2022-08-04T09:35:30-05:00 2021-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2020-10-01 560529974 CHARLES A CANNON JR MEMORIAL HOSPITAL INC CHAR 8287377000 434 HOSPITAL DRIVE LINVILLE NC 28646 MATT THOMAS CFO 8287377000 2022-07-31 true MATT THOMAS 999009999 WILLIAM EDWARD PHILLIPS P00451499 2298837878 2022-08-02 2020 2022-09-23 18:48:47Z CHARLES MANTOOTH 434 HOSPITAL DRIVE LINVILLE NC 28646 29108246 false X HTTPS://AAPRHS.ORG X 1957 NC TO PROVIDE HEALTHCARE SERVICES TO ENHANCE THE QUALITY OF LIFE FOR THE CITIZENS OF AVERY COUNTY. 15 12 0 29 0 3187722 7190511 20403069 21151190 565 67763 580561 334105 24171917 28743569 0 0 13448712 14831314 0 0 12739593 10767547 26188305 25598861 -2016388 3144708 39397771 40286861 31716135 35271558 7681636 5015303 TO PROVIDE HEALTHCARE SERVICES TO ENHANCE THE QUALITY OF LIFE FOR THE CITIZENS OF AVERY COUNTY. false false 22255182 21194764 CHARLES A. CANNON, JR MEMORIAL HOSPITAL IN LINVILLE IS A 25-BED ACUTE CARE HOSPITAL WITH A 10-BED INPATIENT BEHAVIORAL HEALTH UNIT. THE FULL-SERVICE EMERGENCY DEPARTMENT, IMAGING DEPARTMENT, LABORATORY, OUTPATIENT BEHAVIORAL HEALTH, REHABILITATION CENTER OFFERING PHYSICAL AND OCCUPATIONAL THERAPIES, AND CARDIOPULMONARY REHABILITATION COMPLETE THE LIST OF SERVICES OFFERED. 22255182 true true false false false false false false false true true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false X 15 12 false true false false true true false true true false false false true true true true true false false false X MATT THOMAS 8282624100 336 DEERFIELD RD BOONE NC 28607 CHARLES MANTOOTH CEO 1.00 44.00 X 0 566808 72440 PAUL DAGHER MD TRUSTEE 1.00 42.00 X 0 421793 37132 KEVIN MAY CFO LEFT 1/2 1.00 44.00 X 0 356376 27704 CARMEN LACEY CMH PRES 40.00 1.00 X 0 170002 34819 MATT THOMAS CFO 1.00 44.00 X 0 112118 3612 SAM ADAMS TRUSTEE 1.00 3.00 X 0 0 0 JOHN BLACKBURN TRUSTEE 1.00 3.00 X 0 0 0 TOM DALE CHAIR 1.00 2.00 X X 0 0 0 JIM DEAL VICE CHAIR 1.00 2.00 X X 0 0 0 BILLY KENNEDY TRUSTEE 1.00 2.00 X 0 0 0 BRETT LOFTIS TRUSTEE 1.00 2.00 X 0 0 0 CHARLES BAKER MD TRUSTEE 1.00 1.00 X 0 0 0 KIM MILLER TRUSTEE 1.00 3.00 X 0 0 0 MEAGAN PHILLIPS TRUSTEE 1.00 2.00 X 0 0 0 MARY LOUISE ROBERTS TRUSTEE 1.00 3.00 X 0 0 0 KENT TARBUTTON TRUSTEE 1.00 2.00 X 0 0 0 PATTIE TENNILLE TRUSTEE 1.00 2.00 X 0 0 0 KENNETH WILCOX TRUSTEE 1.00 4.00 X 0 0 0 JAN WINKLER TRUSTEE 1.00 X 0 0 0 1627097 175707 false true false 7190511 7190511 NET PATIENT SERVICE REVENUE 621990 21151190 21151190 21151190 3543 3543 220464 194540 25924 25924 25924 226703 162483 64220 64220 64220 12017 7654 4363 4363 CAFETERIA AND VENDING 722210 260244 260244 MISCELLANEOUS REVENUES 621990 41578 41578 DISCOUNTS & REBATES 621990 1996 1996 303818 28743569 21194764 358294 X 12231597 10687550 1544047 1870966 1634850 236116 728751 636783 91968 4036443 3506534 529909 1874691 1412872 461819 17133 17133 667623 624294 43329 107032 97036 9996 31352 27732 3620 248271 248271 1386757 1296756 90001 101796 84313 17483 MEDICAL SUPPLIES 1849408 1849408 REPAIRS & MAINTENANCE 250204 250204 DUES & SUBSCRIPTIONS 84204 46623 37581 MISCELLANEOUS EXPENSE 83804 75799 8005 28829 7295 21534 25598861 22255182 3343679 0 8693635 1270 11702798 4699242 