CHARLES A CANNON JR MEMORIAL HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: CHARLES A CANNON JR MEMORIAL HOSPITAL INC (EIN 56-0529974)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-11
IRS object ID: 201742239349300984
Schema version: 2015v3.0
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	2017-08-11T16:13:00-05:00	ReturnTs
Tax Period End	2016-09-30	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	2015-10-01	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	2017-08-11	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
Preparation	2017-08-09	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$21,690,225	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	210	TotalEmployeeCnt
Total Volunteers	68	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$198,644	PYContributionsGrantsAmt
CY Contributions Grants	$430,545	CYContributionsGrantsAmt
PY Program Service Revenue	$24,772,302	PYProgramServiceRevenueAmt
CY Program Service Revenue	$20,834,754	CYProgramServiceRevenueAmt
PY Investment Income	-$169,648	PYInvestmentIncomeAmt
CY Investment Income	$11,982	CYInvestmentIncomeAmt
PY Other Revenue	$269,034	PYOtherRevenueAmt
CY Other Revenue	$412,944	CYOtherRevenueAmt
PY Total Revenue	$25,070,332	PYTotalRevenueAmt
CY Total Revenue	$21,690,225	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	$13,805,577	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$12,847,102	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$9,762,633	PYOtherExpensesAmt
CY Other Expenses	$9,790,409	CYOtherExpensesAmt
PY Total Expenses	$23,568,210	PYTotalExpensesAmt
CY Total Expenses	$22,637,511	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,502,122	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$947,286	CYRevenuesLessExpensesAmt
Total Assets BOY	$33,724,857	TotalAssetsBOYAmt
Total Assets EOY	$24,022,388	TotalAssetsEOYAmt
Total Liabilities BOY	$19,592,506	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$10,221,544	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$14,132,351	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$13,800,844	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	Yes (1)	SignificantChangeInd
Expense	$17,679,527	ExpenseAmt
Revenue	$20,834,754	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	$17,679,527	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
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	210	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	3.00	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	$250,053	$20,679
jack howard
TRUSTEE	1.00	2.00	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
JAMES HODGES
COUNTY COMMISSION REPRESEN	1.00	2.00	Yes (X)		$0	$0	$0
PAUL DAGHER MD
TRUSTEE	1.00	2.00	Yes (X)		$0	$4,000	$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	1.00	44.00		Yes (X)	$0	$1,952,765	$24,824
kevin may
cfo arhs	1.00	44.00		Yes (X)	$0	$322,328	$23,803
CHARLES MANTOOTH
CEO CMH	1.00	41.00		Yes (X)	$0	$244,042	$26,201
CARMEN LACEY
PRESIDENT, CMH	1.00	41.00		Yes (X)	$0	$134,682	$22,802

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,907,870	TotReportableCompRltdOrgAmt
Total Other Compensation	$118,309	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	$430,545	RelatedOrganizationsAmt
Total Contributions	$430,545	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	621990	BusinessCd
Total Revenue Column	$20,834,754	TotalRevenueColumnAmt
Related Or Exempt Func Income	$20,834,754	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$20,834,754	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,556	TotalRevenueColumnAmt
Exclusion	$8,556	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$198,816	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	$198,816	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$198,816	TotalRevenueColumnAmt
Exclusion	$198,816	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$3,426	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	$3,426	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,426	TotalRevenueColumnAmt
Exclusion	$3,426	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$37,230	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,230	TotalRevenueColumnAmt
Exclusion	$37,230	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	900099	$154,079	$154,079
MISCELLANEOUS REVENUE	900099	$22,819	$22,819

Field	Value	IRS element (for citing)
Other Revenue Total	$176,898	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,690,225	TotalRevenueColumnAmt
Related Or Exempt Func Income	$20,834,754	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$424,926	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	$10,291,347	TotalAmt
Program Services	$8,841,799	ProgramServicesAmt
Management And General	$1,449,548	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,929,410	TotalAmt
Program Services	$1,647,716	ProgramServicesAmt
Management And General	$281,694	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$626,345	TotalAmt
Program Services	$587,482	ProgramServicesAmt
Management And General	$38,863	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,713	TotalAmt
Management And General	$2,713	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,616,649	TotalAmt
Program Services	$3,249,530	ProgramServicesAmt
Management And General	$367,119	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,662	TotalAmt
Program Services	$1,662	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$427,574	TotalAmt
Program Services	$426,836	ProgramServicesAmt
Management And General	$738	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$531,474	TotalAmt
Program Services	$3,295	ProgramServicesAmt
Management And General	$528,179	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$23,777	TotalAmt
Program Services	$22,629	ProgramServicesAmt
Management And General	$1,148	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,197	TotalAmt
Program Services	$2,197	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$284,496	TotalAmt
Management And General	$284,496	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,639,530	TotalAmt
Program Services	$642,935	ProgramServicesAmt
Management And General	$996,595	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$127,046	TotalAmt
Program Services	$127,046	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Drugs & Medical Supplie	$1,391,103	$1,391,103
Corp. Allocations	$797,227		$797,227
Equipment rental and ma	$438,394	$303,327	$135,067
Food	$197,685	$197,685

