2018-08-10T09:35:13-05:00 2017-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2016-10-01 201067022 APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC APPA 8282624100 PO Box 2600 BOONE NC 28607 KEVIN B MAY CFO 8282624100 2018-08-10 1 Amy Bibby P00445891 8282542254 2016 2022-09-23 18:48:47Z CHARLES MANTOOTH PO Box 2600 BOONE NC 28607 39056614 0 X www.apprhs.org X 2004 NC TO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES. 15 12 215 275 0 0 2186956 958820 35023801 37163347 13183 5126 272994 929321 37496934 39056614 0 0 0 0 22164267 24545659 0 0 0 12880759 13802694 35045026 38348353 2451908 708261 42757903 43313115 40248624 40159748 2509279 3153367 TO SUPPORT THE PROVISION OF HIGH QUALITY, COMPASSIONATE HEALTHCARE FOR THE MOUNTAIN REGION OF NORTHWEST CAROLINA, NORTHEAST TENNESSEE WITH A SPIRIT OF TEAMWORK BASED ON A SET OF OPERATING VALUES. 0 0 23943739 0 37775847 Appalachian Regional Healthcare System (ARHS), the healthcare leader in the High Country is comprised of two hospitals, a physician practice management group, a post-acute care and rehabilitation center, and a healthcare foundation. 23943739 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 199 0 1 215 1 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X KEVIN B MAY 8282624100 336 DEERFIELD ROAD boone NC 28607 john blackburn CHAIR 1.00 4.00 X X 0 0 0 KIM MILLER VICE CHAIR 1.00 2.00 X X 0 0 0 KENT TARBUTTON TRustee 1.00 2.00 X X 0 0 0 sam adams trustee 1.00 3.00 X 0 0 0 charles baker md trustee 40.00 2.00 X 227250 0 21104 JIM DEAL Trustee 1.00 1.00 X 0 0 0 joe miller trustee 1.00 4.00 X 0 0 0 BRETT LOFTIS trustee 1.00 1.00 X 0 0 0 paul miller jr trustee 1.00 3.00 X 0 0 0 pattie tennille trustee 1.00 3.00 X 0 0 0 jan winkler trustee 1.00 2.00 X 0 0 0 KENNETH WILCOX TRustee 1.00 4.00 X 0 0 0 BILL KENNEDY COUNTY COMMISSION REP. 1.00 1.00 X 0 0 0 PAUL DAGHER MD TRustee 1.00 2.00 X 4875 0 0 THOMAS DALE TRUstee 1.00 2.00 X 0 0 0 richard sparks ceo arhs (RETIRED 1/17) 40.00 5.00 X 930460 0 25622 kevin may cfo arhs 40.00 5.00 X 327568 0 24369 charles mantooth CEO ARHS (EFF 1/17) 40.00 5.00 X 259567 0 23611 jolynn mahoney EXECUTIVE & TRUSTEE SECRET 40.00 X 59620 0 13388 AMY CRABBE SR VP OF PEOPLE SERviCes 40.00 X 180126 0 21376 LESLIE BIANCA VP, SYSTEM OF SERVICE LINE 40.00 X 195861 0 17690 EDDIE MAPLE VP OF OPERATIONS, ARMA 40.00 1.00 X 178096 0 22595 NATHAN WHITE CIO 40.00 1.00 X 200597 0 28233 ANNA SOBOL MD PHYSICIAN, WMC 40.00 X 461873 0 17801 ANDREW HORDES MD PHYSICIAN, wmc 40.00 X 473561 0 17557 PAUL VIGNOLA MD PHYSICIAN, WMC 40.00 X 505554 0 6658 EVAN EKMAN MD PHysician 40.00 X 791432 0 15856 WILLIAM DEVAULT MD PHYsiciaN 40.00 X 687377 0 16622 5483817 0 272482 102 0 1 0 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 606731246 IT & SOFTWARE SERVICES 1545899 HORIZON CSA 265 PIT ROAD MOORESVILLE NC 28115 MEDICAL EQUIPMENT SERVICES 1329248 WAKE FOREST UNIVERSITY HEALTH SC MEDICAL CENTER BLVD WINSTONSALEM NC 271571060 PHYSICIANS 892928 C&A INDUSTRIES INC PO BOX 3037 OMAHA NE 68103 STAFFING AND RECRUITING 854935 DRESSLER CONSTRUCTION LLC 2764 PLEASANT ROAD BOX 10828 FORT MILL SC 29708 CONSTRUCTION SERVICES 685825 28 958820 958820 Corporation Allocation 900099 37163347 37163347 37163347 554 554 612500 0 612500 612500 612500 4572 0 4572 4572 4572 522 0 522 522 Miscellaneous Revenue 900099 316299 316299 316299 39056614 37775847 0 321947 X 2475476 2475476 389189 389189 