Community Benefit Insight - Tax-exempt hospital

View data for this organization below, or select additional hospitals to create a comparison view.

Search tax-exempt hospitals
for comparison purposes.

ANC Highlands-Cashiers Hospital Inc

Highlands Cashiers Hospital

Highway 64e
Highlands, NC 28741

Bed count	25	Medicare provider number	341316	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 560509400

Display data for year:

Community Benefit Spending- 2018
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

-0.23%

Spending by Community Benefit Category- 2018
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2018

Additional data

Community Benefit Expenditures: 2018

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 57,335 0.35 %
Medicaid as % of operating expenses	$ -95,464 -0.59 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2018

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 379,390 2.34 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2018

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2018

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 14802264 including grants of $ 290171) (Revenue $ 7307145)
THE ORGANIZATION FORMERLY KNOWN AS HIGHLANDS-CASHIERS HOSPITAL, INC. IS A CRITICAL ACCESS HOSPITAL PROVIDING ACUTE CARE TO RESIDENTS OF THE HIGHLANDS-CASHIERS AREA. THE HOSPITAL ALSO OPERATES A LONG-TERM CARE FACILITY TO THE AREA. THE HOSPITAL PROVIDES GENERAL SURGERY, AS WELL AS SPECIALIZED SURGERY IN FIVE KEY AREAS: HAND, ORTHOPEDIC, OPHTHALMOLOGY, GASTROINTESTINAL, AND PLASTIC SURGERY. EVERY PHYSICIAN AT THE ORGANIZATION IS BOARD CERTIFIED, WHICH REQUIRES MAINTENANCE OF CONTINUING MEDICAL EDUCATION CREDITS AND PERIODIC RE-CERTIFICATION EXAMS.THE ORGANIZATION HAS MADE IT A PRIMARY OBJECTIVE TO ASSURE THAT IT HAS THE LATEST IN STATE-OF-THE-ART DIAGNOSTIC EQUIPMENT TO BETTER ASSESS THE EXTENT OF ITS PATIENTS CONDITIONS. THE ORGANIZATION STRIVES TO BE AN INTEGRAL PART OF THE COMMUNITY. IT PROVIDES HEALTHCARE FOR ALL WHO COME TO THE HOSPITAL. THE STAFFS FIRST JOB IS TO USE ITS SKILLS TO TREAT ANYONE WHO NEEDS HELP, WITHOUT REGARD TO THEIR ABILITY TO PAY. IN ADDITION TO THE CHARITY CARE PROVIDED TO INDIVIDUALS UNABLE TO PAY, THE HOSPITAL PROVIDED HEALTH RELATED EDUCATION SEMINARS AND HEALTH SCREENINGS AVAILABLE TO THE COMMUNITY AT LARGE.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

