FURP.ORG / PUBLIC DATA EXPLORER

MOUNTAINCARE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MOUNTAINCARE INC (EIN 56-2005198)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201122279349301857
Schema version
2009v1.7
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)
Timestamp2011-08-15T09:22:42-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 Ridgefield CourtAddressLine1
CityAshevilleCity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562005198EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CAREPARTNERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone8282742400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5779AddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28813ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREGORY K DIXONName
TitleCFOTitle
Phone8282742400Phone
Date Signed2011-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmy BibbyName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGREGORY K DIXONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5779AddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28813ZIPCode
FieldValueIRS element (for citing)
Gross Receipts65795234GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
All Affiliates Included1AllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteWWW.CAREPARTNERS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionHELPING PEOPLE LIVE FULLY THROUGH LIFE'S JOURNEY.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees1146TotalNbrEmployees
Total Nbr Volunteers600TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1502020ContributionsGrantsPriorYear
Contributions Grants Current Year1613837ContributionsGrantsCurrentYear
Program Service Revenue Prior Year64756593ProgramServiceRevenuePriorYear
Program Service Revenue CY64022872ProgramServiceRevenueCY
Investment Income Prior Year811730InvestmentIncomePriorYear
Investment Income Current Year158525InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year67070343TotalRevenuePriorYear
Total Revenue Current Year65795234TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year29579GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY22445GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year48905057SalariesEtcPriorYear
Salaries Etc Current Year48353914SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17176199OtherExpensePriorYear
Other Expenses Current Year16795014OtherExpensesCurrentYear
Total Expenses Prior Year66110835TotalExpensesPriorYear
Total Expenses Current Year65171373TotalExpensesCurrentYear
Revenues Less Expenses Prior Year959508RevenuesLessExpensesPriorYear
Revenues Less Expenses CY623861RevenuesLessExpensesCY
Total Assets BOY22948985TotalAssetsBOY
Total Assets EOY22918653TotalAssetsEOY
Total Liabilities BOY9835434TotalLiabilitiesBOY
Total Liabilities EOY9181241TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13113551NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13737412NetAssetsOrFundBalancesEOY
Mission DescriptionHELPING PEOPLE LIVE FULLY THROUGH LIFE'S JOURNEY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12659949Expense
Grants22445Grants
Revenue22334719Revenue
DescriptionDURING THE PAST YEAR, CAREPARTNERS HAS CONTINUED TO ENHANCE THE SERVICES PROVIDED TO OUR PATIENTS ACROSS WESTERN NORTH CAROLINA. CAREPARTNERS HAS EXPANDED ITS PERFORMANCE IMPROVEMENT PROGRAM USING THE "LEAN" APPROACH TO ADD VALUE TO THE SERVICES WE PROVIDE AND BEGAN IMPLEMENTING THE BALDRIGE PERFORMANCE EXCELLENCE PROGRAM. SPECIFIC SERVICE LINE ACCOMPLISHMENTS INCLUDE THE FOLLOWING:OUTPATIENT THERAPY: THE OUTPATIENT THERAPY PROGRAM, INCLUDING OUR THERAPY SERVICES AND ORTHOTICS & PROSTHETICS PROGRAM, SERVED 5,867 PATIENTS IN THE PAST YEAR. PROGRAM DEVELOPMENT CONTINUED WITH THE UPPER EXTREMITY PROGRAM, AMPUTEE POOL PROGRAM, PLEGIOCEPHALY HELMETS, HEADACHE CLINIC, AND BALANCE & VESTIBULAR SERVICES. SEVERAL THERAPISTS ARE EARNING THEIR ORTHOPEDIC CERTIFICATION SPECIALTY, VESTIBULAR CERTIFICATION AND LYMPHEDEMA CERTIFICATION. THREE THERAPISTS HAVE NEARLY COMPLETED THEIR DOCTORATES IN PHYSICAL THERAPY. FOUR OF OUR FIVE THERAPY CLINICS RECEIVED RECOGNITION FROM FOTO FOR EXCEEDING THE NATIONAL BENCHMARK IN "FUNCTIONAL STATUS CHANGE" FOR THREE CONSECUTIVE QUARTERS. OPERATIONAL PERFORMANCE IMPROVEMENT FOCUSED ON THREE AREAS: 1) CARE DELIVERY FOR THE WHEELCHAIR/SEATING CLINIC; 2) REDUCING NO SHOW/CANCELLATION RATES FOR OP THERAPY; AND 3) IMPROVEMENT OF SPACE AND PROCESSES FOR THE O&P LABORATORY SERVICES. HOW WE USE OUR EXCESS REVENUES:WHILE CAREPARTNERS HAS A MINIMAL SURPLUS OF FUNDS MOST YEARS, EVERY DOLLAR IS REINVESTED IN THE ORGANIZATION TO CONTINUALLY IMPROVE THE QUALITY OF OUR SERVICES AND MEET THE COMMUNITY'S NEEDS. DURING THE PAST YEAR, THESE FUNDS HAVE BEEN USED TO PURCHASE A NEW ELECTRONIC MEDICAL RECORD SYSTEM FOR OUR HOME HEALTH, HOSPICE, PALLIATIVE CARE AND PRIVATE DUTY PROGRAMS THAT WILL ENHANCE SERVICES TO OUR PATIENTS. IN ADDITION, NEW INPATIENT AND OUTPATIENT THERAPY EQUIPMENT WAS PURCHASED, ALONG WITH UPGRADES OF OUR FACILITIES. ANY EXCESS FUNDS ARE USED TO ENHANCE EXISTING SERVICES AND EXPAND SERVICES TO SERVE UNMET NEEDS IN THE COMMUNITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense14365406Expense
