2013-02-15T10:34:27-06:00 2012-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2011-10-01 560126590 ASTON PARK HEALTH CARE CENTER INC ASTO 8282534437 380 BREVARD ROAD ASHEVILLE NC 28806 MARSHA W KAUFMAN 8282534437 2013-02-15 1 AMY BIBBY P00445891 8282542254 2011 2016-03-07 17:11:31Z MARSHA W KAUFMAN 380 BREVARD ROAD ASHEVILLE NC 28806 10769888 0 X WWW.ASTONPARKHCC.ORG X 1929 NC TO PROVIDE A CLEAN, SAFE, CARING, RESPECTFUL ENVIRONMENT FOR LONG TERM CARE RESIDENTS 13 13 235 388 0 0 14892 7972 10772773 10425756 36032 255998 121440 80162 10945137 10769888 1627 888 0 0 5913826 5839238 0 0 0 3967508 4242314 9882961 10082440 1062176 687448 16032546 16972477 5503514 5543460 10529032 11429017 X TO PROVIDE A CLEAN, SAFE, CARING, RESPECTFUL ENVIRONMENT AND A TRAINED PROFESSIONAL STAFF THAT ENSURES THE HIGHEST QUALITY OF LIFE WITH DIGNITY FOR ITS RESIDENTS. WE SUPPORT THE FAMILIES AND CAREGIVERS IN ATTAINING THAT GOAL AND ADHERE TO STATE AND FEDERAL REGULATIONS. 0 0 8558650 888 10425756 1. ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFITASTON PARK HEALTH CARE CENTER'S MISSION IS TO PROVIDE A CLEAN, SAFE, CARING, RESPECTFUL ENVIRONMENT AND A TRAINED PROFESSIONAL STAFF THAT ENSURES THE HIGHEST QUALITY OF LIFE WITH DIGNITY FOR IT RESIDENTS. WE SUPPORT FAMILIES AND CAREGIVERS IN ATTAINING THAT GOAL AND ADHERE TO STATE AND FEDERAL GUIDELINES. ASTON PARK HEALTH CARE CENTER, INC. WAS ORGANIZED FROM THE ASTON PARK HOSPITAL, WHICH CLOSED OPERATIONS IN 1975. AT THAT TIME, THE ASTON PARK HOSPITAL BOARD OF DIRECTORS FELT THAT THEY COULD BETTER SERVE OUR COMMUNITY WITH A SKILLED AND INTERMEDIATE NURSING FACILITY, WHICH THEY ORGANIZED AND OPENED AS ASTON PARK HEALTH CARE CENTER, INC. IN 1980. THE 501(C)3 STATUS WAS CARRIED OVER FROM THE HOSPITAL TO THE NURSING FACILITY.ASTON PARK HEALTH CARE CENTER IS UNIQUE IN THAT IT IS NOT BACKED BY ANY AFFILIATION, RELIGIOUS OR OTHERWISE. ASTON PARK IS ENTIRELY SELF-SUSTAINED. ASTON PARK HEALTH CARE CENTER, INC. HAS SERVED THE SENIOR COMMUNITY WITH REPUTABLE SERVICE FOR 32 YEARS. BUNCOMBE COUNTY IS A DIVERSE, MULTI-CULTURAL COMMUNITY. BECAUSE OF THIS, THERE ARE MANY SENIORS IN THE COMMUNITY THAT DO NOT HAVE RESOURCES TO PAY FOR INSTITUTIONAL CARE. AS IN THE PAST, ASTON PARK HEALTH CARE CENTER WILL NOT DISCRIMINATE BASED ON RACE OR PAYER SOURCE. 2. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTIONMEDICAID IS THE PAYER SOURCE FOR AN AVERAGE OF 70% OF THE RESIDENTS AT ASTON PARK HEALTH CARE CENTER. MANY NURSING FACILITIES ARE LIMITING THE NUMBER OF MEDICAID PATIENTS THAT THEY ARE ADMITTING BECAUSE OF THE REIMBURSEMENT CUTS WITH STATE AND FEDERAL FUNDING. FACILITIES LIKE ASTON PARK HEALTH CARE CENTER ARE NEEDED TO SERVE THE MEDICAL NEEDS OF OUR AGING POPULATION WHEN THEY NO LONGER HAVE THE FINANCIAL RESOURCES TO CARE FOR THEMSELVES. ASTON PARK IS NOT DRIVEN BY REVENUE BUT BY THE NEEDS OF THE RESIDENTS WE SERVE. BEING THAT MORE THAN HALF OF OUR RESIDENT POPULATION IS MEDICAID AND THE COST TO PROVIDE THE SERVICES WE OFFER ARE