2012-05-14T13:37:37-05:00 2011-09-30 DIXON HUGHES GOODMAN LLP 111 FRANKLIN RD SE SUITE 501 ROANOKE VA 240112114 990 2010-10-01 201067022 APPALACHIAN REGIONAL HEALTHCARE SYSTEM APPA 8282624119 PO BOX 2600 BOONE NC 28607 KEVIN B MAY 8282624119 2012-05-08 1 MICHAEL P NORTON 5409896144 2012-05-08 2010 2016-02-24 21:20:13Z KEVIN B MAY PO BOX 2600 BOONE NC 28607 26461471 0 X WWW.APPRHS.ORG X 2004 NC TO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES TO SUPPORT WATAUGA MEDICAL CENTER, INC., CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC., BLOWING ROCK HOSPITAL INCORPORATED, APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC., APPALACHIAN REGIONAL HEALTHCARE FOUNDATION, INC., AND ARHS PROPERTIES, INC. 14 14 1633 0 0 0 3379 125545 23059679 26335628 157 298 31627 0 23094842 26461471 0 0 0 0 17975062 19446646 0 0 0 5119780 7014825 23094842 26461471 0 0 7439340 10363480 12761731 15685871 -5322391 -5322391 X APPALACHIAN REGIONAL HEALTHCARE SYSTEM'S HANDPICKED, HIGHLY-TRAINED PHYSICIANS AND MEDICAL STAFF PROVIDE THE MOST COMPREHENSIVE AND INNOVATIVE TREATMENT IN THE AREA. EVERY MEMBER OF OUR STAFF PLAYS A ROLE IN DELIVERING REVOLUTIONARY PATIENT-FOCUSED CARE FOR HEART DISEASE, CANCER, CHILDREN'S HEALTH, WOMEN'S HEALTH, ORTHOPAEDICS, REHABILITATION, EMERGENCY MEDICINE AND BRAIN INJURY. OUR HEALTH CARE NETWORK PARTNERS WITH YOU FROM THE BEGINNING OF YOUR TREATMENT UNTIL YOU'RE DISCHARGED - FROM HIGH-QUALITY PRIMARY CARE TO COMPREHENSIVE OUTPATIENT SERVICES AND ALL OF THE STEPS IN BETWEEN.BUT PROVIDING MEDICAL TREATMENT IS ONLY PART OF OUR MISSION. WE'RE COMMITTED TO BRINGING YOU THE COMPLETE SPECTRUM OF HEALTH CARE - PREVENTING ILLNESS, EDUCATING THE HEALTHCARE PROFESSIONALS OF TOMORROW, RESEARCHING NEW WAYS TO FIGHT DISEASE AND WORKING IN OUR COMMUNITY TO BUILD A HEALTHIER HIGH COUNTRY. 0 0 6774171 26335628 -WORKING ON A CENTRAL/SYSTEM CLINICAL SYSTEM THAT WILL HAVE AN ELECTRONIC MEDICAL RECORD WITH A PROJECTED GO LIVE SPRING 2012-BECAME A JOINT COMMISSION CERTIFIED STROKE CENTER (WMC ONLY) IN JANUARY 2011-IMPLEMENTED THRIVE - TRANSITION TO WELLNESS PROGRAM 6774171 1 0 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 0 0 0 0 0 0 0 0 1 0 0 0 0 1 145 0 1 1633 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 WILLIAM ATKINS MD 1.00 X 0 0 0 JOHN BLACKBURN 1.00 X 0 0 0 CHARLES BAKER MD 1.00 X 0 0 0 JIM DEAL 1.00 X 0 0 0 MARGARET HAYDEN 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 THEODORE FLINT GRAY 40.00 X X 502753 0 11422 RICHARD SPARKS 40.00 X X 371260 0 111971 ANNA SOBOL 40.00 X X 404832 0 9305 BEVERLY F WOMACK 40.00 X X 291658 0 11422 JOHN L WHITLOCK 40.00 X X 299557 0 0 BEVERLY B RAMSEY 40.00 X X 292933 0 0 HERMAN GODWIN 32.00 X 277507 0 5985 JOHN BARRETT 40.00 X 255639 0 11069 KEVIN MAY 40.00 X X 240680 0 11374 LANCE CAMPBELL 40.00 X 224851 0 0 FREDERICK P MINER 40.00 X X 205047 0 7615 CLAIRE CLINE 40.00 X 168657 0 9800 CHARLES MANTOOTH 40.00 X X 166904 0 9757 MIKE QUINTO 40.00 X 165038 0 9800 EDWARD MAPLE 40.00 X 163772 0 7398 AMY CRABBE 40.00 X 158889 0 10960 TIMOTHY FORD 40.00 X X 153086 0 10880 JOLYNN MAHONEY 40.00 X X 40192 0 0 4383255 0 238758 17 1 1 0 CAREFUSION SOLUTIONS LLC 25082 NETWORK PLACE CHICAGO IL 606731250 MEDICAL SUPPLIES 357537 JOHN WINFIELD 102 GREENWOOD LN CHAPEL HILL NC 27514 PHYSCIAN FEES 334240 SMITH MOORE PO BOX 27525 RALEIGH NC 27611 ATTORNEY 229987 EMPIRE PHYSICS 114 GUNPOWDER VIEW CIRCLE GRANITE FALLS NC 28630 CALIBRATE RADIATION ONCOLOGY EQUIPMENT 220650 GOODMAN & COMPANY 111 FRANKLIN RD SE SUITE 501 ROANOKE VA 24011 ACCOUNTING SERVICES 208594 5 125545 125545 CORPORATION ALLOCATION 900009 26335628 26335628 26335628 298 298 26461471 26335628 0 298 5013980 5013980 3701100 2444866 1256234 2376266 689117 1687149 7752481 2248219 5504262 602819 174818 428001 42511 5543 36968 100767 100767 2698470 306530 2391940 207764 182603 25161 680901 287801 393100 236398 60261 176137 109758 58755 51003 24920 12193 12727 35275 35275 971139 52222 918917 11426 11426 COLLECTION FEES 1339471 1339471 REPAIR AND MAINTENANCE 198900 95670 103230 EMPLOYEE EDUCATION 72264 14676 57588 MISCELLANEOUS EXPENSE 59804 59804 EQUIPMENT & RENTALS 58482 58482 166575 129471 37104 26461471 6774171 19687300 0 1078839 1994194 1676597 1241563 449444 686977 7413862 1629302 4234460 5784560 0 656186 7439340 10363480 9293044 9041472 3468687 6644399 12761731 15685871 X 0 0 0 0 -5322391 -5322391 -5322391 -5322391 7439340 10363480 0 0 X X 0 1 1 X 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 4407968 1543265 2864703 3005894 86037 2919857 5784560 AWUIL 656186 656186 LEASES PAYABLE 2520117 DUE TO AFFILIATES 3468096 OTHER LIABILITIES 656186 6644399 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2011. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. X X 0 0 X X X X X 1 1 0 0 0 0 0 0 0 THEODORE FLINT GRAY 485014 0 0 0 17739 0 0 0 11422 0 514175 0 0 0 RICHARD SPARKS 307589 0 25000 0 38671 0 103219 0 8752 0 483231 0 0 0 ANNA SOBOL 395310 0 0 0 9522 0 0 0 9305 0 414137 0 0 0 BEVERLY F WOMACK 282512 0 0 0 9146 0 0 0 11422 0 303080 0 0 0 JOHN L WHITLOCK 281502 0 0 0 18055 0 0 0 0 0 299557 0 0 0 BEVERLY B RAMSEY 281536 0 0 0 11397 0 0 0 0 0 292933 0 0 0 HERMAN GODWIN 250737 0 5000 0 21770 0 0 0 5985 0 283492 0 0 0 JOHN BARRETT 233359 0 7500 0 14780 0 0 0 11069 0 266708 0 0 0 KEVIN MAY 217697 0 10000 0 12983 0 5389 0 5985 0 252054 0 0 0 LANCE CAMPBELL 224851 0 0 0 0 0 0 0 0 0 224851 0 0 0 FREDERICK P MINER 171371 0 0 0 33676 0 0 0 7615 0 212662 0 0 0 CLAIRE CLINE 153906 0 5000 0 9751 0 3815 0 5985 0 178457 0 0 0 CHARLES MANTOOTH 147666 0 5000 0 14238 0 3772 0 5985 0 176661 0 0 0 MIKE QUINTO 153610 0 5000 0 6428 0 3815 0 5985 0 174838 0 0 0 EDWARD MAPLE 158722 0 0 0 5050 0 0 0 7398 0 171170 0 0 0 AMY CRABBE 143406 0 7500 0 7983 0 3562 0 7398 0 169849 0 0 0 TIMOTHY FORD 133120 0 5000 0 14966 0 3482 0 7398 0 163966 0 0 0 JOLYNN MAHONEY PART I, LINE 1A HOUND EARS MEMBERSHIP FOR RICHARD SPARKS PART I, LINE 1B BOARD OF TRUSTEES REQUIRED GOLF CLUB MEMBERSHIP FOR CEO RICHARD SPARKS FOR DONOR DEVELOPMENT AND TALENT RECRUITMENT. SHORT-TERM HOUSING OFFERED FOR EXECUTIVE RECRUITMENT PURPOSES. PART I, LINES 4A-B HERMAN GODWIN - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN - $6,292 RICHARD SPARKS - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN - $97,176 JOHN BARRETT - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN - $11,206 TIMOTHY FORD - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN - $6,538 CHARLES MANTOOTH - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN - $7,453 CLAIRE WILKIE - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN - $7,500 MIKE QUINTO - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN - $7,500 KEVIN MAY - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN - $10,500 FORM 990, PART VI, SECTION B, LINE 11 THE SVP/CFO AND THE SYSTEM DIRECTOR 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 FINDLEY DAVIES IN DECEMBER 2011. THE EXECUTIVE COMMITTEE (COMPENSATION COMMITTEE) REVIEWED THIS INFORMATION IN DECEMBER, 2011 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. PART XII, LINE 2C THE FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH RELATED ORGANIZATIONS. INDIVIDUAL FINANCIAL STATEMENTS WERE NOT ISSUED. 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