Revenue14365399Revenue
DescriptionREHABILITATION HOSPITAL: OUR PATIENT CASELOAD GREW OVER THE YEAR, WITH A TOTAL OF 1,147 ADMISSIONS TO THE REHAB HOSPITAL. PATIENT SATISFACTION CONTINUED TO IMPROVE WITH THE HOSPITAL SCORING IN THE 98TH PERCENTILE OF ALL OTHER INPATIENT REHAB HOSPITALS FOR THE LIKELIHOOD TO RECOMMEND OUR FACILITY TO OTHERS. THE REHAB HOSPITAL ALSO EXPANDED ITS PHYSICIAN STAFF BY EMPLOYING AN EXPERIENCED PHYSIATRIST TO SERVE OUR PATIENTS. NEW MEDICARE REGULATIONS THAT BECAME EFFECTIVE JANUARY 1ST REQUIRED THE HOSPITAL TO ADOPT AND IMPLEMENT NEW PROCESSES AND PROCEDURES FOR ADMISSION OF PATIENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense10753646Expense
Revenue10753669Revenue
DescriptionHOSPICE: TO PROVIDE A SEAMLESS CONTINUUM OF CARE TO OUR PATIENTS, WE CONTINUED THE INTEGRATION OF OUR HOSPICE, PALLIATIVE CARE, PRIVATE DUTY AND HOME HEALTH SERVICES THIS YEAR. A SIGNIFICANT STEP TO INTEGRATION IS THE MIGRATION TO ONE ELECTRONIC HEALTH INFORMATION RECORD, AND THIS YEAR HOSPICE MOVED TO THE NEW CERNER SOFTWARE. THIS ELECTRONIC SYSTEM SUPPORTS AND COORDINATES CARE AS PATIENTS MOVE BETWEEN LEVELS OF CARE BASED ON THEIR NEED. ADDITIONAL CHANGES WERE MADE TO THE PATIENT SUPPLY CHAIN, AND STAFF NOW USE AN INTERNET ORDERING SYSTEM WITH SUPPLIES DELIVERED DIRECTLY TO PATIENTS' HOMES. THIS PROGRAM ALLOWS FOR MORE NURSING TIME FOR CLINICAL CARE, WHILE SUPPLIES ARE DELIVERED TO PATIENTS AS NEEDED. THE HOSPICE LEADERSHIP STRUCTURE WAS REFRAMED, AND CLINICAL SUPERVISORS AND WORK LEADERS ARE NOW ALIGNED WITH GEOGRAPHIC AREAS AND INTERDISCIPLINARY GROUPS.PALLIATIVE CARE: OUR PALLIATIVE CARE SERVICES EXPANDED IN SEVERAL DELIVERY SITES. WE CONTINUED TO PROVIDE HOSPITAL-BASED CARE AND NURSING HOME CARE, WHILE EXTENDING TO HOMES AND CLINIC SERVICES. WE MOVED OUR PROGRAM TO USE THE CERNER ELECTRONIC MEDICAL RECORD, ANOTHER LINK IN AN EFFORT TO INTEGRATE OUR SERVICES AND PATIENT INFORMATION. OUR MEDICAL STAFF PROVIDED THE BACKBONE FOR A MEDICAL ETHICS WORKSHOP OFFERED AT THE MOUNTAIN AREA HEALTH EDUCATION CENTER. THIS PROGRAM EXPANDS THE AWARENESS OF END OF LIFE GOAL DISCUSSION WITH OUR REGIONAL MEDICAL STAFF.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense16361647Expense
Revenue16361630Revenue
DescriptionHOME HEALTH: WESTERN NORTH CAROLINA HAS ONE OF THE FASTEST GROWING ELDERLY POPULATIONS IN THE COUNTRY, AND OUR HOME HEALTH PROGRAM CONTINUES TO GROW TO MEET THE DEMAND. DURING THE PAST YEAR, THE PROGRAM SERVED 6,040 PATIENTS WITH AN AVERAGE DAILY CENSUS OF OVER 1,300 PATIENTS. THE PROGRAM WAS RECOGNIZED BY OCS HOMECARE AND DECISIONHEALTH AS ONE OF THE TOP 25% OF HOME HEALTH AGENCIES BASED ON AN ANALYSIS OF QUALITY OUTCOMES, QUALITY IMPROVEMENT AND FINANCIAL PERFORMANCE. THE HOME HEALTH PROGRAM CONTINUES TO ENHANCE THE CHRONIC PATIENT PROGRAM. SEVERAL STAFF RECEIVED CHRONIC CARE CERTIFICATION AND SHARED "HEALTH COACHING" TECHNIQUES WITH OUR PRIMARY PRACTITIONERS. THE ATTENTION TO OUR CHRONIC POPULATION HAS DECREASED OUR RE-HOSPITALIZATION RATE TO 23% AS COMPARED TO THE STATE AND NATIONAL AVERAGE OF 30%. THE HOME HEALTH STAFF TRANSITIONED TO AN INTERNET ORDERING SYSTEM WITH SUPPLIES DELIVERED DIRECTLY TO PATIENTS' HOMES, WHICH IS ANOTHER STEP IN THE INTEGRATION OF OUR HOME HEALTH AND HOSPICE PROCESSES. ADULT DAY: ADULT DAY SERVICES CONTINUED TO BE CERTIFIED TO SERVE 70 PARTICIPANTS PER DAY AND MAINTAINED A FULL CENSUS. DUE TO THE GROWING DEMAND, A DAY RESPITE SERVICE WAS INITIATED TO SERVE A SMALL GROUP OF PARTICIPANTS WHO ARE ABLE TO FUNCTION INDEPENDENTLY AND DO NOT REQUIRE ANY NURSING OVERSIGHT FOR HEALTH CARE NEEDS. ADULT DAY STAFF PARTICIPATED IN AN EXTENSIVE PERSON CENTERED CARE TRAINING, WHICH TOOK THEM TO THE NEXT STEP IN PROVIDING SUCH CARE. TWO ADULT DAY STAFF MEMBERS PRESENTED THE NEW CAFE APPROACH TO DINING AT THE NATIONAL ADULT DAY SERVICES ASSOCIATION CONFERENCE. FOLLOWING THE CONFERENCE, MEMBERS FROM OTHER CENTERS IN NORTH CAROLINA TRAVELED TO TOUR OUR CENTER AND OBSERVE THE