CHARLES A CANNON JR MEMORIAL HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CHARLES A CANNON JR MEMORIAL HOSPITAL INC (EIN 56-0529974)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-13
IRS object ID: 201902259349301100
Schema version: 2017v2.3
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
Form 990
Schedule A
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-13T08:03:51-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	560747981	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1Txt
City	ASHEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	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 DR	AddressLine1Txt
City	LINVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28646	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN B MAY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8287377000	PhoneNum
Signature	2019-08-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY BIBBY	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	24.241.144.70	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-08-13	IPDt
IP Tm	08:03:31	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	A22AE24AEF09E58E11297D5713887849BDE471CE	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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 DR	AddressLine1Txt
City	LINVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28646	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$23,492,959	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.APPRHS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1957	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HEALTH CARE SERVICES TO ENHANCE THE QUALITY OF LIFE FOR THE CITIZENS OF AVERY COUNTY.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	208	TotalEmployeeCnt
Total Volunteers	80	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$390,384	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$23,009,379	PYProgramServiceRevenueAmt
CY Program Service Revenue	$22,850,582	CYProgramServiceRevenueAmt
PY Investment Income	$152,887	PYInvestmentIncomeAmt
CY Investment Income	$35,309	CYInvestmentIncomeAmt
PY Other Revenue	$536,743	PYOtherRevenueAmt
CY Other Revenue	$607,068	CYOtherRevenueAmt
PY Total Revenue	$24,089,393	PYTotalRevenueAmt
CY Total Revenue	$23,492,959	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$12,638,655	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$12,601,923	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$13,241,479	PYOtherExpensesAmt
CY Other Expenses	$14,294,984	CYOtherExpensesAmt
PY Total Expenses	$25,880,134	PYTotalExpensesAmt
CY Total Expenses	$26,896,907	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,790,741	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$3,403,948	CYRevenuesLessExpensesAmt
Total Assets BOY	$23,468,935	TotalAssetsBOYAmt
Total Assets EOY	$25,542,498	TotalAssetsEOYAmt
Total Liabilities BOY	$11,182,649	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$13,956,533	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$12,286,286	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$11,585,965	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE HEALTH CARE SERVICES TO ENHANCE THE QUALITY OF LIFE FOR THE CITIZENS OF AVERY COUNTY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$22,134,809	ExpenseAmt
Revenue	$22,850,582	RevenueAmt
Desc	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 ROUND OUT THE LIST OF SERVICES.	Desc
Total Program Service Expenses	$22,134,809	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	208	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KEVIN B MAY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8282624100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	336 DEERFIELD ROAD	AddressLine1Txt
City	BOONE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28607	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KIM MILLER
CHAIR	1.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
KENNETH WILCOX
VICE CHAIR	1.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
SAM ADAMS
TRUSTEE	1.00	3.00	Yes (X)		$0	$0	$0
CHARLES BAKER MD
TRUSTEE	2.00	40.00	Yes (X)		$0	$217,590	$20,791
JOHN BLACKBURN
TRUSTEE	1.00	4.00	Yes (X)		$0	$0	$0
PAUL DAGHER MD
TRUSTEE	1.00	2.00	Yes (X)		$0	$9,158	$0
THOMAS DALE
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
JIM DEAL
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
BILLY KENNEDY
COUNTY COMMISION REP.	1.00	2.00	Yes (X)		$0	$0	$0
BRETT LOFTIS
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
JOE MILLER
TRUSTEE	1.00	4.00	Yes (X)		$0	$0	$0
MARY LOUISE ROBERTS
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
PATTIE TENNILLE
TRUSTEE	1.00	3.00	Yes (X)		$0	$0	$0
KENT TARBUTTON
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
JAN WINKLER
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
CHARLES MANTOOTH
CEO	1.00	44.00		Yes (X)	$0	$464,210	$25,729
KEVIN MAY
CFO	1.00	44.00		Yes (X)	$0	$345,667	$25,050
CARMEN LACEY
