2026-05-15T09:15:17+00:00 2025-06-30 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-07-01 560529974 CHARLES A CANNON JR MEMORIAL HOSPITAL INC CHAR 8287377000 434 HOSPITAL DRIVE LINVILLE NC 28646 NATHAN NIPPER CEO 2026-05-15 true true SANDRA L FEINSMITH P01064157 9197549370 2026-05-15 2024 2025-03-06 01:10:19Z NATHAN NIPPER 434 HOSPITAL DRIVE LINVILLE NC 28646 28573808 false X HTTPS://WWW.UNCHEALTHAPPALACHIAN.ORG/ X 1957 NC TO PROVIDE HEALTHCARE SERVICES TO ENHANCE THE QUALITY OF LIFE FOR THE CITIZENS OF AVERY COUNTY. 15 14 0 14 0 437508 0 26613305 27991435 5343 8130 663169 565493 27719325 28565058 0 0 0 0 14104583 14309922 0 0 0 13496871 12173169 27601454 26483091 117871 2081967 35805137 39779019 33169476 35061391 2635661 4717628 TO PROVIDE HEALTHCARE SERVICES TO ENHANCE THE QUALITY OF LIFE FOR THE CITIZENS OF AVERY COUNTY. false false 22483632 0 28158820 CHARLES A. CANNON JR MEMORIAL HOSPITAL, INC. IN LINVILLE IS A 23-BED CRITICAL ACCESS HOSPITAL. THE FULL-SERVICE EMERGENCY DEPARTMENT, IMAGING DEPARTMENT, LABORATORY, REHABILITATION CENTER OFFERING PHYSICAL AND OCCUPATIONAL THERAPIES, AND CARDIOPULMONARY REHABILITATION COMPLETE THE LIST OF SERVICES OFFERED. 22483632 true false false false false false false false false true true false false true true true false true 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 false false true false false false false true 0 0 0 false false false false false false false false false false false false X 15 14 false false false false true true false true true false false false true true true true true true false false false false X RICK CASSADY 8282624119 336 DEERFIELD RD BOONE NC 28607 Meagan Phillips Vice-Chair 1.0 4.0 X X 0 0 0 Tom Dale Chairman 1.0 3.0 X X 0 0 0 Brett Loftis Trustee 1.0 2.0 X 0 0 0 Carmen Lacey Trustee 1.0 2.0 X 0 0 0 Harrison Chip Williamson Trustee 1.0 3.0 X 0 0 0 Jeff Greene Trustee 1.0 2.0 X 0 0 0 Jim Deal Trustee 1.0 3.0 X 0 0 0 John Blackburn Trustee 1.0 3.0 X 0 0 0 Jonathan Allen Trustee 1.0 3.0 X 0 0 0 Lisa Cooper Trustee 1.0 2.0 X 0 0 0 Mary Louise Roberts Trustee 1.0 3.0 X 0 0 0 Matt Vincent Trustee 1.0 2.0 X 0 0 0 Paul Dagher MD Trustee/Physician 1.0 42.0 X 0 631274 22104 Sam Adams Trustee 1.0 5.0 X 0 0 0 Todd Castle County Commissioner Rep 1.0 2.0 X 0 0 0 Charles Mantooth CEO (thru 12/31/2024) 1.0 43.0 X 0 1151578 29239 David Nathan Nipper CEO 1.0 43.0 X 0 448212 24156 Rick Cassady CFO 1.0 43.0 X 0 447931 40201 Stephanie Greer President, Avery Market 1.0 42.0 X 0 221274 21270 0 2900269 136970 0 false true false 0 0 0 NET PATIENT SERVICE REVENUE 621990 27991435 27991435 0 0 0 0 27991435 8130 8130 0 0 0 0 8166 8750 -584 -584 CAFETERIA AND VENDING 621990 398692 398692 MISCELLANEOUS REVENUE 621990 167385 167385 0 0 0 0 566077 28565058 28158820 0 406238 X 0 0 11452031 9889974 1562057 2141612 1849496 292116 716279 618579 97700 3436569 3329868 106701 0 0 0 2368070 1045977 1322093 527558 455599 71959 3082 2662 420 59 51 8 146517 146517 1974234 1704948 269286 246863 213191 33672 MEDICAL SUPPLIES 2435449 2435449 FOOD AND PROVISIONS 548384 548384 OTHER EXPENSES 304179 261959 42220 DUES & SUBSCRIPTIONS 91208 36498 54710 90997 90997 0 0 26483091 22483632 3999459 0 1270 2085 9083135 12653128 0 0 2804755 3501770 0 0 0 0 11111 11111 744627 716733 68826 125120 53411661 33559320 20056261 19852341 368196 368756 0 0 0 0 2666956 2547975 35805137 39779019 1366580 916735 0 0 81000 81000 0 0 0 0 0 0 4898466 