Civic Intelligence

Anc Mission Medical Associates Inc

990 • Fiscal year 2014 • EIN 26-3627231

Oct 01, 2013 to Sep 30, 2014 • Filed on Aug 14, 2015

PO Box 532528813

(828) 213-8222

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

100th percentile

7.60x

Higher debt load relative to assets than 100% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Liabilities / Revenue

82nd percentile

1.76x

Higher debt load relative to revenue than 82% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Net Margin

3rd percentile

-43%

Higher net margin than 3% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Top Officer Pay

84th percentile

$786,088

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Asset Growth

2nd percentile

-26%

Faster asset growth than 2% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Down

$21,190,061

Down $7,277,547 (-26%) from 2013

Net Assets

Down

-$139,914,712

Down $39,583,676 (-39%) from 2013

Liabilities

Up

$161,104,773

Up $32,306,129 (+25%) from 2013

Revenue

$91,390,562

No earlier filing loaded for comparison.

Expenses

Up

$130,974,238

Up $24,499,770 (+23%) from 2013

Net Income

-$39,583,676

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$200M$0-$200M-$400MAssets 2011: $17,369,004Liabilities 2011: $58,124,274Net Assets 2011: -$40,755,2702011Assets 2013: $28,467,608Liabilities 2013: $128,798,644Net Assets 2013: -$100,331,0362013Assets 2014: $21,190,061Liabilities 2014: $161,104,773Net Assets 2014: -$139,914,7122014Assets 2015: $22,741,527Liabilities 2015: $208,223,437Net Assets 2015: -$185,481,9102015Assets 2016: $28,831,878Liabilities 2016: $268,768,709Net Assets 2016: -$239,936,8312016Assets 2017: $32,566,549Liabilities 2017: $335,296,510Net Assets 2017: -$302,729,9612017Assets 2018: $31,819,028Liabilities 2018: $398,510,483Net Assets 2018: -$366,691,4552018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2014

Assets$21,190,061
Liabilities$161,104,773
Net Assets-$139,914,712

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MExpenses 2011: $90,915,3492011Expenses 2013: $106,474,4682013Revenue 2014: $91,390,562Expenses 2014: $130,974,238Net Income 2014: -$39,583,6762014Revenue 2015: $115,016,853Expenses 2015: $160,584,051Net Income 2015: -$45,567,1982015Revenue 2016: $131,393,890Expenses 2016: $185,848,810Net Income 2016: -$54,454,9202016Revenue 2017: $177,304,081Expenses 2017: $240,097,211Net Income 2017: -$62,793,1302017Revenue 2018: $189,684,395Expenses 2018: $253,645,889Net Income 2018: -$63,961,4942018Revenue 2019: $79,122,934Expenses 2019: $72,078,122Net Income 2019: $7,044,8122019Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022

Highlighted filing

2014

Revenue$91,390,562
Expenses$130,974,238
Net Income-$39,583,676
Jump To
Filing Snapshot
Filing Period
Oct 1, 2013 to Sep 30, 2014
Signed
Aug 14, 2015
Return Version
2013v4.0
Gross Receipts
$92,176,988
Mission and Program Overview

Mission

Provide Physician Services in areas that are insufficiently served.Continued on Schedule O.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.

Provide Physician Services in areas that are insufficiently served.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$19,916,483$9,188,852▼ $10,727,631
Land, Buildings, and Equipment, Net$5,417,451$7,775,114▲ $2,357,663
Cash and Non-Interest-Bearing Accounts$1,376,761$1,395,173▲ $18,412
Prepaid Expenses and Deferred Charges$569,246$865,235▲ $295,989
Other Notes and Loans Receivable, Net$141,771$850,299▲ $708,528
Intangible Assets$550,000$550,000→ $0
Savings and Temporary Cash Investments$250,000$250,000→ $0
Inventories for Sale or Use$72,241$98,985▲ $26,744
Total Assets$28,467,608$21,190,061▼ $7,277,547
Other Assets Total$173,655$216,403▲ $42,748
Liabilities
Accounts Payable and Accrued Expenses$128,629,579$160,733,729▲ $32,104,150
Other Liabilities$169,065$371,044▲ $201,979
Total Liabilities$128,798,644$161,104,773▲ $32,306,129
Net Assets / Fund Balance
Unrestricted Net Assets$-100,331,036$-139,914,712▼ $39,583,676
Total Net Assets Fund Balance$-100,331,036$-139,914,712▼ $39,583,676
Total Liabilities and Net Assets / Fund Balance$28,467,608$21,190,061▼ $7,277,547

