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ASHE MEMORIAL HOSPITAL INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
ASHE MEMORIAL HOSPITAL INC (EIN 56-0603900)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-07
IRS object ID
202513119349301121
Schema version
2024v5.2
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

FieldValueIRS element (for citing)
Return2025-11-07T09:24:22-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1227 WEST TRADE STREET SUITE 800AddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN560603900EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASHE MEMORIAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASHEBusinessNameControlTxt
Phone3368467101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HOSPITAL AVENUEAddressLine1Txt
CityJEFFERSONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28640ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES WRIGHTPersonNm
Person TitleCFOPersonTitleTxt
Phone3368467101PhoneNum
Signature2025-11-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHERINE A WARLICKPreparerPersonNm
PTINP02065266PTIN
Phone7049985200PhoneNum
Preparation2025-11-04PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRIAN YATESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HOSPITAL AVENUEAddressLine1Txt
CityJEFFERSONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28640ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$54,102,275GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASHEMEMORIAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1939FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionACUTE HOSPITAL CARE SERVICES PROVIDED TO THE RESIDENTS OF ASHE COUNTY, NC AND SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee439TotalEmployeeCnt
Total Volunteers32TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,613,837PYContributionsGrantsAmt
CY Contributions Grants$668,089CYContributionsGrantsAmt
PY Program Service Revenue$48,598,325PYProgramServiceRevenueAmt
CY Program Service Revenue$53,234,045CYProgramServiceRevenueAmt
PY Investment Income$14,550PYInvestmentIncomeAmt
CY Investment Income$15,686CYInvestmentIncomeAmt
PY Other Revenue$202,474PYOtherRevenueAmt
CY Other Revenue$184,455CYOtherRevenueAmt
PY Total Revenue$51,429,186PYTotalRevenueAmt
CY Total Revenue$54,102,275CYTotalRevenueAmt
PY Grants And Similar Paid$1,889PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,727CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,567,555PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,600,501CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$145,838CYTotalFundraisingExpenseAmt
PY Other Expenses$27,176,731PYOtherExpensesAmt
CY Other Expenses$28,330,980CYOtherExpensesAmt
PY Total Expenses$48,746,175PYTotalExpensesAmt
CY Total Expenses$53,933,208CYTotalExpensesAmt
PY Revenues Less Expenses$2,683,011PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$169,067CYRevenuesLessExpensesAmt
Total Assets BOY$25,558,109TotalAssetsBOYAmt
Total Assets EOY$25,780,182TotalAssetsEOYAmt
Total Liabilities BOY$6,302,069TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,395,036TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,256,040NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,385,146NetAssetsOrFundBalancesEOYAmt
MissionTHE HOSPITAL'S MISSION STATEMENT IS TO MEET THE NEEDS OF THE COMMUNITY BY DELIVERING PATIENT-CENTERED, HIGH QUALITY HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$50,609,366ExpenseAmt
Grant$1,727GrantAmt
Revenue$53,234,045RevenueAmt
DescASHE MEMORIAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF ASHE COUNTY AND THE SURROUNDING AREAS. THE HOSPITAL PROVIDED A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT AND OUTREACH TO THE COUNTY AND SURROUNDING AREAS. BENEFIT AND OUTREACH PROGRAMS ARE PROVIDED IN CONJUNCTION WITH THE ASHE COUNTY HEALTH COUNCIL AND INDEPENDENTLY THROUGH VARIOUS DEPARTMENTS AND SERVICES.Desc
Total Program Service Expenses$50,609,366TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee439EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASHE MEMORIAL HOSPITAL ACCOUNTING DEPARTMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3368467101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HOSPITAL AVENUEAddressLine1Txt
CityJEFFERSONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28640ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JANE LONON
CHAIR THRU 4/241.001.00Yes (X)Yes (X)$0$0$0
MARTIN LITTLE
1ST VICE CHAIR/CHAIR AS OF 4/241.001.00Yes (X)Yes (X)$0$0$0
KAREN POWELL
2ND VICE CHAIR/1ST VICE CHAIR AS OF 4/241.001.00Yes (X)Yes (X)$0$0$0
KYLE HALL
SECRETARY/2ND VICE CHAIR AS OF 4/241.000.00Yes (X)Yes (X)$0$0$0
DAVID PRICE
SECRETARY AS OF 4/241.000.00Yes (X)Yes (X)$0$0$0
GREG BOWER
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
EISA COX EDD
BOARD MEMBER1.000.00Yes (X)$0$0$0
SUE HAMPTON
BOARD MEMBER1.000.00Yes (X)$0$0$0
CB JONES
BOARD MEMBER1.000.00Yes (X)$0$0$0
CHARLES JONES MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
EDWARD MILLER MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
STEPHEN SHOEMAKER
BOARD MEMBER1.000.00Yes (X)$0$0$0
HORACE THOMPSON
BOARD MEMBER1.000.00Yes (X)$0$0$0
WILL VANNOY
BOARD MEMBER1.000.00Yes (X)$0$0$0
GREG WARMUTH
BOARD MEMBER1.000.00Yes (X)$0$0$0
BRIAN YATES
CHIEF EXECUTIVE OFFICER40.001.00Yes (X)$0$0$0
AYLA A KESSLER
PHYSICIAN-MEDICAL ONCOLOGIST40.000.00$730,076$0$34,693Yes (X)
DOUGLAS R TURGEON
PHYSICIAN40.000.00$579,759$0$3,773Yes (X)
LEAH ANDERSON
PHYSICIAN40.000.00$475,562$0$47,029Yes (X)
ROBERT S GRAJEWSKI
PHYSICIAN-UROLOGIST40.000.00$398,661$0$28,565Yes (X)
KATELAND E BENNETT
PHYSICIAN-HOSPITALIST40.000.00$337,311$0$9,580Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,521,369TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$123,640TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K38IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
JEFFERSON EMERGENCY SERVICES
PO BOX 740666ATLANTAGA303740666ED PROVIDERS$1,215,816
MEDSTREAM ANESTHESIA PLLC
PO BOX 63467CHARLOTTENC282633467ANESTHESIA$787,881
