CHARLES A CANNON JR MEMORIAL HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CHARLES A CANNON JR MEMORIAL HOSPITAL INC (EIN 56-0529974)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-10
IRS object ID: 201842229349300914
Schema version: 2016v3.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-10T09:35:13-05:00	ReturnTs
Tax Period End	2017-09-30	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	2016-10-01	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 HOSPITAL	BusinessNameLine1Txt
Business Name Line2	INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	CHAR	BusinessNameControlTxt
Phone	8282624100	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	kevin b may	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8282624100	PhoneNum
Signature	2018-08-10	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

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$24,089,393	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	12	VotingMembersIndependentCnt
Total Employee	207	TotalEmployeeCnt
Total Volunteers	70	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$430,545	PYContributionsGrantsAmt
CY Contributions Grants	$390,384	CYContributionsGrantsAmt
PY Program Service Revenue	$20,834,754	PYProgramServiceRevenueAmt
CY Program Service Revenue	$23,009,379	CYProgramServiceRevenueAmt
PY Investment Income	$11,982	PYInvestmentIncomeAmt
CY Investment Income	$152,887	CYInvestmentIncomeAmt
PY Other Revenue	$412,944	PYOtherRevenueAmt
CY Other Revenue	$536,743	CYOtherRevenueAmt
PY Total Revenue	$21,690,225	PYTotalRevenueAmt
CY Total Revenue	$24,089,393	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	$12,847,102	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$12,638,655	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$9,790,409	PYOtherExpensesAmt
CY Other Expenses	$13,241,479	CYOtherExpensesAmt
PY Total Expenses	$22,637,511	PYTotalExpensesAmt
CY Total Expenses	$25,880,134	CYTotalExpensesAmt
PY Revenues Less Expenses	-$947,286	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,790,741	CYRevenuesLessExpensesAmt
Total Assets BOY	$24,022,388	TotalAssetsBOYAmt
Total Assets EOY	$23,468,935	TotalAssetsEOYAmt
Total Liabilities BOY	$10,221,544	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$11,182,649	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$13,800,844	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$12,286,286	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	$21,054,286	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$23,009,379	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	$21,054,286	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	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	207	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	12	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
JOHN BLACKBURN
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
PAUL MILLER JR
TRUSTEE	1.00	3.00	Yes (X)		$0	$0	$0
joe miller
TRUSTEE	1.00	4.00	Yes (X)		$0	$0	$0
SUSAN ROGGENKAMP
TRUSTEE	1.00		Yes (X)		$0	$0	$0
sam adams
TRUSTEE	1.00	3.00	Yes (X)		$0	$0	$0
CHARLES BAKER MD
TRUSTEE	1.00	41.00	Yes (X)		$0	$227,250	$21,104
jack howard
TRUSTEE	1.00		Yes (X)		$0	$0	$0
pattie tennille
TRUSTEE	1.00	3.00	Yes (X)		$0	$0	$0
jan winkler
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
KIM MILLER
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
BILL KENNEDY
COUNTY COMMISSION REPRESEN	1.00	2.00	Yes (X)		$0	$0	$0
PAUL DAGHER MD
TRUSTEE	1.00	2.00	Yes (X)		$0	$4,875	$0
THOMAS DALE
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
KENT TARBUTTON
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
richard sparks
ceo arhs (RETIRED 1/17)	1.00	44.00		Yes (X)	$0	$930,460	$25,622
kevin may
cfo arhs	1.00	44.00		Yes (X)	$0	$327,568	$24,369
CHARLES MANTOOTH
CEO ARHS (EFF 1/17)	1.00	44.00		Yes (X)	$0	$259,567	$23,611
CARMEN LACEY
PRESIDENT, CMH	1.00	41.00		Yes (X)	$0	$145,886	$24,843

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,895,606	TotReportableCompRltdOrgAmt
Total Other Compensation	$119,549	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$390,384	RelatedOrganizationsAmt
Total Contributions	$390,384	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621990	$22,918,194	$22,918,194
EHR MEANINGFUL USE	621990	$91,185	$91,185

Field	Value	IRS element (for citing)
Total Program Service Revenue	$23,009,379	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,437	TotalRevenueColumnAmt
Exclusion	$7,437	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$199,955	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	$199,955	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$199,955	TotalRevenueColumnAmt
Exclusion	$199,955	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$145,450	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	$145,450	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$145,450	TotalRevenueColumnAmt
Exclusion	$145,450	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$33,661	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,661	TotalRevenueColumnAmt
Exclusion	$33,661	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	900099	$261,974	$261,974
MISCELLANEOUS REVENUE	900099	$41,153	$41,153

