CHARLES A CANNON JR MEMORIAL HOSPITAL INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CHARLES A CANNON JR MEMORIAL HOSPITAL INC (EIN 56-0529974)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-14
- IRS object ID
- 202322269349302767
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-14T16:32:50-04:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 317081309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560529974 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES A CANNON JR MEMORIAL | BusinessNameLine1Txt |
| Business Name Line2 | HOSPITAL INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAR | BusinessNameControlTxt |
| Phone | 8287377000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 434 HOSPITAL DRIVE | AddressLine1Txt |
| City | LINVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28646 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICK CASSADY | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8287377000 | PhoneNum |
| Signature | 2023-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RICK | PersonFirstNm |
| Person Last | CASSADAY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM EDWARD PHILLIPS | PreparerPersonNm |
| PTIN | P00451499 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2023-08-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHARLES MANTOOTH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 434 HOSPITAL DRIVE | AddressLine1Txt |
| City | LINVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28646 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $24,100,549 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://APPRHS.ORG/CANNON/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1957 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTHCARE SERVICES TO ENHANCE THE QUALITY OF LIFE FOR THE CITIZENS OF AVERY COUNTY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $7,190,511 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,098,420 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,151,190 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,200,136 | CYProgramServiceRevenueAmt |
| PY Investment Income | $67,763 | PYInvestmentIncomeAmt |
| CY Investment Income | $30,516 | CYInvestmentIncomeAmt |
| PY Other Revenue | $334,105 | PYOtherRevenueAmt |
| CY Other Revenue | $2,577,447 | CYOtherRevenueAmt |
| PY Total Revenue | $28,743,569 | PYTotalRevenueAmt |
| CY Total Revenue | $23,906,519 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,831,314 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,721,953 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,767,547 | PYOtherExpensesAmt |
| CY Other Expenses | $11,289,507 | CYOtherExpensesAmt |
| PY Total Expenses | $25,598,861 | PYTotalExpensesAmt |
| CY Total Expenses | $25,011,460 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,144,708 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,104,941 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,286,861 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,213,790 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $35,271,558 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $30,303,428 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,015,303 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,910,362 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HEALTHCARE SERVICES TO ENHANCE THE QUALITY OF LIFE FOR THE CITIZENS OF AVERY COUNTY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $21,758,466 | ExpenseAmt |
| Revenue | $21,750,733 | RevenueAmt |
| Desc | CHARLES A. CANNON, JR MEMORIAL HOSPITAL IN LINVILLE IS A 23-BED CRITICAL ACCESS HOSPITAL. THE FULL-SERVICE EMERGENCY DEPARTMENT, IMAGING DEPARTMENT, LABORATORY, REHABILITATION CENTER OFFERING PHYSICAL AND OCCUPATIONAL THERAPIES, AND CARDIOPULMONARY REHABILITATION COMPLETE THE LIST OF SERVICES OFFERED. | Desc |
| Total Program Service Expenses | $21,758,466 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICK CASSADY | PersonNm |
| Phone | 8282624119 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 336 DEERFIELD RD | AddressLine1Txt |
| City | BOONE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28607 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| CHARLES MANTOOTH | |||||||
| CEO | 1.00 | 44.00 | Yes (X) | $0 | $637,139 | $84,705 | |
| PAUL DAGHER MD | |||||||
| TRUSTEE/PHYS | 1.00 | 44.00 | $0 | $569,675 | $36,235 | Yes (X) | |
| MATT THOMAS | |||||||
| CFO (LEFT 10 | 1.00 | 45.00 | Yes (X) | $0 | $320,966 | $40,900 | |
| CARMEN LACEY | |||||||
| PRES CMH | 1.00 | 40.00 | Yes (X) | $0 | $176,737 | $23,216 | |
| STEPHANIE GREER | |||||||
| PRES AVERY H | 40.00 | 1.00 | Yes (X) | $0 | $136,582 | $23,206 | |
| SAM ADAMS | |||||||
| TRUSTEE | 1.00 | 6.00 | $0 | $0 | $0 | Yes (X) | |
| JOHN BLACKBURN | |||||||
| TRUSTEE | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |
| LISA COOPER | |||||||
| TRUSTEE | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |
| TOM DALE | |||||||
