APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC (EIN 20-1067022)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-02
- IRS object ID
- 202122149349300202
- Schema version
- 2019v5.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-02T07:30:59-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201067022 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APPALACHIAN REGIONAL HEALTHCARE | BusinessNameLine1Txt |
| Business Name Line2 | SYSTEM INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | APPA | BusinessNameControlTxt |
| Phone | 8282624100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2600 | AddressLine1Txt |
| City | BOONE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28607 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATT THOMAS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8282624100 | PhoneNum |
| Signature | 2021-07-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2021-07-22 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHARLES MANTOOTH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2600 | AddressLine1Txt |
| City | BOONE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28607 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $29,997,837 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.APPRHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 267 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $27,791,847 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,831,038 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$11,742,671 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,546,809 | PYOtherRevenueAmt |
| CY Other Revenue | $166,799 | CYOtherRevenueAmt |
| PY Total Revenue | $20,595,985 | PYTotalRevenueAmt |
| CY Total Revenue | $29,997,837 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $25,009,618 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,942,441 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,939,731 | PYOtherExpensesAmt |
| CY Other Expenses | $3,055,396 | CYOtherExpensesAmt |
| PY Total Expenses | $28,949,349 | PYTotalExpensesAmt |
| CY Total Expenses | $29,997,837 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,353,364 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,713,711 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,084,829 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $30,036,100 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,407,217 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$5,322,389 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$5,322,388 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,107,887 | ExpenseAmt |
| Revenue | $29,831,038 | RevenueAmt |
| Desc | APPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS), THE HEALTHCARE LEADER IN THE HIGH COUNTRY IS COMPRISED OF TWO HOSPITALS, A PHYSICIAN PRACTICE MANAGEMENT GROUP, A POST-ACUTE CARE AND REHABILITATION CENTER, AND A HEALTHCARE FOUNDATION. | Desc |
| Total Program Service Expenses | $19,107,887 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 200 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 267 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATT THOMAS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8282624100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 336 DEERFIELD RD | AddressLine1Txt |
| City | BOONE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28607 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| THOMAS DALE | |||||||||
| CHAIRPERSON | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KIM MILLER | |||||||||
| VICE CHAIRPERSON | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KENNETH WILCOX | |||||||||
| BOARD MEMBER | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| KENT TARBUTTON | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SAM ADAMS | |||||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN BLACKBURN | |||||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JOE MILLER | |||||||||
| BOARD MEMBER | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY LOUISE ROBERTS | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PATTIE TENNILLE | |||||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JAN WINKLER | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL DAGHER MD | |||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $451,620 | $0 | $22,446 | |||
| CHARLES BAKER MD | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $80,805 | $0 | $0 | |||