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$4,070,782$622,165$4,692,947
Equipment$2,738,895$1,722,063$4,460,958
Other Land Buildings$965,437$932,301$1,897,738
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Charles M LeCroy MDPhysicianFT$585,047$102,032$687,079
William Shillinglaw MDPhysicianFT$457,108$186,791$643,899
Harold Frisch MDPhysicianFT$526,230$91,012$617,242
Jan Pattanayak MDPhysicianFT$400,767$201,318$602,085
Thomas LargePhysicianFT$508,467$79,337$587,804
Cheryl WilliamsFormerFinOff/CurrDirFinFT$108,432$62,144$170,576
Robert W Fields MDDirectorFT$74,925$11,071$85,996
Angela WillsCOOPT$49,058$23,009$72,067
Paul C Flanders MDDirector--$42,348$42,348

Board Members and Trustees

NameTitle
Ernest E FergusonChairman
Dr Jill Hoggard GreenPresident/CEO
George M BilbreyJrMDDirector
Marc Westle DOFormer CEO
William E LeeSecretary/Treasurer
Paul McDowellVPFinance

Highest Paid Contractors

ContractorServicesLocationCompensation
LocumtenenscomPhysician Services-$536,417
Insight Telepsychiatry LLCMedical Services-$459,127
Blue Ridge Bone & JointMedical Services-$441,342
Honnie Patricia SpencerMedical Services-$222,300
Vista Staffing SolutionsMedical Services-$222,300
Revenue and Support

Revenue Composition

Contributions and Grants
$165,525
Program Service Revenue
$91,228,159
Investment Income
$-3,122
Other Revenue
$0
Change in Net Assets
$-39,583,676
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$106,944,088
Other Expenses$24,029,084
Grants and Similar Amounts Paid$1,066
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$91,120,334$2,156,048-$93,276,382
Fees for Services Other$9,964,358$1,027,897-$10,992,255
Other Employee Benefits$5,519,665$285,457-$5,805,122
Payroll Taxes$4,733,021$170,096-$4,903,117
Occupancy$4,518,176$151,436-$4,669,612
Pension Plan Contributions$2,516,207$73,572-$2,589,779
Insurance$1,398,122$7,038-$1,405,160
Depreciation Depletion$869,081$100,446-$969,527
Travel$905,644$32,316-$937,960
Other Expenses$530,240$0-$530,240
Office Expenses$330,307$48,252-$378,559
Comp Disqual Persons-$299,044-$299,044
Fees for Services Legal-$191,338-$191,338
Information Technology-$108,515-$108,515
Current Officers, Directors, Trustees, and Key Employees-$70,644-$70,644
Advertising$14,255$9,182-$23,437
Fees for Services Accounting-$3,784-$3,784
Fees for Services Management-$2,722-$2,722
Interest-$2,163-$2,163
Grants to Domestic Orgs$1,066--$1,066
Total Functional Expenses$124,747,345$6,226,893$0$130,974,238
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Deferred Compensation$212,519
Capital Lease$158,525
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

Mission Health System, Inc is the sole member of Mission Medical Associates, Inc.

Form 990, Part VI, Section A, line 7A

The following action of the corporation requires the prior approval of the Member: (i) appointment and removal of Board members; (j) appointment and removal of President/Chief Executive Officer; and (k) approval of employment agreement and compensation of President/Chief Executive Officer.

