2024-05-15T17:10:20-04:00 2023-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2022-10-01 851313265 APPALACHIAN REGIONAL BEHAVIORAL HEALTH INC APPA 432 HOSPITAL DRIVE LINVILLE NC 28646 RICK CASSADY CFO 2024-05-11 true RICK CASSADAY 999009999 false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2024-05-15 2022 2023-04-26 12:10:37Z DOROTHEA DIX BEHAVIORAL HEALTH CHARLES MANTOOTH 432 HOSPITAL DRIVE LINVILLE NC 28646 2711830 false X HTTPS://APPRHS.ORG X 2018 NC TO PROVIDE MENTAL HEALTH INPATIENT AND OUTPATIENT SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. 15 14 0 3 0 0 2987598 2572395 385 138593 303623 842 3291606 2711830 0 0 3286460 3452900 0 0 5440185 5003876 8726645 8456776 -5435039 -5744946 3010805 2181476 8474420 13390421 -5463615 -11208945 TO PROVIDE MENTAL HEALTH SERVICES ON AN INPATIENT AND OUTPATIENT BASIS TO THE COMMUNITY. false false 7634482 2572395 APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE IS A 37-BED INPATIENT MENTAL AND PSYCHIATRIC HOSPITAL LOCATED IN LINVILLE, NC AND IT SERVES NORTHWESTERN NORTH CAROLINA. THE HOSPITAL IS LOCATED IN THE HIGH COUNTRY AREA OF NORTH CAROLINA (NEAR BOONE AND SUGAR MOUNTAIN). IT IS THE ONLY INPATIENT BEHAVIORAL HEALTH FACILITY WITHIN A 40-MILE RADIUS. THE HOSPITAL OPENED ON NOVEMBER 15, 2021 WITH 10 BEDS, BUT IS NOW STAFFED FOR 27 BEDS. 7634482 true false false false false false false false false false false false false false true true false false false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 0 0 false 0 false false false false false false false false false false false false X 15 14 false true false false true true true true true false false true true true true true true false false false X RICK CASSADY 8282624119 336 DEERFIELD ROAD BOONE NC 28607 CHARLES MANTOOTH CEO 1.00 45.00 X 0 718682 37627 PAUL DAGHER MD BD MBR/PHYSI 1.00 X 0 499154 34653 MATT THOMAS CFO (LEFT 10 X 0 471974 34748 RICK CASSADY CFO 1.00 45.00 X 0 229316 39237 BILLY KENNEDY 1022 BOARD MEMBER X 0 0 0 KENNETH WILCOX TERM 0123 BOARD MEMBER 1.00 X 0 0 0 SAM ADAMS BOARD MEMBER 1.00 6.00 X 0 0 0 JONATHAN ALLEN BD MEM 1.00 4.00 X 0 0 0 JOHN BLACKBURN BOARD MEMBER 1.00 4.00 X 0 0 0 LISA COOPER BOARD MEMBER 1.00 4.00 X 0 0 0 TOM DALE VICE CHAIR 1.00 5.00 X X 0 0 0 JIM DEAL CHAIR 1.00 4.00 X X 0 0 0 BRETT LOFTIS BOARD MEMBER 1.00 3.00 X 0 0 0 CHARLES BAKER MD BOARD MEMBER 1.00 3.00 X 0 0 0 MEGAN PHILLIPS BOARD MEMBER 1.00 5.00 X 0 0 0 MARK RICKS BOARD MEMBER 1.00 4.00 X 0 0 0 MARY LOUISE ROBERTS BOARD MEMBER 1.00 4.00 X 0 0 0 RAY RUSSELL COUNTY COMM 1.00 4.00 X 0 0 0 KENT TARBUTTON BOARD MEMBER 1.00 4.00 X 0 0 0 JAN WINKLER BOARD MEMBER 1.00 4.00 X 0 0 0 1919126 146265 false true false 623990 2572395 2572395 2572395 138593 138593 MISCELLANEOUS 623990 842 842 842 2711830 2573237 138593 X 2780846 2780846 473714 473714 198340 198340 3306 3306 2987072 2987072 533349 530824 2525 529869 529869 640 640 2336 2336 CORPORATED ALLOCATED EXP. 811282 811282 OTHER 90396 85952 4444 RECRUITING 42564 42564 DUES & SUBSCRIPTIONS 2090 2090 972 235 737 8456776 7634482 822294 0 1212613 122555 1775953 1952115 85556 22239 21250 3010805 2181476 104466 45682 8369954 13344739 8474420 13390421 X -5463615 -11208945 -5463615 -11208945 3010805 2181476 X -5744946 -384 X false