MORE THAN THE REIMBURSEMENT THAT IS RECEIVED FROM THE MEDICAID PROGRAM, WE INCUR A TREMENDOUS AMOUNT OF UNREIMBURSABLE EXPENSES THAT HAVE TO BE ABSORBED BY THE FACILITY. THIS RESULTED IN $1,322,082 IN CONTRACTUAL ADJUSTMENTS AND $133,980 IN UNBILLABLE ANCILLARIES FOR MEDICAID RESIDENTS THIS PAST FISCAL YEAR.ASTON PARK HEALTH CARE CENTER ALSO ACCEPTS PAYMENTS FROM MEDICARE, TRICARE AND PRIVATE INSURANCE COMPANIES WITH LONG TERM CARE POLICIES. WE DO NOT REQUIRE INDIVIDUALS TO PROVE AVAILABLE ASSETS TO US BEFORE ADMISSION. THEREFORE, WE HAVE A HIGH PERCENTAGE OF RESIDENTS WHO DEPEND ON MEDICAID TO FUND THEIR STAY HERE. THE FASTEST GROWING SEGMENT OF THE US POPULATION AS A WHOLE IS CURRENTLY THE GROUP AGED 85 AND OLDER. THIS MEANS THAT THERE IS GOING TO BE A GROWING NEED FOR INSTITUTIONAL CARE. WE FEEL THAT ALL INDIVIDUALS ARE ENTITLED TO THE SAME QUALITY OF CARE AND SERVICES DESPITE THEIR ABILITY TO PAY.ASTON PARK HEALTH CARE CENTER, INC. HAS A BOARD OF 13 DIRECTORS WHO MEET AT LEAST MONTHLY (MORE OFTEN IF NEEDED) TO REVIEW THE FINANCIAL STATUS OF THE COMPANY. AT THIS TIME, THEY ARE ALSO INFORMED OF OTHER HAPPENINGS IN THE FACILITY THAT THEY NEED TO BE AWARE OF. THE BOARD MEMBERS ARE INDEPENDENT MEMBERS OF THE COMMUNITY WITH NO RELATED PARTY INTEREST IN ASTON PARK HEALTH CARE CENTER. THERE ARE VARIOUS COMMITTEES THAT MAKE THE MAJOR DECISIONS FOR THE FACILITY. THE FACILITY ADMINISTRATOR TAKES CARE OF THE DAY-TO-DAY DECISIONS. THE FACILITY ENCOURAGES AND REQUIRES TRAINING OF ALL STAFF MEMBERS. AN ORIENTATION IS COMPLETED ON ALL STAFF MEMBERS TO ACCLIMATE THEM TO THE POLICIES AND PROCEDURES OF THE FACILITY. THE NURSING STAFF IS REQUIRED TO ATTEND IN-SERVICES AND TRAINING ON THE VARIOUS ASPECTS OF THE JOBS THAT THEY PERFORM WITH THE RESIDENTS. THERE IS ALSO IN-SERVICE TRAINING FOR ALL OTHER STAFF MEMBERS TOO REGARDING SAFETY, FIRE, ETC.ASTON PARK HEALTH CARE CENTER IS A CLINICAL SITE FOR THE AB TECHNICAL COLLEGE AND LOCAL HIGH SCHOOLS ALLIED PROGRAM, HAYWOOD TECHNICAL COMMUNITY COLLEGE RN PROGRAM AND EAST TENNESSEE UNIVERSITY REGISTERED DIETICIAN INTERNSHIP.3. DESCRIPTION OF COMMUNITY BENEFITS PROGRAMSTHE SERVICES OFFERED BY ASTON PARK HEALTH CARE CENTER ARE SHORT-TERM REHAB, ASSISTED LIVING, SKILLED NURSING AND ALZHEIMER'S CARE. WE HAVE ONE OF THE VERY FEW MEDICAID CERTIFIED ALZHEIMER'S SPECIAL CARE UNITS IN OUR AREA.OUR SHORT TERM REHAB UNIT IS UTILIZED MAINLY FOR PEOPLE REQUIRING THERAPY AFTER SURGERY TO HELP THEM RETURN TO THEIR OWN HOMES. THESE ARE USUALLY PEOPLE WHO LIVE ALONE OR HAVE SPOUSES THAT CANNOT CARE FOR THEM AFTER THEIR SURGERIES. THIS ALLOWS THEM TIME TO REGAIN STRENGTH AND AMBULATION TO HOPEFULLY MAINTAIN THE SAME QUALITY OF LIFE THEY HAD BEFORE THE SURGERY. OUR GOAL WITH THESE PEOPLE IS TO HELP THEM RETURN TO AS NORMAL A LIFE AS POSSIBLE.THE ALZHEIMER'S UNIT THAT WE HAVE HAS 32 BEDS. THIS UNIT WAS DESIGNED TO ALLOW THEM FREEDOM OF MOVEMENT SINCE ALL OF THE RESIDENTS ON THIS UNIT ARE AMBULATORY AND TEND TO WANDER. THE UNIT WAS ALSO DESIGNED