APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC (EIN 20-1067022)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-05-05
IRS object ID
201401259349301200
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-05T11:29:05-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 FRANKLIN RD SE SUITE 501AddressLine1
CityROANOKECity
StateVAState
ZIP Code240112114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201067022EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1APPALACHIAN REGIONAL HEALTHCARE SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAPPANameControl
Phone8282624119Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2600AddressLine1
CityBOONECity
StateNCState
ZIP Code28607ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN B MAYName
TitleCFOTitle
Phone8282624119Phone
Date Signed2014-02-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL P NORTONName
PTINP00430694PTIN
Phone5409896144Phone
Date Prepared2014-02-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEVIN B MAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2600AddressLine1
CityBOONECity
StateNCState
ZIP Code28607ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32783046GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.APPRHS.ORGWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation2004YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1691TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9756ContributionsGrantsPriorYear
Contributions Grants Current Year15940ContributionsGrantsCurrentYear
Program Service Revenue Prior Year29170828ProgramServiceRevenuePriorYear
Program Service Revenue CY32751534ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year15572InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year29180584TotalRevenuePriorYear
Total Revenue Current Year32783046TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19527606SalariesEtcPriorYear
Salaries Etc Current Year21951927SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9652978OtherExpensePriorYear
Other Expenses Current Year10831119OtherExpensesCurrentYear
Total Expenses Prior Year29180584TotalExpensesPriorYear
Total Expenses Current Year32783046TotalExpensesCurrentYear
Revenues Less Expenses Prior Year0RevenuesLessExpensesPriorYear
Revenues Less Expenses CY0RevenuesLessExpensesCY
Total Assets BOY9113135TotalAssetsBOY
Total Assets EOY14104198TotalAssetsEOY
Total Liabilities BOY14435526TotalLiabilitiesBOY
Total Liabilities EOY19426586TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5322391NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-5322388NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO SUPPORT THE PROVISION OF HIGH QUALITY, COMPASSIONATE HEALTHCARE FOR THE MOUNTAIN REGION OF NORTHWEST CAROLINA, NORTHEAST TENNESSEE WITH A SPIRIT OF TEAMWORK BASED ON A SET OF OPERATING VALUES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10475641Expense
Revenue32767106Revenue
Description-CO-LOCATION BEHAVIORAL COUNSELING AT THE SEBY B. JONES REGIONAL CANCER CENTER WAS LAUNCHED IN FEBRUARY 2013. IT IS BASED ON THE PREMISE THAT PATIENTS COUND BENEFIT FROM RECEIVING MULTIPLE NEEDED SERVICES IN THE SAME LOCATION. SEBY B. JONES REGIONAL CANCER CENTER ALSO CELEBRATED ITS 20 YEAR ANNIVERSARY SERVING PATIENTS IN THE HIGH COUNTRY.-THRIVE ONCOLOGY TRACK BEGAN. THRIVE ONCOLOGY IS A MEDICALLY SUPERVISED PROGRAM THAT PROVIDES A MULTIDISCIPLINARY TEAM APPROACH TO IMPROVING PHYSICAL ACTIVITY, REDUCING CANCER-RELATED FATIGUE AND IMPROVING QUALITY OF LIFE. THE PROGRAM INCLUDES SUPERVISED EXERCISE, NUTRITIONAL COUNSELING, CHRONIC DISEASE EDUCATION, SELF MANAGEMENT STRATEGIES, AND ACTION PLANNING TO MEET WELLNESS GOALS.-APPALACHIAN REGIONAL RHEUMATOLOGY RE-OPENED AND APPALACHIAN REGIONAL ORTHOPAEDIC & SPORTS MEDICINE CENTER OPENED. ON JULY 23, 2013, THE FIRST HIP ARTHROSCOPY WAS PERFORMED IN THE NC HIGH COUNTRY.Description
Total Program Service Expense10475641TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096172NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1691NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KEVIN B MAYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8282624100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1336 DEERFIELD ROADAddressLine1
CityBOONECity
StateNCState
ZIP Code28607ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
KENNETH WILCOX
PAST CHAIR1.00X000
KEITH TESTER
CHAIR1.00X000
SAM ADAMS
TRUSTEE1.00X000
JOHN BLACKBURN
VICE CHAIR1.00X000
CHARLES BAKER MD
TRUSTEE1.00X000
JACK HOWARD
TRUSTEE1.00X000
JOE MILLER
TRUSTEE1.00X000
SUSAN ROGGENKAMP
TRUSTEE1.00X000
PAUL MILLER JR
TRUSTEE1.00X000
PATTIE TENNILLE
TRUSTEE1.00X000
JAN WINKLER
TRUSTEE1.00X000
KIM MILLER
TRUSTEE1.00X000
NATHAN MILLER
COUNTY COMMISSION REPRESENTATIVE1.00X000
MARK MURREY MD
TRUSTEE1.00X000
RICHARD SPARKS
CEO ARHS40.003522230130722X
HERMAN GODWIN
CHIEF MEDICAL OFFICER, WMC32.00274102012447X
KEVIN MAY
CFO ARHS40.00265470020035X
CHARLES MANTOOTH
PRESIDENT WMC, CEO CMH & A40.00219303019578X
TIMOTHY FORD
CEO BRH40.00141106015345X
JOLYNN MAHONEY
