2024-07-26T10:22:52-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 560525657 ALLEGHANY COUNTY MEMORIAL HOSPITAL INC ALLE 3363723226 PO BOX 9 SPARTA NC 28675 PAULA MOORE CHIEF ADMINISTRATIVE OFFICER 3363723226 2024-07-26 1 1 AMY BIBBY P00445891 8282542254 2024-07-26 2022 2024-08-08 14:25:15Z PAULA MOORE PO BOX 9 SPARTA NC 28675 14780711 0 X WWW.AMHSPARTA.ORG X 1948 NC TO PROVIDE TOP QUALITY HEALTH CARE SERVICES TO OUR LOCAL COMMUNITY AND SURROUNDING COMMUNITIES. SERVICES ARE PROVIDED TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. 8 8 148 16 97599 38278 1146309 699977 13727263 13607606 22701 20970 105632 446576 15001905 14775129 0 0 0 0 6934808 7899252 0 0 0 9508814 9223270 16443622 17122522 -1441717 -2347393 23492804 22293914 7958990 9158145 15533814 13135769 ALLEGHANY MEMORIAL HOSPITAL PROVIDES TOP QUALITY HEALTHCARE SERVICES, FACILITATES EDUCATION FOR HEALTHCARE NEEDS, AND COORDINATES HEALTHCARE SERVICES THAT EXCEEDS THE SCOPE OF OUR FACILITY. 0 0 14160312 13510007 ALLEGHANY MEMORIAL HOSPITAL PROVIDED NECESSARY HEALTHCARE SERVICES TO INDIVIDUALS IN THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. 14160312 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 21 0 1 148 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X THE ORGANIZATION 3363723276 PO BOX 9 SPARTA NC 28675 JIM BECKER TRUSTEE/BOARD MEMBER 1.00 X 0 0 0 WHITNEY IVEY TRUSTEE/BOARD MEMBER 1.00 X 0 0 0 ROCKY PROFITT TRUSTEE/BOARD MEMBER 1.00 X 0 0 0 JIM HOEKSTRA TRUSTEE/BOARD MEMBER 1.00 X 0 0 0 JENA FOLGER TRUSTEE/BOARD MEMBER 1.00 X 0 0 0 PAUL HAMMES TRUSTEE/BOARD MEMBER 1.00 X 0 0 0 KENT THOMPSON TRUSTEE/BOARD MEMBER 1.00 X 0 0 0 RICKY BROWN TRUSTEE/BOARD MEMBER 1.00 X 0 0 0 CHARLES MANGANO TRUSTEE/BOARD MEMBER 1.00 X 0 0 0 MARY BLACKBURN TRUSTEE/BOARD MEMBER 1.00 X 0 0 0 BRYAN EDWARDS TRUSTEE/BOARD MEMBER 1.00 X 0 0 0 KATHRYN DOBY CHIEF ADMIN OFFICER 40.00 X 201561 0 26598 DR JOSE AROCHA CHIEF OF MEDICINE 40.00 X 353197 0 32850 DR DWYNN GREENFIELD PHYSICIAN 40.00 X 138491 0 14949 PAMELA HOPPERS PHARMACIST 40.00 X 147839 0 18994 APRIL MAINES CLINICAL DIRECTOR 40.00 X 110540 0 11598 DR DENISE BRYANT PHYSICIAN 40.00 X 125693 0 22433 1077321 0 127422 6 0 1 0 ALLEGHANY EMERGENCY GROUP LLC PO BOX 677979 DALLAS TX 75267 ER PHYSICIANS 1077119 SAVISTA LLC (NTHRUVE) PO BOX 676188 DALLAS TX 75267 PATIENT FINANCIAL SERVICES 1030067 FRANK L BLUM CONSTRUCTION CO PO BOX 4153 WINSTONSALEM NC 27115 CONSTRUCTION 741998 WAKE FOREST BAPTIST MEDICAL CENTER MEDICAL CENTER BLVD WINSTONSALEM NC 27157 IT SUPPORT 255181 CPSI PO BOX 11407 BIRMINGHAM AL 35246 IT SUPPORT 235806 11 479991 215236 4750 699977 NET PATIENT REVENUE 621500 13569312 13471713 97599 MRI GAP SUPPLEMENT 621500 38294 38294 13607606 26552 26552 18257 0 18257 18257 18257 5582 -5582 -5582 -5582 MISCELLANEOUS 900099 389859 389859 PURCHASE DISCOUNTS 900099 37843 37843 CAFETERIA INCOME 900099 