TECHNIQUES USED TO IMPLEMENT THE CAFE DINING.PRIVATE DUTY: 223 PATIENTS WERE SERVED BY NURSES, CERTIFIED NURSE ASSISTANTS AND COMPANIONS THIS PAST YEAR THROUGH OUR PRIVATE DUTY PROGRAM. TO MEET PATIENT NEEDS, THE PROGRAM NOW PROVIDES 24/7 ON CALL SCHEDULING AND NURSING SUPERVISION, AND OFFERS AN IN-HOME ASSESSMENT AT NO CHARGE TO PATIENTS. THE PROGRAM IMPLEMENTED A NEW COMPUTER SYSTEM TO RECORD STAFF TIME AND DOCUMENT SERVICES PROVIDED, WHICH REQUIRED THE TRAINING OF ALL STAFF IN THE CERNER AND CAREWATCH SYSTEMS. PRIVATE DUTY ALSO BEGAN TRAINING CNAS TO CARE FOR PATIENTS WHO ARE APPROACHING END OF LIFE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp16361647TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev16361630TotalOfOtherProgramServiceRev
Total Program Service Expense54140648TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
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 Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109631NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1146NumberOfEmployees
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
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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 Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GREGORY K DIXON CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8282742400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line168 SWEETEN CREEK ROADAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28803ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DENNIS KING EDD
CHAIR1.00XX000
CHARLES C CAMPBELL
VICE CHAIR1.00XX000
ROBBY RUSSELL
SECRETARY1.00XX000
JEFF GOULD
TREASURER1.00XX000
JAMES H ROBISON
BOARD MEMBER1.00X000
KERRY A FRIEDMAN
IMMEDIATE PAST CHAIR1.00X000
HARRY G BURTON MD
BOARD MEMBER1.00X000
DAVID L CAPPIELLO MD
BOARD MEMBER1.00X000
JOHN W CARROLL
BOARD MEMBER1.00X000
KELLIE CONDRA MD
BOARD MEMBER1.00X000
STEVEN COVERT
BOARD MEMBER1.00X000
CECIL T DURHAM MD
BOARD MEMBER1.00X000
LARRY HARRIS
BOARD MEMBER1.00X000
PATSY KEEVER
BOARD MEMBER1.00X000
CHARLES PINE
BOARD MEMBER1.00X000
JOHN M QUIGLEY
BOARD MEMBER1.00X000
JOEL B ROSENBERG MD
BOARD MEMBER1.00X000
KATHERINE E VOLATILE MD
BOARD MEMBER1.00X000
BRUCE GOFORTH
BOARD MEMBER1.00X000
TRACY BUCHANAN
PRESIDENT & CEO40.00X215263088124
GARY BOWERS
CHIEF OPERATING OFFICER40.00X157105042660
DIANN BOLICK
CHIEF FINANCIAL OFFICER40.00X140606056654
JOHN LANGLOIS
MD40.00173110015588X
JEFFREY STILLSON
MD32.00160519010851X
ANDREW KAMELL
MD40.00145504012059X
ROBERT KENT BALLARD
DR. ORTHOTICS & PROSTHETICS40.00156975013084X
PAMELA TIDWELL
EXECUTIVE DIRECTOR HOME CARE40.00123156044092X
JOHN E LAWRENCE JR MD
BOARD MEMBER1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1272238TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation283112TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
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
MISSION HOSPITAL - SUPPORT SERV
400 RIDGEFIELD COURT SUITE 100ASHEVILLENC28806HEALTHCARE PROFESSIONALS353784
STAT NURSING
70 WOODFIN PLACEASHEVILLENC28801HEALTHCARE PROFESSIONALS239680
BLUE RIDGE REGIONAL HOSPITAL
PO DRAWER 9SPRUCE PINENC28777HEALTHCARE PROFESSIONALS194383
H&M CONSTRUCTORS
PO BOX 536767ATLANTAGA30353CONSTRUCTION180442
COMPREHENSIVE REHAB CARE PHYSICIANS
68 SWEETEN CREEK RDASHEVILLENC28803PHYSICIANS174757
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Federated Campaigns181955FederatedCampaigns
Government Grants143876GovernmentGrants
All Other Contributions1288006AllOtherContributions
Total Contributions1613837TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PROGRAM SERVICE FEES6211106270747462707474
OTHER OPERATING INCOME621110963019963019
CAFETERIA & VENDING722210207455$207,455
INVESTMENT IN ASH HOSP621110144924144924
FieldValueIRS element (for citing)
Total Program Service Revenue64022872TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column150664TotalRevenueColumn
Exclusion$150,664ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7861Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities7861Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7861TotalRevenueColumn
Exclusion$7,861ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column65795234TotalRevenueColumn
Related Or Exempt Function Income63815417RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$365,980ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10483Total
Program Services10483ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total11962Total
Program Services11962ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total700414Total