MEDICAL SOLUTIONS LLC
PO BOX 850737MINNEAPOLISMN554850737TRAVEL NURSING/TECH AGENCY$337,091
LABORATORY CORPORATION OF AMERICA LABCO
PO BOX 12140BURLINGTONNC272162140LAB TESTING$261,744
CHARLES W JONES MD
200 HOSPITAL AVEJEFFERSONNC28640SURGEON$216,129
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$40,084RelatedOrganizationsAmt
Government Grants$425,000GovernmentGrantsAmt
All Other Contributions$203,005AllOtherContributionsAmt
Noncash Contributions$10,888NoncashContributionsAmt
Total Contributions$668,089TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENU621990$52,081,680$52,081,680
PHARMACY456110$569,506$569,506

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$582,859TotalRevenueColumnAmt
Related Or Exempt Func Income$582,859RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$53,234,045TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,686TotalRevenueColumnAmt
Exclusion$15,686ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$184,455RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$184,455RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$184,455TotalRevenueColumnAmt
Exclusion$184,455ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,102,275TotalRevenueColumnAmt
Related Or Exempt Func Income$53,234,045RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$200,141ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,727TotalAmt
Program Services$1,727ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,582,533TotalAmt
Program Services$20,935,056ProgramServicesAmt
Management And General$647,477ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$249,592TotalAmt
Program Services$242,104ProgramServicesAmt
Management And General$7,488ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,323,696TotalAmt
Program Services$2,253,983ProgramServicesAmt
Management And General$69,713ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,444,680TotalAmt
Program Services$1,401,339ProgramServicesAmt
Management And General$43,341ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$336,276TotalAmt
Management And General$336,276ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$48,000TotalAmt
Management And General$48,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$44,982TotalAmt
Management And General$44,982ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,489,503TotalAmt
Program Services$5,366,646ProgramServicesAmt
Management And General$1,122,857ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$72,331TotalAmt
Program Services$14,465ProgramServicesAmt
Management And General$57,143ManagementAndGeneralAmt
Fundraising$723FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,117,686TotalAmt
Program Services$7,590,035ProgramServicesAmt
Management And General$487,062ManagementAndGeneralAmt
Fundraising$40,589FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$251,046TotalAmt
Program Services$27,615ProgramServicesAmt
Management And General$223,431ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$167,790TotalAmt
Program Services$167,790ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,643TotalAmt
Program Services$16,927ProgramServicesAmt
Management And General$3,716ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$58,526TotalAmt
Program Services$58,526ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,517,680TotalAmt
Program Services$1,517,680ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$485,984TotalAmt
Program Services$485,984ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBT EXPENSE$6,560,960$6,560,960
CHEMOTHERAPY DRUGS$3,848,644$3,848,644
OTHER$278,908$87,864$86,518$104,526
RECRUITMENT$32,021$32,021

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$53,933,208TotalAmt
Program Services$50,609,366ProgramServicesAmt
Management And General$3,178,004ManagementAndGeneralAmt
Fundraising$145,838FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,865,559BOYAmt
EOY$203,467EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,827,123EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$172,500BOYAmt
EOY$172,500EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,494,415BOYAmt
EOY$7,327,832EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,444,277BOYAmt
EOY$2,031,568EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$746,502BOYAmt
EOY$514,234EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$41,463,200LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$33,383,192LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,200,703BOYAmt
EOY$8,080,008EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$607,207BOYAmt
EOY$625,612EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,026,946BOYAmt
EOY$997,838EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$25,558,109BOYAmt
EOY$25,780,182EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,142,966BOYAmt
EOY$3,365,607EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$337,174BOYAmt
EOY$199,151EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,440,066BOYAmt
EOY$1,292,390EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,381,863BOYAmt
EOY$1,537,888EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,302,069BOYAmt
EOY$6,395,036EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,896,147BOYAmt
EOY$19,005,808EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$359,893BOYAmt
EOY$379,338EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,256,040BOYAmt
EOY$19,385,146EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,558,109BOYAmt
EOY$25,780,182EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$169,067ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$123NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$40,084OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$212,253OtherCostOrOtherBasisAmt
Book Value$212,253BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,737,138OtherCostOrOtherBasisAmt
Depreciation$15,384,241DepreciationAmt
Book Value$4,352,897BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$442,697OtherCostOrOtherBasisAmt