8897256 3690198 5207058 3092196 2922219 169977 8882213 8882213 809329 225659 583670 62918 200 62718 194585 194585 6394950 4927932 1467018 373711 346982 26729 484985 139155 345830 586584 342363 244221 140171 49806 90365 60285 32197 28088 485766 485766 2237782 1298437 939345 2681 2681 Agency & COLLECTION Fee 1689911 42461 1647450 Other operating expense 271534 174014 97520 Lease expense 265249 265249 Licenses 260688 260688 290894 212784 78110 38348353 23943739 14404614 0 2098428 1702184 548634 554590 2525169 2176388 53946451 15587172 36957732 38359279 627940 520674 42757903 43313115 9106744 8833082 9111680 10446165 22030200 20880501 40248624 40159748 X 2509279 3153367 2509279 3153367 42757903 43313115 X 708261 -64173 X X 0 1 X 1 0 X X 5 watauga medical center inc 560510824 3 1 0 0 CHARLES A CANNON JR MEMORIAL HOSPITAL INC 560529974 3 1 0 0 BLOWING ROCK HOSPITAL INCORPORATED 560523181 3 1 0 0 APPALACHIAN MEDICAL ASSOCIATES INC 205755130 10 0 0 0 APPALACHIAN REGIONAL HEALTHCARE FOUNDATION INC 204625618 7 0 0 0 5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9836830 9836830 20756129 363895 20392234 20368927 15011311 5357616 2984565 211966 2772599 38359279 Leases payable 61461 Due to affiliates 12522985 Other liabilities 8296055 20880501 X Part X, Line 2: 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, 2017. X X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 charles baker md trustee 220893 0 0 0 6357 0 6627 0 14477 0 248354 0 0 0 richard sparks ceo arhs (RETIRED 1/17) 477984 0 0 0 452476 0 16950 0 8672 0 956082 0 445985 0 kevin may cfo arhs 316846 0 0 0 10722 0 15697 0 8672 0 351937 0 0 0 charles mantooth CEO ARHS (EFF 1/17) 233427 0 0 0 26140 0 11992 0 11619 0 283178 0 0 0 AMY CRABBE SR VP OF PEOPLE SERviCes 179570 0 0 0 556 0 9757 0 11619 0 201502 0 0 0 LESLIE BIANCA VP, SYSTEM OF SERVICE LINE 193203 0 0 0 2658 0 10718 0 6972 0 213551 0 0 0 EDDIE MAPLE VP OF OPERATIONS, ARMA 177731 0 0 0 365 0 5305 0 17290 0 200691 0 0 0 NATHAN WHITE CIO 192214 0 0 0 8383 0 10943 0 17290 0 228830 0 0 0 ANNA SOBOL MD PHYSICIAN, WMC 461387 0 0 0 486 0 6856 0 10945 0 479674 0 0 0 ANDREW HORDES MD PHYSICIAN, wmc 469997 0 0 0 3564 0 6612 0 10945 0 491118 0 0 0 PAUL VIGNOLA MD PHYSICIAN, WMC 496141 0 0 0 9413 0 6658 0 0 0 512212 0 0 0 EVAN EKMAN MD PHysician 785190 0 0 0 6242 0 6187 0 9669 0 807288 0 0 0 WILLIAM DEVAULT MD PHYsiciaN 664527 0 0 0 22850 0 8450 0 8172 0 703999 0 0 0 Part I, Line 1a THE ORGANIZATION PROVIDES GROSS UP PAYMENTS FOR THE VALUE OF DISABILITY INSURANCE POLICY PREMIUMS TO CERTAIN OFFICERS, REPORTED ON THE OFFICERS' FORM W-2. THE ORGANIZATION PROVIDES HEALTH/SOCIAL CLUB DUES THAT ARE INCLUDED ON THE OFFICERS' FORM W-2. Part I, Line 4b THE FOLLOWING PERSON RECEIVED A 457(F) DISTRIBUTION: RICHARD SPARKS - $445,985 THE 457F PLAN VESTS 10 YEARS FROM DATE OF HIRE WITH THE OPTION TO DEFER IN 5 YEAR INCREMENTS. DURING 2016, MR. SPARKS REACHED THE VESTING TERMS OF THE PLAN, THEREFORE $445,985 WAS INCLUDED AS REPORTABLE COMPENSATION ON THE FORM W-2. THIS AMOUNT IS REPORTED ON SCHEDULE J, PART III, COLUMN B(III). Part I, Line 7 BONUSES MAY BE GRANTED AT THE DISCRETION OF THE BOARD AND ARE BASED ON FACTORS SUCH AS PERFORMANCE AND MEETING GOALS AND OBJECTIVES. TAMMY MANTOOTH SPOUSE OF OFFICER CHARLES MANTOOTH 39169 TAMMY MANTOOTH IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS. 0 ANDRE TENNILLE SPOUSE OF BOARD MEMBER PATTIE TENNILLE 