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APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC (EIN 20-1067022)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-14
IRS object ID
202302269349302515
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-14T16:32:50-04:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1Txt
CityALBANYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP317081309ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201067022EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1APPALACHIAN REGIONAL HEALTHCAREBusinessNameLine1Txt
Business Name Line2SYSTEM INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlAPPABusinessNameControlTxt
Phone8282624100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 2600AddressLine1Txt
CityBOONECityNm
State AbbreviationNCStateAbbreviationCd
ZIP286072600ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICK CASSADYPersonNm
Person TitleCFOPersonTitleTxt
Phone8282624100PhoneNum
Signature2023-08-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRICKPersonFirstNm
Person LastCASSADAYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM EDWARD PHILLIPSPreparerPersonNm
PTINP00451499PTIN
Phone2298837878PhoneNum
Preparation2023-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHARLES MANTOOTHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 2600AddressLine1Txt
CityBOONECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28607ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$50,710,259GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.APPRHS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1841TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$45,970,606PYProgramServiceRevenueAmt
CY Program Service Revenue$50,238,160CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$1,037,105PYOtherRevenueAmt
CY Other Revenue$472,099CYOtherRevenueAmt
PY Total Revenue$47,007,711PYTotalRevenueAmt
CY Total Revenue$50,710,259CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$29,259,688PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$28,757,054CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$17,748,021PYOtherExpensesAmt
CY Other Expenses$21,563,049CYOtherExpensesAmt
PY Total Expenses$47,007,709PYTotalExpensesAmt
CY Total Expenses$50,320,103CYTotalExpensesAmt
PY Revenues Less Expenses$2PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$390,156CYRevenuesLessExpensesAmt
Total Assets BOY$23,857,588TotalAssetsBOYAmt
Total Assets EOY$32,855,284TotalAssetsEOYAmt
Total Liabilities BOY$28,809,622TotalLiabilitiesBOYAmt
Total Liabilities EOY$37,421,319TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$4,952,034NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$4,566,035NetAssetsOrFundBalancesEOYAmt
MissionTO SUPPORT THE PROVISION OF HIGH QUALITY, COMPASSIONATE HEALTHCARE FOR THE MOUNTAIN REGION OF NORTHWEST CAROLINA, NORTHEAST TENNESSEE WITH A SPIRIT OF TEAMWORK BASED ON A SET OF OPERATING VALUES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$30,698,711ExpenseAmt
Revenue$50,710,259RevenueAmt
DescAPPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS), THE HEALTHCARE LEADER IN THE HIGH COUNTRY, IS COMPRISED OF THREE HOSPITALS, A PHYSICIAN PRACTICE MANAGEMENT GROUP, AND A HEALTHCARE FOUNDATION.Desc
Total Program Service Expenses$30,698,711TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document209IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1841EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRICK CASSADYPersonNm
Phone8282624119PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1336 DEERFIELD RDAddressLine1Txt
CityBOONECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28607ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndKey EmployeeKeyEmployeeInd
STEVEN ANDERSON MD
PHYSICIAN40.00Yes (X)$1,555,206$0$36,712
BENJAMIN PARKER MD
PHYSICIAN40.00Yes (X)$1,265,788$0$36,885
JAMES CALIFF MD
PHYSICIAN40.00Yes (X)$952,099$0$36,739
