2023-08-14T16:32:50-04:00 2022-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2021-10-01 201067022 APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC APPA 8282624100 P O BOX 2600 BOONE NC 286072600 RICK CASSADY CFO 8282624100 2023-08-13 true RICK CASSADAY 999009999 WILLIAM EDWARD PHILLIPS P00451499 2298837878 2023-08-14 2021 2023-04-26 12:10:37Z CHARLES MANTOOTH P O BOX 2600 BOONE NC 28607 50710259 false X WWW.APPRHS.ORG X 2004 NC TO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES. 15 12 1841 0 0 45970606 50238160 0 1037105 472099 47007711 50710259 0 0 29259688 28757054 0 0 17748021 21563049 47007709 50320103 2 390156 23857588 32855284 28809622 37421319 -4952034 -4566035 TO 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. false false 30698711 50710259 APPALACHIAN 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. 30698711 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false true false false false false false false true false false false true 209 0 1841 true false false false false false false false false false false false false X 15 12 false false false false false false false true true false false true true true true true true true false false X RICK CASSADY 8282624119 336 DEERFIELD RD BOONE NC 28607 STEVEN ANDERSON MD PHYSICIAN 40.00 X 1555206 0 36712 BENJAMIN PARKER MD PHYSICIAN 40.00 X 1265788 0 36885 JAMES CALIFF MD PHYSICIAN 40.00 X 952099 0 36739 CHARLES MANTOOTH CEO 40.00 5.00 X 637139 0 84705 GREGORY DIAMONTI MD PHYSICIAN 40.00 X 628081 0 34735 CYNTHIA BALLENGER MD PHYSICIAN 40.00 X 653904 0 0 PAUL DAGHER MD TRUSTEE/PHYS 41.00 4.00 X 569675 0 36235 DANIELLE MAHAFFEY CHIEF PHYS E 40.00 2.00 X 431190 0 58689 AMY CRABBE COO 40.00 X 354883 0 39445 MATT THOMAS CFO (LEFT 10 40.00 6.00 X 320966 0 40900 LESLIE BIANCA WMC PRESIDEN 40.00 X 233091 0 22604 ROB HUDSPETH SVP DEVELOPM 40.00 X 221132 0 27320 JIMMY MARON SIGMON VP SUPPORT S 40.00 X 187842 0 19944 CARMEN LACEY CMH PRESIDEN 1.00 40.00 X 176737 0 23216 DENNA MOOL CHIEF LEGAL 40.00 X 163775 0 0 STEPHANIE GREER PRES AVERY H 1.00 40.00 X 136582 0 23206 JOLYNN MAHONEY EXECUTIVE AS 40.00 X 70792 0 13868 SAM ADAMS TRUSTEE 1.00 6.00 X 0 0 0 JOHN BLACKBURN TRUSTEE 1.00 4.00 X 0 0 0 LISA COOPER TRUSTEE 1.00 4.00 X 0 0 0 TOM DALE CHAIR 1.00 5.00 X X 0 0 0 JIM DEAL VICE CHAIR 1.00 4.00 X X 0 0 0 BILLY KENNEDY TRUSTEE 1.00 4.00 X 0 0 0 BRETT LOFTIS TRUSTEE 1.00 3.00 X 0 0 0 CHARLES BAKER MD TRUSTEE 1.00 3.00 X 0 0 0 KIM MILLER TRUSTEE (LEF 1.00 3.00 X 0 0 0 MEAGAN PHILLIPS TRUSTEE 1.00 5.00 X 0 0 0 MARK RICKS TRUSTEE 1.00 4.00 X 0 0 0 MARY LOUISE ROBERTS TRUSTEE 1.00 4.00 X 0 0 0 KENT TARBUTTON TRUSTEE 1.00 4.00 X 0 0 0 PATTIE TENNILLE TRUSTEE (LEF 1.00 3.00 X 0 0 0 KENNETH WILCOX TRUSTEE 1.00 5.00 X 0 0 0 JAN WINKLER TRUSTEE 1.00 4.00 X 0 0 0 RICK CASSADY CFO X 0 0 0 8558882 535203 195 false true false QUALIVIS LLC 1000 CENTER POINT RD COLUMBIA SC 29210 STAFFING 