67688 ANDRE TENNILLE IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS. 0 CHARLES MILLER SPOUSE OF BOARD MEMBER KIM MILLER 282332 CHARLES MILLER IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS. 0 Form 990, Part VI, Section A, line 1 The Executive Committee shall be composed of the Chairman of the Board of Trustees, ex officio, and no more than six (6) other Trustees, at least two (2) of whom shall be At-Large Trustees. The Chairman shall appoint the members of the Executive Committee and shall designate its chairman. The Executive Committee shall have and exercise full power and authority to do all things deemed necessary and expedient in the governance, management, and control of the business and affairs of the Corporation, 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 Section 3 of this Article. 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 we completed a new revIew in the summer of 2014 with integrated healthcare strategies and we annually review the conflict of interest policy statement each year. Form 990, Part VI, Section B, line 15a Integrated Healthcare Strategies (IHS) conducted an independent compensation and benefit analysis for the CEO of ARHS in fiscal year 2016. Comparative data was used in this analysis from national and regional peer groups (health system's with comparable net revenue, structure, & organizational complexity. Benchmark data included IHS & 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 Purchased services: Program service expenses 660,627. Management and general expenses 1,105,470. Fundraising expenses 0. Total expenses 1,766,097. Contract labor: Program service expenses 4,267,305. Management and general expenses 103,419. Fundraising expenses 0. Total expenses 4,370,724. Consulting Fees: Program service expenses 0. Management and general expenses 258,129. Fundraising expenses 0. Total expenses 258,129. Form 990, Part XI, line 9: TRANSFER OF FOUNDATION EQUITY -64,173. form 990, part xi, line 2c the process of financial statement review and oversight has not changed from the prior year. CHESTNUT RIDGE AT BLOWING ROCK LLC 336 DEERFIELD RD BOONE NC 28607 364767365 ACQUIRE, CONSTRUCT, DEVELOP, OWN, OPERATE, MAINTAIN, HOLD & SELL REAL ESTATE NC 1548443 18924735 blowing rock hospital inc po box 148 blowing rock NC 28605 560513181 POST-ACUTE CARE AND REHABILITATION NC 501(c)(3) Line 3 appalachian regional healthcare system inc 1 watauga medical center inc 336 deerfield rd boone NC 28607 560510824 hospital NC 501(c)(3) Line 3 appalachian regional healthcare system inc 1 appalachian regional healthcare foundation 336 deerfield rd boone NC 28607 204625618 philanthropic organization for the system NC 501(c)(3) Line 7 appalachian regional healthcare system inc 1 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 10 appalachian regional healthcare system inc 1 charles a cannon jr memorial hospital inc 434 hospital drive linville NC 28646 560529974 hospital NC 501(c)(3) Line 3 appalachian regional healthcare system inc 1 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 appalachian regional healthcare system inc 1 SLOOP MEDICAL OFFICE PLAZA CONDOMINIUM ASSOCIATION 434 HOSPITAL DRIVE LINVILLE NC 28646 593761777 RENTAL NC APPALACHIAN REGIONAL HEALTHCARE SYSTEM C 0.59920 1 0 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 1 1 APPALACHIAN REGIONAL HEALTHCARE FOUNDATION INC C 958820