ANC TRANSYLVANIA COMMUNITY HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ANC TRANSYLVANIA COMMUNITY HOSPITAL INC (EIN 56-0562293)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-06
IRS object ID: 201432189349301213
Schema version: 2012v2.1
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-06T15:32:49-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	560747981	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1
City	ASHEVILLE	City
State	NC	State
ZIP Code	28806	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	560562293	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	TRANSYLVANIA COMMUNITY HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	TRAN	NameControl
Phone	8288849111	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1116	AddressLine1
City	BREVARD	City
State	NC	State
ZIP Code	28712	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARC NAKAGAWA	Name
Title	CFO	Title
Phone	8288849111	Phone
Date Signed	2014-08-06	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	AMY BIBBY	Name
PTIN	P00445891	PTIN
Phone	8282542254	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	TRANSYLVANIA REGIONAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARC NAKAGAWA	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1116	AddressLine1
City	BREVARD	City
State	NC	State
ZIP Code	28712	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	77214589	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.TRHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1933	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	PROVISION OF MEDICAL SERVICES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	689	TotalNbrEmployees
Total Nbr Volunteers	180	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	902548	ContributionsGrantsPriorYear
Contributions Grants Current Year	1946734	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	66901721	ProgramServiceRevenuePriorYear
Program Service Revenue CY	72078595	ProgramServiceRevenueCY
Investment Income Prior Year	833574	InvestmentIncomePriorYear
Investment Income Current Year	2414322	InvestmentIncomeCurrentYear
Other Revenue Prior Year	843400	OtherRevenuePriorYear
Other Revenue Current Year	755399	OtherRevenueCurrentYear
Total Revenue Prior Year	69481243	TotalRevenuePriorYear
Total Revenue Current Year	77195050	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	288654	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	65647	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	29492336	SalariesEtcPriorYear
Salaries Etc Current Year	30757643	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	40489605	OtherExpensePriorYear
Other Expenses Current Year	40175191	OtherExpensesCurrentYear
Total Expenses Prior Year	70270595	TotalExpensesPriorYear
Total Expenses Current Year	70998481	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-789352	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6196569	RevenuesLessExpensesCY
Total Assets BOY	61123845	TotalAssetsBOY
Total Assets EOY	75885413	TotalAssetsEOY
Total Liabilities BOY	23588066	TotalLiabilitiesBOY
Total Liabilities EOY	23145585	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	37535779	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	52739828	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TRANSYLVANIA REGIONAL HOSPITAL PROMOTES WELLNESS AND PROVIDES ACCESS TO QUALITY HEALTH SERVICES FOR THE PEOPLE IN OUR REGION.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	58429635	Expense
Grants	65647	Grants
Revenue	72090439	Revenue
Description	GIVING BACK TO THE COMMUNITYAS A NOT-FOR-PROFIT HOSPITAL, TRANSYLVANIA REGIONAL HOSPITAL IS COMMITTED TO GIVING BACK TO THE COMMUNITY TO HELP THOSE WHO ARE UNINSURED OR UNDERINSURED AS WELL AS PROVIDING HEALTH EDUCATION AND BENEFITS FOR THE WELL BEING OF THE ENTIRE COMMUNITY. THE PAST YEAR WAS A CHALLENGING YEAR FOR OUR COMMUNITY AS WE EXPERIENCED THE LINGERING EFFECTS OF A DEPRESSED ECONOMY. THIS HAS LEFT MANY IN OUR COMMUNITY WITHOUT HEALTH INSURANCE AND STRUGGLING TO MAKE ENDS MEET. DESPITE CHALLENGING FINANCIAL TIMES FOR THE HOSPITAL, TRH CONTINUED TO GENEROUSLY HELP THOSE IN NEED.IN 2013, TRH PROVIDED $7.5 MILLION IN CONTRIBUTIONS TO THE COMMUNITY. THESE BENEFITS CAME IN MANY FORMS INCLUDING $2.2 MILLION IN CHARITY CARE FOR 3,500 PEOPLE. THE HOSPITAL ALSO PROVIDED ANOTHER $3.6 MILLION IN CARE FOR 4,400 PEOPLE THROUGH NON-COLLECTIBLE SERVICES. AN ADDITIONAL $1.2 MILLION WAS PROVIDED FOR GOVERNMENT SPONSORED HEALTHCARE INCLUDING INDIGENT CARE PROGRAMS. FINALLY, $502,000 WAS PROVIDED FOR COMMUNITY BENEFIT PROGRAMS INCLUDING THE DONATION OF STAFF TIME AND RESOURCES. HERE ARE JUST A FEW OF THE SERVICES SUPPORTED:- TRH OFFERS FREE OR LOW-COST EDUCATIONAL PROGRAMS FOR THE COMMUNITY EACH MONTH. PROGRAMS FEATURE TIMELY HEALTH TOPICS, AND ARE PRESENTED BY PHYSICIANS, NURSES, NURSE EDUCATORS, DIETITIANS AND OTHER CLINICAL PROFESSIONALS. MORE THAN 1,000 MEMBERS OF THE COMMUNITY TOOK ADVANTAGE OF THESE EDUCATIONAL OPPORTUNITIES - HELD AT THE HOSPITAL.- TRH OFFERS HEALTHCARE SERVICES THAT ARE NEEDED BY THIS COMMUNITY, REGARDLESS OF WHETHER OR NOT A MARGIN IS ACHIEVED BY PROVIDING CARE. EXAMPLES INCLUDE: EMERGENCY SERVICES AND BIRTHING CENTER.- TRH RECRUITED SEVERAL PHYSICIANS TO THE COMMUNITY IN 2013 TO EXPAND ACCESS TO HEALTHCARE FOR OUR RESIDENTS, INCLUDING A NEW FAMILY PRACTICE PHYSICIAN, A NEW INTERNIST, A FAMILY PRACTICE PHYSICIAN'S ASSISTANT, A NEW OB-GYN SPECIALIST; AND A PAIN MANAGEMENT SPECIALIST TO EXPAND CARE FOR THE COMMUNITY.- TRANSYLVANIA REGIONAL HOSPITAL LAUNCHED A STATE-OF-THE ART ELECTRONIC HEALTH RECORD (EHR) SYSTEM IN 2013 THAT PROVIDES EXPANDED RECORDS OF EACH PATIENT'S CARE. THE LAUNCH IS PART OF A LARGER MISSION HEALTH INITIATIVE TO IMPROVE CARE ACROSS THE REGION.- TRH PRIORITIZES DONATIONS OF STAFF TIME, MEETING SPACE, SUPPLIES, EQUIPMENT AND ADVERTISING FOR COMMUNITY GROUPS. SOME GROUPS THAT BENEFITED FROM IN-KIND DONATIONS WERE: MARCH OF DIMES, UNITED WAY, CHAMBER OF COMMERCE, S.A.F.E., AMERICAN RED CROSS, RELAY FOR LIFE, PROJECT LAZARUS COMMUNITY-BASED OVERDOSE PREVENTION, THE TRANSYLVANIA COUNTY SCHOOL SYSTEM, TRANSYLVANIA PARTNERSHIP FOR HEALTH, TRANSYLVANIA COUNTY ECONOMIC DEVELOPMENT, WNC HEALTHY IMPACT AND OTHERS.- TRH TEAMED WITH THE YMCA OF WESTERN NORTH CAROLINA IN 2013 TO STUDY THE FEASIBILITY OF BUILDING A MEDICAL WELLNESS FACILITY TO IMPROVE THE HEALTH AND WELLNESS OF TRANSYLVANIA COUNTY RESIDENTS.- TRH WAS AN ACTIVE PARTICIPANT IN THE 16-COUNTY REGIONAL HEALTH NEEDS ASSESSMENT PROJECT: WNC HEALTHY IMPACT. THIS INNOVATIVE EFFORT HELPED TRH TEAM WITH HEALTH DEPARTMENTS AND HOSPITALS ACROSS WESTERN NORTH CAROLINA TO IDENTIFY CRITICAL COMMUNITY HEALTH NEEDS AND PUT RESOURCES WHERE THEY ARE MOST NEEDED TO IMPROVE THE HEALTH AND LIVES OF RESIDENTS IN THIS COMMUNITY AND ACROSS THE REGION. TRH WORKED CLOSELY WITH THE TRANSYLVANIA COUNTY DEPARTMENT OF PUBLIC HEALTH TO DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT FOR TRANSYLVANIA COUNTY.- TRH CONTINUED A CARE MANAGEMENT PROGRAM FOR COPD PATIENTS IN OUR COMMUNITY SUPPORTED BY GRANT FUNDING.- FOUR TRH PRIMARY CARE MEDICAL PRACTICES RECEIVED PATIENT-CENTERED MEDICAL HOME (PCMH) NATIONAL RECOGNITION IN ORDER TO DELIVER TEAM-BASED MEDICAL CARE TO PATIENTS IN OUR COMMUNITY TO MAXIMIZE HEALTH OUTCOMES FOR RESIDENTS OF ALL AGES.