Form 990, Part VI, Section A, line 7B

The following actions of the corporation require the prior approval of the Member: (a) amendment or repeal of the bylaws or articles of the corporation; (b) sale of assets of the corporation valued in excess of $1 million ; (c) merger or dissolution of the corporation; (d) selection of auditors; (e) adoption of strategic plans, and capital and operating budgets; (f) transactions in excess of $5 Million; (g) filing for bankruptcy; (h) incurring debt (external to the Member and its subsidiaries/affiliates) (i) appointment and removal of Board members; (j) appointment and removal of President/Chief Executive Officer; and (k) approval of compensation of President/Chief Executive Officer.

Form 990, Part VI, Section B, line 11

A draft of the Form 990 is prepared by the Director of Tax Services at Mission Health System. The Form 990 is reviewed by the organization's CEO, CFO, General Counsel and Compliance Officer of Mission Health System as well as Management at Mission Medical Associates . In addition, an outside accounting firm is engaged to review and sign the 990 and prepare the return for final filing with the IRS. Before filing, highlights of Form 990 are reviewed by Board Committees which may include the Executive Committee; Audit and Compliance Committee; Finance and Property Committee and Human Resources and Compensation Committee of Mission Health System. After committee review, a draft of the 990 is provided to the Board of Directors at Mission Health System and Mission Medical Associates for review. Highlights of Form 990 are specifically reviewed with the board and they have the opportunity to ask questions and suggest improvements or provide corrections. If there are changes as a result of board review, a corrected Form 990 will be provided for final approval before filing. After final approval, the Form 990 will be filed with the IRS.

Form 990, Part VI, Section B, line 12C

The Organizations Conflict of Interest Policy is reviewed and updated annually. Education about the policy and the responsibilities of a board member occurs annually and for new board members during orientation. If a conflict of interest is identified, the interested person does not participate in any decision relating to the transaction issue. A conflict of interest is a particular relationship or arrangement that would reasonably be expected to exert an influence on the individual's judgment and preclude the individual from being an Independent Director or being independent with respect to the transaction under consideration. In addition to board members, the organization's conflict of interest policy applies to members of senior leadership, medical staff, clinical service line leaders, elected medical staff leaders, departmental directors, staff members working in the purchasing department, and all other staff members with purchasing authority, as well as immediate family members of such interested persons and entities in which interested persons have a material financial interest. The organization's policy is for all interested persons to disclose any and all conflicts of interest in accordance with the IRS guidelines for tax-exempt entities as well as any other applicable state or federal law. Upon initial assumption of duties, interested persons are provided with a copy of the conflict of interest policy and submit a conflict of interest disclosure statement. Thereafter, the statements will be completed annually. Periodically all staff members are asked to complete a conflict of interest disclosure statement. Internal and external auditors, General Counsel or outside counsel will periodically conduct a review of the disclosure process to determine whether the organization is in compliance with the policy.

Form 990, Part VI, Section B, line 15

The Organization draws wage comparison data from outside executive compensation consultants to ensure compensation levels are at fair market value The Human Resources and Compensation Committee (Committee) reviews this data and recommends to the Board any revisions to the overall philosophy and policy to guide the determination of compensation and benefit packages for executives which includes the CEO, the CFO, and President as well as all other executives, which would include all key employees. The Committee keeps and distributes minutes of all its meetings to its members. Items of a sensitive nature are referenced in the minutes with detailed, supporting documentation retained on file. The Committee also discloses any potential conflicts of interest situations to the Committee Chairman that may affect their independent directors' status as soon as they arise, and maintains complete documentation of all matters discussed by the Committee. The Committee obtains education and training to exercise all responsibilities effectively and keeps abreast of significant developments in executive compensation practices and regulations, and ensures that all aspects of Mission Health System and Hospital executive compensation adhere to all relevant regulatory requirements, and reviews the Committee charter annually revising as appropriate and conducts an annual evaluation of the Committee's performance.

Form 990, Part VI, Section C, line 19

The conflict of interest policy and financial statements are available upon request. Articles of Incorporation are available through the North Carolina Secretary of State website.

Filing and Contact Details

Filer

EIN
26-3627231
Phone
8282138222

Signing Officer

Name
Paul McDowell
Title
VP, Finance
Phone
8282138222
Signed
2015-08-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Paul McDowell
Formed
2008
Legal Domicile
Nc
Voting Board Members
5
Independent Board Members
3
Employees
736
Volunteers
3

Preparer

Phone
7046323500
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

Mission applies the provisions of FASB ASC Topic 740 for Income Taxes in accounting for uncertainty in income taxes. ASC 740 provides guidance on when tax positions are recognized in an entity's financial statements and how the values of these positions are determined. There is currently no impact on Mission's combined financial statements as a result of application of ASC 740. Mission Medical Associates is included in the combined financial statements described above.

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IRS990/Desc0The Organization provided physician services in specialty practices including Family Medicine, Pediatrics, Cardiology, Children's Dental, Neurology, Orthopedic Trauma, Trauma Surgery, Weight Management, and Hospitalists. 33 new physicians were recruited to the area and the Organization served over 93,000 patients at 31 practice locations. The Organization provided physician services in specialty practices including Family Medicine, Pediatrics, Neonatology, Cardiology, Children's Dental, Neurology, Orthopedic Trauma, Trauma Surgery, Orthopedics, Weight Management, GI Services, Infectious Disease, and Hospitalists. 54 new providers, including neonatologists, infectious disease specialists, and 25 new providers to Transylvania Regional Hospital, a critical access provider affiliated with Mission Health System were recruited to the area and the Organization served over 130,000 patients at 48 practice locations. Benefits to the community included over $3 million in charity care based on foregone charges.Other accomplishments of the Organization's individual physicians which include volunteering in the local community and recognition for excellence and quality of healthcare service are highlighted below, continuing on Schedule O.Telehealth was set up in 22 Western North Carolina community locations to provide education to school RNs, practice MAs and nurses regarding pediatric hypertension and hyperlipidemia. Six cardiologists and one advanced practitioner ranked in the top ten percent of the Professional Research Consultants (PRC) National Excellence in Healthcare and presented with Service Excellence Awards from Mission. The Pediatric Endocrinology practice was recognized as PRC's Top Performer for 2014. The Top Performer Award is PRC's highest honor and is given annually to each healthcare facility that scores at or above the 100th percentile for the overall quality of care percent "excellent" score in PRC's national client database. A Developmental-Behavioral pediatric specialist again participated with the International Hospital for Children in the annual pediatric Spina Bifida evaluation clinics in Belize, Central America. The Mission Children's Neonatal Follow Up clinic as well as several pediatric providers were recognized as 5 star recipients for outstanding patient satisfaction. Several physicians donated their time to the Medical Ministry of the Asheville-Buncombe County Christian Ministry serving uninsured and underinsured residents of Buncombe County. Several cardiologists and primary care physicians provided community education across Western North Carolina.
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IRS990/Form990PartVIISectionAGrp/PersonNm0Ernest E Ferguson
IRS990/Form990PartVIISectionAGrp/PersonNm1George M BilbreyJrMD
IRS990/Form990PartVIISectionAGrp/PersonNm2William E Lee
IRS990/Form990PartVIISectionAGrp/PersonNm3Paul C Flanders MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Robert W Fields MD
IRS990/Form990PartVIISectionAGrp/PersonNm5Dr Jill Hoggard Green
IRS990/Form990PartVIISectionAGrp/PersonNm6Paul McDowell
IRS990/Form990PartVIISectionAGrp/PersonNm7Angela Wills
IRS990/Form990PartVIISectionAGrp/PersonNm8Charles M LeCroy MD
IRS990/Form990PartVIISectionAGrp/PersonNm9Harold Frisch MD
IRS990/Form990PartVIISectionAGrp/PersonNm10William Shillinglaw MD
IRS990/Form990PartVIISectionAGrp/PersonNm11Thomas Large
IRS990/Form990PartVIISectionAGrp/PersonNm12Jan Pattanayak MD
IRS990/Form990PartVIISectionAGrp/PersonNm13Marc Westle DO
IRS990/Form990PartVIISectionAGrp/PersonNm14Cheryl Williams
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IRS990/Form990PartVIISectionAGrp/TitleTxt14FormerFinOff/CurrDirFin
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IRS990/MissionDesc0Provide Physician Services in areas that are insufficiently served.Continued on Schedule O.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.
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