| CHAIR | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JIM DEAL | |||||||
| VICE CHAIR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BILLY KENNEDY | |||||||
| TRUSTEE | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |
| BRETT LOFTIS | |||||||
| TRUSTEE | 1.00 | 3.00 | $0 | $0 | $0 | Yes (X) | |
| CHARLES BAKER MD | |||||||
| TRUSTEE | 1.00 | 3.00 | $0 | $0 | $0 | Yes (X) | |
| KIM MILLER | |||||||
| TRUSTEE (LEF | 1.00 | 3.00 | $0 | $0 | $0 | Yes (X) | |
| MEAGAN PHILLIPS | |||||||
| TRUSTEE | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | |
| MARK RICKS | |||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MARY LOUISE ROBERTS | |||||||
| TRUSTEE | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |
| KENT TARBUTTON | |||||||
| TRUSTEE | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |
| PATTIE TENNILLE | |||||||
| TRUSTEE (LEF | 1.00 | 3.00 | $0 | $0 | $0 | Yes (X) | |
| KENNETH WILCOX | |||||||
| TRUSTEE | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | |
| JAN WINKLER | |||||||
| TRUSTEE | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |
| RICK CASSADY | |||||||
| CFO | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $1,841,099 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $208,262 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Related Organizations | $93,650 | RelatedOrganizationsAmt |
| Government Grants | $804,237 | GovernmentGrantsAmt |
| All Other Contributions | $200,533 | AllOtherContributionsAmt |
| Total Contributions | $1,098,420 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $20,200,136 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,200,136 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,200,136 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,516 | TotalRevenueColumnAmt |
| Exclusion | $30,516 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $867,842 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $185,511 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $682,331 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $682,331 | TotalRevenueColumnAmt |
| Exclusion | $682,331 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $12,698 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $8,519 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,179 | TotalRevenueColumnAmt |
| Exclusion | $4,179 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MANAGEMENT FEES RELATED PARTY | 722210 | $1,487,870 | $1,487,870 | |
| CAFETERIA AND VENDING | 621990 | $340,340 | $340,340 | |
| MISCELLANEOUS REVENUES | 621990 | $46,125 | $46,125 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,602 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,602 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,890,937 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,906,519 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,750,733 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,057,366 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,281,313 | TotalAmt |
| Program Services | $9,955,926 | ProgramServicesAmt |
| Management And General | $1,325,387 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,761,926 | TotalAmt |
| Program Services | $1,539,571 | ProgramServicesAmt |
| Management And General | $222,355 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $678,714 | TotalAmt |
| Program Services | $593,060 | ProgramServicesAmt |
| Management And General | $85,654 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,974,843 | TotalAmt |
| Program Services | $3,522,679 | ProgramServicesAmt |
| Management And General | $452,164 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,186,204 | TotalAmt |
| Program Services | $1,463,119 | ProgramServicesAmt |
| Management And General | $723,085 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,203 | TotalAmt |
| Program Services | $14,203 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $751,126 | TotalAmt |
| Program Services | $702,378 | ProgramServicesAmt |
| Management And General | $48,748 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,715 | TotalAmt |
| Program Services | $97,718 | ProgramServicesAmt |
| Management And General | $12,997 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,950 | TotalAmt |
| Program Services | $15,941 | ProgramServicesAmt |
| Management And General | $3,009 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,168 | TotalAmt |
| Management And General | $185,168 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,682,025 | TotalAmt |
| Program Services | $1,572,862 | ProgramServicesAmt |
| Management And General | $109,163 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,015 | TotalAmt |
| Program Services | $107,787 | ProgramServicesAmt |
| Management And General | $28,228 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,865,100 | $1,865,100 | |
| REPAIRS & MAINTENANCE | $220,386 | $220,386 | |
| DUES & SUBSCRIPTIONS | $74,056 | $31,712 | $42,344 |
