2011-08-15T09:22:42-05:00 2010-09-30 DIXON HUGHES GOODMAN LLP 500 Ridgefield Court Asheville NC 28806 990 2009-10-01 562005198 COMMUNITY CAREPARTNERS INC COMM 8282742400 PO BOX 5779 ASHEVILLE NC 28813 GREGORY K DIXON 8282742400 2011-08-15 1 Amy Bibby 8282542254 2009 2016-02-24 21:20:13Z GREGORY K DIXON PO BOX 5779 ASHEVILLE NC 28813 65795234 0 1 X WWW.CAREPARTNERS.ORG X 1996 NC HELPING PEOPLE LIVE FULLY THROUGH LIFE'S JOURNEY. 20 19 1146 600 0 0 1502020 1613837 64756593 64022872 811730 158525 0 67070343 65795234 29579 22445 0 48905057 48353914 0 0 17176199 16795014 66110835 65171373 959508 623861 22948985 22918653 9835434 9181241 13113551 13737412 HELPING PEOPLE LIVE FULLY THROUGH LIFE'S JOURNEY. 0 0 12659949 22445 22334719 DURING 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. 14365406 14365399 REHABILITATION 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. 10753646 10753669 HOSPICE: 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. 16361647 16361630 HOME 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. 16361647 16361630 54140648 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 31 0 1 1146 1 0 0 0 0 0 0 0 0 0 20 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X X GREGORY K DIXON CFO 8282742400 68 SWEETEN CREEK ROAD ASHEVILLE NC 28803 DENNIS KING EDD 1.00 X X 0 0 0 CHARLES C CAMPBELL 1.00 X X 0 0 0 ROBBY RUSSELL 1.00 X X 0 0 0 JEFF GOULD 1.00 X X 0 0 0 JAMES H ROBISON 1.00 X 0 0 0 KERRY A FRIEDMAN 1.00 X 0 0 0 HARRY G BURTON MD 1.00 X 0 0 0 DAVID L CAPPIELLO MD 1.00 X 0 0 0 JOHN W CARROLL 1.00 X 0 0 0 KELLIE CONDRA MD 1.00 X 0 0 0 STEVEN COVERT 1.00 X 0 0 0 CECIL T DURHAM MD 1.00 X 0 0 0 LARRY HARRIS 1.00 X 0 0 0 PATSY KEEVER 1.00 X 0 0 0 CHARLES PINE 1.00 X 0 0 0 JOHN M QUIGLEY 1.00 X 0 0 0 JOEL B ROSENBERG MD 1.00 X 0 0 0 KATHERINE E VOLATILE MD 1.00 X 0 0 0 BRUCE GOFORTH 1.00 X 0 0 0 TRACY BUCHANAN 40.00 X 215263 0 88124 GARY BOWERS 40.00 X 157105 0 42660 DIANN BOLICK 40.00 X 140606 0 56654 JOHN LANGLOIS 40.00 X 173110 0 15588 JEFFREY STILLSON 32.00 X 160519 0 10851 ANDREW KAMELL 40.00 X 145504 0 12059 ROBERT KENT BALLARD 40.00 X 156975 0 13084 PAMELA TIDWELL 40.00 X 123156 0 44092 JOHN E LAWRENCE JR MD 1.00 X 0 0 0 1272238 0 283112 8 0 1 0 MISSION HOSPITAL - SUPPORT SERV 400 RIDGEFIELD COURT SUITE 100 ASHEVILLE NC 28806 HEALTHCARE PROFESSIONALS 353784 STAT NURSING 70 WOODFIN PLACE ASHEVILLE NC 28801 HEALTHCARE PROFESSIONALS 239680 BLUE RIDGE REGIONAL HOSPITAL PO DRAWER 9 SPRUCE PINE NC 28777 HEALTHCARE PROFESSIONALS 194383 H&M CONSTRUCTORS PO BOX 536767 ATLANTA GA 30353 CONSTRUCTION 180442 COMPREHENSIVE REHAB CARE PHYSICIANS 68 SWEETEN CREEK RD ASHEVILLE NC 28803 PHYSICIANS 174757 7 181955 143876 1288006 1613837 PROGRAM SERVICE FEES 621110 62707474 62707474 OTHER OPERATING INCOME 621110 963019 963019 CAFETERIA & VENDING 722210 207455 207455 INVESTMENT IN ASH HOSP 621110 144924 144924 64022872 150664 150664 7861 7861 7861 7861 65795234 63815417 0 365980 10483 10483 11962 11962 700414 700414 38798516 32515944 6282572 5786645 4760001 1026644 3068339 2523966 544373 32908 32908 46893 46893 4684668 4481029 203639 221495 17146 204349 5273015 4395186 877829 3341794 3038164 303630 902199 865694 36505 3523 3296 227 83748 83748 1202124 1202124 630761 630761 BAD DEBT 294149 294149 MISCELLANEOUS 77737 21504 56233 65171373 54140648 11030725 0 1150 1450 3385706 4065119 9067330 8986526 378426 461507 363680 507924 18837938 12453699 6386474 6384239 1836251 1014106 876090 1021014 653878 476768 22948985 22918653 8768112 8246883 884000 707204 183322 227154 9835434 9181241 X 12810802 13428598 302749 308814 13113551 13737412 22948985 22918653 X 0 1 1 X 0 X 805474 1053192 1874859 1502020 1613837 6849382 55116913 59771628 64206169 64539011 63815417 307449138 188247 187311 221991 217582 207455 1022586 56110634 61012131 66303019 66258613 65636709 315321106 0 0 0 315321106 1225047 1163641 1017466 811730 150664 4368548 1225047 1163641 1017466 811730 150664 4368548 57335681 62175772 67320485 67070343 65787373 319689654 0.98630 0.98170 0.01370 0.01830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8511158 4687674 3823484 9636194 7141862 2494332 690586 624163 66423 6384239 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 227154 227154 65795234 65171373 623861 0 623861 66901433 1106199 1106199 65795234 0 65795234 66277572 1106199 1106199 65171373 0 65171373 1 1 1 X 1 X 0 1 1 0 1 1 248031 248031 0.00380 7023512 5288360 1735152 0.02670 538393 538393 0.00830 7809936 5288360 2521576 0.03880 91570 3163 88407 0.00140 2577296 1714349 862947 0.01330 26275 26275 0.00040 2695141 1717512 977629 0.01510 10505077 7005872 3499205 0.05390 9 2934 11829 11829 0.00020 9 2934 11829 11829 0.00020 0 214912 0 39299139 38682559 616580 1 1 COMMUNITY CAREPARTNERS INC

68 SWEETEN CREEK RD ASHEVILLE NC 28803

X REHAB, OUTPATIENT, HOSPICE CAREPARTNERS OUTPATIENT NORTH CLINIC

204 STONE RIDGE BLVD ASHEVILLE NC 28804

OUTPATIENT SERVICES CAREPARTNERS OUTPATIENT SOUTH CLINIC

3 TOWN SQUARE BLVD ASHEVILLE NC 28803

OUTPATIENT SERVICES CAREPARTNERS OUTPATIENT EAST CLINIC

2358 US HWY 70 SWANNANOA NC 28778

OUTPATIENT SERVICES CAREPARTNERS OUTPATIENT WEST CLINIC

1390 SAND HILL RD SUITE 1 CANLER NC 28715

OUTPATIENT SERVICES ORTHOTICS & PROSTHETICS CLININC - ASH

639 BILTMORE AVE ASHEVILLE NC 28801

ORTHOTICS & PROSTHETICS ORTHOTICS & PROSTHETICS CLININC - HVL

2 S BROWN CT HENDERSONVILLE NC 28791

ORTHOTICS & PROSTHETICS Part 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. Part 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). Part I, Line 7g: AMOUNTS ON LINE 7(G) INCLUDE EXPENSES AND OFFSETTING REVENUES FOR ADULT DAY SERVICES AND A PALLIATIVE CARE PROGRAM. Part 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). Part 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. Part 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. THERE 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. Part 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. Part 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. Part 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. Part 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. NC 1 CBL & ASSOCIATES MANAGEMENT INC 3 S TUNNEL ROAD ASHEVILLE NC 28805 521721160 5000 FMV SPONSORSHIP SCHOLARSHIPS 8 11962 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule 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. X 1 1 X X X 0 1 0 0 0 1 0 0 0 TRACY BUCHANAN 169283 0 27813 0 18167 0 71083 0 17041 0 303387 0 0 0 GARY BOWERS 136859 0 20246 0 0 0 36050 0 6610 0 199765 0 0 0 DIANN BOLICK 124599 0 16007 0 0 0 39553 0 17101 0 197260 0 0 0 JOHN LANGLOIS 168699 0 4411 0 0 0 0 0 15588 0 188698 0 0 0 JEFFREY STILLSON 156225 0 4294 0 0 0 0 0 10851 0 171370 0 0 0 ANDREW KAMELL 134999 0 0 0 10505 0 0 0 12059 0 157563 0 0 0 ROBERT KENT BALLARD 110597 0 42152 0 4226 0 0 0 13084 0 170059 0 0 0 PAMELA TIDWELL 106692 0 14760 0 1704 0 28033 0 16059 0 167248 0 0 0 Part I, Line 1a THE 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 6 THE 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. NANCY BOWERS WIFE OF GARY BOWERS, COO 48723 COMPENSATION 0 Form 990, Part VI, Section B, line 11 THE 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 12c A 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 15 THE 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.