PRESIDENT, CMH	1.00	41.00		Yes (X)	$0	$143,863	$19,176
RICHARD SPARKS
CEO, FORMER	0.00	0.00			$0	$1,275,521	$13,463	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,456,009	TotReportableCompRltdOrgAmt
Total Other Compensation	$104,209	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	621990	BusinessCd
Total Revenue Column	$22,850,582	TotalRevenueColumnAmt
Related Or Exempt Func Income	$22,850,582	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$22,850,582	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,580	TotalRevenueColumnAmt
Exclusion	$4,580	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$200,284	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$200,284	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$200,284	TotalRevenueColumnAmt
Exclusion	$200,284	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$30,729	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$30,729	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,729	TotalRevenueColumnAmt
Exclusion	$30,729	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$35,986	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,986	TotalRevenueColumnAmt
Exclusion	$35,986	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	900099	$336,585	$336,585
MISCELLANEOUS REVENUE	900099	$34,213	$34,213

Field	Value	IRS element (for citing)
Other Revenue Total	$370,798	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,492,959	TotalRevenueColumnAmt
Related Or Exempt Func Income	$22,850,582	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$642,377	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	$10,061,224	TotalAmt
Program Services	$8,775,054	ProgramServicesAmt
Management And General	$1,286,170	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,917,507	TotalAmt
Program Services	$1,672,384	ProgramServicesAmt
Management And General	$245,123	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$623,192	TotalAmt
Program Services	$543,527	ProgramServicesAmt
Management And General	$79,665	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,196	TotalAmt
Management And General	$1,196	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,779,429	TotalAmt
Program Services	$4,420,834	ProgramServicesAmt
Management And General	$358,595	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$548	TotalAmt
Program Services	$548	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$509,120	TotalAmt
Program Services	$508,268	ProgramServicesAmt
Management And General	$852	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$547,156	TotalAmt
Program Services	$3,962	ProgramServicesAmt
Management And General	$543,194	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$18,806	TotalAmt
Program Services	$17,826	ProgramServicesAmt
Management And General	$980	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,348	TotalAmt
Program Services	$1,348	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$241,350	TotalAmt
Management And General	$241,350	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,680,465	TotalAmt
Program Services	$683,186	ProgramServicesAmt
Management And General	$997,279	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$101,516	TotalAmt
Program Services	$101,516	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$3,511,790	$3,511,790
DRUGS & MEDICAL SUPPLIE	$1,450,987	$1,450,987
CORP. ALLOCATIONS	$746,052		$746,052
FOOD	$277,555	$277,555

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$427,666	TotalAmt
Program Services	$166,024	ProgramServicesAmt
Management And General	$261,642	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,896,907	TotalAmt
Program Services	$22,134,809	ProgramServicesAmt
Management And General	$4,762,098	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$246,025	BOYAmt
EOY	$634,200	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,700,555	BOYAmt
EOY	$2,765,840	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$488,753	BOYAmt
EOY	$600,904	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$143,897	BOYAmt
EOY	$207,795	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$37,571,527	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$22,434,441	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$15,877,364	BOYAmt
EOY	$15,137,086	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,012,341	BOYAmt
EOY	$6,196,673	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,468,935	BOYAmt
EOY	$25,542,498	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$408,084	BOYAmt
EOY	$490,364	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$52,298	BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,574,630	BOYAmt
EOY	$5,839,915	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,147,637	BOYAmt
EOY	$7,626,254	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,182,649	BOYAmt
EOY	$13,956,533	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,376,471	BOYAmt
EOY	$10,676,150	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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	$12,286,286	BOYAmt