- TRH PARTICIPATED IN THE N.C. STROKE INITIATIVE IN 2013 TO ENSURE THE BEST PRACTICES IN STROKE CARE ARE EMPLOYED IN PATIENT CARE AT THE HOSPITAL AND TO BUILD PUBLIC AWARENESS OF THE RISKS OF STROKE.- TRH-ALONG WITH THE TRANSYLVANIA COUNTY HEALTH DEPARTMENT, THE FREE CLINIC AND OTHERS-WORKED COLLABORATIVELY TO BRING A BLUE RIDGE COMMUNITY HEALTH SERVICES CLINIC TO OUR LOCAL COMMUNITY. THE NEW BREVARD HEALTH CENTER OPENED IN FALL 2012 ON THE TRH CAMPUS TO INCREASE ACCESS TO AFFORDABLE, COMPREHENSIVE HEALTH SERVICES IN TRANSYLVANIA COUNTY. THE NEW FEDERAL HEALTH CENTER OFFERS A FULL SPECTRUM OF HEALTH SERVICES TO RESIDENTS, INCLUDING PRIMARY CARE FOR ADULTS AND CHILDREN, DENTAL SERVICES, MEDICATION ASSISTANCE AND BEHAVIORAL HEALTH.- TRH IMPLEMENTED A PALLIATIVE CARE PROGRAM WITH SUPPORT FROM THE TRH FOUNDATION TO MEET THE INCREASING NEEDS FOR THIS SERVICE IN OUR COMMUNITY. THIS LOCAL SERVICE PROVIDES COMPASSIONATE, EXPERT MEDICAL CARE TO RELIEVE AND PREVENT THE SUFFERING OF PATIENTS IN OUR COMMUNITY WHO ARE UNDERGOING TREATMENT FOR CURABLE ILLNESSES AND THOSE LIVING WITH CHRONIC DISEASES, AS WELL AS PATIENTS WHO ARE NEARING THE END OF LIFE.	Description
Total Program Service Expense	58429635	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	1	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	75	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	689	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MARC NAKAGAWA	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8288849111	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	260 HOSPITAL DRIVE	AddressLine1
City	BREVARD	City
State	NC	State
ZIP Code	28712	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Highest Compensated EmployeeHighestCompensatedEmployee
JOHN F HOLBROOK
CHAIRMAN	1.00	X	X	0	0	0
KENNETH G RACHT
VICE CHAIR	1.00	X	X	0	0	0
WILLIAM A TOWLER
TREASURER	1.00	X	X	0	0	0	1.00
THELMA ERICKSON
SECRETARY	1.00	X	X	0	0	0
ROBERT J BEDNAREK
PRESIDENT / CEO	40.00	X	X	302355	0	52735	1.00
JIM KELLING MD
CHIEF OF STAFF / BOARD MEM	1.00	X		0	287109	15919
JOE COHEN MD
VICE CHIEF OF MEDICAL STAFF	1.00	X		0	0	0
CHARLES AYSCUE
MHS REPRESENTATIVE / BOARD	1.00	X		0	628515	121966	59.00
JOHN MAHER
MHS REPRESENTATIVE / BOARD	1.00	X		0	321703	77140	60.00
JACK CECIL
MHS REPRESENTATIVE / BOARD	1.00	X		0	0	0	2.70
ERNESTO E DE LA TORRE
PAC REPRESENTATIVE/BOARD MEMBER	1.00	X		0	0	0
CAMY BROWN
PRESIDENT AUXILIARY	1.00	X		0	0	0
DICK LARSON
BOARD MEMBER	1.00	X		0	0	0
ORA J WELLS MD
BOARD MEMBER	1.00	X		0	0	0
ROSWELL S BOWERS
BOARD MEMBER	1.00	X		0	0	0
ROBERT MAXWELL
BOARD MEMBER	1.00	X		0	0	0
MARC NAKAGAWA
CFO	40.00		X	108686	0	8867	1.00
REBECCA W CARTER
COO	40.00		X	184396	0	13002	1.00
ELIZABETH A PELLETIER
LEAD CRNA	40.00			165140	0	30396		X
LAUREL D JOHNSON
CRNA	40.00			162858	0	17353		X
JUDITH H MCKAY
CRNA	40.00			159695	0	15396		X
MARK E CREASMAN
PHARMACIST	40.00			163416	0	21916		X
DONALD BAYSE
MAINTENANCE	40.00			127957	0	11174		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1374503	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1237327	TotalReportableCompFrmRltdOrgs
Total Other Compensation	385864	TotalOtherCompensation
Number Individuals GT100 K	16	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	303682289	FOOD SERVICES	1533852
REHAB SERVICES OF BREVARD LLC
376A GOVERNMENT ST	MOBILE	AL	36693	PHYSICAL THERAPY SERVICES	1415737
TRANSYL EMERG PHYS PLLC
3107 STIRLING RD 300	FT LAUDERDALE	FL	33312	E/R PHYSICIAN SERVICES	1245153
COMPREHENSIVE HOSPITALIST SERVICES OF NC
300 SOUTH PARK ROAD STE 400	HOLLYWOOD	FL	33021	HOSPITALIST PHY. SERV.	1181803
HORIZON CSA LLC
265 PIT ROAD	MOORESVILE	NC	28115	EQUIP. MAINTENANCE SERV.	914891

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	19	NumberOfContractorsGT100K
Federated Campaigns	49046	FederatedCampaigns
Fundraising Events	35130	FundraisingEvents
Related Organizations	1637256	RelatedOrganizations
Government Grants	169456	GovernmentGrants
All Other Contributions	55846	AllOtherContributions
Total Contributions	1946734	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE	621400	66165865	66165865
EHR INCENTIVE PAYMENT	900099	2737301	2737301
OTHER PATIENT SERVICE	621610	1446202	1446202
PHARMACY AND MEDICAL SUPPLIES	446110	1288051	1288051
AFFILIATED MANAGEMENT SERVICES	900099	340466	340466

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	100710	TotalRevenueColumn
Related Or Exempt Function Income	100710	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	72078595	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	246870	TotalRevenueColumn
Exclusion	$246,870	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	11844	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	11844	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	11844	TotalRevenueColumn
Related Or Exempt Function Income	11844	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	2166452	Securities
Other	1000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2166452	Securities
Other	1000	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2167452	TotalRevenueColumn
Exclusion	$2,167,452	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	29395	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	35130	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	19539	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	9856	TotalRevenueColumn
Exclusion	$9,856	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA/VENDING	722210	339397	$339,397
PARTNERSHIP INCOME IN BREVARD MRI	900099	306391	$306,391
NET AUXILIARY	900099	58639	$58,639

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	29272	TotalRevenueColumn
Exclusion	$29,272	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	733699	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	77195050	TotalRevenueColumn
Related Or Exempt Function Income	72090439	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,157,877	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	65647	Total
Program Services	65647	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	785326	Total
Management And General	785326	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	23093020	Total
Program Services	16647042	ProgramServices
Management And General	6445978	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	775915	Total
Program Services	540937	ProgramServices
Management And General	234978	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4412354	Total
Program Services	3076119	ProgramServices
Management And General	1336235	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1691028	Total
Program Services	1178918	ProgramServices
Management And General	512110	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	931162	Total
Program Services	725165	ProgramServices
Management And General	205997	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	117730	Total
Management And General	117730	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	86357	Total
Management And General	86357	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	5428	Total
Management And General	5428	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1386	Total
Management And General	1386	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	12714219	Total
Program Services	11904133	ProgramServices
Management And General	810086	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	101703	Total
Program Services	4316	ProgramServices
Management And General	97387	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3279764	Total
