNERS, WITH SUPPORT FROM THE CONSULTING TEAM, MADE RECOMMENDATIONS TO THE STEERING COMMITTEE ON THE DATA APPROACH AND CONTENT USED TO HELP INFORM REGIONAL DATA COLLECTION. THE CORE REGIONAL DATASET WAS INFORMED BY STAKEHOLDER DATA NEEDS, GUIDELINES, AND REQUIREMENTS. FROM DATA COLLECTED AS PART OF THIS CORE DATASET, THE CONSULTING TEAM COMPILED SECONDARY (EXISTING) DATA AND NEW SURVEY FINDINGS FOR EACH COUNTY IN THE 16-COUNTY REGION. THIS ASSESSMENT INCLUDES DATA INTEGRATED FROM THE SECONDARY DATA EFFORTS AS WELL AS THE COMMUNITY HEALTH SURVEY FOR OUR COUNTY.IN THE RANDOM-SAMPLE SURVEY THAT WAS ADMINISTERED IN OUR COUNTY AS PART OF THIS COMMUNITY HEALTH ASSESSMENT, 200 COMMUNITY MEMBERS COMPLETED A QUESTIONNAIRE REGARDING THEIR HEALTH STATUS, HEALTH BEHAVIORS, INTERACTIONS WITH CLINICAL CARE SERVICES, SUPPORT FOR CERTAIN HEALTH-RELATED POLICIES, AND FACTORS THAT IMPACT THEIR QUALITY OF LIFE. IN ADDITION, IN OUR COUNTY, COMMUNITY MEMBERS AND PARTNERS ACTED AS THE CHA TEAM AND WERE INVOLVED IN LOCAL DATA INTERPRETATION AND PRIORITY SETTING. |
| BLUE RIDGE REGIONAL HOSPITAL, INC. | PART V, SECTION B, LINE 4: REGIONAL PARTNERSHIP:BLUE RIDGE'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 CAROLINA REGION 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. |
| BLUE RIDGE REGIONAL HOSPITAL, INC. | PART V, SECTION B, LINE 5D: THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE VIEWED AT WWW.WNCHEALTHYIMPACT.COM BY NAVIGATING TO "LOCAL STORIES" AND THEN TO "MITCHELL". THIS INFORMATION CAN ALSO BE FOUND WITHIN THE MISSION HEALTH SYSTEM WEBSITE: HTTP://WWW.MISSION-HEALTH.ORG/ABOUT-US/VISION-VALUES/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. |
| BLUE RIDGE REGIONAL HOSPITAL, INC. | PART V, SECTION B, LINE 12I: IN ADDITION TO THE OTHER ITEMS LISTED, BLUE RIDGE'S POLICY CONTAINS A CATASTROPHIC PROVISION DISCOUNT WHEREIN PATIENTS WHO QUALIFY UNDER OUR FINANCIAL ASSISTANCE POLICY WILL NOT OWE MORE THAN 15% OF THEIR ANNUAL INCOME. |
| BLUE RIDGE REGIONAL HOSPITAL, INC. | PART V, SECTION B, LINE 14G: SEE PART VI, LINE 3: THE BLUE RIDGE HOSPITAL PROVIDES INFORMATION TO PATIENTS REGARDING THE FINANCIAL ASSISTANCE POLICY BY DIRECTING PATIENTS TO A PATIENT BILLING REPRESENTATIVE OR BY DIRECTING PATIENTS TO THE MISSION HEALTH SYSTEM WEBSITE (WHICH APPLY TO ALL MISSION HEALTH LOCATIONS); MESSAGES ON BILLING STATEMENTS AND IN BROCHURES PROVIDED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS; WAITING ROOMS; AND ADMISSIONS OFFICES, WAS WELL AS ON ADMISSION TO THE HOSPITAL FACILITY. FINANCIAL ASSISTANCE APPLICATION CAN BE A COMPLICATED AND CONFUSING PROCESS TO PATIENTS AND THEIR FAMILY AND THE PROCESS IS BETTER UNDERSTOOD WHEN THE PATIENT HAS AN OPPORTUNITY TO ASK QUESTIONS AND HAVE THE APPLICATION EXPLAINED IN PERSON. PATIENTS MAY ALSO CONTACT MISSION'S CUSTOMER SERVICE CENTER AT (800) 848-8732 WITH ANY QUESTIONS. |
| BLUE RIDGE REGIONAL HOSPITAL, INC. | PART V, SECTION B, LINE 18E: BLUE RIDGE REGIONAL HOSPITAL PERFORMS THESE ACTIONS BEFORE INITIATING ANY COLLECTION ACTIONS. |