| MISCELLANEOUS EXPENSE | $43,367 | $43,367 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,349 | TotalAmt |
| Program Services | $12,657 | ProgramServicesAmt |
| Management And General | $14,692 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,011,460 | TotalAmt |
| Program Services | $21,758,466 | ProgramServicesAmt |
| Management And General | $3,252,994 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,270 | BOYAmt |
| EOY | $1,270 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,702,798 | BOYAmt |
| EOY | $4,913,324 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,744,447 | BOYAmt |
| EOY | $3,063,853 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,139 | BOYAmt |
| EOY | $7,639 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,833 | BOYAmt |
| EOY | $680,532 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,528 | BOYAmt |
| EOY | $155,030 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $50,537,681 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $27,925,147 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,267,091 | BOYAmt |
| EOY | $22,612,534 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $367,461 | BOYAmt |
| EOY | $367,278 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $403,294 | BOYAmt |
| EOY | $2,412,330 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,286,861 | BOYAmt |
| EOY | $34,213,790 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $637,725 | BOYAmt |
| EOY | $504,812 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,000 | BOYAmt |
| EOY | $81,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,183,540 | BOYAmt |
| EOY | $6,371,826 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,369,293 | BOYAmt |
| EOY | $23,345,790 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,271,558 | BOYAmt |
| EOY | $30,303,428 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,105,488 | BOYAmt |
| EOY | $3,000,547 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $909,815 | BOYAmt |
| EOY | $909,815 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,015,303 | BOYAmt |
| EOY | $3,910,362 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,286,861 | BOYAmt |
| EOY | $34,213,790 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,104,941 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $909,815 | BeginningYearBalanceAmt |
| End Year Balance | $909,815 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $909,815 | BeginningYearBalanceAmt |
| End Year Balance | $909,815 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $909,815 | BeginningYearBalanceAmt |
| End Year Balance | $909,815 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $909,815 | BeginningYearBalanceAmt |
| End Year Balance | $909,815 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $909,815 | BeginningYearBalanceAmt |
| End Year Balance | $909,815 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,220,002 | OtherCostOrOtherBasisAmt |
| Book Value | $1,220,002 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,914,087 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,910,424 | DepreciationAmt |
| Book Value | $18,003,663 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,847,482 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,712,908 | DepreciationAmt |
| Book Value | $134,574 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,560,534 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,301,815 | DepreciationAmt |
| Book Value | $2,258,719 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $995,576 | OtherCostOrOtherBasisAmt |
| Book Value | $995,576 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,612,534 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM ARBH | $2,318,426 |
| OTHER RECEIVABLES | $56,904 |
| THIRD PARTY SETTLEMENTS | $37,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,412,330 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $22,765,111 |
| THIRD PARTY SETTLEMENTS | $572,000 |
| ACCRUED INTEREST | $8,679 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $23,345,790 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | THE ASSETS HELD IN THE ENDOWMENT FUND ARE PARCELS OF LAND TO BE USED FOR THE PURPOSE OF PROMOTING THE HEALTH, CARE AND WELL-BEING OF THE CITIZENS AND RESIDENTS OF AVERY COUNTY AND SURROUNDING COUNTIES. UPON THE PROPERTY CEASING TO BE USED FOR THAT PURPOSE, THE PROPERTY IS TO REVERT TO THE GRANTOR, ITS HEIRS, SUCCESSORS AND ASSIGNS. |