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$308,882	TotalAmt
Program Services	$234,285	ProgramServicesAmt
Management And General	$74,597	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,637,511	TotalAmt
Program Services	$17,679,527	ProgramServicesAmt
Management And General	$4,957,984	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,853,255	BOYAmt
EOY	$508,857	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,155,525	BOYAmt
EOY	$2,359,136	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$553,558	BOYAmt
EOY	$586,353	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$90,403	BOYAmt
EOY	$123,911	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$36,276,427	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$19,352,419	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$17,402,505	BOYAmt
EOY	$16,924,008	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,669,611	BOYAmt
EOY	$3,520,123	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,724,857	BOYAmt
EOY	$24,022,388	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$656,762	BOYAmt
EOY	$301,922	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$264,234	BOYAmt
EOY	$104,596	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,930,930	BOYAmt
EOY	$7,265,644	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,740,580	BOYAmt
EOY	$2,549,382	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,592,506	BOYAmt
EOY	$10,221,544	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,222,536	BOYAmt
EOY	$12,891,029	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	$14,132,351	BOYAmt
EOY	$13,800,844	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$33,724,857	BOYAmt
EOY	$24,022,388	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$947,286	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$615,779	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	$22,258,565	OtherCostOrOtherBasisAmt
Depreciation	$11,434,539	DepreciationAmt
Book Value	$10,824,026	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,963,571	OtherCostOrOtherBasisAmt
Depreciation	$2,542,603	DepreciationAmt
Book Value	$2,420,968	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,528,332	OtherCostOrOtherBasisAmt
Depreciation	$5,121,104	DepreciationAmt
Book Value	$2,407,228	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$305,957	OtherCostOrOtherBasisAmt
Depreciation	$254,173	DepreciationAmt
Book Value	$51,784	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$16,924,008	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
ASSETS USE WHICH IS LIMITED	$367,275
Interest in ARHF	$2,918,299
ESTIMATED THIRD-PARTY SETTLEMENTS	$225,000
DUE FROM AFFILIATES	$9,549

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,520,123	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Due to affiliate	$2,128,600
Miscellaneous	$394,298
Capital lease obligation	$26,484

Field	Value	IRS element (for citing)
Total Liability	$2,549,382	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. The System has determined it does not have any material unrecognized tax benefits or obligations as of September 30, 2016.	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	$355,773	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$355,773	NetCommunityBenefitExpnsAmt
Total Expense	0.01570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,670,471	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,571,220	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,099,251	NetCommunityBenefitExpnsAmt
Total Expense	0.04860	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,026,244	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,571,220	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,455,024	NetCommunityBenefitExpnsAmt
Total Expense	0.06430	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,185	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,185	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,185	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,185	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,070,429	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,571,220	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,499,209	NetCommunityBenefitExpnsAmt
Total Expense	0.06630	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,776,974	BadDebtExpenseAmt
Bad Debt Expense Attributable	$88,849	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$10,254,141	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$10,254,141	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 APPALACHIAN REGIONAL HEALTHCARE SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	SOLE MEMBER OF CHARLES A. CANNON JR., MEMORIAL HOSPITAL, INC.	PrimaryActivitiesTxt
Org Profit Or Ownership	1.00000	OrgProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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	0	StrategyPostedWebsiteInd
Strategy Attached	0	StrategyAttachedInd
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 Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 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 16i: 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.
CHARLES A CANNON JR MEMORIAL HOSPITAL	Part V, Section B, Line 22d: AVERAGE OF ALL COMMERCIAL PAYERS.
COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY URL	https://www.apprhs.org/guides/Community-Health-Needs-Assessment-2016.pdf

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/guides/Community-Health-Needs-Assessment-2016.pdf
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/guides/Community-Health-Needs-Assessment-2016.pdf
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	$244,813	$0	$500	$0	$4,740	$0	$7,735	$0	$12,944	$0	$270,732	$0	$0
richard sparks
ceo arhs	$0	$474,795	$0	$0	$0	$1,477,970	$0	$16,950	$0	$7,874	$0	$1,977,589	$0	$0
kevin may
cfo arhs	$0	$311,106	$0	$500	$0	$10,722	$0	$15,929	$0	$7,874	$0	$346,131	$0	$0
CHARLES MANTOOTH
CEO CMH	$0	$234,407	$0	$500	$0	$9,135	$0	$12,652	$0	$13,549	$0	$270,243	$0	$0
CARMEN LACEY
PRESIDENT, CMH	$0	$133,042	$0	$500	$0	$1,140	$0	$7,351	$0	$15,451	$0	$157,484	$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 - $1,471,342 THE 457F PLAN VESTS 10 YEARS FROM DATE OF HIRE WITH THE OPTION TO DEFER IN 5 YEAR INCREMENTS. DURING 2015, MR. SPARKS REACHED THE VESTING TERMS OF THE PLAN, THEREFORE $1,471,342 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 (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, line 3	THE ORGANIZATION CEASED OPERATIONS OF THE OBSTETRICS SERVICES DURING FISCAL YEAR 2016.
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 11	The svp/cfo and the vice president of finance review 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. 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 1,458,068. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,458,068. Contract labor : Program service expenses 1,791,462. Management and general expenses 367,119. Fundraising expenses 0. Total expenses 2,158,581.
Form 990, Part XI, line 9:	Transfers from affiliate 615,779.
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 11b, 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 9	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 11b, 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
Share Of Total Income	$192,681	ShareOfTotalIncomeAmt
Share Of EOY Assets	$219,891	ShareOfEOYAssetsAmt
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