ANC MCDOWELL HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ANC MCDOWELL HOSPITAL INC (EIN 56-0623938)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-10
- IRS object ID
- 201242239349301714
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-10T16:33:42-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560623938 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The McDowell Hospital The McDowell Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MCDO | NameControl |
| Phone | 8286595196 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 430 Rankin Drive | AddressLine1 |
| City | Marion | City |
| State | NC | State |
| ZIP Code | 287520730 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Clint Stewart | Name |
| Title | VP Finance, Business Operations | Title |
| Phone | 8286595196 | Phone |
| Date Signed | 2012-08-10 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Clint Stewart | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 430 Rankin Drive | AddressLine1 |
| City | Marion | City |
| State | NC | State |
| ZIP Code | 287520730 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 43955088 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.McDhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1927 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | Provide acute care inpatient, outpatient and emergency medical care. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 523 | TotalNbrEmployees |
| Total Nbr Volunteers | 79 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 211329 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 286786 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 35134150 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 43415304 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 192708 | InvestmentIncomePriorYear |
| Investment Income Current Year | 156681 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 55910 | OtherRevenuePriorYear |
| Other Revenue Current Year | 54411 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 35594097 | TotalRevenuePriorYear |
| Total Revenue Current Year | 43913182 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20117893 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21532212 | 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 | 19119088 | OtherExpensePriorYear |
| Other Expenses Current Year | 25791542 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 39236981 | TotalExpensesPriorYear |
| Total Expenses Current Year | 47323754 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3642884 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3410572 | RevenuesLessExpensesCY |
| Total Assets BOY | 19709562 | TotalAssetsBOY |
| Total Assets EOY | 21481602 | TotalAssetsEOY |
| Total Liabilities BOY | 15371312 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 20526438 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4338250 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 955164 | NetAssetsOrFundBalancesEOY |
| Mission Description | See Page 1, Part I, Line 1 | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 40283408 | Expense |
| Revenue | 43415304 | Revenue |
| Description | During the year, McDowell Hospital has committed to promoting Health in our Community through diverse and innovative programs, designed to reach a broad-range target population and create the highest impact, with a special emphasis on the uninsured and underinsured. These programs include the third year of our Rural Dental Health Grant, opening of 2 new Rural Health Clinic's, the continuation of our Sports Medicine Program through our local school system, All About Women health fair event, National Cancer Survivor Day Celebration, and a quarterly magazine publication To Your Health. While not an exhaustive list, these programs provide an example of our efforts to promote healthy living within our community. | Description |
| Total Program Service Expense | 40283408 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | 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 | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | 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 | 52 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 523 | 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 | 0 | QuidProQuoContributions |
| 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | 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 |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Finance Department | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8286595196 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 430 Rankin Drive | AddressLine1 |
| City | Marion | City |
| State | NC | State |
| ZIP Code | 287520730 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Norman C Guthrie | |||||||
| Chairman | 2.00 | X | X | 0 | 0 | 0 | |
| Harold Walker | |||||||
| Vice-Chairman | 2.00 | X | X | 0 | 0 | 0 | |
| Bobbie Young | |||||||
| Secretary/Treasurer | 2.00 | X | X | 0 | 0 | 0 | |
| George S Butler | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| John D Karas | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| William Evans | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| R Marshall Dark III | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Mark Burton MD | |||||||
| Trustee | 1.00 | X | 3600 | 0 | 0 | ||
