TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) BOBBIE YOUNG........................................................................ CHAIRMAN	2.00 .......................	X	X		0	0	0
(2) JED RANKIN........................................................................ VICE-CHAIRMAN	2.00 .......................1.00	X	X		0	0	0
(3) TIM BLENCO........................................................................ SECRETARY/TREASURER	2.00 .......................	X	X		0	0	0
(4) HAROLD WALKER........................................................................ EX-OFFICIO	1.00 .......................1.00	X			0	0	0
(5) MARK BURTON MD........................................................................ TRUSTEE	40.00 .......................0.00	X			0	0	0
(6) ROBERT BEDNAREK........................................................................ TRUSTEE	1.00 .......................45.00	X			0	509,321	30,070
(7) JERYLYN WILLIAMS........................................................................ TRUSTEE	1.00 .......................59.00	X			0	249,172	41,050
(8) DR SHERRON CRAWFORD........................................................................ TRUSTEE	1.00 .......................	X			0	0	0
(9) STEVE JONES........................................................................ TRUSTEE	1.00 .......................	X			0	0	0
(10) LEE LATTIMORE........................................................................ TRUSTEE	1.00 .......................	X			0	0	0
(11) REX HENDERSON........................................................................ CHIEF OF STAFF	50.00 .......................	X	X		0	0	0
(12) GEORGE GREEN MD........................................................................ TRUSTEE	40.00 .......................	X			470,285	0	31,376
(13) KATHLEEN GUYETTE........................................................................ TRUSTEE	1.00 .......................59.00	X			0	427,330	70,993
(14) LYNN BOGGS........................................................................ CEO	30.00 .......................30.00	X	X		194,242	135,827	57,338
(15) CLINT STEWART........................................................................ REGIONAL DIRECTOR - FINANCE	50.00 .......................1.00		X		137,185	0	25,464
(16) ADAM KINNINGER........................................................................ PHYSICIAN	50.00 .......................			X	234,219	0	33,462
(17) VIVIAN DEMBSKI........................................................................ PHARMACIST	50.00 .......................			X	124,441	0	790

(A) Name and business address	(B) Description of services	(C) Compensation
MORRISON MANAGEMENT SERVICES5801 PEACHTREE DUNWOODY RDATLANTAGA30342	FOOD SERVICES	635,868
ALLCARE CLINICAL ASSOCIATES76 PEACHTREE ROAD 300ASHEVILLENC28803	ANESTHESIA SERVICES	608,874
LOCUM TENENS2655 NORTHWINDS PARKWAYALPHARETTAGA30009	PHYSICIAN SERVICES	229,509
HDR ARCHITECTURE INC440 S CHURCH STREET SUITE 900CHARLOTTENC28202	ARCHITECTURAL SERVICES	216,634
WESTERN CAROLINA PATHOLOGYPO BOX 1108LENOIRNC28645	PATHOLOGY SERVICES	186,403
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 12

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	40,221	40,221
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	542,757	146,544	396,213
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	16,480,799	13,679,063	2,801,736
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	152,228	126,349	25,879
9	Other employee benefits .......	2,753,990	2,285,812	468,178
10	Payroll taxes ...........	1,064,554	883,580	180,974
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	86,120		86,120
c	Accounting ...........
d	Lobbying ...........	3,420		3,420
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	15,863,417	13,483,913	2,379,504
12	Advertising and promotion ....	162,216	137,884	24,332
13	Office expenses .......	294,200	250,070	44,130
14	Information technology ......	47,856	47,856
15	Royalties ..
16	Occupancy ...........	598,361	478,689	119,672
17	Travel ............	83,562	63,507	20,055
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........	155,531	121,314	34,217
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	2,083,160	1,666,528	416,632
23	Insurance ..............	395,155	335,882	59,273
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	4,563,249	3,878,762	684,487
b	PHARMACEUTICALS	3,526,297	3,526,297
c	REPAIRS AND MAINTENANCE	889,186	889,186
d	EQUIPMENT LEASES	673,254	673,254
e	All other expenses	260,506	260,506
25	Total functional expenses. Add lines 1 through 24e	50,720,039	42,975,217	7,744,822	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	11,039	1	16,249
2	Savings and temporary cash investments .........	1,563,671	2	1,465,594
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	6,884,057	4	9,367,672
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		8,899	5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	28,752	7
8	Inventories for sale or use ..............	731,464	8	738,632
9	Prepaid expenses and deferred charges ..........	204,534	9	194,212
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	43,359,122
b	Less: accumulated depreciation .....	10b	22,407,234	20,490,292	10c	20,951,888
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....	133,872	13	98,312
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	330,011	15	530,016
16	Total assets. Add lines 1 through 15 (must equal line 34)......	30,386,591	16	33,362,575
	17	Accounts payable and accrued expenses .........	3,495,130	17	3,021,265
18	Grants payable .................		18
19	Deferred revenue ................	656,557	19	2,581,940
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	6,562	23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	16,420,054	25	11,324,783
26	Total liabilities. Add lines 17 through 25.........	20,578,303	26	16,927,988
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	9,663,935	27	16,287,570
28	Temporarily restricted net assets ...........	144,353	28	147,017
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	9,808,288	33	16,434,587
34	Total liabilities and net assets/fund balances ........	30,386,591	34	33,362,575

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

THE MCDOWELL HOSPITAL INC

Employer identification number

56-0623938

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

THE MCDOWELL HOSPITAL INC

Employer identification number

56-0623938

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization THE MCDOWELL HOSPITAL INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization THE MCDOWELL HOSPITAL INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
THE MCDOWELL HOSPITAL INC

Employer identification number

56-0623938

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

THE MCDOWELL HOSPITAL INC

Employer identification number

56-0623938

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

3,420

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

3,420

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	THE MCDOWELL HOSPITAL IS A MEMBER OF THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA) EACH YEAR, THIS ORGANIZATION ENGAGES IN LOBBYING ACTIVITIES ON BEHALF OF THE MEMBERSHIP BODIES. FOR THE CURRENT YEAR, APPROXIMATELY 22.8% OF NCHA DUES HAVE BEEN ALLOCATED TO LOBBYING EXPENDITURES.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