CHARLES MANTOOTH
CEO40.00$637,139$0$84,7055.00Yes (X)
GREGORY DIAMONTI MD
PHYSICIAN40.00Yes (X)$628,081$0$34,735
CYNTHIA BALLENGER MD
PHYSICIAN40.00Yes (X)$653,904$0$0
PAUL DAGHER MD
TRUSTEE/PHYS41.00$569,675$0$36,2354.00Yes (X)
DANIELLE MAHAFFEY
CHIEF PHYS E40.00$431,190$0$58,6892.00Yes (X)
AMY CRABBE
COO40.00$354,883$0$39,445Yes (X)
MATT THOMAS
CFO (LEFT 1040.00$320,966$0$40,9006.00Yes (X)
LESLIE BIANCA
WMC PRESIDEN40.00$233,091$0$22,604Yes (X)
ROB HUDSPETH
SVP DEVELOPM40.00$221,132$0$27,320Yes (X)
JIMMY MARON SIGMON
VP SUPPORT S40.00$187,842$0$19,944Yes (X)
CARMEN LACEY
CMH PRESIDEN1.00$176,737$0$23,21640.00Yes (X)
DENNA MOOL
CHIEF LEGAL40.00$163,775$0$0Yes (X)
STEPHANIE GREER
PRES AVERY H1.00$136,582$0$23,20640.00Yes (X)
JOLYNN MAHONEY
EXECUTIVE AS40.00$70,792$0$13,868Yes (X)
SAM ADAMS
TRUSTEE1.00$0$0$06.00Yes (X)
JOHN BLACKBURN
TRUSTEE1.00$0$0$04.00Yes (X)
LISA COOPER
TRUSTEE1.00$0$0$04.00Yes (X)
TOM DALE
CHAIR1.00$0$0$05.00Yes (X)Yes (X)
JIM DEAL
VICE CHAIR1.00$0$0$04.00Yes (X)Yes (X)
BILLY KENNEDY
TRUSTEE1.00$0$0$04.00Yes (X)
BRETT LOFTIS
TRUSTEE1.00$0$0$03.00Yes (X)
CHARLES BAKER MD
TRUSTEE1.00$0$0$03.00Yes (X)
KIM MILLER
TRUSTEE (LEF1.00$0$0$03.00Yes (X)
MEAGAN PHILLIPS
TRUSTEE1.00$0$0$05.00Yes (X)
MARK RICKS
TRUSTEE1.00$0$0$04.00Yes (X)
MARY LOUISE ROBERTS
TRUSTEE1.00$0$0$04.00Yes (X)
KENT TARBUTTON
TRUSTEE1.00$0$0$04.00Yes (X)
PATTIE TENNILLE
TRUSTEE (LEF1.00$0$0$03.00Yes (X)
KENNETH WILCOX
TRUSTEE1.00$0$0$05.00Yes (X)
JAN WINKLER
TRUSTEE1.00$0$0$04.00Yes (X)
RICK CASSADY
CFO$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,558,882TotalReportableCompFromOrgAmt
Total Other Compensation$535,203TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K195IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUALIVIS LLC
1000 CENTER POINT RDCOLUMBIASC29210STAFFING$11,785,787
AYA HEALTHCARE
5930 CORNERSTONE COURT WEST 300SAN DIEGOCA92121STAFFING$2,818,909
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397LOCUM TENENS$1,747,660
CARDIOSOLUTION PHYS CALIFORNIA
4675 CORNELL RDCINCINNATIOH45241TELEHEALTH SVCS$1,667,262
WAKE FOREST UNIV SCHOOL OF MEDICINE
MEDICAL CENTER BLVDWINSTON SALEMNC271571060TELEHEALTH SVCS$1,225,019
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K42CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSHARED SERVICES ALLOCATIONSDesc
Business561000BusinessCd
Total Revenue Column$50,238,160TotalRevenueColumnAmt
Related Or Exempt Func Income$50,238,160RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$50,238,160TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER MISCELLANEOUS561000$344,385$344,385
INCENTIVES561000$120,890$120,890
DISCOUNTS & REBATES561000$6,845$6,845

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$21TotalRevenueColumnAmt
Related Or Exempt Func Income-$21RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$472,099OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,710,259TotalRevenueColumnAmt
Related Or Exempt Func Income$50,710,259RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,277,926TotalAmt
Program Services$605,910ProgramServicesAmt
Management And General$2,672,016ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,919,134TotalAmt
Program Services$7,951,398ProgramServicesAmt
Management And General$3,967,736ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,099,795TotalAmt
Program Services$1,303,240ProgramServicesAmt
Management And General$796,555ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,846,225TotalAmt
Program Services$5,665,068ProgramServicesAmt
Management And General$4,181,157ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,613,974TotalAmt
Program Services$922,870ProgramServicesAmt
Management And General$691,104ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$548,564TotalAmt
Management And General$548,564ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$195,716TotalAmt
Management And General$195,716ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,589,704TotalAmt
Program Services$8,204,582ProgramServicesAmt
Management And General$5,385,122ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$385,321TotalAmt
Program Services$355,220ProgramServicesAmt
Management And General$30,101ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,010,663TotalAmt
Program Services$801,753ProgramServicesAmt
Management And General$208,910ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$337,849TotalAmt
Program Services$296,372ProgramServicesAmt
Management And General$41,477ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$176,385TotalAmt
Program Services$140,720ProgramServicesAmt
Management And General$35,665ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$93,925TotalAmt
Program Services$80,399ProgramServicesAmt
Management And General$13,526ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$141,160TotalAmt
Program Services$70,536ProgramServicesAmt
Management And General$70,624ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$293,118TotalAmt
Program Services$7,951ProgramServicesAmt
Management And General$285,167ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,746,607TotalAmt
Program Services$1,393,443ProgramServicesAmt
Management And General$353,164ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MISCELLANEOUS$2,695,766$2,637,586$58,180
LICENSES & TAXES$147,313$141,167$6,146
FINES & PENALTIES$67,130$67,130
MEDICAL SUPPLIES$61,824$61,687$137

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$72,004TotalAmt
Program Services$58,809ProgramServicesAmt
Management And General$13,195ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$50,320,103TotalAmt
Program Services$30,698,711ProgramServicesAmt
Management And General$19,621,392ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$41,297BOYAmt
EOY-$8,357EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,983,861BOYAmt
EOY$4,582,776EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,164,452BOYAmt
EOY$405,909EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$44,164,294LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,356,838LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,264,287BOYAmt
EOY$17,807,456EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$483,856BOYAmt
EOY$481,008EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,919,835BOYAmt
EOY$9,586,492EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$23,857,588BOYAmt
EOY$32,855,284EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,920,035BOYAmt
EOY$21,455,976EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$8,157,332BOYAmt
EOY$7,339,569EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,732,255BOYAmt
EOY$8,625,774EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,809,622BOYAmt
EOY$37,421,319EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$4,952,034BOYAmt
EOY-$4,566,035EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$4,952,034BOYAmt
EOY-$4,566,035EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,857,588BOYAmt
EOY$32,855,284EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$390,156ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$4,157OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations5SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
WATAUGA MEDICAL CENTER INC
5605108243Yes (true)$30,049,143$0
CHARLES A CANNON JR MEMORIAL HOSPITAL INC
5605299743Yes (true)$3,163,414$0
APPALACHIAN MEDICAL ASSOCIATES INC
20575513010false$3,838,757$0
APPALACHIAN REGIONAL HEALTHCARE FDN INC
2046256187false$0$0
APPALACHIAN REG BEHAVIORAL HEALTH
8513132653false$394,506$0
FieldValueIRS element (for citing)
Supported Organizations Total5SupportedOrganizationsTotalCnt