Program Services	2179467	ProgramServices
Management And General	1100297	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3000	Total
Management And General	3000	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3435032	Total
Program Services	3435032	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	231677	Total
Program Services	120203	ProgramServices
Management And General	111474	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	42963	Total
Program Services	21671	ProgramServices
Management And General	21292	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	102041	Total
Program Services	102041	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3404568	Total
Program Services	3404568	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	551439	Total
Management And General	551439	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	7349946	7349946
MEDICAL SUPPLIES	5632840	5632840
EQUIPMENT LEASE	2095923	2010529	85394
MISCELLANEOUS	88013	31061	56952

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	70998481	Total
Program Services	58429635	ProgramServices
Management And General	12568846	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2832839	BOY
EOY	2158418	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	770230	BOY
EOY	790043	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	6158627	BOY
EOY	8564761	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	448428	BOY
EOY	712968	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1839865	BOY
EOY	1557930	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	282421	BOY
EOY	236696	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	66237998	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	34371097	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	31639818	BOY
EOY	31866901	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	9772062	BOY
EOY	8879260	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	4085439	BOY
EOY	16331828	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	198474	BOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3095642	BOY
EOY	4786608	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	61123845	BOY
EOY	75885413	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	6414098	BOY
EOY	5982842	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	81586	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	14411702	BOY
EOY	13643264	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2680680	BOY
EOY	3519479	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	23588066	BOY
EOY	23145585	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	34410295	BOY
EOY	36783888	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3125484	BOY
EOY	14413596	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	1542344	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	37535779	BOY
EOY	52739828	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	61123845	BOY
EOY	75885413	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6196569	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	-1277067	ReconciliationUnrealizedInvest
Reconcilation Other Changes	10284547	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$5,428	OtherActivitiesAmount
Total Lobbying Expenditures IIB	5428	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA), THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA), AND THE NATIONAL RURAL HEALTH ASSOCIATION (NRHA). A PORTION OF THE DUES PAID IS ALLOCATED TO LOBBYING EFFORTS PERFORMED BY THESE ORGANIZATIONS ON BEHALF OF ITS MEMBERSHIP BODY. FOR THE YEAR, THE LOBBYING PORTION OF MEMBERSHIP DUES IS ESTIMATED TO BE APPROXIMATELY $ 5,428.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6044727	BeginningOfYearBalance
Contributions	8353318	Contributions
Investment Earnings Or Losses	460965	InvestmentEarningsOrLosses
Other Expenditures	743793	OtherExpenditures
End Of Year Balance	14115217	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.88620	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.10920	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00460	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	221222	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	764012	OtherCostOrOtherBasis
Book Value	985234	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27342710	OtherCostOrOtherBasis
Depreciation	11898989	Depreciation
Book Value	15443721	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2922245	OtherCostOrOtherBasis
Depreciation	1298514	Depreciation
Book Value	1623731	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	34250225	OtherCostOrOtherBasis
Depreciation	21107302	Depreciation
Book Value	13142923	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	737584	OtherCostOrOtherBasis
Depreciation	66292	Depreciation
Book Value	671292	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	31866901	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INTEREST IN NET ASSETS OF TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION	15761600	C
INTEREST IN BREVARD MRI, LLC	508052	C
INTEREST IN BLUE RIDGE DME	44176	C
INTEREST IN TRANSYLVANIA SERVICES, INC.	18000	C

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	16331828	TotalOfBookValueProgramRelated

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
OTHER RECEIVABLES	3168095
BOND ISSUE COSTS, NET OF AMORTIZATI	295408
RECEIVABLE FROM AFFILIATED ORGANIZATION	1142532
ESTIMATED THIRD PARTY PAYOR SETTLEMENT	180573

Field	Value	IRS element (for citing)
Total Book Value Other Assets	4786608	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	DUE TO AFFILIATED ORGANIZATIONS	Description
Amount	$3,519,479	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	3519479	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION, INC A RELATED ORGANIZATION MAINTAINS ENDOWMENTS TO BE USED FOR THE HOSPITAL'S EXEMPT PURPOSE OF PROVIDING HEALTHCARE TO ITS COMMUNITY. ENDOWMENTS ARE MAINTAINED TO ASSIST WITH CHARITABLE HEALTHCARE FUNDING.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	THE ASSOCIATION, THE HOSPITAL, THE FOUNDATION, AND TPSI ARE INCORPORATED AS NONPROFIT ORGANIZATIONS UNDER THE LAWS OF NORTH CAROLINA AND ARE EXEMPT FROM INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. BREVARD MRI, WITH THE CONSENT OF ITS SHAREHOLDERS, HAS ELECTED TO BE TREATED AS A PARTNERSHIP FOR FEDERAL AND NORTH CAROLINA INCOME TAX PURPOSES. IN LIEU OF CORPORATE INCOME TAXES, EARNINGS AND LOSSES AFTER THAT DATE ARE INCLUDED IN THE INCOME TAX RETURNS OF THE SHAREHOLDERS; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. INCOME TAXES FOR TSI ARE PROVIDED FOR THE TAX EFFECTS OF TRANSACTIONS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND CONSIST OF TAXES CURRENTLY DUE PLUS DEFERRED TAX EXPENSE OR MINUS DEFERRED TAX BENEFIT RELATED PRIMARILY TO DIFFERENCES ARISING FROM THE METHODS OF CALCULATING DEPRECIATION FOR FINANCIAL AND INCOME TAX REPORTING. AN EVALUATION OF THE PROBABILITY OF BEING ABLE TO REALIZE THE FUTURE BENEFITS OF DEFERRED TAX ASSETS IS MADE. A VALUATION ALLOWANCE IS PROVIDED FOR THE PORTION OF THE DEFERRED TAX ASSET WHEN IT IS MORE LIKELY THAN NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSET WILL NOT BE REALIZED. THE ORGANIZATIONS HAVE DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS EXIST FOR OPEN TAX YEARS AS OF SEPTEMBER 30, 2013. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		NET CHANGE IN VALUE OF INTEREST IN FOUNDATION INCOME FROM AFFILIATED ORGANIZATIONS BAD DEBTS INCLUDED WITH REVENUE OTHER NET CHANGE IN ASSETS