617 617 428319 14775129 13510007 97599 467546 X 5908085 5004102 903983 78012 66076 11936 1495329 1266532 228797 417826 353895 63931 350004 350004 410 410 81966 81966 2421762 1655513 766249 66015 49860 16155 749488 477735 271753 195744 195744 19671 19367 304 1152 1152 996419 996419 221301 221301 MEDICAL SUPPLIES 2440834 2440834 BAD DEBT EXPENSE 1619606 1619606 MISCELLANEOUS 50860 5439 45421 UBI TAX 8038 8038 17122522 14160312 2962210 0 1872087 1475598 6125 5655 2863428 2228547 283284 291028 79999 81084 36806167 19315762 18017744 17490405 298292 305916 50467 39842 21378 375839 23492804 22293914 6793219 8088928 1042066 1042066 123705 27151 7958990 9158145 X 15242137 12836469 291677 299300 15533814 13135769 23492804 22293914 X -2347393 22331 -72983 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2692 2692 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE NORTH CAROLINA HOSPITAL ASSOCIATION. DUES PAID TO THESE ORGANIZATIONS ARE ALLOCATED IN PART TO LOBBYING EFFORTS ON BEHALF OF THEIR MEMBERSHIP BODIES. FOR THE YEAR, APPROXIMATELY $2,692 OF DUES PAID ARE ALLOCATED TO LOBBYING EXPENDITURES. 298292 31133 23509 305916 379120 -57801 23027 298292 337974 63901 22755 379120 333096 26454 21576 337974 344875 9664 21443 333096 0 0 351517 351517 20958079 6195221 14762858 1460715 1460539 176 14007961 11660002 2347959 27895 27895 17490405 CAPITAL LEASE OBLIGATION 20191 ESTIMATED THIRD PARTY SETTLEMENTS 6960 27151 X PART V, LINE 4: THE HOSPITAL'S ENDOWMENT CONSISTS OF FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES TO SUPPORT HEALTH CARE SERVICES. PART X, LINE 2: THE HOSPITAL AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL AND FOUNDATION HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2023. 1 1 X 1 X 1 X 1 1 1 0 1 1 1934627 1761021 173606 0.01090 1934627 1761021 173606 0.01090 1934627 1761021 173606 0.01090 0 1146130 4130967 4140751 -9784 X 1 1 1 1 ALLEGHANY MEMORIAL HOSPITAL 233 DOCTORS STREET SPARTA NC 28675 X X X X ALLEGHANY COUNTY MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X 20 1 0 1 1 X HTTPS://ALLEGHANYHEALTH.ORG/ABOUT-US/ X X 1 20 1 HTTPS://ALLEGHANYHEALTH.ORG/ABOUT-US/ 0 1 X 100.000000000000 200.000000000000 X X X X 1 1 X X X X 1 X SEE STATEMENT X SEE STATEMENT X X X X 1 X 0 X X X X 1 X 0 0 ALLEGHANY COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS TAKEN INTO ACCOUNT THROUGH COORDINATED EFFORTS WITH AND BETWEEN THE APPALACHIAN DISTRICT HEALTH DEPARTMENT AND OTHER COMMUNITY PROVIDERS. ALLEGHANY COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CONJUCTION WITH ALLEGHANY COUNTY. ALLEGHANY COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: THROUGH COORDINATED EFFORTS OF THE APPLACHIAN DISTRICT HEALTH DEPARTMENT ALLEGHANY COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE ORGANIZATION HAS DEVELOPED AN ACTION PLAN WITH VARIOUS COMMUNITY PARTNERS TO ADDRESS COMMUNITY