2017-08-11T16:13:00-05:00 2016-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2015-10-01 201067022 APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC APPA 8282624100 PO Box 2600 BOONE NC 28607 KEVIN B MAY CFO 8282624100 2017-08-11 1 Amy Bibby P00445891 8282542254 2017-08-09 2015 2021-01-29 14:40:06Z CHARLES MANTOOTH PO Box 2600 BOONE NC 28607 37496934 0 X www.apprhs.org X 2004 NC TO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES. 15 12 226 318 0 0 2342766 2186956 37024655 35023801 -3040 13183 189013 272994 39553394 37496934 0 0 0 0 24440807 22164267 0 0 0 12971684 12880759 37412491 35045026 2140903 2451908 32439908 42757903 30356799 40248624 2083109 2509279 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 14778013 0 35023801 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. 14778013 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 213 0 1 226 1 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X KEVIN B MAY 8282624100 336 DEERFIELD ROAD boone NC 28607 john blackburn CHAIR 1.00 4.00 X X 0 0 0 KENNETH WILCOX VICE CHAIR 1.00 4.00 X X 0 0 0 KENT TARBUTTON TRustee 1.00 2.00 X X 0 0 0 sam adams trustee 1.00 3.00 X 0 0 0 charles baker md trustee 40.00 2.00 X 250053 0 20679 JACK HOWARD Trustee 1.00 2.00 X 0 0 0 joe miller trustee 1.00 4.00 X 0 0 0 susan roggenkamp trustee 1.00 3.00 X 0 0 0 paul miller jr trustee 1.00 3.00 X 0 0 0 pattie tennille trustee 1.00 3.00 X 0 0 0 jan winkler trustee 1.00 2.00 X 0 0 0 KIM MILLER TRustee 1.00 2.00 X 0 0 0 JAMES HODGES COUNTY COMMISSION REP. 1.00 2.00 X 0 0 0 PAUL DAGHER MD TRustee 1.00 2.00 X 4000 0 0 THOMAS DALE TRUstee 1.00 2.00 X 0 0 0 richard sparks ceo arhs 40.00 5.00 X 1952765 0 24824 kevin may cfo arhs 40.00 5.00 X 322328 0 23803 charles mantooth president wmc, ceo cmh & arma 40.00 2.00 X 244042 0 26201 jolynn mahoney EXECUTIVE & TRUSTEE SECRETary 40.00 X 56801 0 11965 AMY CRABBE SR VP OF PEOPLE SERviCes 40.00 X 173631 0 19797 LESLIE BIANCA VP, SYSTEM OF SERVICE LINE 40.00 X 187891 0 18046 EDDIE MAPLE VP OF OPERATIONS, ARMA 40.00 1.00 X 175382 0 20660 NATHAN WHITE CIO 40.00 X 167015 0 20405 JOSEPH HELAK MD PHYSICIAN, WMC 40.00 X 462920 0 20894 ANDREW HORDES MD PHYSICIAN, wmc 40.00 X 454043 0 21524 PAUL VIGNOLA MD PHYSICIAN, WMC 40.00 X 510850 0 6154 EVAN EKMAN MD PHysician 40.00 X 792720 0 14969 WILLIAM DEVAULT MD PHYsiciaN 40.00 X 539668 0 19571 herman godwin MD chief medical officer, wmc 32.00 2.00 X 279575 0 13078 6573684 0 282570 102 1 1 0 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 IT & SOFTWARE SERVICES 1366542 HORIZON CSA 265 PIT ROAD MOORESVILLE NC 28115 MEDICAL EQUIPMENT SERVICES 1265254 LINVILLE EMERGENCY PHYSICIANS PO BOX 301347 DALLAS TX 75303 PHYSICIANS 717878 CAREFUSIONS SOLUTIONS LLC 25082 NETWORK PLACE CHICAGO IL 606731250 MEDICAL EQUIPMENT SERVICES 470663 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 MEDICAL SERVICES 369673 26 2186956 2186956 Corporation Allocation 900099 35023801 35023801 35023801 805 805 12378 0 12378 12378 12378 841 0 841 841 Miscellaneous Revenue 900099 272153 272153 272153 37496934 35023801 0 286177 X 3288805 3288805 127391 127391 6991277 3210740 3780537 2877884 898353 1979531 8132575 2538644 5593931 746335 232974 513361 83672 200 83472 239289 239289 5789579 4624859 1164720 332649 307340 25309 527990 219310 308680 654162 418316 235846 97046 53166 43880 31030 15933 15097 15652 15652 2542626 1640364 902262 Agency & COLLECTION Fee 1606107 58284 1547823 Licenses 273952 273952 Lease expense 233936 233936 Other operating expense 143462 55512 87950 309607 142691 166916 35045026 14778013 20267013 0 5381002 2098428 693866 548634 3835004 2527669 50383261 13425529 20131884 36957732 2398152 625440 32439908 42757903 12750820 9106744 113249 9111680 17492730 22030200 30356799 40248624 X 2083109 2509279 2083109 2509279 32439908 42757903 X 2451908 -1739470 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 9 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 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9834179 9834179 16636825 13259248 3377577 23912257 166281 23745976 36957732 Leases payable 23351 Due to affiliates 11925473 Other liabilities 9114374 CIP RETAINAGE 967002 22030200 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. The System has determined it does not have any material unrecognized tax benefits or obligations as of September 30, 2016. X X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 charles baker md trustee 244813 0 500 0 4740 0 7735 0 12944 0 270732 0 0 0 richard sparks ceo arhs 474795 0 0 0 1477970 0 16950 0 7874 0 1977589 0 0 0 kevin may cfo arhs 311106 0 500 0 10722 0 15929 0 7874 0 346131 0 0 0 charles mantooth president wmc, ceo cmh & arma 234407 0 500 0 9135 0 12652 0 13549 0 270243 0 0 0 AMY CRABBE SR VP OF PEOPLE SERviCes 172598 0 500 0 533 0 9502 0 10295 0 193428 0 0 0 LESLIE BIANCA VP, SYSTEM OF SERVICE LINE 184853 0 500 0 2538 0 10172 0 7874 0 205937 0 0 0 EDDIE MAPLE VP OF OPERATIONS, ARMA 174524 0 500 0 358 0 5209 0 15451 0 196042 0 0 0 NATHAN WHITE CIO 166024 0 500 0 491 0 4954 0 15451 0 187420 0 0 0 JOSEPH HELAK MD PHYSICIAN, WMC 450006 0 500 0 12414 0 7950 0 12944 0 483814 0 0 0 ANDREW HORDES MD PHYSICIAN, wmc 446646 0 500 0 6897 0 7512 0 14012 0 475567 0 0 0 PAUL VIGNOLA MD PHYSICIAN, WMC 499325 0 500 0 11025 0 6154 0 0 0 517004 0 0 0 EVAN EKMAN MD PHysician 780978 0 500 0 11242 0 6624 0 8345 0 807689 0 0 0 WILLIAM DEVAULT MD PHYsiciaN 500325 0 500 0 38843 0 7950 0 11621 0 559239 0 0 0 herman godwin MD chief medical officer, wmc 274131 0 500 0 4944 0 6693 0 6385 0 292653 0 0 0 Part I, Line 4b THE FOLLOWING PERSON RECEIVED A 457(F) DISTRIBUTION: RICHARD SPARKS - $1,471,342 THE 457F PLAN VESTS 10 YEARS FROM DATE OF HIRE WITH THE OPTION TO DEFER IN 5 YEAR INCREMENTS. DURING 2015, MR. SPARKS REACHED THE VESTING TERMS OF THE PLAN, THEREFORE $1,471,342 WAS INCLUDED AS REPORTABLE COMPENSATION ON THE FORM W-2. THIS AMOUNT IS REPORTED ON SCHEDULE J, PART III, COLUMN B(III). 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 17148 TAMMY MANTOOTH IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS. 0 ANDRE TENNILLE SPOUSE OF BOARD MEMBER PATTIE TENNILLE 110243 ANDRE TENNILLE IS EMPLOYED 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 11 The svp/cfo and the vice president of finance review 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 Integrated Healthcare Strategies (IHS) conducted an independent compensation and benefit analysis for the CEO 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 IHS & Sullivan Cotter. 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 626,279. Management and general expenses 1,050,873. Fundraising expenses 0. Total expenses 1,677,152. Contract labor : Program service expenses 3,998,580. Management and general expenses 31,672. Fundraising expenses 0. Total expenses 4,030,252. Consulting Fees : Program service expenses 0. Management and general expenses 82,175. Fundraising expenses 0. Total expenses 82,175. Form 990, Part XI, line 9: TRANSFER OF FOUNDATION EQUITY -1,739,470. 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 2186956 18051369 blowing rock hospital inc po box 148 blowing rock NC 28605 560513181 POST-ACUTE CARE AND REHABILITATION NC 501(c)(3) Line 3 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 9 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 11b, 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 192681 219891 0.59920 1 0 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 1 1 APPALACHIAN REGIONAL HEALTHCARE FOUNDATION INC C 2186956