| George Green MD | |||||||
| Trustee | 40.00 | X | 256582 | 0 | 15384 | ||
| Keith Holtsclaw | |||||||
| Trustee | 50.00 | X | 0 | 263019 | 14450 | ||
| Edward Hannon | |||||||
| CEO through May 2011 | 50.00 | X | X | 249497 | 0 | 49668 | |
| Ernest Ferguson | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Jed Rankin | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| John Maher | |||||||
| Trustee | 50.00 | X | 0 | 333047 | 19255 | ||
| Robert A Morrow MD | |||||||
| Chief of Staff | 50.00 | X | X | 286089 | 0 | 21763 | |
| Sonya Greck | |||||||
| Interim CEO April - Sep 2011 | 50.00 | X | X | 0 | 0 | 0 | |
| Clint Stewart | |||||||
| Controller | 50.00 | X | 73938 | 0 | 18840 | ||
| Tommy Ginn MD | |||||||
| Physician | 40.00 | 285889 | 0 | 23038 | X | ||
| Andrea Moore MD | |||||||
| Physician | 40.00 | 264380 | 0 | 19489 | X | ||
| William Horan MD | |||||||
| Physician | 40.00 | 280891 | 0 | 12761 | X | ||
| John McPhail MD | |||||||
| Physician | 40.00 | 372908 | 0 | 12439 | X | ||
| John Rowland MD | |||||||
| Physician | 40.00 | 176478 | 0 | 20668 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2250252 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 596066 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 227755 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | 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 |
|---|---|---|---|---|---|
| Richard Lee Woods | |||||
| 193 Valley Stran Dr | Boone | NC | 286078890 | Anesthesia Svcs | 743000 |
| GE M Constructors | |||||
| 2024 Nix Creek Road Ste A | Marion | NC | 287529610 | Construction Svcs | 385316 |
| Horizon CSA LLC | |||||
| 265 Pit Road | Mooresville | NC | 281156783 | Maintenance Svcs | 340088 |
| Comprehensive Hosp Service of NC | |||||
| PO Box 203251 | Houston | TX | 77216 | Hospitalists | 338250 |
| CPSI | |||||
| PO Box 850309 | Mobile | AL | 366850309 | Software Support | 261980 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| All Other Contributions | 286786 | AllOtherContributions |
| Total Contributions | 286786 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Service Re | 900099 | 42401358 | 42401358 |
| Other Operating Revenu | 900099 | 806799 | 806799 |
| Cafeteria Sales | 722210 | 207147 | 207147 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 43415304 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27489 | TotalRevenueColumn |
| Exclusion | $27,489 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 96317 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 41906 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 54411 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 54411 | TotalRevenueColumn |
| Exclusion | $54,411 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 127299 | Securities |
| Other | 1893 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 127299 | Securities |
| Other | 1893 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 129192 | TotalRevenueColumn |
| Exclusion | $129,192 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43913182 | TotalRevenueColumn |
| Related Or Exempt Function Income | 43415304 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $211,092 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 943690 | Total |
| Program Services | 254796 | ProgramServices |
| Management And General | 688894 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16670745 | Total |
| Program Services | 13836718 | ProgramServices |
| Management And General | 2834027 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93880 | Total |
| Program Services | 77920 | ProgramServices |
| Management And General | 15960 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2882355 | Total |
| Program Services | 2392355 | ProgramServices |
| Management And General | 490000 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 941542 | Total |
| Program Services | 781480 | ProgramServices |
| Management And General | 160062 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86043 | Total |
| Management And General | 86043 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68398 | Total |
| Management And General | 68398 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5184067 | Total |
| Program Services | 4406457 | ProgramServices |
| Management And General | 777610 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32971 | Total |
| Program Services | 28025 | ProgramServices |
| Management And General | 4946 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 242419 | Total |
| Program Services | 206056 | ProgramServices |
| Management And General | 36363 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 597805 | Total |
| Program Services | 478244 | ProgramServices |
| Management And General | 119561 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80691 | Total |
| Program Services | 61325 | ProgramServices |
| Management And General | 19366 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 428815 | Total |
| Program Services | 334476 | ProgramServices |
| Management And General | 94339 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1199945 | Total |
| Program Services | 993481 | ProgramServices |
| Management And General | 206464 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 517681 | Total |
| Program Services | 440029 | ProgramServices |