TO CREATE A SAFER AND HOME-LIKE ENVIRONMENT FOR THESE RESIDENTS. ALZHEIMER'S IS A DISEASE OF THE MIND AND THESE RESIDENTS STRUGGLE TO REMEMBER THINGS FROM THEIR PAST; THEREFORE, THERE ARE MEMORY BOXES OUTSIDE OF EACH RESIDENTS ROOM THAT FAMILY MEMBERS CAN PUT OBJECTS THAT ENCOURAGE THEM TO REMEMBER. ALZHEIMER'S PATIENTS CAN BECOME DIFFICULT FOR FAMILIES TO TAKE CARE OF AT HOME DUE TO THEIR TENDENCY TO WANDER AND THEIR FORGETFULNESS. THIS UNIT CONSISTENTLY STAYS FULL AND ALSO FILLS A GREAT NEED IN OUR COMMUNITY. 8558650 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 30 0 1 235 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X MARSHA W KAUFMAN 8282534437 380 BREVARD ROAD ASHEVILLE NC 28806 JERRY VEHAUN 0.50 X X 0 0 0 DANNY TOLAR 0.50 X X 0 0 0 BRUCE ATKINS 0.50 X X 0 0 0 JASON YOUNG 0.50 X X 0 0 0 GERRI CASSE 0.50 X 0 0 0 HAROLD GOLLBERG MD 0.50 X 0 0 0 ED GREEN 0.50 X 0 0 0 DOUG JONES 0.50 X 0 0 0 THOMAS RICE 0.50 X 0 0 0 GARY ROBERTS 0.50 X 0 0 0 KEITH SYNDER 0.50 X 0 0 0 JAY SWAIN 0.50 X 0 0 0 JESSE RAY JR 0.50 X 0 0 0 MARSHA W KAUFMAN 50.00 X 138347 0 5352 138347 0 5352 1 0 0 0 SODEXO INC PO BOX 536922 ATLANTA GA 303536922 DIETARY SERVICES 923325 REHAB SOLUTIONS INC 3029 SENNA DRIVE MATTHEWS NC 28105 THERAPY SERVICES 631267 GOFORTH BUILDERS 1 CEDAR RIDGE DRIVE ASHEVILLE NC 28803 CONSTRUCTION 559874 3 7972 7972 NET PATIENT SERVICES 623000 10425756 10425756 10425756 68692 68692 187306 0 187306 187306 187306 BARBER & BEAUTY INCOME 623000 33502 33502 MISCELLANEOUS 623000 27025 27025 LAUNDRY INCOME 812300 19635 19635 80162 10769888 10425756 0 336160 888 888 152352 152352 57891 57891 4689152 4275330 413822 30575 27042 3533 470526 440253 30273 438742 412340 26402 64739 64739 1000333 992445 7888 35926 35926 1911057 1302448 608609 62417 62417 194975 194975 15983 9844 6139 2566 2566 168321 168321 344787 344787 105157 105157 BAD DEBT EXPENSE 147140 147140 MEDICAL SUPPLIES 144673 144673 MISCELLANEOUS 44240 40273 3967 10082440 8558650 1523790 0 1570932 479581 3633864 4044844 821709 856898 33193 24229 211906 77614 11081884 4407828 5446393 6674056 3626922 4043124 297752 328273 389875 443858 16032546 16972477 723414 839064 4780100 4704396 5503514 5543460 X 10529032 11429017 10529032 11429017 16032546 16972477 X 687448 212537 X X 0 1 1 X 1 1 X 57994 57994 8344880 3893788 4451092 972537 514040 458497 1706473 1706473 6674056 10769888 10082440 687448 182016 30521 212537 899985 10983365 182016 31461 213477 10769888 0 10769888 10083380 940 940 10082440 0 10082440 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATIONS ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATIONS HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2012. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2009 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: NET INCOME OF CONSOLIDATED FOUNDATION 30,521. PART XII, LINE 2D - OTHER ADJUSTMENTS: REVENUES OF CONSOLIDATED FOUNDATION 31,461. PART XIII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF CONSOLIDATED FOUNDATION 940. MICHAEL MCCLURE MICHAEL MCCLURE IS THE EXECUTIVE DIR.'S (MARSHA KAUFMAN MCCLURE) HUSBAND. 