THE MCDOWELL HOSPITAL INC

Employer identification number

56-0623938

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year
1a	Beginning of year balance ....	25,000
b	Contributions ........	74,844	25,000
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	99,844	25,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

100.000 %

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	518,595		518,595
b	Buildings ................	24,792,769	9,949,226	14,843,543
c	Leasehold improvements ............	921,500	485,361	436,139
d	Equipment ................	15,497,647	11,829,374	3,668,273
e	Other .................	1,628,611	143,273	1,485,338
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				20,951,888

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
SWAP PAYABLE		64,955
NOTE PAYABLE TO MISSION HEALTH SYSTEM		9,230,770
CURRENT DUE TO OTHER RELATED PARTIES		1,673,238
DEFERRED EXPENSE		355,820





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		11,324,783
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	INCOME TAXES: THE HOSPITAL APPLIES THE PROVISIONS OF FASB ASC 740, 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 THE HOSPITAL'S FINANCIAL STATEMENTS AS A RESULTS OF THE APPLICATION OF ASC 740.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

THE MCDOWELL HOSPITAL INC

Employer identification number

56-0623938

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	1,843,589		1,843,589	3.630 %
b	Medicaid (from Worksheet 3, column a) ....	8,090,068	10,063,532	-1,973,464	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	9,933,657	10,063,532	-129,875	3.630 %
Other Benefits		-134,321		-134,321	0 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	-134,321		-134,321	0 %
f	Health professions education (from Worksheet 5) ..	11,504		11,504	0.020 %
g	Subsidized health services (from Worksheet 6) ..	15,010,452	12,418,909	2,591,543	5.110 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	87,969		87,969	0.170 %
j	Total. Other Benefits ..	14,975,604	12,418,909	2,556,695	5.300 %
k	Total. Add lines 7d and 7j .	24,909,261	22,482,441	2,426,820	8.930 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	1,703	1,703	0 %
9	Other
10	Total	1,703	1,703

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,202,383

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

14,140,366

Enter Medicare allowable costs of care relating to payments on line 5.....

12,394,324

Subtract line 6 from line 5. This is the surplus (or shortfall)........

1,746,042

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 MCDOWELL MRI	MEDICAL IMAGING SERVICES	51.000 %	49.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number
1	THE MCDOWELL HOSPITAL 430 RANKIN DRIVE MARION,NC28752 WWW.MCDOWELLHOSPITAL.ORG H0097	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	THE MCDOWELL HOSPITAL INC
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.MCDOWELLHOSPITAL.ORG