3744447 22778 20139 676944 582833 117445 197528 49438744 26171653 18882367 23267091 367461 6305360 403294 39397771 40286861 1442629 637725 74370 81000 7968736 7183540 22230400 27369293 31716135 35271558 X 6771821 4105488 909815 909815 7681636 5015303 39397771 40286861 X 3144708 -5811041 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 909815 909815 909815 909815 909815 909815 909815 909815 909815 909815 1.00000 false false 1220002 1220002 27796362 16721598 11074764 1847482 1671319 176163 10425288 7778736 2646552 8149610 8149610 23267091 DUE TO RELATED PARTIES 23889728 MEDICARE ADVANCE PAYMENT 2547886 THIRD PARTY SETTLEMENTS 923000 ACCRUED INTEREST 8679 27369293 X 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, 2021. true true X true X true X true true true false true true 368422 368422 0.01430 1397716 1171957 225759 0.00870 1766138 1171957 594181 0.02300 12094 12094 0.00050 2135685 1236721 898964 0.03480 14563 14563 0.00060 2162342 1236721 925621 0.03590 3928480 2408678 1519802 0.05890 true 3457816 172891 6761566 6841651 -80085 X true true 1 1 CHARLES A CANNON JR MEMORIAL HOSPITAL 434 HOSPITAL DRIVE LINVILLE NC 28646 HTTPS://APPRHS.ORG H0037 X X X X PSYCH, SWB SNF CHARLES A CANNON JR MEMORIAL HOSPITAL 1 false false true X X X X X X X X X X 19 true true true true X HTTPS://APPRHS.ORG X true 19 true HTTPS://APPRHS.ORG false false true X 200.000000000000 300.000000000000 X X true true X X X X true X HTTPS://APPRHS.ORG/FINANCIAL-ASSISTANC X HTTPS://APPRHS.ORG/FINANCIAL-ASSISTANC X HTTPS://APPRHS.ORG/FINANCIAL-ASSISTANC X X X X X X true X false X X X X true X false false FACILITY 1, CHARLES A CANNON JR MEMORIAL - PART V, LINE 3E THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED ON PAGE 12 OF THE 2019 CHNA. FACILITY 1, CHARLES A CANNON JR MEMORIAL - PART V, LINE 5 FOR THE 2019 CHNA, ARHS SELECTED TOP PRIORITIES BY ANALYZING AVERY COUNTY'S COMMUNITY HEALTH REPORT AS PUBLISHED BY TOE RIVER HEALTH DISTRICT AND WATAUGA AND ASHE COUNTIES' COMMUNITY HEALTH REPORTS AS PUBLISHED BY THE APPALACHIAN DISTRICT HEALTH DEPARTMENT. A CHA PLANNING COMMITTEE, COMPRISED OF MULTI-DISCIPLINARY STAKEHOLDERS AND COMMUNITY LEADERS FROM ASHE AND WATAUGA COUNTIES, MET IN JUNE 2017 TO GUIDE IMPLEMENTATION OF THE CHA TIMELINE AND ENSURE THE PROCESS ENGAGED THE COMMUNITY IN AN INCLUSIVE AND RESPECTFUL MANNER. DEVELOPMENT OF THE COMMUNITY HEALTH OPINION SURVEY TOOL WAS GUIDED BY CDC DEMOGRAPHIC DATA COLLECTION STANDARDS, NACCHO GUIDELINES FOR CONDUCTING A COMMUNITY HEALTH ASSESSMENT, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, YOUTH RISK BEHAVIOR SURVEY, WNC HEALTHY IMPACT INITIATIVE, AND THE 2014 WATAUGA COUNTY COMMUNITY HEALTH OPINION SURVEY. SEVERAL KEY COMMUNITY PARTNERS PROVIDED INPUT ON SURVEY QUESTIONS, SUCH AS OASIS, HIGH COUNTRY AREA AGENCY ON AGING, WESTERN YOUTH NETWORK, ASHE MEMORIAL HOSPITAL AND APPALACHIAN REGIONAL HEALTHCARE SYSTEM. APPALACHIAN DISTRICT BOARD OF HEALTH MEMBERS PROVIDED INPUT ABOUT THE SURVEY QUESTIONS AND DISTRIBUTION POINTS. MEMBERS OF THE WATAUGA SUBSTANCE ABUSE PREVENTION COALITION PROVIDED GUIDANCE AND SUPPORT ON SURVEY DEVELOPMENT AND DISTRIBUTION. THE INJURY AND VIOLENCE PREVENTION BRANCH OF THE DIVISION OF PUBLIC HEALTH ALSO PROVIDED GUIDANCE ON QUESTION DEVELOPMENT. 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 2019 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 WATAUGA, ASHE, AND AVERY'S TOP 10 HEALTH ISSUES, LEADING CAUSES OF DEATH, AND HEALTH PRIORITIES (AS OUTLINED IN COMMUNITY HEALTH REPORTS) WERE COMPILED AND PRESENTED TO THE ARHS SENIOR LEADERSHIP TEAM. THEY SELECTED WMC AND CMH PRIORITIES BASED ON ARHS'S ABILITY TO IMPLEMENT OBJECTIVES AND ACTION STEPS THAT WILL CONTRIBUTE TO ADDRESSING EACH COUNTY'S DEFINED PRIORITIES. CMH'S, THE FILING ORGANIZATION, TOP 3 HEALTH PRIORITIES INCLUDE: - MENTAL/BEHAVIORAL HEALTH - CHRONIC DISEASE CARE AND PREVENTION - PHYSICAL ACTIVITY/NUTRITION SEVERAL NEEDS OUTLINED IN THE CHNA PROCESS SUCH AS CHILD ABUSE/NEGLECT, DENTAL PROBLEMS, ALCOHOL AND/OR DRUG USE, AND SEXUALLY TRANSMITTED DISEASE, 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. BOTH 2016 AND 2019 COMMUNITY HEALTH NEEDS ASSESSMENTS AND THE RELATED IMPLEMENTATION STRATEGIES CAN BE FOUND AT THE FOLLOWING ADDRESS: HTTPS://APPRHS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 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 25,598,858 ADD: EXPENSES ON PART VIII 202,195 DENOMINATOR FOR COLUMN (F) 25,801,053 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 2016 AND 2019 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 MORE THAN 2.5 MILLION IN 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. true true false false false false false false false CHARLES MANTOOTH CEO 552256 14552 63561 8879 639248 PAUL DAGHER MD TRUSTEE 283482 136030 2281 7205 29927 458925 KEVIN MAY CFO LEFT 1/21 227396 128980 14957 12747 384080 CARMEN LACEY CMH PRES 167955 2047 25123 9696 204821 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 55,161 0 KEVIN MAY 110,629 11,775 0 CARMEN LACEY 0 20,631 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. 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 SVP/CFO REVIEWS THE 990 AND THEN IT IS MADE AVAILABLE TO THE BOARD 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 593,524 13,975 0 PHYSICIAN FEES 1,376,077 0 0 PURCHASED SERVICES 1,287,166 477,309 0 OUTSIDE SERVICES 226,074 0 0 CONSULTING 23,693 38,011 0 COLLECTION FEES 0 614 0 TOTAL 3,506,534 529,909 0 FORM 990, PART XI, LINE 9 EQUITY TRANSFERS -5,811,041 EQUITY TRANSFERS TO RELATED ORGANIZATIONS APPALACHIAN REGIONAL HEALTHCARE SYS PO BOX 2600 BOONE NC 28607 201067022 PARENT NC 501C3 12B N/A false BLOWING ROCK HOSPITAL INC PO BOX 148 BLOWING ROCK NC 28605 560513181 REHAB CTR NC 501C3 3 ARHS false WATAUGA MEDICAL CENTER INC 336 DEERFIELD RD BOONE NC 28607 560510824 HOSPITAL NC 501C3 3 ARHS false APPALACHIAN REGIONAL HEALTHCARE FDN 336 DEERFIELD RD BOONE NC 28607 204625618 FOUNDATION NC 501C3 7 ARHS false APPALACHIAN REGIONAL MED ASSOC PO BOX 2600 BOONE NC 28607 205755130 PHYSICIANS NC 501C3 10 ARHS false ARHS PROPERTIES INC 336 DEERFIELD RD BOONE NC 28607 203470765 PROPERTY NC 501C3 12B ARHS false SLOOP MED OFC PLAZA CONDO ASSOC 434 HOSPITAL DRIVE LINVILLE NC 28646 593761777 RENTAL NC N/A false false false false false true false false false false true false true true true true true false false false