Depreciation$211,509DepreciationAmt
Book Value$231,188BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,692,865OtherCostOrOtherBasisAmt
Depreciation$16,474,401DepreciationAmt
Book Value$3,218,464BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,378,247OtherCostOrOtherBasisAmt
Depreciation$1,313,041DepreciationAmt
Book Value$65,206BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,080,008TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
NET DUE TO MEDICARE/MEDICAID$378,791
RIGHT OF USE LIABILITIES$1,159,097
FieldValueIRS element (for citing)
Total Liability$1,537,888TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AWC AND AFS ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES AND ARE CONSIDERED DISREGARDED ENTITIES FOR INCOME TAX PURPOSES. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S CONSOLIDATED FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLE FOR THE CONSOLIDATED FINANCIAL STATEMENTS RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024 AND 2023.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,539TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$61,539NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,134,396TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,972,594DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,195,935TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,972,594DirectOffsettingRevenueAmt
Net Community Benefit Expns$61,539NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,195,935TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,972,594DirectOffsettingRevenueAmt
Net Community Benefit Expns$61,539NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,158,241BadDebtExpenseAmt
Bad Debt Expense Attributable$647,472BadDebtExpenseAttributableAmt
Reimbursed By Medicare$10,301,775ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$10,199,777CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$101,998MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASHE MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HOSPITAL AVENUEAddressLine1Txt
CityJEFFERSONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28640ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherCRITICAL ACCESS HOSPITALOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ASHE MEMORIAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted23CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.ASHEMEMORIAL.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.ASHEMEMORIAL.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.ASHEMEMORIAL.ORG/DOCS/CHARITY_CARE_POLICY.2025.PDFFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.ASHEMEMORIAL.ORG/DOCS/CHARITY_CARE_APPLICATION_2018.PDFFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.ASHEMEMORIAL.ORG/DOCS/PLAIN_LANGUAGE_SUMMARY.PDFFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ASHE MEMORIAL HOSPITAL INC.PART V, SECTION B, LINE 5: ON AUGUST 8, 2023, AN INITIAL IN-PERSON MEETING TOOK PLACE, SERVING AS A GENERAL OVERVIEW OF HEALTH-RELATED DATA AT THE COUNTY LEVEL AND A DISCUSSION OF THE UPCOMING COMMUNITY SURVEY. THE INDIVIDUALS PRESENT AT THIS MEETING WERE CAREFULLY SELECTED BY AMH, CONSIDERING SPECIFIC DEMOGRAPHICAL CRITERIA. ASHE MEMORIAL HOSPITAL AIMED FOR A DIVERSE GROUP CAPABLE OF ENGAGING VARIOUS SEGMENTS WITHIN THE COMMUNITY. THE INCLUSION OF INDIVIDUALS FROM DIFFERENT BACKGROUNDS ENSURED THAT FEEDBACK ENCOMPASSED A BROAD RANGE OF PERSPECTIVES, ALLOWING FOR THE COMPREHENSIVE CONSIDERATION OF NEEDS FROM AS MANY COMMUNITY MEMBERS AS POSSIBLE. ADDITIONALLY, MEMBERS FROM THE HEALTHCARE COMMUNITY WERE CHOSEN TO PROVIDE INSIGHTS REPRESENTING THE HOSPITAL'S NEEDS FROM A HEALTHCARE PERSPECTIVE.FOLLOWING THE INITIAL MEETING, WE COLLABORATED WITH COB TO REFINE THE SURVEY, ENSURING THAT THE QUESTIONS INCORPORATED INPUT FROM THE COMMUNITY. THESE QUESTIONS WERE DESIGNED TO ASSIST AMH LEADERSHIP AND THE HOSPITAL'S BOARD IN DETERMINING THE MOST EFFECTIVE COURSE OF ACTION FOR THE INSTITUTION. PRIOR TO COMMUNITY DISTRIBUTION, SPECIAL ATTENTION WAS GIVEN TO CRAFTING INCLUSIVE LANGUAGE IN THE SURVEY. TO SOLICIT FEEDBACK FROM THE SPANISH-SPEAKING COMMUNITY, THE SURVEY UNDERWENT TRANSLATION INTO SPANISH. UPON COMPLETION, THE SURVEY WAS DISSEMINATED TO THE COMMUNITY VIA EMAIL WITH ASSISTANCE FROM THE TEAM MEMBERS WHO PARTICIPATED IN THE INITIAL MEETING. RESPONDENTS WERE GIVEN SEVERAL WEEKS TO COMPLETE THE SURVEY AND PROVIDE THEIR FEEDBACK. A TOTAL OF 110 COMMUNITY MEMBERS PARTICIPATED, REPRESENTING DIVERSE FACETS OF THE COMMUNITY, WITH 76% FALLING WITHIN THE 25 TO 64 AGE RANGE. THE MAJORITY OF RESPONDENTS WERE WOMEN, COMPRISING 82% OF THE PARTICIPANTS, WHILE 17% IDENTIFIED AS MALE. GIVEN THE DEMOGRAPHIC COMPOSITION OF THE COMMUNITY, THE MAJORITY OF RESPONDENTS WERE WHITE, ALIGNING WITH THE COMMUNITY'S 92% WHITE POPULATION. THE SURVEY WAS TRANSLATED INTO SPANISH TO FACILITATE PARTICIPATION FROM THE HISPANIC COMMUNITY. CYCLE OF BUSINESS COLLECTED AND ANALYZED THE SURVEY DATA, AND PRESENTED THE FINDINGS AT A SECOND MEETING FOR FURTHER DISCUSSION. THE AMH LEADERSHIP TEAM EMPHASIZED THE IMPORTANCE OF ENSURING THAT THE COMMUNITY HEALTH NEEDS ASSESSMENT NOT ONLY REFLECTED COMMUNITY OPINIONS BUT ALSO PROVIDED DATA ESSENTIAL FOR INFORMED DECISION-MAKING. DURING THE MEETING, COMMUNITY MEMBERS HAD THE OPPORTUNITY TO REVIEW THE DATA ALONGSIDE COB AND HOSPITAL TEAM MEMBERS, CONTRIBUTING TO THE DETERMINATION OF THE COMMUNITY'S PREFERENCES REGARDING THE HOSPITAL'S FUTURE. WHILE INPUT FROM THE COMMUNITY WAS CONSIDERED, THE ULTIMATE RESPONSIBILITY FOR DECIDING THE HOSPITAL'S FOCUS AREAS RESTED WITH THE HOSPITAL TEAM MEMBERS, LEADERSHIP, AND BOARD OF TRUSTEES. UPON REVIEW BY THE HOSPITAL'S FOCUS GROUP, THE SURVEY RESULTS LED TO THE IDENTIFICATION OF GOALS AND THE FORMULATION OF CORRESPONDING ACTIONS. WE USED THESE GOALS AND ACTIONS TO SYSTEMATICALLY DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). COB WAS RESPONSIBLE FOR PREPARING THE CHNA, WHICH WAS SUBSEQUENTLY PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR INPUT AND APPROVAL.