Other website (list url): HTTP://WWW.MISSION-HEALTH.ORG/ABOUT-US/VISION-

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Yes

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
THE MCDOWELL HOSPITAL, INC.	PART V, SECTION B, LINE 3: AS PART OF WNC HEALTHY IMPACT, A REGIONAL DATA WORKGROUP OF PUBLIC HEALTH AND HOSPITAL REPRESENTATIVES AND REGIONAL PARTNERS, WITH SUPPORT FROM THE CONSULTING TEAM, MADE RECOMMENDATIONS TO THE STEERING COMMITTEE ON THE DATA APPROACH AND CONTENT USED TO HELP INFORM REGIONAL DATA COLLECTION. THE CORE REGIONAL DATASET WAS INFORMED BY STAKEHOLDER DATA NEEDS, GUIDELINES, AND REQUIREMENTS. FROM DATA COLLECTED AS PART OF THIS CORE DATASET, THE CONSULTING TEAM COMPILED SECONDARY (EXISTING) DATA AND NEW SURVEY FINDINGS FOR EACH COUNTY INTHE 16-COUNTY REGION. THIS ASSESSMENT INCLUDES DATA INTEGRATED FROM THE SECONDARY DATA EFFORTS AS WELL AS THE COMMUNITY HEALTH SURVEY FOR OUR COUNTY.THE BODY OF ASSESSMENT DATA SUPPORTING THIS DOCUMENT IS WIDE-RANGING AND COMPLEX. IN ORDER TO DEVELOP A SUMMARY OF MAJOR FINDINGS, THE CONSULTANT TEAM APPLIED THREE KEY CRITERIA TO NOMINATE DATA FOR INCLUSION IN THIS REPORT. THE DATA DESCRIBED IN THIS REPORT WAS SELECTED BECAUSE:-COUNTY STATISTICS DEVIATE IN SIGNIFICANT WAYS FROM WNC REGIONAL DATA OR NC STATISTICS;-COUNTY TREND DATA SHOW SIGNIFICANT CHANGEPOSITIVE OR NEGATIVE OVER TIME; OR-COUNTY DATA DEMONSTRATE NOTEWORTHY AGE, GENDER, OR RACIAL DISPARITIES.THE RUTHERFORD POLK MCDOWELL DISTRICT HEALTH DEPARTMENT USED AN ONLINE SURVEY MONKEY TOOL TO RECEIVED ADDITIONAL FEEDBACK FROM RESIDENTS IN THE THREE COUNTIES WE SERVE. INFORMATION FOR OUR HEALTH RESOURCE INVENTORY AND 2-1-1 CALLER STATISTICS WAS PROVIDED BY THE 2-1-1- OF WESTERN NORTH CAROLINA AND LISTS HEALTH PROVIDERS IN EACH COUNTY, PULLED FROM THE 2-1-1 DATABASE AS OF JUNE 2012, AS WELL AS DATA ON MOST COMMON REQUESTS AND UNMET NEEDS OF CALLERS TO 2-1-1.
THE MCDOWELL HOSPITAL, INC.	PART V, SECTION B, LINE 4: REGIONAL PARTNERSHIP:THE MCDOWELL HOPSITAL'S COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT EFFORT IS ALSO SUPPORTED BY A COMPREHENSIVE PARTNERSHIP WITH OTHER REGIONAL HOSPITALS AND LOCAL HEALTH DEPARTMENTS. THIS INITIATIVE, KNOWN AS WNC HEALTHY IMPACT, REPRESENTS 16 COUNTIES ACROSS THE WESTERN NORTH CAROLINAREGION WORKING COLLABORATIVELY TO IMPROVE COMMUNITY HEALTH. INFORMATION ABOUT THIS INNOVATIVE REGIONAL COLLABORATION, COUNTY-WIDE COMMUNITY HEALTH ASSESSMENTS, AND OVERALL REGIONAL FINDINGS, ARE MADE WIDELY AVAILABLE TO THE PUBLIC AT WWW.WNCHEALTHYIMPACT.COM.
THE MCDOWELL HOSPITAL, INC.	PART V, SECTION B, LINE 12I: IN ADDITION TO THE OTHER ITEMS LISTED, MCDOWELL'S POLICY CONTAINS A CATASTROPHIC PROVISION DISCOUNT WHEREIN PATIENTS WHO QUALIFY UNDER OUR FINANCIAL ASSISTANCE POLICY WILL NOT OWE MORE THAN 15% OF THEIR ANNUAL INCOME.
THE MCDOWELL HOSPITAL, INC.	PART V, SECTION B, LINE 14G: SEE PART VI, LINE 3: THE MCDOWELL HOSPITAL PROVIDES INFORMATION TO PATIENTS REGARDING THE FINANCIAL ASSISTANCE POLICY BY DIRECTING PATIENTS TO A PATIENT BILLING REPRESENTATIVE OR BY DIRECTING PATIENTS TO THE MISSION HEALTH SYSTEM WEBSITE (WHICH APPLY TO ALL MISSION HEALTH LOCATIONS); MESSAGES ON BILLING STATEMENTS AND IN BROCHURES PROVIDED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS; WAITING ROOMS; AND ADMISSIONS OFFICES, WAS WELL AS ON ADMISSION TO THE HOSPITAL FACILITY. FINANCIAL ASSISTANCE APPLICATION CAN BE A COMPLICATED AND CONFUSING PROCESS TO PATIENTS AND THEIR FAMILY AND THE PROCESS IS BETTER UNDERSTOOD WHEN THE PATIENT HAS AN OPPORTUNITY TO ASK QUESTIONS AND HAVE THE APPLICATION EXPLAINED IN PERSON. PATIENTS MAY ALSO CONTACT MISSION'S CUSTOMER SERVICE CENTER AT (800) 848-8732 WITH ANY QUESTIONS.
THE MCDOWELL HOSPITAL, INC.	PART V, SECTION B, LINE 18E: THE MCDOWELL HOSPITAL PERFORMS THESE ACTIONS BEFORE INITIATING ANY COLLECTION ACTIONS.
THE MCDOWELL HOSPITAL, INC.	PART V, SECTION B, LINE 20D: IT IS THE INTENT OF THIS POLICY THAT ALL UNINSURED PATIENTS QUALIFYING UNDER THE POLICY WILL RECEIVE A DISCOUNT EQUIVALENT TO THE DISCOUNT RECEIVED BY MEDICARE AND COMMERCIALLY INSURED PATIENTS. THIS MINIMUM DISCOUNT LEVEL FOR UNINSURED PATIENTS IS CALCULATED AT LEAST ANNUALLY BY DIVIDING THE SUM OF ALL MEDICARE AND COMMERCIAL INSURANCE PAYMENTS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE FROM CLAIMS THAT HAVE BEEN PAID IN FULL, BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address		Type of Facility (describe)
1	MCDOWELL OBGYN MCDOWELL INTERNAL MEDICI 1633 SUGAR HILL ROAD MARION,NC28752	PRIMARY CARE SERVICES
2	HEALTH PLUS OF MCDOWELL HOSPITAL 472 RANKIN AVENUE MARION,NC28752	PRIMARY CARE - URGENT CARE CLINIC / OUTPATIENT SURGICAL SERVICES
3	MCDOWELL PEDIATRICS 387 US 70 WEST MARION,NC28752	PRIMARY CARE - PEDIATRICS
4	MCDOWELL MRI 430 RANKIN AVENUE MARION,NC28752	OUTPATIENT MRI - IMAGING SERVICES
5	FAMILY MEDICINE - NEBO 339 NEBO SCHOOL ROAD NEBO,NC28761	PRIMARY CARE SERVICES
6	MCDOWELL ORTHOPEDICS 60 MEDICAL SOUTH COURT MARION,NC28752	OUTPATIENT ORTHOPEDIC SERVICES
7	FAMILY MEDICINE - GLENWOOD 5623 US HIGHWAY 221 S MARION,NC28752	PRIMARY CARE SERVICES
8	MCDOWELL OUTPATIENT REHAB SERVICES 348 GRACE CORPENING DRIVE MARION,NC28752	OUTPATIENT REHABILITATION SERVICES
9	MCDOWELL PAIN CLINIC 136 CREEK VIEW COURT MARION,NC28752	PRIMARY CARE SERVICES
10

