TY 2018 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) Janice W Brumit...................................................................... Chair END JAN 2019	1.0 ................. 4.0	X	X		0	0	0
(2) Ernest Ferguson...................................................................... Director END JAN 2019	1.0 ................. 0.0	X			0	0	0
(3) Dr Christopher Flanders...................................................................... Director END JAN 2019	1.0 ................. 0.0	X			0	0	0
(4) Tina Foster...................................................................... Director END JAN 2019	1.0 ................. 4.0	X			0	0	0
(5) LaVoy Spooner...................................................................... Director END JAN 2019	1.0 ................. 0.0	X			0	0	0
(6) Ronald Paulus MD...................................................................... President, ANC END JAN 2019	10.0 ................. 60.0	X			0	3,403,218	617,020
(7) Dr John Garrett...................................................................... Chair	0.25 ................. 3.75	X	X		0	0	0
(8) Tom Maher...................................................................... Vice Chair	0.25 ................. 3.75	X	X		0	0	0
(9) Paul McDowell...................................................................... SVP & CFO, ANC Healthcare	5.0 ................. 55.0		X		0	885,665	152,503
(10) David Franklin...................................................................... President,Mission Physican	59.0 ................. 1.0		X		0	1,321,182	213,651
(11) Jeff D'Agostino...................................................................... Chief Admin Officer	58.0 ................. 2.0		X		0	494,305	84,104
(12) NEIL LURIA...................................................................... CEO, CHIEF WIND-DOWN OFF.	0.25 ................. 19.75		X		0	0	0
(13) MATTHEW RUBIN...................................................................... CFO, SEC, TREAS.	0.25 ................. 19.75		X		0	0	0
(14) Charles LeCroy MD...................................................................... Physician	40.0 ................. 2.0			X	690,339	0	43,722
(15) Harold Frisch MD...................................................................... Physician	40.0 ................. 0.0			X	634,804	0	42,719
(16) Oscar Jenkins MD...................................................................... Physician	40.0 ................. 0.0			X	618,150	0	45,253
(17) Brian Asbill MD...................................................................... Physician	40.0 ................. 0.0			X	515,732	0	46,400

(A) Name and business address	(B) Description of services	(C) Compensation
ASHEVILLE ORTHOPAEDIC ASSOCIATES, 310 LONG SHOALS RD SUITE 201 ARDEN,NC28704	PROFESSIONAL SVCS.	11,518,098
ABEO MANAGEMENT CORPORATION, 5001 LBJ FREEWAY SUITE 320 DALLAS,TX75244	SERVICES	1,286,919
INSIGHT TELEPSYCHIATRY LLC, 4525 N RAVENSWOOD AVE CHICAGO,IL60640	Medical Services	744,067
ALLMEDS INC, 151 LAFAYETTE DR 401 OAK RIDGE,TN37830	Medical Products	124,200
REGIONAL SURGICAL SPECIALISTS, 853 N CHURCH ST 500 SPARTANBURG,SC29303	Professional SVCS.	106,849
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 6

- 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.
right arrow

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

ANC Mission Medical Associates Inc

Employer identification number

26-3627231

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. 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 VI 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	213,114	260,000	481,865	689,567	14,712,553	16,357,099
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	115,029,173	131,139,678	176,757,267	189,258,603	64,397,769	676,582,490
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....						0
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...						0
5	The value of services or facilities furnished by a governmental unit to the organization without charge						0
6	Total. Add lines 1 through 5	115,242,287	131,399,678	177,239,132	189,948,170	79,110,322	692,939,589
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons						0
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.						0
c	Add lines 7a and 7b..						0
8	Public support. (Subtract line 7c from line 6.)						692,939,589

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...	115,242,287	131,399,678	177,239,132	189,948,170	79,110,322	692,939,589
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	777,018	17,840	70,011	53,967	29,736	948,572
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	777,018	17,840	70,011	53,967	29,736	948,572
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.						0
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..						0
13	Total support. (Add lines 9, 10c, 11, and 12.)..	116,019,305	131,417,518	177,309,143	190,002,137	79,140,058	693,888,161

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

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

99.863 %

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

99.760 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

0.137 %

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

0.240 %

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

ANC Mission Medical Associates Inc

Employer identification number

26-3627231

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization ANC Mission Medical Associates 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	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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization ANC Mission Medical Associates Inc		Employer identification number 26-3627231

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization ANC Mission Medical Associates Inc			Employer identification number 26-3627231
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2018)

Additional Data

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

ANC Mission Medical Associates Inc

Employer identification number

26-3627231

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 on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Were any amounts reported on 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" on 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) 2018