4491998 0 0 26823430 29571658 33169476 35061391 X 1725846 3807813 909815 909815 2635661 4717628 35805137 39779019 2081967 0 X false true true false X 909815 909815 909815 909815 909815 909815 909815 909815 909815 909815 0.0 1.0 0.0 false false 1220002 1220002 37973585 21964858 16008727 1847482 1819521 27961 11778979 9774941 2004038 591613 0 591613 19852341 HASP RECEIVABLE 2294310 OTHER RECEIVABLES 211420 THIRD PARTY SETTLEMENTS 37000 OTHER NONCURRENT ASSETS 5245 2547975 Federal Income Taxes DUE TO RELATED PARTIES 28001096 THIRD PARTY SETTLEMENTS 530606 OTHER CURRENT LIABILITIES 1039956 29571658 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds THE ASSETS HELD IN THE ENDOWMENT FUND ARE PARCELS OF LAND TO BE USED FOR THE PURPOSE OF PROMOTING THE HEALTH, CARE AND WELL-BEING OF THE CITIZENS AND RESIDENTS OF AVERY COUNTY AND SURROUNDING COUNTIES. UPON THE PROPERTY CEASING TO BE USED FOR THAT PURPOSE, THE PROPERTY IS TO REVERT TO THE GRANTOR, ITS HEIRS, SUCCESSORS AND ASSIGNS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote ARHS AND ITS BLENDED COMPONENT UNITS 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, 2025. true true X true X true X 744435 0 744435 0.02811 3568877 3240694 328183 0.01239 0 0 0 0.0 0 0 4313312 3240694 1072618 0.04050 0 0 0 0.0 0 0 0 0.0 368069 280578 87491 0.00330 0 0 0 0.0 0 0 0 0.0 0 0 368069 280578 87491 0.00330 0 0 4681381 3521272 1160109 0.04381 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 2438685 960989 36056723 22765118 13291605 X true true 1 1 CHARLES A CANNON JR MEMORIAL HOSPITAL 434 HOSPITAL DRIVE LINVILLE NC 28646 HTTPS://WWW.UNCHEALTHAPPALACHIAN.ORG/ H0037 X X X X PSYCH, SWB, SNF CHARLES A CANNON JR MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 24 true true true true X https://www.unchealthappalachian.org/services/community-outreach/ X true 24 true https://www.unchealthappalachian.org/services/community-outreach/ false true X 200.0 300.0 X X true true X X X X true X https://www.unchealth.org/records-insurance/financial-assistance-programs X https://www.unchealth.org/records-insurance/financial-assistance-programs X https://www.unchealth.org/records-insurance/financial-assistance-programs X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE 2025 CHNA AND RELATED IMPLEMENTATION STRATEGY REPORT IDENTIFIED THE FOLLOWING PRIORITY HEALTH NEEDS FOR THE COMMUNITY- 1) MENTAL/BEHAVIORAL HEALTH 2) HEART DISEASE 3) CANCER CARE Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CHARLES A CANNON JR MEMORIAL HOSPITAL. ARHS REGULARLY COLLABORATES WITH APPALACHIAN DISTRICT HEALTH DEPARTMENT AND TOE RIVER HEALTH DISTRICT TO FACILITATE COMMUNITY EVENTS AND INITIATIVES. APPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS) ANALYZED THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) CONDUCTED AND PUBLISHED BY APPALACHIAN DISTRICT HEALTH DEPARTMENT AND TOE RIVER HEALTH DISTRICT TO DETERMINE HOW ARHS HOSPITALS AND MEDICAL OFFICES CAN CONTRIBUTE TO ADDRESSING THE IDENTIFIED PRIORITY HEALTH ISSUES IN THE HIGH COUNTRY. CHNAS WERE CONDUCTED IN THREE COUNTIES: ASHE AND WATAUGA COUNTIES BY APPALACHIAN DISTRICT HEALTH DEPARTMENT AND AVERY COUNTY BY TOE RIVER HEALTH DISTRICT. PRIORITIZED NEEDS WERE SELECTED BASED ON JOINT ANALYSIS OF CONDUCTED COMMUNITY HEALTH OPINIONS SURVEYS (PRIMARY DATA) AND UTILIZING SECONDARY DATA ABOUT WATAUGA, ASHE, AND AVERY COUNTIES. ASHE COUNTY - ACCESS TO CARE IMPROVING ACCESS TO CARE REMAINS