ASHE MEMORIAL HOSPITAL INC.PART V, SECTION B, LINE 11: THE HOSPITAL, IN CONJUNCTION WITH THE ASHE HEALTH ALLIANCE, IDENTIFIED THE FOLLOWING PRIORITIES:1. INCREASED ACCESS TO PRIMARY CARE2. INCREASED AWARENESS OF SPECIALTY CARE3. SEEKING THIRD PARTY ACCREDITATION4. CONTINUED FOCUS ON THE PATIENT EXPERIENCE5. COMMUNITY PARTNERSHIPS AND ENGAGEMENTTHE HOSPITAL IS WORKING WITH OTHER STAKEHOLDERS THAT PARTICIPATED IN THE CHNA TO ADDRESS THE ABOVE HEALTH PRIORITIES IN A COLLABORATIVE MANNER, BRINGING THE RESOURCES OF ALL STAKEHOLDERS TO ADDRESS THE NEEDS THROUGH THE PLANNING AND IMPLEMENTATION OF EVIDENCE-BASED INTERVENTIONS. ALL STAKEHOLDERS ARE MAPPING THE ASSETS AVAILABLE SO THAT THE COMMUNITY COLLABORATORS ALREADY ENGAGED IN RELATED WORK CAN PARTICIPATE IN IDENTIFYING ASSETS THAT SUPPORT HEALTH AND POTENTIAL GAPS THAT MAY EXIST.
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MOUNTAIN FAMILY CARE CENTER
310 HOSPITAL AVENUEJEFFERSONNC28640RURAL HEALTH CLINIC
2 - ASHE WOMEN & CHILDREN'S CLINIC
200 HOSPITAL AVENUEJEFFERSONNC28640FAMILY MEDICINE
3 - MOUNT JEFFERSON FAMILY MEDICINE
200 HOSPITAL AVENUEJEFFERSONNC28640FAMILY MEDICINE
4 - FLEETWOOD FAMILY MEDICINE
13300-1329 US 221FLEETWOODNC28626FAMILY MEDICINE
5 - ASHE ONCOLOGY AND HEMATOLOGY
200 HOSPITAL AVENUEJEFFERSONNC28640ONCOLOGY AND HEMATOLOGY
6 - ASHE ORTHOPAEDIC SURGERY AND SPORTS MED
200 HOSPITAL AVENUEJEFFERSONNC28640ORTHOPAEDICS AND SPORTS MEDICINE
7 - ASHE UROLOGY
200 HOSPITAL AVENUEJEFFERSONNC28640UROLOGY
8 - WILMA VANNOY BIRTHING CENTER
200 HOSPITAL AVENUEJEFFERSONNC28640PRE AND POST NATAL CARE
9 - MOUNTAIN HEARTS WELLNESS CENTER
200 HOSPITAL AVENUEJEFFERSONNC28640WELLNESS CENTER

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:NCHA
PART I, LN 7 COL(F):THE ORGANIZATION RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE ORGANIZATION RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE ORGANIZATION'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.
