CHARLES A CANNON JR MEMORIAL HOSPITAL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: CHARLES A CANNON JR MEMORIAL HOSPITAL INC (EIN 56-0529974)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-05-19
IRS object ID: 201521399349300817
Schema version: 2013v4.0
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	2015-05-19T14:54:16-05:00	ReturnTs
Tax Period End	2014-09-30	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	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1
City	ASHEVILLE	City
State	NC	State
ZIP Code	28806	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	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 INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	CHAR	BusinessNameControlTxt
Phone	8282624119	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	434 HOSPITAL DRIVE	AddressLine1
City	LINVILLE	City
State	NC	State
ZIP Code	28646	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN B MAY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8282624119	PhoneNum
Signature	2015-05-19	SignatureDt

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	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KEVIN B MAY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	434 HOSPITAL DRIVE	AddressLine1
City	LINVILLE	City
State	NC	State
ZIP Code	28646	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$21,791,178	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 COMMUNITY OF LINVILLE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	78	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$642,397	PYContributionsGrantsAmt
CY Contributions Grants	$977,405	CYContributionsGrantsAmt
PY Program Service Revenue	$21,189,610	PYProgramServiceRevenueAmt
CY Program Service Revenue	$20,261,110	CYProgramServiceRevenueAmt
PY Investment Income	$5,835	PYInvestmentIncomeAmt
CY Investment Income	$96,648	CYInvestmentIncomeAmt
PY Other Revenue	$300,459	PYOtherRevenueAmt
CY Other Revenue	$360,672	CYOtherRevenueAmt
PY Total Revenue	$22,138,301	PYTotalRevenueAmt
CY Total Revenue	$21,695,835	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	$13,352,629	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$13,220,762	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$8,887,694	PYOtherExpensesAmt
CY Other Expenses	$9,231,951	CYOtherExpensesAmt
PY Total Expenses	$22,240,323	PYTotalExpensesAmt
CY Total Expenses	$22,452,713	CYTotalExpensesAmt
PY Revenues Less Expenses	-$102,022	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$756,878	CYRevenuesLessExpensesAmt
Total Assets BOY	$27,668,729	TotalAssetsBOYAmt
Total Assets EOY	$33,166,674	TotalAssetsEOYAmt
Total Liabilities BOY	$10,165,298	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$16,894,053	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$17,503,431	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$16,272,621	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE HEALTH CARE SERVICES TO ENHANCE THE QUALITY OF LIFE FOR THE COMMUNITY OF LINVILLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$17,212,314	ExpenseAmt
Revenue	$20,563,942	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, NEW LIFE CENTER, OUTPATIENT BEHAVIORAL HEALTH, REHABILITATION CENTER OFFERING PHYSICAL AND OCCUPATIONAL THERAPIES, SLEEP CENTER, AND CARDIOPULMONARY REHABILITATION ROUND OUT THE LIST OF SERVICES.	Desc
Total Program Service Expenses	$17,212,314	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	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	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	Yes (1)	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	8282624100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	336 DEERFIELD ROAD	AddressLine1
City	BOONE	City
State	NC	State
ZIP Code	28607	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
PAUL MILLER JR
TRUSTEE	1.00	Yes (X)	$0	$0	$0
JOHN BLACKBURN
BOARD VICE CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
JOE MILLER
TRUSTEE	1.00	Yes (X)	$0	$0	$0
SUSAN ROGGENKAMP
TRUSTEE	1.00	Yes (X)	$0	$0	$0
KENNETH WILCOX
PAST CHAIR	1.00	Yes (X)	$0	$0	$0
KEITH TESTER
BOARD CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
SAM ADAMS
TRUSTEE	1.00	Yes (X)	$0	$0	$0
CHARLES BAKER MD
TRUSTEE	1.00	Yes (X)	$0	$244,153	$12,116		40.00
JACK HOWARD
TRUSTEE	1.00	Yes (X)	$0	$0	$0
PATTIE TENNILLE
TRUSTEE	1.00	Yes (X)	$0	$0	$0
JAN WINKLER
TRUSTEE	1.00	Yes (X)	$0	$0	$0
KIM MILLER
TRUSTEE	1.00	Yes (X)	$0	$0	$0
NATHAN MILLER
COUNTY COMMISSION REPRESENTATIVE	1.00	Yes (X)	$0	$0	$0
MARK MURREY MD
TRUSTEE	1.00	Yes (X)	$0	$8,700	$0
THOMAS DALE
TRUSTEE	1.00	Yes (X)	$0	$0	$0
RICHARD SPARKS
CEO ARHS	1.00		$0	$461,195	$168,690	Yes (X)	40.00
KEVIN MAY
CFO ARHS	1.00		$0	$277,512	$27,450	Yes (X)	40.00
CHARLES MANTOOTH
CEO CMH	40.00		$0	$237,823	$31,828	Yes (X)
CARMEN LACEY
PRESIDENT, CMH	40.00		$0	$116,110	$22,022	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,345,493	TotReportableCompRltdOrgAmt
Total Other Compensation	$262,106	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	$977,405	RelatedOrganizationsAmt
Total Contributions	$977,405	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621990	$24,433,620	$24,433,620
PROVISION FOR BAD DEBT	621990	-$4,172,510	-$4,172,510