| SCHEDULE D, PAGE 3, PART X | ARHS AND THE COMPANIES FOR WHICH IT SERVICES 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 CONSIDERED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE SYSTEM HAS DETERMINED IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2022. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,163 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108,163 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $487,575 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $621,048 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $595,738 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $621,048 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $108,163 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,641 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,633,118 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $880,077 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $753,041 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02990 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,536 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,536 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,662,295 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $880,077 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $782,218 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,258,033 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,501,125 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $890,381 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03540 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,731,989 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $136,599 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,723,816 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,706,610 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $17,206 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES A CANNON JR MEMORIAL | BusinessNameLine1Txt |
| Business Name Line2 | HOSPITAL | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 434 HOSPITAL DRIVE | AddressLine1Txt |
| City | LINVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28646 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://APPRHS.ORG | WebsiteAddressTxt |
| State License | H0037 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | PSYCH, SWB SNF | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES A CANNON JR MEMORIAL | BusinessNameLine1Txt |
| Business Name Line2 | HOSPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://APPRHS.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://APPRHS.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://APPRHS.ORG/FINANCIAL-ASSISTANC | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://APPRHS.ORG/FINANCIAL-ASSISTANC | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://APPRHS.ORG/FINANCIAL-ASSISTANC | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, CHARLES A CANNON JR MEMORIAL - PART V, LINE 3E | THE 2022 CHNA AND RELATED IMPLEMENTATION STRATEGY REPORT IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS FOR THE COMMUNITY- 1) MENTAL/BEHAVIORAL HEALTH 2) HEART & VASCULAR CARE 3) CANCER |
| FACILITY 1, CHARLES A CANNON JR MEMORIAL - PART V, LINE 5 | ARHS REGULARLY COLLABORATES WITH APPALACHIAN DISTRICT HEALTH DEPARTMENT AND TOE RIVER HEALTH DISTRICT TO FACILITATE COMMUNITY EVENTS AND INITIATIVES. APPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS) ANALYZED THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) CONDUCTED AND PUBLISHED BY APPALACHIAN DISTRICT HEALTH DEPARTMENT AND TOE RIVER HEALTH DISTRICT TO DETERMINE HOW ARHS HOSPITALS AND MEDICAL OFFICES CAN CONTRIBUTE TO ADDRESSING THE IDENTIFIED PRIORITY HEALTH ISSUES IN THE HIGH COUNTRY. CHNAS WERE CONDUCTED IN THREE COUNTIES: ASHE AND WATAUGA COUNTIES BY APPALACHIAN DISTRICT HEALTH DEPARTMENT AND AVERY COUNTY BY TOE RIVER HEALTH DISTRICT. PRIORITIZED NEEDS WERE SELECTED BASED ON JOINT ANALYSIS OF CONDUCTED COMMUNITY HEALTH OPINIONS SURVEYS (PRIMARY DATA) AND UTILIZING SECONDARY DATA ABOUT WATAUGA, ASHE, AND AVERY COUNTIES. ASHE COUNTY -HOUSING AND TRANSIT AN ESTIMATED 16% OF ASHE COUNTY HOUSEHOLDS HAVE AT LEAST ONE OF FOUR MAJOR HOUSING PROBLEMS (OVERCROWDING, HIGH HOUSING COSTS, LACK OF KITCHEN OR PLUMBING FACILITIES). IN ADDITION, AN ESTIMATED THREE PERCENT OF HOUSEHOLDS, OR 299 HOMES, IN ASHE COUNTY DO NOT HAVE TELEPHONE SERVICES AVAILABLE. AFFORDABLE HOUSING WAS ONE OF THE MOST COMMON RESPONSES TO AN OPEN-ENDED QUESTION ASKED IN THE COMMUNITY HEALTH OPINION SURVEY REGARDING RESOURCES NEEDED IN THE COMMUNITY. -MENTAL/BEHAVIORAL HEALTH ACCORDING TO THE YOUTH RISK BEHAVIOR SURVEY CONDUCTED IN 2017 AT ASHE COUNTY HIGH SCHOOL, DURING THE PAST 12 MONTHS, 27% OF STUDENTS FELT SO SAD OR HOPELESS ALMOST EVERY DAY FOR AT LEAST TWO WEEKS IN A ROW THAT THEY STOPPED DOING SOME OF THEIR USUAL ACTIVITIES. 