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
THE MCDOWELL HOSPITAL, INC.	PART V, SECTION B, LINE 3: AS PART OF WNC HEALTHY IMPACT, A REGIONAL DATA WORKGROUP OF PUBLIC HEALTH AND HOSPITAL REPRESENTATIVES AND REGIONAL PARTNERS, WITH SUPPORT FROM THE CONSULTING TEAM, MADE RECOMMENDATIONS TO THE STEERING COMMITTEE ON THE DATA APPROACH AND CONTENT USED TO HELP INFORM REGIONAL DATA COLLECTION. THE CORE REGIONAL DATASET WAS INFORMED BY STAKEHOLDER DATA NEEDS, GUIDELINES, AND REQUIREMENTS. FROM DATA COLLECTED AS PART OF THIS CORE DATASET, THE CONSULTING TEAM COMPILED SECONDARY (EXISTING) DATA AND NEW SURVEY FINDINGS FOR EACH COUNTY INTHE 16-COUNTY REGION. THIS ASSESSMENT INCLUDES DATA INTEGRATED FROM THE SECONDARY DATA EFFORTS AS WELL AS THE COMMUNITY HEALTH SURVEY FOR OUR COUNTY.THE BODY OF ASSESSMENT DATA SUPPORTING THIS DOCUMENT IS WIDE-RANGING AND COMPLEX. IN ORDER TO DEVELOP A SUMMARY OF MAJOR FINDINGS, THE CONSULTANT TEAM APPLIED THREE KEY CRITERIA TO NOMINATE DATA FOR INCLUSION IN THIS REPORT. THE DATA DESCRIBED IN THIS REPORT WAS SELECTED BECAUSE:-COUNTY STATISTICS DEVIATE IN SIGNIFICANT WAYS FROM WNC REGIONAL DATA OR NC STATISTICS;-COUNTY TREND DATA SHOW SIGNIFICANT CHANGEPOSITIVE OR NEGATIVE OVER TIME; OR-COUNTY DATA DEMONSTRATE NOTEWORTHY AGE, GENDER, OR RACIAL DISPARITIES.THE RUTHERFORD POLK MCDOWELL DISTRICT HEALTH DEPARTMENT USED AN ONLINE SURVEY MONKEY TOOL TO RECEIVED ADDITIONAL FEEDBACK FROM RESIDENTS IN THE THREE COUNTIES WE SERVE. INFORMATION FOR OUR HEALTH RESOURCE INVENTORY AND 2-1-1 CALLER STATISTICS WAS PROVIDED BY THE 2-1-1- OF WESTERN NORTH CAROLINA AND LISTS HEALTH PROVIDERS IN EACH COUNTY, PULLED FROM THE 2-1-1 DATABASE AS OF JUNE 2012, AS WELL AS DATA ON MOST COMMON REQUESTS AND UNMET NEEDS OF CALLERS TO 2-1-1.
THE MCDOWELL HOSPITAL, INC.	PART V, SECTION B, LINE 4: REGIONAL PARTNERSHIP:THE MCDOWELL HOPSITAL'S COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT EFFORT IS ALSO SUPPORTED BY A COMPREHENSIVE PARTNERSHIP WITH OTHER REGIONAL HOSPITALS AND LOCAL HEALTH DEPARTMENTS. THIS INITIATIVE, KNOWN AS WNC HEALTHY IMPACT, REPRESENTS 16 COUNTIES ACROSS THE WESTERN NORTH CAROLINAREGION WORKING COLLABORATIVELY TO IMPROVE COMMUNITY HEALTH. INFORMATION ABOUT THIS INNOVATIVE REGIONAL COLLABORATION, COUNTY-WIDE COMMUNITY HEALTH ASSESSMENTS, AND OVERALL REGIONAL FINDINGS, ARE MADE WIDELY AVAILABLE TO THE PUBLIC AT WWW.WNCHEALTHYIMPACT.COM.
THE MCDOWELL HOSPITAL, INC.	PART V, SECTION B, LINE 12I: IN ADDITION TO THE OTHER ITEMS LISTED, MCDOWELL'S POLICY CONTAINS A CATASTROPHIC PROVISION DISCOUNT WHEREIN PATIENTS WHO QUALIFY UNDER OUR FINANCIAL ASSISTANCE POLICY WILL NOT OWE MORE THAN 15% OF THEIR ANNUAL INCOME.
THE MCDOWELL HOSPITAL, INC.	PART V, SECTION B, LINE 14G: SEE PART VI, LINE 3: THE MCDOWELL HOSPITAL PROVIDES INFORMATION TO PATIENTS REGARDING THE FINANCIAL ASSISTANCE POLICY BY DIRECTING PATIENTS TO A PATIENT BILLING REPRESENTATIVE OR BY DIRECTING PATIENTS TO THE MISSION HEALTH SYSTEM WEBSITE (WHICH APPLY TO ALL MISSION HEALTH LOCATIONS); MESSAGES ON BILLING STATEMENTS AND IN BROCHURES PROVIDED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS; WAITING ROOMS; AND ADMISSIONS OFFICES, WAS WELL AS ON ADMISSION TO THE HOSPITAL FACILITY. FINANCIAL ASSISTANCE APPLICATION CAN BE A COMPLICATED AND CONFUSING PROCESS TO PATIENTS AND THEIR FAMILY AND THE PROCESS IS BETTER UNDERSTOOD WHEN THE PATIENT HAS AN OPPORTUNITY TO ASK QUESTIONS AND HAVE THE APPLICATION EXPLAINED IN PERSON. PATIENTS MAY ALSO CONTACT MISSION'S CUSTOMER SERVICE CENTER AT (800) 848-8732 WITH ANY QUESTIONS.
THE MCDOWELL HOSPITAL, INC.	PART V, SECTION B, LINE 18E: THE MCDOWELL HOSPITAL PERFORMS THESE ACTIONS BEFORE INITIATING ANY COLLECTION ACTIONS.
THE MCDOWELL HOSPITAL, INC.	PART V, SECTION B, LINE 20D: IT IS THE INTENT OF THIS POLICY THAT ALL UNINSURED PATIENTS QUALIFYING UNDER THE POLICY WILL RECEIVE A DISCOUNT EQUIVALENT TO THE DISCOUNT RECEIVED BY MEDICARE AND COMMERCIALLY INSURED PATIENTS. THIS MINIMUM DISCOUNT LEVEL FOR UNINSURED PATIENTS IS CALCULATED AT LEAST ANNUALLY BY DIVIDING THE SUM OF ALL MEDICARE AND COMMERCIAL INSURANCE PAYMENTS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE FROM CLAIMS THAT HAVE BEEN PAID IN FULL, BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
THE MCDOWELL HOSPITAL INC

Employer identification number
56-0623938

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MCDOWELL HEALTHCARE FOUNDATION 430 RANKIN AVENUE MARION,NC28752	46-3395393	501(C)(3)	40,221	OPERATIONAL SUPPORT.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	THE MCDOWELL HOSPITAL, INC. PROVIDES SUPPORT TO THE MCDOWELL HEALTHCARE FOUNDATION, INC. AS PART OF ITS EXEMPT PURPOSE. THE HOSPITAL HAS OVERSIGHT THROUGH REVIEW OF THE MONTHLY FINANCIALS OF THE FOUNDATION TO ENSURE THAT IT CONTINUES TO OPERATE IN ACCORDANCE WITH ITS EXEMPT PURPOSE.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

THE MCDOWELL HOSPITAL INC

Employer identification number

56-0623938

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)ROBERT BEDNAREKTRUSTEE	(i) (ii)	0 236,283	0 74,500	0 198,538	0 9,708	0 20,362	0 539,391	0 90,160
(2)JERYLYN WILLIAMSTRUSTEE	(i) (ii)	0 199,772	0 0	0 49,400	0 31,072	0 9,978	0 290,222	0 0
(3)GEORGE GREEN MDTRUSTEE	(i) (ii)	390,003 0	22,010 0	58,272 0	10,200 0	21,176 0	501,661 0	0 0
(4)KATHLEEN GUYETTETRUSTEE	(i) (ii)	0 279,775	0 97,572	0 49,983	0 59,716	0 11,277	0 498,323	0 0
(5)LYNN BOGGSCEO	(i) (ii)	192,425 52,019	0 75,000	1,817 8,808	30,073 9,998	13,923 3,344	238,238 149,169	0 0
(6)CLINT STEWARTREGIONAL DIRECTOR - FINANCE	(i) (ii)	105,004 0	22,000 0	10,181 0	2,200 0	23,264 0	162,649 0	0 0
(7)ADAM KINNINGERPHYSICIAN	(i) (ii)	198,624 0	21,005 0	14,590 0	8,200 0	25,262 0	267,681 0	0 0
(8)SONYA GRECKFORMER CEO	(i) (ii)	0 378,237	0 117,800	0 9,028	0 97,278	0 9,572	0 611,915	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 3

COMPENSATION FOR OFFICERS AND EXECUTIVES ARE SET BY MISSION HEALTH SYSTEM. SEE SCHEDULE O FOR ADDITIONAL DETAIL.

PART I, LINE 4B

DIRECTORS, OFFICERS, KEY EMPLOYEES, TOP FIVE EMPLOYEES, AND FORMER OFFICERS WHO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH CONTRIBUTION AMOUNTS. THESE AMOUNTS ARE DISCLOSED IN THE DEFERRED COMPENSATION SECTION OF SCHEDULE J. LYNN BOGGS $31,532 KATHLEEN GUYETTE $44,416 JERYLYN WILLIAMS $15,106 SONYA GRECK $79,778 DIRECTORS, OFFICERS, KEY EMPLOYEES AND TOP FIVE EMPLOYEES WHO RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THESE PAYMENTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J, PAGE 2. LYNN BOGGS $7,041 KATHLEEN GUYETTE $45,632 ROBERT BEDNAREK $166,305 JERYLYN WILLIAMS $36,738 SONYA GRECK $5,633