true X true false X DUE TO AFFILIATES 13344739 13344739 X SCHEDULE D, PAGE 3, 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 CONSIDERED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE SYSTEM HAS DETERMINED IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2023. true true X true X true X true true false false 2077296 595821 1481475 0.17520 2077296 595821 1481475 0.17520 6378529 1976575 4401954 0.52050 6378529 1976575 4401954 0.52050 8455825 2572396 5883429 0.69570 false 647289 232598 502109 -269511 X false 1 1 APPALACHIAN REG BEHAVIORAL HEALTHCARE 432 HOSPITAL DRIVE LINVILLE NC 28646 HTTPS://APPRHS.ORG/APPALACHIAN-REGIONA MHH0980 X MENTAL HEALTH APPALACHIAN REG BEHAVIORAL HEALTHCARE 1 true true false false true X 200.000000000000 300.000000000000 X X true true X X X true X HTTPS://APPRHS.ORG/FINANCIAL-ASSISTANC X HTTPS://APPRHS.ORG/FINANCIAL-ASSISTANC X HTTPS://APPRHS.ORG/FINANCIAL-ASSISTANC X X X X X X false X false X X X true false false FACILITY 1, APPALACHIAN REG. BEHAVIORAL - PART V, LINE 2 THIS IS THE SECOND YEAR OF OPERATIONS FOR THE FACILITY. THE HOSPITAL BEGAN OPERATING ON NOVEMBER 15, 2021. SCHEDULE H, PART I, LINE 7G MENTAL HEALTH SERVICES OTHER THAN THOSE REIMBURSED THROUGH THE STATE MEDICAID PROGRAM OR COVERED UNDER THE FINANCIAL ASSISTANCE POLICY ARE SUBSIDIZED BY THE ORGANIZATION (AND BY THE HEALTH SYSTEM). THE NET SUBSIDY IS ESTIMATED TO BE 4,401,954 AND IS CALCULATED USING A COST TO CHARGE RATIO COMPUTED IN ACCORDANCE WITH FORM 990 INSTRUCTIONS WORKSHEET 2. SCHEDULE H, PART I, LINE 7 COSTS ARE CALCULATED USING THE COST TO CHARGE RATIO AS DESCRIBED IN THE INSTRUCTIONS TO FORM 990 SCHEDULE H WORKSHEET 2. SCHEDULE H, PART III, LINE 2 AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 4 THE SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN EVALUATION OF THE OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNTS ARE CHARGED AGAINST THE ALLOWANCE. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. SCHEDULE H, PART III, LINE 9B CHARITY WRITE-OFFS ARE SEGREGATED FROM NORMAL BAD DEBTS THROUGH A SEPARATE TRANSACTION CODE. FAMILY INCOME BELOW 200% OF FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% WRITE-OFF. PARTIAL WRITE-OFF IS AVAILABLE FOR FAMILY INCOME BETWEEN 200% AND 300% OF FPG. SCHEDULE H, PART VI, LINE 2 THE ORGANIZATION BEGAN OPERATIONS DURING THE FISCAL YEAR, BUT WILL CONDUCT A FORMAL CHNA IN ACCORDANCE WITH TREASURY DEPARTMENT REGULATIONS. IN ADDITION, THE ORGANIZATION WILL CONSIDER COMMUNITY INPUT RELATED TO COMMUNITY HEALTH NEEDS FROM APPROPRIATE SOURCES, INCLUDING INFORMAL INPUT FROM MEDICAL STAFF MEMBERS, CIVIC OFFICIALS AND NONPROFIT AGENCIES THAT MAY BE OFFERED OUTSIDE THE FORMAL CHNA PROCESS. SCHEDULE H, PART VI, LINE 3 PATIENTS ARE EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S 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. SCHEDULE H, PART VI, LINE 4 THE COMMUNITY CONSISTS OF ASHE, AVERY, AND WATAUGA COUNTIES, A POPULATION OF APPROXIMATELY 98,000 PEOPLE IN NORTHWESTERN NORTH CAROLINA. SCHEDULE H, PART VI, LINE 5 APPLACHIAN 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 - APPLACHIAN 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 ARHS 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. BOTH PROVIDE SUBSTANTIAL MEDICAL ASISTANCE TO APPROXIMATELY 500 LOW INCOME, UNINSURED RESIDENTS ANNUALLY. THE GOVERNING BODY OF THE HOSPITAL FACILITY IS PRIMARILY COMPRISED OF PERSONS WHO ARE NOT EMPLOYEES OR CONTRACTORS (NOR FAMILY MEMBERS THEREOF) AND WHO REPRESENT A BROAD SPECTRUM OF THE COMMUNITY. THE HOSPITAL'S MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE REGION. SURPLUS FUNDS ARE REINVESTED IN THE FACILITIES AND OPERATIONS. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, AND OFFER FINANCIAL ASSISTANCE TO INDIVIDUALS SATISFYING ELIGIBILITY REQUIREMENTS. DURING THE FISCAL YEAR, APPALACHIAN REGIONAL BEHAVIORAL HEALTH OPENED A 37-BED MENTAL HEALTH HOSPITAL, THE ONLY INPATIENT FACILITY WITHIN A 40-MILE RADIUS, TO BETTER SERVE THE HEALTH NEEDS OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 6 APPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS) IS A NOT-FOR-PROFIT ORGANIZATION PROVIDING HEALTH CARE SERVICES TO THE RESIDENTS OF THE MOUNTAIN REGIONS ON NORTHWEST NORTH CAROLINA AND NORTHEAST TENNESSEE. ARHS SERVES AS THE PARENT ORGANIZATION OF A MULTI-ENTITY HEALTHCARE SYSTEM. ARHS IS THE SOLE MEMBER OF WATAUGA MEDICAL CENTER, INC. (WMC), CHARLES A. CANNON, JR. MEMORIAL HOSPITAL (CANNON), INC., APPALACHIAN REGIONAL HEALTHCARE FOUNDATION, INC., ARHS PROPERTIES, INC., APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC., AND APPALACHIAN REGIONAL BEHAVIORAL HEALTH, INC. WATAUGA MEDICAL CENTER IS A 117-BED REGIONAL REFERRAL MEDICAL COMPLEX, OFFERING BOTH PRIMARY AND SECONDARY ACUTE AND SPECIALTY CARE. WATAUGA MEDICAL CENTER ALSO INCLUDES MANY OUTPATIENT CLINICS AND A DIAGNOSTICS CENTER. IT IS A GOVERNMENTAL HOSPITAL. CHARLES A. CANNON, JR. MEMORIAL HOSPITAL IS AN ACUTE CARE HOSPITAL WITH A FULL-SERVICE EMERGENCY DEPARTMENT, IMAGING DEPARTMENT, LABORATORY, OUTPATIENT BEHAVIORAL HEALTH, AND THE REHABILITATION CENTERS PHYSICAL AND OCCUPATIONAL THERAPIES. APPALACHIAN REGIONAL HEALTHCARE FOUNDATION, INC. IS THE FUNDRAISING ORGANIZATION FOR THE SYSTEM. APPALACHIAN REGIONAL BEHAVIORAL HEALTH, INC. IS A 37-BED LICENSED INPATIENT MENTAL HEALTH HOSPITAL THAT BEGAN OPERATIONS DURING THE FISCAL YEAR. IT ALSO OPERATES THE OUPATIENT MENTAL HEALTH DEPARTMENT THAT WAS FORMERLY PART OF CANNON. APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC. (ARMA) PROVIDES PRIMARY CARE, ALONG WITH A WIDE ARRAY OF SPECIALTIES TO SERVE THE NEEDS OF AREA RESIDENTS. SPECIALTIES INCLUDE CARDIOLOGY, ORTHOPAEDICS, OB/GYN, GENERAL SURGERY, UROLOGY, RHEUMATOLOGY, PULMONOLOGY, AND URGENT CARE. ARMA ALSO PROVIDES ADMINISTRATIVE SERVICES, ELECTRONIC MEDICAL RECORDS SYSTEMS, PHYSICIAN RECRUITMENT, AND PHYSICIAN OFFICE MANAGEMENT SERVICES. ARHS PROPERTIES, INC. WAS FORMED TO MANAGE AND MAINTAIN PROPERTIES FOR THE USE OF WATAUGA MEDICAL CENTER, INC. AND CHARLES A. CANNON, JR. MEMORIAL HOSPITAL. false true false false false false false false false CHARLES MANTOOTH CEO 577293 124323 17066 18800 18827 756309 PAUL DAGHER MD BD MBR/PHYSICIAN 496832 2322 8700 25953 533807 MATT THOMAS CFO (LEFT 10/22) 370380 48650 52944 16463 18285 506722 RICK CASSADY CFO 229316 39237 268553 SCHEDULE J, PAGE 1, PART I, LINE 3 NONE OF THE INDIVIDUAL BOARD MEMBERS OR OFFICERS ARE COMPENSATED BY THE FILING ORGANIZATION AND THE ORGANIZATION