2026-05-15T09:05:48+00:00 2025-06-30 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-07-01 205755130 APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC APPA 8282624100 PO BOX 2600 BOONE NC 286072600 DAVID NATHAN NIPPER CEO 2026-05-15 true true SANDRA L FEINSMITH P01064157 9197549370 2026-05-15 2024 2025-03-06 01:10:19Z DAVID NATHAN NIPPER PO BOX 2600 BOONE NC 286072600 32477319 false X HTTPS://WWW.UNCHEALTHAPPALACHIAN.ORG/ X 2006 NC APPALACHIAN REGIONAL MEDICAL ASSOCIATES (ARMA) IS A HOSPITAL-OWNED PRACTICE MANAGEMENT COMPANY. 8 4 0 5 0 33010 52410 30056796 31799041 8602 15408 316716 610460 30415124 32477319 0 0 0 0 35000597 35806489 0 0 0 17034475 17339372 52035072 53145861 -21619948 -20668542 22577779 10365180 89571811 98027754 -66994032 -87662574 TO PROMOTE COMMUNITY HEALTH THROUGH THE PROVISION OF HEALTH CARE SERVICES TO THE CITIZENS AND RESIDENTS OF WATAUGA, AVERY, AND ASHE COUNTIES, NC, AND SURROUNDING COUNTIES. false false 48891005 0 32409501 APPALACHIAN REGIONAL MEDICAL ASSOCIATES (ARMA) ASSISTS IN PROVIDING ACCESS TO HEALTHCARE SERVICES FOR THE RESIDENTS OF WATAUGA AND AVERY COUNTIES IN NC AND SURROUNDING COUNTIES. 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 FAMILY MEDICINE. ARMA ALSO PROVIDES ADMINISTRATIVE SERVICES, ELECTRONIC MEDICAL RECORDS SYSTEMS, PHYSICIAN RECRUITMENT, AND PHYSICIAN OFFICE MANAGEMENT SERVICES. 48891005 true false false false false false false false false false true false false false true true false true false false false false false false false false false 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 8 4 false false false false true true true true true false false false true true true true true true true false false false X RICK CASSADY 8282624119 336 DEERFIELD RD BOONE NC 28607 Charles Mantooth CEO (thru 12/31/2024) 1.0 43.0 X X 0 1151578 29239 David Nathan Nipper CEO/Chair 1.0 43.0 X X 0 448212 24156 Rick Cassady CFO 1.0 43.0 X X 0 447931 40201 Stephanie Greer President, Avery Market 1.0 42.0 X X 0 221274 21270 CECILIA GRASINGER MD Trustee (thru 12/31/2024) 1.0 0 X 0 0 0 Jim Deal Chairman 1.0 3.0 X 0 0 0 Mary Louise Roberts Trustee 1.0 3.0 X 0 0 0 Meagan Phillips Trustee 1.0 4.0 X 0 0 0 Paul Dagher MD Trustee 1.0 42.0 X 0 631274 22104 Sam Adams Trustee 1.0 5.0 X 0 0 0 0 2900269 136970 0 false true false 0 52410 52410 NET PATIENT SERVICE REVENUE 621110 31799041 31799041 0 0 0 0 31799041 15408 15408 0 0 0 0 DISCOUNTS AND REBATES 621110 347041 347041 OTHER REVENUE 621110 263419 263419 0 0 0 0 610460 32477319 32409501 0 15408 0 0 29618264 26656438 2961826 697642 627878 69764 3912327 3521094 391233 1578256 1420430 157826 0 0 0 0 1630 1630 5879368 5291431 587937 160401 144361 16040 7162 7162 182612 164351 18261 186934 186934 1509849 1509849 519686 467717 51969 MEDICAL SUPPLIES 8528513 8528513 RECRUITING 255557 255557 PHYSICIAN RECRUITMENT 70387 70387 LICENSES & TAXES 37273 37273 0 0 0 0 53145861 48891005 4254856 0 4895 4208 11670662 789943 0 0 2463283 2122106 0 0 0 0 464677 806083 428220 700575 124934 254370 10850946 5163051 7419658 5687895 0 0 0 0 0 0 1450 0 22577779 10365180 2786921 2508087 0 0 0 0 0 0 0 0 0 0 6286300 5349533 0 0 80498590 90170134 89571811 98027754 X -66994032 -87662574 0 0 -66994032 -87662574 22577779 10365180 -20668542 0 X false true true false X 45559 1371719 0 33010 52410 1502698 27589807 29777827 22131952 30373512 32409501 142282599 0 0 0 27635366 31149546 22131952 30406522 32461911 143785297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143785297 0 12463 25108 8602 15408 61581 0 0 12463 25108 8602 15408 61581 0 0 0 0 0 0 0 27635366 31162009 22157060 30415124 32477319 143846878 0.99957 0.99966 0 0.0 X 245957 24169 221788 2650451 2227040 423411 7954538 2911842 5042696 5687895 Federal Income Taxes DUE TO RELATED PARTIES 90170134 90170134 X 0 0 0 0 0 0 0 0 0 0 0 0 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. false true false false false false false false false 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/Chair 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 Paul Dagher MD Trustee 0 629467 0 0 0 1807 0 10350 0 11754 0 653378 0 0 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 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 A RELATED ORGANIZATION, ARHS, TO DETERMINE REASONABLE COMPENSATION FOR THE INDIVIDUALS. COMPENSATION DETERMINATIONS BY ARHS INCLUDE AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND SURVEYS, AND BOARD APPROVAL. THE METHOD IS WELL DOCUMENTED. 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 SOLE MEMBER ARHS HAS THE POWER TO ELECT DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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, 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 15a Process to establish compensation of top management official ARTHUR J. GALLAGHER & CO. CONDUCTED AN INDEPENDENT COMPENSATION AND BENEFIT ANALYSIS FOR THE CEO AND EXECUTIVE TEAM OF ARHS. COMPARATIVE DATA WAS USED IN THIS ANALYSIS FROM NATIONAL AND REGIONAL PEER GROUPS (HEALTH SYSTEMS WITH COMPARABLE NET REVENUE, STRUCTURE, AND ORGANIZATIONAL COMPLEXITY). BENCHMARK DATA INCLUDED INTEGRATED HEALTHCARE STRATEGIES. 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. APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC PO BOX 2600 BOONE NC 28607 201067022 PARENT NC 501(c)(3) Type II NA false CHARLES A CANNON JR MEMORIAL HOSPITAL INC 434 HOSPITAL DRIVE LINVILLE NC 28646 560529974 HOSPITAL NC 501(c)(3) 3 ARHS 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 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 false false false false false false false false false true false true true true true true false false false