ANC MISSION MEDICAL ASSOCIATES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ANC MISSION MEDICAL ASSOCIATES INC (EIN 26-3627231)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-14
IRS object ID
201232279349300218
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-14T10:19:25-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Grant Thornton LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1201 S College Street Suite 2500AddressLine1
CityCharlotteCity
StateNCState
ZIP Code28244ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN263627231EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mission Medical Associates IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMISSNameControl
Phone8282138222Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 5325AddressLine1
CityAshevilleCity
StateNCState
ZIP Code28813ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCheryl WilliamsName
TitleExecutive Director of FinanceTitle
Phone8282138222Phone
Date Signed2012-08-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7046323500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCheryl WilliamsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 5325AddressLine1
CityAshevilleCity
StateNCState
ZIP Code28813ZIPCode
FieldValueIRS element (for citing)
Gross Receipts65784115GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.missionmd.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionProvide Physician Services in areas that are insufficiently served.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees513TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year28304ContributionsGrantsPriorYear
Contributions Grants Current Year83582ContributionsGrantsCurrentYear
Program Service Revenue Prior Year37457774ProgramServiceRevenuePriorYear
Program Service Revenue CY65683995ProgramServiceRevenueCY
Investment Income Prior Year26366InvestmentIncomePriorYear
Investment Income Current Year16458InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year37512444TotalRevenuePriorYear
Total Revenue Current Year65784035TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year42346116SalariesEtcPriorYear
Salaries Etc Current Year67713740SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10790284OtherExpensePriorYear
Other Expenses Current Year23201609OtherExpensesCurrentYear
Total Expenses Prior Year53136400TotalExpensesPriorYear
Total Expenses Current Year90915349TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-15623956RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-25131314RevenuesLessExpensesCY
Total Assets BOY8638722TotalAssetsBOY
Total Assets EOY17369004TotalAssetsEOY
Total Liabilities BOY24262678TotalLiabilitiesBOY
Total Liabilities EOY58124274TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-15623956NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-40755270NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMission Medical Associates mission is to provide physician services in predominantly rural areas that are insufficiently served, thereby improving the health care of the general public. In many cases this involves recruiting and placing primary care physicians, as well as pediatric and adult specialty services close to where people live and work.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense86615940Expense
Revenue65683995Revenue
DescriptionPhysician services in the following specialties:Family Medicine, Pediatrics, Cardiology, Children's Dental, Neurology, Orthopedic Trauma, Trauma Surgery, Weight management, and Hospitalists.Mission Medical Associates provided $1,314,033 in charity care during the year.A list of the accomplishments of Mission Medical Associates (MMA), as well as individual physicians employed by Mission Medical Associates serving the local community, in addition to improving access and quality of healthcare are listed below:*MMA recruited a second pediatric orthopedist to assist with the much needed orthopedic care for Western North Carolina. This physician joins the only pediatric orthopedic surgeon in the region. Before the arrival of these physicians, patients and their families had to travel long distances to obtain care.*An MMA Physician of Haywood Family Medicine, an MMA practice, was voted the "Best Doctor in Haywood County" in the 2011 Readers' Choice Awards for the local newspaper.*A Developmental-behavioral pediatric specialist employed by MMA participated with the International Hospital for Children in the annual pediatric spina bifida evaluation clinics in Belize, Central America.*A pediatric cardiologist with Asheville Cardiology Associates, an MMA physician group, received his board certification in lipidology. He is one of a select number of cardiologists to achieve this certification.*An outpatient neurologist employed by MMA presented a poster at the 2011 Stroke Conference in New Orleans.*A PhD psychologist, employed with MMA, in the Olson Huff Center for Child Development at Mission Children's Hospital participated in a health clinic in Nicaragua.*Asheville Cardiology Associates, a physician practice of MMA, began using Cryoballoon technology for atrial fibrillation ablation in June 2011. This was the second North Carolina medical center to employ this new technology. *A cardiologist with Asheville Cardiology Associates has been asked to teach a portion of the Medtronic and Federal Drug Administration's course which will be required prior to physicians accessing equipment related to Cryoballoon technology.*Several MMA physicians from Asheville Hospitalist Group donated their time to the Medical Ministry of the Asheville-Buncombe County Christian Ministry which serves residents of Buncombe County who are uninsured or underinsured.Description
Total Program Service Expense86615940TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109658NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees513NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Mission Medical AssociatesBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8282138222TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1866 Hendersonville RoadAddressLine1
CityAshevilleCity
StateNCState
ZIP Code28803ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Ernest E Ferguson
Chairman1.00XX000
George M BilbreyJrMD
Director1.00X000
William E Lee
Secretary/Treasurer1.00XX000
Marc Westle DO
President and CEO60.00X450815084348
Cheryl Williams
Executive Director of Finance60.00X124265017379
Donald Martin
Chief Operating Officer50.00222554024621X
Todd Hansen MD
Physician40.00515213041083X
Oscar Jenkins MD
Physician40.00520589038756X
William Wharton MD
Physician40.00526586040026X
James Usedom MD
Physician40.00533143038256X
Amos Haddock MD
Physician40.00535658033668X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3428823TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation318137TotalOtherCompensation
Number Individuals GT100 K117NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Vista Staffing Solutions
File 50834Los AngelesCA900740834Contract labor497033
Robinson Bradshaw & Hinson
101 North Tryon Street Suite 1900CharlotteNC282460103Legal285611
Integrated Healthcare Solutions
1061 521 Corporate Ctr Dr Suite 130Fort MillsSC297077156Software Support274821
Mediscribes Inc
4509 Lisa LnNew AlbanyIN471509373Transcription220525
Practice Concepts
PO Box 25472GreenvilleSC296160472Consulting129805
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations83582RelatedOrganizations