HIGHLANDS CASHIERS HOSPITAL
"PART V, SECTION B, LINE 4: CHNA TAX YEAR THE ORGANIZATIONS LAST CHNA WAS CONDUCTED IN TAX YEAR 2015. IN ACCORDANCE WITH IRC SECTION 501(R)(3)(D)(4), ""A HOSPITAL ORGANIZATION IS NOT REQUIRED TO MEET THE REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO A HOSPITAL FACILITY IN A TAXABLE YEAR IF, BEFORE THE END OF THAT TAXABLE YEAR, THE HOSPITAL ORGANIZATION TRANSFERS ALL OWNERSHIP OF THE HOSPITAL FACILITY TO ANOTHER ORGANIZATION OR OTHERWISE CEASES ITS OPERATION OF THE HOSPITAL FACILITY OR THE FACILITY CEASES TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED AS A HOSPITAL BY A STATE."" DUE TO THE SALE OF THE HOSPITAL FACILITY DURING THE CURRENT 2018 TAX YEAR, THE ORGANIZATION DID NOT CONDUCT A NEW CHNA. HIGHLANDS CASHIERS HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY HEALTH NEEDS ASSESSMENT PARTNERS IN JACKSON AND MACON COUNTIES COLLABORATED ON DATA COLLECTION AND COMMUNITY INPUT. JACKSON COUNTY LEAD PARTNERS: HARRIS REGIONAL HOSPITAL - CHA STEERING COMMITTEE, CHA WORK TEAM, JACKSON COUNTY DEPARTMENT OF PUBLIC HEALTH -CHA WORK TEAM, CHA FACILITATOR, CHA STEERING COMMITTEE , JACKSON COUNTY DEPARTMENT OF SOCIAL SERVICES - CHA STEERING COMMITTEE, COMMUNITY MEMBERS (3) - CHA STEERING COMMITTEE (3), CHA WORK TEAM (4), WESTERN CAROLINA UNIVERSITY - CHA STEERING COMMITTEE, CHA WORK TEAM, JACKSON COUNTY DEPARTMENT OF AGING - CHA STEERING COMMITTEE, FAMILY RESOURCES CENTER -CHA STEERING COMMITTEE, JACKSON COUNTY PARKS AND RECREATION DEPARTMENT -CHA STEERING COMMITTEE, SMOKY MOUNTAIN LME/MCO - CHA STEERING COMMITTEE, JACKSON COUNTY PUBLIC SCHOOLS - CHA STEERING COMMITTEE, MOUNTAIN PROJECTS,INC. - CHA STEERING COMMITTEE, GOOD SAMARITAN CLINIC - CHA STEERING COMMITTEE AND AREA AGENCY ON AGING - CHA STEERING COMMITTEE. KEY STAKEHOLDER INTERVIEWS: DEAN, HEALTH AND HUMAN SCIENCES AT WESTERN CAROLINA UNIVERSITY, EXECUTIVE DIRECTOR AT THE COMMUNITY TABLE, TOWN MANAGER OF TOWN OF SYLVA, TEACHER AT JACKSON COUNTY PUBLIC SCHOOLS, DIRECTOR OF DEPARTMENT OF SOCIAL SERVICES, DIRECTOR OF DEPARTMENT ON AGING, EXTENSION DIRECTOR AT COOPERATIVE EXTENSION, DIRECTOR OF JACKSON COUNTY DEPARTMENT OF PUBLIC HEALTH, CEO OF HARRIS REGIONAL HOSPITAL, EXECUTIVE DIRECTOR AT THE GOOD SAMARITAN CLINIC, PLANNING DIRECTOR AT JACKSON COUNTY AND COMMUNITY MEMBERS. LISTENING SESSIONS: JACKSON COUNTY EARLY COLLEGE - 9-10TH GRADERS, CASHIERS SENIOR CENTER - OLDER ADULTS, GOOD SAMARITAN CLINIC UNINSURED ADULTS, WCU NUTRITION CLUB - JUNIORS AND SENIORS AT WCU, WCU ON-CAMPUS STUDENTS - FRESHMEN AT WCU. MACON COUNTY LEAD PARTNERS: MACON COUNTY PUBLIC HEALTH, ANGEL MEDICAL CENTER, MOUNTAINWISE OF MACON COUNTY, WNC HEALTHY IMPACT. KEY INFORMANT SURVEY PARTICIPANTS: EXECUTIVE DIRECTOR, CARENET, EXECUTIVE DIRECTOR, REACH, SUPERINTENDENT, MACON COUNTY SCHOOLS, HEALTH DIRECTOR, MACON COUNTY PUBLIC HEALTH, COUNTY COMMISSIONER AND BUSINESS OWNER, EXECUTIVE DIRECTOR,COMMUNITY CARE CLINIC HIGHLANDS, DIRECTOR, MACON COUNTY SENIOR SERVICES,DIRECTOR, MACON COUNTY SOCIAL SERVICES, DIRECTOR, MACON PROGRAM FOR PROGRESS. TWELVE LISTENING SESSIONS CONDUCTED: LOW INCOME RESIDENTS (FRANKLIN), LOW INCOME RESIDENTS (HIGHLANDS), LATINO RESIDENTS, SENIOR CITIZENS, RESIDENTS AFFECTED WITH MENTAL ILLNESS, CAREGIVERS AND YOUTH FRANKLIN & NANTAHALA."