PART XI, LINE 4B - OTHER ADJUSTMENTS:		TRANSFERS TO AFFILIATES
PART XII, LINE 4B - OTHER ADJUSTMENTS:		BAD DEBTS INCLUDED WITH REVENUE EXPENSES INCURRED FOR FOUNDATION NONOPERATING EXPENSE RECLASSIFICATION OTHER CHANGE IN NET ASSETS

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	64525	GrossReceiptsEvent1
Charitable Contributions Event1	35130	CharitableContributionsEvent1
Gross Revenue Event1	29395	GrossRevenueEvent1
Other Direct Expenses Event1	19539	OtherDirectExpensesEvent1
Gross Receipts Total	64525	GrossReceiptsTotal
Charitable Contributions Total	35130	CharitableContributionsTotal
Gross Revenue Total Events	29395	GrossRevenueTotalEvents
Other Direct Expenses Total Events	19539	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	19539	DirectExpenseSummaryEvents
Net Income Summary	9856	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent350	X	Pcent350
Free Disc Care Medically Indigent	0	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1945980	TotalCommunityBenefitExpense
Net Community Benefit Expense	1945980	NetCommunityBenefitExpense
Percent Of Total Expense	0.03060	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6349846	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4260091	DirectOffsettingRevenue
Net Community Benefit Expense	2089755	NetCommunityBenefitExpense
Percent Of Total Expense	0.03280	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8295826	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4260091	DirectOffsettingRevenue
Net Community Benefit Expense	4035735	NetCommunityBenefitExpense
Percent Of Total Expense	0.06340	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	94200	TotalCommunityBenefitExpense
Net Community Benefit Expense	94200	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	226550	TotalCommunityBenefitExpense
Net Community Benefit Expense	226550	NetCommunityBenefitExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	168847	TotalCommunityBenefitExpense
Net Community Benefit Expense	168847	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	489597	TotalCommunityBenefitExpense
Net Community Benefit Expense	489597	NetCommunityBenefitExpense
Percent Of Total Expense	0.00780	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8785423	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4260091	DirectOffsettingRevenue
Net Community Benefit Expense	4525332	NetCommunityBenefitExpense
Percent Of Total Expense	0.07120	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	12649	TotalCommunityBuildingExpense
Net Community Building Expense	12649	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	12649	TotalCommunityBuildingExpense
Net Community Building Expense	12649	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$7,349,946	BadDebtExpenseAmount
Amount Attributable To	2989223	AmountAttributableTo
Amount Reimbursed By Medicare	36015409	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	31921096	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	4094313	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	MRI SERVICES	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.50000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	TRANSYLVANIA REGIONAL HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	260 HOSPITAL DRIVE	AddressLine1
City	BREVARD	City
State	NC	State
ZIP Code	28712	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TRANSYLVANIA COMMUNITY HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	1	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	350.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Insurance Status	X	InsuranceStatus
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	9	NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
TRH OUTPATIENT REHABILITATION
92 CHESTNUT STREET	BREVARD	NC	28712	OUTPATIENT REHAB
TRH HOME CARE SERVICES
1234 ASHEVILLE HWY	BREVARD	NC	28712	HOME CARE
BREVARD MRI
301 HOSPITAL DRIVE	BREVARD	NC	28712	IMAGING CENTER
TOXAWAY HEALTH CENTER
16825 ROSMAN HWY	LAKE TOXAWAY	NC	28747	PROVIDER-BASED CLINICS
BREVARD FAMILY PRACTICE
187 MEDICAL PARK DR	BREVARD	NC	28712	PROVIDER-BASED CLINICS
MEDICAL ASSOCIATES OF TRH
377 GALLIMORE ROAD	BREVARD	NC	28712	PROVIDER-BASED CLINICS
BREVARD INTERNAL MEDICINE & PULMONOLOGY
159 MEDICAL PARK DR SUITE B	BREVARD	NC	28712	PROVIDER-BASED CLINICS
KOALA
23 MEDICAL PARK CIRCLE	BREVARD	NC	28712	OUTPATIENT
BREVARD CANCER & INFUSION CENTER
89 HOSPITAL DR	BREVARD	NC	28712	OUTPATIENT

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: IN ADDITION TO THE FPG-DETERMINED ELIGIBILITY FOR FREE AND DISCOUNTED CARE, A DISCOUNT IS OFFERED TO SELF-PAY PATIENTS FOR THEIR TIMELY PAYMENT WITHIN 60 DAYS FROM THEIR INITIAL STATEMENT DATE.
PART I, LINE 7: THE ORGANIZATION USED THEIR COST ACCOUNTING SYSTEM TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AT COST.
PART I, L7 COL(F): FOR THE PURPOSES OF CALCULATING PERCENTAGE OF TOTAL EXPENSE FOR LINE 7, COL (F), TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25 HAS BEEN ADJUSTED FOR $(7,349,946).
PART II: THE HOSPITAL PARTICIPATES IN COALITION BUILDING IN THE COMMUNITY AND STATE TO HELP ADVOCATE THE HEALTH NEEDS OF OUR AREA. THROUGH PARTICIPATION, THE HOSPITAL GUARANTEES A FOCUSED DISCUSSION ON THE HEALTH CARE ISSUES THAT DIRECTLY IMPACT TRANSYLVANIA COUNTY.
PART III, LINE 4: REFER TO PAGE 15 OF THE NOTES TO CONSOLIDATED FINANCIAL STATEMENTS. PATIENT ACCOUNTS ARE CONSIDERED UNCOLLECTABLE AFTER EXHAUSTING IN-HOUSE COLLECTION PROCEDURES, WHICH USUALLY TAKES 59 DAYS FROM DISCHARGE DATE FOR SELF-PAY PATIENTS AND LONGER FOR UNINSURED PATIENTS. WHEN THE ACCOUNT IS CONSIDERED UNCOLLECTABLE, IT IS THEN SENT TO AN OUTSIDE AGENCY, WHICH HAS 180 DAYS TO ACTIVELY ATTEMPT COLLECTIONS. WHEN THE ACCOUNT HAS BEEN INACTIVE FOR 180 DAYS WHILE AT AN OUTSIDE COLLECTION AGENCY, THE ACCOUNT IS RETURNED TO THE HOSPITAL FROM THE COLLECTION AGENCY, AND IT IS CONSIDERED A BAD DEBT ACCOUNT AND EXPENSED. THE TOTAL BAD DEBT EXPENSE FOR THE FISCAL YEAR IS THEN REDUCED TO COST UTILIZING A COST-TO-CHARGE RATIO (CCR). THE FORMULA FOR THE CCR IS (ADJUSTED COSTS / ADJUSTED CHARGES). THE COST-TO-CHARGE RATIO IS CALCULATED FROM THE INCOME STATEMENT. TOTAL OPERATING EXPENSES LESS BAD DEBT, OTHER OPERATING INCOME, AND DIRECT COMMUNITY BENEFIT COSTS MAKE THE COST COMPONENT OF THE RATIO AND GROSS PATIENT CHARGES LESS DIRECT COMMUNITY BENEFIT REVENUES MAKE UP THE CHARGES COMPONENT OF THE RATIO.
PART III, LINE 9B: THE HOSPITAL DOES HAVE A WRITTEN DEBT COLLECTION POLICY, WHICH DOES NOT DIFFERENTIATE COLLECTION PRACTICE GUIDELINES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IN SOME CASES, A PATIENT WHO QUALIFIES FOR PARTIAL FINANCIAL ASSISTANCE WILL STILL HAVE OUTSTANDING DEBT WITH THE HOSPITAL. THROUGH MULTIPLE NOTIFICATION OF COLLECTION ATTEMPTS, COMMUNICATED OPPORTUNITIES FOR DISCOUNTS, ASSISTANCE AND PAYMENT PLAN ARRANGEMENTS, AND PERSONAL FACE-TO-FACE CONSULTATIONS, THE HOSPITAL MAKES REASONABLE EFFORTS TO COLLECT DEBT. THE HOSPITAL DOES NOT UTILIZE CREDIT ACCEPTANCE PROCEDURES TO VET OUT PATIENTS. IN GENERAL, THE HOSPITAL CONTINUOUSLY MONITORS SELF-PAY ACCOUNTS TO TARGET ACCOUNTS THAT ARE SLOW TO PAY IN ORDER TO IDENTIFY ACCOUNTS THAT ARE POTENTIAL CHARITY CARE OR FINANCIAL ASSISTANCE ELIGIBLE PATIENTS.