Total Contributions83582TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Revenue6211104850742348507423
PhysContSvcsRelatedOrg9000991408839814088398
Other Patient Revenue90009930881743088174
FieldValueIRS element (for citing)
Total Program Service Revenue65683995TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column16538TotalRevenueColumn
Exclusion$16,538ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other80Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-80Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-80TotalRevenueColumn
Exclusion-$80ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column65784035TotalRevenueColumn
Related Or Exempt Function Income65683995RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$16,458ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total893835Total
Program Services53630ProgramServices
Management And General840205ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total111351Total
Management And General111351ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total57906777Total
Program Services56255781ProgramServices
Management And General1650996ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1822387Total
Program Services1735794ProgramServices
Management And General86593ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4053978Total
Program Services3783511ProgramServices
Management And General270467ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2925412Total
Program Services2765657ProgramServices
Management And General159755ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total220342Total
Management And General220342ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12000Total
Management And General12000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5589194Total
Program Services5226240ProgramServices
Management And General362954ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total209975Total
Program Services160574ProgramServices
Management And General49401ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total579495Total
Program Services433624ProgramServices
Management And General145871ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total591518Total
Program Services591438ProgramServices
Management And General80ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2353650Total
Program Services2158069ProgramServices
Management And General195581ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total576240Total
Program Services504575ProgramServices
Management And General71665ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total285152Total
Program Services216342ProgramServices
Management And General68810ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total903976Total
Program Services899883ProgramServices
Management And General4093ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt76264977626497
Medical Supplies27702222770222
Medical Equipment Lease75833074030518025
Other72501869379831220

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total90915349Total
Program Services86615940ProgramServices
Management And General4299409ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6548BOY
EOY3800EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY245423BOY
EOY571642EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6560927BOY
EOY11184782EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY624708BOY
EOY222092EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY182908EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY246805BOY
EOY517078EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5312355LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1260365LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY403589BOY
EOY4051990EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY550000BOY
EOY550000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY722BOY
EOY84712EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8638722BOY
EOY17369004EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24262678BOY
EOY58041390EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY82884EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24262678BOY
EOY58124274EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-15623956BOY
EOY-40755270EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-15623956BOY
EOY-40755270EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8638722BOY
EOY17369004EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-25131314ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year28304CurrentTaxYearMinus1Year
Current Tax Year83582CurrentTaxYear
Total111886Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year37457774CurrentTaxYearMinus1Year
Current Tax Year65683995CurrentTaxYear
Total103141769Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year37486078CurrentTaxYearMinus1Year
Current Tax Year65767577CurrentTaxYear
Total103253655Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509103253655PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year26366CurrentTaxYearMinus1Year
Current Tax Year16538CurrentTaxYear
Total42904Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year26366CurrentTaxYearMinus1Year
Current Tax Year16538CurrentTaxYear
Total42904Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year37512444CurrentTaxYearMinus1Year
Current Tax Year65784115CurrentTaxYear
Total103296559Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99960PublicSupportPercentage509
Prior Year Support Percentage0.99930PriorYearSupportPercentage
Investment Income Percentage0.00040InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00070PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1192697OtherCostOrOtherBasis
Depreciation57116Depreciation
Book Value1135581BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1964928OtherCostOrOtherBasis
Depreciation505671Depreciation
Book Value1459257BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2154730OtherCostOrOtherBasis
Depreciation697578Depreciation
Book Value1457152BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4051990TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOther Deferred CompensationDescription
Amount$82,884Amount
FieldValueIRS element (for citing)
Total Of Amounts82884TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationMission applies the provisions of FASB ASC Topic 740 for Income Taxes in accounting for uncertainty in income taxes. ASC 740 provides guidance on when tax positions are recognized in an entity's financial statements and how the values of these positions are determined. There is currently no impact on Mission's combined financial statements as a result of application of ASC 740. Mission Medical Associates is included in the combined financial statements described above.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Marc Westle DO
31953201090750222080628620214860535163000
Donald Martin
1851740355270185308630237580247175000
Todd Hansen MD
4112390102949010250158650252180556296000
Oscar Jenkins MD
39101701029490266230147000240560559345000
William Wharton MD
422797010294908400158660241600566612000
James Usedom MD
4287010102949014930165000217560571399000
Amos Haddock MD
39472301029490379860165000171680569326000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4bReturnReference
ExplanationDr. Marc Westle, $46,362Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6Mission Health System, Inc is the sole member of Mission Medical Associates, Inc.
Form 990, Part VI, Section A, line 7aThe following action of the corporation requires the prior approval of the Member: (i) appointment and removal of Board members; (j) appointment and removal of President/Chief Executive Officer; and (k) approval of employment agreement and compensation of President/Chief Executive Officer.
Form 990, Part VI, Section A, line 7bThe following actions of the corporation require the prior approval of the Member: (a) amendment or repeal of the bylaws or articles of the corporation; (b) sale of assets of the corporation valued in excess of $1 million ; (c) merger or dissolution of the corporation; (d) selection of auditors; (e) adoption of strategic plans, and capital and operating budgets; (f) transactions in excess of $5 Million; (g) filing for bankruptcy; (h) incurring debt (external to the Member and its subsidiaries/affiliates) (i) appointment and removal of Board members; (j) appointment and removal of President/Chief Executive Officer; and (k) approval of compensation of President/Chief Executive Officer.
Form 990, Part VI, Section B, line 11A draft of the Form 990 is prepared by the Director of Tax Services at Mission Health System. The Form 990 is reviewed by the organization's CEO, CFO, General Counsel and Compliance Officer of Mission Health System as well as Management at Mission Medical Associates . In addition, an outside accounting firm is engaged to review and sign the 990 and prepare the return for final filing with the IRS. Before filing, highlights of Form 990 are reviewed by Board Committees which may include the Executive Committee; Audit and Compliance Committee; Finance and Property Committee and Human Resources and Compensation Committee of Mission Health System. After committee review, a draft of the 990 is provided to the Board of Directors at Mission Health System and Mission Medical Associates for review. Highlights of Form 990 are specifically reviewed with the board and they have the opportunity to ask questions and suggest improvements or provide corrections. If there are changes as a result of board review, a corrected Form 990 will be provided for final approval before filing. After final approval, the Form 990 will be filed with the IRS.
Audit and Compliance Committee Reviews: The Independent Directors on the Audit and Compliance Committee of Mission Health System, the parent organization, review Conflicts of Interest and Disabling Situations, consider any issues involving conflicts and make determinations as to whether a particular relationship or arrangement would disable an individual from serving as a fiduciary for the Board or would reasonably be expected to exert an influence on the individual's judgment and preclude the individual from being an Independent Director. The Audit and Compliance Committee may retain counsel from outside audit, legal, governance or other experts. Any determination of percent of revenue or income received by an individual or entity may be based on certifications from outside auditors of disclosures made directly by the individual to the audit firm. The determinations of the Audit and Compliance Committee may be reviewed by the board. The organization's conflict of interest policy applies to members of senior leadership, medical staff, clinical service line leaders, elected medical staff leaders, departmental directors, staff members working in the purchasing department, and all other staff members with purchasing authority, as well as immediate family members of such interested persons and entities in which interested persons have a material financial interest. The organization's policy is for all interested persons to disclose any and all conflicts of interest in accordance with the IRS guidelines for tax-exempt entities as well as any other applicable state or federal law. Upon initial assumption of duties, interested persons are provided with a copy of the conflict of interest policy and sign a conflict of interest disclosure statement. Thereafter, the statements will be completed annually. Periodically all staff members are asked to complete a conflict of interest disclosure statement. Internal and external auditors, General Counsel or outside counsel will periodically conduct a review of the disclosure process to determine whether the organization is in compliance with the policy. Procedures used if a conflict of interest is identified: The Interested Persons shall not participate in any discussion or vote regarding the transaction and shall not be present in the meeting room for any part of the discussion or vote relating to the transaction issue. The Board of Directors will discuss the transaction but will not formally approve such transaction unless the disinterested members of the Board have decided by majority vote that the transaction is in the best interests of and for the benefit of the organization, and is fair and reasonable thereto in all respects. If a violation of the policy is identified, the interested persons are subject to appropriate sanctions, including removal from their positions. All situations such as this will be brought to the integrity steering committee for final resolution.Form 990, Part VI, Section B, line 12c