EOY	$11,585,965	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$23,468,935	BOYAmt
EOY	$25,542,498	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$3,403,948	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$2,703,627	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule D IRS990ScheduleD

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	$21,901,130	OtherCostOrOtherBasisAmt
Depreciation	$12,718,168	DepreciationAmt
Book Value	$9,182,962	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,294,316	OtherCostOrOtherBasisAmt
Depreciation	$1,737,058	DepreciationAmt
Book Value	$1,557,258	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,840,305	OtherCostOrOtherBasisAmt
Depreciation	$6,295,602	DepreciationAmt
Book Value	$2,544,703	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,315,774	OtherCostOrOtherBasisAmt
Depreciation	$1,683,613	DepreciationAmt
Book Value	$632,161	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$15,137,086	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
ASSETS USE WHICH IS LIMITED	$367,498
INTEREST IN ARHF	$5,825,675
ESTIMATED THIRD-PARTY SETTLEMENTS	$2,000
DEPOSITS	$1,500

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$6,196,673	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO AFFILIATE	$7,398,254
MISCELLANEOUS	$228,000

Field	Value	IRS element (for citing)
Total Liability	$7,626,254	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ARHS AND THE COMPANIES FOR WHICH IT SERVES AS SOLE MEMBER ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. CRBR IS A LIMITED LIABILITY COMPANY THAT HAS NOT ELECTED TO BE TAXED AS A CORPORATION UNDER CURRENT TREASURY REGULATIONS. AS SUCH, CRBR IS A DISREGARDED ENTITY FOR FEDERAL INCOME TAX PURPOSES AND DOES NOT HAVE TO FILE AN ANNUAL FEDERAL RETURN. RATHER ITS TAX RESULTS ARE REFLECTED ON THE ANNUAL TAX FILINGS OF ITS MEMBER AS IF THE ACTIVITIES OF CRBR WERE ACTIVITIES OF ITS MEMBER. THE SYSTEM HAS DETERMINED IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2018.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$528,137	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$528,137	NetCommunityBenefitExpnsAmt
Total Expense	0.01960	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,039,896	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,434,406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,605,490	NetCommunityBenefitExpnsAmt
Total Expense	0.05970	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,568,033	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,434,406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,133,627	NetCommunityBenefitExpnsAmt
Total Expense	0.07930	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,199	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,199	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,199	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,199	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,617,232	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,434,406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,182,826	NetCommunityBenefitExpnsAmt
Total Expense	0.08110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,002,760	BadDebtExpenseAmt
Bad Debt Expense Attributable	$100,138	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$9,077,022	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$9,077,022	CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	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 HOSPITAL	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)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHARLES A CANNON JR MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SUPPLEMENTAL INFORMATION	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SUPPLEMENTAL INFORMATION	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	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
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.APPRHS.ORG/PATIENTS/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CHARLES A CANNON JR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: THE CHNA UTILIZED COMMUNITY HEALTH OPINIONS SURVEYS AND COMMUNITY HEALTH LEADERSHIP SURVEYS FOR REQUIRED COMMUNITY INPUT. THE COMMUNITY HEALTH OPINIONS SURVEY WAS DEVELOPED TO MIRROR QUESTIONS THAT IDENTIFIED COMMUNITY STRENGTHS, IMPORTANT HEALTH PROBLEMS, AND HEALTH BEHAVIORS OF RESIDENTS. QUESTIONS WERE MODELED AFTER THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS. 800 ENGLISH AND 200 SPANISH SURVEYS WERE PRINTED AND DISTRIBUTED TO THE COMMUNITY. IN ADDITION, AN ELECTRONIC VERSION OF THE SURVEY WAS DEVELOPED USING SURVEY MONKEY.
CHARLES A CANNON JR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY CONDUCTED A CHNA WITH WATAGUA MEDICAL CENTER.
CHARLES A CANNON JR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY CONDUCTED THE CHNA WITH APPALACHIAN DISTRICT HEALTH DEPARTMENT, TOE RIVER HEALTH DISTRICT, AND HIGH COUNTRY VISION COUNCIL.