PART V, SECTION B, LINE 3: AFTER GATHERING ALL PUBLICALLY AVAILABLE SECONDARY HEALTH DATA FOR OUR PRIMARY SERVICE AREA, THE TRANSYLVANIA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT EMPLOYED A STRATIFIED RANDOM SAMPLE OF 200 RESIDENTS OF TRANSYLVANIA COUNTY, N.C. TO SUPPLEMENT THE SECONDARY CORE DATASET, MEET ADDITIONAL STAKEHOLDER DATA NEEDS, AND HEAR FROM COMMUNITY MEMBERS ABOUT THEIR CONCERNS AND PRIORITIES, A COMMUNITY SURVEY, 2012 WNC HEALTHY IMPACT SURVEY, WAS DEVELOPED AND IMPLEMENTED IN 16 COUNTIES ACROSS WESTERN NORTH CAROLINA. THE SURVEY INSTRUMENT WAS DEVELOPED BY WNC HEALTHY IMPACT'S DATA WORKGROUP, CONSULTING TEAM, AND LOCAL PARTNERS WITH ASSISTANCE FROM PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). MANY OF THE QUESTIONS ARE DERIVED FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS OTHER PUBLIC HEALTH SURVEYS; OTHER QUESTIONS WERE DEVELOPED SPECIFICALLY FOR WNC HEALTHY IMPACT TO ADDRESS PARTICULAR ISSUES OF INTEREST TO COMMUNITIES IN WESTERN NORTH CAROLINA. EACH COUNTY WAS GIVEN THE OPPORTUNITY TO INCLUDE THREE ADDITIONAL QUESTIONS OF PARTICULAR INTEREST TO THEIR COUNTY, WHICH WERE ASKED OF THEIR COUNTY'S RESIDENTS. TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW METHODOLOGY (ONE THAT INCORPORATES BOTH LANDLINE AND CELL PHONE INTERVIEWS) WAS EMPLOYED. THE SAMPLE DESIGN USED FOR THIS REGIONAL EFFORT CONSISTED OF A STRATIFIED RANDOM SAMPLE OF 3,300 INDIVIDUALS AGE 18 AND OLDER IN WESTERN NORTH CAROLINA. OUR COUNTY'S SAMPLE SIZE WAS 200.THE INTERVIEWS WERE CONDUCTED IN EITHER ENGLISH OR SPANISH, AS PREFERRED BY RESPONDENTS. FOR THE TRANSYLVANIA COUNTY FINDINGS, THE MAXIMUM ERROR RATE IS 6.9%. IN ADDITION, SEVERAL COMMUNITY-WIDE LISTENING SESSIONS WERE CONDUCTED TO HEAR THE COMMUNITY'S CONCERNS AND TO RANK THE COMMUNITY HEALTH PRIORITIES BASED ON THE SURVEY RESULTS.	TRANSYLVANIA COMMUNITY HOSPITAL, INC.
PART V, SECTION B, LINE 14G: -BROCHURES AVAILABLE AT PRACTICES AND HOSPITALS-FINANCIAL COUNSELORS REVIEW WITH PATIENTS	TRANSYLVANIA COMMUNITY HOSPITAL, INC.
PART V, SECTION B, LINE 20D: THE HOSPITAL USES THE AVERAGE OF COMMERICAL INSURANCE RATES INCLUDING MEDICARE.	TRANSYLVANIA COMMUNITY HOSPITAL, INC.
PART VI, LINE 2: TRANSYLVANIA REGIONAL HOSPITAL USES MULTIPLE TOOLS TO ASSESS THE CURRENT AND FUTURE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES INCLUDING: - CONDUCTING ENVIRONMENTAL ASSESSMENTS- REVIEWING MARKET SHARE DATA FOR EXISTING SERVICES - COMPILING A MEDICAL STAFF DEVELOPMENT PLAN EVERY TWO YEARS THAT ASSESSES PHYSICIAN NEED PER POPULATION ADJUSTED FOR DEMOGRAPHICS. ALSO, TRH ACTIVELY PARTICIPATES IN THE TRANSYLVANIA COUNTY HEALTH DEPARTMENT'S REQUIRED ASSESSMENT OF HEALTH NEEDS EVERY THREE YEARS. IN FY 2012, TRH BEGAN EXTENSIVE PLANNING WITH THE LOCAL HEALTH DEPARTMENT TO CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A DETAILED SURVEY AND COMPILATION OF PRIMARY AND SECONDARY HEALTH DATA FOR TRANSYLVANIA COUNTY, N.C., WAS COMPLETED IN FALL 2012. THE FINDINGS OF THIS CHNA, ALONG WITH EXTENSIVE COMMUNITY INPUT SESSIONS, WERE USED BY TRH IN FY 2013 TO IDENTIFY THE PRIORITY HEALTH ISSUES IN TRANSYLVANIA COUNTY. IN SEPTEMBER 2013, THE TRH BOARD OF TRUSTEES FORMALLY ADOPTED THE FOLLOWING HEALTH ISSUES AS PRIORITIES FOR THE COMMUNITY WE SERVE: 1) OBESITY 2) DENTAL HEALTH 3) MENTAL HEALTH/SUBSTANCE ABUSE 4) AGING POPULATION.
PART VI, LINE 3: TRANSYLVANIA REGIONAL HOSPITAL PLACES SIGNAGE FOR ITS PATIENT FINANCIAL ASSISTANCE POLICIES IN PATIENT AREAS IN THE HOSPITAL, IN THE PATIENT ACCOUNTING OFFICE, AND THE PATIENT REGISTRATION AREA. AT THE POINT OF REGISTRATION AND PRE-REGISTRATION, PATIENTS ARE NOTIFIED OF THE PATIENT FINANCIAL ASSISTANCE POLICY. IN THE PATIENT ACCOUNTING OFFICE, THE AVAILABLE FINANCIAL ASSISTANCE PROGRAMS ARE VERBALLY COMMUNICATED BY FINANCIAL COUNSELORS TO PATIENTS WHO MIGHT BE ELIGIBLE. BILLING STATEMENTS ARE PRINTED WITH INVITATIONS TO SEEK PATIENT FINANCIAL ASSISTANCE THROUGH THE PATIENT ACCOUNTING OFFICE. IN ADDITION TO THIS, THE EMERGENCY DEPARTMENT UTILIZES A HEALTH RESOURCE NAVIGATOR TO HELP FIND FINANCIAL ASSISTANCE RESOURCES FOR SELF-PAY PATIENTS. THE PATIENT FINANCIAL ASSISTANCE POLICY ALSO RESIDES ON THE HOSPITAL'S WEBSITE, HTTP://WWW.TRHOSPITAL.ORG/PATIENTS/FINANCIAL.PHP.
PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR TRANSYLVANIA REGIONAL HOSPITAL IS TRANSYLVANIA COUNTY, NORTH CAROLINA, WITH A RESIDENT POPULATION OF 33,000 INCLUDING GLOUCESTER TOWNSHIP IN THE UPPER END OF THE COUNTY, WHICH IS FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA. NEARLY 12.5% OF TRANSYLVANIA COUNTY'S TOTAL RESIDENT POPULATION HAS A HOUSEHOLD INCOME BELOW THE FEDERAL POVERTY LEVEL. TRANSYLVANIA REGIONAL HOSPITAL IS THE ONLY LOCAL HOSPITAL SERVING THIS PRIMARY SERVICE AREA.TRANSYLVANIA REGIONAL HOSPITAL'S SECONDARY COVERAGE AREA INCLUDES 15,000 ADDITIONAL RESIDENTS IN SOUTHERN JACKSON COUNTY, NORTH CAROLINA, INCLUDING THE MEDICALLY UNDERSERVED AREA OF CASHIERS TOWNSHIP, AS WELL AS WESTERN HENDERSON COUNTY, NC WHICH HAS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED POPULATION OF LOW INCOME, MIGRANT FARM WORKERS. BESIDES TRANSYLVANIA REGIONAL HOSPITAL, THREE ADDITIONAL COMMUNITY HOSPITALS PROVIDE SOME COVERAGE TO THESE 15,000 RESIDENTS IN THE SECONDARY COVERAGE AREA; HOWEVER, TRANSYLVANIA REGIONAL HOSPITAL IS IN MANY CASES THE CLOSEST, MOST READILY ACCESSIBLE PROVIDER OF CARE FOR MANY OF THESE RESIDENTS.
PART VI, LINE 5: AS A NOT-FOR-PROFIT HOSPITAL, TRANSYLVANIA REGIONAL HOSPITAL IS COMMITTED TO GIVING BACK TO THE COMMUNITY TO HELP THOSE WHO ARE UNINSURED OR UNDERINSURED AS WELL AS PROVIDING HEALTH EDUCATION AND BENEFITS FOR THE WELL BEING OF THE ENTIRE COMMUNITY. 2013 WAS A CHALLENGING YEAR FOR OUR COMMUNITY AS WE EXPERIENCED THE LINGERING EFFECTS OF A DEPRESSED ECONOMY. THIS HAS LEFT MANY IN OUR COMMUNITY WITHOUT HEALTH INSURANCE AND STRUGGLING TO MAKE ENDS MEET. DESPITE CHALLENGING FINANCIAL TIMES FOR THE HOSPITAL, TRH CONTINUED TO GENEROUSLY HELP THOSE IN NEED. IN 2013, TRH PROVIDED $7.5 MILLION IN CONTRIBUTIONS TO THE COMMUNITY. THESE BENEFITS CAME IN MANY FORMS INCLUDING $2.2 MILLION IN CHARITY CARE FOR 3,500 PEOPLE. THE HOSPITAL ALSO PROVIDED ANOTHER $3.6 MILLION IN CARE FOR 4,400 PEOPLE THROUGH NON-COLLECTIBLE SERVICES. AN ADDITIONAL $1.2 MILLION WAS PROVIDED FOR GOVERNMENT SPONSORED HEALTHCARE INCLUDING INDIGENT CARE PROGRAMS. FINALLY, $502,000 WAS PROVIDED FOR COMMUNITY BENEFIT PROGRAMS INCLUDING THE DONATION OF STAFF TIME AND RESOURCES.
PART VI, LINE 6: AS A MEMBER OF THE NOT-FOR-PROFIT MISSION HEALTH SYSTEM, TRANSYLVANIA REGIONAL HOSPITAL HAS THE PRIMARY ROLE OF PROMOTING WELLNESS AND PROVIDING ACCESS TO QUALITY HEALTH SERVICES TO THE PEOPLE OF TRANSYLVANIA COUNTY, NC. MISSION HEALTH'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE OF WESTERN NORTH CAROLINA AND THE SURROUNDING REGION.
NC	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	223 W JORDAN STREET	AddressLine1
City	BREVARD	City
State	NC	State
ZIP Code	28712	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	561458024	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	65647	AmountOfCashGrant
Purpose Of Grant	CAPITAL EQUIPMENT NEEDS	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE ORGANIZATION SUBSIDIZES TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION, INC.'S OPERATIONS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT J BEDNAREK
PRESIDENT / CEO	236337	0	49687	0	16331	0	39276	0	13459	0	355090	0	0	0
JIM KELLING MD
CHIEF OF STAFF / BOARD MEM	0	206276	0	76096	0	4737	0	8628	0	7291	0	303028	0	0
CHARLES AYSCUE
MHS REPRESENTATIVE / BOARD	0	410784	0	166760	0	50971	0	117039	0	4927	0	750481	0	0
JOHN MAHER
MHS REPRESENTATIVE / BOARD	0	260635	0	58433	0	2635	0	56048	0	21092	0	398843	0	0
REBECCA W CARTER
COO	149421	0	16556	0	18419	0	7471	0	5531	0	197398	0	0	0
ELIZABETH A PELLETIER
LEAD CRNA	161216	0	3621	0	303	0	5049	0	25347	0	195536	0	0	0
LAUREL D JOHNSON
CRNA	162256	0	320	0	282	0	8267	0	9086	0	180211	0	0	0
JUDITH H MCKAY
CRNA	158598	0	320	0	777	0	8022	0	7374	0	175091	0	0	0
MARK E CREASMAN
PHARMACIST	121175	0	5665	0	36576	0	5868	0	16048	0	185332	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 4B	ReturnReference
Explanation	THE FOLLOWING RECEIVED SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS FROM THE FILING ORGANIZATION: ROBERT BEDNAREK $31,970 MARC NAKAGAWA 1,660 THE FOLLOWING RECEIVED SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS FROM A RELATED ORGANIZATION: CHARLES AYSCUE $102,039 JOHN MAHER 46,048	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA MEDICAL CARE COMMISSION	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521309402	IssuerEIN
Date Issued	2011-08-24	DateIssued
Issue Price	14655000	IssuePrice
Description Of Purpose	CURRENT REFUNDING	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	1005000	AmountRetired
Total Proceeds	14655000	TotalProceeds
Other Spent Proceeds	14655000	OtherSpentProceeds
Year Of Subst Completion	2006	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	0	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	0	RebateNotDueYet
Exception To Rebate	1	ExceptionToRebate
No Rebate Due	0	NoRebateDue
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqs

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS:	Identifier
Explanation	THE AMOUNT PRESENT ON PART II, LINE 11 REPRESENTS AMOUNTS USED TO CURRENTLY REFUND PRIOR ISSUES DATED NOVEMBER 20, 1997 AND MARCH 9, 2009. SERIES 1997 REFUNDING: $ 2,255,000 SERIES 2009 REFUNDING: 12,400,000 TOTAL TO LINE 11: $ 14,655,000	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE BOARD CHAIRMAN, THE VICE CHAIRMAN, THE SECRETARY, THE TREASURER, THE PRESIDENT, THE CHIEF OF THE MEDICAL STAFF, THE CHAIR OF GOVERNANCE, AND THE CHAIR OF QUALITY. THE BOARD CHAIRMAN SHALL SERVE AS THE CHAIRMAN OF THE EXECUTIVE COMMITTEE. THE TERM OF OFFICE OF THE ELECTED MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE ONE YEAR OR UNTIL A SUCCESSOR SHALL HAVE BEEN DULY ELECTED BY THE BOARD OF TRUSTEES. ANY VACANCY IN THE POSITION OF THE ELECTED MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE FILLED AS SOON AS POSSIBLE AFTER THE OCCURRENCE OF THE VACANCY. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE PERIODS BETWEEN MEETINGS OF THE BOARD OF TRUSTEES SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF TRUSTEES AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE SHALL, EXCEPT IN EMERGENCY, BE REFERRED TO THE BOARD OF TRUSTEES. IN ORDER TO TRANSACT THE BUSINESS OF THE HOSPITAL, THE EXECUTIVE COMMITTEE SHALL HOLD A MEETING AT WHICH AT LEAST FIVE MEMBERS OF THE COMMITTEE ARE SIMULTANEOUSLY PRESENT IN PERSON OR BY TELEPHONE AND ALL MEMBERS HAVE BEEN GIVEN NOTICE OF THE MEETING. THIS NOTICE SHALL STATE THE BUSINESS FOR WHICH THE MEETING HAS BEEN CALLED, AND NO BUSINESS OTHER THAN THAT STATED IN THE NOTICE SHALL BE TRANSACTED AT SUCH MEETING. MINUTES OF THE EXECUTIVE COMMITTEE MEETINGS WILL BE SUBMITTED TO THE BOARD, AND ITS ACTIONS SHALL BE SUBJECT TO APPROVAL AT THE NEXT REGULAR BOARD MEETING.
FORM 990, PART VI, SECTION A, LINE 3	IN OCTOBER 2012, TRANSYLVANIA REGIONAL HOSPITAL WAS AFFILIATED WITH MISSION HEALTH SYSTEM AND WAS NO LONGER BEING ONLY MANAGED BY THE MISSION HEALTH SYSTEM. THE CEO, CFO, AND DIRECTOR OF IT ARE MISSION HEALTH SYSTEM EMPLOYEES THAT TRH CONTRACTS FOR THEIR EXPERTISE.
FORM 990, PART VI, SECTION A, LINE 6	THE HOSPITAL IS A MEMBERSHIP CORPORATION, OF WHICH THE SOLE MEMBER (THE "MEMBER") IS MISSION HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF TRUSTEES WILL CONSIST OF NOT LESS THAN 11 AND NOT MORE THAN 15 VOTING MEMBERS. UP TO TWO TRUSTEES MAY BE APPOINTED BY MISSION AT ANY TIME (THE "MISSION TRUSTEES") AND IN ALL EVENTS, AT LEAST A MAJORITY OF THE TRUSTEES MUST BE COMMUNITY TRUSTEES. TRUSTEES OTHER THAN MISSION TRUSTEES ARE REFERRED TO HEREIN AS "COMMUNITY TRUSTEES." THERE WILL BE NOT LESS THAN NINE (9) AND NO MORE THAN THIRTEEN (13) COMMUNITY TRUSTEES. THE HOSPITAL SHALL EACH YEAR, NO LATER THAN THE MONTH OF AUGUST, SUBMIT FOR RATIFICATION TO THE MEMBER THE NAMES OF PERSONS TO FILL VACANCIES AMONG THE COMMUNITY TRUSTESS CAUSED BY THE EXPIRATION OF THE TERMS OF OFFICE OR OTHERWISE. THE RATIFICATION OF THE COMMUNITY TRUSTEES BY THE MEMBER SHALL TAKE PLACE BEFORE THE END OF SEPTEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	FOR SO LONG AS IT IS THE MEMBER, MISSION HEALTH SYSTEM, NC. AND ITS SUCCESSORS AND ASSIGNS ("MISSION" OR "MEMBER"), SHALL HAVE THE AUTHORITY TO APPROVE THE FOLLOWING REGARDING THE HOSPITAL WITHOUT ANY SEPARATE OR FURTHER ACTION B THE BOARD OF TRUSTEES OF THE HOSPITAL: (A) ON AND AFTER OCTOBER 26, 2012, ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS; PROVIDED HOWEVER, THE TERMS OF SECTION III.3 OF THESE BYLAWS MAY NOT BE AMENDED AT ANY TIME WITHOUT THE JOINT APPROVAL OF MISSION AND TRANSYLVANIA COMMUNITY HOSPITAL ("HOSPITAL") (B) THE MISSION, VISION AND VALUES STATEMENTS AND ANY AMENDMENTS THERETO. (C) THE SALE, LEASE OR OTHER TRANSFER OF A MATERIAL PORTION, SUBSTANTIALLY ALL OR ALL OF THE ASSETS OF THE HOSPITAL. (D) THE PLEDGE OF, OR GRANTING OF ANY LIEN OR ENCUMBRANCE ON, A MATERIAL PORTION, SUBSTANTIALLY ALL OR ALL OF THE ASSETS OF THE HOSPITAL TO SECURE THE OBLIGATIONS OF THE HOSPITAL OR ANY OF ITS SUBSIDIARIES. (E) THE PURCHASE, LEASE, PLEDGE OR SALE OF REAL OR PERSONAL PROPERTY OUTSIDE THE ORDINARY COURSE OF BUSINESS. (F) THE DISSOLUTION OR ANY MERGER, SALE, CONSOLIDATION OR OTHER BUSINESS COMBINATION. (G) THE FORMATION AND GOVERNING DOCUMENTS OF, AND INVESTMENT BY THE HOSPITAL IN, ANY NEW CORPORATION, PARTNERSHIP OR EQUITY OR CONTRACTUAL JOINT VENTURE IN WHICH THE HOSPITAL PROPOSES TO HAVE AN INTEREST THROUGH MEMBERSHIP, VOTING STOCK OR OTHER EQUITY PARTICIPATION. (H) THE REMOVAL OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE HOSPITAL. (I) ANY DEBT ISSUANCE OR INCURRENCE, REFINANCING AND RETIREMENT OF DEBT, INCLUDING WITHOUT LIMITATION INDEBTEDNESS FOR BORROWED MONEY AND CAPITAL LEASES, INCLUDING ANY PROPOSALS AND RECOMMENDATIONS AS TO SAME BY THE BOARD OF TRUSTESS. (J) THE CAPITAL AND OPERATING BUDGETS (BASED ON RECOMMENDATIONS FROM THE BOARD OF TRUSTESS) AND ANY EXPENDITURES THAT WOULD CAUSE ANY LINE ITEM EXPENSE IN ANY APPROVED BUDGET TO EXCEED THE LIMITS ESTABLISHED FROM TIME TO TIME BY MISSION BASED ON RECOMMENDATIONS FROM THE BOARD OF TRUSTEES. (K) STRATEGIC AND FINANCIAL PLANS, INCLUDING ANY PROPOSALS AND RECOMMENDATIONS FOR REVISIONS TO SAME BY THE BOARD OF TRUSTEES. (L) THE SELECTION OF EXTERNAL AUDITORS AND LEGAL COUNSEL; PROVIDED HOWEVER, THE COMMUNITY DIRECTORS (AS DEFINED IN THE BYLAWS OF THE MEMBER) SHALL HAVE THE EXCLUSIVE RIGHT TO SELECT LEGAL COUNSEL TO ENFORCE THE HOSPITAL'S RIGHTS UNDER THE AFFILIATION AGREEMENT.
FORM 990, PART VI, SECTION B, LINE 11	THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND INFORMATION PROVIDED BY MANAGEMENT. THE RETURN WAS THEN REVIEWED BY THE HOSPITAL FINANCE COMMITTEE OF THE BOARD AND A COPY DISTRIBUTED TO EVERY VOTING BOARD MEMBER. AGENDA TIME WAS RESERVED AT A SCHEDULED BOARD MEETING PRIOR TO THE FILING OF THE 990 FOR MANAGMENT RESPONSE TO MEMBERS' QUESTIONS AND COMMENTS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS REVIEWED AND UPDATED ANNUALLY. EDUCATION ABOUT THE POLICY AND THE RESPONSIBILITIES OF A BOARD MEMBER OCCURS ANNUALLY AND FOR NEW BOARD MEMBERS DURING ORIENTATION. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE MEMBER IS RECUSED FROM DISCUSSION AND A VOTE ON THE CONFLICTING MATTER, AND MAY BE EXCUSED. THE POLICY IS ADHERED TO DURING MEETINGS IN EXECUTIVE SESSION FOR CEO EVALUATION AND COMPENSATION DISCUSSION, AUDIT PLANNING, AND OTHER TIMES AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION DRAWS WAGE COMPARISON DATA FROM TWO INDEPENDENT SOURCES, AND THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD REVIEWS THE INFORMATION AND SETS THE COMPENSATION PACKAGES FOR THE CEO AND IS INFORMED OF THE COMPENSATION PACKAGES OF THE CFO, COO, VP OF MARKETING, COO OF TPSI, DIRECTOR OF THE FOUNDATION, SYSTEM DIRECTOR OF HR AND FACILITY SERVICES. COMPENSATION PACKAGES FOR THE CEO ARE REVIEWED ANNUALLY. COMPENSATION FOR ALL OTHER POSITIONS ARE REVIEWED WHENEVER A CHANGE IN THE POSITION IS MADE. CHANGES FROM THE 2011 REVIEW WERE MADE EFFECTIVE FOR THE 2012 CALENDAR YEAR. BEGINNING MARCH 2011, THE ORGANIZATION BEGAN CONTRACTING THE SERVICES OF ITS CEO FROM MISSION HEALTH SYSTEM, A 501(C)(3) HEALTHCARE ORGANIZATION. COMPENSATION PER THIS AGREEMENT IS PAID THROUGH MISSION HEALTH SYSTEM FROM AN ESTABLISHED MANAGEMENT CONTRACT.