The Organization's Parent, Mission Health System's Human Resources and Compensation Committee has the following process for reviewing compensation: * Recommends to the Board any revisions to the overall philosophy and policy to guide the determination of compensation and benefit packages for executives which includes the CEO, the CFO, and President as well as all other executives, which would include all key employees; and * Makes executive compensation decisions on behalf of the Board, within the parameters of the overall philosophy and policy approved by the Board, with support from outside executive compensation consultants to ensure compensation levels are at fair market value; and * Reports to the Board on its actions. The Committee also: * Conduct a periodic review of Mission Health System and Hospital executive compensation philosophy and policies and practices and recommends any revisions to the Board. * Determines which positions are eligible for the executive compensation plan. * Establishes and approves the salary parameters for the CEO, others eligible under the executive compensation plan, and employees who are Disqualified Persons. * Establishes and approves the terms of all incentives, benefits or programs included in the executive compensation plan. * Reviews and approves all employment contracts for the CEO and all others eligible under the executive compensation plan, uses discretion in recommending amendments or termination of these arrangements to the Board. * Reviews the performance and determines the compensation of the CEO and others defined as eligible under the executive compensation plan based on the achievement of shared and personal goals. * Reviews any special situations where, at the discretion of the full Board, the CEO, or independent consultants, the advice or approval of the Committee is requested. * Has sole responsibility in retaining qualified compensation and benefits consultants and other professional advisors as the need may arise, and to terminate their contracts. * Confers with members of management, such as the General Counsel and the Vice President of Human Resources, assists the Committee in performing its duties, so long as their role remains technical in nature. * Meets at least bi-monthly and conducts discussions in executive sessions as needed. * Keeps and distributes minutes of all its meetings to its members. Items of a sensitive nature are referenced in the minutes with detailed, supporting documentation retained on file. * Reports to the full Board at the next Board meeting following the Committee meeting, or as requested. * Discloses any potential conflicts of interest situations to the Committee Chairman that may affect their independent directors' status as soon as they arise. * Maintains complete documentation of all matters discussed by the Committee. * Maintains complete confidentiality on all matters reviewed and discussed. * Exercises any fiduciary, administrative, or other functions assigned to the Committee which are related to executive compensation or benefits plans. * Obtains education and training to exercise all responsibilities effectively and keeps abreast of significant developments in executive compensation practices and regulations. * Ensures that all aspects of executive compensation adhere to all relevant regulatory requirements. * Reviews the Committee charter annually and revises it as appropriate and conduct an annual evaluation of the Committee's performance.Form 990, Part VI, Section B, line 15
Form 1023 and Form 990 are available upon request. The organization does not file a 990T currently.Form 990, Part VI, Section C, line 18
The conflict of interest policy and financial statements are available upon request. Articles of Incorporation are available through the North Carolina Secretary of State website.Form 990, Part VI, Section C, line 19

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Mission Health System Inc
509 Biltmore AvenueAshevilleNC28803581450888Parent Company Support Services, Mission Hospital & AffiliatesNC501(c)(3)Line 11a, I0
Mission Hospital Inc
509 Biltmore AvenueAshevilleNC28803560532141Acute Care HospitalNC501(c)(3)Line 30Mission Health System Inc
Mission Healthcare Foundation Inc
980 Hendersonville RoadAshevilleNC28803561881331FoundationNC501(c)(3)Line 70Mission Health System Inc
The McDowell Hospital Inc
430 Rankin DriveMarionNC28752560623938Community HospitalNC501(c)(3)Line 30Mission Health System Inc
Blue Ridge Regional Hospital
Post Office Box 9Spruce PineNC28777561025032Community HospitalNC501(c)(3)Line 30Mission Health System Inc

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Imaging Realty LLP
534 Biltmore AvenueAshevilleNC28801561907203Medical BuildingNCN/A
MSJHS and CCP Joint Development Company LLC
428 Biltmore AvenueAshevilleNC28801562250464Long Term Acute Care HospitalNCN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Horizon Health Corp
213 Ridgefield CourtAshevilleNC28806561341621Holding CompanyNCN/AC
Horizon Management Services Inc
213 Ridgefield CourtAshevilleNC28806561341624Patient Billing and Collection Services, Medical PropertyNCN/AC
Dogwood Insurance Company
Captive Insurance CompanyN/ACThe Grand Pavilion Commercial CentrCayman IslandsCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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