11785787 AYA HEALTHCARE 5930 CORNERSTONE COURT WEST 300 SAN DIEGO CA 92121 STAFFING 2818909 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 LOCUM TENENS 1747660 CARDIOSOLUTION PHYS CALIFORNIA 4675 CORNELL RD CINCINNATI OH 45241 TELEHEALTH SVCS 1667262 WAKE FOREST UNIV SCHOOL OF MEDICINE MEDICAL CENTER BLVD WINSTON SALEM NC 271571060 TELEHEALTH SVCS 1225019 42 SHARED SERVICES ALLOCATIONS 561000 50238160 50238160 50238160 OTHER MISCELLANEOUS 561000 344385 344385 INCENTIVES 561000 120890 120890 DISCOUNTS & REBATES 561000 6845 6845 -21 -21 472099 50710259 50710259 X 3277926 605910 2672016 11919134 7951398 3967736 2099795 1303240 796555 9846225 5665068 4181157 1613974 922870 691104 548564 548564 195716 195716 13589704 8204582 5385122 385321 355220 30101 1010663 801753 208910 337849 296372 41477 176385 140720 35665 93925 80399 13526 141160 70536 70624 293118 7951 285167 1746607 1393443 353164 MISCELLANEOUS 2695766 2637586 58180 LICENSES & TAXES 147313 141167 6146 FINES & PENALTIES 67130 67130 MEDICAL SUPPLIES 61824 61687 137 72004 58809 13195 50320103 30698711 19621392 0 41297 -8357 1983861 4582776 3164452 405909 44164294 26356838 15264287 17807456 483856 481008 2919835 9586492 23857588 32855284 14920035 21455976 8157332 7339569 5732255 8625774 28809622 37421319 X -4952034 -4566035 -4952034 -4566035 23857588 32855284 X 390156 -4157 X false true X true false X X 5 WATAUGA MEDICAL CENTER INC 560510824 3 true 30049143 0 CHARLES A CANNON JR MEMORIAL HOSPITAL INC 560529974 3 true 3163414 0 APPALACHIAN MEDICAL ASSOCIATES INC 205755130 10 false 3838757 0 APPALACHIAN REGIONAL HEALTHCARE FDN INC 204625618 7 false 0 0 APPALACHIAN REG BEHAVIORAL HEALTH 851313265 3 false 394506 0 5 37445820 0 true false false false false false false false false false false false false false false true SUPPLEMENTAL INFORMATION APPALACHIAN 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. 9125815 9125815 27087157 26356838 730319 7951322 7951322 17807456 OTHER RECEIVABLES 9336492 DEPOSITS 250000 9586492 DUE TO RELATED PARTIES 8130488 OTHER LIABILITIES 481008 ACCRUED INTEREST 14278 8625774 X SCHEDULE D, PAGE 3, PART X ARHS 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. X X true true X X X X X false true false false false false false false false STEVEN ANDERSON MD PHYSICIAN 1518265 21100 15841 8550 28162 1591918 BENJAMIN PARKER MD PHYSICIAN 1152307 102923 10558 8492 28393 1302673 JAMES CALIFF MD PHYSICIAN 477338 442766 31995 6991 29748 988838 CHARLES MANTOOTH CEO 571579 40000 25560 68910 15795 721844 GREGORY DIAMONTI MD PHYSICIAN 607458 20623 4991 29744 662816 CYNTHIA BALLENGER MD PHYSICIAN 642679 11225 653904 PAUL DAGHER MD TRUSTEE/PHYSICIAN 564496 2800 2379 5392 30843 605910 DANIELLE MAHAFFEY CHIEF PHYS EXEC 381336 40000 9854 29245 29444 489879 AMY CRABBE COO 313631 40000 1252 25903 13542 394328 MATT THOMAS CFO (LEFT 10/22) 308828 12138 18382 22518 361866 LESLIE BIANCA WMC PRESIDENT 207600 20000 5491 11435 11169 255695 ROB HUDSPETH SVP DEVELOPMENT 191820 20000 9312 16387 10933 248452 JIMMY MARON SIGMON VP SUPPORT SVC 175602 10000 2240 9726 10218 207786 CARMEN LACEY CMH PRESIDENT 156049 10000 10688 13170 10046 199953 DENNA MOOL CHIEF LEGAL OFFICER 138470 25000 305 163775 STEPHANIE GREER PRES AVERY HC MARKET 132180 4000 402 4378 18828 159788 SCHEDULE J, PAGE 1, PART I, LINE 1A THE ORGANIZATION PROVIDES HEALTH/SOCIAL CLUB DUES THAT ARE INCLUDED ON THE OFFICERS' FORM W-2. SCHEDULE J, PAGE 1, PART I, LINE 4 CHARLES 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 III BONUS PAYMENTS BONUSES MAY BE GRANTED AT THE DISCRETION OF THE BOARD AND ARE BASED ON FACTORS SUCH AS PERFORMANCE AND MEETING GOALS AND OBJECTIVES. CHARLES MILLER BD MBR SPOUSE 346599 ARHS EMPLOYEE false SCHEDULE L, PART V CHARLES MILLER, THE SPOUSE OF BOARD MEMBER KIM MILLER, IS EMPLOYED AND COMPENSATED BY ARHS. FORM 990, PAGE 6, PART VI, LINE 11B THE 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 12C THE 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 15A ARTHUR 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 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT 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 9 EQUITY TRANSFERS RELATED ORANIZATIONS -4,157 WATAUGA MEDICAL CENTER INC 336 DEERFIELD RD BOONE NC 28607 560510824 HOSPITAL NC 501C3 3 ARHS true APPALACHIAN REGIONAL HEALTHCARE FDN 336 DEERFIELD RD BOONE NC 28607 204625618 FOUNDATION NC 501C3 7 ARHS true CHARLES A CANNON JR MEMORIAL HOSP 434 HOSPITAL DR LINVILLE NC 28646 560529974 HOSPITAL NC 501C3 3 ARHS true ARHS PROPERTIES INC 336 DEERFIELD RD BOONE NC 28607 203470765 PROP ACQ NC 501C3 12B ARHS true APPALACHIAN REGIONAL MED ASSOC P O BOX 2600 BOONE NC 28607 205775513 PHYS PRAC NC 501C3 10 ARHS true APPALACHIAN REGIONAL BEHAVIORAL HLT 432 HOSPITAL DRIVE LINVILLE NC 28646 851313265 HOSPITAL NC 501C3 3 ARHS true SLOOP MEDICAL OFFICE PLAZA CONDO AS 434 HOSPITAL DR LINVILLE NC 28646 593761777 RENTAL NC ARHS C CORP 350639 216654 false false false false true true false false false true true false true true true true false true true false APPALACHIAN REGIONAL HEALTHCARE FND D 611440 GENERAL LEDGER APPALACHIAN REGIONAL MEDICAL ASSOC D 15772619 GENERAL LEDGER C A CANNON JR MEMORIAL HOSPITAL Q 3443095 GENERAL LEDGER APPALACHIAN REGIONAL BEHAV HEALTH D 8312269 GENERAL LEDGER WATAUGA MEDICAL CTR E 24149602 GENERAL LEDGER ALL ORGANIZATIONS I AMOUNT INDETERMINABLE ALL ORGANIZATIONS J AMOUNT INDETERMINABLE ALL ORGANIZATIONS L AMOUNT INDETERMINABLE ALL ORGANIZATIONS M AMOUNT INDETERMINABLE ALL ORGANIZATIONS N AMOUNT INDETERMINABLE ALL ORGANIZATIONS O AMOUNT INDETERMINABLE ALL ORGANIZATIONS Q AMOUNT INDETERMINABLE WATAUGA MEDICAL CTR R AMOUNT INDETERMINABLE APPALACHIAN REGIONAL MEDICAL ASSOC R AMOUNT INDETERMINABLE C A CANNON JR MEMORIAL HOSPITAL R AMOUNT INDETERMINABLE