| Management And General | 77652 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt | 10758610 | 10758610 | |
| Medical Supplies | 4679421 | 3977508 | 701913 |
| Repairs & Maintenance | 1102725 | 487273 | 615452 |
| Equipment Leases | 523312 | 523312 | |
| Other Expenses | 288639 | 245343 | 43296 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47323754 | Total |
| Program Services | 40283408 | ProgramServices |
| Management And General | 7040346 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3001 | BOY |
| EOY | 3310 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 430158 | BOY |
| EOY | 564254 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4431906 | BOY |
| EOY | 5344828 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127727 | BOY |
| EOY | 10126 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85850 | BOY |
| EOY | 109204 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 649886 | BOY |
| EOY | 577195 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 266662 | BOY |
| EOY | 292431 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 34769113 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 20641857 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11690220 | BOY |
| EOY | 14127256 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1096483 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 408981 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 442102 | BOY |
| EOY | 389542 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76586 | BOY |
| EOY | 63456 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19709562 | BOY |
| EOY | 21481602 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2665792 | BOY |
| EOY | 2291589 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 867475 | BOY |
| EOY | 867059 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3200000 | BOY |
| EOY | 2740000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 204328 | BOY |
| EOY | 141530 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8433717 | BOY |
| EOY | 14486260 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15371312 | BOY |
| EOY | 20526438 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4248266 | BOY |
| EOY | 882872 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89984 | BOY |
| EOY | 72292 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4338250 | BOY |
| EOY | 955164 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19709562 | BOY |
| EOY | 21481602 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3410572 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 27486 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| 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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 449525 | OtherCostOrOtherBasis |
| Book Value | 449525 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16960006 | OtherCostOrOtherBasis |
| Depreciation | 7957844 | Depreciation |
| Book Value | 9002162 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14064790 | OtherCostOrOtherBasis |
| Depreciation | 10396597 | Depreciation |
| Book Value | 3668193 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3294792 | OtherCostOrOtherBasis |
| Depreciation | 2287416 | Depreciation |
| Book Value | 1007376 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14127256 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Swap Payable | $330,496 |
| Note Payable to Mission Health System | $12,338,076 |
| Current due to other related parties | $1,817,688 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 14486260 | TotalOfAmounts |
| Total Revenue | 43913182 | TotalRevenue |
| Total Expenses | 47323754 | TotalExpenses |
| Excess Or Deficit For Year | -3410572 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 27486 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 27486 | TotalAdjustments |
| Excess Or Deficit Per FS | -3383086 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 43955088 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 41906 | OtherRevenues |
| Revenue Not Rptd F990 | 41906 | RevenueNotRptdF990 |
| Revenue Subtotal | 43913182 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 43913182 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 47365660 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 41906 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 41906 | ExpensesNotRptdF990 |
| Expenses Subtotal | 47323754 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 47323754 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | Income Taxes: The Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The Hospital has determined that it does not have any material unrecognized tax benefits or obligations as of September 30, 2011. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | 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 | 251365 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 251365 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00690 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6324769 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4044229 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2280540 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06240 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6576134 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4044229 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2531905 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06930 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 80887 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 80887 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6328 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6328 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2432540 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2432540 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06650 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4724 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4724 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2524479 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2524479 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06900 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9100613 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4044229 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5056384 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13830 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 93792 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 93792 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 93792 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 93792 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $4,061,027 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 10526340 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10037434 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 488906 | 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 McDowell MRI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Medical Imaging Services | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.51000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.49000 | 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 | The McDowell Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 430 Rankin Drive | AddressLine1 |
| City | Marion | City |
| State | NC | State |
| ZIP Code | 28752 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| 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 | Not Required | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 6 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (6 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| McDowell MRI | ||||
| 430 Rankin Avenue | Marion | NC | 28752 | Outpatient MRI - Imaging Services |
| McDowell Wound Care | ||||
| 31 East Medical Court Suite 2 | Marion | NC | 28752 | Outpatient Wound Services |
| McDowell Orthopedics | ||||
| 60 Medical South Court | Marion | NC | 28752 | Outpatient Orthopedic Services |
| McDowell Surgical Services | ||||
| 31 East Medical Court Suite 1 | Marion | NC | 28752 | Outpatient Surgical Services |
| Health Plus of McDowell Hospital | ||||
| 472 Rankin Avenue | Marion | NC | 28752 | Primary Care Walk-in Clinic |
| McDowellOBGYN SugarHillPrimaryCare | ||||
| 1633 Sugar Hill Road | Marion | NC | 28752 | Primary Care Services |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 7: McDowell used worksheets 1 through 8 provided by the IRS, using the cost to charge ratio method. For physician clinics, as described in subsidized health services, actual costs were used plus indirect costs calculated using the Medicare cost report because the cost to charge ratio did not accurately capture costs for those areas. The financials include all patient segments, including inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, and self-pay. A cost to charge ratio was generated using the IRS Worksheet 2 and used for all community benefits reported except for subsidized services which used direct expenses plus overhead to more accurately report the costs involved. See note on subsidized health services. | ||
| Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 10758610. | ||
| Part II: Recruitment of physicians in underserved areas. | ||
| Part III, Line 4: McDowell Hospital does not disclose the cost of bad debt in the footnotes of the financials; however it reports the cost of bad debt as part of a report to the North Carolina Hospital Association's data initiative. | ||
| Part III, Line 8: Per the instructions, the Medicare cost report is the basis for calculating the costs using costs related to the revenue reported. Using the full costing method, there would be a shortfall estimated at $3,510,531 which would be a benefit to the community. | ||
| Part III, Line 9b: Patients who qualify for financial assistance and other charity care are notified using the process described in the education of patients' eligibility in Part VI, on line 3. | ||
| Part VI, Line 2: | ||
