ANC MISSION MEDICAL ASSOCIATES INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ANC MISSION MEDICAL ASSOCIATES INC (EIN 26-3627231)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-14
- IRS object ID
- 201532269349302508
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-14T11:33:11-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 366055558 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Grant Thornton LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 S College Street Suite 2500 | AddressLine1 |
| City | Charlotte | City |
| State | NC | State |
| ZIP Code | 28244 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263627231 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mission Medical Associates Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MISS | BusinessNameControlTxt |
| Phone | 8282138222 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 5325 | AddressLine1 |
| City | Asheville | City |
| State | NC | State |
| ZIP Code | 28813 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paul McDowell | PersonNm |
| Person Title | VP, Finance | PersonTitleTxt |
| Phone | 8282138222 | PhoneNum |
| Signature | 2015-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00488037 | PTIN |
| Phone | 7046323500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Paul McDowell | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 5325 | AddressLine1 |
| City | Asheville | City |
| State | NC | State |
| ZIP Code | 28813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $92,176,988 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.missionmd.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | Provide Physician Services in areas that are insufficiently served. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 736 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $270,331 | PYContributionsGrantsAmt |
| CY Contributions Grants | $165,525 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $72,810,467 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $91,228,159 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,609 | PYInvestmentIncomeAmt |
| CY Investment Income | -$3,122 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $73,084,407 | PYTotalRevenueAmt |
| CY Total Revenue | $91,390,562 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $50 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,066 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $88,904,466 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $106,944,088 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,569,952 | PYOtherExpensesAmt |
| CY Other Expenses | $24,029,084 | CYOtherExpensesAmt |
| PY Total Expenses | $106,474,468 | PYTotalExpensesAmt |
| CY Total Expenses | $130,974,238 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$33,390,061 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$39,583,676 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,467,608 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,190,061 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $128,798,644 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $161,104,773 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$100,331,036 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$139,914,712 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Provide Physician Services in areas that are insufficiently served.Continued on Schedule O.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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $124,747,345 | ExpenseAmt |
| Grant | $1,066 | GrantAmt |
| Revenue | $91,228,159 | RevenueAmt |
| Desc | The Organization provided physician services in specialty practices including Family Medicine, Pediatrics, Cardiology, Children's Dental, Neurology, Orthopedic Trauma, Trauma Surgery, Weight Management, and Hospitalists. 33 new physicians were recruited to the area and the Organization served over 93,000 patients at 31 practice locations. The Organization provided physician services in specialty practices including Family Medicine, Pediatrics, Neonatology, Cardiology, Children's Dental, Neurology, Orthopedic Trauma, Trauma Surgery, Orthopedics, Weight Management, GI Services, Infectious Disease, and Hospitalists. 