EXECUTIVE AND TRUSTEE SECRETARY40.004366609124X
CLAIRE CLINE
CHIEF NURSING OFFICER40.00173086015898X
LESLIE BIANCA
VP, SYSTEM OF SERVICE LINES40.00151398010278X
THEODORE FLINT GRAY
PHYSICIAN, WMC40.00479013020983X
ANNA SOBOL
PHYSICIAN40.00353387017597X
BEVERLY F WOMACK
PHYSICIAN40.00341181021441X
AMY CRABBE
SR VP OF PEOPLE SERVICES40.00149901016343X
PETER ASHLINE
PHYSICIAN40.00489948011556X
ANDREW HORDES
PHYSICIAN40.0036947603298X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3803260TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation324645TotalOtherCompensation
Number Individuals GT100 K78NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ATLANTICON
PO BOX 621FAIRBORNOH45324HEALTHCARE CONSULTING402195
CAREFUSION SOLUTIONS LLC
25082 NETWORK PLACECHICAGOIL606731250MEDICAL SUPPLIES382540
JOHN WINFIELD
102 GREENWOOD LNCHAPEL HILLNC27514PHYSCIAN FEES372900
TODD RICHARD HANSEN
390 BRIDLE PATH FARM RDCLEVELANDNC27013PHYSICIAN FEES280213
MARTIN FLETCHER & ASSOCIATES
PO BOX 671031DALLASTX752671031MEDICAL STAFFING233318
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Government Grants15940GovernmentGrants
Total Contributions15940TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CORPORATION ALLOCATION9000993268450332684503
MISCELLANEOUS REVENUE9000994250342503
COMMUNITY SERVICES REVENUE9000992452824528
FieldValueIRS element (for citing)
Total Program Service Revenue32751534TotalProgramServiceRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other15572Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other15572Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column15572TotalRevenueColumn
Related Or Exempt Function Income15572RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32783046TotalRevenueColumn
Related Or Exempt Function Income32767106RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3947123Total
Management And General3947123ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5702161Total
Program Services2455685ProgramServices
Management And General3246476ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2583812Total
Program Services671791ProgramServices
Management And General1912021ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9043713Total
Program Services2170491ProgramServices
Management And General6873222ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total675118Total
Program Services154287ProgramServices
Management And General520831ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total268021Total
Management And General268021ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total160000Total
Management And General160000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3545612Total
Program Services2881080ProgramServices
Management And General664532ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total339279Total
Program Services329806ProgramServices
Management And General9473ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total500124Total
Program Services197203ProgramServices
Management And General302921ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total742286Total
Program Services455848ProgramServices
Management And General286438ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total114413Total
Program Services59298ProgramServices
Management And General55115ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total23150Total
Program Services14332ProgramServices
Management And General8818ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total113684Total
Management And General113684ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2184819Total
Program Services899113ProgramServices
Management And General1285706ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
COLLECTION FEES19351991935199
MISCELLANEOUS EXPENSE344568344568
EQUIPMENT & RENTALS237739237739
REPAIR AND MAINTENANCE6699566995

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total255230Total
Program Services119712ProgramServices
Management And General135518ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total32783046Total
Program Services10475641ProgramServices
Management And General22307405ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY943272BOY
EOY3276004EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2028784BOY
EOY561975EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY860103BOY
EOY1179614EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13020430LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5152404LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4338505BOY
EOY7868026EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY942471BOY
EOY1218579EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9113135BOY
EOY14104198EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9653113BOY
EOY11114020EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4782413BOY
EOY8312566EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14435526BOY
EOY19426586EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY-5322391BOY
EOY-5322388EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5322391BOY