A KEY FOCUS IN ASHE COUNTY, AS FINANCIAL BARRIERS AND LIMITED PROVIDER AVAILABILITY CONTINUE TO INFLUENCE WHEN AND HOW RESIDENTS SEEK MEDICAL SERVICES. IN 2022, 11% OF ASHE COUNTY RESIDENTS WERE UNINSURED-INCLUDING 21.6% OF HISPANIC/LATIN INDIVIDUALS AND 36% OF UNEMPLOYED RESIDENTS-HIGHLIGHTING GAPS THAT MAY DELAY OR PREVENT NEEDED CARE. ACCESS TO CARE WAS IDENTIFIED BY 60% OF SURVEY RESPONDENTS AS ONE OF THE TOP THREE HEALTH PRIORITIES, WITH COMMON CONCERNS CENTERED ON AFFORDABILITY, INSURANCE COVERAGE, AND THE AVAILABILITY OF PROVIDERS. WORKFORCE DATA FURTHER ILLUSTRATES THESE CHALLENGES. ASHE COUNTY HAS FEWER HEALTHCARE PROFESSIONALS PER CAPITA THAN STATE AND REGIONAL BENCHMARKS, WITH ONLY 4.7 PRIMARY CARE PHYSICIANS, 11.1 PSYCHIATRISTS/PSYCHOLOGISTS, AND 3.9 BIRTH ATTENDANTS PER 10,000 RESIDENTS. TO HELP ADDRESS THESE DISPARITIES, ONGOING EFFORTS SUCH AS MEDICAID EXPANSION AND SYSTEM COORDINATION ARE IN PLACE TO SUPPORT MORE TIMELY AND EQUITABLE ACCESS TO BOTH PRIMARY AND SPECIALTY SERVICES. -HOUSING AN ESTIMATED 16% OF ASHE COUNTY HOUSEHOLDS FACE ONE OR MORE SERIOUS HOUSING ISSUES, INCLUDING OVERCROWDING, HIGH HOUSING COSTS, OR A LACK OF ADEQUATE KITCHEN OR PLUMBING FACILITIES. SUBSTANDARD HOUSING REMAINS A CONCERN, WITH 5.0% OF HOUSEHOLDS EXPERIENCING AT LEAST ONE SEVERE HOUSING PROBLEM-HIGHER THAN THE STATE AVERAGE. ADDITIONALLY, 18% OF ASHE HOUSEHOLDS ARE COST-BURDENED, SPENDING MORE THAN 30% OF THEIR INCOME ON HOUSING. ACCORDING TO THE 2024 COMMUNITY HEALTH OPINION SURVEY, 42% OF RESPONDENTS SELECTED HOUSING AS ONE OF THE TOP THREE PRIORITIES FOR IMPROVING COMMUNITY HEALTH. RESIDENTS MOST FREQUENTLY CITED CHALLENGES RELATED TO AFFORDABILITY, LIMITED HOUSING STOCK, AND THE DIFFICULTY OF FINDING SAFE, STABLE HOUSING LOCALLY. THESE CHALLENGES ARE ESPECIALLY SIGNIFICANT FOR LOW-INCOME FAMILIES AND STUDENTS EXPERIENCING HOMELESSNESS, WHO REPRESENTED 0.54% OF ASHE COUNTY'S PUBLIC-SCHOOL POPULATION DURING THE 2019-2020 SCHOOL YEAR-MORE THAN TWICE THE STATE AVERAGE. HOUSING CONDITIONS ARE CLOSELY TIED TO BOTH PHYSICAL AND MENTAL HEALTH. LIMITED ACCESS TO SAFE AND AFFORDABLE HOUSING CAN INCREASE STRESS, CONTRIBUTE TO RESPIRATORY ILLNESS, AND REDUCE ACCESS TO HEALTHCARE AND OTHER ESSENTIAL SERVICES. IN ASHE COUNTY, 42.3% OF RENTAL HOUSEHOLDS THAT ARE SEVERELY COST-BURDENED SPEND MORE THAN HALF OF THEIR INCOME ON RENT AND HOUSING-RELATED COSTS-PLACING FURTHER STRAIN ON OVERALL HOUSEHOLD WELL-BEING. THESE FACTORS, WHEN PERSISTENT, CAN WORSEN HEALTH DISPARITIES OVER TIME. - MENTAL/BEHAVIORAL HEALTH MENTAL AND BEHAVIORAL HEALTH CONTINUES TO BE A TOP CONCERN IN ASHE COUNTY. IN THE 2024 COMMUNITY HEALTH OPINION SURVEY, 32% OF RESPONDENTS SELECTED MENTAL HEALTH AS ONE OF THE TOP THREE PRIORITIES TO ADDRESS. LOCAL DATA SUPPORTS THIS CONCERN-43.1% OF ASHE COUNTY HIGH SCHOOL STUDENTS REPORTED FEELING SAD, DEPRESSED, OR HOPELESS FOR SEVERAL DAYS OR MORE IN 2023, SLIGHTLY ABOVE THE STATE AVERAGE. SUICIDE RATES ARE ALSO NOTABLY HIGH, WITH A FIVE-YEAR AVERAGE OF 27.7 DEATHS PER 100,000 PEOPLE (2017-2021), COMPARED TO THE STATEWIDE RATE OF 15.6. THE RATE WAS HIGHEST AMONG MALES AND ADULTS AGED 25-34, 35-44, AND 45-54. LIMITED ACCESS TO CARE REMAINS A CHALLENGE, WITH ASHE COUNTY HAVING ONE MENTAL HEALTH PROVIDER FOR EVERY 610 RESIDENTS-A SIGNIFICANTLY LESS FAVORABLE RATIO COMPARED TO NEIGHBORING COUNTIES AND THE STATE AVERAGE. THESE WORKFORCE SHORTAGES, COMBINED WITH SOCIOECONOMIC