Management And General700414ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total38798516Total
Program Services32515944ProgramServices
Management And General6282572ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5786645Total
Program Services4760001ProgramServices
Management And General1026644ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3068339Total
Program Services2523966ProgramServices
Management And General544373ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total32908Total
Management And General32908ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total46893Total
Management And General46893ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4684668Total
Program Services4481029ProgramServices
Management And General203639ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total221495Total
Program Services17146ProgramServices
Management And General204349ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5273015Total
Program Services4395186ProgramServices
Management And General877829ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3341794Total
Program Services3038164ProgramServices
Management And General303630ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total902199Total
Program Services865694ProgramServices
Management And General36505ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3523Total
Program Services3296ProgramServices
Management And General227ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total83748Total
Management And General83748ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1202124Total
Program Services1202124ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total630761Total
Management And General630761ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT294149294149
MISCELLANEOUS777372150456233

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total65171373Total
Program Services54140648ProgramServices
Management And General11030725ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1150BOY
EOY1450EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3385706BOY
EOY4065119EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9067330BOY
EOY8986526EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY378426BOY
EOY461507EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY363680BOY
EOY507924EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18837938LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12453699LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6386474BOY
EOY6384239EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1836251BOY
EOY1014106EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY876090BOY
EOY1021014EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY653878BOY
EOY476768EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22948985BOY
EOY22918653EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8768112BOY
EOY8246883EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY884000BOY
EOY707204EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY183322BOY
EOY227154EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9835434BOY
EOY9181241EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12810802BOY
EOY13428598EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY302749BOY
EOY308814EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13113551BOY
EOY13737412EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22948985BOY
EOY22918653EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Minus4 Years805474CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1053192CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1874859CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1502020CurrentTaxYearMinus1Year
Current Tax Year1613837CurrentTaxYear
Total6849382Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55116913CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years59771628CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64206169CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year64539011CurrentTaxYearMinus1Year
Current Tax Year63815417CurrentTaxYear
Total307449138Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years188247CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years187311CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years221991CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year217582CurrentTaxYearMinus1Year
Current Tax Year207455CurrentTaxYear
Total1022586Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56110634CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61012131CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years66303019CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year66258613CurrentTaxYearMinus1Year
Current Tax Year65636709CurrentTaxYear
Total315321106Total

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 Total509315321106PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1225047CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1163641CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1017466CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year811730CurrentTaxYearMinus1Year
Current Tax Year150664CurrentTaxYear
Total4368548Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1225047CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1163641CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1017466CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year811730CurrentTaxYearMinus1Year
Current Tax Year150664CurrentTaxYear
Total4368548Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57335681CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years62175772CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67320485CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67070343CurrentTaxYearMinus1Year
Current Tax Year65787373CurrentTaxYear
Total319689654Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98630PublicSupportPercentage509
Prior Year Support Percentage0.98170PriorYearSupportPercentage
Investment Income Percentage0.01370InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01830PriorYrInvestIncomePercentage
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 Basis8511158OtherCostOrOtherBasis
Depreciation4687674Depreciation
Book Value3823484BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9636194OtherCostOrOtherBasis
Depreciation7141862Depreciation
Book Value2494332BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis690586OtherCostOrOtherBasis
Depreciation624163Depreciation
Book Value66423BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6384239TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED THIRD-PARTY PAYOR SETTLEMENTSDescription
Amount$227,154Amount
FieldValueIRS element (for citing)
Total Of Amounts227154TotalOfAmounts
Total Revenue65795234TotalRevenue
Total Expenses65171373TotalExpenses
Excess Or Deficit For Year623861ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS623861ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt66901433TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities1106199DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F9901106199RevenueNotRptdF990
Revenue Subtotal65795234RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99065795234TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt66277572TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities1106199DonatedServicesUseOfFacilities
Expenses Not Rptd F9901106199ExpensesNotRptdF990
Expenses Subtotal65171373ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99065171373TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent0FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense248031TotalCommunityBenefitExpense
Net Community Benefit Expense248031NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense7023512TotalCommunityBenefitExpense
Direct Offsetting Revenue5288360DirectOffsettingRevenue
Net Community Benefit Expense1735152NetCommunityBenefitExpense
Percent Of Total Expense0.02670PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense538393TotalCommunityBenefitExpense
Net Community Benefit Expense538393NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense7809936TotalCommunityBenefitExpense
Direct Offsetting Revenue5288360DirectOffsettingRevenue
Net Community Benefit Expense2521576NetCommunityBenefitExpense
Percent Of Total Expense0.03880PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense91570TotalCommunityBenefitExpense
Direct Offsetting Revenue3163DirectOffsettingRevenue
Net Community Benefit Expense88407NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2577296TotalCommunityBenefitExpense
Direct Offsetting Revenue1714349DirectOffsettingRevenue
Net Community Benefit Expense862947NetCommunityBenefitExpense
Percent Of Total Expense0.01330PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense26275TotalCommunityBenefitExpense
Net Community Benefit Expense26275NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2695141TotalCommunityBenefitExpense
Direct Offsetting Revenue1717512DirectOffsettingRevenue
Net Community Benefit Expense977629NetCommunityBenefitExpense
Percent Of Total Expense0.01510PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10505077TotalCommunityBenefitExpense
Direct Offsetting Revenue7005872DirectOffsettingRevenue
Net Community Benefit Expense3499205NetCommunityBenefitExpense
Percent Of Total Expense0.05390PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served2934PersonsServed
Total Community Building Expense11829TotalCommunityBuildingExpense
Net Community Building Expense11829NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served2934PersonsServed
Total Community Building Expense11829TotalCommunityBuildingExpense
Net Community Building Expense11829NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$214,912BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare39299139AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare38682559CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall616580MedicareSurplusOrShortfall
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalOtherOther
COMMUNITY CAREPARTNERS INC
68 SWEETEN CREEK RDASHEVILLENC28803XREHAB, OUTPATIENT, HOSPICE
CAREPARTNERS OUTPATIENT NORTH CLINIC
204 STONE RIDGE BLVDASHEVILLENC28804OUTPATIENT SERVICES
CAREPARTNERS OUTPATIENT SOUTH CLINIC
3 TOWN SQUARE BLVDASHEVILLENC28803OUTPATIENT SERVICES
CAREPARTNERS OUTPATIENT EAST CLINIC
2358 US HWY 70SWANNANOANC28778OUTPATIENT SERVICES
CAREPARTNERS OUTPATIENT WEST CLINIC
1390 SAND HILL RD SUITE 1CANLERNC28715OUTPATIENT SERVICES
ORTHOTICS & PROSTHETICS CLININC - ASH
639 BILTMORE AVEASHEVILLENC28801ORTHOTICS & PROSTHETICS
ORTHOTICS & PROSTHETICS CLININC - HVL
2 S BROWN CTHENDERSONVILLENC28791ORTHOTICS & PROSTHETICS

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart I, Line 3c: PATIENTS THAT MEET THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FEDERAL POVERTY AND THE INDIGENT CARE POLICY GUIDELINES WILL BE APPROVED FOR A DISCOUNT BASED ON A SLIDING SCALE (ATTACHED) RANGING FROM 25% TO 100% OF CHARGES. FEDERAL POVERTY GUIDELINES ARE UPDATED ANNUALLY AND PUBLISHED IN THE FEDERAL REGISTER.IncomeBasedCriteria
Costing Method UsedPart I, Line 7: WORKSHEET 2 OF THE 2009 SCHEDULE H INSTRUCTIONS WAS USED TO DERIVE A COST-TO-CHARGES RATIO THAT THE ORGANIZATION USED TO COMPUTE COMMUNITY BENEFIT EXPENSES AT COST FOR LINES 7(A) AND 7(B).CostingMethodUsed
Subsidized Health Services ExplnPart I, Line 7g: AMOUNTS ON LINE 7(G) INCLUDE EXPENSES AND OFFSETTING REVENUES FOR ADULT DAY SERVICES AND A PALLIATIVE CARE PROGRAM.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnPart I, Line 7f: THE AMOUNT OF TOTAL EXPENSE ON FORM 990, PART XI, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $294,149 THAT HAS BEEN REMOVED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).PercentOfTotalExpenseExpln
Bad Debt FootnotePart III, Line 4: THERE IS NO FOOTNOTE ADDRESSING BAD DEBT IN THE ORGANIZATION'S FINANCIAL STATEMENTS.THE ANDI METHODOLOGY, WHICH USED A FACILITY-WIDE RATIO OF COST TO CHARGES AS DESCRIBED IN 2010 NCHA COMMUNITY BENEFITS GUIDELINES, IS USED TO DETERMINE THE BAD DEBT EXPENSE.BadDebtFootnote
Debt Collection PolicyPart III, Line 9b: PATIENTS WHO ARE KNOWN TO QUALIFY FOR A SLIDING SCALE DISCOUNT ARE GIVEN A DISCOUNT OF BETWEEN 100% AND 15% BASED ON FINANCIAL NEED. THE NORMAL COLLECTION PROCEDURES ARE FOLLOWED FOR THE REMAINING BALANCE.DebtCollectionPolicy
General ExplanationTHERE ARE SOME SERVICES CAREPARTNERS OFFERS THAT ARE PATIENTS RESPONSIBILITY AS SELF-PAY AND NOT ELIGIBLE FOR FINANCIAL ASSISTANCE. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO: ADULT DAY SERVICES, PRIVATE DUTY NURSING SERVICES, DRIVING EVALUATIONS, LASER THERAPY, CONSTRAINT INDUCED THERAPY, FCE, MASSAGE THERAPY, WELLNESS PROGRAM, AND WALK AIDS. SERVICES EXCLUDED FROM MEDICARE OR MEDICAID BENEFIT COVERAGE WOULD REMAIN THE PATIENTS SELF-PAY RESPONSIBILITY AND WOULD NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR SELF PAY DISCOUNT. HOWEVER, HOSPICE TRANSITIONAL CARE IS ELIGIBLE FOR FINANCIAL ASSISTANCE. HOSPICE TRANSITIONAL CARE IS NOT ELIGIBLE FOR THE SELF-PAY DISCOUNT.INPATIENT REHABILITATION, OUTPATIENT REHABILITATION, AND HOME HEALTH SERVICESPATIENTS THAT HAVE COMPLETED AND SUBMITTED A MEDICAID APPLICATION (MEDICAID PENDING) AND OTHERS WITH NO MEANS OF PAYMENT MUST COMPLETE THE FINANCIAL ASSISTANCE FORM AND PROVIDE REQUESTED SUPPORTING FINANCIAL DOCUMENTATION. PATIENTS MUST BE INFORMED OF THE POSSIBILITY OF SELF-PAY RESPONSIBILITY FOR ALL OR A PORTION OF THE CHARGES FOR SERVICES RENDERED. HOSPICE SERVICESPATIENTS THAT REQUEST FINANCIAL ASSISTANCE MUST COMPLETE THE FINANCIAL ASSISTANCE FORM. IF A PAYMENT PLAN IS REQUESTED, THE PATIENT MUST MAKE ARRANGEMENTS WITH THE FINANCIAL COUNSELOR. MEDICAID APPROVED PATIENTS IN NEED OF TRANSITIONAL CARE IN SOLACE WILL NEED TO MEET WITH FINANCIAL COUNSELOR TO DETERMINE ROOM AND BOARD CHARGE. ANY UNPAID BALANCE WHICH HAD BEEN DETERMINED TO BE THE PATIENTS RESPONSIBILITY WILL BE SUBMITTED TO THE PATIENTS ESTATE.GeneralExplanation
Needs AssessmentPart VI, Line 2: CAREPARTNERS IS UNIQUE IN THAT WE HAVE VERY CLOSE RELATIONSHIPS WITH MISSION HOSPITAL (THE REGIONAL HOSPITAL IN WNC), LONG TERM CARE FACILITIES, REGIONAL HOSPITALS AND PHYSICIAN PRACTICES. WE HAVE STAFF WHO ARE IN CONSTANT COMMUNICATION WITH THESE ORGANIZATIONS TO LEARN ABOUT THE NEEDS OF THEIR PATIENTS. OUR CLINICAL SERVICES COMMITTEE IS COMPRISED OF LOCAL PHYSICIANS AND HEALTHCARE PROVIDERS FROM THROUGHOUT THE WNC REGION. THEY ARE CHARGED WITH IDENTIFYING UNMET HEALTHCARE NEEDS AND CREATING GOALS TO MEET THESE NEEDS. DURING OUR STRATEGIC PLANNING PROCESS, CAREPARTNERS SENIOR LEADERSHIP ANALYZES THE ENVIRONMENT AND SEEKS THE INPUT OF STAKEHOLDERS WITHIN THE ORGANIZATION AND COMMUNITY. INTERVIEWS WITH MORE THAN 50 COMMUNITY AND HEALTHCARE LEADERS WERE CONDUCTED AND THE RESULTS WERE ANALYZED AND WOVEN INTO ACTION.NeedsAssessment
Patient Education AssistancePart VI, Line 3: WHEN PATIENTS ARE PREPARING FOR DISCHARGE FROM THE ACUTE CARE ORGANIZATION, THE DISCHARGE PLANNER WILL NOTIFY THE LIASIONS IF THE PATIENTS HAVE NO PAYER SOURCE. THE LIASIONS ASSESS THE PATIENTS' ABILITY TO COMMUNICATE AND UNDERSTAND FINANCIAL INFORMATION AND THEY NOTIFY THE FINANCIAL COUNSELOR. SHE WILL WORK WITH THE PATIENT AND/OR THE FAMILY MEMBER TO GATHER THE FINANCIAL INFORMATION AND EDUCATE THEM ON THE ASSISTANCE AVAILABLE, INCLUDING MEDICAID, VOCATIONAL REHABILITATION, PROJECT ACCESS, AND THE CHARITY CARE PROVIDED BY CAREPARTNERS HEALTH SERVICES. ONCE THE FINANCIAL COUNSELOR HAS GATHERED ALL OF THE REQUIRED DOCUMENTS THEY ARE FORWARDED TO MEDICAID OR ANY PROGRAMS FOR WHICH THE PATIENT MAY QUALIFY. ALL OFFICES HAVE SIGNS UP IN BOTH ENGLISH AND SPANISH INFORMING PATIENTS THAT ASSISTANCE IS AVAILABLE. INTERPRETERS ARE PROVIDED WHERE NECESSARY. THERE ARE DEDICATED STAFF AVAILABLE TO ASSIST PATIENTS IN THIS MANNER. CAREPARTNERS FOLLOWS THE MEDICAID GUIDLEINES ON WHAT DOCUMENTS AND INFORMATION WE COLLECT. THE CHARITY ASSISTANCE WILL RANGE FROM 100% FREE CARE TO A 15% DISCOUNT DEPENDING ON THE FINANCIAL NEED.PatientEducationAssistance
Community InformationPart VI, Line 4: CAREPARTNERS HEALTH SERVICES IS THE ONLY POST-ACUTE CONTINUUM IN WNC. MOST OF OUR SERVICES ARE PROVIDED IN BUNCOMBE, HENDERSON AND HAYWOOD COUNTY (WHERE WE HAVE OFFICES) BUT WE ALSO REACH MORE RURAL COMMUNITIES LIKE MITCHELL, YANCEY, TRANSYLVANIA AND MADISON. MEDIAN HOUSEHOLD INCOME FOR BUNCOMBE COUNTY IS $44,099 AS COMPARED TO $38,840 IN MADISON COUNTY. POPULATION GROWTH THAT HAS OCCURRED IN THE WNC REGION IS GENERALLY CONFINED TO THOSE OVER AGE 64. UNLIKE MANY AREAS, THIS GROWTH IS CHARACTERIZED NOT BY A NATURALLY-AGING NATIVE POPULATION BUT BY A TREMENDOUS INFLUX OF NON-NATIVE RETIREES. CAREPARTNERS SERVES A HIGHER PERCENTAGE OF OLDER ADULTS DUE TO THE NATURE OF OUR SERVICES - HOME HEALTH, HOSPICE, REHABILITATION HOSPITAL. WE DO SERVE YOUNGER POPULATIONS BUT AS A WHOLE, OUR TYPICAL PATIENT IS 45 YEARS OR OLDER. OUR LARGEST PAYOR IS MEDICARE. WNC HAS HISTORICALLY HAD A SMALL PERCENTAGE OF AFRICAN- AMERICAN RESIDENTS WHEN COMPARED TO THE STATE OVERALL AND THIS TREND SHOWS NO SIGNS OF CHANGING. HISPANICS, HOWEVER, HAVE QUINTUPLED THEIR PRESENCE IN THE AREA SINCE 1990 AND ARE ON TRACK TO MAINTAIN INCREASES IN THEIR REPRESENTATION OVER THE NEXT TWO DECADES. THE UNEMPLOYMENT RATE IN THE WNC REGION HAS DECREASED OVER THE PAST YEAR.CommunityInformation
Other InformationPart VI, Line 6: CAREPARTNERS HEALTH SERVICES HAS BEEN AN INTEGRAL PART OF THE WNC COMMUNITY SINCE ITS FOUNDING IN 1939. ALTHOUGH OUR TYPE OF CARE HAS CHANGED THROUGH THE YEARS, THE LEVEL OF CARE WE PROVIDE CONTINUES TO STRIVE FOR EXCELLENCE. WE ARE BEDROCK TO THIS COMMUNITY BY PROVIDING MORE THAN JUST GREAT POST-ACUTE SERVICES. WE FOSTER GOOD HEALTH AND NUTRITION BY SPONSORING BOTH MALL WALKER PROGRAMS AT THE LOCAL MALLS. TWICE A YEAR WE HOST AN 8 WEEK COMPREHENSIVE EDUCATIONAL SERIES OPEN TO THE COMMUNITY. TOPICS RANGE FROM AGING IN PLACE TO NUTRITION TO HOW TO CREATE YOUR WILL. WE HOST NUMEROUS SUPPORT GROUPS ON OUR CAMPUS EACH MONTH AND ARE INVOLVED IN COMMUNITY-WIDE HEALTH FAIRS. STAFF PARTICIPATE IN LOCAL AGING CONSORTIUMS AND ARE LEADERS OF AGING ISSUES SUCH AS FALLS PREVENTION AND CHRONIC ILLNESSES. ALL OF OUR COMMUNITY ACTIVITIES FOCUS ON DISEASE PREVENTION AND MANAGEMENT AS WELL AS CONNECTING THE LARGER COMMUNITY TO RESOURCES WITHIN CAREPARTNERS AND ACROSS WNC.ANY SURPLUS OF FUNDS IS RETURNED TO THE COMMUNITY THROUGH IMPROVING THE QUALITY OF PATIENT CARE OR EXPANDING TYPES OF CARE THAT ARE PROVIDED TO REACH MORE PATIENTS.OtherInformation
Reports Filed With StatesNCReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1CBL & ASSOCIATES MANAGEMENT INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13 S TUNNEL ROADAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28805ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient521721160EINOfRecipient
Amount Of Cash Grant5000AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation
Purpose Of GrantSPONSORSHIPPurposeOfGrant

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients8NumberOfRecipients
Amount Of Cash Grant11962AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: THE ORGANIZATION REQUIRES THAT POTENTIAL GRANT RECIPIENTS INDICATE HOW THE FUNDS WILL BE USED IN ORDER TO ENSURE THAT THE USE OF THE FUNDS WILL BE USED PROPERLY AND IN ACCORDANCE WITH THE ORGANIZATION'S EXEMPT PURPOSE. THE ORGANIZATION ALSO TOURS THE FACILITIES OF A POTENTIAL RECIPIENT TO GAIN A THOROUGH UNDERSTANDING OF THEIR OPERATIONS. AFTER A GRANT IS AWARDED, THE ORGANIZATION MEETS WITH THE MANAGMENT OF THE RECIPIENT ORGANIZATION TO REVIEW HOW THE FUNDS ARE BEING USED. A REPORT IS GIVEN TO THE BOARD OF DIRECTORS RELATED TO THESE FINDINGS. ON OCCASIONS THE GRANT RECIPIENT WILL ALSO PRESENT THEIR OUTCOMES DIRECTLY TO THE BOARD OF DIRECTORS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
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 Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 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
TRACY BUCHANAN
1692830278130181670710830170410303387000
GARY BOWERS
13685902024600036050066100199765000
DIANN BOLICK
124599016007000395530171010197260000
JOHN LANGLOIS
1686990441100000155880188698000
JEFFREY STILLSON
1562250429400000108510171370000
ANDREW KAMELL
13499900010505000120590157563000
ROBERT KENT BALLARD
11059704215204226000130840170059000
PAMELA TIDWELL
106692014760017040280330160590167248000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aTHE ORGANIZAION PROVIDED TAX GROSS-UPS FOR THE VEHICLE PROVIDED TO THE CEO AND FOR A WELLNESS INCENTIVE BONUS PROVIDED TO THE COO. THESE ITEMS WERE INCLUDED IN THE RECIPIENTS' INCOME.
Part I, Line 4b:TRACY BUCHANAN - 37,800 GARY BOWERS - 35,562 DIANN BOLICK - 19,216 PAMELA TIDWELL - 11,812
Part I, Line 6THE ORGANIZATION HAS A PAY FOR PERFORMANCE (PFP) PLAN. GOALS INCLUDED OVERALL PROFIT MARGIN AND OVERALL PERFORMANCE INDEX SCORE. PFP PAYMENTS ARE BASED ON GOALS ESTABLISHED AND APPROVED BY THE BOARD IN ADVANCE OF THE BEGINNING OF EACH YEAR. THE AMOUNT OF THIS POSSIBLE PAYMENT IS CONSIDERED IN THE DETERMINATION OF THE APPROPRIATE COMPENSATION FOR EACH POSITION.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonNANCY BOWERSNamePerson
FieldValueIRS element (for citing)
RelationshipWIFE OF GARY BOWERS, COORelationship
Amount Of Transaction48723AmountOfTransaction
Description Of TransactionCOMPENSATIONDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11THE 990 WAS PRESENTED TO AND REVIEWED BY THE EXECUTIVE COMMITTEE AT THE APRIL MEETING. A DISCUSSION, AND QUESTION & ANSWER PERIOD WAS HELD AFTER WHICH TIME THE COMMITTEE VOTED TO APPROVE THE FORM 990 AS PRESENTED. ALSO, COPIES OF THE 990 WERE GIVEN TO EACH VOTING BOARD MEMBER PRIOR TO FILING THE FORM WITH THE IRS AND WERE GIVEN AN OPPORTUNITY TO ASK QUESTIONS.
Form 990, Part VI, Section B, line 12cA CONFLICT OF INTEREST DISCLOSURE IS SENT TO EACH NEW BOARD AND/OR GOVERNANCE COMMITTEE MEMBER AND TO ALL BOARD MEMBERS ON AN ANNUAL BASIS. THIS INFORMATION IS SUPPLIED BY EACH BOARD AND/OR GOVERNANCE COMMITTEE MEMBER, SIGNED AND DATED, AND RETURNED TO THE PRESIDENT'S OFFICE FOR THE CORPORATION'S PERMANENT FILES.
Form 990, Part VI, Section B, line 15THE CAREPARTNERS COMPENSATION PROGRAM IS DESIGNED TO ENSURE THAT ALL STAFF ARE PAID EQUITABLY. THE PLAN HAS THREE COMPONENTS: BASE COMPENSATION, PERFORMANCE BONUS (PAY FOR PERFORMANCE), AND ORGANIZATIONAL AWARD. BASE COMPENSATION IS DETERMINED BY THE MARKET VALUE OF THE POSITION WHILE THE PERFORMANCE BONUS (PFP) IS BASED ON ACHIEVEMENT GOALS. THE THIRD COMPONENT, ORGANIZATIONAL AWARD, IS BASED ON CAREPARTNERS' OVERALL FINANCIAL PERFORMANCE. FOR THE OFFICERS, A REBUTTABLE PRESUMPTION OF REASONABLENESS CHECK LIST IS PREPARED AND COMPLETED BASED ON COMPARABILITY DATA AND REVIEWED AND APPROVED BY THE BOARD OR DESIGNEE. FOR COMPARABILITY, DATA FROM THE STATE AND INTERNAL FACTORS ARE CONSIDERED.
Form 990, Part VI, Section C, line 19THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.