EOY-5322388EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9113135BOY
EOY14104198EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses0ReconcilationRevenueExpenses
Reconcilation Other Changes3ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (6 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
WATAUGA MEDICAL CENTER INC
5605108243111$0
CHARLES A CANNON JR MEMORIAL HOSPITAL INC
5605299743111$0
BLOWING ROCK HOSPITAL INCORPORATED
5605231813111$0
APPALACHIAN MEDICAL ASSOCIATES INC
2057551309011$0
APPALACHIAN REGIONAL HEALTHCARE FOUNDATION INC
2046256187011$0
ARHS PROPERTIES INC
2034707659011$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs6TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12717640OtherCostOrOtherBasis
Depreciation5152404Depreciation
Book Value7565236BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis302790OtherCostOrOtherBasis
Book Value302790BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7868026TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionASSETS WHOSE USE IS LIMITEDDescription
Book Value1218579BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1218579TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LEASES PAYABLE$1,005,595
DUE TO AFFILIATES$5,179,361
OTHER LIABILITIES$2,127,610
FieldValueIRS element (for citing)
Total Of Amounts8312566TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationARHS 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, 2013. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD SPARKS
CEO ARHS341401000108220124372063500482945000
HERMAN GODWIN
CHIEF MEDICAL OFFICER, WMC2622710001183106387060600286549000
KEVIN MAY
CFO ARHS2577590007711013975060600285505000
CHARLES MANTOOTH
PRESIDENT WMC, CEO CMH & A2135740005729011087084910238881000
TIMOTHY FORD
CEO BRH136994000411207674076710156451000
CLAIRE CLINE
CHIEF NURSING OFFICER167416000567009548063500188984000
LESLIE BIANCA
VP, SYSTEM OF SERVICE LINES149408000199004218060600161676000
THEODORE FLINT GRAY
PHYSICIAN, WMC4777710001242090670119160499996000
ANNA SOBOL
PHYSICIAN35290100048608271093260370984000
BEVERLY F WOMACK
PHYSICIAN3407370004440101180113230362622000
AMY CRABBE
SR VP OF PEOPLE SERVICES145852000404908334080090166244000
PETER ASHLINE
PHYSICIAN4887300001218000115560501504000
ANDREW HORDES
PHYSICIAN3685570009190111031870372774000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MARK VANNOY VANNOY CONSTRUCTION
FORMER TRUSTEE753391MARK VANNOY IS THE PRESIDENT OF VANNOY CONSTRUCTION, WHICH DID RENOVATIONS FOR THE URGENT CARE BUILDING AND IS INVOLVED WITH CONSTRUCTION PRICING FOR THE NEW BLOWING ROCK FACILITY. MR VANNOY RESIGNED FROM THE BOARD IN MAY 2013 TO AVOID OTHER POTENTIAL CONFLICTS OF INTEREST.0
DR CHARLES BAKER
TRUSTEE749000APPALACHIAN REGIONAL HEALTH SYSTEM PURCHASED DR. BAKER'S OFFICE SPACE FROM HIM. HE ALSO BECAME AN EMPLOYEE AS HIS PRACTICE IS NOW UNDER APPALCHIAN REGIONAL MEDICAL ASSOCIATES INC.0
TAMMY MANTOOTH
SPOUSE OF OFFICER CHARLES MANTOOTH30275TAMMY MANTOOTH IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS.0
ANDRE TENNILLE
SPOUSE OF BOARD MEMBER PATTIE TENNILLE137777ANDRE TENNILLE IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CREVIEW OF POLICY STATEMENT EACH YEAR.
FORM 990, PART VI, SECTION B, LINE 15INDEPENDENT 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 19PROVIDED UPON REQUEST.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES : PROGRAM SERVICE EXPENSES 490,036. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 490,036. PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 79,004. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,004. CONTRACT LABOR : PROGRAM SERVICE EXPENSES 2,312,040. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,312,040. PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 569,190. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 569,190. CONSULTING FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,053. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,053. CONTRACT LABOR : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 70,289. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,289.OTHER FEES
FORM 990, PART XI, LINE 9:ROUNDING 3.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
BLOWING ROCK HOSPITAL INC
PO BOX 148BLOWING ROCKNC28605560513181HOSPITALNC501(C)(3)30
WATAUGA MEDICAL CENTER INC
336 DEERFIELD RDBOONENC28607560510824HOSPITALNC501(C)(3)30
APPALACHIAN REGIONAL HEALTHCARE FOUNDATION
336 DEERFIELD RDBOONENC28607204625618PHILANTHROPIC ORGANIZATION FOR THE SYSTEMNC501(C)(3)70
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC
PO BOX 2600BOONENC28607205755130EMPLOYMENT ALTERNATIVE TO BOTH NEW AND ESTABLISHED PHYSICIAN PRACTICESNC501(C)(3)90
CHARLES A CANNON JR MEMORIAL HOSPITAL INC
434 HOSPITAL DRIVELINVILLENC28646560529974HOSPITALNC501(C)(3)30
ARHS PROPERTIES INC
336 DEERFIELD RDBOONENC28607203470765HOLD FUTURE PURCHASE OF NON-PROFIT LAND ACQUISITIONSNC501(C)(3)90
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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