17% OF ASHE COUNTY HIGH SCHOOL STUDENTS REPORTED HURT THEMSELVES ON PURPOSE WITHOUT INTENDING TO KILL THEMSELVES IN THE PAST 12 MONTHS. IN ADDITION, THE RATE OF SUICIDE IN ASHE COUNTY HAS INCREASED SINCE THE LAST COMMUNITY HEALTH ASSESSMENT FROM 17.8 PER 100,000 PEOPLE (2012-2016) TO 17.9 PER 100,000 PEOPLE (2014-2018). ACCESS TO COUNSELING, REFERRAL SERVICES, CASE MANAGEMENT AND CRISIS MANAGEMENT CONTINUES TO IMPROVE IN ASHE COUNTY. FOR INSTANCE, DAYMARK RECOVERY SERVICES OFFERS MOBILE CRISIS MANAGEMENT SERVICES THAT PROVIDE A COMPREHENSIVE CRISIS INTERVENTION IN THE LEAST RESTRICTIVE ENVIRONMENT WITH A TEAM PERSPECTIVE TO MEET ANY INDIVIDUALS NEEDS. HOWEVER, ACCESS TO PRIVATE MENTAL HEALTH IS EXTREMELY LIMITED IN ASHE COUNTY. -SUBSTANCE USE AND MISUSE PREVENTION SUBSTANCE USE INCLUDES ALCOHOL USE, TOBACCO USE AND OTHER DRUG USE, INCLUDING PRESCRIPTION DRUGS. SUBSTANCE MISUSE IS THE HARMFUL USE OF SUBSTANCES (LIKE DRUGS AND ALCOHOL) FOR NON-MEDICAL PURPOSES. BETWEEN 2014 -2018, ONE IN FOUR DRIVING DEATHS (23.5%) INVOLVED ALCOHOL IN ASHE COUNTY, COMPARED TO 28.2% OF ALL DRIVING DEATHS IN NORTH CAROLINA. AND APPROXIMATELY 17% OF ADULTS IN ASHE COUNTY ARE CURRENT SMOKERS, IN LINE WITH THE NORTH CAROLINA AVERAGE (17%). AVERY COUNTY -MENTAL HEALTH AMONG 2021 AVERY COUNTY COMMUNITY HEALTH SURVEY RESPONDENTS, 10.4% REPORTED FEELING DISSATISFIED OR VERY DISSATISFIED WITH LIFE, SLIGHTLY HIGHER COMPARED TO WESTERN NORTH CAROLINA. APPROXIMATELY, 20% REPORTED MORE THAN SEVEN DAYS OF POOR MENTAL HEALTH IN THE PAST MONTH, LOWER THAN THE REGIONAL AVERAGE. FOUR PERCENT OF AVERY COUNTY RESPONDENTS IN 2021 REPORTED HAVING CONSIDERED SUICIDE IN THE PAST YEAR. AMONG RESPONDENTS TO THE 2021 AVERY COUNTY STUDENT SURVEY, 37% OF HIGH SCHOOL STUDENTS REPORTED FEELING SO SAD OR HOPELESS EVERY DAY FOR TWO WEEKS THAT THEY STOPPED DOING THEIR USUAL ACTIVITIES; FEMALE STUDENTS WERE MORE LIKELY THAN OTHER GROUPS TO REPORT FEELING SAD OR HOPELESS. 12% OF STUDENT RESPONDENTS REPORTED HAVING CONSIDERED SUICIDE IN THE PAST YEAR AND 11% HAD PLANNED HOW THEY WOULD COMMIT SUICIDE. NEARLY FOUR PERCENT REPORTED THAT THEY HAD ATTEMPTED SUICIDE ONE OR MORE TIMES IN THE PAST YEAR (AVERY COUNTY SCHOOLS, 2021). -SUBSTANCE ABUSE SUBSTANCE ABUSE PREVENTION AND INCREASING AVAILABILITY/ACCESS TO MENTAL HEALTH SERVICES IS AN ONGOING ISSUE IN AVERY COUNTY AND ACROSS NORTH CAROLINA. SUBSTANCE ABUSE CAN INCLUDE, BUT IS NOT LIMITED TO, ALCOHOL, TOBACCO, PRESCRIPTION DRUGS AND ILLICIT DRUGS. IMPROVEMENTS HAVE BEEN MADE TO SUBSTANCE ABUSE PREVENTION AND INCREASED MENTAL HEALTH SERVICES, BUT MUCH MORE IS NEEDED. THIS WAS CHOSEN AS A HEALTH PRIORITY DUE TO THE CONCERN ABOUT ABUSE OF ILLEGAL DRUGS AMONG RESIDENTS AND MISUSE OF PRESCRIPTION DRUGS AMONG TEENS AND ADULTS AS WELL AS INCREASED ALCOHOL ABUSE AND THE AMOUNT OF OPIOID RELATED POLICE CALLS IN RECENT YEARS. IN 2021, 47.5% OF AVERY COUNTY RESPONDENTS TO THE COMMUNITY HEALTH SURVEY INDICATED THAT THEIR LIFE HAS BEEN NEGATIVELY AFFECTED BY SUBSTANCE ABUSE, AND APPROXIMATELY 13% OF THE COUNTYS RESPONDENTS REPORTED USING OPIATES/OPIOIDS, WITH OR WITHOUT A PRESCRIPTION, IN THE PAST YEAR. BETWEEN 2015 AND 2020, THE WERE A TOTAL OF 49 EMERGENCY DEPARTMENT VISITS WITH AN OPIOID OVERDOSE DIAGNOSIS AMONG AVERY COUNTY RESIDENTS, AN AVERAGE OF EIGHT PER YEAR. WHILE MUCH ATTENTION HAS FOCUSED ON THE OPIOID CRISIS IN RECENT YEARS, ALCOHOL CONTINUES TO BE A SUBSTANCE WHOSE MISUSE IMPACTS OUR COMMUNITIES. APPROXIMATELY 49% OF AVERY COUNTY COMMUNITY HEALTH SURVEY RESPONDENTS REPORTED CURRENT CONSUMPTION OF ALCOHOL, HIGHER THAN NC DATA AND LOWER THAN THE UNITED STATES. THE PERCENTAGE OF RESPONDENTS ENGAGING IN BINGE DRINKING WAS HIGHER IN AVERY COUNTY (24.4%) THAN ANY OF THE SURROUNDING COMPARATORS. BINGE DRINKING IS DEFINED AS MEN CONSUMING MORE THAN FIVE ALCOHOLIC DRINKS ON ANY ONE OCCASION IN THE PAST MONTH OR WOMEN CONSUMING FOUR OR MORE ALCOHOLIC DRINKS ON ANY ONE OCCASION IN THE PAST MONTH. -FOOD AND NUTRITION IN NOVEMBER 2021, HEALTHY CAROLINIANS OF AVERY COUNTY MEMBERS IDENTIFIED FOOD INSECURITY AS A CHIEF HEALTH CONCERN FOR THE COUNTY. ACCORDING TO FEEDING AMERICA, 16% OF THE AVERY COUNTY POPULATION WAS FOOD INSECURE IN 2019 AND 19.5% OF CHILDREN IN AVERY COUNTY WERE FOOD INSECURE. PARTICIPANTS IN THE 2021 COMMUNITY HEALTH SURVEYS WERE ASKED IF THEY RAN OUT OF FOOD AT LEAST ONCE IN THE PAST YEAR AND IF THEY WERE WORRIED ABOUT RUNNING OUT OF FOOD IN THE PAST YEAR. THOSE WHO SAID YES TO EITHER QUESTION WERE CLASSIFIED AS FOOD INSECURE. AVERY COUNTY DEMONSTRATED A HIGHER PERCENTAGE OF FOOD INSECURITY COMPARED TO WESTERN NORTH CAROLINA. THE NUMBER OF GROCERY STORES DECREASED FROM FIVE IN 2011 TO FOUR IN 2016: THERE ARE THREE LARGE-CHAIN GROCERY STORES IN AVERY COUNTY (AN INGLES IN NEWLAND, A FOOD LION AND A LOWES FOODS IN BANNER ELK). AS OF 2015, NEARLY FOUR PERCENT OF AVERY COUNTY HOUSEHOLDS HAD NO CAR AND LOW ACCESS (MORE THAN ONE MILE DISTANT) TO A GROCERY STORE. IN CONTRAST TO THE GROCERY STORES, FAST FOOD RESTAURANTS APPEAR MORE ABUNDANT IN AVERY COUNTY: THERE WERE 12 FAST FOOD ESTABLISHMENTS IN 2011 AND IN 2016. THERE WERE NO RECREATIONAL OR FITNESS FACILITIES IN AVERY COUNTY IN 2011 AND 2016. WATAUGA COUNTY -MENTAL/BEHAVIORAL HEALTH BEHAVIORAL HEALTH DESCRIBES THE CONNECTION BETWEEN BEHAVIORS AND THE WELL- BEING OF THE BODY, MIND, AND SPIRIT. BEHAVIORAL HEALTH INCLUDES NOT ONLY OUR MENTAL HEALTH, BUT HOW OUR BEHAVIORSSUCH AS EATING HABITS OR USE OF ALCOHOLIMPACT OUR WELL-BEING. ONE IN FIVE ADULTS (18.77%) IN NORTH CAROLINA HAS A MENTAL HEALTH CONDITION. MORE THAN HALF OF ADULTS IN NORTH CAROLINA (54.6%) WITH ANY MENTAL ILLNESS REPORT NOT RECEIVING MENTAL HEALTH TREATMENT OR