HIGHLANDS CASHIERS HOSPITAL:
PART V, SECTION B, LINE 6A: REGIONAL PARTNERSHIP HIGHLANDS-CASHIERS HOSPITAL 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 CAROLINA REGION WORKING COLLABORATIVELY TO IMPROVE COMMUNITY HEALTH. INFORMATION ABOUT THIS INNOVATIVE REGIONAL COLLABORATION, COUNTY-WIDE COMMUNITY HEALTH ASSESSMENTS, AND OVERALL REGIONAL FINDINGS, WHICH ARE MADE AVAILABLE TO THE PUBLIC AT WWW.WNCHEALTHYIMPACT.COM.

HIGHLANDS CASHIERS HOSPITAL:
PART V, SECTION B, LINE 6B: THE ORGANIZATION'S CHNA WAS CONDUCTED WITH THE JACKSON COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE MACON COUNTY OF PUBLIC HEALTH.

HIGHLANDS CASHIERS HOSPITAL:
PART V, SECTION B, LINE 7D: HTTPS://MISSIONHEALTH.ORG/ OUR-COMMITMENT-TO-YOU/ COMMUNITY-INVESTMENT/ OUR-COMMUNITYS-HEALTH-NEEDS/

HIGHLANDS CASHIERS HOSPITAL:
"PART V, SECTION B, LINE 11: PROVIDED ANNUAL HEALTH SCREENING OPPORTUNITY AND NUTRITION COUNSELING TO 72 COMMUNITY MEMBERS, AND OFFERED 4 NUTRITIONAL EVENTS WITH DIETICIANS, EXECUTIVE CHEF JEREMY HUGHES, AND OTHER EXPERTS. THE ORGANIZATION'S DIETICIAN PROVIDED EDUCATION AT CULLOWHEE VALLEY SCHOOL, TEACHING 4TH GRADERS ABOUT MYPLATE AND NUTRITION. HELD ANNUAL COMMUNITY HEALTH FAIR IN OCTOBER, SERVING 67 PEOPLE, AND PARTNERING WITH REACH TO OFFER EDUCATION AND RESOURCES. HOSTED MONTHLY ""EVENING WITH THE DOCS"" EVENT, WITH HEALTH AWARENESS AND INFORMATION PRESENTATIONS FOR THE COMMUNITY, INCLUDING A SESSION WITH TOBY LINDSAY (CERTIFIED ADDICTIONOLOGIST) ADDRESSING SUBSTANCE ABUSE AND INJURY. THE ORGANIZATION'S CAFETERIA REMOVED THE FRYER EQUIPMENT TO PROMOTE HEALTHIER EATING. PROVIDED DIABETES LUNCH & LEARN EVENT AT THE CASHIERS COMMUNITY CENTER TO INCREASE AWARENESS AND EDUCATION ABOUT DIABETES. ENGAGED IN PARTNERSHIP FORUM WITH HIGHLANDS SCHOOL TO IDENTIFY HEALTH AND WELLNESS NEEDS."

HIGHLANDS CASHIERS HOSPITAL:
PART V, SECTION B, LINE 15E: THE ORGANIZATION'S STAFF WORK IN COLLABORATION WITH THE PATIENT AND APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED OF HEALTH CARE SERVICES TO DETERMINE AVAILABLE FUNDING SOURCES.

PART V SECTION B LINE 10A
HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS /2018/04/2016-HIGHLANDS-CASHIERS-HOSPITALIMPLEMENTATION- STRATEGY.PDF

PART V SECTION B LINE 16A
HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS /2018/05/FINASSDISCOUNT_POLICY_04.PDF

PART V SECTION B LINE 16B
HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS /2018/05/PATIENT_FINANCIAL_ASSISTANCE_PAGE.PDF

PART V SECTION B LINE 16C
HTTPS://MISSIONHEALTH.ORG/WP-CONTENT/UPLOADS/ 2018/03/FINASSISTPLAIN_LANGUAGE_SUMMARY_4.PDF

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7:
THE ORGANIZATION USED THE COSTS-TO-CHARGES RATIO FROM ITS ANDI REPORT TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST. THE ANDI REPORT IS A CALCULATION OF COMMUNITY BENEFIT DEVELOPED BY THE NORTH CAROLINA HOSPITAL ASSOCIATION

PART III, LINE 2:
THE ORGANIZATION USES THE COST TO CHARGE RATIO.