PART II, COMMUNITY BUILDING ACTIVITIES:AMH IS ACTIVELY EXPLORING WAYS TO SUPPORT THE COMMUNITY, EVEN WHEN THE REQUIRED SERVICES ARE BEYOND THEIR CURRENT SCOPE. ASHE COUNTY FACES CHALLENGES RELATED TO MENTAL HEALTH, AND WE ARE COMMITTED TO CONTRIBUTING TO VIABLE SOLUTIONS FOR COMMUNITY MEMBERS. RECOGNIZING THE PRESENCE OF ORGANIZATIONS IN THE COMMUNITY SPECIFICALLY ADDRESSING MENTAL HEALTH CHALLENGES, AMH ACKNOWLEDGES THE IMPORTANCE OF COLLABORATION. DESPITE NOT BEING A MENTAL HEALTH SERVICE PROVIDER, AMH PLAYS A ROLE IN ADDRESSING MENTAL HEALTH ISSUES AND WILL CONTINUE TO PARTNER WITH EXISTING 2 5 PROVIDERS. AMH AIMS TO BE A VALUABLE RESOURCE TO PATIENTS AS THEY NAVIGATE SERVICES IN THE COUNTY AVAILABLE FOR MENTAL HEALTH CHALLENGES. AMH HELPS PATIENTS RECEIVE THE RIGHT CARE, IN THE RIGHT PLACE, AT THE RIGHT TIME IN A WAY THAT BENEFITS ALL INVOLVED. THE HEALTH OF THE YOUTH OF ASHE COUNTY IS IMPORTANT TO AMH. IN ADDITION TO MENTAL HEALTH COLLABORATION, WE WILL CONTINUE TO ENGAGE WITH SCHOOLS TO SUPPORT SPORTS PROGRAMS AND ENHANCE THE OVERALL HEALTH OF STUDENTS. WE HAVE PARTNERED WITH ASHE COUNTY SCHOOLS TO ENSURE THEIR STUDENTS HAVE ACCESS TO PREVENTATIVE CARE AND ARE IN PEAK PHYSICAL CONDITION. IN ADDITION TO THE STUDENTS IN ASHE COUNTY, AMH HAS BEEN NAMED THE OFFICIAL HEALTHCARE PROVIDER FOR OAK HILL ACADEMY. OVER THE NEXT THREE YEARS, ASHE MEMORIAL HOSPITAL WILL PERSIST IN ADDRESSING AND REFINING THESE AREAS TO ENSURE THE HEALTH AND WELL-BEING OF THE COMMUNITY. ADHERING TO THE GUIDELINES ESTABLISHED BY THE FEDERAL GOVERNMENT AND THE IRS, AMH HAS A SIX-MONTH TIMEFRAME TO DEVELOP AND REFINE OUR FOCUS AREAS FOR THE UPCOMING THREE YEARS. OUR COMMITMENT LIES IN ENHANCING HEALTHCARE AND RESOURCES IN THE COMMUNITY, WITH A DEDICATED FOCUS ON ENSURING THE WELL-BEING OF THE COMMUNITY
PART III, LINE 2:TRIAL BALANCE
PART III, LINE 3:THE ORGANIZATION DOES NOT SPECIFICALLY TRACK BAD DEBT CHARGES THAT COULD BE ATTRIBUTABLE TO PATIENTS THAT COULD OTHERWISE QUALIFY UNDER ITS FINANCIAL ASSISTANCE PLAN. HISTORICALLY, THE ORGANIZATION ESTIMATES THAT APPROXIMATELY 30% OF BAD DEBT CHARGES WOULD LIKELY QUALIFY FOR FINACIAL ASSISTANCE.
PART III, LINE 9B:THE WRITTEN POLICY DOES NOT SPECIFICALLY ADDRESS THIS ISSUE BUT WE NORMALLY PROVIDE THE CHARITY CARE DISCOUNT PRIOR TO SENDING TO BAD DEBT IF THE PATIENT QUALIFIES FOR CHARITY IN PART BUT FAILS TO PAY THEIR PORTION DUE.
PART VI, LINE 2:AMH ENGAGED CYCLE OF BUSINESS ("COB") TO COMPLETE THE CHNA. COB AND AMH RELIED ON THE LATEST POPULATION AND DEMOGRAPHIC DATA TO ENSURE THE FULFILLMENT OF COMMUNITY NEEDS. THIS INVOLVED COLLECTING NATIONAL STATISTICS FOR THE SERVICE AREA, AS WELL AS DETAILED DEMOGRAPHIC INFORMATION. THE FEDERAL GOVERNMENT'S TRACKING OF SPECIFIC HEALTH STATISTICS ACROSS U.S. COUNTIES WAS ALSO INCORPORATED. THE COMPILATION OF THIS INFORMATION SERVED AS A BASELINE, HIGHLIGHTING AREAS WHERE CERTAIN HEALTH NEEDS WERE ADEQUATELY ADDRESSED AND IDENTIFYING ASPECTS THAT REQUIRED IMPROVEMENT. IN ADDITION THE SURVEY WAS USED TO GATHER SPECIFIC NEEDS THAT WOULD HELP AMH UNDERSTAND THEIR COMMUNITY ON A MORE PERSONAL LEVEL. THE AMH COMMUNITY HEALTH NEEDS ASSESSMENT FOLLOWED A FRAMEWORK ESTABLISHED BY THE CENTER FOR RURAL HEALTH AT THE UNIVERSITY OF NORTH DAKOTA, WHICH WAS ORIGINALLY DESIGNED FOR NORTH DAKOTA CRITICAL ACCESS HOSPITALS. THE DIFFERENT SEGMENTS OF THIS ASSESSMENT ALIGN WITH THEIR RECOMMENDED APPROACH, INVOLVING CONSULTATIONS WITH BOTH COMMUNITY MEMBERS, HOSPITAL ADMINISTRATION, AND HEALTHCARE PROFESSIONALS.