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 on 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 in column (B) reported as deferred on 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)
1Ronald Paulus MD President, ANC END JAN 2019	(i) (ii)	0 ------------- 1,103,073	0 ------------- 1,154,710	0 ------------- 1,145,435	0 ------------- 586,951	0 ------------- 30,069	0 ------------- 4,020,238	0 ------------- 1,138,532
2Paul McDowell SVP & CFO, ANC Healthcare	(i) (ii)	0 ------------- 496,701	0 ------------- 317,479	0 ------------- 71,485	0 ------------- 125,750	0 ------------- 26,753	0 ------------- 1,038,168	0 ------------- 68,245
3David Franklin President,Mission Physican	(i) (ii)	0 ------------- 782,421	0 ------------- 530,538	0 ------------- 8,223	0 ------------- 200,933	0 ------------- 12,718	0 ------------- 1,534,833	0 ------------- 0
4Jeff D'Agostino Chief Admin Officer	(i) (ii)	0 ------------- 306,313	0 ------------- 185,112	0 ------------- 2,880	0 ------------- 57,870	0 ------------- 26,234	0 ------------- 578,409	0 ------------- 0
5Charles LeCroy MD Physician	(i) (ii)	520,329 ------------- 0	121,264 ------------- 0	48,746 ------------- 0	16,500 ------------- 0	27,222 ------------- 0	734,061 ------------- 0	0 ------------- 0
6Harold Frisch MD Physician	(i) (ii)	508,446 ------------- 0	119,464 ------------- 0	6,894 ------------- 0	16,500 ------------- 0	26,219 ------------- 0	677,523 ------------- 0	0 ------------- 0
7Oscar Jenkins MD Physician	(i) (ii)	558,629 ------------- 0	14,120 ------------- 0	45,401 ------------- 0	16,500 ------------- 0	28,753 ------------- 0	663,403 ------------- 0	0 ------------- 0
8Brian Asbill MD Physician	(i) (ii)	460,190 ------------- 0	14,120 ------------- 0	41,422 ------------- 0	16,500 ------------- 0	29,900 ------------- 0	562,132 ------------- 0	0 ------------- 0
9Robert W Fields MD Former Medical Director	(i) (ii)	270,965 ------------- 0	72,655 ------------- 0	2,222 ------------- 0	13,835 ------------- 0	25,126 ------------- 0	384,803 ------------- 0	0 ------------- 0
10Angela Fletcher Former COO/VP related Org.	(i) (ii)	0 ------------- 214,515	0 ------------- 51,359	0 ------------- 40,490	0 ------------- 37,146	0 ------------- 18,555	0 ------------- 362,065	0 ------------- 38,406
11Myron Smith MD PHYSICIAN	(i) (ii)	605,376 -------------	0 ------------- 0	16,161 ------------- 0	11,000 ------------- 0	27,396 ------------- 0	659,933 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

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 ANC Healthcare (FKA Mission Health System). See schedule o for additional detail.
Part I, Line 4b:	Persons who participated in a supplemental non-qualified retirement plan are listed below. The contributions to the Supplemental Non-Qualified Retirement Plan are included on Schedule J, Part II, Column C as part of deferred compensation: Ronald Paulus $573,201 Angela Fletcher $ 25,971 Paul McDowell $112,000 David Franklin $192,683 Jeff D'Agostino $ 49,620 Persons who received a payment from a supplemental nonqualified retirement plan are listed below. The payments are included in Schedule J, Part II, Column B(iii) Ronald Paulus $1,138,532 Angela Fletcher $ 38,406 Paul McDowell $ 68,245

Return Reference

Explanation

Part I, Line 3:

Compensation for officers and executives are set by ANC Healthcare (FKA Mission Health System). See schedule o for additional detail.

Part I, Line 4b:

Persons who participated in a supplemental non-qualified retirement plan are listed below. The contributions to the Supplemental Non-Qualified Retirement Plan are included on Schedule J, Part II, Column C as part of deferred compensation: Ronald Paulus $573,201 Angela Fletcher $ 25,971 Paul McDowell $112,000 David Franklin $192,683 Jeff D'Agostino $ 49,620 Persons who received a payment from a supplemental nonqualified retirement plan are listed below. The payments are included in Schedule J, Part II, Column B(iii) Ronald Paulus $1,138,532 Angela Fletcher $ 38,406 Paul McDowell $ 68,245

Schedule J (Form 990) 2018

Additional Data

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SCHEDULE N
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Liquidation, Termination, Dissolution, or Significant Disposition of Assets
bullet

Complete if the organization answered "Yes" on Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet

Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet

Attach to Form 990 or 990-EZ.
bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
ANC Mission Medical Associates Inc

Employer identification number
26-3627231

Part I

Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 31, or Form 990-EZ, line 36. Part I can be duplicated if additional space is needed. Click to see attachment

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

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

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2018)

Page 2

Part I

Liquidation, Termination, or Dissolution (continued)

Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.

Yes

Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III .............

Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? ......

If "Yes," did the organization provide such notice? .....................

Did the organization discharge or pay all of its liabilities in accordance with state laws? .....................

Did the organization have any tax-exempt bonds outstanding during the year? .....................

If "Yes" on line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?

If "Yes" on line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" on line 6b, explain in Part III.

Part II

Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity
CASH	02-01-2019	930,109	book value	38-4091276	MH MASTER HOLDINGS LLLP PO Box 570 Nashville,TN37202	LLLP
Accounts Receivable	02-01-2019	12,948,789	sale valuation	38-4091276	MH MASTER HOLDINGS LLLP PO Box 570 Nashville,TN37202	LLLP
Inventory	02-01-2019	50,879	sale valuation	38-4091276	MH MASTER HOLDINGS LLLP PO Box 570 Nashville,TN37202	LLLP
Prepaid and other	02-01-2019	1,197,426	sale valuation	38-4091276	MH MASTER HOLDINGS LLLP PO Box 570 Nashville,TN37202	LLLP
Property Plant and Equipment	02-01-2019	4,098,798	sale evaluation	38-4091276	MH MASTER HOLDINGS LLLP PO Box 570 Nashville,TN37202	LLLP
Cash	02-01-2019	6,089	Book Value	58-1450888	ANC Healthcare Inc 425 W New England Ave Ste 300 Winter Park,FL32789	501(C)(3)
Accounts Receivable	02-01-2019	21,373	Book Value	58-1450888	ANC Healthcare Inc 425 W New England Ave Ste 300 Winter Park,FL32789	501(C)(3)
Intercompany Accounts Receivable	02-01-2019	4,078,280	Book Value	58-1450888	ANC Healthcare Inc 425 W New England Ave Ste 300 Winter Park,FL32789	501(C)(3)

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

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

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2018)

Page 3

Part III

Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule N, Part I

BOARD RESOLUTION FOR SALE OF ENTITY: THE ENTITY'S OPERATIONS CEASED DUE TO SALE OF ITS ASSETS ON 2/1/19. THE ENTITY IS IN PROCESS OF WINDING DOWN FOR EVENTUAL TERMINATION. SEE ATTACHED FOR A COPY OF BOARD RESOLUTION FOR SALE OF THE ENTITY. ASSUMPTION OF LIABILITIES: As a part of the sale, MH Master Holdings, LLLP also took over the working capital liabilities amounting to $16,048,013 As a part of the transfer, ANC Healthcare, Inc. took over the following liabilities; Accounts Payable of $7,552,264, and intercompany accounts payable of $374,789,715

Schedule N, part II, Line 2b

SUCCESSOR ORGANIZATION EMPLOYEES: THE FOLLOWING DIRECTORS AND OFFICERS BECAME EMPLOYEES OF A COMPANY THAT IS RELATED TO MH MASTER HOLDINGS, LLLP, THE ENTITY WHICH PURCHASED THE ASSETS: Chris Flanders, M.D. David Franklin Jeff D'Agostino Paul Mcdowell NONE ARE DIRECTORS OR OFFICERS OF THE SUCCESSOR COMPANY. RONALD A. PAULUS, M.D. BECAME AN INDEPENDENT CONTRACTOR OF THE SUCCESSOR ORGANIZATION.

Schedule N (Form 990 or 990-EZ) (2018)

Additional Data

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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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