MUST RELY ON THE METHODS EMPLOYED BY THE RELATED ORGANIZATION, ARHS, TO DETERMINE REASONABLE COMPENSATION FOR THE INDIVIDUALS. COMPENSATION DETERMINATION BY ARHS INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND SURVEYS, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED. SCHEDULE J, PAGE 1, PART I, LINE 4 CHARLES MANTOOTH 0 10,250 0 MATT THOMAS 0 10,250 0 SCHEDULE J, PART III NONQUALIFIED DEFERRED COMPENSATION PLAN: THE SYSTEM HAS A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN MEMBERS OF MANAGEMENT AND PHYSICIANS TO DEFER A PORTION OF THEIR COMPENSATION UNTIL RETIREMENT. FORM 990, PAGE 6, PART VI, LINE 3 THE PARENT COMPANY AND SOLE MEMBER, APPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS) OVERSEES THE ORGANIZATION'S OPERATIONS. ALSO SALARIES AND OTHER COMMON EXPENSES INCURRED BY ARHS ARE ALLOCATED APPROPRIATELY TO THE FILING ORGANIZATION. ALL PAYROLL RETURNS, INCLUDING W-2S, ARE ISSUED BY ARHS. PAYMENTS TO VENDORS ARE MADE THROUGH ARHS AND ALL 1099S ARE ISSUED BY ARHS. FORM 990, PAGE 6, PART VI, LINE 6 THE SOLE MEMBER IS APPALACHIAN REGIONAL HEALTHCARE SYSTEM, INC. FORM 990, PAGE 6, PART VI, LINE 7A THE TRUSTEES OF THE SOLE MEMBER SHALL ALSO SERVE AS THE TRUSTEES OF THE FILING ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 7B THE SOLE MEMBER ARHS HAS THE POWER TO: (1) MERGE OR CONSOLIDATE THE CORPORATION WITH ANY OTHER NONPROFIT CORPORATION; (2) ACQUIRE OR CREATE ANOTHER CORPORATION; (3) MAKE A CAPITAL EXPENDITURE OVER A SPECIFIED DOLLAR LIMIT TO BE ESTABLISHED FROM TIME TO TIME BY THE SOLE MEMBER; (4) SELL CAPITAL ASSETS VALUED OVER A SPECIFIED DOLLAR LIMIT TO BE ESTABLISHED FROM TIME TO TIME BY THE SOLE MEMBER; (5) APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS; (6) PERMIT THE DISSOLUTION OF THE CORPORATION; AND (7) APPOINT THE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 11B THE SYSTEM CONTROLLER AND THE CFO REVIEW THE 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE RETURN IS MADE AVAILABLE TO THE BOARD OF TRUSTEES UPON COMPLETION. FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AND APPLIES TO ALL EMPLOYEES, OFFICERS AND BOARD MEMBERS. SHOULD A CONFLICT EXIST, THE INDIVIDUAL IS RECUSED FROM DISCUSSION AND DECISION-MAKING PROCESS. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR 487,689 0 0 PHYSICIAN FEES 997,868 0 0 PURCHASED SERVICES 83,473 0 0 OUTSIDE SERVICES - OTHER 1,415,396 0 0 SERVICE CONTRACTS 2,646 0 0 TOTAL 2,987,072 0 0 FORM 990, PART XI, LINE 9 POST FILING PRIOR YEAR ADJSTMENT -384 APPALACHIAN REG HEALTHCARE SYSTEM PO BOX 2600 BOONE NC 28607 201067022 PARENT NC 501C3 12B N/A false WATAUGA MEDICAL CENTER INC 336 DEERFIELD RD BOONE NC 28607 560510824 HOSPITAL NC 501C3 3 ARHS false APPALACHIAN REG HEALTHCARE FDN 336 DEERFIELD RD BOONE NC 28607 204625618 FOUNDATION NC 501C3 7 ARHS false CHARLES A CANNON JR MEMORIAL HOSP 434 HOSPITAL DRIVE LINVILLE NC 28646 560529974 HOSPITAL NC 501C3 3 ARHS false APPALACHIAN REG MEDICAL ASSOCIATES PO BOX 2600 BOONE NC 28607 205755130 PHYS PRACT NC 501C3 10 ARHS false ARHS PROPERTIES INC 336 DEERFIELD RD BOONE NC 28607 203470765 PROP ACQ NC 501C3 12B ARHS false false false false false true false false false false false false false true false false false false false false