PART III, LINE 8:
THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT.

PART III, LINE 9B:
"PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND OTHER CHARITY CARE ARE NOTIFIED USING THE PROCESS DESCRIBED IN THE EDUCATION OF PATIENTS' ELIGIBILITY IN PART VI, ON LINE 3. MISSION'S STATED POLICY WITH RESPECT TO FINANCIAL ASSISTANCE: ""MISSION HOSPITAL WILL MAKE EVERY EFFORT TO THOROUGHLY SCREEN ALL PATIENTS THAT ARE UNINSURED OR UNDERINSURED IN AN EFFORT TO IDENTIFY A SOURCE OF FINANCIAL SPONSORSHIP. ONLY AFTER A FINAL DETERMINATION IS MADE THAT THE PATIENT IS NOT ELIGIBLE FOR ANY SOURCE OF FUNDING TO COVER THE MEDICAL EXPENSES WILL THE ACCOUNT BE ELIGIBLE FOR CONSIDERATION OF FINANCIAL ASSISTANCE."" AFTER THE NOTIFICATIONS AND PROCESSES REFERENCED ABOVE HAVE BEEN COMPLETED, STANDARD DEBT COLLECTION POLICIES ARE IN EFFECT FOR THE PORTION OF THE BILL FOR WHICH THE PATIENT IS RESPONSIBLE."