CHARLES A CANNON JR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: THE ORGANIZATION'S IMPLEMENTATION STRATEGY DESCRIBES HOW THE FACILITY IS ADDRESSING THE FOLLOWING NEEDS:ACCESS TO PRIMARY HEALTHCARE SERVICESOBESITY, CHRONIC DISEASE, AND PROPER NUTRITIONACCESS TO MENTAL HEALTH SERVICESTHE ORGANIZATION IS NOT ADDRESSING SUBSTANCE ABUSE/SUICIDE, POVERTY, LACK OF YOUTH ACTIVITIES, DENTAL CARE, AND CHILD ABUSE BECAUSE THESE HEALTH NEEDS ARE ALREADY BEING ADDRESSED IN THE COMMUNITY.
CHARLES A CANNON JR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 16J: INCLUDED IN THE ADMISSION PACKET THAT PATIENTS RECEIVE. PATIENT FINANCIAL ADVOCATE AT THE HOSPITALS VISIT SELF-PAY PATIENTS AND MAKE THEM AWARE OF AVAILABLE FINANCIAL ASSISTANCE.
COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY URL	HTTPS://WWW.APPRHS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
FINANCIAL ASSISTANCE APPLICATION URL	HTTPS://APPRHS.ORG/FINANCIAL-ASSISTANCE/
PLAIN LANGUAGE SUMMARY URL	HTTPS://APPRHS.ORG/FINANCIAL-ASSISTANCE/

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, LINE 4:	AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED BASED ON HISTORICAL BAD DEBT EXPERIENCE AND MANAGEMENT'S EVALUATION OF THE ACCOUNTS RECEIVABLE. BALANCES ARE WRITTEN OFF AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN MADE.
PART III, LINE 9B:	CHARITY WRITE-OFFS ARE SEGREGATED FROM NORMAL BAD DEBTS THROUGH A SEPARATE TRANSACTION CODE. FAMILY INCOME BELOW 175% OF FPG ARE ELIGIBLE FOR 100% WRITE-OFF. PARTIAL WRITE-OFF IS AVAILABLE BETWEEN FAMILY INCOME BETWEEN 200% AND 300% OF FPG.
PART VI, LINE 2:	THE HOSPITAL FACILITY RECENTLY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. PLEASE SEE WEBSITE HTTPS://WWW.APPRHS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART VI, LINE 3:	PATIENTS ARE EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE 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.
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 READ THE RECENT COMMUNITY HEALTH NEEDS ASSESSMENT FOR AN IN-DEPTH LOOK AT THE DEMOGRAPHICS BY USING WEBSITE HTTPS://WWW.APPRHS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART VI, LINE 5:	APPALACHIAN 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 - APPALACHIAN 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 APPALACHIAN REGIONAL HEALTHCARE SYSTEM 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.APPALACHIAN HEALTHCARE PROJECT AND THE LATINO HEALTH PROGRAM PROVIDE MORE THAN $2.5 MILLION IN MEDICAL ASSISTANCE TO APPROXIMATELY 500 LOW INCOME, UNINSURED RESIDENTS ANNUALLY.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHARLES BAKER MD
TRUSTEE	$0	$213,806	$0	$0	$0	$3,784	$0	$7,314	$0	$13,477	$0	$238,381	$0	$0
CHARLES MANTOOTH
CEO	$0	$462,992	$0	$0	$0	$1,218	$0	$14,860	$0	$10,869	$0	$489,939	$0	$0
KEVIN MAY
CFO	$0	$333,345	$0	$10,000	$0	$2,322	$0	$16,878	$0	$8,172	$0	$370,717	$0	$0
CARMEN LACEY
PRESIDENT, CMH	$0	$142,034	$0	$0	$0	$1,829	$0	$8,307	$0	$10,869	$0	$163,039	$0	$0
RICHARD SPARKS
CEO, FORMER	$0	$354,156	$0	$0	$0	$921,365	$0	$5,291	$0	$8,172	$0	$1,288,984	$0	$478,303