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

THE MCDOWELL HOSPITAL INC

Employer identification number

56-0623938

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	MISSION HEALTH SYSTEM, INC, A 501(C)(3) IS THE PARENT COMPANY OF THE MCDOWELL HOSPITAL. IT IS THE SOLE MEMBER OF THE MCDOWELL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	MISSION HEALTH SYSTEM, AS SOLE MEMBER, HAS SOLE VOTING CONTROL OF THE MCDOWELL HOSPITAL, INCORPORATED. AS THE SOLE MEMBER OF THE CORPORATION, MISSION SHALL HAVE THE FOLLOWING RIGHTS AT ALL TIMES WITH RESPECT TO THE CORPORATION: APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION. APPROVAL OF THE MISSION, VISION AND VALUES STATEMENTS OF THE CORPORATION AND ANY AMENDMENTS THERETO. ELECTION AND REMOVAL OF THREE (3) MISSION MEMBERS OF THE BOARD OF DIRECTORS AND APPROVAL OF THE COMMUNITY DIRECTORS SELECTED AND SUBMITTED TO MISSION FOR APPROVAL BY ITS BOARD OF DIRECTORS. APPROVAL OF THE ELECTION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER, PROVIDED HOWEVER, THAT SAID APPROVAL SHALL NOT BE UNREASONABLY WITHHELD.
FORM 990, PART VI, SECTION A, LINE 7B	MISSION HEALTH SYSTEM, INC HAS RESERVE POWERS RELATED TO APPROVAL OF THE SALE, LEASE OR OTHER TRANSFER OF SUBSTANTIALLY ALL THE ASSETS OF MCDOWELL. APPROVAL OF (I) THE PLEDGE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, (II) THE PURCHASE OR SALE OF PROPERTY OUTSIDE THE ORDINARY COURSE OF BUSINESS, AND (III) LONG-TERM BORROWING (FOR A TERM OF MORE THAN ONE (1) YEAR) BY THE CORPORATION ABOVE FINANCIAL AND OTHER LIMITS REASONABLY RECOMMENDED BY MISSION FOR THE CORPORATION'S BOARD APPROVAL UNLESS SUCH BORROWING IS APPLIED TO PAY IN FULL ALL INDEBTEDNESS OWED BY THE CORPORATION TO MISSION. ELECTION AND REMOVAL OF THREE (3) MISSION MEMBERS OF THE BOARD OF DIRECTORS AND APPROVAL OF THE COMMUNITY DIRECTORS SELECTED AND SUBMITTED TO MISSION FOR APPROVAL BY ITS BOARD OF DIRECTORS. APPROVAL OF THE FORMATION AND GOVERNANCE OF ANY NEW CORPORATIONS, PARTNERSHIPS OR JOINT VENTURES, ABOVE FINANCIAL AND OTHER LIMITS APPROVED BY MISSION FOR THE CORPORATION'S BOARD APPROVAL, IN WHICH THE CORPORATION HAS AN INTEREST THROUGH MEMBERSHIP, VOTING STOCK OR OTHER EQUITY PARTICIPATION. APPROVAL OF THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. APPROVAL OF THE ELECTION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER, PROVIDED HOWEVER, THAT SAID APPROVAL SHALL NOT BE UNREASONABLY WITHHELD.
FORM 990, PART VI, SECTION B, LINE 11	THE ORGANIZATION PROVIDES DATA TO THE SENIOR TREASURY ANALYST OF TAX SERVICES FOR MISSION HEALTH SYSTEM, INC. THE 990 IS PREPARED AND REVIEWED BY MANAGEMENT PRIOR TO THE REVIEW BY THE MCDOWELL HOSPITAL FINANCE COMMITTEE. AN INDEPENDENT ACCOUNTING FIRM REVIEWS SCHEDULE R. AFTER REVIEW BY THE BOARD, AND REVISIONS FOR ANY CLARIFICATIONS OR CORRECTIONS, THE FULL COPY OF THE 990 IS PROVIDED TO THE BOARD PRIOR TO FILING THE 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE INDEPENDENT DIRECTORS WILL REVIEW CONFLICTS OF INTEREST AND DISABLING SITUATIONS, CONSIDER ANY ISSUES INVOLVING CONFLICTS AND MAKE DETERMINATIONS AS TO WHETHER A PARTICULAR RELATIONSHIP OR ARRANGEMENT WOULD DISABLE AN INDIVIDUAL FROM SERVING AS A FIDUCIARY FOR THE BOARD OR WOULD REASONABLY BE EXPECTED TO EXERT AN INFLUENCE ON THE INDIVIDUAL'S JUDGMENT AND THEREFORE PRECLUDE THE INDIVIDUAL FROM BEING AN INDEPENDENT DIRECTOR. THE BOARD MAY RETAIN COUNSEL FROM OUTSIDE AUDIT, LEGAL, GOVERNANCE OR OTHER EXPERTS. ANY DETERMINATION OF PERCENT OF REVENUE OR INCOME RECEIVED BY AN INDIVIDUAL OR ENTITY MAY BE BASED ON CERTIFICATIONS FROM OUTSIDE AUDITORS OF DISCLOSURES MADE DIRECTLY BY THE INDIVIDUAL TO THE AUDIT FIRM. PROCEDURES UPON DETERMINATION OF A CONFLICT OF INTEREST: THE INTERESTED PERSON SHALL NOT PARTICIPATE IN ANY DISCUSSION OR VOTE REGARDING THE BUSINESS RELATIONSHIP ISSUE, AND SHALL NOT BE PRESENT IN THE MEETING ROOM FOR ANY PART OF THE DISCUSSION OR VOTE RELATING TO THE BUSINESS RELATIONSHIP ISSUE. THE BOARD OF DIRECTORS WILL DISCUSS THE BUSINESS RELATIONSHIP BUT WILL NOT FORMALLY APPROVE SUCH BUSINESS RELATIONSHIP UNLESS THE DISINTERESTED MEMBERS OF THE BOARD HAVE DECIDED BY MAJORITY VOTE THAT THE BUSINESS RELATIONSHIP IS IN THE BEST INTERESTS OF AND FOR THE BENEFIT OF MCDOWELL, AND IS FAIR AND REASONABLE THERETO IN ALL RESPECTS.
FORM 990, PART VI, SECTION B, LINE 15	THE SETTING AND REVIEW OF COMPENSATION OF MCDOWELL HOSPITALS OFFICERS AND KEY EMPLOYEES IS CONDUCTED BY ITS SOLE MEMBER, MISSION HEALTH SYSTEM, INC. BASE COMPENSATION IS PRIMARILY DETERMINED BY USING THE PREVAILING MARKET RATE FOR THAT POSITION. ADDITIONAL COMPENSATION INCENTIVES ARE DETERMINED USING THE SAME PROCESS AND REVIEWED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	THE MCDOWELL HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE ATTACHED TO THIS FORM 990 OR ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 7,589,051. MANAGEMENT AND GENERAL EXPENSES 1,339,234. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,928,285. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,636,781. MANAGEMENT AND GENERAL EXPENSES 818,255. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,455,036. PHYSICIAN BILLING: PROGRAM SERVICE EXPENSES 739,617. MANAGEMENT AND GENERAL EXPENSES 130,521. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 870,138. MISC FEES: PROGRAM SERVICE EXPENSES 518,464. MANAGEMENT AND GENERAL EXPENSES 91,494. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 609,958.
FORM 990, PART XI, LINE 9:	RECLASS TEMPORARILY RESTRICTED NET ASSETS -45,882.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