NEEDS. AREAS ADDRESSED INCLUDE CHRONIC DISEASE MANAGEMENT AND AWARENESS, TOBACCO USES, AND DIABETES PREVENTION & EDUCATION. THESE NEEDS WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. SEE IMPLEMENTATION STRATEGY FOR DETAILS ON HOW THE NEEDS WILL BE ADDRESSED. ALLEGHANY COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 20E: THE ORGANIZATION WILL PROVIDE INFORMATION RELATING TO ITS FINANCIAL POLICY WHEN PATIENTS INQUIRE ABOUT POTENTIAL ASSISTANCE. PART V SECTION B LINE 16A THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT THE LINK BELOW:HTTPS://ALLEGHANYHEALTH.ORG/WP-CONTENT/UPLOADS/2020/10/PATIENT-FINANCIAL-ASSISTANCE-POLICY-10.01.20.PDF PART V SECTION B LINE 16B THE FINANCIAL ASSISTANCE POLICY APPLICATION CAN BE FOUND AT THE LINK BELOW:HTTPS://ALLEGHANYHEALTH.ORG/WP-CONTENT/UPLOADS/2020/10/PATIENT-FINANCIAL-ASSISTANCE-POLICY-10.01.20.PDF 4 1 - ALLEGHANY ORTHOPEDIC CLINIC PO BOX 9 SPARTA NC 28675 ORTHOPEDIC SURGEON OFFICE 2 - ALLEGHANY HEALTH SERVICES PO BOX 9 SPARTA NC 28675 FAMILY PRACTICE 3 - ALLEGHANY SPECIALITY CLINIC PO BOX 9 SPARTA NC 28675 UROLOGY AND PULMONOLOGY CLINIC, 4 - ALLEGHANY FAMILY MEDICINE PO BOX 9 SPARTA NC 28675 FAMILY PRACTICE PART I, LINE 7: WORKSHEET 2 OF THE 2022 SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE/FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AT COST FOR PURPOSES OF PART I, LINE 7A AND 7B. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,146,130. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT EXPENSE. THE BAD DEBT EXPENSE AT COST ON PART III, LINE 2 WAS COMPUTED BY USING THE GROSS BAD DEBT EXPENSE PER AUDITED FINANCIAL STATEMENTS REDUCED TO COST USING THE COST TO CHARGE RATIO CALCULATED THROUGH WORKSHEET 2 PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H. PART III, LINE 8: THE ORGANIZATION USED CALCULATIONS FROM ITS MEDICARE COST REPORT TO DETERMINE MEDICARE ALLOWABLE COSTS FOR PART III. PART III, LINE 9B: A PATIENT IS DETERMINED INDIGENT IF THEY MEET THE ELIGIBILITY REQUIREMENTS FOR ALLEGHANY MEMORIAL HOSPITAL'S UNCOMPENSATED CARE PROGRAMS. PART VI, LINE 2: THE HOSPITAL IS PART OF THE APPALACHIAN DISTRICT CHA TEAM, WHICH INCLUDES LEADERSHIP FROM ALLEGHANY MEMORIAL HOSPITAL, ALLEGHANY LIVES, ASHE MEMORIAL HOSPITAL, ASHE COUNTY HEALTH COUNCIL/HEALTHY CAROLINIANS, APPALACHIAN REGIONAL HEALTHCARE SYSTEM, WATAUGA HEALTHY CAROLINIANS, AND WESTERN YOUTH NETWORK. TOGETHER, THE TEAM DEVELOPED A MULTI-PHASE PLAN FOR CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT. THE PHASES INCLUDED: (1) A RESEARCH PHASE TO IDENTIFY, COLLECT AND REVIEW DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH DATA; (2) A SURVEY PHASE TO SOLICIT INFORMATION AND OPINION FROM THE GENERAL PUBLIC; (3) A STAKEHOLDER SURVEY PHASE TO GATHER INFORMATION AND OPINION FROM LOCAL COMMUNITY LEADERS AND HEALTH AND HUMAN SERVICE AGENCIES; AND (4) A DATA SYNTHESIS