PART VI, LINE 3:PATIENTS AND/OR GUARANTORS ARE EVALUATED FOR CHARITY CARE APPROVAL PRIOR TO SERVICES BEING RENDERED, AT THE TIME OF SERVICE, OR AS SOON AS PRACTICAL AFTER SERVICE HAS BEEN PROVIDED TO THE PATIENT. AMH POSTS NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, FINANCIAL COUNSELING OFFICE, AND OTHER OUTPATIENT AND/OR EMERGENCY SETTINGS. NOTICES OR BROCHURES ARE ALSO PROVIDED TO UNINSURED PATIENTS AT TIME OF REGISTRATION AND INCLUDE BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT AND A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION. INFORMATION REGARDING FINANCIAL ASSISTANCE IS INCLUDED WITH THE PATIENT'S BILLS AND STATEMENTS. BUSINESS CARDS NOTIFYING PATIENTS OF FINANCIAL ASSISTANCE PROGRAMS AND WHERE TO TELEPHONE FOR ASSISTANCE ARE LOCATED THROUGHOUT THE HOSPITAL.OUR CHARITY POLICY AND CHARITY APPLICATION IS AVAILABLE ON THE HOSPITAL'S WEBSITE. INFORMATION REGARDING CHARITY APPLICATION IS PROVIDED IN ENGLISH AND IN SPANISH. AMH ALSO SHARES ITS CHARITY CARE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
PART VI, LINE 4:ASHE COUNTY, NORTH CAROLINA IS LOCATED IN THE NORTHWESTERN CORNER OF NORTH CAROLINA. THE COUNTY BORDERS WATAUGA, WILKES AND ALLEGHANY COUNTIES, IN ADDITION TO TENNESSEE AND VIRGINA. ASHE COUNTY SITS IN THE BLUE RIDGE MOUNTAINS WITH A LARGE VARIETY OF OUTDOOR RECREATION AND CULTURAL ATTRACTIONS. THE TWO LARGEST TOWNSHIPS ARE WEST JEFFERSON AND JEFFERSON, BOTH LOCATED IN THE CENTRAL AREAS OF THE COUNTY. ASHE COUNTY IS HOME TO FIVE MOUNTAINS THAT EACH RISE ABOVE 5,000 FEET. THE COUNTY IS HOME TO MOUNT JEFFERSON, WITH A PEAK THAT TOWERS MORE THAN 1,600 FEET ABOVE THE TOWNS OF JEFFERSON AND WEST JEFFERSON.DEMOGRAPHIC INFORMATION FOR THE AREA WAS GATHERED BY UTILIZING CENSUS DATA AND OTHER REPORTS, WITH THE MOST RECENT BEING THE 2021 AMERICAN COMMUNITY SURVEY (ACS) DATA. THE ACS IS A COMPREHENSIVE NATIONWIDE SURVEY CONDUCTED ANNUALLY, PROVIDING INSIGHTS INTO SOCIAL, ECONOMIC, HOUSING, AND DEMOGRAPHIC CHARACTERISTICS OF THE U.S. POPULATION. WHILE THERE MAY BE SLIGHT VARIATIONS IN THE PRECISE POPULATION AND DEMOGRAPHIC DETAILS COMPARED TO THOSE OUTLINED IN THE CHNA, ANY MINOR DISCREPANCIES WILL NOT IMPACT THE OUTCOMES OF THE ASSESSMENT.THE POPULATION OF ASHE COUNTY, OUR PRIMARY SERVICE AREA, IS CURRENTLY 26,711 PEOPLE. DUE TO THE FACT THAT ADDITIONAL ZIP CODES FROM THE SECONDARY SERVICE AREAS WE INCORPORATED INTO THIS ANALYSIS ONLY MADE UP A SMALL PORTION OF PEOPLE WHO ACTUALLY USE AMH, WE WILL USE THE DEMOGRAPHIC DATA FROM ASHE COUNTY TO REPRESENT THE SECONDARY SERVICE AREAS. THEREFORE, BASED ON WHAT WE KNOW FROM ASHE COUNTY: - 57% OF THE POPULATION ARE BETWEEN THE AGES OF 18 AND 64- 35% ARE 60 OR OLDER- 51% OF THE POPULATION IDENTIFY AS WOMEN- 92% ARE WHITE AND 1% ARE BLACK OR AFRICAN AMERICAN, WHILE 5% ARE HISPANIC- 87% OF ASHE COUNTY RESIDENTS HAVE GRADUATED FROM HIGH SCHOOL COMPARED TO THE NORTH CAROLINA AVERAGE OF 89%- 19.6% OF ASHE COUNTY RESIDENTS HAVE A BACHELOR'S DEGREE OR HIGHER. THIS IS 3/5 THE RATE OF THE STATE OF NORTH CAROLINA WHICH IS AROUND 33.7%- THE MEDIAN HOUSEHOLD INCOME IN ASHE COUNTY IS $43,938 WITH A PER CAPITA INCOME OF $26,721- 14% OF THE POPULATION LIVE IN POVERTY AS OPPOSED TO 13.7% IN THE STATE OF NORTH CAROLINA - 20% OF CHILDREN AND 9% OF SENIORS LIVE IN POVERTYIN EXAMINING THE COMMUNITY'S STANDING RELATIVE TO OTHER COUNTIES IN NORTH CAROLINA AND THE TOP-PERFORMING COUNTIES IN THE U.S., COB AND AMH TURNED TO COUNTYHEALTHRANKINGS.ORG. WHILE THE DATA FROM THIS SITE IS VALUABLE, IT'S IMPORTANT TO NOTE THAT THE NUMBERS ARE EXTRAPOLATED TO A