Support Sum$37,445,820SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (true)MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationAPPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS) SHARES A COMMON BOARD OF DIRECTORS AND COMMON DAY-TO-DAY MANAGEMENT WITH CHARLES A. CANNON JR. MEMORIAL HOSPITAL, INC. AND APPALACHIAN REGIONAL BEHAVIORAL HEALTH, INC. ARHS AND WATUAGA MEDICAL CENTER SHARE A MAJORITY OVERLAP OF BOARD MEMBERS AND DAY-TO-DAY MANAGEMENT. ARHS SHARES OVERLAPPING BOARD MEMBERS AND DAY- TO-DAY MANAGEMENT WITH BOTH APPALACHIAN REGIONAL HEALTHCARE FOUNDATION, APPALACHIAN REGIONAL MEDICAL ASSOCIATES, AND ARHS PROPERTIES. ARHS APPOINTS THE BOARD OF DIRECTORS OF CHARLES A. CANNON JR. MEMORIAL HOSPITAL, APPALACHIAN REGIONAL BEHAVIORAL HEALTH AND ARHS PROPERTIES. ALL ORGANIZATIONS SERVE THE HEALTHCARE NEEDS OF THE SAME NORTH CAROLINA COMMUNITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,125,815OtherCostOrOtherBasisAmt
Book Value$9,125,815BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,087,157OtherCostOrOtherBasisAmt
Depreciation$26,356,838DepreciationAmt
Book Value$730,319BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,951,322OtherCostOrOtherBasisAmt
Book Value$7,951,322BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,807,456TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$9,336,492
DEPOSITS$250,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,586,492TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$8,130,488
OTHER LIABILITIES$481,008
ACCRUED INTEREST$14,278
FieldValueIRS element (for citing)
Total Liability$8,625,774TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationARHS AND THE COMPANIES FOR WHICH IT SERVICES AS SOLE MEMBER ARE NOT-FOR- PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN CONSIDERED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE SYSTEM HAS DETERMINED IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2022.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
STEVEN ANDERSON MD
PHYSICIAN$1,518,265$21,100$15,841$8,550$28,162$1,591,918
BENJAMIN PARKER MD
PHYSICIAN$1,152,307$102,923$10,558$8,492$28,393$1,302,673
JAMES CALIFF MD
PHYSICIAN$477,338$442,766$31,995$6,991$29,748$988,838
CHARLES MANTOOTH
CEO$571,579$40,000$25,560$68,910$15,795$721,844
GREGORY DIAMONTI MD
PHYSICIAN$607,458$20,623$4,991$29,744$662,816
CYNTHIA BALLENGER MD
PHYSICIAN$642,679$11,225$653,904
PAUL DAGHER MD
TRUSTEE/PHYSICIAN$564,496$2,800$2,379$5,392$30,843$605,910
DANIELLE MAHAFFEY
CHIEF PHYS EXEC$381,336$40,000$9,854$29,245$29,444$489,879
AMY CRABBE
COO$313,631$40,000$1,252$25,903$13,542$394,328
MATT THOMAS
CFO (LEFT 10/22)$308,828$12,138$18,382$22,518$361,866
LESLIE BIANCA
WMC PRESIDENT$207,600$20,000$5,491$11,435$11,169$255,695
ROB HUDSPETH
SVP DEVELOPMENT$191,820$20,000$9,312$16,387$10,933$248,452
JIMMY MARON SIGMON
VP SUPPORT SVC$175,602$10,000$2,240$9,726$10,218$207,786
CARMEN LACEY
CMH PRESIDENT$156,049$10,000$10,688$13,170$10,046$199,953
DENNA MOOL
CHIEF LEGAL OFFICER$138,470$25,000$305$163,775
STEPHANIE GREER
PRES AVERY HC MARKET$132,180$4,000$402$4,378$18,828$159,788

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1ATHE ORGANIZATION PROVIDES HEALTH/SOCIAL CLUB DUES THAT ARE INCLUDED ON THE OFFICERS' FORM W-2.
SCHEDULE J, PAGE 1, PART I, LINE 4CHARLES MANTOOTH 0 60,510 0 DANIELLE MAHAFFEY 0 21,003 0 AMY CRABBE 0 17,203 0 MATT THOMAS 0 15,896 0 LESLIE BIANCA 0 5,623 0 ROB HUDSPETH 0 10,795 0 JIMMY MARON SIGMON 0 4,325 0 CARMEN LACEY 0 8,106 0
SCHEDULE J, PART IIIBONUS PAYMENTS BONUSES MAY BE GRANTED AT THE DISCRETION OF THE BOARD AND ARE BASED ON FACTORS SUCH AS PERFORMANCE AND MEETING GOALS AND OBJECTIVES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonCHARLES MILLERPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBD MBR SPOUSERelationshipDescriptionTxt
Transaction$346,599TransactionAmt
TransactionARHS EMPLOYEETransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationCHARLES MILLER, THE SPOUSE OF BOARD MEMBER KIM MILLER, IS EMPLOYED AND COMPENSATED BY ARHS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE SYSTEM CONTROLLER AND THE CFO REVIEW THE 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE RETURN IS MADE AVAILABLE TO THE BOARD OF TRUSTEES UPON COMPLETION.
FORM 990, PAGE 6, PART VI, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AND APPLIES TO ALL EMPLOYEES, OFFICERS AND BOARD MEMBERS. SHOULD A CONFLICT EXIST, THE INDIVIDUAL IS RECUSED FROM DISCUSSION AND DECISION-MAKING PROCESS.
FORM 990, PAGE 6, PART VI, LINE 15AARTHUR J. GALLAGHER & CO. CONDUCTED AN INDEPENDENT COMPENSATION AND BENEFIT ANALYSIS FOR THE CEO AND EXECUTIVE TEAM OF ARHS. COMPARATIVE DATA WAS USED IN THIS ANALYSIS FROM NATIONAL AND REGIONAL PEER GROUPS (HEALTH SYSTEMS WITH COMPARABLE NET REVENUE, STRUCTURE, AND ORGANIZATIONAL COMPLEXITY). BENCHMARK DATA INCLUDED INTEGRATED HEALTHCARE STRATEGIES.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT LABOR 228,635 343,366 0 PHYSICIAN FEES 5,300 0 0 PURCHASED SERVICES 780,496 2,160,721 0 OUTSIDE SERVICES 4,256,389 137,136 0 CONSULTING FEES 2,933,762 1,004,334 0 COLLECTION FEES 0 1,739,565 0 TOTAL 8,204,582 5,385,122 0
FORM 990, PART XI, LINE 9EQUITY TRANSFERS RELATED ORANIZATIONS -4,157

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
WATAUGA MEDICAL CENTER INC
336 DEERFIELD RDBOONENC28607560510824HOSPITALNC501C33ARHSYes (true)
APPALACHIAN REGIONAL HEALTHCARE FDN
336 DEERFIELD RDBOONENC28607204625618FOUNDATIONNC501C37ARHSYes (true)
CHARLES A CANNON JR MEMORIAL HOSP
434 HOSPITAL DRLINVILLENC28646560529974HOSPITALNC501C33ARHSYes (true)
ARHS PROPERTIES INC
336 DEERFIELD RDBOONENC28607203470765PROP ACQNC501C312BARHSYes (true)
APPALACHIAN REGIONAL MED ASSOC
P O BOX 2600BOONENC28607205775513PHYS PRACNC501C310ARHSYes (true)
APPALACHIAN REGIONAL BEHAVIORAL HLT
432 HOSPITAL DRIVELINVILLENC28646851313265HOSPITALNC501C33ARHSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SLOOP MEDICAL OFFICE PLAZA CONDO ASBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1434 HOSPITAL DRAddressLine1Txt
CityLINVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28646ZIPCd
FieldValueIRS element (for citing)
EIN593761777EIN
Primary ActivitiesRENTALPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ARHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Share Of Total Income$350,639ShareOfTotalIncomeAmt
Share Of EOY Assets$216,654ShareOfEOYAssetsAmt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
APPALACHIAN REGIONAL HEALTHCARE FND
D$611,440GENERAL LEDGER
APPALACHIAN REGIONAL MEDICAL ASSOC
D$15,772,619GENERAL LEDGER
C A CANNON JR MEMORIAL HOSPITAL
Q$3,443,095GENERAL LEDGER
APPALACHIAN REGIONAL BEHAV HEALTH
D$8,312,269GENERAL LEDGER
WATAUGA MEDICAL CTR
E$24,149,602GENERAL LEDGER
ALL ORGANIZATIONS
IAMOUNT INDETERMINABLE
ALL ORGANIZATIONS
JAMOUNT INDETERMINABLE
ALL ORGANIZATIONS
LAMOUNT INDETERMINABLE
ALL ORGANIZATIONS
MAMOUNT INDETERMINABLE
ALL ORGANIZATIONS
NAMOUNT INDETERMINABLE
ALL ORGANIZATIONS
OAMOUNT INDETERMINABLE
ALL ORGANIZATIONS
QAMOUNT INDETERMINABLE
WATAUGA MEDICAL CTR
RAMOUNT INDETERMINABLE
APPALACHIAN REGIONAL MEDICAL ASSOC
RAMOUNT INDETERMINABLE
C A CANNON JR MEMORIAL HOSPITAL
RAMOUNT INDETERMINABLE