PART VI, LINE 2:
"HIGHLANDS-CASHIERS HOSPITAL PRIMARILY SERVES JACKSON AND MACON COUNTIES IN WESTERN NORTH CAROLINA.JACKSON COUNTY IS ""A TIER 1 , RURAL COUNTY LOCATED IN THE HEART OF WESTERN NORTH CAROLINA (WNC), SURROUNDED BY THE GREAT SMOKY MOUNTAINS AND THE BLUE RIDGE PARKWAY.JACKSON COUNTY CONSISTS OF 494 SQUARE MILES OF MOUNTAINS, ROLLING HILLS, AND FERTILE VALLEYS."" THE 2015 MACON COUNTY COMMUNITY HEALTH ASSESSMENT DESCRIBES MACON COUNTY AS, ""A DIVERSE MIXTURE OF MOUNTAIN LIVING,CITY HUSTLE, RURAL LANDSCAPES AND HIGH TECH POTENTIAL. ACCORDING TO 2009 CENSUS ESTIMATES THE COUNTY HAS 32,600 RESIDENTS RESIDING ACROSS 519 SQUARE MILES, MOST OF THEM MOUNTAINOUS AND SPARSELY INHABITED."" BECAUSE THE AREA IS ATTRACTIVE TO TOURISTS AND RETIREES, HIGHLANDS-CASHIERS HOSPITAL SERVES A POPULATION WITH A WIDE SOCIOECONOMIC RANGE, AND THE POPULATION FLUCTUATES GREATLY AT DIFFERENT POINTS THROUGHOUT THE YEAR. AS SUCH, HIGHLANDS-CASHIERS HOSPITAL PROVIDES A LIMITED RANGE OF SERVICES. THE FOLLOWING SECTION DESCRIBES HOW DATA WAS OBTAINED, COMPILED AND ANALYZED IN OUR ASSESSMENT PROCESS. WNC HEALTHY IMPACT IS A PARTNERSHIP AND COORDINATED PROCESS BETWEEN HOSPITALS AND HEALTH DEPARTMENTS IN WESTERN NORTH CAROLINA TO IMPROVE COMMUNITY HEALTH. AS PART OF A LARGER, AND CONTINUOUS, COMMUNITY HEALTH IMPROVEMENT PROCESS,THESE PARTNERS ARE COLLABORATING TO CONDUCT COMMUNITY HEALTH (NEEDS) ASSESSMENTS ACROSS WESTERN NORTH CAROLINA WWW.WNCHEALTHYIMPACT.COM. HIGHLANDS-CASHIERS HOSPITAL IS ALSO INVOLVED IN THIS REGIONAL/LOCAL VISION AND COLLABORATION. PARTICIPATING COUNTIES INCLUDE: BUNCOMBE, CHEROKEE, CLAY, GRAHAM, HAYWOOD, HENDERSON, JACKSON, MACON, MADISON, MCDOWELL, MITCHELL, POLK, RUTHERFORD, SWAIN, TRANSYLVANIA AND YANCEY. THE DATA REVIEWED AS PART OF OUR COMMUNITY'S HEALTH NEEDS ASSESSMENT CAME FROM THE WNC HEALTHY IMPACT REGIONAL CORE SET OF DATA. WNC HEALTHY IMPACT'S CORE REGIONAL DATASET INCLUDES SECONDARY (EXISTING) AND PRIMARY(NEWLY COLLECTED)DATA COMPILED TO REFLECT A COMPREHENSIVE LOOK AT HEALTH. THE FOLLOWING DATA SET ELEMENTS AND COLLECTION ARE SUPPORTED BY WNC HEALTHY IMPACT DATA CONSULTING TEAM, A SURVEY VENDOR, AND PARTNER DATA NEEDS AND INPUT: A COMPREHENSIVE SET OF PUBLICALLY AVAILABLE SECONDARY DATA METRICS WITH OUR TARGET POPULATION COMPARED TO THE OTHER WNC REGIONS AS ""PEER"" - SET OF MAPS ACCESSED FROM COMMUNITY COMMONS AND NC CENTER FOR HEALTH STATISTICS - TELEPHONE SURVEY OF A RANDOM SAMPLE OF ADULTS IN THE COUNTY SEE JACKSON COUNTY (HTTP://HEALTH.JACKSONNC.ORG/S/NEW-2015-JACKSON-COUNTY-CHA_NOAPPENDICES.PD AND MACON COUNTY (HTTP://WWW.MACONNC.ORG/IMAGES/HEALTHY-CAROLINIANS/MACON%20COUNT%202015%2 LOCAL COMMUNITY HEALTH ASSESSMENTS FOR MORE DETAILS ON THE REGIONAL DATA COLLECTION METHODOLOGY. THE JACKSON COUNTY CHA WORK TEAM CONDUCTED INTERVIEWS AND LISTENING SESSIONS WITH KEY STAKEHOLDERS, INCLUDING: OLDER ADULTS, ADULTS WHO RELY ON THE LOCAL FREE HEALTH CLINIC, WESTERN CAROLINA UNIVERSITY STUDENTS WHO LIVE ON CAMPUS, WESTERN CAROLINA UNIVERSITY NUTRITION STUDENTS, AND HIGH SCHOOL STUDENTS. IN MACON COUNTY, A COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE DECIDED THAT, ""CONCERNS AND ISSUES RAISED FROM COMMUNITY LEADERS AND VULNERABLE POPULATIONS WOULD BE ESSENTIAL TO PROVIDE CONTEXT FOR THE RESEARCH AND STATISTICAL ANALYSIS."" THE COMMITTEE CONDUCTED LISTENING SESSIONS AND KEY INFORMANT INTERVIEWS TO ENSURE THE PROCESS CAPTURED DIVERSE COMMUNITY PERSPECTIVES. DETAILS ABOUT ADDITIONAL COMMUNITY-LEVEL DATA GATHERED IN THESE COUNTIES ARE AVAILABLE IN EACH COUNTY'S RESPECTIVE CHA REPORT, LINKED ABOVE. INFORMATION GAPS WERE NOT SPECIFIED. SEE JACKSON COUNTY(HTTP://HEALTH.JACKSONNC.ORG/S/NEW-2015-JACKSON-OUNTYCHA_NOAPPENDICE S.PD AND MACON COUNTY (HTTP://WWW.MACONNC.ORG/IMAGES/HEALTHY-CAROLINIANS/MACON%20COUNTY%202015%2 LOCAL COMMUNITY HEALTH ASSESSMENTS FOR MORE DETAILS ON THE REGIONAL DATA COLLECTION METHODOLOGY. THROUGHOUT THE COLLABORATIVE HEALTH NEEDS ASSESSMENT PROCESS IN OUR COMMUNITY, INPUT WAS OBTAINED IN A NUMBER OF WAYS.SEE BELOW FOR A LIST OF THE ORGANIZATIONS THAT PROVIDED INPUT INTO THIS PROCESS, THE PERIOD OF TIME THEY WERE INVOLVED, HOW THEIR INPUT WAS OBTAINED, AND THE NATURE AND EXTENT OF THEIR INPUT. PART VI, LINE 3: WE PROVIDE INFORMATION TO OUR PATIENTS REGARDING HOW TO APPLY FOR FINANCIAL ASSISTANCE/CHARITY CARE IN THE FOLLOWING WAYS: A PLAIN LANGUAGE DESCRIPTION OF THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL FACILITY'S WEBSITE, ATTACHED TO BILLING INVOICES, POSTED IN THE EMERGENCY ROOMS OR WAITING ROOMS AND IN THE ADMISSIONS OFFICES. IT IS ALSO PROVIDED IN WRITING TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY, AND UPON REQUEST. THE ORGANIZATION'S INTERNET WEBSITE AND BROCHURES CONTAIN INFORMATION ABOUT FINANCIAL ASSISTANCE THAT OFFER HELP IN OBTAINING FINANCIAL ASSISTANCE, OPTIONS FOR INSURANCE PROCESSING AND PAYMENT FOR SERVICES. IN ADDITION, ASSISTANCE IS OFFERED TO HELP IN DETERMINING IF A PATIENT QUALIFIES FOR STATE AGENCY PROGRAMS AND MEDICAID BENEFITS AS WELL AS ASSISTANCE WITH THE APPLICATION PROCESS. THE WEBSITE AND BROCHURES EXPLAIN THAT THE HOSPITAL OFFERS DISCOUNTS BASED ON CERTAIN CRITERIA, AND NOTES THE RANGE OF DISCOUNTS AND HOW HOUSEHOLD INCOME GUIDELINES ARE USED TO DETERMINE DISCOUNT ELIGIBILITY. THE PATIENT IS DIRECTED TO CALL THE CUSTOMER SERVICE CENTER OR VISIT THE HOSPITAL'S BUSINESS OFFICE AND LISTS THE HOURS THE OFFICE AND CENTER ARE OPEN. THERE ARE ALSO MESSAGES ON PATIENT BILLS GIVING INFORMATION ON FINANCIAL ASSISTANCE AND HOW TO CONTACT THE HOSPITAL IF THEY HAVE QUESTIONS OR WANT TO APPLY. PART VI, LINE 4: THE ORGANIZATION PRIMARILY SERVES THE RURAL MOUNTAIN COMMUNITIES OF MACON AND JACKSON COUNTIES IN NORTH CAROLINA. THE COMBINED POPULATION IS APPROXIMATELY 77,705 RESIDENTS, WITH 23.17% OF THE POPULATION OVER THE AGE OF 65. THE PERCENTAGE OF PERSONS LIVING BELOW THE POVERTY LINE IS 18.9% WHICH IS HIGHER THAN NORTH CAROLINA AVERAGE OF 15.4%. PART VI, LINE 5: THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE AS IT EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY AND WORKS TO RECRUIT PHYSICIANS FOR UNDERSERVED AREAS OR SPECIALTIES. THE BOARD OF DIRECTORS INCLUDES INDEPENDENT RESIDENTS OF THE COMMUNITY WHO ARE ABLE TO PROVIDE INSIGHT ABOUT COMMUNITY CONCERNS AND NEEDS. IN THE WINTER MONTHS, THE POPULATION OF THE AREA SHRINKS TO APPROXIMATELY 9,000 RESIDENTS FROM 31,000 DURING THE WARMER MONTHS. THIS FLUCTUATION CAUSES THE HOSPITAL TO SUSTAIN ANNUAL LOSSES WHICH ARE COVERED THROUGH PHILANTHROPY BY THE HIGHLANDS-CASHIERS HOSPITAL FOUNDATION, INC. PART VI, LINE 6: ANC HEALTHCARE, INC. (FKA MISSION HEALTH SYSTEM) IS THE PARENT ORGANIZATION FOR THE CHARITABLE ORGANIZATIONS OF MISSION HOSPITAL, INC.; MISSION HEALTH SYSTEM FOUNDATION, INC.; ANC MISSION MEDICAL ASSOCIATES, INC; ANC BLUE RIDGE HOSPITAL, INC.; ANC MCDOWELL HOSPITAL, INC.; ANC ANGEL MEDICAL CENTER,INC.; ANC TRANSYLVANIA COMMUNITY HOSPITAL, INC.; ANC HIGHLANDS-CASHIERS HOSPITAL, INC. AND MOUNTAIN CARE, INC. (FKA COMMUNITY CAREPARTNERS, INC.) THE SYSTEM'S MISSION IS TO OPERATE AN INTEGRATED HEALTH CARE SYSTEM FOR THE BENEFIT OF THE RESIDENTS OF WESTERN NORTH CAROLINA. MISSION HOSPITAL, INC. IS A REGIONAL INTEGRATED HEALTH FACILITY PROVIDING SUPERIOR CARE AND SERVICE TO PATIENTS AND THEIR FAMILIES THROUGH A FULL CONTINUUM OF INTEGRATED SERVICES, EDUCATION, AND RESEARCH. IT SERVES AS A TRAUMA CENTER TO PEOPLE OF WESTERN NORTH CAROLINA AND THE SURROUNDING COUNTIES. ANC MISSION MEDICAL ASSOCIATES' MISSION IS TO PROVIDE PHYSICIAN SERVICES IN PREDOMINANTLY RURAL AREAS THAT ARE INSUFFICIENTLY SERVED, THEREBY IMPROVING THE HEALTH CARE OF THE GENERAL PUBLIC. IN MANY CASES THIS INVOLVES RECRUITING AND PLACING PRIMARY CARE PHYSICIANS, AS WELL AS PEDIATRIC AND ADULT SPECIALTY SERVICES CLOSE TO WHERE PEOPLE LIVE AND WORK. ANC BLUE RIDGE HOSPITAL SERVES AS A COMMUNITY HOSPITAL IN MITCHELL, YANCEY AND SURROUNDING COUNTIES. ANC MCDOWELL HOSPITAL SERVES AS A COMMUNITY HOSPITAL IN MCDOWELL AND THE SURROUNDING COUNTIES. MISSION HEALTH SYSTEM FOUNDATION, INC. SUPPORTS THE MISSION AND PROGRAMS OF MISSION HOSPITAL, INC. AND ANC HEALTHCARE, INC. (MISSION HEALTH SYSTEM, INC.) AND OTHER ORGANIZATIONS THAT ARE TAX EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND WORKS TO BENEFIT THE COMMUNITY AND REGION SERVED BY THE ENTITIES LISTED ABOVE. ANC ANGEL MEDICAL CENTER, INC. SERVES AS A COMMUNITY HOSPITAL IN MACON AND SURROUNDING COUNTIES. ANC TRANSYLVANIA COMMUNITY HOSPITAL, INC. SERVES AS A COMMUNITY HOSPITAL IN TRANSYLVANIA AND SURROUNDING COUNTIES. ANC HIGHLANDS-CASHIERS HOSPITAL, INC. SERVES AS A COMMUNITY HOSPITAL FOR JACKSON AND MACON AND SURROUNDING COUNTIES. MOUNTAINCARE, INC. OPERATES AN INPATIENT FACILITY FOR ACUTE REHABILITATION LOCATED IN ASHEVILLE, NORTH CAROLINA, AND PROVIDES A WIDE VARIETY OF POST-ACUTE CARE SERVICES TO RESIDENTS OF WESTERN NORTH CAROLINA, INCLUDING REHABILITATION, HOME HEALTH, ADULT CARE, AND HOSPICE AND PALLIATIVE CARE. MSJHS AND CCP JOINT DEVELOPMENT COMPANY DBA ASHEVI"

Operating expenses	$ 16,247,151
Total amount spent on community benefits as % of operating expenses	$ -38,129 -0.23 %