54 new providers, including neonatologists, infectious disease specialists, and 25 new providers to Transylvania Regional Hospital, a critical access provider affiliated with Mission Health System were recruited to the area and the Organization served over 130,000 patients at 48 practice locations. Benefits to the community included over $3 million in charity care based on foregone charges.Other accomplishments of the Organization's individual physicians which include volunteering in the local community and recognition for excellence and quality of healthcare service are highlighted below, continuing on Schedule O.Telehealth was set up in 22 Western North Carolina community locations to provide education to school RNs, practice MAs and nurses regarding pediatric hypertension and hyperlipidemia. Six cardiologists and one advanced practitioner ranked in the top ten percent of the Professional Research Consultants (PRC) National Excellence in Healthcare and presented with Service Excellence Awards from Mission. The Pediatric Endocrinology practice was recognized as PRC's Top Performer for 2014. The Top Performer Award is PRC's highest honor and is given annually to each healthcare facility that scores at or above the 100th percentile for the overall quality of care percent "excellent" score in PRC's national client database. A Developmental-Behavioral pediatric specialist again participated with the International Hospital for Children in the annual pediatric Spina Bifida evaluation clinics in Belize, Central America. The Mission Children's Neonatal Follow Up clinic as well as several pediatric providers were recognized as 5 star recipients for outstanding patient satisfaction. Several physicians donated their time to the Medical Ministry of the Asheville-Buncombe County Christian Ministry serving uninsured and underinsured residents of Buncombe County. Several cardiologists and primary care physicians provided community education across Western North Carolina. | Desc |
| Total Program Service Expenses | $124,747,345 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | 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 | 0 | OperateHospitalInd |
| 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 79 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 736 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mission Medical Associates | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8282138222 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 Ridgefield Court Suite 100 | AddressLine1 |
| City | Asheville | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Ernest E Ferguson | |||||||||
| Chairman | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| George M BilbreyJrMD | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | 4.00 | |||
| William E Lee | |||||||||
| Secretary/Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | 3.00 | ||
| Paul C Flanders MD | |||||||||
| Director | 1.00 | Yes (X) | $0 | $42,348 | $0 | 40.00 | |||
| Robert W Fields MD | |||||||||
| Director | 40.00 | Yes (X) | $74,925 | $0 | $11,071 | ||||
| Dr Jill Hoggard Green | |||||||||
| President/CEO | 6.00 | Yes (X) | $0 | $681,995 | $104,093 | 54.00 | |||
| Paul McDowell | |||||||||
| VPFinance | 6.00 | Yes (X) | $0 | $415,728 | $84,009 | 54.00 | |||
| Angela Wills | |||||||||
| COO | 15.00 | Yes (X) | $60,438 | $181,314 | $46,516 | 45.00 | |||
| Charles M LeCroy MD | |||||||||
| Physician | 40.00 | $646,342 | $0 | $40,737 | Yes (X) | ||||
| Harold Frisch MD | |||||||||
| Physician | 40.00 | $576,788 | $0 | $40,454 | Yes (X) | ||||
| William Shillinglaw MD | |||||||||
| Physician | 40.00 | $600,869 | $0 | $43,030 | Yes (X) | ||||
| Thomas Large | |||||||||
| Physician | 40.00 | $556,894 | $0 | $30,910 | Yes (X) | ||||
| Jan Pattanayak MD | |||||||||
| Physician | 40.00 | $566,407 | $0 | $35,678 | Yes (X) | ||||
| Marc Westle DO | |||||||||
| Former CEO | 0.00 | $0 | $378,945 | $81,227 | 60.00 | Yes (X) | |||
| Cheryl Williams | |||||||||
| FormerFinOff/CurrDirFin | 60.00 | $142,873 | $0 | $27,703 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,225,536 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,700,330 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $545,428 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 225 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Locumtenenscom | |||||
| PO Box 405547 | Atlanta | GA | 303845547 | Physician Services | $536,417 |
| Insight Telepsychiatry LLC | |||||
| PO Box 306 | Marlton | NJ | 080530289 | Medical Services | $459,127 |
| Blue Ridge Bone & Joint | |||||
| 129 McDowell Street | Asheville | NC | 28801 | Medical Services | $441,342 |
| Honnie Patricia Spencer | |||||
| 284 Knoxview Ln | Mooresville | NC | 281179630 | Medical Services | $222,300 |
| Vista Staffing Solutions | |||||
| None | Los Angeles | CA | 900740834 | Medical Services | $222,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $165,525 | RelatedOrganizationsAmt |
| Total Contributions | $165,525 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 621110 | $54,151,184 | $54,151,184 |
| PhysContSvcsRelatedOrgs | 900099 | $34,817,756 | $34,817,756 |
| Other Patient Revenue | 900099 | $2,259,219 | $2,259,219 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $91,228,159 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,993 | TotalRevenueColumnAmt |
| Exclusion | $16,993 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $766,311 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $766,311 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $20,115 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$20,115 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$20,115 | TotalRevenueColumnAmt |
| Exclusion | -$20,115 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $91,390,562 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $91,228,159 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$3,122 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,066 | TotalAmt |
| Program Services | $1,066 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,644 | TotalAmt |
| Management And General | $70,644 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,044 | TotalAmt |
| Management And General | $299,044 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,276,382 | TotalAmt |
| Program Services | $91,120,334 | ProgramServicesAmt |
| Management And General | $2,156,048 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,589,779 | TotalAmt |
| Program Services | $2,516,207 | ProgramServicesAmt |
| Management And General | $73,572 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,805,122 | TotalAmt |
| Program Services | $5,519,665 | ProgramServicesAmt |
| Management And General | $285,457 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,903,117 | TotalAmt |
| Program Services | $4,733,021 | ProgramServicesAmt |
| Management And General | $170,096 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,722 | TotalAmt |
| Management And General | $2,722 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,338 | TotalAmt |
| Management And General | $191,338 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,784 | TotalAmt |
| Management And General | $3,784 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,992,255 | TotalAmt |
| Program Services | $9,964,358 | ProgramServicesAmt |
| Management And General | $1,027,897 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,437 | TotalAmt |
| Program Services | $14,255 | ProgramServicesAmt |
| Management And General | $9,182 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,559 | TotalAmt |
| Program Services | $330,307 | ProgramServicesAmt |
| Management And General | $48,252 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,515 | TotalAmt |
| Management And General | $108,515 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,669,612 | TotalAmt |
| Program Services | $4,518,176 | ProgramServicesAmt |
| Management And General | $151,436 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $937,960 | TotalAmt |
| Program Services | $905,644 | ProgramServicesAmt |
| Management And General | $32,316 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,163 | TotalAmt |
| Management And General | $2,163 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $969,527 | TotalAmt |
| Program Services | $869,081 | ProgramServicesAmt |
| Management And General | $100,446 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,405,160 | TotalAmt |
| Program Services | $1,398,122 | ProgramServicesAmt |
| Management And General | $7,038 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Other | $2,063,106 | $596,188 | $1,466,918 |
| Departmental Supplies | $1,750,706 | $1,730,681 | $20,025 |
| Medical Equipment Lease | $530,240 | $530,240 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,974,238 | TotalAmt |
| Program Services | $124,747,345 | ProgramServicesAmt |
| Management And General | $6,226,893 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,376,761 | BOYAmt |
| EOY | $1,395,173 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,000 | BOYAmt |
| EOY | $250,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,916,483 | BOYAmt |
| EOY | $9,188,852 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,771 | BOYAmt |
| EOY | $850,299 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,241 | BOYAmt |
| EOY | $98,985 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $569,246 | BOYAmt |
| EOY | $865,235 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,051,643 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,276,529 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,417,451 | BOYAmt |
| EOY | $7,775,114 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $550,000 | BOYAmt |
| EOY | $550,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,655 | BOYAmt |
| EOY | $216,403 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,467,608 | BOYAmt |
| EOY | $21,190,061 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,629,579 | BOYAmt |
| EOY | $160,733,729 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,065 | BOYAmt |
| EOY | $371,044 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,798,644 | BOYAmt |
| EOY | $161,104,773 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$100,331,036 | BOYAmt |
| EOY | -$139,914,712 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$100,331,036 | BOYAmt |
| EOY | -$139,914,712 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,467,608 | BOYAmt |
| EOY | $21,190,061 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$39,583,676 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,304 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $83,582 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $522,059 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $270,331 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $165,525 | CurrentTaxYearAmt |
| Total | $1,069,801 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,457,774 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,683,995 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $62,639,164 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $72,810,467 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $91,228,159 | CurrentTaxYearAmt |
| Total | $329,819,559 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,486,078 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,767,577 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $63,161,223 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $73,080,798 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $91,393,684 | CurrentTaxYearAmt |
| Total | $330,889,360 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $330,889,360 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,366 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,538 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $411,176 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $854,489 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $783,304 | CurrentTaxYearAmt |
| Total | $2,091,873 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,366 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,538 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $411,176 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $854,489 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $783,304 | CurrentTaxYearAmt |
| Total | $2,091,873 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,512,444 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,784,115 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $63,572,399 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $73,935,287 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $92,176,988 | CurrentTaxYearAmt |
| Total | $332,981,233 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99370 | PublicSupportCY509Pct |
| Investment Income CY | 0.00630 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,692,947 | OtherCostOrOtherBasisAmt |
| Depreciation | $622,165 | DepreciationAmt |
| Book Value | $4,070,782 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,460,958 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,722,063 | DepreciationAmt |
| Book Value | $2,738,895 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,897,738 | OtherCostOrOtherBasisAmt |
| Depreciation | $932,301 | DepreciationAmt |
| Book Value | $965,437 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,775,114 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Deferred Compensation | $212,519 |
| Capital Lease | $158,525 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $371,044 | 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 application of ASC 740. Mission Medical Associates is included in the combined financial statements described above. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Jill Hoggard Green | ||||||||||||||
| President/CEO | $0 | $502,426 | $0 | $165,000 | $0 | $14,569 | $0 | $85,114 | $0 | $18,979 | $0 | $786,088 | $0 | $0 |
| Paul McDowell | ||||||||||||||
| VPFinance | $0 | $337,792 | $0 | $75,000 | $0 | $2,936 | $0 | $63,182 | $0 | $20,827 | $0 | $499,737 | $0 | $0 |
| Angela Wills | ||||||||||||||
| COO | $49,058 | $147,174 | $11,250 | $33,750 | $130 | $390 | $8,478 | $25,433 | $3,151 | $9,454 | $72,067 | $216,201 | $0 | $0 |
| Charles M LeCroy MD | ||||||||||||||
| Physician | $585,047 | $0 | $37,501 | $0 | $23,794 | $0 | $17,500 | $0 | $23,237 | $0 | $687,079 | $0 | $0 | $0 |
| Harold Frisch MD | ||||||||||||||
| Physician | $526,230 | $0 | $37,453 | $0 | $13,105 | $0 | $15,300 | $0 | $25,154 | $0 | $617,242 | $0 | $0 | $0 |
| William Shillinglaw MD | ||||||||||||||
| Physician | $457,108 | $0 | $121,744 | $0 | $22,017 | $0 | $17,500 | $0 | $25,530 | $0 | $643,899 | $0 | $0 | $0 |
| Thomas Large | ||||||||||||||
| Physician | $508,467 | $0 | $37,115 | $0 | $11,312 | $0 | $6,462 | $0 | $24,448 | $0 | $587,804 | $0 | $0 | $0 |
| Jan Pattanayak MD | ||||||||||||||
| Physician | $400,767 | $0 | $147,520 | $0 | $18,120 | $0 | $10,200 | $0 | $25,478 | $0 | $602,085 | $0 | $0 | $0 |
| Marc Westle DO | ||||||||||||||
| Former CEO | $0 | $332,679 | $0 | $0 | $0 | $46,266 | $0 | $56,840 | $0 | $24,387 | $0 | $460,172 | $0 | $0 |
| Cheryl Williams | ||||||||||||||
| FormerFinOff/CurrDirFin | $108,432 | $0 | $17,901 | $0 | $16,540 | $0 | $9,050 | $0 | $18,653 | $0 | $170,576 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | Persons who Participated in a supplemental non-qualified retirement plan (reported under deferred comp on Schedule J) Dr. Marc Westle $39,340 Dr. Jill Hoggard Green $74,914 Paul McDowell $63,182 Angela Wills $33,911 Persons who received payment from a supplemental non-qualified retirement plan (included in Other Reportable Compensation on Schedule J Dr. Marc Westle $14,926 Dr. Jill Hoggard Green $ 4,671 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Mission Health System, Inc is the sole member of Mission Medical Associates, Inc. |
| Form 990, Part VI, Section A, line 7a | The following action of the corporation requires the prior approval of the Member: (i) appointment and removal of Board members; (j) appointment and removal of President/Chief Executive Officer; and (k) approval of employment agreement and compensation of President/Chief Executive Officer. |
| Form 990, Part VI, Section A, line 7b | The following actions of the corporation require the prior approval of the Member: (a) amendment or repeal of the bylaws or articles of the corporation; (b) sale of assets of the corporation valued in excess of $1 million ; (c) merger or dissolution of the corporation; (d) selection of auditors; (e) adoption of strategic plans, and capital and operating budgets; (f) transactions in excess of $5 Million; (g) filing for bankruptcy; (h) incurring debt (external to the Member and its subsidiaries/affiliates) (i) appointment and removal of Board members; (j) appointment and removal of President/Chief Executive Officer; and (k) approval of compensation of President/Chief Executive Officer. |
| Form 990, Part VI, Section B, line 11 | A draft of the Form 990 is prepared by the Director of Tax Services at Mission Health System. The Form 990 is reviewed by the organization's CEO, CFO, General Counsel and Compliance Officer of Mission Health System as well as Management at Mission Medical Associates . In addition, an outside accounting firm is engaged to review and sign the 990 and prepare the return for final filing with the IRS. Before filing, highlights of Form 990 are reviewed by Board Committees which may include the Executive Committee; Audit and Compliance Committee; Finance and Property Committee and Human Resources and Compensation Committee of Mission Health System. After committee review, a draft of the 990 is provided to the Board of Directors at Mission Health System and Mission Medical Associates for review. Highlights of Form 990 are specifically reviewed with the board and they have the opportunity to ask questions and suggest improvements or provide corrections. If there are changes as a result of board review, a corrected Form 990 will be provided for final approval before filing. After final approval, the Form 990 will be filed with the IRS. |
| Form 990, Part VI, Section B, line 12c | The Organizations Conflict of Interest Policy is reviewed and updated annually. Education about the policy and the responsibilities of a board member occurs annually and for new board members during orientation. If a conflict of interest is identified, the interested person does not participate in any decision relating to the transaction issue. A conflict of interest is a particular relationship or arrangement that would reasonably be expected to exert an influence on the individual's judgment and preclude the individual from being an Independent Director or being independent with respect to the transaction under consideration. In addition to board members, the organization's conflict of interest policy applies to members of senior leadership, medical staff, clinical service line leaders, elected medical staff leaders, departmental directors, staff members working in the purchasing department, and all other staff members with purchasing authority, as well as immediate family members of such interested persons and entities in which interested persons have a material financial interest. The organization's policy is for all interested persons to disclose any and all conflicts of interest in accordance with the IRS guidelines for tax-exempt entities as well as any other applicable state or federal law. Upon initial assumption of duties, interested persons are provided with a copy of the conflict of interest policy and submit a conflict of interest disclosure statement. Thereafter, the statements will be completed annually. Periodically all staff members are asked to complete a conflict of interest disclosure statement. Internal and external auditors, General Counsel or outside counsel will periodically conduct a review of the disclosure process to determine whether the organization is in compliance with the policy. |
| Form 990, Part VI, Section B, line 15 | The 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 (Committee) reviews this data and recommends to the Board 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 19 | The conflict of interest policy and financial statements are available upon request. Articles of Incorporation are available through the North Carolina Secretary of State website. |
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 | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| Mission Health System Inc | ||||||||||
| 400 Ridgefield Court Suite 100 | Asheville | NC | 28806 | 581450888 | Supporting Organization | NC | 501(c)(3) | Line 11a, I | 0 | |
| Mission Hospital Inc | ||||||||||
| 400 Ridgefield Court Suite 100 | Asheville | NC | 28806 | 560532141 | Acute Care Hospital | NC | 501(c)(3) | Line 3 | 0 | Mission Health System Inc |
| Mission Healthcare Foundation Inc | ||||||||||
| 400 Ridgefield Court Suite 100 | Asheville | NC | 28806 | 561881331 | Foundation | NC | 501(c)(3) | Line 7 | 0 | Mission Health System Inc |
| The McDowell Hospital Inc | ||||||||||
| 430 Rankin Drive | Marion | NC | 28752 | 560623938 | Community Hospital | NC | 501(c)(3) | Line 3 | 0 | Mission Health System Inc |
| Blue Ridge Regional Hospital | ||||||||||
| Post Office Box 9 | Spruce Pine | NC | 28777 | 561025032 | Community Hospital | NC | 501(c)(3) | Line 3 | 0 | Mission Health System Inc |
| Blue Ridge Regional Hospital Foundation | ||||||||||
| PO Box 247 | Spruce Pine | NC | 28777 | 582172660 | Foundation | NC | 501(c)(3) | Line 11a, I | 0 | Blue Ridge Regional Hospital Inc |
| Transylvania Regional Hospital Foundation | ||||||||||
| PO Box 2440 | Brevard | NC | 28712 | 561458024 | Foundation | NC | 501(c)(3) | Line 11a, I | 0 | Transylvania Community Hospital |
| Transylvania Physician Services Inc | ||||||||||
| 260 Hospital Drive | Brevard | NC | 28712 | 561920816 | Physician Services | NC | 501(c)(3) | Line 3 | 0 | Transylvania Community Hospital |
| Transylvania Community Hospital Inc | ||||||||||
| 260 Hospital Drive | Brevard | NC | 28712 | 560562293 | Community Hospital | NC | 501(c)(3) | Line 3 | 0 | Mission Health System Inc |
| McDowell Healthcare Foundation Inc | ||||||||||
| 430 Rankin Drive | Marion | NC | 28752 | 463395393 | Foundation | NC | 501(c)(3) | Line 11a, I | 0 | The McDowell Hospital Inc |
| Angel Medical Center Auxiliary | ||||||||||
| PO Box 1209 | Franklin | NC | 28744 | 562133719 | Supporting Organization | NC | 501(c)(3) | Line 11a, I | 0 | Angel Medical Center Inc |
| Angel Medical Center | ||||||||||
| PO Box 1209 | Franklin | NC | 28712 | 566000064 | Community Hospital | NC | 501(c)(3) | Line 3 | 0 | Mission Health System Inc |
| Community Carepartners Inc | ||||||||||
| PO Box 5779 | Asheville | NC | 28813 | 562005198 | Long Term Rehabilitation | NC | 501(c)(3) | Line 9 | 0 | Mission Health System Inc |
| Highlands-Cashiers Hospital Inc | ||||||||||
| PO Box 190 | Highlands | NC | 28741 | 560509400 | Community Hospital | NC | 501(c)(3) | Line 3 | 0 | Mission Health System Inc |
| Highlands-Cashiers Physician Services Inc | ||||||||||
| PO Box 742 | Highlands | NC | 28741 | 452422428 | Physician Services | NC | 501(c)(3) | Line 11a, I | 0 | Highlands-Cashiers Hospital Inc |
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 |
|---|---|---|---|---|---|---|---|
| Imaging Realty LLP | |||||||
| 534 Biltmore Avenue | Asheville | NC | 28801 | 561907203 | Medical Building | NC | N/A |
| MSJHS and CCP Joint Development Company LLC | |||||||
| 428 Biltmore Avenue | Asheville | NC | 28801 | 562250464 | Long Term Acute Care Hospital | NC | N/A |
| Asheville Imaging | |||||||
| 534 Biltmore Avenue | Asheville | NC | 28801 | 561907201 | Medical Imaging | NC | N/A |
| Blue Ridge DME LLC | |||||||
| 125 Hospital Drive | Spruce Pine | NC | 28777 | 263570174 | Home Medical Supplies | 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 LP | |||||||
| 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 InnovatorsLLC | |||||||
| 5935 Carnegie Blvd | Charlotte | NC | 28209 | 800787882 | Real Estate Rental | NC | N/A |
| Western Regional Radiation Therapy Center | |||||||
| 68 Hospital Drive | Sylva | NC | 28779 | 561849395 | Radiation Therapy | NC | N/A |
| Asheville MRI | |||||||
| PO Box 2959 | Asheville | NC | 28802 | 561665863 | Imaging Services | NC | N/A |
| WNC Stone Center | |||||||
| 509 Biltmore Avenue | 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 |
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 | CityForeignAddress/City | 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 | |||||||||||||
| Liquidated September 2014 | Asheville | NC | 28806 | 561341624 | Patient Billing and Collection Services, Medical Property | NC | N/A | C | 0 | ||||
| Dogwood Insurance Company | |||||||||||||
| Captive Insurance Company | N/A | C | 0 | The Grand Pavilion Commercial Centr | Cayman Islands | 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 | 0 | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
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