| Part VI, Line 3: McDowell Hospital provides information to our patients regarding how they will be billed for patient care and about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy in the following ways:During the registration process we verify insurance information on each patient. If there is no insurance, the patients are asked a series of questions to determine potential Medicaid eligibility. If the patient is determined to have potential eligibility the patient's account information is forwarded to our onsite DSS worker for further inquiries and possibly an appointment is scheduled to complete a Medicaid application.If the patient does not meet eligibility requirements, other options such as payment arrangements and/or financial assistance is discussed. At this time, the patient may be given a financial assistance application (Charity Care) to complete and return to the Business Office for processing.In addition to going through this process verbally with our patients our internet web site includes the following information:About Your BillWe are here to help. If you have any questions or concerns about the statements you receive, please call us as soon as possible at 659-5000.InsuranceThe first step is to check with your insurance company before any inpatient or outpatient procedures to be sure that you have met their requirements, such as a referral from a primary care physician. Also be sure to ask your insurance provider about any deductibles or co-pays that may be your responsibility. McDowell Hospital will file a claim with your insurance company, but deductibles and co-pays must be paid at the time of service.UninsuredIf you do not have insurance then you must pay 'up front' at the time of the visit. However, please do not let this stop you from seeking the medical care you need. If you can't pay your bill due to lack of insurance or limited income, a Patient Representative is available to help you apply for financial assistance.Financial AssistanceOur process for determining financial assistance is kept strictly confidential and eligibility is determined on an individual basis. The steps for requesting financial assistance include:Call a Patient Representative at 659-5000Participate in a brief phone interview to determine eligibilityFinancial assistance application is mailed to you or we can schedule an appointment to discuss the application processYou will need to provide specific financial information.Decision about assistance is made once all paperwork is completeMcDowell Hospital determines eligibility for assistance by following the household income guidelines established by the U.S. Department of Health and Human Services. After we review your assistance application, we may determine that you qualify for a discount, Medicaid benefits, or other state assistance available to North Carolina residents.MedicaidIf you have Medicaid, be sure to bring your card with you each time you visit the hospital for any medical services. Medicaid may require you to be referred by your primary care doctor and they may not cover certain services. The best way to be sure is to call your case worker at the Department of Social Services.Medicare PatientsPlease be aware that we are required by law to ask certain questions about your retirement and insurance coverage every time you receive services at McDowell Hospital. We send a claim to your supplemental insurance company before submitting a bill to Medicare. You are responsible for any part of your bill that's not covered by supplemental insurance and Medicare.Contact InformationIf you have any questions, you can send them through our online form, or feel free to call 828-659-5000.If you need help outside of normal business hours, please leave a message in the business office and a patient representative will return your call. | ||
| Part VI, Line 4: McDowell Hospital is the only hospital in McDowell County, providing services to a community of over 45,000 members. Our Mission is to serve the healthcare needs of our community, giving comprehensive, cost-effective quality care without regard to race, color, creed or ability to pay. We provide quality care to the community of McDowell County, including the City of Marion, as well as the surrounding communities of Old Fort, Glenwood, Little Switzerland, Nebo, Pleasant Gardens, and North Cove. The ethnic breakdown for the population served includes Caucasian, Hispanic, African American, Asian/Other. Over the year, our community has seen great economic challenges with unemployment hovering over 11%. The NC Department of Commerce ranks each county in NC based on economic well-being and assign each "Tier" designation. The 40 Most distressed counties are designated as Tier 1. McDowell County is considered a Tier 1 county. The economic situation in McDowell County has created increased demand for charitable healthcare at TMH. The uninsured and underserved residents of McDowell County are able to utilize the Hospital's Emergency Department and multiple Rural Health Clinics throughout the county to obtain Healthcare services. | ||
| Part VI, Line 6: See Program Service Accomplishments on page 2 of 990 continuing on Schedule O. | ||
| Part VI, Line 7: The McDowell is part of an affiliated health care system with the respective roles of the organization and its affiliates described bellow in promiting the health of the communities served.Mission Health System, Inc. is the parent organization for the charitable organizations of Mission Hospital, Inc.; Mission Healthcare Foundation, Inc.; Mission Medical Associates, Inc; Blue Ridge Regional Hospital, Inc.; and The McDowell Hospital, Inc.Mission Hospital, Inc. is a regional integrated health system providing superior care and service to patients and their families through a full continuum of integrated services, education, and research. It serves as a trauma center to people of Western North Carolina and the surrounding counties. Mission Medical Associates mission is to provide