STANDARDIZED DENOMINATOR OF 100,000 PEOPLE. ASHE COUNTY, WITH A POPULATION OF APPROXIMATELY 26,711, HAS ITS FIGURES ADJUSTED TO REFLECT THE HYPOTHETICAL OCCURRENCE PER 100,000 RESIDENTS. CONSEQUENTLY, THE IMPACT OF ONE ADDITIONAL CASE OF AN ILLNESS IS MAGNIFIED, POTENTIALLY DISTORTING THE NUMBERS IN A WAY THAT MAY NEGATIVELY INFLUENCE THE OVERALL ASSESSMENT. WHILE COUNTYHEALTHRANKINGS.ORG PROVIDED A BROAD, HIGH-LEVEL ASSESSMENT, AMH AND COB PLACED GREATER EMPHASIS ON THE DATA DERIVED FROM THE COLLABORATIVE SURVEY THEY CONDUCTED TO EVALUATE HOW THE HOSPITAL NEEDED TO ADDRESS THE COMMUNITY NEEDS. HOWEVER, SOME BENEFICIAL HIGH-LEVEL INSIGHTS FROM COUNTYHEALTHRANKINGS.ORG THAT WE FOUND USEFUL ARE OUTLINED BELOW.ASHE COUNTY EXHIBITS SEVERAL POSITIVE HEALTH FACTORS THAT WARRANT MENTION:- DIABETES IS ONLY AT 9% WHICH IS ON PAR FOR THE TOP PERFORMING CITIES IN THE US. IT ALSO PUTS IT 2 PERCENTAGE POINTS BELOW THE NORTH CAROLINA AVERAGE. - AT THE TIME OF REPORTING, THE NUMBER OF DEATHS DUE TO DRUG OVERDOSE WERE AT 12 PER 100,000 WHICH IS HALF THE LEVEL OF THE STATE. - ANOTHER FACTOR TO CONSIDER ARE THE MENTAL HEALTH DAYS AND PHYSICAL HEALTH DAYS. ASHE COUNTY IS WITHIN A FRACTION OF A PERCENTAGE POINT OF THE BEST PERFORMING COUNTIES IN THE U.S.IN LOOKING AT SOME OF THE FACTORS THAT CONTRIBUTE TO POOR HEALTH, ASHE COUNTY WAS ONLY WITHIN A FEW PERCENTAGE POINTS OF THE TOP PERFORMING COUNTIES IN THE UNITED STATES. IN LOOKING AT THESE NUMBERS THE LOWER THE NUMBER THE HEALTHIER THE POPULATION. THESE FACTORS INCLUDE: - ADULT SMOKING: 4% HIGHER THAN TOP PERFORMERS.- ADULT OBESITY: 2% HIGHER THAN TOP PERFORMERS.- CHILDREN IN POVERTY: 5% HIGHER THAN TOP PERFORMERS.- FOOD INSECURITY: 2% HIGHER THAN TOP PERFORMERS.- SUICIDE: 24 PER 100,000ONE AREA WHERE ASHE COUNTY PERFORMED WELL COMPARED TO THE TOP PERFORMING COUNTIES IS THE AREA OF SEXUALITY AND SEXUALLY TRANSMITTED DISEASES. - TEEN BIRTHS WERE ONLY 2 HIGHER THAN TOP PERFORMING COUNTIES.- SEXUALLY TRANSMITTED INFECTIONS WERE HALF OF WHAT THE TOP PERFORMERS WERE REPORTING.- AND, HIV INFECTIONS WERE 83% LOWER THAN THE TOP PERFORMING COUNTIES.INSURANCE IS ANOTHER AREA WHERE ASHE COUNTY IS ONLY SLIGHTLY OFF FROM THE TOP PERFORMING COUNTIES. - 16% OF ASHE COUNTY RESIDENTS ARE UNINSURED. THIS IS COMPARED TO 15% IN NORTH CAROLINA AND 12% IN TOP PERFORMING AREAS. - UNINSURED CHILDREN ARE AT 6% COMPARED TO 5% AT THE STATE LEVEL AS WELL AS TOP PERFORMING COUNTIES. - 22% OF CHILDREN LIVE IN POVERTY WHICH WILL HAVE AN EFFECT ON THEIR HEALTH, HOWEVER, MANY OF THOSE CHILDREN APPEAR TO HAVE HEALTH INSURANCE.ALTHOUGH INSURANCE COVERAGE IS CLOSE TO TOP PERFORMING COUNTIES, AVAILABILITY OF HEALTHCARE WORKERS IS AN AREA WHERE ASHE COUNTY IS NOT DOING AS WELL AS OTHER COUNTIES. THE RATIO OF PHYSICIANS, DENTISTS AND MENTAL HEALTH PROVIDERS WERE SIGNIFICANTLY OFF ACCORDING TO THE COUNTY HEALTH RANKINGS DATA. - IN ASHE COUNTY THERE WERE 1940 PATIENTS FOR EVERY PHYSICIAN COMPARED TO TOP PERFORMING LEVELS AT 1319 PATIENTS PER PHYSICIAN. - THE SUPPLY OF DENTISTS HAD AN EVEN LARGER DISPARITY WITH RATIOS OF 2230:1 IN ASHE COUNTY VERSUS 1380:1 IN TOP COUNTIES. - THE LACK OF AVAILABILITY OF MENTAL HEALTH PROVIDERS WERE ALMOST 2 TIMES THAT OF TOP PERFORMING AREAS WITH RATIOS OF 610:1 IN ASHE COUNTY COMPARED TO 340:1 FOR TOP PERFORMING COUNTIES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AYLA A KESSLER
PHYSICIAN-MEDICAL ONCOLOGIST$730,076$0$0$0$0$0$0$0$34,693$0$764,769$0$0$0
DOUGLAS R TURGEON
PHYSICIAN$579,759$0$0$0$0$0$3,773$0$0$0$583,532$0$0$0
LEAH ANDERSON
PHYSICIAN$436,025$0$0$0$39,537$0$0$0$47,029$0$522,591$0$0$0