FORM 990, PART VI, SECTION C, LINE 18	PHOTOCOPIES OF RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19	PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. AN ANNUAL REPORT OF THE ORGANIZATION'S FINANCIAL STATEMENTS IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AND IS PUBLISHED ANNUALLY IN THE LOCAL NEWSPAPER.
FORM 990, PART IX, LINE 11G	OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 840,077. MANAGEMENT AND GENERAL EXPENSES 318,647. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,158,724. SERVICE CONTRACT EXPENSE: PROGRAM SERVICE EXPENSES 821,475. MANAGEMENT AND GENERAL EXPENSES 202,040. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,023,515. CATERING SERVICES: PROGRAM SERVICE EXPENSES 14,524. MANAGEMENT AND GENERAL EXPENSES 35,503. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,027. REFERENCE LAB EXP: PROGRAM SERVICE EXPENSES 612,900. MANAGEMENT AND GENERAL EXPENSES 3,774. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 616,674. MEDICAL FEES: PROGRAM SERVICE EXPENSES 3,114,243. MANAGEMENT AND GENERAL EXPENSES 9,385. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,123,628. CONTRACT MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 3,149,911. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,149,911. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,351,003. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,351,003. COLLECTION FEES EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 240,737. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 240,737.	OTHER FEES
FORM 990, PART XI, LINE 9:	TRANSFERS FROM MISSION HEALTH SYSTEM, INC. 7,758,283. NET EFFECT OF BUSINESS COMBINATION 266,081. EXPENSES INCURRED FOR FOUNDATION 18,977. INCOME FROM AFFILIATED ORGANIZATION 227,982. NET CHANGE IN INTEREST OF FOUNDATION 12,639,120. TRANSFER TO TRANSYLVANIA PHYSICIAN SERVICES, INC. -1,839,726. TRANSFER TO TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION, INC. -8,786,170.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
TRANSYLVANIA HEALTH SYSTEM INC
260 HOSPITAL DRIVE	BREVARD	NC	28712	561456987	HEALTHCARE	NC	501(C)(3)	LINE 11B, II	N/A	0
TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC
PO BOX 2440	BREVARD	NC	28712	561458024	SUPPORTING ORGANIZATION	NC	501(C)(3)	LINE 11A, I		1	TRANSYLVANIA COMMUNITY HOSPITAL INC
TRANSYLVANIA PHYSICIAN SERVICES INC
260 HOSPITAL DRIVE	BREVARD	NC	28712	561920816	HEALTHCARE	NC	501(C)(3)	LINE 3		1	TRANSYLVANIA COMMUNITY HOSPITAL INC
MISSION HEALTH SYSTEM INC
400 RIDGEFIELD COURT SUITE 100	ASHEVILLE	NC	28806	581450888	PARENT COMPANY SUPPORT	NC	501(C)(3)	LINE 11A, I	N/A	0
MISSION MEDICAL ASSOCIATES INC
866 HENDERSONVILLE ROAD	ASHEVILLE	NC	28803	263627231	EMPLOYED PHYSICIAN GROUP	NC	501(C)(3)	LINE 9		0	MISSION HEALTH SYSTEM INC
THE MCDOWELL HOSPITAL INC
430 RANKIN AVENUE	MARION	NC	28742	560623938	COMMUNITY HOSPITAL	NC	501(C)(3)	LINE 3		0	MISSION HEALTH SYSTEM INC
MISSION HEALTHCARE FOUNDATION INC
980 HENDERSONVILLE ROAD	ASHEVILLE	NC	28803	561881331	FOUNDATION	NC	501(C)(3)	LINE 7		0	MISSION HEALTH SYSTEM INC
BLUE RIDGE REGIONAL HOSPITAL INC
PO 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	HOSPITAL FOUNDATION	NC	501(C)(3)	LINE 11A, I		0	BLUE RIDGE REGIONAL HOSPITAL
ANGEL MEDICAL CENTER INC
PO BOX 1209	FRANKLIN	NC	28744	566000064	COMMUNITY HOSPITAL	NC	501(C)(3)	LINE 3		0	MISSION HEALTH SYSTEM INC
MCDOWELL HEALTHCARE FOUNDATION INC
430 RANKIN AVENUE	MARION	NC	28752	463395393	SUPPORTING ORGANIZATION	NC	APPLIED FOR	LINE 7		0	THE MCDOWELL HOSPITAL INC
MISSION HOSPITAL INC
428 BILTMORE AVENUE	ASHEVILLE	NC	28801	560532141	HOSPITAL	NC	501(C)(3)	LINE 3		0	MISSION HEALTH SYSTEM INC

Form990 Schedule R Part III Form990ScheduleRPartIII (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL LLC
260 HOSPITAL DRIVE	BREVARD	NC	28712	203281110	HEALTHCARE	NC	N/A
TRANSYLVANIA HEALTHCARE II LIMITED PARTNERSHIP
2 MEDICAL PARK DR	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
ASHEVILLE IMAGING LLP
534 BILTMORE AVENUE	ASHEVILLE	NC	28801	561907201	OUTPATIENT IMAGING SERVICE	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
428 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
WESTERN NC HEALTHCARE INNOVATORS LLC
5935 CARNEGIE BOULEVARD	CHARLOTTE	NC	28209	800787882	REAL ESTATE RENTAL	NC	N/A
WESTERN REGIONAL RADIATION THERAPY CENTER
68 HOSPITAL DRIVE	SYLVA	NC	28779	561849395		NC	N/A
ASHEVILLE MRI
PO BOX 2959	ASHEVILLE	NC	28802	561665863		NC	N/A
WNC STONE CENTER
509 BILTMORE AVENUE	ASHEVILLE	NC	28801	272152974		NC	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA	Address Line1AddressForeign/AddressLine1	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
TRANSYLVANIA SERVICES INC
260 HOSPITAL DRIVE	BREVARD	NC	28712	561448199	REAL ESTATE	NC	TRANSYLVANIA COMMUNITY HOSPITAL INC	C	95250	6736381	1.00000	1
HORIZON HEALTH CORP
213 RIDGEFIELD COURT	ASHEVILLE	NC	28806	561341621	HOLDING COMPANY	NC		C				0	N/A
HORIZON MANAGEMENT SERVICES INC
213 RIDGEFIELD COURT	ASHEVILLE	NC	28806	561341624	PATIENT BILLING AND COLLECTION SERVICES, MEDICAL PROPERTY	NC		C				0	N/A
DOGWOOD INSURANCE COMPANY LTD
					CAPTIVE INSURANCE ENTITY			C				0	N/A	PO BOX 30600 THE GRAND PAVILION COM	CAYMAN ISLANDS	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
BREVARD MRI AT TRANSYLVANIA COMMUNITY HOSPITAL
K	826023	CASH
TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC
B	65647	CASH
TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC
C	1629756	CASH
TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC
R	8786170	CASH
TRANSYLVANIA PHYSICIAN SERVICES INC
R	1839726	CASH