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	THE FOLLOWING PERSON RECEIVED A 457(F) DISTRIBUTION: RICHARD SPARKS - $920,964 THE 457F PLAN VESTS 10 YEARS FROM DATE OF HIRE WITH THE OPTION TO DEFER IN 5 YEAR INCREMENTS. MR. SPARKS REACHED THE VESTING TERMS OF THE PLAN, THEREFORE $920,964 WAS INCLUDED AS REPORTABLE COMPENSATION ON THE FORM W-2. THIS AMOUNT IS REPORTED ON SCHEDULE J, PART III, COLUMN B(III).	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	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 (3) 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 AS PROHIBITED IN ARTICLE V, SECTION 3 HEREIN. 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, PART VI, SECTION A, LINE 3	PARENT COMPANY, APPALACHIAN REGIONAL HEALTH CARE SYSTEM (ARHS) OVERSEES CMH OPERATIONS. ALSO NOTE THAT SALARIES AND OTHER COMMON EXPENSES INCURRED BY ARHS ARE ALLOCATED APPROPRIATELY TO CMH. PAYMENTS TO VENDORS ARE PAID THROUGH ARHS AND ALL 1099S ARE ISSUED THROUGH ARHS.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER IS APPALACHIAN REGIONAL HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7A	THE TRUSTEES OF THE SOLE MEMBER SHALL ALSO SERVE AS THE TRUSTEES OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE SVP/CFO REVIEWS THE 990 AND THEN IT IS MADE AVAILABLE TO THE BOARD UPON COMPLETION.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15A	INTEGRATED HEALTHCARE STRATEGIES (IHS) CONDUCTED AN INDEPENDENT COMPENSATION AND BENEFIT ANALYSIS FOR THE CEO AND ENTIRE SENIOR EXECUTIVE TEAM IN JANUARY 2018. COMPARATIVE DATA WAS USED IN THIS ANALYSIS FROM NATIONAL AND REGIONAL PEER GROUPS (HEALTH SYSTEM'S WITH COMPARABLE NET REVENUE, STRUCTURE, AND ORGANIZATIONAL COMPLEXITY. BENCHMARK DATA INCLUDED HIS AND SULLIVAN COTTER.)
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST.
FORM 990, PART IX, LINE 11G	PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,549,140. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,549,140. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,871,694. MANAGEMENT AND GENERAL EXPENSES 358,595. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,230,289.
FORM 990, PART XI, LINE 9:	TRANSFERS FROM AFFILIATE 2,631,193. TRANSFERS AND ADJUSTMENTS FUND 72,434.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
PO BOX 2600	BOONE	NC	28607	201067022	PARENT COMPANY	NC	501(C)(3)	LINE 12B, II	0
BLOWING ROCK HOSPITAL INC
PO BOX 148	BLOWING ROCK	NC	28605	560513181	POST ACUTE CARE AND REHABILITATION CENTER	NC	501(C)(3)	LINE 3	Yes (1)	APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC
WATAUGA MEDICAL CENTER INC
336 DEERFIELD RD	BOONE	NC	28607	560510824	HOSPITAL	NC	501(C)(3)	LINE 3	Yes (1)	APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC
APPALACHIAN REGIONAL HEALTHCARE FOUNDATION
336 DEERFIELD RD	BOONE	NC	28607	204625618	PHILANTHROPIC ORGANIZATION FOR THE SYSTEM	NC	501(C)(3)	LINE 7	Yes (1)	APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC
PO BOX 2600	BOONE	NC	28607	205755130	EMPLOYMENT ALTERNATIVE TO BOTH NEW AND ESTABLISHED PHYSICIAN PRACTICES	NC	501(C)(3)	LINE 11	Yes (1)	APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC
ARHS PROPERTIES INC
336 DEERFIELD RD	BOONE	NC	28607	203470765	HOLD FUTURE PURCHASE OF NON-PROFIT LAND ACQUISITIONS	NC	501(C)(3)	LINE 12B, II	Yes (1)	APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SLOOP MEDICAL OFFICE PLAZA CONDOMINIUM ASSOCIATION	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
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd