Form 990 for tax year 2022
Filed by CHARLES A CANNON JR MEMORIAL HOSPITAL INC.
Totals
- Total revenue
- $18,290,074
- Total expenses
- $19,682,646
- Contributions and grants received
- $44,653
- Grants paid
- $0
- Program service revenue
- $15,969,402
- Investment income
- $5,529
- Other revenue
- $2,270,490
- Total assets, end of year
- $30,726,386
- Total liabilities, end of year
- $28,208,596
- Net assets or fund balances, end of year
- $2,517,790
- Program services expenses (Part IX)
- $16,418,755
- Management and general expenses
- $3,263,891
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $16,418,755
Program services were 83.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
CHARLES MANTOOTH
CEO
- Total calculated
- $756,309
- From this org
- $0
- From related orgs
- $718,682
- Other
- $37,627
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $577,293 related
- Bonus
- not reported + $124,323 related
- Other
- not reported + $17,066 related
- Deferred
- not reported + $18,800 related
- Nontaxable benefits
- not reported + $18,827 related
- Filer's total
- not reported + $756,309 related
-
PAUL DAGHER MD
TRUSTEE/PHYS
- Total calculated
- $533,807
- From this org
- $0
- From related orgs
- $499,154
- Other
- $34,653
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $496,832 related
- Bonus
- not reported
- Other
- not reported + $2,322 related
- Deferred
- not reported + $8,700 related
- Nontaxable benefits
- not reported + $25,953 related
- Filer's total
- not reported + $533,807 related
-
MATT THOMAS
CFO (LEFT 10
- Total calculated
- $506,722
- From this org
- $0
- From related orgs
- $471,974
- Other
- $34,748
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $370,380 related
- Bonus
- not reported + $48,650 related
- Other
- not reported + $52,944 related
- Deferred
- not reported + $16,463 related
- Nontaxable benefits
- not reported + $18,285 related
- Filer's total
- not reported + $506,722 related
-
RICK CASSADY
CFO
- Total calculated
- $268,553
- From this org
- $0
- From related orgs
- $229,316
- Other
- $39,237
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $229,316 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported + $39,237 related
- Filer's total
- not reported + $268,553 related
-
STEPHANIE GREER
PRES AVERY H
- Total calculated
- $228,289
- From this org
- $0
- From related orgs
- $195,741
- Other
- $32,548
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $186,012 related
- Bonus
- not reported + $9,226 related
- Other
- not reported + $503 related
- Deferred
- not reported + $13,130 related
- Nontaxable benefits
- not reported + $19,418 related
- Filer's total
- not reported + $228,289 related
-
CARMEN LACEY LEFT 122
PRES CMH
- Total calculated
- $14,103
- From this org
- $0
- From related orgs
- $12,949
- Other
- $1,154
- Hours/week
- 1
-
KENNETH WILCOX TERM 0123
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
BILLY KENNEDY TERM 1022
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
SAM ADAMS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
JONATHAN ALLEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
JOHN BLACKBURN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
LISA COOPER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
TOM DALE
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 5 related
-
JIM DEAL
CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
BRETT LOFTIS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
CHARLES BAKER MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
MEAGAN PHILLIPS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 5 related
-
MARK RICKS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
MARY LOUISE ROBERTS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
RAY RUSSELL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
KENT TARBUTTON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
JAN WINKLER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 3 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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 STEPHANIE GREER 0 7,193 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
APPALACHIAN REGIONAL HEALTHCARE SYS
501C3 · PARENT · NC
-
501C3 · HOSPITAL · NC
Directly controlled by ARHS
-
APPALACHIAN REGIONAL HEALTHCARE FDN
501C3 · FOUNDATION · NC
Directly controlled by ARHS
-
APPALACHIAN REGIONAL MED ASSOC
501C3 · PHYSICIANS · NC
Directly controlled by ARHS
-
501C3 · PROPERTY · NC
Directly controlled by ARHS
-
APPALACHIAN REGIONAL BEHAVIORAL HLT
501C3 · HOSPITAL · NC
Directly controlled by ARHS
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
SLOOP MED OFC PLAZA CONDO ASSOC
RENTAL · NC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202401369349315520
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