COUNSELING OF ANY KIND. ONE OUT OF EVERY THREE ADULTS IN NORTH CAROLINA WITH MENTAL ILLNESS ARE UNINSURED. INDIVIDUALS LIVING IN POVERTY EXPERIENCE MENTAL ILLNESS AND MENTAL DISTRESS MORE FREQUENTLY THAN THOSE WHO ARE NOT BURDENED BY POVERTY. IT IS IMPORTANT TO CONSIDER THIS HEALTH DISPARITY WHEN ADDRESSING MENTAL HEALTH IN OUR RURAL COMMUNITY, WHERE 25.3% OF PEOPLE IN WATAUGA COUNTY WERE LIVING IN POVERTY IN 2019. ACCORDING TO THE YOUTH RISK BEHAVIOR SURVEY CONDUCTED IN 2018 AT WATAUGA COUNTY HIGH SCHOOL, DURING THE PAST 12 MONTHS, 30.1% OF WATAUGA HIGH SCHOOL STUDENT RESPONDENTS FELT SO SAD OR HOPELESS ALMOST EVERY DAY FOR AT LEAST TWO WEEKS IN A ROW THAT THEY STOPPED DOING THEIR USUAL ACTIVITIES. APPROXIMATELY 15.4% OF STUDENTS SERIOUSLY CONSIDERED ATTEMPTING SUICIDE IN THE PAST 12 MONTHS. SEEKING PRIMARY HEALTHCARE IS OFTEN THE FIRST STEP TO ACCESSING BEHAVIORAL HEALTHCARE. PRIMARY CARE PROVIDERS ARE NOW MOVING TOWARD A SYSTEM OF INTEGRATED CARE WHERE BOTH GENERAL AND BEHAVIORAL HEALTHCARE ARE PROVIDED. INTEGRATING MENTAL HEALTH, SUBSTANCE MISUSE, AND PRIMARY CARE SERVICES HAS BEEN SHOWN TO PRODUCE THE BEST OUTCOMES FOR PEOPLE WITH MULTIPLE HEALTHCARE NEEDS. -HOUSING AND TRANSIT HOUSING IS AN IMPORTANT SOCIAL DETERMINANT OF PHYSICAL AND MENTAL HEALTH AND WELLBEING. THE QUALITY AND COST OF HOUSING CAN IMPROVE OR WORSEN OUR HEALTH IN MANY WAYS: I. AFFORDABLE HOUSING MAKES MORE RESOURCES AVAILABLE TO PAY FOR HEALTHCARE AND HEALTHY FOOD, WHICH LEADS TO BETTER HEALTH OUTCOMES. II. AFFORDABLE, QUALITY HOUSING ALLEVIATES OVERCROWDING AND LIMITS OUR EXPOSURE TO ENVIRONMENTAL TOXINS. III. STABLE AND AFFORDABLE HOUSING SUPPORTS MENTAL HEALTH BY LIMITING STRESSORS RELATED TO FINANCIAL B |
| FACILITY 1, CHARLES A CANNON JR MEMORIAL - PART V, LINE 6A | WATAUGA MEDICAL CENTER, A RELATED ORGANIZATION LOCATED AT 336 DEERFIELD ROAD, BOONE, NC, ASSISTED IN CONDUCTING THE 2022 CHNA. |
| FACILITY 1, CHARLES A CANNON JR MEMORIAL - PART V, LINE 6B | ARHS ANALYZED CHNAS PUBLISHED BY APPALACHIAN DISTRICT HEALTH DEPARTMENT AND TOE RIVER HEALTH DISTRICT TO DETERMINE HOW ARHS HOSPITALS CAN CONTRIBUTE TO ADDRESSING THE DEFINED HEALTH PRIORITIES. THIS REPORT WILL FOCUS ON THE NEEDS OF OUR THREE MAIN SERVICE AREAS: ASHE, AVERY AND WATAUGA. CHNAS WERE CONDUCTED IN EACH COUNTY; ASHE AND WATAUGA BY APPALACHIAN DISTRICT HEALTH DEPARTMENT AND AVERY BY TOE RIVER HEALTH DISTRICT. |
| FACILITY 1, CHARLES A CANNON JR MEMORIAL - PART V, LINE 11 | SEVERAL NEEDS OUTLINED IN THE CHNA PROCESS SUCH AS CHILD ABUSE/NEGLECT, DENTAL PROBLEMS, ALCOHOL AND/OR DRUG USE, SEXUALLY TRANSMITTED DISEASE, TRANSPORTATION, AND FAMILY AND SOCIAL CONNECTIONS HAVE NOT BEEN ADDRESSED IN THIS PLAN. IN INITIAL DISCUSSION AND SUBSEQUENT PRIORITIZATION, ARHS CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF THE HOSPITAL. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7, COLUMN (F) | IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 25,011,415 ADD: EXPENSES ON PART VIII 194,030 DENOMINATOR FOR COLUMN (F) 25,205,445 |
| SCHEDULE H, PART I, LINE 7 | THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". SEE ALSO THE DESCRIPTION FOR PART III, LINE 2. |
| SCHEDULE H, PART III, LINE 2 | AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. |
| SCHEDULE H, PART III, LINE 3 | THE FIGURE ON PART III LINE 3 REPRESENTS MANAGEMENT'S ESTIMATE (APPROXIMATELY 5%) BASED ON AN ANALYSIS OF SELF PAY PATIENTS' ABILITY TO PAY THEIR OUTSTANDING ACCOUNT. THIS ANALYSIS INCLUDES REVIEWING THE PATIENT'S CREDIT HISTORY, INCOME LEVELS AND OVERALL COLLECTIBILITY OF THE ACCOUNT. |
| SCHEDULE H, PART III, LINE 4 | THE SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN EVALUATION OF THE OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNTS ARE CHARGED AGAINST THE ALLOWANCE. |
| SCHEDULE H, PART III, LINE 8 | MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. |
| SCHEDULE H, PART III, LINE 9B | CHARITY WRITE-OFFS ARE SEGREGATED FROM NORMAL BAD DEBTS THROUGH A SEPARATE TRANSACTION CODE. FAMILY INCOME BELOW 200% OF FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% WRITE-OFF. PARTIAL WRITE-OFF IS AVAILABLE FOR FAMILY INCOME BETWEEN 200% AND 300% OF FPG. |
| SCHEDULE H, PART VI, LINE 2 | APPLACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS) STAYS COMMITTED TO PROMOTING HEALTH IN THE HIGH COUNTRY, ENHANCING QUALITY OF LIFE AND SIMPLY MAKING LIFE BETTER. THE HEALTHCARE SYSTEM OFFERS A VARIETY OF HEALTH EDUCATION PROGRAMS, PREVENTION PROGRAMS AND HEALTH SCREENINGS TO ENCOURAGE HEALTHY LIFESTYLES FOR RESIDENTS AND VISITORS. IN ADDITION TO PARTNERING WITH LOCAL HEALTH DEPARTMENTS TO CONDUCT HEALTH NEEDS ASSESSMENTS, ARHS HOSTS ANNUAL HEALTH FAIRS IN OUR PRIMARY SERVICE AREA, WATAUGA AND AVERY COUNTIES. WE ALSO ATTEMPT TO ADDRESS THE NEEDS OF LOW INCOME, UNINSURED RESIDENTS THROUGH TWO PROGRAMS - APPLACHIAN HEALTHCARE PROJECT AND THE LATINO HEALTH PROGRAM WHICH ARE DISCUSSED FURTHER BELOW. |