| JIM DEAL | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BRETT LOFTIS | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BILLY KENNEDY | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES MANTOOTH | |||||||||
| CEO, ARHS | 40.00 | 5.00 | Yes (X) | $509,560 | $0 | $27,710 | |||
| KEVIN MAY | |||||||||
| CFO, ARHS | 40.00 | 5.00 | Yes (X) | $349,354 | $0 | $90,808 | |||
| AMY CRABBE | |||||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $258,677 | $0 | $23,479 | ||||
| DANIELLE MAHAFFEY | |||||||||
| CHIEF PHYSICIAN EXECUTIVE | 40.00 | 1.00 | Yes (X) | $393,922 | $0 | $32,790 | |||
| LESLIE BIANCA | |||||||||
| PRESIDENT, WATAUGA MEDICAL CENTERCHIEF NURSING O | 40.00 | Yes (X) | $276,699 | $0 | $21,771 | ||||
| JOLYNN MAHONEY | |||||||||
| EXEC. SEC, SEC. OF TRUSTEES | 40.00 | Yes (X) | $68,465 | $0 | $12,252 | ||||
| CARMEN LACEY | |||||||||
| PRESIDENT, CMH | 40.00 | Yes (X) | $162,297 | $0 | $33,931 | ||||
| NATHAN WHITE | |||||||||
| CIO, ADMINISTRATOR | 40.00 | 1.00 | $224,806 | $0 | $26,375 | Yes (X) | |||
| ROBERT HUDSPETH | |||||||||
| SVP DEVELOPMENT | 40.00 | $201,514 | $0 | $16,737 | Yes (X) | ||||
| THOMAS HUYCK | |||||||||
| CLO | 40.00 | $187,328 | $0 | $24,312 | Yes (X) | ||||
| MARAN SIGMON | |||||||||
| VICE PRESIDENT OF SUPPORT SERVICES | 40.00 | $159,805 | $0 | $15,989 | Yes (X) | ||||
| JAMES CALIFF MD | |||||||||
| PHYSICIAN | 40.00 | $801,541 | $0 | $22,446 | Yes (X) | ||||
| STEVEN ANDERSON MD | |||||||||
| PHYSICIAN | 40.00 | $1,503,163 | $0 | $22,446 | Yes (X) | ||||
| PAUL VIGNOLA MD | |||||||||
| PHYSICIAN | 40.00 | $242,525 | $0 | $176,666 | Yes (X) | ||||
| ANNA SOBOL MD | |||||||||
| PHYSICIAN | 40.00 | $559,495 | $0 | $17,802 | Yes (X) | ||||
| BENJAMIN PARKER MD | |||||||||
| PHYSICIAN | 40.00 | $1,038,829 | $0 | $22,446 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,470,405 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $610,406 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 121 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLSCRIPTS | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 606731246 | IT & SOFTWARE SERVICES | $2,674,011 |
| WAKE FOREST UNIVERSITY HEALTH SC | |||||
| MEDICAL CENTER BLVD | WINSTONSALEM | NC | 271571060 | PHYSICIANS | $1,172,939 |
| CARDIOSOLUTION PHYSICIANS CALIFORNIA PC | |||||
| 4675 CORNELL ROAD | CINCINNATI | OH | 45241 | CARDIOVASCULAR SERVICES | $1,068,618 |
| WEATHERBY LOCUMS INC | |||||
| 1020 SOUTHHILL DR | CARY | NC | 27513 | STAFFING AND RECRUITING | $771,568 |
| TELEHEALTH SOLUTION | |||||
| PO BOX 200162 | PITTSBURGH | PA | 15251 | COVERAGE STAFFING | $502,760 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 30 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CORPORATION ALLOCATION | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $29,831,038 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,831,038 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,831,038 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $166,799 | TotalRevenueColumnAmt |
| Exclusion | $166,799 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $166,799 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,997,837 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,831,038 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $166,799 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,324,851 | TotalAmt |
| Program Services | $532,425 | ProgramServicesAmt |
| Management And General | $2,792,426 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,857 | TotalAmt |
| Program Services | $62,857 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,928,323 | TotalAmt |
| Program Services | $3,858,516 | ProgramServicesAmt |
| Management And General | $6,069,807 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,861,222 | TotalAmt |
| Program Services | $956,990 | ProgramServicesAmt |
| Management And General | $1,904,232 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,854,648 | TotalAmt |
| Program Services | $3,296,073 | ProgramServicesAmt |
| Management And General | $6,558,575 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $910,540 | TotalAmt |
| Program Services | $304,547 | ProgramServicesAmt |
| Management And General | $605,993 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,780 | TotalAmt |
| Management And General | $302,780 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,656 | TotalAmt |
| Management And General | $136,656 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,235,267 | TotalAmt |
| Program Services | $6,846,604 | ProgramServicesAmt |
| Management And General | $1,388,663 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,828 | TotalAmt |
| Program Services | $342,184 | ProgramServicesAmt |
| Management And General | $9,644 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $516,308 | TotalAmt |
| Program Services | $171,872 | ProgramServicesAmt |
| Management And General | $344,436 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $884,969 | TotalAmt |
| Program Services | $652,426 | ProgramServicesAmt |
| Management And General | $232,543 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,890 | TotalAmt |
| Program Services | $27,229 | ProgramServicesAmt |
| Management And General | $9,661 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,350 | TotalAmt |
| Program Services | $20,457 | ProgramServicesAmt |
| Management And General | $23,893 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $265,872 | TotalAmt |
| Management And General | $265,872 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,178,922 | TotalAmt |
| Program Services | $1,786,760 | ProgramServicesAmt |
| Management And General | $1,392,162 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,945 | TotalAmt |
| Program Services | $195,945 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| AGENCY & COLLECTION FEE | $1,327,118 | $144,178 | $1,182,940 |
| LEASE EXPENSE | $233,569 | $233,569 | |
| LICENSES | $215,480 | $215,480 | |
| EMPLOYEE EDUCATION | $193,031 | $101,668 | $91,363 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$13,063,589 | TotalAmt |
| Program Services | -$426,413 | ProgramServicesAmt |
| Management And General | -$12,637,176 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,997,837 | TotalAmt |
| Program Services | $19,107,887 | ProgramServicesAmt |
| Management And General | $10,889,950 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $897,121 | BOYAmt |
| EOY | $2,179,255 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $665,437 | BOYAmt |
| EOY | $649,276 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $74,468 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,828,310 | BOYAmt |
| EOY | $2,758,343 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $39,350,566 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,580,110 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,741,647 | BOYAmt |
| EOY | $17,770,456 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $581,196 | BOYAmt |
| EOY | $653,031 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,713,711 | BOYAmt |
| EOY | $24,084,829 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,056,206 | BOYAmt |
| EOY | $12,474,150 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,467,043 | BOYAmt |
| EOY | $9,176,253 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,512,851 | BOYAmt |
| EOY | $7,756,814 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,036,100 | BOYAmt |
| EOY | $29,407,217 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,322,389 | BOYAmt |
| EOY | -$5,322,388 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,322,389 | BOYAmt |
| EOY | -$5,322,388 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,713,711 | BOYAmt |
| EOY | $24,084,829 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 5 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (5 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| WATAUGA MEDICAL CENTER INC | ||||
| 560510824 | 3 | Yes (1) | $0 | $0 |
| CHARLES A CANNON JR MEMORIAL HOSPITAL INC | ||||
| 560529974 | 3 | Yes (1) | $0 | $0 |
| BLOWING ROCK HOSPITAL INCORPORATED | ||||
| 560523181 | 3 | Yes (1) | $0 | $0 |
| APPALACHIAN MEDICAL ASSOCIATES INC | ||||
| 205755130 | 10 | 0 | $0 | $0 |
| APPALACHIAN REGIONAL HEALTHCARE FOUNDATION INC | ||||
| 204625618 | 7 | 0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 5 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (1) | MajorityDirTrstSupportedOrgInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,125,815 | OtherCostOrOtherBasisAmt |
| Book Value | $9,125,815 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,271,099 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,261,201 | DepreciationAmt |
| Book Value | $5,009,898 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,953,652 | OtherCostOrOtherBasisAmt |
| Depreciation | $318,909 | DepreciationAmt |
| Book Value | $3,634,743 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,770,456 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASES PAYABLE | $256,472 |
| DUE TO AFFILIATES | $7,136,822 |
| OTHER LIABILITIES | $363,520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,756,814 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ARHS AND THE COMPANIES FOR WHICH IT SERVES 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 MADE IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. CRBR IS A LIMITED LIABILITY COMPANY THAT HAS NOT ELECTED TO BE TAXED AS A CORPORATION UNDER CURRENT TREASURY REGULATIONS. AS SUCH, CRBR IS A DISREGARDED ENTITY FOR FEDERAL INCOME TAX PURPOSES AND DOES NOT HAVE TO FILE AN ANNUAL FEDERAL RETURN. RATHER ITS TAX RESULTS ARE REFLECTED ON THE ANNUAL TAX FILINGS OF ITS MEMBER AS IF THE ACTIVITIES OF CRBR WERE ACTIVITIES OF ITS MEMBER. THE SYSTEM HAS DETERMINED IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2020. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL DAGHER MD | ||||||||||||||
| BOARD MEMBER | $450,378 | $0 | $0 | $0 | $1,242 | $0 | $8,400 | $0 | $14,046 | $0 | $474,066 | $0 | $0 | $0 |
| CHARLES MANTOOTH | ||||||||||||||
| CEO, ARHS | $494,998 | $0 | $0 | $0 | $14,562 | $0 | $17,900 | $0 | $9,810 | $0 | $537,270 | $0 | $0 | $0 |
| KEVIN MAY | ||||||||||||||
| CFO, ARHS | $337,390 | $0 | $0 | $0 | $11,964 | $0 | $83,494 | $0 | $7,314 | $0 | $440,162 | $0 | $0 | $0 |
| AMY CRABBE | ||||||||||||||
| CHIEF OPERATING OFFICER | $257,611 | $0 | $0 | $0 | $1,066 | $0 | $13,669 | $0 | $9,810 | $0 | $282,156 | $0 | $0 | $0 |
| DANIELLE MAHAFFEY | ||||||||||||||
| CHIEF PHYSICIAN EXECUTIVE | $393,112 | $0 | $0 | $0 | $810 | $0 | $18,744 | $0 | $14,046 | $0 | $426,712 | $0 | $0 | $0 |
| LESLIE BIANCA | ||||||||||||||
| PRESIDENT, WATAUGA MEDICAL CENTERC | $261,476 | $0 | $0 | $0 | $15,223 | $0 | $14,457 | $0 | $7,314 | $0 | $298,470 | $0 | $0 | $0 |
| CARMEN LACEY | ||||||||||||||
| PRESIDENT, CMH | $160,380 | $0 | $0 | $0 | $1,917 | $0 | $26,317 | $0 | $7,614 | $0 | $196,228 | $0 | $0 | $0 |
| NATHAN WHITE | ||||||||||||||
| CIO, ADMINISTRATOR | $224,156 | $0 | $0 | $0 | $650 | $0 | $12,329 | $0 | $14,046 | $0 | $251,181 | $0 | $0 | $0 |
| ROBERT HUDSPETH | ||||||||||||||
| SVP DEVELOPMENT | $200,727 | $0 | $0 | $0 | $787 | $0 | $9,423 | $0 | $7,314 | $0 | $218,251 | $0 | $0 | $0 |
| THOMAS HUYCK | ||||||||||||||
| CLO | $186,647 | $0 | $0 | $0 | $681 | $0 | $10,266 | $0 | $14,046 | $0 | $211,640 | $0 | $0 | $0 |
| MARAN SIGMON | ||||||||||||||
| VICE PRESIDENT OF SUPPORT SERVICES | $157,726 | $0 | $0 | $0 | $2,079 | $0 | $8,675 | $0 | $7,314 | $0 | $175,794 | $0 | $0 | $0 |
| JAMES CALIFF MD | ||||||||||||||
| PHYSICIAN | $772,977 | $0 | $0 | $0 | $28,564 | $0 | $8,400 | $0 | $14,046 | $0 | $823,987 | $0 | $0 | $0 |
| STEVEN ANDERSON MD | ||||||||||||||
| PHYSICIAN | $1,487,636 | $0 | $0 | $0 | $15,527 | $0 | $8,400 | $0 | $14,046 | $0 | $1,525,609 | $0 | $0 | $0 |
| PAUL VIGNOLA MD | ||||||||||||||
| PHYSICIAN | $240,172 | $0 | $0 | $0 | $2,353 | $0 | $176,666 | $0 | $0 | $0 | $419,191 | $0 | $0 | $0 |
| ANNA SOBOL MD | ||||||||||||||
| PHYSICIAN | $558,955 | $0 | $0 | $0 | $540 | $0 | $5,936 | $0 | $11,866 | $0 | $577,297 | $0 | $0 | $0 |
| BENJAMIN PARKER MD | ||||||||||||||
| PHYSICIAN | $1,028,343 | $0 | $0 | $0 | $10,486 | $0 | $8,400 | $0 | $14,046 | $0 | $1,061,275 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PROVIDES HEALTH/SOCIAL CLUB DUES THAT ARE INCLUDED ON THE OFFICERS' FORM W-2. |
| PART I, LINE 4B | THE FOLLOWING PERSONS RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: KEVIN MAY - $67,630 LESLIE BIANCA - $6,649 PAUL VIGNOLA - $170,326 CARMEN LACEY - $16,831 JIMMY SIGNMON - $3,943 |
| PART I, LINE 7 | 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 (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| TAMMY MANTOOTH | |||
| SPOUSE OF OFFICER CHARLES MANTOOTH | $7,917 | TAMMY MANTOOTH IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS. | 0 |
| ANDRE TENNILLE | |||
| SPOUSE OF BOARD MEMBER PATTIE TENNILLE | $18,609 | ANDRE TENNILLE IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS. | 0 |
| CHARLES MILLER | |||
| SPOUSE OF BOARD MEMBER KIM MILLER | $24,194 | CHARLES MILLER IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS. | 0 |
| MARCELLA MAHONEY | |||
| FAMILY MEMBER OF JOLYNN MAHONEY | $12,137 | MARCELLA MAHONEY IS EMPLOYE BY AND RECEIVED COMPENSATION FROM ARHS. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRMAN OF THE BOARD OF TRUSTEES, EX OFFICIO, AND NO MORE THAN SIX (6) OTHER TRUSTEES, AT LEAST TWO (2) OF WHOM SHALL BE AT-LARGE TRUSTEES. THE CHAIRMAN SHALL APPOINT THE MEMBERS OF THE EXECUTIVE COMMITTEE AND SHALL DESIGNATE ITS CHAIRMAN. THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE FULL POWER AND AUTHORITY TO DO ALL THINGS DEEMED NECESSARY AND EXPEDIENT IN THE GOVERNANCE, MANAGEMENT, AND CONTROL OF THE BUSINESS AND AFFAIRS OF THE CORPORATION, AND SHALL HAVE AND EXERCISE THE POWER AND AUTHORITY OF THE BOARD OF TRUSTEES TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION WHEN THE BOARD OF TRUSTEES IS NOT IN SESSION, EXCEPT AS PROHIBITED IN SECTION 3 OF THIS ARTICLE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE SVP/CFO REVIEWS THE 990 AND THEN IT IS MADE AVAILABLE TO THE BOARD UPON COMPLETION. |
| FORM 990, PART VI, SECTION B, LINE 12C | WE COMPLETED A NEW REVIEW IN THE SUMMER OF 2014 WITH INTEGRATED HEALTHCARE STRATEGIES AND WE ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY STATEMENT EACH YEAR. |
| FORM 990, PART VI, SECTION B, LINE 15A | GALLAGHER 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 SYSTEM'S WITH COMPARABLE NET REVENUE, STRUCTURE, & ORGANIZATIONAL COMPLEXITY. BENCHMARK DATA INCLUDED INTEGRATED HEALTHCARE STRATEGIES. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 695,910. MANAGEMENT AND GENERAL EXPENSES 1,103,134. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,799,044. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,150,694. MANAGEMENT AND GENERAL EXPENSES 64,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,215,307. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 220,916. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 220,916. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF FOUNDATION EQUITY 1. |
| FORM 990, PART XI, LINE 2C | THE PROCESS OF FINANCIAL STATEMENT REVIEW AND OVERSIGHT HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHESTNUT RIDGE AT BLOWING ROCK LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 336 DEERFIELD RD | AddressLine1Txt |
| City | BOONE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28607 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364767365 | EIN |
| Primary Activities | ACQUIRE, CONSTRUCT, DEVELOP, OWN, OPERATE, MAINTAIN, HOLD & SELL REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BLOWING ROCK HOSPITAL INC | ||||||||||
| PO BOX 148 | BLOWING ROCK | NC | 28605 | 560513181 | POST-ACUTE CARE AND REHABILITATION | NC | 501(C)(3) | LINE 10 | APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC | Yes (1) |
| WATAUGA MEDICAL CENTER INC | ||||||||||
| 336 DEERFIELD RD | BOONE | NC | 28607 | 560510824 | HOSPITAL | NC | 501(C)(3) | LINE 3 | APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC | Yes (1) |
| APPALACHIAN REGIONAL HEALTHCARE FOUNDATION | ||||||||||
| 336 DEERFIELD RD | BOONE | NC | 28607 | 204625618 | PHILANTHROPIC ORGANIZATION FOR THE SYSTEM | NC | 501(C)(3) | LINE 7 | APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC | Yes (1) |
| APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC | ||||||||||
| PO BOX 2600 | BOONE | NC | 28607 | 205755130 | EMPLOYMENT ALTERNATIVE TO BOTH NEW AND ESTABLISHED PHYSICIAN PRACTICES | NC | 501(C)(3) | LINE 10 | APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC | Yes (1) |
| CHARLES A CANNON JR MEMORIAL HOSPITAL INC | ||||||||||
| 434 HOSPITAL DRIVE | LINVILLE | NC | 28646 | 560529974 | HOSPITAL | NC | 501(C)(3) | LINE 3 | APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC | Yes (1) |
| ARHS PROPERTIES INC | ||||||||||
| 336 DEERFIELD RD | BOONE | NC | 28607 | 203470765 | HOLD FUTURE PURCHASE OF NON-PROFIT LAND ACQUISITIONS | NC | 501(C)(3) | LINE 12B, II | APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SLOOP MEDICAL OFFICE PLAZA CONDOMINIUM ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 434 HOSPITAL DRIVE | AddressLine1Txt |
| City | LINVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28646 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593761777 | EIN |
| Primary Activities | RENTAL | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APPALACHIAN REGIONAL HEALTHCARE SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $156,956 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $225,385 | ShareOfEOYAssetsAmt |
| Ownership | 0.59920 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |