2014-05-05T11:29:05-05:00 2013-09-30 560747981 DIXON HUGHES GOODMAN LLP 111 FRANKLIN RD SE SUITE 501 ROANOKE VA 240112114 990 2012-10-01 201067022 APPALACHIAN REGIONAL HEALTHCARE SYSTEM APPA 8282624119 PO BOX 2600 BOONE NC 28607 KEVIN B MAY 8282624119 2014-02-12 1 MICHAEL P NORTON P00430694 5409896144 2014-02-08 2012 2015-11-30 17:44:51Z KEVIN B MAY PO BOX 2600 BOONE NC 28607 32783046 0 X WWW.APPRHS.ORG X 2004 NC TO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES. 14 14 1691 1 0 0 9756 15940 29170828 32751534 0 15572 0 0 29180584 32783046 0 0 0 0 19527606 21951927 0 0 0 9652978 10831119 29180584 32783046 0 0 9113135 14104198 14435526 19426586 -5322391 -5322388 X TO SUPPORT THE PROVISION OF HIGH QUALITY, COMPASSIONATE HEALTHCARE FOR THE MOUNTAIN REGION OF NORTHWEST CAROLINA, NORTHEAST TENNESSEE WITH A SPIRIT OF TEAMWORK BASED ON A SET OF OPERATING VALUES. 0 0 10475641 32767106 -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. 10475641 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 172 0 1 1691 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X KEVIN B MAY 8282624100 336 DEERFIELD ROAD BOONE NC 28607 KENNETH WILCOX 1.00 X 0 0 0 KEITH TESTER 1.00 X 0 0 0 SAM ADAMS 1.00 X 0 0 0 JOHN BLACKBURN 1.00 X 0 0 0 CHARLES BAKER MD 1.00 X 0 0 0 JACK HOWARD 1.00 X 0 0 0 JOE MILLER 1.00 X 0 0 0 SUSAN ROGGENKAMP 1.00 X 0 0 0 PAUL MILLER JR 1.00 X 0 0 0 PATTIE TENNILLE 1.00 X 0 0 0 JAN WINKLER 1.00 X 0 0 0 KIM MILLER 1.00 X 0 0 0 NATHAN MILLER 1.00 X 0 0 0 MARK MURREY MD 1.00 X 0 0 0 RICHARD SPARKS 40.00 X 352223 0 130722 HERMAN GODWIN 32.00 X 274102 0 12447 KEVIN MAY 40.00 X 265470 0 20035 CHARLES MANTOOTH 40.00 X 219303 0 19578 TIMOTHY FORD 40.00 X 141106 0 15345 JOLYNN MAHONEY 40.00 X 43666 0 9124 CLAIRE CLINE 40.00 X 173086 0 15898 LESLIE BIANCA 40.00 X 151398 0 10278 THEODORE FLINT GRAY 40.00 X 479013 0 20983 ANNA SOBOL 40.00 X 353387 0 17597 BEVERLY F WOMACK 40.00 X 341181 0 21441 AMY CRABBE 40.00 X 149901 0 16343 PETER ASHLINE 40.00 X 489948 0 11556 ANDREW HORDES 40.00 X 369476 0 3298 3803260 0 324645 78 0 1 0 ATLANTICON PO BOX 621 FAIRBORN OH 45324 HEALTHCARE CONSULTING 402195 CAREFUSION SOLUTIONS LLC 25082 NETWORK PLACE CHICAGO IL 606731250 MEDICAL SUPPLIES 382540 JOHN WINFIELD 102 GREENWOOD LN CHAPEL HILL NC 27514 PHYSCIAN FEES 372900 TODD RICHARD HANSEN 390 BRIDLE PATH FARM RD CLEVELAND NC 27013 PHYSICIAN FEES 280213 MARTIN FLETCHER & ASSOCIATES PO BOX 671031 DALLAS TX 752671031 MEDICAL STAFFING 233318 15 15940 15940 CORPORATION ALLOCATION 900099 32684503 32684503 MISCELLANEOUS REVENUE 900099 42503 42503 COMMUNITY SERVICES REVENUE 900099 24528 24528 32751534 15572 0 15572 15572 15572 32783046 32767106 0 0 X 3947123 3947123 5702161 2455685 3246476 2583812 671791 1912021 9043713 2170491 6873222 675118 154287 520831 268021 268021 160000 160000 3545612 2881080 664532 339279 329806 9473 500124 197203 302921 742286 455848 286438 114413 59298 55115 23150 14332 8818 113684 113684 2184819 899113 1285706 COLLECTION FEES 1935199 1935199 MISCELLANEOUS EXPENSE 344568 344568 EQUIPMENT & RENTALS 237739 237739 REPAIR AND MAINTENANCE 66995 66995 255230 119712 135518 32783046 10475641 22307405 0 943272 3276004 2028784 561975 860103 1179614 13020430 5152404 4338505 7868026 942471 1218579 9113135 14104198 9653113 11114020 4782413 8312566 14435526 19426586 X 0 0 0 0 -5322391 -5322388 -5322391 -5322388 9113135 14104198 X 0 3 X 0 1 X 1 0 X X 0 0 0 WATAUGA MEDICAL CENTER INC 560510824 3 1 1 1 0 CHARLES A CANNON JR MEMORIAL HOSPITAL INC 560529974 3 1 1 1 0 BLOWING ROCK HOSPITAL INCORPORATED 560523181 3 1 1 1 0 APPALACHIAN MEDICAL ASSOCIATES INC 205755130 9 0 1 1 0 APPALACHIAN REGIONAL HEALTHCARE FOUNDATION INC 204625618 7 0 1 1 0 ARHS PROPERTIES INC 203470765 9 0 1 1 0 6 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12717640 5152404 7565236 302790 302790 7868026 ASSETS WHOSE USE IS LIMITED 1218579 1218579 LEASES PAYABLE 1005595 DUE TO AFFILIATES 5179361 OTHER LIABILITIES 2127610 8312566 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: ARHS AND THE COMPANIES FOR WHICH IT SERVES AS SOLE MEMBER ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. 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. X X 0 0 0 0 0 0 0 0 0 RICHARD SPARKS 341401 0 0 0 10822 0 124372 0 6350 0 482945 0 0 0 HERMAN GODWIN 262271 0 0 0 11831 0 6387 0 6060 0 286549 0 0 0 KEVIN MAY 257759 0 0 0 7711 0 13975 0 6060 0 285505 0 0 0 CHARLES MANTOOTH 213574 0 0 0 5729 0 11087 0 8491 0 238881 0 0 0 TIMOTHY FORD 136994 0 0 0 4112 0 7674 0 7671 0 156451 0 0 0 CLAIRE CLINE 167416 0 0 0 5670 0 9548 0 6350 0 188984 0 0 0 LESLIE BIANCA 149408 0 0 0 1990 0 4218 0 6060 0 161676 0 0 0 THEODORE FLINT GRAY 477771 0 0 0 1242 0 9067 0 11916 0 499996 0 0 0 ANNA SOBOL 352901 0 0 0 486 0 8271 0 9326 0 370984 0 0 0 BEVERLY F WOMACK 340737 0 0 0 444 0 10118 0 11323 0 362622 0 0 0 AMY CRABBE 145852 0 0 0 4049 0 8334 0 8009 0 166244 0 0 0 PETER ASHLINE 488730 0 0 0 1218 0 0 0 11556 0 501504 0 0 0 ANDREW HORDES 368557 0 0 0 919 0 111 0 3187 0 372774 0 0 0 MARK VANNOY VANNOY CONSTRUCTION FORMER TRUSTEE 753391 MARK 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 TRUSTEE 749000 APPALACHIAN 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 MANTOOTH 30275 TAMMY MANTOOTH IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS. 0 ANDRE TENNILLE SPOUSE OF BOARD MEMBER PATTIE TENNILLE 137777 ANDRE TENNILLE IS EMPLOYED BY AND RECEIVED COMPENSATION FROM ARHS. 0 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. OTHER FEES FORM 990, PART IX, LINE 11G PURCHASED 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: ROUNDING 3. BLOWING ROCK HOSPITAL INC PO BOX 148 BLOWING ROCK NC 28605 560513181 HOSPITAL 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 CHARLES A CANNON JR MEMORIAL HOSPITAL INC 434 HOSPITAL DRIVE LINVILLE NC 28646 560529974 HOSPITAL NC 501(C)(3) 3 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0