| SCHEDULE H, PART VI, LINE 3 | PATIENTS ARE EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (FAP). DURING PRE-REGISTRATION AND REGISTRATION, PATIENTS CAN BE INTERVIEWED BY A PATIENT FINANCIAL ADVOCATE TO DETERMINE WHETHER THE PATIENT HAS A NEED FOR FINANCIAL ASSISTANCE OR POTENTIAL ELIGIBILITY UNDER GOVERNMENT PROGRAMS. |
| SCHEDULE H, PART VI, LINE 4 | THE COMMUNITY CONSISTS OF ASHE, AVERY, AND WATAUGA COUNTIES, A POPULATION OF APPROXIMATELY 98,000 PEOPLE IN NORTHWESTERN NORTH CAROLINA. PLEASE REFER TO THE RECENT COMMUNITY HEALTH NEEDS ASSESSMENT FOR AN IN-DEPTH LOOK AT THE DEMOGRAPHICS. BOTH THE 2019 AND 2022 CHNAS ARE AVAILABLE AT HTTPS://AAPRHS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. |
| SCHEDULE H, PART VI, LINE 5 | APPLACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS) STAYS COMMITTED TO PROMOTING HEALTH IN THE HIGH COUNTRY, ENHANCING QUALITY OF LIFE AND SIMPLY MAKING LIFE BETTER. THE HEALTHCARE SYSTEM OFFERS A VARIETY OF HEALTH EDUCATION PROGRAMS, PREVENTION PROGRAMS AND HEALTH SCREENINGS TO ENCOURAGE HEALTHY LIFESTYLES FOR RESIDENTS AND VISITORS. IN ADDITION TO PARTNERING WITH LOCAL HEALTH DEPARTMENTS TO CONDUCT HEALTH NEEDS ASSESSMENTS, ARHS HOSTS ANNUAL HEALTH FAIRS IN OUR PRIMARY SERVICE AREA, WATAUGA AND AVERY COUNTIES. WE ALSO ATTEMPT TO ADDRESS THE NEEDS OF LOW INCOME, UNINSURED RESIDENTS THROUGH TWO PROGRAMS - APPLACHIAN HEALTHCARE PROJECT AND THE LATINO HEALTH PROGRAM. APPALACHIAN HEALTHCARE PROJECT IS A COLLABORATIVE EFFORT AMONG THE MEDICAL COMMUNITY TO PROVIDE HEALTHCARE FOR LOW INCOME, UNINSURED RESIDENTS OF WATAUGA AND AVERY COUNTIES. THE PROJECT ENROLLS PERSONS WHO MEET PROGRAM GUIDELINES AND COORDINATES HEALTH CARE ON THE INDIVIDUAL'S BEHALF. COORDINATION OF HEALTH CARE INCLUDES MANAGING REFERRALS TO SPECIALISTS, HELPING PATIENTS GET ACCESS TO MEDICATIONS, AND PATIENT CASE MANAGEMENT. MEDICAL PROVIDERS DONATE MUCH NEEDED CARE TO INDIVIDUALS WHO QUALIFY. THE LATINO HEALTH PROGRAM OF ARHS SEEKS TO IMPROVE THE HEALTH AND WELL-BEING OF LATINOS IN WATAUGA AND AVERY COUNTIES THROUGH INCREASED ACCESS TO CARE, HEALTH EDUCATION, AND OTHER ENABLING SERVICES. BOTH PROVIDE SUBSTANTIAL MEDICAL ASISTANCE TO APPROXIMATELY 500 LOW INCOME, UNINSURED RESIDENTS ANNUALLY. THE GOVERNING BODY OF THE HOSPITAL FACILITY IS PRIMARILY COMPRISED OF PERSONS WHO ARE NOT EMPLOYEES OR CONTRACTORS (NOR FAMILY MEMBERS THEREOF) AND WHO REPRESENT A BROAD SPECTRUM OF THE COMMUNITY. THE HOSPITAL'S MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE REGION. SURPLUS FUNDS ARE REINVESTED IN THE FACILITIES AND OPERATIONS. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, AND OFFER FINANCIAL ASSISTANCE TO INDIVIDUALS SATISFYING ELIGIBILITY REQUIREMENTS. |
| SCHEDULE H, PART VI, LINE 6 | APPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS) IS A NOT-FOR-PROFIT ORGANIZATION PROVIDING HEALTH CARE SERVICES TO THE RESIDENTS OF THE MOUNTAIN REGIONS ON NORTHWEST NORTH CAROLINA AND NORTHEAST TENNESSEE. ARHS SERVES AS THE PARENT ORGANIZATION OF A MULTI-ENTITY HEALTHCARE SYSTEM. ARHS IS THE SOLE MEMBER OF WATAUGA MEDICAL CENTER, INC. (WMC), CHARLES A. CANNON, JR. MEMORIAL HOSPITAL (CANNON), INC., APPALACHIAN REGIONAL HEALTHCARE FOUNDATION, INC., ARHS PROPERTIES, INC., APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC., AND APPALACHIAN REGIONAL BEHAVIORAL HEALTH, INC. WATAUGA MEDICAL CENTER IS A 117-BED REGIONAL REFERRAL MEDICAL COMPLEX, OFFERING BOTH PRIMARY AND SECONDARY ACUTE AND SPECIALTY CARE. WATAUGA MEDICAL CENTER ALSO INCLUDES MANY OUTPATIENT CLINICS AND A DIAGNOSTICS CENTER. CHARLES A. CANNON, JR. MEMORIAL HOSPITAL IS AN ACUTE CARE HOSPITAL WITH A FULL-SERVICE EMERGENCY DEPARTMENT, IMAGING DEPARTMENT, LABORATORY, OUTPATIENT BEHAVIORAL HEALTH, AND THE REHABILITATION CENTERS PHYSICAL AND OCCUPATIONAL THERAPIES. APPALACHIAN REGIONAL HEALTHCARE FOUNDATION, INC. IS THE FUNDRAISING ORGANIZATION FOR THE SYSTEM. APPALACHIAN REGIONAL BEHAVIORAL HEALTH, INC. IS A 37-BED LICENSED INPATIENT MENTAL HEALTH HOSPITAL THAT BEGAN OPERATIONS DURING THE FISCAL YEAR. IT ALSO OPERATES THE OUPATIENT MENTAL HEALTH DEPARTMENT THAT WAS FORMERLY PART OF CANNON. APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. (ARMA) PROVIDES PRIMARY CARE, ALONG WITH A WIDE ARRAY OF SPECIALTIES TO SERVE THE NEEDS OF AREA RESIDENTS. SPECIALTIES INCLUDE CARDIOLOGY, ORTHOPAEDICS, OB/GYN, GENERAL SURGERY, UROLOGY, RHEUMATOLOGY, PULMONOLOGY, AND URGENT CARE. ARMA ALSO PROVIDES ADMINISTRATIVE SERVICES, ELECTRONIC MEDICAL RECORDS SYSTEMS, PHYSICIAN RECRUITMENT, AND PHYSICIAN OFFICE MANAGEMENT SERVICES. ARHS PROPERTIES, INC. WAS FORMED TO MANAGE AND MAINTAIN PROPERTIES FOR THE USE OF WATAUGA MEDICAL CENTER, INC. AND CHARLES A. CANNON, JR. MEMORIAL HOSPITAL. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|
| CHARLES MANTOOTH | ||||||
| CEO | $571,579 | $40,000 | $25,560 | $68,910 | $15,795 | $721,844 |
| PAUL DAGHER MD | ||||||
| TRUSTEE/PHYSICIAN | $564,496 | $2,800 | $2,379 | $5,392 | $30,843 | $605,910 |
| MATT THOMAS | ||||||
| CFO (LEFT 10/22) | $308,828 | $12,138 | $18,382 | $22,518 | $361,866 | |
| CARMEN LACEY | ||||||
| PRES CMH | $156,049 | $10,000 | $10,688 | $13,170 | $10,046 | $199,953 |
| STEPHANIE GREER | ||||||
| PRES AVERY HC MARKET | $132,180 | $4,000 | $402 | $4,378 | $18,828 | $159,788 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 3 | NONE OF THE INDIVIDUAL BOARD MEMBERS OR OFFICERS ARE COMPENSATED BY THE FILING ORGANIZATION AND THE ORGANIZATION MUST RELY ON THE METHODS EMPLOYED BY THE RELATED ORGANIZATION, ARHS, TO DETERMINE REASONABLE COMPENSATION FOR THE INDIVIDUALS. COMPENSATION DETERMINATION BY ARHS INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND SURVEYS, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED. |
| SCHEDULE J, PAGE 1, PART I, LINE 4 | CHARLES MANTOOTH 0 60,510 0 MATT THOMAS 0 15,896 0 CARMEN LACEY 0 8,106 0 |
| SCHEDULE J, PART III | NONQUALIFIED DEFERRED COMPENSATION PLAN: THE SYSTEM HAS A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN MEMBERS OF MANAGEMENT AND PHYSICIANS TO DEFER A PORTION OF THEIR COMPENSATION UNTIL RETIREMENT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 1A | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN OF THE BOARD OF TRUSTEES, THE VICE CHAIRMAN OF THE BOARD OF TRUSTEES, THE IMMEDIATE PAST CHAIRMAN OF THE BOARD OF TRUSTEES (IF STILL A MEMBER OF THE BOARD OF TRUSTEES), AND THREE OTHER TRUSTEES. THE CHAIRMAN SHALL APPOINT THE MEMBERS OF THE EXECUTIVE COMMITTEE AND SHALL SERVE AS ITS CHAIRMAN. IN THE ABSENCE OF A QUORUM OF THE ENTIRE BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE OR A MAJORITY THEREOF SHALL HAVE FULL AUTHORITY TO ACT IN ALL MATTERS RELATING TO CANNON MEMORIAL HOSPITAL BUSINESS, INCLUDING, BUT NOT LIMITED TO ALL THINGS DEEMED NECESSARY AND EXPEDIENT IN THE GOVERNANCE, MANAGEMENT, AND CONTROL OF THE BUSINESS AND AFFAIRS OF THE CORPORATION, INCLUDING MATTERS RELATING TO EXECUTIVE COMPENSATION, 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 FOR CERTAIN PROHIBITED ACTIONS (ARTICLE V, SECTION 3 OF THE BYLAWS). FURTHER, THE EXECUTIVE COMMITTEE OR A MAJORITY THEREOF SHALL HAVE FULL AUTHORITY TO ACT ON BEHALF OF CANNON MEMORIAL HOSPITAL AT ANY CALLED OR SPECIAL MEETING. WHEN THE EXECUTIVE COMMITTEE EXERCISES THE POWER AND AUTHORITY OF THE BOARD OF TRUSTEES, SUCH ACTION IS SUBJECT TO RATIFICATION BY THE BOARD OF TRUSTEES. |
| FORM 990, PAGE 6, PART VI, LINE 3 | THE PARENT COMPANY AND SOLE MEMBER, APPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS) OVERSEES THE ORGANIZATION'S OPERATIONS. ALSO SALARIES AND OTHER COMMON EXPENSES INCURRED BY ARHS ARE ALLOCATED APPROPRIATELY TO THE FILING ORGANIZATION. ALL PAYROLL RETURNS, INCLUDING W-2S, ARE ISSUED BY ARHS. PAYMENTS TO VENDORS ARE MADE THROUGH ARHS AND ALL 1099S ARE ISSUED BY ARHS. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE SOLE MEMBER IS APPALACHIAN REGIONAL HEALTHCARE SYSTEM, INC. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE TRUSTEES OF THE SOLE MEMBER SHALL ALSO SERVE AS THE TRUSTEES OF THE FILING ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE SYSTEM CONTROLLER AND THE CFO REVIEW THE 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE RETURN IS MADE AVAILABLE TO THE BOARD OF TRUSTEES UPON COMPLETION. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AND APPLIES TO ALL EMPLOYEES, OFFICERS AND BOARD MEMBERS. SHOULD A CONFLICT EXIST, THE INDIVIDUAL IS RECUSED FROM DISCUSSION AND DECISION-MAKING PROCESS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR 797,890 13,975 0 PHYSICIAN FEES 1,288,370 0 0 PURCHASED SERVICES 1,197,069 435,539 0 OUTSIDE SERVICES 238,911 0 0 CONSULTING 439 2,650 0 TOTAL 3,522,679 452,164 0 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| APPALACHIAN REGIONAL HEALTHCARE SYS | |||||||||||
| PO BOX 2600 | BOONE | NC | 28607 | 201067022 | PARENT | NC | 501C3 | 12B | N/A | false | |
| WATAUGA MEDICAL CENTER INC | |||||||||||
| 336 DEERFIELD RD | BOONE | NC | 28607 | 560510824 | HOSPITAL | NC | 501C3 | 3 | false | ARHS | |
| APPALACHIAN REGIONAL HEALTHCARE FDN | |||||||||||
| 336 DEERFIELD RD | BOONE | NC | 28607 | 204625618 | FOUNDATION | NC | 501C3 | 7 | false | ARHS | |
| APPALACHIAN REGIONAL MED ASSOC | |||||||||||
| PO BOX 2600 | BOONE | NC | 28607 | 205755130 | PHYSICIANS | NC | 501C3 | 10 | false | ARHS | |
| ARHS PROPERTIES INC | |||||||||||
| 336 DEERFIELD RD | BOONE | NC | 28607 | 203470765 | PROPERTY | NC | 501C3 | 12B | false | ARHS | |
| APPALACHIAN REGIONAL BEHAVIORAL HLT | |||||||||||
| 432 HOSPITAL DRIVE | LINVILLE | NC | 28646 | 851313265 | HOSPITAL | NC | 501C3 | 3 | false | ARHS | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SLOOP MED OFC PLAZA CONDO ASSOC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 434 HOSPITAL DRIVE | AddressLine1Txt |
| City | LINVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28646 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593761777 | EIN |
| Primary Activities | RENTAL | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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