Field	Value	IRS element (for citing)
Total Program Service Revenue	$20,261,110	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,541	TotalRevenueColumnAmt
Exclusion	$6,541	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$212,725	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	$212,725	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$212,725	TotalRevenueColumnAmt
Related Or Exempt Func Income	$212,725	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$185,450	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$95,343	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$90,107	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,107	TotalRevenueColumnAmt
Related Or Exempt Func Income	$90,107	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	900099	$78,573	$78,573
MISCELLANEOUS REVENUE	900099	$69,374	$69,374

Field	Value	IRS element (for citing)
Other Revenue Total	$147,947	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,695,835	TotalRevenueColumnAmt
Related Or Exempt Func Income	$20,563,942	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$154,488	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	$10,136,794	TotalAmt
Program Services	$8,664,371	ProgramServicesAmt
Management And General	$1,472,423	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,425,453	TotalAmt
Program Services	$2,073,141	ProgramServicesAmt
Management And General	$352,312	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$658,515	TotalAmt
Program Services	$624,132	ProgramServicesAmt
Management And General	$34,383	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,602,134	TotalAmt
Program Services	$2,266,791	ProgramServicesAmt
Management And General	$335,343	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$874	TotalAmt
Program Services	$874	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$455,935	TotalAmt
Program Services	$449,858	ProgramServicesAmt
Management And General	$6,077	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$764,171	TotalAmt
Program Services	$196,464	ProgramServicesAmt
Management And General	$567,707	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$24,422	TotalAmt
Program Services	$24,200	ProgramServicesAmt
Management And General	$222	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,233	TotalAmt
Program Services	$2,233	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$273,352	TotalAmt
Management And General	$273,352	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,504,695	TotalAmt
Program Services	$628,543	ProgramServicesAmt
Management And General	$876,152	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$166,819	TotalAmt
Program Services	$166,819	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL SUPPLIE	$1,594,064	$1,594,064
CORP. ALLOCATIONS	$1,127,910		$1,127,910
EQUIPMENT RENTAL AND MA	$432,440	$290,397	$142,043
MINOR EQUIPMENT	$95,681	$95,681