STRESSORS AND STIGMA, CONTINUE TO AFFECT OUTCOMES FOR INDIVIDUALS SEEKING SUPPORT. AVERY COUNTY - HOUSING AVERY COUNTY CONTINUES TO FACE CHALLENGES RELATED TO BOTH HOUSING AFFORDABILITY AND AVAILABILITY. IN 2024, 13.3% OF AVERY RESIDENTS REPORTED LIVING IN HOMES WITH ONGOING ISSUES SUCH AS WATER LEAKS, MOLD, OR PESTS-FACTORS THAT MAY AFFECT NUTRITION, FOOD STORAGE, AND OVERALL WELLNESS. AS OF THE MOST RECENT ESTIMATES, 20.6% OF HOUSEHOLDS ARE CONSIDERED COST-BURDENED, SPENDING MORE THAN 30% OF THEIR INCOME ON HOUSING ACROSS ALL INCOME LEVELS. ROUGHLY 13.9% OF AVERY COUNTY HOUSEHOLDS EARN LESS THAN $20,000 PER YEAR-A GROUP PARTICULARLY VULNERABLE TO RISING HOUSING COSTS. WHILE 34.9% OF HOUSEHOLDS EARN MORE THAN $75,000, AFFORDABLE OPTIONS REMAIN LIMITED FOR THOSE WITH MODERATE OR LOW INCOMES. ACCORDING TO THE 2025 COMMUNITY HEALTH OPINION SURVEY, 79.2% OF AVERY COUNTY RESPONDENTS SELECTED HOUSING AS ONE OF THE TOP THREE PRIORITIES FOR IMPROVING COMMUNITY HEALTH. RESIDENTS EXPRESSED CONCERNS ABOUT LIMITED HOUSING INVENTORY, RISING RENTAL COSTS, AND A LACK OF AFFORDABLE HOMEOWNERSHIP OPPORTUNITIES AS PERSISTENT CHALLENGES. THESE ISSUES DISPROPORTIONATELY AFFECT OLDER ADULTS ON FIXED INCOMES, SEASONAL WORKERS WITH FLUCTUATING EMPLOYMENT, AND YOUNGER RESIDENTS SEEKING STABLE, LONG-TERM HOUSING. THE AVAILABILITY AND AFFORDABILITY OF HOUSING ARE CLOSELY TIED TO HEALTH OUTCOMES. HIGH HOUSING COSTS CAN REDUCE A HOUSEHOLD'S ABILITY TO AFFORD ESSENTIAL NEEDS SUCH AS FOOD, HEALTHCARE, AND TRANSPORTATION-FACTORS THAT ELEVATE STRESS AND CONTRIBUTE TO POORER PHYSICAL AND MENTAL HEALTH. OVER TIME, THESE CONDITIONS CAN WORSEN HEALTH DISPARITIES AND INCREASE THE RISK OF HOUSING INSTABILITY. - MENTAL/BEHAVIORAL HEALTH MENTAL AND BEHAVIORAL HEALTH CONTINUES TO BE A CONCERN IN AVERY COUNTY. ACCORDING TO THE MOST RECENT DATA, 20.8% OF ADULTS REPORTED EXPERIENCING FAIR OR POOR MENTAL HEALTH, AND 19.6% REPORTED HAVING MORE THAN SEVEN DAYS OF POOR MENTAL HEALTH IN THE PAST MONTH. ADDITIONALLY, 43.5% OF RESIDENTS REPORTED FEELING LONELY "OFTEN," "SOME OF THE TIME, "OCCASIONALLY," INDICATING A WIDESPREAD SENSE OF SOCIAL ISOLATION THAT CAN NEGATIVELY AFFECT EMOTIONAL WELL-BEING. SUICIDAL IDEATION AND RELATED OUTCOMES FURTHER EMPHASIZE THE IMPORTANCE OF ACCESSIBLE MENTAL HEALTH SUPPORT. IN 2024, 8.2% OF AVERY COUNTY ADULTS REPORTED SERIOUSLY CONSIDERING SUICIDE WITHIN THE PAST YEAR-DOUBLE THE PERCENTAGE REPORTED IN 2021 (4.0%). SUICIDE WAS ALSO THE CAUSE OF 17 DEATHS IN AVERY COUNTY THAT YEAR, MAKING IT ONE OF THE LEADING CAUSES OF DEATH. THESE FIGURES SUGGEST A CONTINUED NEED FOR MENTAL HEALTH RESOURCES, EARLY INTERVENTION, AND CRISIS PREVENTION SERVICES, PARTICULARLY IN RURAL AREAS WHERE CARE ACCESS MAY BE LIMITED. - ACCESS TO FOOD FOOD INSECURITY REMAINS A PRESSING ISSUE IN AVERY COUNTY. ACCORDING TO 2024 DATA, 26.8% OF RESIDENTS REPORTED EXPERIENCING FOOD INSECURITY IN THE PAST YEAR-DEFINED AS RUNNING OUT OF FOOD OR WORRYING ABOUT RUNNING OUT AT LEAST ONCE. THIS REFLECTS AN INCREASE FROM 24.1% IN 2021 AND UNDERSCORES ONGOING STRUGGLES WITH FOOD ACCESS ACROSS THE COMMUNITY. AS OF JANUARY 2024, 1,903 INDIVIDUALS IN AVERY COUNTY WERE ENROLLED IN FOOD AND NUTRITION SERVICES (SNAP), INCLUDING 602 INDIVIDUALS UNDER AGE 18 AND 363 ADULTS AGED 65 AND OLDER. AVERY COUNTY HAS THREE LARGE CHAIN GROCERY STORES: INGLES IN NEWLAND, FOOD LION AND LOWES FOODS IN BANNER ELK. DESPITE THESE RESOURCES, MANY RESIDENTS CONTINUE TO FACE CHALLENGES RELATED TO AFFORDABILITY, AVAILABILITY OF HEALTHY FOOD OPTIONS, AND TRANSPORTATION. ADDITIONALLY, ONLY 4.0% OF RESIDENTS IN 2024 REPORTED EATING THE RECOMMENDED FIVE OR MORE SERVINGS OF FRUITS AND VEGETABLES PER DAY-DOWN FROM 7.1% IN 2021. Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - CHARLES A CANNON JR MEMORIAL HOSPITAL. WATAUGA COUNTY - ACCESS TO CARE ACCESS TO CARE REMAINS A KEY FOCUS IN WATAUGA COUNTY, WITH AFFORDABILITY AND PROVIDER AVAILABILITY CONTINUING TO INFLUENCE HOW AND WHEN RESIDENTS SEEK SERVICES. IN 2022, 9.4% OF WATAUGA COUNTY RESIDENTS WERE UNINSURED, INCLUDING 23.9% OF HISPANIC/LATIN INDIVIDUALS AND 36% OF UNEMPLOYED ADULTS. SURVEY DATA FROM THE 2024 COMMUNITY HEALTH OPINION SURVEY SHOWED THAT 69% OF RESPONDENTS SELECTED ACCESS TO CARE AS ONE OF THEIR TOP THREE HEALTH PRIORITIES, CITING COST AND THE NEED FOR MORE SPECIALTY SERVICES AS KEY CONCERNS. WHILE WATAUGA COUNTY MAINTAINS RELATIVELY STRONG AVAILABILITY OF SPECIALIST PROVIDERS, ACCESS TO PRIMARY AND MATERNITY CARE IS MORE LIMITED. AS OF 2021, THE COUNTY HAD 5.9 PRIMARY CARE PHYSICIANS, 6.7 PSYCHIATRISTS/PSYCHOLOGISTS, AND 3.7 BIRTH ATTENDANTS PER 10,000 RESIDENTS-FIGURES THAT REMAIN BELOW STATEWIDE AVERAGES. THESE LIMITATIONS CAN CONTRIBUTE TO DELAYED CARE AND REQUIRE SOME RESIDENTS TO TRAVEL OUT OF THE COUNTY FOR SERVICES. COMMUNITY MEMBERS EMPHASIZED THE IMPORTANCE OF LOCAL ACCESS TO CARE, NOTING THAT STRENGTHENING RURAL HEALTHCARE OPTIONS HELPS REDUCE THE NEED TO SEEK TREATMENT ELSEWHERE. - HOUSING AFFORDABLE AND STABLE HOUSING REMAINS A PRESSING CONCERN IN WATAUGA COUNTY. IN THE 2024 COMMUNITY HEALTH OPINION SURVEY, 58% OF RESPONDENTS IDENTIFIED HOUSING AS ONE OF THEIR TOP THREE PRIORITIES FOR IMPROVING COMMUNITY HEALTH. WATAUGA COUNTY HAS THE HIGHEST PERCENTAGE OF COST-BURDENED HOUSEHOLDS IN NORTH CAROLINA, WITH 56.7% OF RESIDENTS SPENDING 30% OR MORE OF THEIR MONTHLY INCOME ON RENT OR MORTGAGE PAYMENTS. AMONG THOSE, 21.3% SPEND MORE THAN HALF OF THEIR INCOME ON HOUSING-WELL ABOVE THE STATE AVERAGE OF 12.15%. HOUSING CHALLENGES ARE ESPECIALLY CONCENTRATED IN THE CENTRAL AND SOUTHWESTERN AREAS OF THE COUNTY. AS OF 2019, 33.4% OF RESIDENTS IN THE CENTRAL TRACT AND 11.1% IN THE SOUTHWESTERN TRACT FACED ONE OR MORE SEVERE HOUSING PROBLEMS, SUCH AS OVERCROWDING, HIGH HOUSING COSTS, OR INADEQUATE KITCHEN OR PLUMBING FACILITIES. SUBSTANDARD HOUSING CONTINUES TO AFFECT RESIDENTS, WITH 2.36% OF HOUSEHOLDS REPORTING AT LEAST ONE MAJOR DEFICIENCY. RENTERS ARE DISPROPORTIONATELY IMPACTED, WITH 77.1% OF SEVERELY COST-BURDENED HOUSEHOLDS BEING RENTAL UNITS. THESE CONDITIONS CAN DIRECTLY IMPACT PHYSICAL AND MENTAL HEALTH, INCREASING STRESS, LIMITING ACCESS TO NUTRITIOUS FOOD, AND CONTRIBUTING TO CHRONIC ILLNESS. DESPITE SOME AVAILABLE SUPPORTS, AFFORDABLE, SAFE, AND STABLE HOUSING REMAINS OUT OF REACH FOR MANY RESIDENTS. - MENTAL/BEHAVIORAL HEALTH MENTAL AND BEHAVIORAL HEALTH REMAINS A PRIORITY AREA FOR WATAUGA COUNTY. IN THE 2024 COMMUNITY HEALTH OPINION SURVEY, 38% OF RESPONDENTS IDENTIFIED MENTAL HEALTH AS ONE OF THE TOP THREE PRIORITIES TO FOCUS ON FOR IMPROVING OVERALL COMMUNITY WELL-BEING. WHILE STATEWIDE DATA SHOW THAT APPROXIMATELY ONE IN FIVE ADULTS IN NORTH CAROLINA EXPERIENCES A MENTAL HEALTH CONDITION, ACCESS TO CARE IN RURAL AREAS LIKE WATAUGA COUNTY REMAINS LIMITED, PARTICULARLY FOR THOSE FACING POVERTY, STIGMA, OR LACK OF INSURANCE COVERAGE. ACCORDING TO THE 2023 YOUTH RISK BEHAVIOR SURVEY, 41.3% OF WATAUGA HIGH SCHOOL STUDENTS REPORTED FEELING SAD, DEPRESSED, OR HOPELESS FOR SEVERAL DAYS OR MORE DURING THE PREVIOUS WEEKS-SLIGHTLY BELOW THE STATE AVERAGE OF 43.4%. ADDITIONALLY, 19.1% OF STUDENTS SERIOUSLY CONSIDERED ATTEMPTING SUICIDE IN THE PAST YEAR, AND 7.3% REPORTED ATTEMPTING SUICIDE ONE OR MORE TIMES. THESE FINDINGS UNDERSCORE THE IMPORTANCE OF STRENGTHENING YOUTH MENTAL HEALTH RESOURCES AND IMPROVING EARLY INTERVENTION. DISPARITIES IN CARE ACCESS, COMBINED WITH STIGMA AND LIMITED PROVIDER AVAILABILITY, CONTINUE TO CHALLENGE CONSISTENT TREATMENT. EXPANDED PREVENTION, EDUCATION, AND SUPPORT SERVICES REMAIN CRITICAL FOR IMPROVING MENTAL HEALTH OUTCOMES ACROSS WATAUGA COUNTY. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - CHARLES A CANNON JR MEMORIAL HOSPITAL. WATAUGA MEDICAL CENTER, A RELATED ORGANIZATION LOCATED AT 336 DEERFIELD ROAD, BOONE, NC, AND APPALACHIAN REGIONAL BEHAVIORAL HEALTH, A RELATED ORGANIZATION LOCATED AT 434 HOSPITAL DRIVE, LINVILLE, NC, ASSISTED IN CONDUCTING THE 2025 CHNA. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - CHARLES A CANNON JR MEMORIAL HOSPITAL. ARHS ANALYZED CHNAS PUBLISHED BY APPALACHIAN DISTRICT HEALTH DEPARTMENT AND TOE RIVER HEALTH DISTRICT TO DETERMINE HOW ARHS HOSPITALS CAN CONTRIBUTE TO ADDRESSING THE DEFINED HEALTH PRIORITIES. THIS REPORT WILL FOCUS ON THE NEEDS OF OUR THREE MAIN SERVICE AREAS: ASHE, AVERY, AND WATAUGA. CHNAS WERE CONDUCTED IN EACH COUNTY; ASHE AND WATAUGA BY APPALACHIAN DISTRICT HEALTH DEPARTMENT AND AVERY BY TOE RIVER HEALTH DISTRICT. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CHARLES A CANNON JR MEMORIAL HOSPITAL. SEVERAL NEEDS OUTLINED IN THE CHNA PROCESS SUCH AS CHILD ABUSE/NEGLECT, DENTAL PROBLEMS, ALCOHOL AND/OR DRUG USE, SEXUALLY TRANSMITTED DISEASE, HOUSING, TRANSPORTATION, AND FAMILY AND SOCIAL CONNECTIONS HAVE NOT BEEN ADDRESSED IN THIS PLAN. IN INITIAL DISCUSSION AND SUBSEQUENT PRIORITIZATION, ARHS CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF THE HOSPITAL. 0 Schedule H, Part I, Line 7g Subsidized Health Services 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 $1,042,343 AND IS CALCULATED USING A COST TO CHARGE RATIO COMPUTED IN ACCORDANCE WITH FORM 990 INSTRUCTIONS WORKSHEET 2. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATION'S "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008". SEE ALSO THE DESCRIPTION FOR PART III, LINE 2. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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 3 Bad Debt Expense Methodology PATIENTS ELIGIBLE FOR ASSISTANCE THE FIGURE ON PART III LINE 3 REPRESENTS MANAGEMENT'S ESTIMATE (APPROXIMATELY 5%) BASED ON AN ANALYSIS OF SELF PAY PATIENTS' ABILITY TO PAY THEIR OUTSTANDING ACCOUNT. THIS ANALYSIS INCLUDES REVIEWING THE PATIENT'S CREDIT HISTORY, INCOME LEVELS AND OVERALL COLLECTABILITY OF THE ACCOUNT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PATIENT ACCOUNTS RECEIVABLE PATIENT ACCOUNTS RECEIVABLE, NET, ARE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND RESPONSIBLE THIRD-PARTY PAYORS. AMOUNTS OWED TO THE SYSTEM ARE REPORTED NET OF ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND UNCOLLECTIBLE ACCOUNTS. SPECIFIC PATIENT BALANCES ARE WRITTEN OFF AT THE TIME THEY ARE DETERMINED TO BE UNCOLLECTIBLE. THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGMENTS. THE SYSTEM ESTIMATES THE COLLECTABILITY OF ITS PATIENT ACCOUNTS RECEIVABLE BASED ON AGING OF ACCOUNTS, HISTORICAL COLLECTION, AND CONTRACTUAL AGREEMENTS. REVISIONS IN RESERVE ESTIMATES ARE RECORDED AS AN ADJUSTMENT TO NET PATIENT SERVICE REVENUE IN THE PERIOD THE REVISION OCCURS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 V, Section B, Line 16a FAP website - CHARLES A CANNON JR MEMORIAL HOSPITAL: Line 16a URL: https://www.unchealth.org/records-insurance/financial-assistance-programs; Schedule H, Part V, Section B, Line 16b FAP Application website - CHARLES A CANNON JR MEMORIAL HOSPITAL: Line 16b URL: https://www.unchealth.org/records-insurance/financial-assistance-programs; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CHARLES A CANNON JR MEMORIAL HOSPITAL: Line 16c URL: https://www.unchealth.org/records-insurance/financial-assistance-programs; Schedule H, Part VI, Line 2 Needs assessment APPALACHIAN 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 - APPALACHIAN HEALTHCARE PROJECT AND THE LATINO HEALTH PROGRAM WHICH ARE DISCUSSED FURTHER BELOW. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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 Community information THE COMMUNITY CONSISTS OF ASHE, AVERY, AND WATAUGA COUNTIES, A POPULATION OF APPROXIMATELY 100,000 PEOPLE IN NORTHWESTERN NORTH CAROLINA. PLEASE REFER TO THE RECENT COMMUNITY HEALTH NEEDS ASSESSMENT FOR AN IN-DEPTH LOOK AT THE DEMOGRAPHICS. BOTH THE 2022 AND 2025 CHNAS ARE AVAILABLE AT https://www.unchealthappalachian.org/services/community-outreach/ Schedule H, Part VI, Line 5 Promotion of community health APPALACHIAN 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 - APPALACHIAN 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 ASSISTANCE 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. Schedule H, Part VI, Line 6 Affiliated health care system 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. 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 CENTER'S 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. IT ALSO OPERATES THE OUTPATIENT 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. Schedule H, Part VI, Line 7 State filing of community benefit report NC false true false false false false false false false Paul Dagher MD Trustee/Physician 0 629467 0 0 0 1807 0 10350 0 11754 0 653378 0 0 Charles Mantooth CEO (thru 12/31/2024) 0 596911 0 93487 0 461180 0 21850 0 7389 0 1180817 0 0 David Nathan Nipper CEO 0 374233 0 47316 0 26663 0 10350 0 13806 0 472368 0 0 Rick Cassady CFO 0 319790 0 67141 0 61000 0 0 0 40201 0 488132 0 0 Stephanie Greer President, Avery Market 0 180869 0 23388 0 17017 0 11570 0 9700 0 242544 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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, Part I, Line 4b Supplemental nonqualified retirement plan SEVERANCE NONQUALIFIED EQUITY-BASED CHARLES MANTOOTH $0 $11,500 $0 DAVID NATHAN NIPPER $0 $2,675 $0 STEPHANIE GREER $0 $5,300 $0 Schedule J, 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, 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, Part VI, Line 1a Delegate broad authority to a committee THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN OF THE BOARD OF TRUSTEES, THE VICE CHAIRMAN OF THE BOARD OF TRUSTEES, THE IMMEDIATE PAST CHAIRMAN OF THE BOARD OF TRUSTEES (IF STILL A MEMBER OF THE BOARD OF TRUSTEES), AND THREE OTHER TRUSTEES. THE CHAIRMAN SHALL APPOINT THE MEMBERS OF THE EXECUTIVE COMMITTEE AND SHALL SERVE AS ITS CHAIRMAN. IN THE ABSENCE OF A QUORUM OF THE ENTIRE BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE OR A MAJORITY THEREOF SHALL HAVE FULL AUTHORITY TO ACT IN ALL MATTERS RELATING TO CANNON MEMORIAL HOSPITAL BUSINESS, INCLUDING, BUT NOT LIMITED TO ALL THINGS DEEMED NECESSARY AND EXPEDIENT IN THE GOVERNANCE, MANAGEMENT, AND CONTROL OF THE BUSINESS AND AFFAIRS OF THE CORPORATION, INCLUDING MATTERS RELATING TO EXECUTIVE COMPENSATION, AND SHALL HAVE AND EXERCISE THE POWER AND AUTHORITY OF THE BOARD OF TRUSTEES TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION WHEN THE BOARD OF TRUSTEES IS NOT IN SESSION, EXCEPT FOR CERTAIN PROHIBITED ACTIONS (ARTICLE V, SECTION 3 OF THE BYLAWS). FURTHER, THE EXECUTIVE COMMITTEE OR A MAJORITY THEREOF SHALL HAVE FULL AUTHORITY TO ACT ON BEHALF OF CANNON MEMORIAL HOSPITAL AT ANY CALLED OR SPECIAL MEETING. WHEN THE EXECUTIVE COMMITTEE EXERCISES THE POWER AND AUTHORITY OF THE BOARD OF TRUSTEES, SUCH ACTION IS SUBJECT TO RATIFICATION BY THE BOARD OF TRUSTEES. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER IS APPALACHIAN REGIONAL HEALTHCARE SYSTEM, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE TRUSTEES OF THE SOLE MEMBER SHALL ALSO SERVE AS THE TRUSTEES OF THE FILING ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body The System Controller and the CFO review the 990 prior to filing with the Internal Revenue Service. The return was made available to the Board of Trustees prior to filing and the Board reviewed in detail with the CFO. Form 990, Part VI, Line 12c Conflict of interest policy 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, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST Form 990, Part IX, Line 11g Other Fees PHYSICIAN FEES - Total Expense: 1174063, Program Service Expense: 1174063, Management and General Expenses: 0, Fundraising Expenses: 0; OUTSIDE SERVICES - Total Expense: 613450, Program Service Expense: 613450, Management and General Expenses: 0, Fundraising Expenses: 0; CONTRACTED PROF. SERVICES - Total Expense: 727590, Program Service Expense: 727590, Management and General Expenses: 0, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 909633, Program Service Expense: 802932, Management and General Expenses: 106701, Fundraising Expenses: 0; CONSULTING - Total Expense: 11833, Program Service Expense: 11833, Management and General Expenses: 0, Fundraising Expenses: 0; APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC PO BOX 2600 BOONE NC 28607 201067022 PARENT NC 501(c)(3) Type II NA false WATAUGA MEDICAL CENTER INC 336 DEERFIELD RD BOONE NC 28607 560510824 HOSPITAL NC 501(c)(3) 3 ARHS false APPALACHIAN REGIONAL HEALTHCARE FOUNDATION INC 336 DEERFIELD RD BOONE NC 28607 204625618 FOUNDATION NC 501(c)(3) 7 ARHS false APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC PO BOX 2600 BOONE NC 28607 205755130 PHYS PRAC NC 501(c)(3) 10 ARHS false ARHS PROPERTIES INC 336 DEERFIELD RD BOONE NC 28607 203470765 Property Acquisition/Property Holdings NC 501(c)(3) Type II ARHS false APPALACHIAN REGIONAL BEHAVIORAL HEALTH INC 432 HOSPITAL DRIVE LINVILLE NC 28646 851313265 HOSPITAL NC 501(c)(3) 3 ARHS false SLOOP MEDICAL OFFICE PLAZA CONDO AS 434 HOSPITAL DRIVE LINVILLE NC 28646 593761777 RENTAL NC ARHS C Corporation false false false false false true false false false false true false true true true true true true false false