physician services in predominantly rural areas that are insufficiently served, thereby improving the health care of the general public. In many cases this involves recruiting and placing primary care physicians, as well as pediatric and adult specialty services close to where people live and work.Blue Ridge Regional Hospital serves as a community hospital in Mitchell, Yancey and surrounding counties.The McDowell Hospital serves as a community hospital in McDowell and the surrounding counties.Mission Healthcare Foundation, Inc. supports the mission and programs of Mission Hospital, Inc. and Mission Health System, Inc. and of other organizations that are tax exempt under the provisions of Section 501(c)(3) of the Internal Revenue Code and works to benefit the community and region served by the entities listed above. | ||
| NC | Reports Filed With States | Part VI, Line 7 |
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 (10 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| George Green MD | |||||||||||||
| 255935 | 0 | 0 | 0 | 647 | 0 | 0 | 0 | 15384 | 0 | 271966 | 0 | 0 | 0 |
| Keith Holtsclaw | |||||||||||||
| 0 | 209878 | 0 | 43995 | 0 | 9146 | 0 | 6482 | 0 | 7968 | 0 | 277469 | 0 | 0 |
| Edward Hannon | |||||||||||||
| 202403 | 0 | 45673 | 0 | 1421 | 0 | 28694 | 0 | 20974 | 0 | 299165 | 0 | 0 | 0 |
| John Maher | |||||||||||||
| 0 | 266713 | 0 | 63595 | 0 | 2739 | 0 | 0 | 0 | 19255 | 0 | 352302 | 0 | 0 |
| Robert A Morrow MD | |||||||||||||
| 269824 | 0 | 0 | 0 | 16265 | 0 | 2750 | 0 | 19013 | 0 | 307852 | 0 | 0 | 0 |
| Tommy Ginn MD | |||||||||||||
| 265774 | 0 | 0 | 0 | 20115 | 0 | 3549 | 0 | 19489 | 0 | 308927 | 0 | 0 | 0 |
| Andrea Moore MD | |||||||||||||
| 244350 | 0 | 0 | 0 | 20030 | 0 | 0 | 0 | 19489 | 0 | 283869 | 0 | 0 | 0 |
| William Horan MD | |||||||||||||
| 222495 | 0 | 0 | 0 | 58396 | 0 | 0 | 0 | 12761 | 0 | 293652 | 0 | 0 | 0 |
| John McPhail MD | |||||||||||||
| 370984 | 0 | 0 | 0 | 1924 | 0 | 0 | 0 | 12439 | 0 | 385347 | 0 | 0 | 0 |
| John Rowland MD | |||||||||||||
| 164796 | 0 | 0 | 0 | 11682 | 0 | 1625 | 0 | 19043 | 0 | 197146 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4b | ReturnReference |
| Explanation | Edward Hannon $26,202 | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable (6 entries)
| Loan From OrganizationLoanFromOrganization | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement | Purpose Of LoanPurposeOfLoan | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue |
|---|---|---|---|---|---|---|
| (no name) | ||||||
| X | 0 | 0 | 0 | |||
| (no name) | ||||||
| X | 0 | 0 | 0 | |||
| (no name) | ||||||
| X | 0 | 0 | 0 | |||
| Andrea Moore MD | ||||||
| X | 0 | 1 | 1 | Recruitment Guarantee | $27,513 | 378 |
| (no name) | ||||||
| X | 0 | 0 | 0 | |||
| Robert Morrow MD | ||||||
| X | 0 | 1 | 1 | Recruitment Guarantee | $45,099 | 9748 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 10126 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 3 | Ms. Sonya Greck served as interim Chief Executive Officer from April 2011 through September 2011. She was paid as an independent contractor instead of as an employee. | |
| Form 990, Part VI, Section A, line 6 | Mission Health System, Inc, a 501(c)(3) is the parent company of The McDowell Hospital. It is the sole member of The McDowell Hospital. | |
| Form 990, Part VI, Section A, line 7a | Mission Health System, as sole member has sole voting control of The McDowell Hospital, Incorporated. As the sole member of the corporation, MISSION shall have the following rights at all times with respect to the corporation: Approval of any amendments to the articles of incorporation or bylaws of the corporation. Approval of the mission, vision and values statements of the corporation and any amendments thereto. Election and removal of three (3) Mission members of the Board of Directors and approval of the Community Directors selected and submitted to MISSION for approval by its Board of Directors. Approval of the election of the President/Chief Executive Officer, provided however, that said approval shall not be unreasonably withheld. | |
| Form 990, Part VI, Section A, line 7b | Mission Health System, Inc has reserve powers related to Approval of the sale, lease or other transfer of substantially all the assets of MCDOWELL Approval of (i) the pledge of all or substantially all of the assets of the corporation, (ii) the purchase or sale of property outside the ordinary course of business, and (iii) long-term borrowing (for a term of more than one (1) year) by the corporation above financial and other limits reasonably recommended by MISSION for the corporation's Board approval unless such borrowing is applied to pay in full all indebtedness owed by the corporation to MISSION. Election and removal of three (3) Mission members of the Board of Directors and approval of the Community Directors selected and submitted to MISSION for approval by its Board of Directors. Approval of the formation and governance of any new corporations, partnerships or joint ventures, above financial and other limits approved by MISSION for the corporation's Board approval, in which the corporation has an interest through membership, voting stock or other equity participation. Approval of the capital and operating budgets of the corporation. Approval of the election of the President/Chief Executive Officer, provided however, that said approval shall not be unreasonably withheld. | |
| Form 990, Part VI, Section B, line 11 | The organization provides tax data to the manager of tax services for Mission Health System, Inc. The 990 is prepared and reviewed by management prior to review by The McDowell Hospital audit committee. After review by the board, and revisions for any clarifications or corrections, the full copy of the 990 is provided to the board for review prior to filing the 990. | |
| The Independent Directors will 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 individuals judgment and therefore preclude the individual from being an Independent Director. The Board 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. Procedures Upon Determination of a Conflict of Interest: The Interested Person shall not participate in any discussion or vote regarding the business relationship issue, and shall not be present in the meeting room for any part of the discussion or vote relating to the business relationship issue. The Board of Directors will discuss the business relationship but will not formally approve such business relationship unless the disinterested members of the Board have decided by majority vote that the business relationship is in the best interests of and for the benefit of McDowell, and is fair and reasonable thereto in all respects. | Form 990, Part VI, Section B, line 12c | |
| Each year the Board reviews the overall philosophy and policy used to guide the determination of executive compensation. Executive compensation decisions are made 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. The board approves contracts, compensation, and business transactions with Disqualified Persons other than executives. The Board also has the following responsibilities: Conducting a periodic review of executive compensation philosophy and policies and practices. Determining which positions are eligible for the executive compensation plan. Establishing and approve=ing the salary parameters for the CEO, others eligible under the executive compensation plan, and employees who are Disqualified Persons. Establishing and approving the terms of all incentives, benefits or programs included in the executive compensation plan. Reviewing and approving all employment contracts for the CEO and all others eligible under the executive compensation plan, and recommending amendments or termination of these arrangements. Reviewing the performance and determining the compensation of the CEO and others defined as eligible under the executive compensation plan based on the achievement of shared and personal goals. Sole responsibility to retain qualified compensation and benefits consultants and other professional advisors as the need may arise, and to terminate their contracts. Conferring with members of management to assist the Board in performing its duties, so long as their role remains technical in nature. | Form 990, Part VI, Section B, line 15 | |
| The McDowell Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Net unrealized gains on investments: 27,486. | Form 990, Part XI, line 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Mission Hospital Inc | ||||||||||
| 509 Biltmore Avenue | Asheville | NC | 28801 | 560532141 | Acute Care Hospital | NC | 501(c)(3) | Line 3 | Mission Health System Inc | 0 |
| Mission Healthcare Foundation Inc | ||||||||||
| 980 Hendersonville Road | Asheville | NC | 28803 | 561881331 | Foundation | NC | 501(c)(3) | Line 7 | Mission Health System Inc | 0 |
| Mission Health System Inc | ||||||||||
| 509 Biltmore Avenue | Asheville | NC | 28803 | 581450888 | Parent Company/Support Services | NC | 501(c)(3) | Line 11a, I | 0 | |
| Mission Medical Associates Inc | ||||||||||
| 213 Ridgefield Court | Asheville | NC | 28806 | 263627231 | Employed Physician Group | NC | 501(c)(3) | Line 9 | Mission Health System Inc | 0 |
| Blue Ridge Regional Hospital | ||||||||||
| Post Office Box 9 | Spruce Pine | NC | 28777 | 561025032 | Community Hospital | NC | 501(c)(3) | Line 3 | Mission Health System Inc | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Imaging Realty LLP | ||||||||||||
| 534 Biltmore Avenue | Asheville | NC | 28801 | 561907203 | Medical Building | NC | N/A | |||||
| MSJHS and CCP Joint Development Company LLC | ||||||||||||
| 428 Biltmore Avenue | Asheville | NC | 28801 | 562250464 | Long Term Acute Care Hospital | NC | N/A | |||||
| McDowell MRI LLC | ||||||||||||
| 414 Rankin Avenue | Marion | NC | 28752 | 753046378 | Medical Imaging | NC | Related | 94298 | 275119 | 0 | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Horizon Health Corp | |||||||||||
| 213 Ridgefield Court | Asheville | NC | 28806 | 561341621 | Holding Company | NC | N/A | C | |||
| Horizon Management Services | |||||||||||
| 213 Ridgefield Court | Asheville | NC | 28806 | 561341624 | Patient Billing and Collection Services, Medical Property | NC | N/A | C | |||
| Dogwood Insurance Company Ltd | |||||||||||
| Captive Insurance Entity | N/A | C | The Grant Pavilion Commercial Centr | CJ | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| 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 | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| McDowell MRI | ||
| I | 58586 | FMV |
| McDowell MRI | ||
| K | 217018 | FMV |