57891 MICHAEL MCCLURE IS COMPENSATED AS DIRECTOR OF OPERATIONS OF THE ORGANIZATION. 0 FORM 990, PART VI, SECTION A, LINE 6 THERE SHALL BE AN EXECUTIVE COMMITTEE CONSISTING OF SEVEN MEMBERS OF THE BOARD OF DIRECTORS. MEMBERSHIP OF THE EXECUTIVE COMMITTEE SHALL INCLUDE THE ELECTED OFFICERS OF THE BOARD (TO WIT, THE PRESIDENT, VICE PRESIDENT, TREASURER, AND SECRETARY) AND THREE (3) OTHER DIRECTORS AMONG WHOM SHALL BE INCLUDED THE CHAIRMAN OF THE NOMINATING AND PUBLIC RELATIONS COMMITTEE AND THE CHAIRMAN OF THE LONG RANGE PLANNING AND PROPERTY COMMITTEE. AN "AT LARGE" DIRECTOR MEMBER OF THIS COMMITTEE SHALL BE ELECTED BY THE BOARD AT THE ANNUAL MEETING. THE EXECUTIVE COMMITTEE MAY MEET AT STATED TIME OR ON NOTICE TO ALL BY ANY OF THEIR NUMBER. FORM 990, PART VI, SECTION B, LINE 11 THE 990 TAX RETURN WAS PROVIDED TO EACH BOARD MEMBER PRESENT AT THE BOARD MEETING WHILE A REPRESENTATIVE FROM THE TAX PREPARER'S OFFICE WAS AVAILABLE TO DISCUSS AND ANSWER QUESTIONS. THOSE NOT PRESENT AT THE BOARD MEETING WERE MAILED A COPY OF THE 990 TAX RETURN BY CERTIFIED MAIL. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER, AND COMMITTEE MEMBER WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAD READ AND UNDERSTANDS THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY. PERIODIC REVIEWS SHALL BE CONDUCTED TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE BASED ON COMPETENT SURVEY INFORMATION AND THE RESULT OF ARM'S LENGTH. THESE REVIEWS WILL ALSO DETERMINE WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ORGANIZATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. THE ORGANIZATION MAY USE OUTSIDE ADVISORS BUT ARE NOT REQUIRED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR PRESENTS ALL DEPARTMENT MANAGERS SALARIES AND PROPOSED INCREASES TO THE BOARD OF DIRECTORS PRIOR TO THAT INDIVIDUAL'S ANNUAL REVIEW. THE EXECUTIVE DIRECTOR DOES A SEARCH ON THE INTERNET FOR PAY RATES FOR COMPARISON TO THE PAY RATES OF THE DEPARTMENT MANAGERS AND SOMETIMES POLLS OTHER ADMINISTRATORS TO FIND OUT WHAT IS COMMON PAY FOR CERTAIN POSITIONS. THE BOARD THEN APPROVES PROPOSED INCREASE OR ADJUSTS IT ACCORDINGLY. WHEN IT IS TIME FOR THE EXECUTIVE DIRECTOR'S ANNUAL REVIEW AND PAY CONSIDERATION, THE PRESIDENT OF THE BOARD DISCUSSES THE ANNUAL REVIEW WITH THE BOARD OF DIRECTORS. THE BOARD THEN APPROVES PROPOSED INCREASE OR ADJUSTS IT ACCORDINGLY. THE PRESIDENT OF THE BOARD THEN DISCUSSES THE OUTCOME WITH THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 182,016. NET INCOME OF CONSOLIDATED FOUNDATION 30,521. TOTAL TO FORM 990, PART XI, LINE 5: 212,537. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ASTON PARK HEALTH CARE CENTER FOUNDATION INC 380 BREVARD ROAD ASHEVILLE NC 28806 562153714 TO ASSIST IN ASTON PARK HEALTH CARE CENTER'S PRIMARY ACTIVITY NC 501(C)(3) 11 TYPE 1 ASTON PARK HEALTH CARE CENTER INC 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0