2025-05-02T10:16:06-05:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2023-07-01 020777195 BLUE RIDGE HEALTHCARE MEDICAL GROUP INC BLUE 8285805000 2201 SOUTH STERLING STREET MORGANTON NC 28655 PATRICIA MOLL CHIEF FINANCIAL OFFICER 8285805000 2025-05-01 1 0 KATHERINE A WARLICK P02065266 7049985200 2025-05-01 2023 2025-03-06 01:10:19Z GARY PAXSON 2201 SOUTH STERLING STREET MORGANTON NC 28655 64522177 0 X WWW.BLUERIDGEHEALTHCAREMEDICALGROUP.ORG X 2006 NC TO PROVIDE MEDICAL CARE AND TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. 3 1 184 1 0 0 107907 120722 53970821 64391747 15647 -5991 0 0 54094375 64506478 0 0 0 0 56868643 65258206 0 0 0 16933944 19235851 73802587 84494057 -19708212 -19987579 20635926 21103741 157938650 178394044 -137302724 -157290303 BLUE RIDGE MEDICAL GROUP IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITIES BY PROVIDING EXCELLENT AND COMPASSIONATE CARE. 0 0 74570368 64391747 PHYSICIAN PRACTICE GROUPGENERAL AND SPECIALTY PRACTICES FOR THE COMMUNITY TO RECEIVE CARE, TREATMENT FROM ILLNESS, AND PROMOTE GENERAL HEALTH. THE PHYSICIAN GROUP COMPLIMENTS THE OTHER SERVICES OF BLUE RIDGE HEALTHCARE'S ACUTE CARE FACILITIES AND LONG TERM CARE FACILITIES. 74570368 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 184 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X PATRICIA MOLL 8285805003 2201 SOUTH STERLING STREET MORGANTON NC 28655 X KATHY BAILEY PRESIDENT & CEO 4.00 46.00 X X 0 947938 10408 GANDHARI LOOMIS SECRETARY 48.00 2.00 X 321074 0 14645 KEVIN BAXTER TREASURER 1.00 2.00 X X 0 0 0 PATRICIA MOLL CFO 4.00 46.00 X 0 396003 49744 GERALD MANK MEDICAL STAFF 50.00 X 1057157 0 49263 KADRY ALLABOUN MEDICAL STAFF 50.00 X 1202140 0 80223 MICHAEL SMITH MEDICAL STAFF 50.00 X 845896 0 63317 STEVEN ISSERMAN MEDICAL STAFF 50.00 X 926995 0 79303 GRADY SHUE MEDICAL STAFF 50.00 X 793598 0 64467 5146860 1343941 411370 128 0 1 0 0 120722 120722 PHYSICIAN PRACTICE 621110 47160972 47160972 INTER-FACILITY REVENUE 621110 14956176 14956176 2274599 2274599 64391747 9708 9708 15699 -15699 -15699 -15699 64506478 64391747 0 -5991 60174453 52351774 7822679 1022073 889204 132869 2032531 1768302 264229 2029149 1765360 263789 25653 25653 5021860 4017488 1004372 3436 3436 59036 59036 1464083 1464083 250443 250443 1110712 1110712 312214 312214 INTERCOMPANY 5915792 5915792 MED & GEN SUPPLIES 4903616 4903616 LEASE EXPENSE 50965 50965 118041 82629 35412 84494057 74570368 9923689 0 379459 808903 4321530 4397520 4120 141118 68840 22980045 10101319 13173958 12878726 2033454 2033454 582287 916298 20635926 21103741 3280198 5239098 154658452 173154946 157938650 178394044 X -137302724 -157290303 -137302724 -157290303 20635926 21103741 -19987579 0 X X 0 1 X 1 0 X 824190 408783 107907 120722 1461602 35487862 44735056 19654476 39706647 47160972 186745013 36312052 45143839 19654476 39814554 47281694 188206615 0 0 0 188206615 202 15647 9708 25557 202 15647 9708 25557 11944632 17024057 6404028 14267678 17230775 66871170 48256886 62167896 26058504 54097879 64522177 255103342 0.73780 0.74000 0.00010 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2019 AMOUNT: $ 1,462,423. 2020 AMOUNT: $ 6,119,896. 2021 AMOUNT: $ 651,849. 2022 AMOUNT: $ 1,266,893. 2023 AMOUNT: $ 2,274,599. INTER-FACILITY REVENUE - 2019 AMOUNT: $ 10,482,209. 2020 AMOUNT: $ 10,904,161. 2021 AMOUNT: $ 5,752,179. 2022 AMOUNT: $ 13,000,785. 2023 AMOUNT: $ 14,956,176. SCHEDULE A, PART III - SHORT YEAR THE SUPPORT TEST INCLUDES A SHORT YEAR BEGINNING JANUARY 1, 2022 AND ENDING JUNE 30, 2022. THE YEARS FOR COLUMNS (A) THROUGH (E) ARE AS FOLLOWS: COLUMN (A) - 12/31/20 COLUMN (B) - 12/31/21 COLUMN (C) - 6/30/22 (SHORT YEAR) COLUMN (D) - 6/30/23 COLUMN (E) - 6/30/24 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7566060 649971 6916089 2382921 389993 1992928 10071030 9061355 1009675 2960034 2960034 12878726 INTERCOMPANY PAYABLES 169607556 OPERATING LEASE LIABILITY 2960033 ESTIMATED THIRD-PARTY RESERVES 587357 173154946 X PART X, LINE 2: THE FILING ORGANIZATION IS A TAX-EXEMPT ORGANIZATION AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE FILING ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE FILING ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE FILING ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE FILING ORGANIZATION ADOPTED THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THIS STANDARD HAD NO IMPACT ON THE FILING ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2024 OR JUNE 30, 2023. 0 1 0 0 0 0 0 0 0 KADRY ALLABOUN MEDICAL STAFF 458794 0 742656 0 690 0 13200 0 67023 0 1282363 0 0 0 GERALD MANK MEDICAL STAFF 549067 0 506750 0 1340 0 10420 0 38843 0 1106420 0 0 0 STEVEN ISSERMAN MEDICAL STAFF 647253 0 279052 0 690 0 13200 0 66103 0 1006298 0 0 0 KATHY BAILEY PRESIDENT & CEO 0 645998 0 298130 0 3810 0 0 0 10408 0 958346 0 0 MICHAEL SMITH MEDICAL STAFF 845446 0 0 0 450 0 0 0 63317 0 909213 0 0 0 GRADY SHUE MEDICAL STAFF 792258 0 0 0 1340 0 13200 0 51267 0 858065 0 0 0 PATRICIA MOLL CFO 0 276079 0 106304 0 13620 0 13200 0 36544 0 445747 0 0 GANDHARI LOOMIS SECRETARY 240720 0 80093 0 261 0 9853 0 4792 0 335719 0 0 0 PART I, LINE 3 A RELATED ORGANIZATION'S COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION PACKAGE. PART I, LINE 4B DURING THE YEAR, THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SECTION 457(F) PLAN: PATRICIA MOLL $ 11,792 FORM 990, PART VI, SECTION A, LINE 3 IN 2021, THE ORGANIZATION ENTERED INTO A MANAGEMENT SERVICES CONTRACT WITH UNC HEALTH. THE TERMS OF THE CONTRACT CALL FOR THE ORGANIZATION TO PAY UNC HEALTH AN ANNUAL MANAGEMENT FEE BASED UPON THE ORGANIZATION'S NET OPERATING REVENUES. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER, THE BOARD AND THE EXECUTIVE COMMITTEE WILL REVIEW THE PREPARED FORM 990 BEFORE IT IS FILED WITH THE IRS. A DRAFT OF FORM 990 WAS POSTED FOR ACCESS BY THE GOVERNING BODY BEFORE IT WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CORPORATE COUNSEL, WHO REVIEWS ALL ANNUAL CONFLICT OF INTEREST DISCLOSURES, IS PRESENT AT EVERY BOARD MEETING TO ENSURE THAT ANY POTENTIAL CONFLICTS ARE APPROPRIATELY HANDLED BY MEMBERS ABSTAINING FROM VOTES AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION PACKAGE DURING 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART VII DESCRIPTION OF HOURS -- FOR RELATED ORGANIZATIONS, OFFICERS LISTED ON PART VII WORK AN AVERAGE OF 40 TO 50 HOURS PER WEEK. THEIR TIME IS SHARED BETWEEN THE FILING ORGANIZATION AND OTHER RELATED ENTITIES LISTED ON SCHEDULE R. FORM 990, PART XII, LINE 2C NO CHANGES FOR APPROVING AUDITED FINANCIAL STATEMENTS OR SELECTION OF INDEPENDENT ACCOUNTANTS HAVE OCCURRED FROM THE PRIOR YEAR. BLUE RIDGE HEALTHCARE HOSPITALS INC 2201 SOUTH STERLING STREET MORGANTON NC 28655 560529976 HEALTHCARE NC 501(C)(3) 170(B)(1)(A) N/A 0 VALDESE NURSING HOME INC 95 LOCUST STREET CONNELLY SPRINGS NC 28612 581978560 HEALTHCARE NC 501(C)(3) 509(A)(2) N/A 0 GRACE NURSING CENTER INC 109 FOOTHILLS DRIVE MORGANTON NC 28655 561838369 HEALTHCARE NC 501(C)(3) 509(A)(2) N/A 0 GRACE LIFECARE INC 500 LENOIR ROAD MORGANTON NC 28655 561722754 HEALTHCARE NC 501(C)(3) 509(A)(2) N/A 0 GRACE PROPERTIES INC 500 LENOIR ROAD MORGANTON NC 28655 561727514 HEALTHCARE NC 501(C)(3) 509(A)(3) N/A 0 BLUE RIDGE FOUNDATION INC 2201 SOUTH STERLING STREET MORGANTON NC 28655 582063920 HEALTHCARE NC 501(C)(3) 509(A)(1) N/A 0 BLUE RIDGE HEALTHCARE SYSTEM INC 2201 SOUTH STERLING STREET MORGANTON NC 28655 562150313 HEALTHCARE NC 501(C)(3) 509(A)(3) N/A 0 GRACE HEALTH VENTURES INC 2201 SOUTH STERLING STRET MORGANTON NC 28655 561581317 COMMERCIAL REAL ESTATE RENTAL NC BLUE RIDGE HEALTHCARE SYSTEM C 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0