Field	Value	IRS element (for citing)
Other Revenue Total	$303,127	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,089,393	TotalRevenueColumnAmt
Related Or Exempt Func Income	$23,009,379	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$689,630	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	$10,033,283	TotalAmt
Program Services	$8,687,494	ProgramServicesAmt
Management And General	$1,345,789	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,986,189	TotalAmt
Program Services	$1,719,777	ProgramServicesAmt
Management And General	$266,412	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$619,183	TotalAmt
Program Services	$536,130	ProgramServicesAmt
Management And General	$83,053	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,229	TotalAmt
Management And General	$7,229	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,879,700	TotalAmt
Program Services	$3,530,400	ProgramServicesAmt
Management And General	$349,300	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$859	TotalAmt
Program Services	$859	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$390,627	TotalAmt
Program Services	$389,873	ProgramServicesAmt
Management And General	$754	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$595,200	TotalAmt
Program Services	$3,118	ProgramServicesAmt
Management And General	$592,082	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$25,638	TotalAmt
Program Services	$23,053	ProgramServicesAmt
Management And General	$2,585	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,765	TotalAmt
Program Services	$2,765	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$258,580	TotalAmt
Management And General	$258,580	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,714,933	TotalAmt
Program Services	$702,591	ProgramServicesAmt
Management And General	$1,012,342	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$112,904	TotalAmt
Program Services	$112,904	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$3,207,959	$3,207,959
Drugs & Medical Supplie	$1,226,769	$1,226,769
Corp. Allocations	$703,435		$703,435
Equipment rental and ma	$406,297	$257,386	$148,911

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$708,584	TotalAmt
Program Services	$653,208	ProgramServicesAmt
Management And General	$55,376	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$25,880,134	TotalAmt
Program Services	$21,054,286	ProgramServicesAmt
Management And General	$4,825,848	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$508,857	BOYAmt
EOY	$246,025	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,359,136	BOYAmt
EOY	$2,700,555	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$586,353	BOYAmt
EOY	$488,753	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$123,911	BOYAmt
EOY	$143,897	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$36,623,836	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$20,746,472	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$16,924,008	BOYAmt
EOY	$15,877,364	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,520,123	BOYAmt
EOY	$4,012,341	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,022,388	BOYAmt
EOY	$23,468,935	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$301,922	BOYAmt
EOY	$408,084	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$104,596	BOYAmt
EOY	$52,298	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,265,644	BOYAmt
EOY	$6,574,630	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,549,382	BOYAmt
EOY	$4,147,637	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,221,544	BOYAmt
EOY	$11,182,649	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,891,029	BOYAmt
EOY	$11,376,471	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	$13,800,844	BOYAmt
EOY	$12,286,286	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$24,022,388	BOYAmt
EOY	$23,468,935	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,790,741	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$276,183	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 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

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	$11,979,370	DepreciationAmt
Book Value	$9,921,760	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,294,316	OtherCostOrOtherBasisAmt
Depreciation	$1,511,695	DepreciationAmt
Book Value	$1,782,621	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,996,480	OtherCostOrOtherBasisAmt
Depreciation	$5,687,517	DepreciationAmt
Book Value	$2,308,963	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,211,908	OtherCostOrOtherBasisAmt
Depreciation	$1,567,890	DepreciationAmt
Book Value	$644,018	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$15,877,364	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
ASSETS USE WHICH IS LIMITED	$367,459
Interest in ARHF	$3,194,482
ESTIMATED THIRD-PARTY SETTLEMENTS	$445,400
DEPOSITS	$5,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,012,341	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Due to affiliate	$3,940,637
Miscellaneous	$207,000

Field	Value	IRS element (for citing)
Total Liability	$4,147,637	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, 2017.	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	$337,620	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$337,620	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,895,827	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,375,086	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,520,741	NetCommunityBenefitExpnsAmt
Total Expense	0.05880	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,233,447	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,375,086	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,858,361	NetCommunityBenefitExpnsAmt
Total Expense	0.07180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,811	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,811	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,811	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,811	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,261,258	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,375,086	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,886,172	NetCommunityBenefitExpnsAmt
Total Expense	0.07290	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd

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/?wpfb_dl=62
PLAIN LANGUAGE SUMMARY URL	https://apprhs.org/?wpfb_dl=63

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 worth of medical assistance to approximately 400 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	$220,893	$0	$0	$0	$6,357	$0	$6,627	$0	$14,477	$0	$248,354	$0	$0
richard sparks
ceo arhs (RETIRED 1/17)	$0	$477,984	$0	$0	$0	$452,476	$0	$16,950	$0	$8,672	$0	$956,082	$0	$445,985
kevin may
cfo arhs	$0	$316,846	$0	$0	$0	$10,722	$0	$15,697	$0	$8,672	$0	$351,937	$0	$0
CHARLES MANTOOTH
CEO ARHS (EFF 1/17)	$0	$233,427	$0	$0	$0	$26,140	$0	$11,992	$0	$11,619	$0	$283,178	$0	$0
CARMEN LACEY
PRESIDENT, CMH	$0	$135,073	$0	$0	$0	$10,813	$0	$7,553	$0	$17,290	$0	$170,729	$0	$0

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 - $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).	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 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	Professional fees: Program service expenses 1,750,641. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,750,641. Contract labor: Program service expenses 1,779,759. Management and general expenses 349,300. Fundraising expenses 0. Total expenses 2,129,059.
Form 990, Part XI, line 9:	Transfers from affiliate 276,183.
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 10	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 Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	APPALACHIAN REGIONAL HEALTHCARE SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Ownership	0.59920	OwnershipPct
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