| BLUE RIDGE REGIONAL HOSPITAL, INC. | PART V, SECTION B, LINE 20D: IT IS THE INTENT OF THIS POLICY THAT ALL UNINSURED PATIENTS QUALIFYING UNDER THE POLICY WILL RECEIVE A DISCOUNT EQUIVALENT TO THE DISCOUNT RECEIVED BY MEDICARE AND COMMERCIALLY INSURED PATIENTS. THIS MINIMUM DISCOUNT LEVEL FOR UNINSURED PATIENTS IS CALCULATED AT LEAST ANNUALLY BY DIVIDING THE SUM OF ALL MEDICARE AND COMMERCIAL INSURANCE PAYMENTS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE FROM CLAIMS THAT HAVE BEEN PAID IN FULL, BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| BLUE RIDGE MEDICAL CENTER YANCEY CAMPUS | ||||
| 800 MEDICAL CAMPUS DRIVE | BURNSVILLE | NC | 28714 | RURAL HEALTH CLINIC, RADIOLOGY, AND LAB |
| BLUE RIDGE MEDICAL CENTER MAYLAND CAMPUS | ||||
| 7968 HIGHWAY 19E | SPRUCE PINE | NC | 28777 | RURAL HEALTH CLINIC |
| BLUE RIDGE MEDICAL CENTER GENERAL SURGER | ||||
| 125 HOSPITAL DRIVE | SPRUCE PINE | NC | 28777 | GENERAL SURGERY |
| BLUE RIDGE MEDICAL CENTER SPRUCE PINE CA | ||||
| 496 ALTAPASS ROAD | SPRUCE PINE | NC | 28777 | RURAL HEALTH CLINIC |
| BLUE RIDGE MEDICAL CENTER PAIN CLINIC | ||||
| 125 HOSPITAL DRIVE | SPRUCE PINE | NC | 28777 | CLINIC |
| TOE RIVER CHILDRENS DENTAL CLINIC | ||||
| 89 N MITCHELL AVE | BAKERSVILLE | NC | 28705 | PHYSICIAN OFFICES |
| BLUE RIDGE FITNESS AND REHABILITATION CE | ||||
| 155 LOVE FOX ROAD | BAKERSVILLE | NC | 28705 | FITNESS CENTER |
| BLUE RIDGE MEDICAL CENTER ORTHOPAEDICS | ||||
| 11728 SOUTH 226 HWY | SPRUCE PINE | NC | 28777 | ORTHOPEDICS |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | BLUE RIDGE REGIONAL HOSPITAL USED THE NCHA ANDI REPORTS WHICH ARE BASED ON THE IRS GUIDELINES TO DERIVE A COST-TO-CHARGE RATIO USED IN THE CALCULATION OF COMMUNITY BENEFIT EXPENSE AT COST. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | SERVING THE COMMUNITY FOR OVER 55 YEARS, BLUE RIDGE REGIONAL HOSPITAL PLAYS A VITAL ROLE IN THE DEVELOPMENT AND SUPPORT OF THE REGION IT SERVES. BLUE RIDGE REGIONAL HOSPITAL PROVIDES FACILITY SPACE FOR MEETINGS AND RESOURCES THROUGH THE AMERICAN CANCER SOCIETY INCLUDING A PATIENT RESOURCE ROOM AND BI-MONTHLY LOOK GOOD, FEEL GOOD CLASSES. BLUE RIDGE REGIONAL HOSPITAL PROVIDES PRIVILEGES AND SPACES FOR VISITING SPECIALTY PHYSICIANS ON A REGULAR BASIS. THIS ARRANGEMENT ALLOWS COMMUNITY RESIDENTS TO RECEIVE NEEDED SPECIALTY CARE WITHOUT HAVING TO TRAVEL 50 OR MORE MILES ONE WAY. THIS SPACE IS PROVIDED AT MINIMAL COST TO THE VISITING PHYSICIANS TO PROVIDE COMFORT AND CONVENIENCE TO PATIENTS IN THE COMMUNITY. EMPLOYEES AT BLUE RIDGE REGIONAL HOSPITAL PARTICIPATE AND ARE MEMBERS OF MULTIPLE AGENCIES THAT SERVE THE COMMUNITY AS WELL AS MANY NON-PROFIT ORGANIZATIONS.ECONOMIC DEVELOPMENT - A MEMBER OF THE EXECUTIVE TEAM WHO SERVES AS CHAIRMAN OF THE LOCAL ECONOMIC DEVELOPMENT COMMISSION AND FOUNDING CHAIRMAN OF THE LOCAL PARTNERSHIP FOR CHILDREN, WORKS DILIGENTLY TO FIND OPPORTUNITIES TO BRING MORE BUSINESS & JOBS TO THE PEOPLE OF OUR COMMUNITY, THUS PROVIDING A GREATER LIFE POTENTIAL FOR THOSE IN NEED.WORKFORCE DEVELOPMENT - AS AN UNDERSERVED COMMUNITY WITH EVIDENT MEDICAL SHORTAGE IN ALL AREAS OF GENERAL AND SPECIALTY HEALTH CARE, BLUE RIDGE STRIVES TO RECRUIT, OBTAIN AND RETAIN PHYSICIANS AND OTHER HEALTH CARE PROVIDERS TO PROVIDE SERVICES FOR MEMBERS OF THE SURROUNDING COMMUNITIES. |
| PART III, LINE 2: | BAD DEBT EXPENSE IS COMPLETED AT THE ESTIMATED COST TO PROVIDE THE SERVICES WHICH WERE UNCOLLECTIBLE.CHARITABLE DISCOUNTS AND OTHER DISCOUNTS DECREASE NET PATIENT REVENUE AS REPORTED ON PAGE 9 OF THE CORE FORM OF THE 990. RECOVERIES OF PREVIOUS BAD DEBT WRITTEN OFF ARE NETTED AGAINST BAD DEBT EXPENSE BEFORE REDUCING TO THE COST BASIS. |
| PART III, LINE 4: | THE ORGANIZATION DOES NOT DISCLOSE THE COST OF BAD DEBT IN THE FOOTNOTES OF THE FINANCIALS; HOWEVER IT REPORTS THE COST OF BAD DEBT AS PART OF A REPORT TO THE NORTH CAROLINA HOSPITAL ASSOCIATION'S DATA INITIATIVE. THE FINANCIAL STATEMENTS NET BAD DEBT AGAINST PATIENT REVENUES TO ARRIVE AT "NET PATIENT REVENUE LESS PROVISION FOR BAD DEBTS". |
| 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: | BLUE RIDGE REGIONAL HOSPITAL PARTICIPATES IN A COMMUNITY HEALTH ASSESSMENT (CHA) EVERY THREE YEARS, WITH THE MOST RECENT ASSESSMENT COMPLETED IN DECEMBER 2012.PROCESS AND PRODUCT:THE BLUE RIDGE REGIONAL HOSPITAL ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH THE TOE RIVER HEALTH DISTRICT, MITCHELL COMMUNITY HEALTH PARTNERSHIP, HEALTHY YANCEY, AND OTHER NON-PROFIT COMMUNITY ORGANIZATIONS. THIS WRITTEN REPORT DESCRIBES: THE COMMUNITY SERVED BY THE HOSPITAL COMMUNITY DEMOGRAPHICS EXISTING HEALTH RESOURCES IN THE COMMUNITY AVAILABLE TO RESPOND TO NEEDS HOW DATA WAS COLLECTED IN THE ASSESSMENT PROCESS THE PRIORITY HEALTH NEEDS OF THE COMMUNITY HEALTH NEEDS AND ISSUES OF UNINSURED, LOW-INCOME, AND MINORITY GROUPS THE PROCESS FOR IDENTIFYING AND PRIORITIZING COMMUNITY NEEDS AND SERVICES TO MEET THE NEEDS THE PROCESS FOR CONSULTING WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS INFORMATION GAPS THAT LIMIT THE HOSPITAL FACILITY'S ABILITY TO ASSESS THE COMMUNITY'S HEALTH NEEDSSHARING OF RESULTS:DETAILED FINDINGS FOR OUR ASSESSMENT(S) WERE POSTED ON BLUE RIDGE REGIONAL HOSPITAL WEBSITE HTTP://WWW.BLUERIDGEHOSPITAL.ORG/ABOUT-US IN SEPTEMBER 2014. THE CHNA WAS PRESENTED TO THE BLUE RIDGE REGIONAL HOSPITAL IN SEPTEMBER 2014 FOR APPROVAL AND DISCUSSION. DOCUMENTATION OF THIS BOARD APPROVAL IS AVAILABLE IN THE BLUE RIDGE REGIONAL HOSPITAL BOARD MINUTES FROM SEPTEMBER 2014. |
| PART VI, LINE 3: | BLUE RIDGE REGIONAL HOSPITAL PROVIDES INFORMATION TO OUR PATIENTS REGARDING HOW THEY WILL BE BILLED FOR PATIENT CARE AND ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY IN THE FOLLOWING WAYS: DURING THE REGISTRATION PROCESS WE VERIFY INSURANCE INFORMATION ON EACH PATIENT. IF THERE IS NO INSURANCE, THE PATIENTS ARE ASKED A SERIES OF QUESTIONS TO DETERMINE POTENTIAL MEDICAID ELIGIBILITY. IF THE PATIENT IS DETERMINED TO HAVE POTENTIAL ELIGIBILITY THE PATIENT'S ACCOUNT INFORMATION IS FORWARDED TO OUR ONSITE DSS WORKER FOR FURTHER INQUIRIES AND POSSIBLY AN APPOINTMENT IS SCHEDULED TO COMPLETE A MEDICAID APPLICATION. IF THE PATIENT DOES NOT MEET ELIGIBILITY REQUIREMENTS, OTHER OPTIONS SUCH AS PAYMENT ARRANGEMENTS AND/OR FINANCIAL ASSISTANCE IS DISCUSSED. AT THIS TIME, THE PATIENT MAY BE GIVEN A FINANCIAL ASSISTANCE APPLICATION (CHARITY CARE) TO COMPLETE AND RETURN TO THE BUSINESS OFFICE FOR PROCESSING. AFTER THE NOTIFICATIONS AND PROCESSES REFERENCED ABOVE HAVE BEEN COMPLETED, STANDARD DEBT COLLECTION POLICIES ARE IN EFFECT FOR THE PORTION OF THE BILL FOR WHICH THE PATIENT IS RESPONSIBLE.IN ADDITION TO GOING THROUGH THIS PROCESS VERBALLY WITH OUR PATIENTS OUR INTERNET WEB SITE INCLUDES THE FOLLOWING INFORMATION:ABOUT YOUR BILL WE ARE HERE TO HELP. IF YOU HAVE ANY QUESTIONS OR CONCERNS ABOUT THE STATEMENTS YOU RECEIVE, PLEASE CALL US AS SOON AS POSSIBLE AT 800-848-8732.INSURANCE: THE FIRST STEP IS TO CHECK WITH YOUR INSURANCE COMPANY BEFORE ANY INPATIENT OR OUTPATIENT PROCEDURES TO BE SURE THAT YOU HAVE MET THEIR REQUIREMENTS, SUCH AS A REFERRAL FROM A PRIMARY CARE PHYSICIAN. ALSO BE SURE TO ASK YOUR INSURANCE PROVIDER ABOUT ANY DEDUCTIBLES OR CO-PAYS THAT MAY BE YOUR RESPONSIBILITY. BLUE RIDGE REGIONAL HOSPITAL WILL FILE A CLAIM WITH YOUR INSURANCE COMPANY, BUT DEDUCTIBLES AND CO-PAYS MUST BE PAID AT THE TIME OF SERVICE.UNINSURED:IF YOU DO NOT HAVE INSURANCE THEN YOU MUST PAY 'UP FRONT' AT THE TIME OF THE VISIT. HOWEVER, PLEASE DO NOT LET THIS STOP YOU FROM SEEKING THE MEDICAL CARE YOU NEED. IF YOU CAN'T PAY YOUR BILL DUE TO LACK OF INSURANCE OR LIMITED INCOME, A PATIENT REPRESENTATIVE IS AVAILABLE TO HELP YOU APPLY FOR FINANCIAL ASSISTANCE.FINANCIAL ASSISTANCE:OUR PROCESS FOR DETERMINING FINANCIAL ASSISTANCE IS KEPT STRICTLY CONFIDENTIAL AND ELIGIBILITY IS DETERMINED ON AN INDIVIDUAL BASIS. THE STEPS FOR REQUESTING FINANCIAL ASSISTANCE INCLUDE:CALL A PATIENT REPRESENTATIVE AT 800-848-8732;PARTICIPATE IN A BRIEF PHONE INTERVIEW TO DETERMINE ELIGIBILITY;FINANCIAL ASSISTANCE APPLICATION IS MAILED TO YOU OR WE CAN SCHEDULE AN APPOINTMENT TO DISCUSS THE APPLICATION PROCESS. YOU WILL NEED TO PROVIDE SPECIFIC FINANCIAL INFORMATION. DECISION ABOUT ASSISTANCE IS MADE ONCE ALL PAPERWORK IS COMPLETE BLUE RIDGE REGIONAL HOSPITAL DETERMINES ELIGIBILITY FOR ASSISTANCE BY FOLLOWING THE HOUSEHOLD INCOME GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. AFTER WE REVIEW YOUR ASSISTANCE APPLICATION, WE MAY DETERMINE THAT YOU QUALIFY FOR A DISCOUNT, MEDICAID BENEFITS, OR OTHER STATE ASSISTANCE AVAILABLE TO NORTH CAROLINA RESIDENTS.MEDICAID:IF YOU HAVE MEDICAID, BE SURE TO BRING YOUR CARD WITH YOU EACH TIME YOU VISIT THE HOSPITAL FOR ANY MEDICAL SERVICES. MEDICAID MAY REQUIRE YOU TO BE REFERRED BY YOUR PRIMARY CARE DOCTOR AND THEY MAY NOT COVER CERTAIN SERVICES. THE BEST WAY TO BE SURE IS TO CALL YOUR CASE WORKER AT THE DEPARTMENT OF SOCIAL SERVICES.MEDICARE PATIENTS:PLEASE BE AWARE THAT WE ARE REQUIRED BY LAW TO ASK CERTAIN QUESTIONS ABOUT YOUR RETIREMENT AND INSURANCE COVERAGE EVERY TIME YOU RECEIVE SERVICES AT BLUE RIDGE REGIONAL HOSPITAL. WE SEND A CLAIM TO YOUR SUPPLEMENTAL INSURANCE COMPANY BEFORE SUBMITTING A BILL TO MEDICARE. YOU ARE RESPONSIBLE FOR ANY PART OF YOUR BILL THAT'S NOT COVERED BY SUPPLEMENTAL INSURANCE AND MEDICARE.CONTACT INFORMATION:IF YOU HAVE ANY QUESTIONS, YOU CAN SEND THEM THROUGH OUR ONLINE FORM, OR FEEL FREE TO CALL 800-848-8732.IF YOU NEED HELP OUTSIDE OF NORMAL BUSINESS HOURS, PLEASE LEAVE A MESSAGE IN THE BUSINESS OFFICE AND A PATIENT REPRESENTATIVE WILL RETURN YOUR CALL. |
| PART VI, LINE 4: | BLUE RIDGE REGIONAL HOSPITAL SERVES THE RURAL MOUNTAINOUS AREA OF MITCHELL, YANCEY, LOWER AVERY AND UPPER MCDOWELL COUNTIES IN WESTERN NORTH CAROLINA. THE POPULATION WE SERVE IS A LARGELY INDIGENT POPULATION AND EVER-INCREASING ELDERLY POPULATION. IN 2014, BLUE RIDGE REGIONAL HOSPITAL PROVIDED OVER $5 MILLION IN UNCOMPENSATED CARE TO THE COMMUNITY IT SERVES. IN 2014 MORE THAN 75% OF THE PATIENT POPULATION WAS MEDICAID, MEDICARE OR SELF-PAY PATIENTS. |
| PART VI, LINE 5: | SEE PROGRAM SERVICE ACCOMPLISHMENTS ON PAGE 2 OF THE 990. |
| PART VI, LINE 6: | BLUE RIDGE REGIONAL HOSPITAL 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.; AND THE MCDOWELL HOSPITAL, INC.MISSION HOSPITAL, INC. IS A REGIONAL INTEGRATED HEALTH SYSTEM 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.ANGEL MEDICAL CENTER, INC. SERVES AS A COMMUNITY HOSPITAL IN MACON AND SURROUNDING COUNTIES.TRANSYLVANIA COMMUNITY HOSPITAL, INC. SERVES AS A COMMUNITY HOSPITAL IN TRANSYLVANIA AND SURROUNDING COUNTIES.THE MCDOWELL HOSPITAL SERVES AS A COMMUNITY HOSPITAL IN MCDOWELL AND THE SURROUNDING COUNTIES.MISSION HEALTHCARE 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. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NC |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OSCAR WEINMEISTER | ||||||||||||||
| CEO THROUGH MARCH 2014 | $206,248 | $0 | $40,338 | $0 | $10,880 | $0 | $34,017 | $0 | $23,821 | $0 | $315,304 | $0 | $0 | $0 |
| KATHRYN GUYETTE | ||||||||||||||
| BOARD MEMBER | $0 | $279,775 | $0 | $97,572 | $0 | $49,983 | $0 | $59,716 | $0 | $11,277 | $0 | $498,323 | $0 | $0 |
| JENNIFER LARSON MD | ||||||||||||||
| CHIEF OF STAFF - INTERNIST | $75,004 | $0 | $18,514 | $0 | $37,463 | $0 | $2,544 | $0 | $22,137 | $0 | $155,662 | $0 | $0 | $0 |
| LYNN BOGGS | ||||||||||||||
| CEO STARTING MARCH 2014 | $0 | $244,444 | $0 | $75,000 | $0 | $10,625 | $0 | $40,071 | $0 | $17,267 | $0 | $387,407 | $0 | $0 |
| MARVIN VICE | ||||||||||||||
| PHYSICIAN | $433,171 | $0 | $0 | $0 | $17,682 | $0 | $0 | $0 | $28,745 | $0 | $479,598 | $0 | $0 | $0 |
| DAVID ROBINSON | ||||||||||||||
| PHYSICIAN | $335,108 | $0 | $0 | $0 | $4,568 | $0 | $0 | $0 | $20,518 | $0 | $360,194 | $0 | $0 | $0 |
| SHEHLA KAHN | ||||||||||||||
| PHYSICIAN | $280,566 | $0 | $79,757 | $0 | $293 | $0 | $7,650 | $0 | $26,347 | $0 | $394,613 | $0 | $0 | $0 |
| KEVIN HOLLIFIELD | ||||||||||||||
| PHYSICIAN | $198,562 | $0 | $0 | $0 | $51,633 | $0 | $6,080 | $0 | $17,133 | $0 | $273,408 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION FOR OFFICERS AND EXECUTIVES ARE SET BY MISSION HEALTH SYSTEM. SEE SCHEDULE O FOR ADDITIONAL DETAIL. |
| PART I, LINE 4B | 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. KATHLEEN GUYETTE $44,416 OSCAR WEINMEISTER $8,912 LYNN BOGGS $7,041 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. KATHLEEN GUYETTE $45,632 LYNN BOGGS $31,532 OSCAR WEINMEISTER $25,486 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS MISSION HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE DIRECTORS OF THE CORPORATION SHALL BE APPOINTED AT THE ANNUAL MEETING OF THE MEMBER (MISSION HEALTH SYSTEM) OF THE CORPORATION. THE TWO EX-OFFICO DIRECTORS SHALL BE EX-OFFICIO BOARD MEMBERS WHO SERVE IN THE POSITIONS OF CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND CHIEF OF STAFF OF THE HOSPITAL. THE BOARD OF DIRECTORS OF THE CORPORATION SHALL ELECT THE SEVEN INDIVIDUALS TO SERVE AS COMMUNITY DIRECTORS AS SOON AS REASONABLY POSSIBLE SUBSEQUENT TO THE APPOINTMENT OF THE SOLE MEMBER'S DIRECTORS. THE COMMUNITY DIRECTORS ELECTED MUST BE APPROVED BY THE MEMBER OF THE CORPORATION; HOWEVER, SAID APPROVAL SHALL NOT BE ARBITRARILY AND CAPRICIOUSLY WITHHELD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER HAS THE FOLLOWING RIGHTS WITH RESPECT TO THE CORPORATION (A) APPROVAL OF THE GOVERNING INSTRUMENTS OF THE CORPORATION, (B) APPROVAL OF THE MISSION, VISION, AND VALUES STATEMENT, (C) ELECTION AND REMOVAL OF THE BOARD OF DIRECTORS, (D) APPROVAL OF THE PLEDGE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, THE PURCHASE OR SALE OF PROPERTY, AND LONG-TERM BORROWING, (E) APPROVAL OF DISSOLUTION, MERGER, SALE, OR CONSOLIDATION, (F) APPROVAL OF THE FORMATION AND GOVERNANCE OF NEW CORPORATIONS, PARTNERSHIPS, OR JOINT VENTURES (ABOVE FINANCIAL AND OTHER LIMITS), (G) APPROVAL OF THE CAPITAL AND OPERATING BUDGET, (H) APPROVAL OF THE CONSOLIDATION, MATERIAL EXPANSION, OR ELIMINATION OF ANY CLINICAL SERVICE, (I) APPROVAL OF THE ELECTION OF THE PRESIDENT/CEO, (J) THE OPTION TO REMOVE THE PRESIDENT/CEO. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION PROVIDES DATA TO THE SENIOR TREASURY ANALYST OF TAX SERVICES FOR MISSION HEALTH SYSTEM, INC. THE 990 IS PREPARED AND REVIEWED BY MANAGEMENT PRIOR TO THE REVIEW BY THE ORGANIZATION'S FINANCE COMMITTEE. AN INDEPENDENT ACCOUNTING FIRM REVIEWS SCHEDULE R. 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 INDEPENDENT DIRECTORS WILL REVIEW CONFLICTS OF INTEREST AND DISABLING SITUATIONS, CONSIDER ANY ISSUES INVOLVING CONFLICTS AND MAKE DETERMINATIONS AS TO WHETHER A PARTICULAR RELATIONSHIP OR ARRANGEMENT WOULD DISABLE AN INDIVIDUAL FROM SERVING AS A FIDUCIARY FOR THE BOARD OR WOULD REASONABLY BE EXPECTED TO EXERT AN INFLUENCE ON THE INDIVIDUAL'S JUDGMENT AND THEREFORE PRECLUDE THE INDIVIDUAL FROM BEING AN INDEPENDENT DIRECTOR. THE BOARD MAY RETAIN COUNSEL FROM OUTSIDE AUDIT, LEGAL, GOVERNANCE OR OTHER EXPERTS. ANY DETERMINATION OF PERCENT OF REVENUE OR INCOME RECEIVED BY AN INDIVIDUAL OR ENTITY MAY BE BASED ON CERTIFICATIONS FROM OUTSIDE AUDITORS OF DISCLOSURES MADE DIRECTLY BY THE INDIVIDUAL TO THE AUDIT FIRM. PROCEDURES UPON DETERMINATION OF A CONFLICT OF INTEREST: THE INTERESTED PERSON SHALL NOT PARTICIPATE IN ANY DISCUSSION OR VOTE REGARDING THE BUSINESS RELATIONSHIP ISSUE, AND SHALL NOT BE PRESENT IN THE MEETING ROOM FOR ANY PART OF THE DISCUSSION OR VOTE RELATING TO THE BUSINESS RELATIONSHIP ISSUE. THE BOARD OF DIRECTORS WILL DISCUSS THE BUSINESS RELATIONSHIP BUT WILL NOT FORMALLY APPROVE SUCH BUSINESS RELATIONSHIP UNLESS THE DISINTERESTED MEMBERS OF THE BOARD HAVE DECIDED BY MAJORITY VOTE THAT THE BUSINESS RELATIONSHIP IS IN THE BEST INTERESTS OF AND FOR THE BENEFIT OF BLUE RIDGE AND IS FAIR AND REASONABLE THERETO IN ALL RESPECTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE SETTING AND REVIEW OF COMPENSATION OF MCDOWELL HOSPITALS OFFICERS AND KEY EMPLOYEES IS CONDUCTED BY ITS SOLE MEMBER, MISSION HEALTH SYSTEM, INC. WITH ASSISTANCE FROM A NATIONAL CONSULTING FIRM WHO SPECIALIZES IN HEALTHCARE COMPENSATION SETTING PRACTICES. BASE COMPENSATION IS PRIMARILY DETERMINED BY USING THE PREVAILING MARKET RATE FOR THAT POSITION. ADDITIONAL COMPENSATION INCENTIVES ARE DETERMINED USING THE SAME PROCESS AND REVIEWED ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, DETAILS FROM THE ORGANIZATION'S FINANCIAL STATEMENTS ARE WIDELY DISTRIBUTED IN THE HOSPITAL'S COMMUNITY BENEFIT REPORT TO THE COMMUNITY, AS WELL AS BEING ATTACHED TO THIS RETURN. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 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 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 HEALTHCARE FOUNDATION INC | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 561881331 | FOUNDATION | NC | 501(C)(3) | LINE 7 | MISSION HEALTH SYSTEM INC | 0 | |
| MISSION MEDICAL ASSOCIATES | |||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 263627231 | PHYSICIAN SERVICES | NC | 501(C)(3) | LINE 9 | MISSION HEALTH SYSTEM INC | 0 | |
| THE MCDOWELL HOSPITAL INC | |||||||||||
| 430 RANKIN AVENUE | MARION | NC | 28752 | 560623938 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| MCDOWELL HEALTHCARE FOUNDATION INC | |||||||||||
| 430 RANKIN AVENUE | MARION | NC | 28752 | 463395393 | FOUNDATION | NC | 501(C)(3) | LINE 11A, I | THE MCDOWELL HOSPITAL | 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 | |
| TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC | |||||||||||
| PO BOX 2440 | BREVARD | NC | 28712 | 561450824 | FOUNDATION | NC | 501(C)(3) | LINE 11A, I | TRANSYLVANIA COMMUNITY HOSPITAL | 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 PHYSICIAN SERVICES INC | |||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561920816 | PHYSICIAN SERVICES | NC | 501(C)(3) | LINE 3 | TRANSYLVANIA COMMUNITY HOSPITAL | 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 | |
| COMMUNITY CAREPARTNERS INC | |||||||||||
| PO BOX 5779 | ASHEVILLE | NC | 28813 | 562005198 | LONG TERM REABILITATION | NC | 501(C)(3) | LINE 9 | MISSION HEALTH SYSTEM INC | 0 | |
| HIGHLANDS-CASHIERS HOSPITAL INC | |||||||||||
| PO BOX 190 | HIGHLANDS | NC | 28741 | 560509400 | COMMUNITY HOSPITAL | NC | 501(C)(3) | LINE 3 | MISSION HEALTH SYSTEM INC | 0 | |
| HIGHLANDS-CASHIERS PHYSICIAN SERVICES INC | |||||||||||
| PO BOX 742 | HIGHLANDS | NC | 28741 | 452422428 | PHYSICIAN SERVICES | NC | 501(C)(3) | LINE 11A, I | HIGHLANDS-CASHIERS INC | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ASHEVILLE IMAGING LLP | ||||||||||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907201 | OUTPATIENT IMAGING | NC | N/A | |||||||
| ASHEVILLE MRI | ||||||||||||||
| PO BOX 2959 | ASHEVILLE | NC | 28802 | 561665863 | IMAGING SERVICES | NC | N/A | |||||||
| BLUE RIDGE DME LLC | ||||||||||||||
| 125 HOSPITAL DRIVE | SPRUCE PINE | NC | 28777 | 263570174 | HOME MEDICAL EQUIPMENT AND SUPPLIES SALES | NC | BLUE RIDGE REGIONAL HOSPITAL INC | UNRELATED | $463,770 | $1,045,076 | 0 | Yes (1) | 0.96000 | |
| BLUE RIDGE-TKC LLC | ||||||||||||||
| 5935 CARNEGIE BLVD | CHARLOTTE | NC | 28209 | 471382912 | REAL ESTATE RENTAL | NC | THE KEITH CORPORATION | UNRELATED | 0 | Yes (1) | 1.00000 | |||
| BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC | ||||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 203281110 | MEDICAL IMAGING | NC | N/A | |||||||
| HEALTHCARE III LIMITED PARTNERSHIP | ||||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 561599596 | RENTAL | NC | N/A | |||||||
| HEALTHCARE LIMITED LIABILITY COMPANY VII | ||||||||||||||
| 260 HOSPITAL DRIVE | BREVARD | NC | 28712 | 200343455 | RENTAL | NC | N/A | |||||||
| IMAGING REALTY LLP | ||||||||||||||
| 534 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 561907203 | MEDICAL BUILDING | NC | N/A | |||||||
| MCDOWELL MRI | ||||||||||||||
| 414 RANKIN AVENUE | MARION | NC | 28752 | 753046378 | MEDICAL IMAGING | NC | N/A | |||||||
| MSJHS AND CCP JOINT DEVELOPMENT COMPANY LLC | ||||||||||||||
| 428 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 562250464 | LONG TERM ACUTE CARE HOSITAL | NC | N/A | |||||||
| SPRUCE PINE HEALTHCARE LLC | ||||||||||||||
| 5935 CARNEGIE BLVD | CHARLOTTE | NC | 28209 | 471390107 | REAL ESTATE | NC | BLUE RIDGE REGIONAL HOSPITAL INC | UNRELATED | 0 | Yes (1) | 0.93000 | |||
| TRANSYLVANIA HEALTHCARE II LIMITED PARTNERSHIP | ||||||||||||||
| 2 MEDICAL PARK DRIVE | BREVARD | NC | 28712 | 200333230 | RENTAL | NC | N/A | |||||||
| WESTERN NC HEALTHCARE INNOVATORS III LLC | ||||||||||||||
| 5935 CARNEGIE BLVD | CHARLOTTE | NC | 28209 | 464053310 | REAL ESTATE 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 DRIVE | SYLVA | NC | 28799 | 561849395 | RADIATION THERAPY | NC | N/A | |||||||
| WNC STONE CENTER | ||||||||||||||
| 509 BILTMORE AVENUE | ASHEVILLE | NC | 28801 | 272152974 | LITHOTRIPTER RENTAL | NC | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | CountryForeignAddress/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MISSION VENTURES INC | ||||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 561341621 | HOLDING COMPANY | NC | N/A | C | 0 | |||
| HORIZON MANAGEMENT SERVICES INC MERGED WITH MISSION VENTURES INC SEP 2014 | ||||||||||||
| 400 RIDGEFIELD COURT SUITE 100 | ASHEVILLE | NC | 28806 | 561341624 | COLLECTIONS, BILLING, MEDICAL PROPERTY | NC | N/A | C | 0 | |||
| DOGWOOD INSURANCE COMPANY LTD | ||||||||||||
| CAPTIVE INSURANCE ENTITY | N/A | C | 0 | THE GRANT PAVILION COMMERCIAL CENTR | CJ | CJ | ||||||
| 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 | 28806 | 465566095 | CLINICALLY INTEGRATED NETWORK | NC | N/A | C | 0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | 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 | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BLUE RIDGE DME LLC | ||
| S | $266,434 | FMV |
| BLUE RIDGE REGIONAL HOSPITAL FOUNDATION INC | ||
| C | $131,294 | FMV |
| BLUE RIDGE REGIONAL HOSPITAL FOUNDATION INC | ||
| O | $98,645 | FMV |