ANC Mission Medical Associates Inc

Employer identification number

26-3627231

Return Reference	Explanation
Form 990, Part III, Line 1, Description of Organization Mission:	The organization's mission is to provide physician services in predominantly rural areas that are insufficiently served, thereby improving the health care of the general public. In many cases this involves recruiting and placing primary care physicians, as well as pediatric and adult specialty services close to where people live and work. Form 990, Part III, LinE, 3: THE ENTITY'S OPERATIONS CEASED DUE TO SALE OF ITS ASSETS ON 2/1/19. THE ENTITY IS IN PROCESS OF TERMINATION. Form 990, Part V, Line 1A: THE ORGANIZATION'S PAYMENTS WHICH WOULD OTHERWISE BE REPORTED ON FORMS 1099 ARE PAID AND REPORTED TO THE IRS ON FORM 1096 BY THE ORGANIZATION'S PARENT ORGANIZATION ANC HEALTHCARE, INC., HOWEVER THE EXPENSES RELATED TO THOSE PAYMENTS ARE RECORDED ON THE FINANCIAL ACTIVITY OF THE ORGANIZATION TO WHICH THEY RELATE. THEREFORE, THERE ARE PROFESSIONAL SERVICES REPORTED ON PART IX, BUT NO 1099'S FILED BY THE ORGANIZATION.
Form 990, Part VI, Section A, line 4:	Mission Medical Associates, Inc. changed its name to ANC Mission Medical Associates, Inc. during calendar year 2019. The filing organization will hereby be referred to as "The Organization" throughout the return unless otherwise indicated by its old name Mission Medical Associates, Inc. THE ORGANIZATION AMENDED ITS BYLAWS EFFECTIVE FEBRUARY 1, 2019 TO UPDATE THE NUMBER OF BOARD MEMBERS TO TWO (2), UPDATED THE OFFICERS OF THE CORPORATION AND MADE OTHER UPDATES CONSISTENT WITH THE SALE OF ASSETS AND WIND-DOWN OF THE ORGANIZATION.
Form 990, Part VI, Section A, line 6:	ANC Healthcare (FKA Mission Health System) is the sole member of The Organization.
Form 990, Part VI, Section A, line 7a:	EFFECTIVE FEBRUARY 1, 2019: THE CORPORATION SHALL HAVE ONLY ONE (1) MEMBER, WHICH SHALL BE ANC HEALTHCARE, INC. (THE "PARENT"), AN ORGANIZATION WHICH IS EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND ITS SUCCESSORS AND ASSIGNS. ANY DIRECTOR MAY BE REMOVED, EITHER FOR OR WITHOUT CAUSE, BY THE PARENT BOARD. ANY POSITION OF ANY DIRECTOR THAT HAS BEEN REMOVED AS PROVIDED IN THIS SECTION 4.3 SHALL BE FILLED BY THE PARENT BOARD.
Form 990, Part VI, Section A, line 7b:	EFFECTIVE FEBRUARY 1, 2019: THE BOARD OF DIRECTORS SHALL NOT TAKE OR AGREE TO TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT THE PRIOR WRITTEN CONSENT OF THE PARENT BOARD, WHICH CONSENT MAY BE WITHHELD, CONDITIONED OR DELAYED IN THE ABSOLUTE DISCRETION OF THE PARENT BOARD: (I) ISSUE, SELL (OR OTHER DISPOSITION), SPLIT, COMBINE OR RECLASSIFY ANY SHARES OF THE CAPITAL STOCK (OR EQUIVALENT EQUITY INTERESTS) OF THE CORPORATION, GRANT OF ANY OPTIONS, WARRANTS OR OTHER RIGHTS TO PURCHASE OR OBTAIN (INCLUDING UPON CONVERSION, EXCHANGE OR EXERCISE) ANY CAPITAL STOCK (OR OTHER EQUITY INTERESTS), OR DECLARATION OR PAYMENT OF ANY DIVIDENDS OR DISTRIBUTIONS ON OR IN RESPECT OF ANY CAPITAL STOCK (OR OTHER EQUITY INTERESTS) OR REDEMPTION, PURCHASE OR ACQUISITION OF ANY CAPITAL STOCK (OR OTHER EQUITY INTERESTS); (II) MATERIALLY CHANGE IN ANY METHOD OF ACCOUNTING OR ACCOUNTING PRACTICE OF THE CORPORATION OR ITS CASH MANAGEMENT PRACTICES OR POLICIES, PRACTICES, EXCEPT AS REQUIRED BY THE U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES; (III) TRANSFER, ASSIGN, SELL OR OTHERWISE DISPOSE OF ANY OF THE ASSETS OF THE CORPORATION OUTSIDE OF THE ORDINARY COURSE OF BUSINESS; (IV) TRANSFER, ASSIGN OR GRANT OF ANY LICENSE OR SUBLICENSE OF ANY MATERIAL RIGHTS UNDER OR WITH RESPECT TO ANY INTELLECTUAL PROPERTY OF THE CORPORATION; (V) MATERIALLY DAMAGE, DESTROY OR LOSE THE PROPERTY OR ASSETS OF THE CORPORATION; (VI) INVEST IN ANY MATERIAL CAPITAL EXPENDITURES OR LOAN (OR FORGIVE ANY LOAN) TO ANY PERSON OR ENTITY; (VII) ACCELERATE, TERMINATE, MATERIALLY MODIFY OR CANCEL ANY MATERIAL CONTRACT OR AGREEMENT TO WHICH THE CORPORATION IS A PARTY OR OTHERWISE BOUND; (VIII) (I) GRANT OF ANY BONUSES, WHETHER MONETARY OR OTHERWISE, OR INCREASE IN ANY WAGES, SALARY, SEVERANCE, PENSION OR OTHER COMPENSATION OR BENEFITS IN RESPECT OF CURRENT OR FORMER EMPLOYEES, OFFICERS, DIRECTORS, INDEPENDENT CONTRACTORS OR CONSULTANTS, EXCEPT AS MAY BE REQUIRED BY APPLICABLE LAWS (II) MATERIALLY CHANGE THE TERMS OF EMPLOYMENT FOR ANY EMPLOYEE OR ANY TERMINATION OF ANY EMPLOYEES, OR (III) ACCELERATE THE VESTING OR PAYMENT OF ANY COMPENSATION OR BENEFIT FOR ANY CURRENT OR FORMER EMPLOYEE, OFFICER, DIRECTOR, INDEPENDENT CONTRACTOR OR CONSULTANT; (IX) ENTER INTO A NEW LINE OF BUSINESS MATERIALLY DIFFERENT FROM THE BUSINESS OF THE CORPORATION, OR ABANDON OR DISCONTINUE LINES OF BUSINESS; (X) ADOPT ANY PLAN OF MERGER, DIVISION, CONSOLIDATION, REORGANIZATION, LIQUIDATION OR DISSOLUTION OR FILE OF A PETITION IN BANKRUPTCY UNDER ANY PROVISIONS OF FEDERAL OR STATE BANKRUPTCY LAW OR CONSENT TO THE FILING OF ANY BANKRUPTCY PETITION AGAINST IT UNDER ANY SIMILAR LAW; (XI) ENTER INTO OR AGREE TO ENTER INTO AN ACQUISITION BY MERGER OR CONSOLIDATION WITH, OR BY PURCHASE OF A SUBSTANTIAL PORTION OF THE ASSETS OR STOCK OF, OR BYANY OTHER MANNER, ANY BUSINESS OR ANY PERSON, OR ENTITY OR ANY DIVISION THEREOF; PURCHASE, LEASE OR OTHERWISE ACQUIRE THE RIGHT TO OWN, USE OR LEASE ANY PROPERTY OR ASSETS FOR AN AMOUNT IN EXCESS OF $20,000, INDIVIDUALLY (IN THE CASE OF A LEASE, PER ANNUM) OR $50,000 IN THE AGGREGATE (IN THE CASE OF A LEASE, FOR THE ENTIRE TERM OF THE LEASE, NOT INCLUDING ANY OPTION TERM), EXCEPT FOR PURCHASES OF INVENTORY OR SUPPLIES IN THE ORDINARY COURSE OF BUSINESS; CHANGE OR RESCIND ANY TAX ELECTION, AMEND ANY MATERIAL TAX RETURN OR TAKE ANY POSITION ON ANY MATERIAL TAX RETURN; OR ENTER INTO A CONTRACT OR AGREEMENT TO DO ANY OF THE FOREGOING, OR TAKE ANY ACTION OR OMIT TO TAKE ANY ACTION THAT WOULD RESULT IN ANY OF THE FOREGOING.
Form 990, Part VI, Section B, line 11b:	The Form 990 is prepared by an independent accounting firm. A final copy of the Form 990 was provided to the Board of Directors during the week following filing with the IRS.
Form 990, Part VI, Section B, Line 12c:	The Organization's Conflict of Interest Policy is reviewed and updated annually. Education about the policy and the responsibilities of a board member including conflicts of interest is provided during orientation for new board members. Board meetings begin with a comment summarizing the conflict of interest policy and the duty to disclose conflicts. If a conflict of interest is identified, the interested person does not participate in any decision relating to the transaction issue. A conflict of interest is a particular relationship or arrangement that would reasonably be expected to exert an influence on the individual's judgment and preclude the individual from being an Independent Director or being independent with respect to the transaction under consideration. In addition to board members, the organization's conflict of interest policy applies to members of senior leadership, medical staff, clinical service line leaders, elected medical staff leaders, departmental directors, staff members working in the purchasing department, and all other staff members with purchasing authority, as well as immediate family members of such interested persons and entities in which interested persons have a material financial interest. The organization's policy is for all interested persons to disclose any and all conflicts of interest in accordance with the IRS guidelines for tax-exempt entities as well as any other applicable state or federal law. Upon initial assumption of duties, interested persons are provided with a copy of the conflict of interest policy and submit a conflict of interest disclosure statement. Thereafter, the statements will be completed annually. Periodically all staff members are asked to complete a conflict of interest disclosure statement. Internal and external auditors, General Counsel or outside counsel will periodically conduct a review of the disclosure process to determine whether the organization is in compliance with the policy.
Form 990, Part VI, Section B, Line 15:	The Organization does not compensate its CEO, officers, or key employees. A Related Organization draws wage comparison data from outside executive compensation consultants to ensure compensation levels are at fair market value. The Human Resources and Compensation Committee of the Related Organization (Committee) reviews this data and recommends to the Board of the Related Organization any revisions to the overall philosophy and policy to guide the determination of compensation and benefit packages for executives which includes the CEO, the CFO, and President as well as all other executives, which would include all key employees. The Committee keeps and distributes minutes of all its meetings to its members. Items of a sensitive nature are referenced in the minutes with detailed, supporting documentation retained on file. The Committee also discloses any potential conflicts of interest situations to the Committee Chairman that may affect their independent directors' status as soon as they arise, and maintains complete documentation of all matters discussed by the Committee. The Committee obtains education and training to exercise all responsibilities effectively and keeps abreast of significant developments in executive compensation practices and regulations, and ensures that all aspects of The Health System and Hospital executive compensation adhere to all relevant regulatory requirements, and reviews the Committee charter annually revising as appropriate and conducts an annual evaluation of the Committee's performance.
Form 990, Part VI, Section C, Line 19:	The conflict of interest policy is available upon request. Articles of Incorporation are available through the North Carolina Secretary of State website.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:	TRANSFER OF NET ASSETS TO THE SOLE MEMBER, ANC HEALTHCARE, INC. (SALE PROCEEDS, CASH, RECEIVABLES, LIABILITIES, AND OTHER ASSETS), AND OTHER ADJUSTMENTS TO THE BALANCE SHEET AND NET ASSETS AS A RESULT OF THE SALE: $359,646,643
FORM 990 PART IX LINE 11G	DESCRIPTION:BILLING SERVICES TOTAL FEES:207054
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:10675610

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

ANC Mission Medical Associates Inc

Employer identification number

26-3627231

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
(1) Mission Community Anesthesiology Special 509 Biltmore Avenue Asheville,NC28801 81-1324691	Anesthesia	NC	12,513,134	0	MMA Inc

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)ANC HEALTHCARE INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK,FL32789 58-1450888	SUPPORTING	NC	501(C)(3)	LINE 12A, I	NA		No
(2)MISSION HOSPITAL INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK,FL32789 56-0532141	HOSPITAL	NC	501(C)(3)	LINE 3	ANC INC		No
(3)MISSION HEALTH SYSTEM FOUNDATION INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK,FL32789 56-1881331	FOUNDATION	NC	501(C)(3)	LINE 7	ANC INC		No
(4)ANC MCDOWELL HOSPITAL INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK,FL32789 56-0623938	HOSPITAL	NC	501(C)(3)	LINE 3	ANC INC		No
(5)ANC BLUE RIDGE HOSPITAL INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK,FL32789 56-1025032	HOSPITAL	NC	501(C)(3)	LINE 3	ANC INC		No
(6)AMY WELLNESS FOUNDATION INC 31 CROSS STREET STE 266 SPRUCE PINE,NC28777 58-2172660	FOUNDATION	NC	501(C)(3)	LINE 12A, I	BRH INC		No
(7)PISGAH HEALTH FOUNDATION 153 WEST JORDAN STREET BREVARD,NC28712 56-1458024	FOUNDATION	NC	501(C)(3)	LINE 12A, I	TCH INC		No
(8)ANC TRANSYLVANIA PHYSICIAN SERVICES INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK,FL32789 56-1920816	PHYSICIAN SER	NC	501(C)(3)	LINE 3	TCH INC		No
(9)ANC TRANSYLVANIA COMMUNITY HOSPITAL INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK,FL32789 56-0562293	HOSPITAL	NC	501(C)(3)	LINE 3	ANC INC		No
(10)GATEWAY WELLNESS FOUNDATION 135 SOUTH MAIN STREET MARION,NC28752 46-3395393	FOUNDATION	NC	501(C)(3)	LINE 7	TMH INC		No
(11)ANGEL MEDICAL CENTER AUXILIARY INC PO BOX 1209 FRANKLIN,NC28744 56-2133719	SUPPORTING	NC	501(C)(3)	LINE 12A, I	AMC INC		No
(12)ANC Angel Medical Center Inc 425 W NEW ENGLAND AVE NO 300 WINTER PARK,FL32789 58-6000064	HOSPITAL	NC	501(C)(3)	LINE 3	ANC INC		No
(13)MountainCare Inc 68 SWEETEN CREEK ROAD ASHEVILLE,NC28803 56-2005198	ADULT DAYCARE	NC	501(C)(3)	LINE 10	ANC INC		No
(14)ANC HIGHLANDS-CASHIERS HOSPITAL INC 425 W NEW ENGLAND AVE NO 300 WINTER PARK,FL32789 56-0509400	HOSPITAL	NC	501(C)(3)	LINE 3	ANC INC		No
(15)HIGHLANDS-CASHIERS PHYSICIAN SERVICES 425 W NEW ENGLAND AVE NO 300 WINTER PARK,FL32789 45-2422428	PHYSICIAN SER	NC	501(C)(3)	LINE 12A, I	HCH INC		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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?
(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	DISCONTINED OPRTN	NC	NA	N/A				No			No
(2) ASHEVILLE MRI PO BOX 2959 ASHEVILLE,NC28802 56-1665863	DISCONTINED OPRTN	NC	NA	N/A				No			No
(3) BLUE RIDGE DME LLC 425 W NEW ENGLAND AVENUE NO 300 WINTER PARK,FL32789 26-3570174	EQUIPMENT SALES	NC	NA	N/A				No			No
(4) BLUE RIDGE-TKC LLC 5935 CARNEGIE BLVD CHARLOTTE,NC28209 47-1382912	REAL ESTATE RENT	NC	NA	N/A				No			No
(5) HEALTHCARE III LIMITED PARTNERSHIP 425 W NEW ENGLAND AVENUE NO 300 WINTER PARK,FL32789 56-1599596	RENTAL	NC	NA	N/A				No			No
(6) HEALTHCARE LIMITED LIABILITY COMPANY VII 425 W NEW ENGLAND AVENUE NO 300 WINTER PARK,FL32789 20-0343455	RENTAL	NC	NA	N/A				No			No
(7) IMAGING REALTY LLP 534 BILTMORE AVENUE ASHEVILLE,NC28801 56-1907203	MEDICAL BUILDING	NC	NA	N/A				No			No
(8) MSJHS & CCP JOINT DEVELOPMENT CO INC 425 W NEW ENGLAND AVENUE NO 300 WINTER PARK,FL32789 56-2250464	LT ACUTE CARE	NC	NA	N/A				No			No
(9) SPRUCE PINE HEALTHCARE LLC 5935 CARNEGIE BLVD CHARLOTTE,NC28209 47-1390107	REAL ESTATE	NC	NA	N/A				No			No
(10) TRANSYLVANIA HEALTHCARE II LP 2 MEDICAL PARK DRIVE BREVARD,NC28712 20-0333230	RENTAL	NC	NA	N/A				No			No
(11) WESTERN NC HEALTHCARE INNOVATORS LLC 5935 CARNEGIE BLVD CHARLOTTE,NC28209 80-0787882	REAL ESTATE RENT	NC	NA	N/A				No			No
(12) WNC STONE CENTER 509 BILTMORE AVENUE ASHEVILLE,NC28801 27-2152974	LITHOTRIPTER RENT	NC	NA	N/A				No			No

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) DOGWOOD INSURANCE COMPANY LTD PO BOX 3060 GRAND CAYMAN CJ	CAPTIVE INSURAN	CJ	NA	C CORP	0	0		No
(2) TRANSYLVANIA SERVICES INC 425 W NEW ENGLAND AVENUE NO 300 WINTER PARK,FL32789 56-1448199	REAL ESTATE	NC	NA	C CORP	0	0		No
(3) MISSION HEALTH PARTNERS INC PO BOX 570 NASHVILLE,TN37202 46-5566095	CLINICALLY INTEGR	NC	NA	C CORP	0	0		No
(4) HEALTHY STATE INC PO BOX 570 NASHVILLE,TN37202 81-2108613	ADMINISTRATIVE	NC	NA	C CORP	0	0		No
(5) AVENU HEALTH INC 425 W NEW ENGLAND AVENUE NO 300 WINTER PARK,FL32789 82-3337055	HEALTH CARE CLINI	NC	NA	C CORP	0	0		No

Schedule R (Form 990) 2018

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 .....................

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

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) ............................

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) ......................

Yes

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

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) ............................

Yes

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

Schedule R (Form 990) 2018

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) 2018

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation
ADDRESSES LISTED ON SCHEDULE R:	THE ADDRESSES LISTED ON SCHEDULE R REFLECT THE MOST CURRENT MAILING ADDRESS FOR EACH ENTITY, WHICH MAY REFLECT ADDRESSES IN FLORIDA OR TENNESSEE. ALL PHYSICAL LOCATIONS ARE LOCATED IN THE WESTERN MOUNTAIN AREA OF NORTH CAROLINA.

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Provide physician services in areas that are insufficiently served.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	2
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	2
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	1,468
6	Total number of volunteers (estimate if necessary) .............	6	2
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) .........	689,567	14,712,553
9	Program service revenue (Part VIII, line 2g) .........	189,258,603	64,397,769
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-263,775	12,612
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	189,684,395	79,122,934
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,443	683
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)	207,960,249	54,714,298
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)....	45,683,197	17,363,141
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	253,645,889	72,078,122
19	Revenue less expenses. Subtract line 18 from line 12.......	-63,961,494	7,044,812
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	31,819,028	0
21	Total liabilities (Part X, line 26).............	398,510,483	0
22	Net assets or fund balances. Subtract line 21 from line 20.....	-366,691,455	0