AND ANALYSIS PHASE. THESE PHASES HELPED DESIGN THE COMPONENTS OF THE COMMUNITY HEALTH ASSESSMENT. THE CURRENT ASSESSMENT WAS COMPLETED IN 2015. ALLEGHANY'S LOCAL PRIORITY ISSUE IS THE ACCESS AND AFFORDABILITY OF HEALTHCARE SERVICES. PART VI, LINE 3: THE ORGANIZATION IDENTIFIES ELIGIBLE PATIENTS THROUGH THE REGISTRATION AND COLLECTION PROCESS. EACH ELIGIBLE PATIENT IS GIVEN INSTRUCTIONS AND AN APPLICATION TO COMPLETE AND RETURN TO THE ORGANIZATION. THIS INFORMATION IS ALSO ON THE HOSPITAL WEBSITE INCLUDING THE APPLICATION. PART VI, LINE 4: THE PRIMARY AND SECONDARY SERVICE AREAS INCLUDE APPROXIMATELY 18,000 IN BOTH NORTHWESTERN NC AND SOUTHWESTERN VA. APPROXIMATELY 4,000 INDIVIDUALS IN THE PRIMARY AND SECONDARY SERVICE AREAS ARE OVER AGE 65. THE CLOSEST FACILITY IS APPROXIMATELY 30 MINUTES AWAY DOWN MOUNTAINOUS TERRAIN. THE HOSPITAL IS LOCATED IN A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA AND A MEDICALLY UNDERSERVED AREA ACCORDING TO HRSA. THE MEDIAN HOUSEHOLD AS OF 2015 WAS $33,352 WITH NC STATE AVERAGE OF $50,797. PART VI, LINE 5: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. IN ADDITION, THE ORGANIZATION EXTENDS HOSPITAL PRIVILEDGES TO ALL QUALIFIED LOCAL PHYSICIANS FOR THE MAJORITY OF ITS DEPARTMENTS. PART VI, LINE 6: THE HOSPITAL BECAME PART OF AN AFFLIATED HEALTH SYSTEM 2/1/18. PURCHASED BY A JOINT VENTURE BETWEEN WAKE FOREST BAPTIST AND HUGH CHATHAM MEMORIAL HOSPITAL. PART VI, LINE 7, REPORTS FILED WITH STATES NC X X X 0 0 0 0 0 0 0 0 0 DR JOSE AROCHA CHIEF OF MEDICINE 353197 0 0 0 0 0 7222 0 25628 0 386047 0 0 0 KATHRYN DOBY CHIEF ADMIN OFFICER 201561 0 0 0 0 0 16169 0 10429 0 228159 0 0 0 PAMELA HOPPERS PHARMACIST 147839 0 0 0 0 0 2535 0 16459 0 166833 0 0 0 DR DWYNN GREENFIELD PHYSICIAN 111741 0 26750 0 0 0 0 0 14949 0 153440 0 0 0 DR DENISE BRYANT PHYSICIAN 125693 0 0 0 0 0 2799 0 19634 0 148126 0 0 0 APRIL MAINES CLINICAL DIRECTOR 110540 0 0 0 0 0 2263 0 9335 0 122138 0 0 0 SCHEDULE J COMPENSATION FROM UNRELATED ORGANIZATION KATHRYN DOBY RECEIVES COMPENSATION SERVICES FROM AN UNRELATED ORGANIZATION (MANAGEMENT COMPANY) FOR SERVICES RENDERED TO THE ORGANIZATION. THIS COMPENSATION IS BEING SHOWN AS PAID BY THE FILING ORGANIZATION IN PART VII OF THE FORM 990 AND SCHEDULE J. FORM 990, PART VI, SECTION A, LINE 3 THE HOSPITAL ENTERED INTO A FIVE-YEAR PURCHASED SERVICES AGREEMENT WITH WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFBMC") ON APRIL 1, 2015. AFTER THE INITIAL FIVE-YEAR TERM, THE AGREEMENT WILL AUTOMATICALLY RENEW FOR ONE YEAR TERMS. THIS AGREEMENT ALLOWS WFBMC TO PROVIDE VARIOUS ADMINISTRATIVE AND CLINICAL SERVICES TO THE HOSPITAL. KATHRYN DOBY WAS COMPENSATED BY WFBMC IN 2023 IN THE AMOUNT OF $222,247. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. PRIOR TO THE FILING DATE OF THE FORM 990, A COPY OF THE FORM 990 WAS PROVIDED TO EACH VOTING BOARD OF TRUSTEE. AFTER A DISCUSSION PERIOD AND QUESTION & ANSWER PERIOD WITH ASSISTANCE FROM FORM 990 PREPARER, THE BOARD OF TRUSTEES VOTED TO APPROVE AND ACCEPT THE FORM 990 AS PRESENTED. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL HAS AN ETHICS AND COMPLIANCE POLICY THAT EACH BOARD MEMBER MUST FOLLOW. THIS POLICY IS REINFORCED EACH YEAR AT A REGULAR BOARD MEETING. ALL BOARD MEMBERS SIGN A COMPLIANCE STATEMENT AT THAT BOARD MEETING THAT STATES THE BOARD MEMBER WILL ABIDE BY THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES EXECUTIVE COMMITTEE HAS ESTABLSHED AND APPROVED AN EXECUTIVE COMPENSATION COMMITTEE THAT REVIEWS AND MONITORS COMPENSATION RECOMMENDATIONS FOR ALL OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES. MULTIPLE SOURCES (AT LEAST THREE) OF INDEPENDENT COMPARISON DATA FROM ORGANIZATIONS OF SIMILAR SIZE, REVENUE, GEOGRAPHIC LOCATION, ORGANIZATION MISSION, AND OFFICER/STAFF RESPONSIBILITIES ARE USED TO DETERMINE COMPENSATION RECOMMENDATIONS. SALARY RATES FOR OFFICER, KEY EMPLOYEES, ETC. ARE FAIR AND EQUITABLE BASED ON COMPARISON DATA SOURCES. THE EXECUTIVE COMPENSATION COMMITTEE MAINTAINS DOCUMENTATION TO SHOW THAT THE COMPENSATION REVIEW PROCESS WAS GIVEN APPROPRIATE DUE DILIGENCE IN REGARD TO DISCUSSION, MEMBERS PRESENT, USE OF COMPARISON DATA AND HOW IT WAS OBTAINED, DATE OF APPROVAL, VIEWS OF DISSENTING MEMBERS, AND THAT ADEQUATE TIME WAS ALLOTTED FOR DISCUSSION BEFORE MAKING DETERMINATIONS. ALL COMPENSATION PACKAGE RECOMMENDATIONS DEVELOPED BY THE EXECUTIVE COMPENSATION COMMITTEE ARE APPROVED BY THE ENTIRE BOARD. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES IT'S FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, RECENT COPIES OF THE FORM CAN BE ACCESSED ON GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTANT FEES: PROGRAM SERVICE EXPENSES 5,032. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,032. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,424,240. MANAGEMENT AND GENERAL EXPENSES 738,529. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,162,769. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 226,241. MANAGEMENT AND GENERAL EXPENSES 27,720. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 253,961. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM AFFILIATES 7,623. EQUITY TRANSFER TO FOUNDATION -80,606. FORM 990, PART XII, LINE 2C: JOINT VENTURE PURCHASE BY HUGH CHATHAM HOSPITAL & WAKE FOREST FEB 2018 ALLEGHANY MEMORIAL HOSPITAL FOUNDATION INC 233 DOCTORS STREET SPARTA NC 28675 562012634 PROMOTES AND SUPPORTS THE HOSPITAL NC 501(C)(3) LINE 12A, I ALLEGHANY COUNTY MEMORIAL HOSPITAL INC 1 ALLEGHANY HEALTH SERVICES 233 DOCTORS STREET SPARTA NC 28675 201189450 COMMUNITY HEALTH SERVICES NC 501(C)(3) LINE 3 ALLEGHANY COUNTY MEMORIAL HOSPITAL INC 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 ALLEGHANY MEMORIAL HOSPITAL FOUNDATION INC C 479991 CASH