2015-08-17T13:21:41-05:00 2014-09-30 990 2013-10-01 463395393 MCDOWELL HEALTHCARE FOUNDATION INC MCDO 8286595000 430 RANKIN DRIVE MARION NC 28752 CLINT STEWART REGIONAL DIRECTOR - FINANCE 8286595000 2015-08-17 2013 2016-02-25 16:41:14Z CLINT STEWART 430 RANKIN DRIVE MARION NC 28752 187757 0 X WWW.MCDOWELLHOSPITAL.ORG X 2013 NC TO RAISE FUNDS FOR THE SUPPORT OF THE MCDOWELL HOSPITAL, INC. 10 9 0 9 0 0 94145 187714 0 0 0 43 0 0 94145 187757 0 88397 0 0 0 0 0 0 7682 653 19663 653 108060 93492 79697 94145 211397 653 38551 93492 172846 THE FOUNDATION'S PRIMARY MISSION IS TO SUPPORT THE MISSION AND PROGRAMS OF THE MCDOWELL HOSPITAL, INC. 0 0 92377 88397 THE MCDOWELL HEALTHCARE FOUNDATION ("FOUNDATION") WAS ORGANIZED TO SUPPORT THE MISSIONA ND PROGRAMS OF THE MCDOWELL HOSPITAL ("HOSPITAL"). THE FOUNDATION WILL WORK WITH THE HOSPITAL TO ENSURE RESIDENTS OF THE COMMUNITY HAVE ACCESS TO COMPREHENSIVE, HIGH QUALITY MEDICAL CARE. THE FOUNDATION WILL ACCOMPLISH THIS BY RAISING FUNDS AND MAKING CONTRIBUTIONS TO THE HOSPITAL. 92377 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X MISSION FINANCE DEPARTMENT 8282577063 400 RIDGEFIELD CT STE 100 ASHEVILLE NC 28787 BECKY CROSS DIRECTOR - CHAIRMAN 1.00 X 0 0 0 LINDA CLOHERTY DIRECTOR 1.00 X 0 0 0 GLYNDA DEAN DIRECTOR 1.00 X 0 0 0 WILLIAM H EVANS DIRECTOR 1.00 X 0 0 0 KENNY GREENE DIRECTOR 1.00 X 0 0 0 NORMAN C GUTHRIE DIRECTOR 1.00 X 0 0 0 KATHY RABB DIRECTOR 1.00 X 0 0 0 JED RANKIN DIRECTOR 1.00 2.00 X 0 0 0 HAROLD G WALKER DIRECTOR - VICE CHAIRMAN 1.00 1.00 X 0 0 0 LYNN BOGGS PRESIDENT & EX-OFFICIO DIR 2.00 58.00 X X 0 330069 57338 CLINT STEWART TEASURER AND SECRETARY 1.00 49.00 X 0 137185 25464 0 467254 82802 0 0 1 0 0 101938 85776 187714 43 43 187757 0 0 43 88397 88397 118 118 1911 1624 287 7564 7564 8934 1340 7594 334 334 802 682 120 108060 92377 8001 7682 94145 163957 750 2299 44391 94145 211397 653 38551 653 38551 X 68492 73002 25000 99844 93492 172846 94145 211397 79697 -343 0 X 0 1 X 1 0 X X X 0 0 0 THE MCDOWELL HOSPITAL INC 560623938 3 1 1 1 25744 1 25744 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25000 74844 99844 25000 25000 1.00000 0 0 0 X PART X, LINE 2: THE HOSPITAL AND THE FOUNDATION APPLY THE PROVISIONS OF FASB ASC TOPIC 740, INCOME TAXES (ASC 740), IN ACCOUNTING FOR UNCERTIANTY IN INCOME TAXES. ASC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITYS FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS CURRENTLY NO IMPACT ON THE CONSLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC 740. 1 THE MCDOWELL HOSPITAL INC 430 RANKIN DRIVE MARION NC 28752 560623938 25744 OPERATIONAL ASSISTANCE MISSION HOSPITAL INC 509 BILTMORE AVENUE ASHEVILLE NC 28801 560532141 36398 FMV TELEHEALTH EQUIPMENT DONATION OF EQUIPMENT FOR TELEHEALTH PROGRAM. 2 PART I, LINE 2: THE MCDOWELL HEALTHCARE FOUNDATION PROVIDES SUPPORT TO THE MCDOWELL HOSPITAL, INC. AS PART OF ITS EXEMPT PURPOSE. 0 1 0 0 0 0 0 0 0 LYNN BOGGS PRESIDENT & EX-OFFICIO DIR 0 244444 0 75000 0 10625 0 40071 0 17267 0 387407 0 0 CLINT STEWART TEASURER AND SECRETARY 0 105004 0 22000 0 10181 0 2200 0 23264 0 162649 0 0 PART I, LINE 1A COMPENSATION FOR OFFICERS AND EXECUTIVES ARE SET BY MISSION HEALTH SYSTEM. SEE SCHEDULE O FOR ADDITIONAL DETAIL. PART I, LINE 4B DIRECTORS, OFFICERS, KEY EMPLOYEES AND TOP FIVE EMPLOYEES WHO RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THESE PAYMENTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J, PAGE 2. LYNN BOGGS $7,041 DIRECTORS, OFFICERS, KEY EMPLOYEES AND TOP FIVE EMPLOYEES WHO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH CONTRIBUTION AMOUNTS. THESE AMOUNTS ARE DISCLOSED IN THE DEFERRED COMPENSATION SECTION OF SCHEDULE J. LYNN BOGGS $31,532 FORM 990, PART VI, SECTION A, LINE 6 THE MCDOWELL HOSPITAL, INC. A NORTH CAROLINA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS SHALL BE ELECTED BY THE SOLE MEMBER, THE MCDOWELL HOSPITAL, INC (MEMBER). THE BOARD OF DIRECTORS MAY NOMINATE PERSONS TO BE ELECTED AS DIRECTORS BY THE MEMBER. THE MEMBER MAY CHOOSE TO ELECT OR NOT ELECT ANY PERSONS WHO ARE NOMINATED IN SUCH MANNER. FORM 990, PART VI, SECTION A, LINE 7B AS STATED ON LINE 7A PART VI, SECTION A, THE MCDOWELL HOSPITAL, INC. IS THE SOLE MEMBER OF THE FOUNDATION AND MAY ADD OR REMOVE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION PROVIDES DATA TO THE SR TREASURY ANALYST OF TREASURY SERVICES FOR MISSION HEALTH SYSTEM, INC. THE 990 IS PREPARED BY STAFF AND REVIEWED BY MANAGEMENT. AFTER THIS REVIEW, REVISIONS FOR 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 ALL VOTING BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY AND NOTE ANY CONFLICTS THAT ARE PRESENT AT EACH BOARD MEETING. ALL VOTING BOARD MEMBERS ARE RESPONSIBILE FOR MAKING CONFLICTS OF INTEREST KNOWN AND POTENTIALLY INTERESTED PARTIES ARE EXCUSED FROM DISCUSSIONS AND VOTES. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. MISSION HOSPITAL INC 400 RIDGEFIELD COURT SUITE 100 ASHEVILLE NC 28806 560532141 ACUTE CARE HOSPITAL NC 501(C)(3) LINE 3 MISSION HEALTH SYSTEM INC 0 MISSION HEALTH SYSTEM INC 400 RIDGEFIELD COURT SUITE 100 ASHEVILLE NC 28806 581450888 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 11A, I 0 THE MCDOWELL HOSPITAL INC 430 RANKIN AVENUE MARION NC 28742 560623938 COMMUNITY HOSPITAL NC 501(C)(3) LINE 3 MISSION HEALTH SYSTEM INC 0 MISSION HEALTHCARE FOUNDATION INC 400 RIDGEFIELD COURT SUITE 100 ASHEVILLE NC 28806 561881331 FOUNDATION NC 501(C)(3) LINE 7 MISSION HEALTH SYSTEM INC 0 BLUE RIDGE REGIONAL HOSPITAL INC P O BOX 9 SPRUCE PINE NC 28777 561025032 COMMUNITY HOSPITAL NC 501(C)(3) LINE 3 MISSION HEALTH SYSTEM INC 0 BLUE RIDGE REGIONAL HOSPITAL FOUNDATION PO BOX 247 SPRUCE PINE NC 28777 582172660 HOSPITAL FOUNDATION NC 501(C)(3) LINE 11A, I BLUE RIDGE REGIONAL HOSPITAL INC 0 TRANSYLVANIA COMMUNITY HOSPITAL INC 260 HOSPITAL DRIVE BREVARD NC 28712 560562293 COMMUNITY HOSPITAL NC 501(C)(3) LINE 3 MISSION HEALTH SYSTEM INC 0 ANGEL MEDICAL CENTER INC PO BOX 1209 FRANKLIN NC 28744 566000064 COMMUNITY HOSPITAL NC 501(C)(3) LINE 3 MISSION HEALTH SYSTEM INC 0 TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC PO BOX 2440 BREVARD NC 28712 561458024 FOUNDATION NC 501(C)(3) LINE 11A, I TRANSYLVANIA COMMUNITY HOSPITAL 0 TRANSYLVANIA PHYSICIAN SERVICES INC 260 HOSPITAL DRIVE BREVARD NC 28712 561920816 PHYSICIAN SERVICES NC 501(C)(3) LINE 3 TRANSYLVANIA COMMUNITY HOSPITAL 0 MISSION MEDICAL ASSOCIATES 400 RIDGEFIELD COURT SUITE 100 ASHEVILLE NC 28806 263627231 EMPLOYED PHYSICIAN GROUP NC 501(C)(3) LINE 9 MISSION HEALTH SYSTEM INC 0 ANGEL MEDICAL CENTER AUXILIARY PO BOX 1209 FRANKLIN NC 28744 562133719 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 11A, I ANGEL MEDICAL CENTER INC 0 HIGHLANDS-CASHIERS HOSPITAL INC PO BOX 190 HIGHLANDS NC 28741 560509400 COMMUNITY HOSPITAL NC 501(C)(3) LINE 3 MISSION HEALTH SYSTEM INC 0 HIGHLANDS-CASHIERS PHYSICIAN SERVICES INC PO BOX 742 HIGHLANDS NC 28741 452422428 PHYSICIAN SERVICES NC 501(C)(3) LINE 11A, I HIGHLANDS-CASHIERS HOSPITAL INC 0 COMMUNITY CAREPARTNERS INC PO BOX 5779 ASHEVILLE NC 28813 562005198 LONG TERM REHABILITATION NC 501(C)(3) LINE 9 MISSION HEALTH SYSTEM INC 0 ASHEVILLE IMAGING LLP 534 BILTMORE AVENUE ASHEVILLE NC 28801 561907201 OUTPATIENT IMAGING SERVICES NC N/A IMAGING REALTY LLP 534 BILTMORE AVENUE ASHEVILLE NC 28801 561907203 MEDICAL OFFICE BUILDING NC N/A MSJHS AND CCP JOINT DEVELOPMENT COMPANY LLC 438 BILTMORE AVENUE ASHEVILLE NC 28801 562250464 LONG TERM ACUTE CARE HOSPITAL NC N/A BLUE RIDGE DME LLC 125 HOSPITAL DRIVE SPRUCE PINE NC 28777 263570174 HOME MEDICAL EQUIPMENT AND SUPPLIES SALES NC N/A MCDOWELL MRI LLC 414 RANKIN AVENUE MARION NC 28752 753046378 MEDICAL IMAGING NC N/A BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC 260 HOSPITAL DRIVE BREVARD NC 28712 203281110 MEDICAL IMAGING NC N/A TRANSYLVANIA HEALTHCARE II LIMITED PARTNERSHIP 2 MEDICAL PARK DRIVE BREVARD NC 28712 200333230 RENTAL NC N/A HEALTHCARE III LIMITED PARTNERSHIP 260 HOSPITAL DRIVE BREVARD NC 28712 561599596 RENTAL NC N/A HEALTHCARE LIMITED LIABILITY COMPANY VII 260 HOSPITAL DRIVE BREVARD NC 28712 200343455 RENTAL NC N/A WESTERN NC HEALTHCARE INNOVATORS LLC 5935 CARNEGIE BLVD CHARLOTTE NC 28209 800787882 REAL ESTATE RENTAL NC N/A WESTERN REGIONAL RADIATION THERAPY CENTER 68 HOSPITAL DR SYLVA NC 28779 561849395 RADIATION THERAPY NC N/A ASHEVILLE MRI PO BOX 2959 ASHEVILLE NC 28802 561665863 IMAGING SERVICES NC N/A WNC STONE CENTER 509 BILTMORE AVE ASHEVILLE NC 28801 272152974 LITHOTRIPTER RENTAL NC N/A WESTERN NC HEALTHCARE INNOVATORS III LLC 5935 CARNEGIE BLVD CHARLOTTE NC 28209 464053310 REAL ESTATE RENTAL NC N/A BLUE RIDGE-TKC LLC 5935 CARNEGIE BLVD CHARLOTTE NC 28209 471382912 REAL ESTATE RENTAL NC N/A SPRUCE PINE HEALTHCARE LLC 5935 CARNEGIE BLVD CHARLOTTE NC 28209 471390107 REAL ESTATE NC N/A MISSION VENTURES INC 400 RIDGEFIELD COURT ASHEVILLE NC 28806 561341621 HOLDING COMPANY NC N/A C 0 HORIZON MANAGEMENT SERVICES INC MERGED INTO MISSION VENTURES INC SEP 2014 400 RIDGEFIELD COURT ASHEVILLE NC 28806 561341624 COLLECTIONS, BILLING AND MEDICAL PROPERTY NC N/A C 0 DOGWOOD INSURANCE COMPANY LTD THEGRANDPAVILIONCOMMERCIALCENTREPOB CAYMAN ISALNDS CJ CAPTIVE INSURANCE ENTITY CJ N/A C 0 TRANSYLVANIA SERVICES INC 260 HOSPITAL DRIVE BREVARD NC 28712 561448199 REAL ESTATE NC N/A C 0 MISSION HEALTH PARTNERS INC 509 BILTMORE AVENUE ASHEVILLE NC 28801 465566095 CLINICALLY INTEGRATED NETWORK NC N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0