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 69,439,270 including grants of $ 683 ) (Revenue $ 52,243,843 )
	The Organization provided physician services in specialty practices including Anesthesia, Behavioral Health, Cardiology, Children's Dental, Hospitalist/Emergency, Infectious Disease, Neonatology, Neurology, Orthopedic Trauma, Orthopedics, Palliative Care/Hospice, Pediatrics, Primary Care (Internal and Family Medicine), Psychiatry, Trauma Surgery, Urgent Care, and Weight Management. Across all specialties there were 126 new providers, with 21 of them in General Surgery and 18 of them in Anesthesia. The Organization served over 169,000 patients at 41 practice locations. Benefits to the community included over $8.7 million in charity care based on foregone charges. Other accomplishments of the Organization's individual physicians which include volunteering in the local community and recognition for excellence and quality of healthcare service are highlighted below. A Developmental-Behavioral pediatric specialist again participated with the International Hospital for Children in the annual pediatric Spina Bifida evaluation clinics in Belize, Central America. A clinical geneticist provider volunteered services to a medical clinic in Haiti which provides care to the poor. Several physicians donated their time to the Medical Ministry of the Asheville-Buncombe County Christian Ministry serving uninsured and underinsured residents of Buncombe County. Several cardiologists, orthopedic physicians, pediatric providers, and primary care physicians provided community education across Western North Carolina including sports physicals and screenings for athletes at local schools.

4b	(Code: ) (Expenses $ 338,040 including grants of $ 0 ) (Revenue $ 12,153,926 )
	The Organization expanded its Buncombe County Anesthesia services into Transylvania County during the year. Across all locations 18 new providers were added consisting of 1 MD and 17 CRNA's. The Organization served over 41,350 patients across all five counties.

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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses69,777,310

(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) Myron Smith MD........................................................................ PHYSICIAN	40.0 .......................0.0	X		621,537	0	38,396
(19) Robert W Fields MD........................................................................ Former Medical Director	0.0 .......................0.0		X	345,842	0	38,961
(20) Angela Fletcher........................................................................ Former COO/VP related Org.	0.0 .......................0.0		X	0	306,364	55,701

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,426,404	6,410,734	1,378,430

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	14,712,553
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	0

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		14,712,553

		Business Code
2a	NET PATIENT REVENUE	621110	32,278,195	32,278,195
b	PHYSCONTSVCSRELATEDORG	900099	30,243,972	30,243,972
c	OTHER PATIENT REVENUE	900099	1,875,602	1,875,602
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		64,397,769

3 Investment income (including dividends, interest, and othersimilar amounts) ......			29,736			29,736
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	4,098,798
b	Less: cost or other basis and sales expenses	4,115,922
c	Gain or (loss)	-17,124
d	Net gain or (loss).....			-17,124			-17,124
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			79,122,934	64,397,769		12,612

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	683	683
2	Grants and other assistance to domestic individuals. See Part IV, line 22	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	0	0	0	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	44,369,925	42,905,913	1,464,012	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,038,165	1,003,906	34,259
9	Other employee benefits .......	4,037,836	3,904,588	133,248
10	Payroll taxes ...........	5,268,372	5,094,516	173,856
11	Fees for services (non-employees):
a	Management ......	3,500		3,500
b	Legal .........	23,883		23,883
c	Accounting ...........	1,894		1,894
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	10,882,664	10,675,610	207,054
12	Advertising and promotion ....	12,072	11,674	398
13	Office expenses .......	50,537		50,537
14	Information technology ......	69,721	68,575	1,146
15	Royalties ..	0
16	Occupancy ...........	1,614,642	1,561,359	53,283
17	Travel ............	583,313	564,179	19,134
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	1,195,176	1,155,735	39,441
23	Insurance ...	1,019,934	986,276	33,658
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	DEPARTMENTAL SUPPLIES	1,868,247	1,806,699	61,548
b	OTHER EXPENSES	37,558	37,597	-39
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	72,078,122	69,777,310	2,300,812	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).

1	Cash–non-interest-bearing ........		3,673,708	1	0
2	Savings and temporary cash investments .........		0	2	0
3	Pledges and grants receivable, net ......		0	3	0
4	Accounts receivable, net .............		21,130,320	4	0
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
			0	5	0
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 ..............
			0	6	0
7	Notes and loans receivable, net ....		664,132	7	0
8	Inventories for sale or use ........		89,196	8	0
9	Prepaid expenses and deferred charges ......		1,435,755	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b	4,255,100	10c	0
11	Investments—publicly traded securities .		20,817	11	0
12	Investments—other securities. See Part IV, line 11 .....		0	12	0
13	Investments—program-related. See Part IV, line 11 ..		0	13	0
14	Intangible assets ...............		550,000	14	0
15	Other assets. See Part IV, line 11 ...........		0	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)...		31,819,028	16	0

17	Accounts payable and accrued expenses .....	24,843,240	17	0
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
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..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
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	373,667,243	25	0
26	Total liabilities. Add lines 17 through 25..	398,510,483	26	0

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	-366,691,455	27	0
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets	0	29	0
	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 ...........	-366,691,455	33	0
34	Total liabilities and net assets/fund balances ........	31,819,028	34	0