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$187,221	TotalAmt
Program Services	$134,746	ProgramServicesAmt
Management And General	$52,475	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,452,713	TotalAmt
Program Services	$17,212,314	ProgramServicesAmt
Management And General	$5,240,399	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,205,553	BOYAmt
EOY	$5,300,492	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,487,423	BOYAmt
EOY	$6,662,114	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$502,536	BOYAmt
EOY	$543,235	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$72,762	BOYAmt
EOY	$85,394	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$38,597,090	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$20,433,362	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$17,464,582	BOYAmt
EOY	$18,163,728	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,935,873	BOYAmt
EOY	$2,411,711	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,668,729	BOYAmt
EOY	$33,166,674	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$306,622	BOYAmt
EOY	$395,392	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,434,575	BOYAmt
EOY	$7,114,345	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,424,101	BOYAmt
EOY	$9,384,316	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,165,298	BOYAmt
EOY	$16,894,053	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,593,616	BOYAmt
EOY	$15,362,806	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	$17,503,431	BOYAmt
EOY	$16,272,621	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,668,729	BOYAmt
EOY	$33,166,674	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$756,878	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$473,932	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	$22,086,854	OtherCostOrOtherBasisAmt
Depreciation	$10,242,709	DepreciationAmt
Book Value	$11,844,145	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,253,151	OtherCostOrOtherBasisAmt
Depreciation	$2,087,361	DepreciationAmt
Book Value	$2,165,790	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,037,083	OtherCostOrOtherBasisAmt
Depreciation	$8,103,292	DepreciationAmt
Book Value	$2,933,791	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,163,728	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
AUWIL	$366,908
INTEREST IN ARHF	$2,044,803

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,411,711	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO AFFILIATE	$10,164,099
ESTIMATED THIRD-PARTY SETTLEMENTS	-$1,240,783
MISCELLANEOUS	$461,000

Field	Value	IRS element (for citing)
Total Liability	$9,384,316	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, 2014. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2011, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.	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	$355,428	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$355,428	NetCommunityBenefitExpnsAmt
Total Expense	0.01580	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,073,095	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,573,249	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,499,846	NetCommunityBenefitExpnsAmt
Total Expense	0.06680	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,428,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,573,249	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,855,274	NetCommunityBenefitExpnsAmt
Total Expense	0.08260	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,753	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,753	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$956,934	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$776,262	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$180,672	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,779	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,779	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,006,466	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$776,262	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$230,204	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,434,989	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,349,511	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,085,478	NetCommunityBenefitExpnsAmt
Total Expense	0.09280	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,721,151	BadDebtExpenseAmt
Bad Debt Expense Attributable	$86,058	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,395,480	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,395,480	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	BusinessNameLine1

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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	434 HOSPITAL DRIVE	AddressLine1
City	LINVILLE	City
State	NC	State
ZIP Code	28646	ZIPCode

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SUPPLEMENTAL INFORMATION	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
All Needs Addressed	Yes (1)	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CHARLES A CANNON JR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 3: THE TASK FORCE INVOLVED CONSISTED OF PUBLIC HEALTH OFFICIALS, HOSPITAL STAFF, APPALACHIAN STATE UNIVERSITY, AND MENTAL HEALTH AND YOUTH ADVOCATES FOR THE COUNTY. COUNTY RESIDENTS WERE INFORMED OF THE ASSESSMENT THROUGH RADIO PUBLIC SERVICE ANNOUNCEMENTS, ADVERTISEMENTS ON AGENCY WEBSITES, AND WORD OF MOUTH. THE SURVEY WAS AVAILABLE ONLINE THROUGH SURVEY MONKEY, AND AT DESIGNATED COMMUNITY AGENCIES INCLUDING COUNTY HEALTH DEPARTMENTS, CHILDCARE CENTERS, COMMUNITY HEALTH CLINICS, AND OTHER HUMAN SERVICE AGENCIES. TELEPHONE INTERVIEWS WERE ALSO UTILIZED SURVEY RESPONDENTS REPRESENTED VARIOUS AGENCIES AND ORGANIZATIONS IN THE COMMUNITY.
CHARLES A CANNON JR MEMORIAL HOSPITAL	PART V, SECTION B, LINE 14G: 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 20D: AVERAGE OF ALL COMMERCIAL PAYERS.
SCH H, PART V, SECTION B, LINE 5A	HTTPS://APPRHS.ORG/IMAGES/STORIES/ADMIN/CHNA_9.2013.PDF

