2021-08-02T07:30:59-05:00 2020-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2019-10-01 201067022 APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC APPA 8282624100 PO BOX 2600 BOONE NC 28607 MATT THOMAS CFO 8282624100 2021-07-22 1 AMY BIBBY P00445891 8282542254 2021-07-22 2019 2022-09-23 18:48:47Z CHARLES MANTOOTH PO BOX 2600 BOONE NC 28607 29997837 0 X WWW.APPRHS.ORG X 2004 NC TO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES. 15 11 267 0 0 0 0 0 27791847 29831038 -11742671 0 4546809 166799 20595985 29997837 0 0 0 0 25009618 26942441 0 0 0 3939731 3055396 28949349 29997837 -8353364 0 24713711 24084829 30036100 29407217 -5322389 -5322388 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. 0 0 19107887 29831038 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. 19107887 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 200 0 1 267 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X MATT THOMAS 8282624100 336 DEERFIELD RD BOONE NC 28607 THOMAS DALE CHAIRPERSON 1.00 2.00 X X 0 0 0 KIM MILLER VICE CHAIRPERSON 1.00 3.00 X X 0 0 0 KENNETH WILCOX BOARD MEMBER 1.00 4.00 X 0 0 0 KENT TARBUTTON BOARD MEMBER 1.00 2.00 X 0 0 0 SAM ADAMS BOARD MEMBER 1.00 3.00 X 0 0 0 JOHN BLACKBURN BOARD MEMBER 1.00 3.00 X 0 0 0 JOE MILLER BOARD MEMBER 1.00 4.00 X 0 0 0 MARY LOUISE ROBERTS BOARD MEMBER 1.00 2.00 X 0 0 0 PATTIE TENNILLE BOARD MEMBER 1.00 3.00 X 0 0 0 JAN WINKLER BOARD MEMBER 1.00 2.00 X 0 0 0 PAUL DAGHER MD BOARD MEMBER 1.00 40.00 X 451620 0 22446 CHARLES BAKER MD BOARD MEMBER 1.00 2.00 X 80805 0 0 JIM DEAL BOARD MEMBER 1.00 2.00 X 0 0 0 BRETT LOFTIS BOARD MEMBER 1.00 2.00 X 0 0 0 BILLY KENNEDY BOARD MEMBER 1.00 2.00 X 0 0 0 CHARLES MANTOOTH CEO, ARHS 40.00 5.00 X 509560 0 27710 KEVIN MAY CFO, ARHS 40.00 5.00 X 349354 0 90808 AMY CRABBE CHIEF OPERATING OFFICER 40.00 X 258677 0 23479 DANIELLE MAHAFFEY CHIEF PHYSICIAN EXECUTIVE 40.00 1.00 X 393922 0 32790 LESLIE BIANCA PRESIDENT, WATAUGA MEDICAL CENTERCHIEF NURSING O 40.00 X 276699 0 21771 JOLYNN MAHONEY EXEC. SEC, SEC. OF TRUSTEES 40.00 X 68465 0 12252 CARMEN LACEY PRESIDENT, CMH 40.00 X 162297 0 33931 NATHAN WHITE CIO, ADMINISTRATOR 40.00 1.00 X 224806 0 26375 ROBERT HUDSPETH SVP DEVELOPMENT 40.00 X 201514 0 16737 THOMAS HUYCK CLO 40.00 X 187328 0 24312 MARAN SIGMON VICE PRESIDENT OF SUPPORT SERVICES 40.00 X 159805 0 15989 JAMES CALIFF MD PHYSICIAN 40.00 X 801541 0 22446 STEVEN ANDERSON MD PHYSICIAN 40.00 X 1503163 0 22446 PAUL VIGNOLA MD PHYSICIAN 40.00 X 242525 0 176666 ANNA SOBOL MD PHYSICIAN 40.00 X 559495 0 17802 BENJAMIN PARKER MD PHYSICIAN 40.00 X 1038829 0 22446 7470405 0 610406 121 0 1 0 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 IT & SOFTWARE SERVICES 2674011 WAKE FOREST UNIVERSITY HEALTH SC MEDICAL CENTER BLVD WINSTONSALEM NC 271571060 PHYSICIANS 1172939 CARDIOSOLUTION PHYSICIANS CALIFORNIA PC 4675 CORNELL ROAD CINCINNATI OH 45241 CARDIOVASCULAR SERVICES 1068618 WEATHERBY LOCUMS INC 1020 SOUTHHILL DR CARY NC 27513 STAFFING AND RECRUITING 771568 TELEHEALTH SOLUTION PO BOX 200162 PITTSBURGH PA 15251 COVERAGE STAFFING 502760 30 CORPORATION ALLOCATION 900099 29831038 29831038 29831038 MISCELLANEOUS REVENUE 900099 166799 166799 166799 29997837 29831038 0 166799 X 3324851 532425 2792426 62857 62857 9928323 3858516 6069807 2861222 956990 1904232 9854648 3296073 6558575 910540 304547 605993 302780 302780 136656 136656 8235267 6846604 1388663 351828 342184 9644 516308 171872 344436 884969 652426 232543 36890 27229 9661 44350 20457 23893 265872 265872 3178922 1786760 1392162 195945 195945 AGENCY & COLLECTION FEE 1327118 144178 1182940 LEASE EXPENSE 233569 233569 LICENSES 215480 215480 EMPLOYEE EDUCATION 193031 101668 91363 -13063589 -426413 -12637176 29997837 19107887 10889950 0 897121 2179255 665437 649276 74468 2828310 2758343 39350566 21580110 19741647 17770456 581196 653031 24713711 24084829 10056206 12474150 8467043 9176253 11512851 7756814 30036100 29407217 X -5322389 -5322388 -5322389 -5322388 24713711 24084829 X 0 1 X X 0 1 X 1 0 X X 5 WATAUGA MEDICAL CENTER INC 560510824 3 1 0 0 CHARLES A CANNON JR MEMORIAL HOSPITAL INC 560529974 3 1 0 0 BLOWING ROCK HOSPITAL INCORPORATED 560523181 3 1 0 0 APPALACHIAN MEDICAL ASSOCIATES INC 205755130 10 0 0 0 APPALACHIAN REGIONAL HEALTHCARE FOUNDATION INC 204625618 7 0 0 0 5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9125815 9125815 26271099 21261201 5009898 3953652 318909 3634743 17770456 LEASES PAYABLE 256472 DUE TO AFFILIATES 7136822 OTHER LIABILITIES 363520 7756814 X PART X, LINE 2: 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. X 1 1 X X X X 0 1 0 0 0 0 0 1 0 PAUL DAGHER MD BOARD MEMBER 450378 0 0 0 1242 0 8400 0 14046 0 474066 0 0 0 CHARLES MANTOOTH CEO, ARHS 494998 0 0 0 14562 0 17900 0 9810 0 537270 0 0 0 KEVIN MAY CFO, ARHS 337390 0 0 0 11964 0 83494 0 7314 0 440162 0 0 0 AMY CRABBE CHIEF OPERATING OFFICER 257611 0 0 0 1066 0 13669 0 9810 0 282156 0 0 0 DANIELLE MAHAFFEY CHIEF PHYSICIAN EXECUTIVE 393112 0 0 0 810 0 18744 0 14046 0 426712 0 0 0 LESLIE BIANCA PRESIDENT, WATAUGA MEDICAL CENTERC 261476 0 0 0 15223 0 14457 0 7314 0 298470 0 0 0 CARMEN LACEY PRESIDENT, CMH 160380 0 0 0 1917 0 26317 0 7614 0 196228 0 0 0 NATHAN WHITE CIO, ADMINISTRATOR 224156 0 0 0 650 0 12329 0 14046 0 251181 0 0 0 ROBERT HUDSPETH SVP DEVELOPMENT 200727 0 0 0 787 0 9423 0 7314 0 218251 0 0 0 THOMAS HUYCK CLO 186647 0 0 0 681 0 10266 0 14046 0 211640 0 0 0 MARAN SIGMON VICE PRESIDENT OF SUPPORT SERVICES 157726 0 0 0 2079 0 8675 0 7314 0 175794 0 0 0 JAMES CALIFF MD PHYSICIAN 772977 0 0 0 28564 0 8400 0 14046 0 823987 0 0 0 STEVEN ANDERSON MD PHYSICIAN 1487636 0 0 0 15527 0 8400 0 14046 0 1525609 0 0 0 PAUL VIGNOLA MD PHYSICIAN 240172 0 0 0 2353 0 176666 0 0 0 419191 0 0 0 ANNA SOBOL MD PHYSICIAN 558955 0 0 0 540 0 5936 0 11866 0 577297 0 0 0 BENJAMIN PARKER MD PHYSICIAN 1028343 0 0 0 10486 0 8400 0 14046 0 1061275 0 0 0 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. TAMMY MANTOOTH SPOUSE OF OFFICER CHARLES MANTOOTH 7917 TAMMY MANTOOTH IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS. 0 ANDRE TENNILLE SPOUSE OF BOARD MEMBER PATTIE TENNILLE 18609 ANDRE TENNILLE IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS. 0 CHARLES MILLER SPOUSE OF BOARD MEMBER KIM MILLER 24194 CHARLES MILLER IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS. 0 MARCELLA MAHONEY FAMILY MEMBER OF JOLYNN MAHONEY 12137 MARCELLA MAHONEY IS EMPLOYE BY AND RECEIVED COMPENSATION FROM ARHS. 0 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. CHESTNUT RIDGE AT BLOWING ROCK LLC 336 DEERFIELD RD BOONE NC 28607 364767365 ACQUIRE, CONSTRUCT, DEVELOP, OWN, OPERATE, MAINTAIN, HOLD & SELL REAL ESTATE NC 0 0 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 1 WATAUGA MEDICAL CENTER INC 336 DEERFIELD RD BOONE NC 28607 560510824 HOSPITAL NC 501(C)(3) LINE 3 APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC 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 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 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 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 1 SLOOP MEDICAL OFFICE PLAZA CONDOMINIUM ASSOCIATION 434 HOSPITAL DRIVE LINVILLE NC 28646 593761777 RENTAL NC APPALACHIAN REGIONAL HEALTHCARE SYSTEM C 156956 225385 0.59920 1 0 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 1 1