THE MCDOWELL HOSPITAL INC

Employer identification number

56-0623938

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) MISSION HOSPITAL INC 400 RIDGEFIELD COURT SUITE 100 ASHEVILLE,NC28806 56-0532141	ACUTE CARE HOSPITAL	NC	501(C)(3)	LINE 3	MISSION HEALTH SYSTEM INC		No
(2) MISSION HEALTHCARE FOUNDATION INC 400 RIDGEFIELD COURT SUITE 100 ASHEVILLE,NC28806 56-1881331	FOUNDATION	NC	501(C)(3)	LINE 7	MISSION HEALTH SYSTEM INC		No
(3) MISSION HEALTH SYSTEM INC 400 RIDGEFIELD COURT SUITE 100 ASHEVILLE,NC28806 58-1450888	SUPPORTING ORGANIZATION	NC	501(C)(3)	LINE 11A, I			No
(4) MISSION MEDICAL ASSOCIATES INC 400 RIDGEFIELD COURT ASHEVILLE,NC28806 26-3627231	EMPLOYED PHYSICIAN GROUP	NC	501(C)(3)	LINE 9	MISSION HEALTH SYSTEM INC		No
(5) BLUE RIDGE REGIONAL HOSPITAL POST OFFICE BOX 9 SPRUCE PINE,NC28777 56-1025032	COMMUNITY HOSPITAL	NC	501(C)(3)	LINE 3	MISSION HEALTH SYSTEM INC		No
(6) BLUE RIDGE REGIONAL HOSPITAL FOUNDATION PO BOX 247 SPRUCE PINE,NC28777 58-2172660	FOUNDATION	NC	501(C)(3)	LINE 11A, I	BLUE RIDGE REGIONAL HOSPITAL INC		No
(7) MCDOWELL HEALTHCARE FOUNDATION INC 430 RANKIN DRIVE MARION,NC28752 46-3395393	FOUNDATION	NC	501(C)(3)	LINE 11A, I	THE MCDOWELL HOSPITAL INC		No
(8) TRANSYLVANIA COMMUNITY HOSPITAL INC 260 HOSPITAL DRIVE BREVARD,NC28712 56-0562293	COMMUNITY HOSPITAL	NC	501(C)(3)	LINE 3	MISSION HEALTH SYSTEM INC		No
(9) TRANSYLVANIA REGIONAL HOSPITAL FOUNDATION INC PO BOX 2440 BREVARD,NC28712 56-1458024	FOUNDATION	NC	501(C)(3)	LINE 11A, I	TRANSYLVANIA COMMUNITY HOSPITAL		No
(10) ANGEL MEDICAL CENTER INC PO BOX 1209 FRANKLIN,NC28744 56-6000064	COMMUNITY HOSPITAL	NC	501(C)(3)	LINE 3	MISSION HEALTH SYSTEM INC		No
(11) TRANSYLVANIA PHYSICIAN SERVICES INC 260 HOSPITAL DRIVE BREVARD,NC28712 56-1920816	PHYSICIAN SERVICES	NC	501(C)(3)	LINE 3	TRANSYLVANIA COMMUNITY HOSPITAL		No
(12) ANGEL MEDICAL CENTER AUXILIARY PO BOX 1209 FRANKLIN,NC28744 56-2133719	SUPPORTING ORGANIZATION	NC	501(C)(3)	LINE 11A, I	ANGEL MEDICAL CENTER INC		No
(13) HIGHLANDS-CASHIERS HOSPITAL INC PO BOX 190 HIGHLANDS,NC28741 56-0509400	COMMUNITY HOSPITAL	NC	501(C)(3)	LINE 3	MISSION HEALTH SYSTEM INC		No
(14) HIGHLANDS-CASHIERS PHYSICIAN SERVICES INC PO BOX 742 HIGHLANDS,NC28741 45-2422428	PHYSICIAN SERVICES	NC	501(C)(3)	LINE 11A, I	HIGHLANDS-CASHIERS HOSPITAL INC		No
(15) COMMUNITY CAREPARTNERS INC PO BOX 5779 ASHEVILLE,NC28813 56-2005198	LONG TERM REHABILITATION	NC	501(C)(3)	LINE 9	MISSION HEALTH SYSTEM INC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) ASHEVILLE IMAGING LLP 534 BILTMORE AVENUE ASHEVILLE,NC28801 56-1907201	OUTPATIENT SERVICES	NC	N/A
(2) ASHEVILLE MRI PO BOX 2959 ASHEVILLE,NC28802 56-1665863	IMAGING SERVICES	NC	N/A
(3) BLUE RIDGE DME LLC 125 HOSPITAL DRIVE SPRUCE PINE,NC28777 26-3570174	HOME MEDICAL EQUIPMENT & SUPPLIES SALES	NC	N/A
(4) BLUE RIDGE-TKC LLC 5935 CARNEGIE BLVD CHARLOTTE,NC28209 47-1382912	REAL ESTATE RENTAL	NC	N/A
(5) BREVARD MRI AT TRANSYLVANIA REGIONAL HOSPITAL LLC 260 HOSPITAL DRIVE BREVARD,NC28712 20-3281110	MEDICAL	NC	N/A
(6) HEALTHCARE III LIMITED PARTNERSHIP 260 HOSPITAL DRIVE BREVARD,NC28712 56-1599696	RENTAL	NC	N/A
(7) HEALTHCARE LIMITED LIABILITY COMPANY VII 260 HOSPITAL DRIVE BREVARD,NC28712 20-0343455	RENTAL	NC	N/A
(8) IMAGING REALTY LLP 534 BILTMORE AVENUE ASHEVILLE,NC28801 56-1907203	MEDICAL BUILDING	NC	N/A
(9) MCDOWELL MRI LLC 414 RANKIN AVENUE MARION,NC28752 75-3046378	MEDICAL IMAGING	NC	THE MCDOWELL HOSPITAL	RELATED	56,309	61,549		No		Yes		51.000 %
(10) MSJHS AND CCP JOINT DEVELOPMENT COMPANY LLC 428 BILTMORE AVENUE ASHEVILLE,NC28801 56-2250464	LONG TERM ACUTE CARE HOSPITAL	NC	N/A
(11) SPRUCE PINE HEALTHCARE LLC 5935 CARNEGIE BLVD CHARLOTTE,NC28209 47-1390107	REAL ESTATE	NC	N/A
(12) TRANSYLVANIA HEALTHECARE II LIMITED PARTNERSHIP 2 MEDICAL PARK DRIVE BREVARD,NC28712 20-0333230	RENTAL	NC	N/A
(13) WESTERN NC HEALTHCARE INNOVATORS III LLC 5935 CARNEGIE BLVD CHARLOTTE,NC28209 46-4053310	REAL ESTATE RENTAL	NC	N/A
(14) WESTERN NC HEALTHCARE INNOVATORS LLC 5935 CARNEGIE BLVD CHARLOTTE,NC28209 80-0787882	REAL ESTATE RENTAL	NC	N/A
(15) WESTERN REGIONAL RADIATION THERAPY CENTER 68 HOSPITAL DRIVE SYLVA,NC28799 56-1849395	RADIATION THERAPY	NC	N/A
(16) WNC STONE CENTER 509 BILTMORE AVENUE ASHEVILLE,NC28801 27-2152974	LITHOTRIPSY RENTAL	NC	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) MISSION VENTURES INC 400 RIDGEFIELD COURT SUITE 100 ASHEVILLE,NC28806 56-1341621	HOLDING COMPANY	NC	N/A	C				No
(2) HORIZON MANAGEMENT SERVICES INC (LIQUIDATED SEPTEMBER 2014) 213 RIDGEFIELD COURT ASHEVILLE,NC28806 56-1341624	PATIENT BILLING AND COLLECTION SERVICES, MEDICAL PROPERTY	NC	N/A	C				No
(3) DOGWOOD INSURANCE COMPANY LTD THE GRANT PAVILION COMMERCIAL CENTR CJ	CAPTIVE INSURANCE ENTITY	CJ	N/A	C				No
(4) TRANSYLVANIA SERVICES INC 260 HOSPITAL DRIVE BREVARD,NC28712 56-1448199	REAL ESTATE	NC	N/A	C				No
(5) MISSION HEALTH PARTNERS INC 509 BILTMORE AVENUE ASHEVILLE,NC28806 46-5566095	CLINICALLY INTEGRATED NETWORK	NC	N/A	C				No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MCDOWELL MRI	A	61,284	FMV
(2) MCDOWELL MRI	L	231,644	FMV
(3) MCDOWELL MRI	S	51,000	FMV
(4) MCDOWELL HEALTHCARE FOUNDATION	B	40,221	FMV
(5) MCDOWELL HEALTHCARE FOUNDATION	C	25,744	FMV

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE ACUTE CARE INPATIENT, OUTPATIENT AND EMERGENCY MEDICAL CARE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	511
6	Total number of volunteers (estimate if necessary) .............	6	125
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	342,604	164,501
9	Program service revenue (Part VIII, line 2g) .........	48,159,017	57,142,021
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	92,597	67,505
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	17,385	18,193
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	48,611,603	57,392,220
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	24,908	40,221
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	21,397,379	20,994,328
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	25,914,409	29,685,490
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	47,336,696	50,720,039
19	Revenue less expenses. Subtract line 18 from line 12.......	1,274,907	6,672,181
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	30,386,591	33,362,575
21	Total liabilities (Part X, line 26).............	20,578,303	16,927,988
22	Net assets or fund balances. Subtract line 21 from line 20.....	9,808,288	16,434,587

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 42,975,217 including grants of $ 40,221 ) (Revenue $ 57,142,021 )
	DURING THE YEAR, MCDOWELL HOSPITAL HAS COMMITTED TO PROMOTING HEALTH IN OUR COMMUNITY THROUGH DIVERSE AND INNOVATIVE PROGRAMS, DESIGNED TO REACH A BROAD-RANGE TARGET POPULATION AND CREATE THE HIGHEST IMPACT, WITH A SPECIAL EMPHASIS ON THE UNINSURED AND UNDERINSURED. THESE PROGRAMS INCLUDE SPORTS MEDICINE THROUGH OUR LOCAL SCHOOL, MONTHLY "LADIES NIGHT OUT" HEALTHCARE EDUCATION SEMINARS, NATIONAL CANCER SURVIVOR DAY CELEBRATION AND A QUARTERLY MAGAZINE PUBLICATION TO YOUR HEALTH. WHILE NOT AN EXHAUSTIVE LIST, THESE PROGRAMS PROVIDE AN EXAMPLE OF OUR EFFORTS TO PROMOTE HEALTHY LIVING WITHIN OUR COMMUNITY.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses42,975,217

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) FORREST SPRINKLE........................................................................ PHARMACIST	50.00 .......................	X		116,138	0	19,670
(19) SHARON SUMMER........................................................................ PHYSICIAN	50.00 .......................	X		107,182	0	6,072
(20) TERESA WALL........................................................................ DIRECTOR OF RURAL HEALTH PLANNING & DEVELOPMENT	40.00 .......................0.00	X		119,948	0	19,597
(21) SONYA GRECK........................................................................ FORMER CEO	0.00 .......................60.00		X	0	505,065	106,850

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,503,640	1,826,715	442,732

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		25,744
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		138,757

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			164,501
			Business Code
2a	NET PATIENT SERVICE REVENUE		900099	55,106,019	55,106,019
b	OTHER OPERATING REVENUE		900099	2,020,562	2,020,562
c	MRI PARTNERSHIP		621990	15,440	15,440
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			57,142,021
3	Investment income (including dividends, interest, and other similar amounts).......			764			764
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	61,284
b	Less: rental expenses	43,091
c	Rental income or (loss)	18,193
d	Net rental income or (loss).......			18,193			18,193
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	72,016
b	Less: cost or other basis and sales expenses	0	5,275
c	Gain or (loss)	72,016	-5,275
d	Net gain or (loss)..........			66,741			66,741
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			57,392,220	57,142,021	0	85,698


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			11,039	1	16,249
2	Savings and temporary cash investments .........			1,563,671	2	1,465,594
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			6,884,057	4	9,367,672
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				8,899	5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			28,752	7
8	Inventories for sale or use ..............			731,464	8	738,632
9	Prepaid expenses and deferred charges ..........			204,534	9	194,212
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	43,359,122
b	Less: accumulated depreciation .....	10b	22,407,234	20,490,292	10c	20,951,888
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....			133,872	13	98,312
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			330,011	15	530,016
16	Total assets. Add lines 1 through 15 (must equal line 34)......			30,386,591	16	33,362,575
17	Accounts payable and accrued expenses .........			3,495,130	17	3,021,265
18	Grants payable .................				18
19	Deferred revenue ................			656,557	19	2,581,940
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			6,562	23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			16,420,054	25	11,324,783
26	Total liabilities. Add lines 17 through 25.........			20,578,303	26	16,927,988
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			9,663,935	27	16,287,570
28	Temporarily restricted net assets ...........			144,353	28	147,017
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			9,808,288	33	16,434,587
34	Total liabilities and net assets/fund balances ........			30,386,591	34	33,362,575