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, LINE 2:	FOR PURPOSES OF THE COMMUNITY BENEFIT CALCULATION, BAD DEBT EXPENSE PER THE FINANCIAL STATEMENTS WAS GROSSED UP USING A NET REALIZED REVENUE PERCENTAGE AND THEN APPLIED AGAINST A COST TO CHARGE RATIO.
PART III, LINE 3:	WE ESTIMATE 5% OF CHARITY COSTS FAIRLY ESTIMATE AMOUNTS INCLUDED AS BAD DEBT THAT WOULD BE ELIGIBLE FOR CHARITY CARE BUT FAILED TO APPLY.
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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	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 (4 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	$239,413	$0	$0	$0	$4,740	$0	$0	$0	$12,116	$0	$256,269	$0	$0
RICHARD SPARKS
CEO ARHS	$0	$358,873	$0	$100,000	$0	$2,322	$0	$162,340	$0	$6,350	$0	$629,885	$0	$0
KEVIN MAY
CFO ARHS	$0	$265,190	$0	$10,000	$0	$2,322	$0	$21,390	$0	$6,060	$0	$304,962	$0	$0
CHARLES MANTOOTH
CEO CMH	$0	$237,107	$0	$0	$0	$716	$0	$19,905	$0	$11,923	$0	$269,651	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 7B	APPROVAL MAY BE NEEDED BY THE PARENT COMPANY, APPALACHIAN REGIONAL HEALTH CARE SYSTEM.
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	REVIEW OF POLICY STATEMENT EACH YEAR.
FORM 990, PART VI, SECTION B, LINE 15	INDEPENDENT COMPENSATION AND BENEFIT ANALYSIS WAS PERFORMED BY HLF REWARDS CONSULTING IN APRIL 2013. THE EXECUTIVE COMMITTEE (COMPENSATION COMMITTEE) REVIEWED THIS INFORMATION TO ESTABLISH APPROPRIATENESS OF TOTAL COMPENSATION, COMPLY WITH INTERMEDIATE SANCTION REGULATIONS, AND DETERMINE EXCUTIVE COMPENSATION FOR CEO, COO, AND CFO POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19	PROVIDED UPON REQUEST.
FORM 990, PART IX, LINE 11G	PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 609,821. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 609,821. CONTRACT LABOR : PROGRAM SERVICE EXPENSES 1,656,970. MANAGEMENT AND GENERAL EXPENSES 335,343. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,992,313.
FORM 990, PART XI, LINE 9:	TRANSFERS FROM AFFILIATE -473,932.
FORM 990, PART XI, LINE 2C	THE PROCESS OF FINANCIAL STATEMENT REVIEW AND OVERSIGHT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Controlled OrganizationControlledOrganizationInd
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
PO BOX 2600	BOONE	NC	28607	201067022	PARENT COMPANY	NC	501(C)(3)	11C	0
BLOWING ROCK HOSPITAL INC
PO BOX 148	BLOWING ROCK	NC	28605	560513181	POST ACUTE CARE AND REHABILITATION CENTER	NC	501(C)(3)	3	0
WATAUGA MEDICAL CENTER INC
336 DEERFIELD RD	BOONE	NC	28607	560510824	HOSPITAL	NC	501(C)(3)	3	0
APPALACHIAN REGIONAL HEALTHCARE FOUNDATION
336 DEERFIELD RD	BOONE	NC	28607	204625618	PHILANTHROPIC ORGANIZATION FOR THE SYSTEM	NC	501(C)(3)	7	0
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)	9	0
ARHS PROPERTIES INC
336 DEERFIELD RD	BOONE	NC	28607	203470765	HOLD FUTURE PURCHASE OF NON-PROFIT LAND ACQUISITIONS	NC	501(C)(3)	9	0

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	0	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