ROBERT S GRAJEWSKI
PHYSICIAN-UROLOGIST$398,661$0$0$0$0$0$4,050$0$24,515$0$427,226$0$0$0
KATELAND E BENNETT
PHYSICIAN-HOSPITALIST$337,311$0$0$0$0$0$709$0$8,871$0$346,891$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE HOSPITAL'S CEO IS AN EMPLOYEE OF NOVANT HEALTH, WHICH HAS A MANAGEMENT AGREEMENT WITH THE HOSPITAL.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DR CHARLES JONES
BOARD MEMBER$216,128CALL PAY0
DR CHARLES JONES
BOARD MEMBER$166,368RENT PAID FOR OFFICE SPACE AND PROCEDURE ROOM0
DR CHARLES JONES
BOARD MEMBER$10,366PAYMENT TO ASHE MEMORIAL HOSPITAL FOR MEDICATIONS0

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$10,888NoncashContributionsRptF990Amt
Method Of Determining RevenuesKELLY BLUE BOOKMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE HOSPITAL HAS A MANAGEMENT AGREEMENT WITH NOVANT HEALTH. THE HOSPITAL'S CEO IS AN EMPLOYEE OF AND IS COMPENSATED BY NOVANT HEALTH.
FORM 990, PART VI, SECTION A, LINE 6THE HOSPITAL IS ORGANIZED AS A STOCK CORPORATION, AND SHARES OF STOCK ARE SOLD TO MEMBERS OF THE COMMUNITY AND ARE FREELY TRANSFERABLE, BUT HAVE NO CAPITAL VALUE. SHAREHOLDERS DO NOT RECEIVE DIVIDENDS.
FORM 990, PART VI, SECTION A, LINE 7ATRUSTEES SHALL BE ELECTED BY THE SHAREHOLDERS OF THE CORPORATION AT THE ANNUAL MEETING OF THE MEMBERSHIP. EACH SELECTED TRUSTEE SHALL HOLD OFFICE FOR A TERM OF THREE YEARS AND UNTIL THEIR SUCCESSOR IS ELECTED AND QUALIFIED.
FORM 990, PART VI, SECTION A, LINE 7BTHE ORGANIZATION CANNOT SELL REAL PROPERTY WITHOUT APPROVAL BY THE SHAREHOLDERS.
FORM 990, PART VI, SECTION B, LINE 11BTHE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH THE ASSISTANCE AND OVERSIGHT OF MANAGEMENT. THE BOARD IS INFORMED OF THE FILING OF THE RETURN AND THE 990 IS MADE AVAILABLE TO THEM FOR REVIEW AFTER THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CALL VOTING MEMBERS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST SURVEY AND RETURN TO THE BOARD CHAIRMAN. THE SURVEY INCLUDES A DISCLOSURE STATEMENT AND A REVIEW OF THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15NOVANT HEALTH, WHICH MANAGES THE HOSPITAL, AND A BOARD COMMITTEE DETERMINE THE COMPENSATION PROVIDED TO THE NOVANT EMPLOYED CEO. NONE OF THE OFFICERS OF THE CORPORATION ARE COMPENSATED. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024.
FORM 990, PART VI, SECTION C, LINE 19PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. PLEASE CONTACT THE ADMINISTRATIVE OFFICE FOR FURTHER DETAILS. SEE FORM 990, PART VI, LINE 20.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 5,366,646. MANAGEMENT AND GENERAL EXPENSES 1,122,857. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,489,503.
FORM 990, PART XI, LINE 9:TRANSFER FROM ASHE MEMORIAL HOSPITAL FOUNDATION -40,084.
FORM 990, LINE XII, LINE 2C:THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEnd Of Year AssetsEndOfYearAssetsAmt
ASHE MULTISPECIALTY GROUP LLC
420 E 2ND STREETWEST JEFFERSONNC28694451482189PHYSICIANS PRACTICENC$2,572,621ASHE MEMORIAL HOSPITAL
ASHE FINANCIAL SERVICES LLC
200 HOSPITAL AVENUEJEFFERSONNC28640810919041HEALTHCARENC$2,362,287ASHE MEMORIAL HOSPITAL$366,640

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ASHE MEMORIAL HOSPITAL FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HOSPITAL AVEAddressLine1Txt
CityJEFFERSONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28640ZIPCd
FieldValueIRS element (for citing)
EIN582078244EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12A, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ASHE MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd