2026-05-15T09:07:35+00:00 2025-06-30 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-07-01 204625618 APPALACHIAN REGIONAL HEALTHCARE FOUNDATION INC APPA 8282624100 336 DEERFIELD ROAD BOONE NC 286075008 NATHAN NIPPER CFO 2026-05-15 true true SANDRA L FEINSMITH P01064157 9197549370 2026-05-15 2024 2025-03-06 01:10:19Z NATHAN NIPPER 336 DEERFIELD ROAD BOONE NC 286075008 2359393 false X HTTPS://WWW.UNCHEALTHAPPALACHIAN.ORG/ X 2006 NC WORK WITH APPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS) TO SUPPORT HEALTHCARE IN THE SURROUNDING REGION OF WESTERN NORTH CAROLINA. OUR MISSION WILL BE ACHIEVED BY 1) EXPANDING AND PRESERVING ESSENTIAL PATIENT SERVICES THROUGH PHILANTHROPY; 2) EQUIPPING CAREGIVERS WITH UNIQUE RESOURCES AND LEADING EDGE TECHNOLOGIES; 3) HELPING CREATE A HEALTHIER COMMUNITY FOR THE COUNTIES WE SERVE; AND 4) COOPERATING WITH OTHER COMMUNITY ORGANIZATIONS WHO SHARE THE ARHS MISSION. 13 10 0 10 0 6250750 1693939 0 0 781385 665454 0 0 7032135 2359393 0 0 0 0 200520 208594 0 0 197428 2216776 1334465 2417296 1543059 4614839 816334 33492872 36528012 2582421 3316445 30910451 33211567 WORK WITH APPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS) TO SUPPORT HEALTHCARE IN THE SURROUNDING REGION OF WESTERN NORTH CAROLINA AND PROMOTE AND FACILITATE PHILANTHROPY ON BEHALF OF ARHS AND ITS AFFILIATES. false false 1282493 0 0 FUNDS RAISED SUPPORT ARHS AND ITS AFFILIATES THROUGH CAPITAL EQUIPMENT PURCHASES AND OTHER OPERATIONS. 1282493 true true false false false false false false false true 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 true false false false false true false false false false true 0 0 0 false false false false false true true false false false false false false X 13 10 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 8282624100 336 DEERFIELD ROAD BOONE NC 28607 X Charles Mantooth CEO (thru 12/31/2024) 1.0 43.0 X X 0 1151578 29239 David Nathan Nipper CEO (began 01/01/2025) 1.0 43.0 X X 0 448212 24156 Edward Hinson Chairman 1.0 0 X X 0 0 0 Robert Hudspeth Trustee/SVP Development 1.0 40.0 X X 0 364624 22808 Anne Corinne Beaver MD Trustee 1.0 0 X 0 0 0 Barbara Goodmon Trustee 1.0 0 X 0 0 0 Bill Leonard Trustee 1.0 0 X 0 0 0 Chick Fuller Trustee 1.0 0 X 0 0 0 Chris Petti Trustee 1.0 0 X 0 0 0 Harrison Chip Williamson Trustee 1.0 3.0 X 0 0 0 Janet Cone Trustee 1.0 0 X 0 0 0 Jim Ferguson MD Trustee 1.0 0 X 0 0 0 Libba Gaither Trustee 1.0 0 X 0 0 0 Paul O'Connell Trustee (thru 12/31/2024) 1.0 0 X 0 0 0 Sam Adams Trustee 1.0 5.0 X 0 0 0 Rick Cassady CFO 1.0 43.0 X 0 447931 40201 0 2412345 116404 0 false true false 0 0 0 0 0 220867 1473072 139058 1693939 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 593808 0 593808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71646 0 0 0 71646 0 71646 0 0 71646 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2359393 0 0 665454 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 195162 0 0 195162 0 0 0 0 0 0 0 0 13432 13432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53080 0 53080 0 0 0 0 0 0 0 0 0 14052 3994 10058 0 0 0 0 0 0 0 0 0 2001 2001 0 0 7042 7042 0 0 0 0 0 0 38347 38347 0 0 0 0 0 0 0 0 0 0 2227 2227 0 0 0 0 0 0 PROGRAM EXPENSE 1195765 1195765 0 0 MISCELLANEOUS EXPENSE 19525 19525 0 0 OTHER EXPENSES 2266 0 0 2266 DUES & SUBSCRIPTIONS 160 160 0 0 0 0 0 0 1543059 1282493 63138 197428 0 0 0 0 10744801 15091472 11479569 12847509 9138558 6329344 0 0 0 0 0 0 0 0 0 0 7253 6962 330571 26674 306123 303897 1668102 1803507 0 0 0 0 148466 145321 33492872 36528012 19092 15800 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2563329 3300645 2582421 3316445 X 17980260 16178195 12930191 17033372 30910451 33211567 33492872 36528012 816334 1484782 0 X false true true false X 5966431 3947190 3776059 6250750 1693939 21634369 0 0 5966431 3947190 3776059 6250750 1693939 21634369 3275697 18358672 0 0 19191 463448 593808 1076447 0 0 4702 0 0 0 4702 22715518 0 0.80820 0.84344 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 4702.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 4702.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1668102 895499 190097 950191 1803507 10114865 249955 1407567 10104285 1668102 5359043 3692559 1063263 10114865 5359043 5359043 3940348 1418695 5359043 0.0 0.0543 0.9457 false false 300000 300000 30571 26674 3897 303897 Federal Income Taxes DUE TO RELATED PARTIES 3300645 3300645 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 ENDOWMENT FUND WILL BE COMPOSED OF ENDOWMENT GIFTS WHERE SPECIFIED BY THE DONOR FOR THIS PURPOSE AS WELL AS OTHER GIFTS AND INVESTMENT EARNINGS AS DIRECTED TO THE FUND BY THE BOARD OF DIRECTORS. THEREFORE, THE ENDOWMENT FUND WILL CONTAIN CONTRIBUTIONS AND OTHER INCOME WHICH, IN THE TRUE SENSE OF THE HOSPITAL AUDIT GUIDE (PUBLISHED BY THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS), DO NOT QUALIFY AS PURE ENDOWMENT. THIS DOES NOT, HOWEVER, CONFLICT WITH THE INTENT OF THE FUND AND DOES NOT COMPROMISE FORMAL ACCOUNTING RESPONSIBILITIES. INTEREST EARNINGS FROM THE ENDOWMENT FUND WILL BE MADE AVAILABLE ON A REGULAR BASIS FOR DISCRETIONARY USE BY THE BOARD OF DIRECTORS IN SUPPORT OF THE APPALACHIAN REGIONAL HEALTHCARE SYSTEM OR AS ADDITIONS TO THE ENDOWMENT FUND (5% OR TOTAL EARNINGS, WHICH IS LESS). 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 (began 01/01/2025) 0 374233 0 47316 0 26663 0 10350 0 13806 0 472368 0 0 Robert Hudspeth Trustee/SVP Development 0 253732 0 30123 0 80769 0 15767 0 7041 0 387432 0 0 Rick Cassady CFO 0 319790 0 67141 0 61000 0 0 0 40201 0 488132 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE FILING ORGANIZATION RELIES ON THE METHODS USED BY ARHS, THE PARENT COMPANY, TO ESTABLISH COMPENSATION FOR ALL OFFICERS. NONE OF THE OFFICERS OR BOARD MEMBERS ARE COMPENSATED BY THE FILING ORGANIZATION. 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 ROBERT HUDSPETH $0 $7,076 $0 5 139058 Market value 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - number of contributions Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE FOUNDATION IS APPALACHIAN REGIONAL HEALTHCARE SYSTEM, INC. (ARHS). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ARHS BOARD OF TRUSTEES APPOINTS 12 OF THE 13 MEMBERS OF THE 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 19 Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST APPALACHIAN REGIONAL BEHAVIORAL HEALTH INC 432 HOSPITAL DRIVE LINVILLE NC 28646 851313265 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 MEDICAL ASSOCIATES INC PO BOX 2600 BOONE NC 28607 205775130 PHYSICIANS NC 501(c)(3) 11 ARHS false CHARLES A CANNON JR MEMORIAL HOSPITAL INC 434 HOSPITAL DRIVE LINVILLE NC 28646 560529974 HOSPITAL NC 501(c)(3) 3 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 HEALTHCARE SYSTEM INC PO BOX 2600 BOONE NC 28607 201067022 PARENT NC 501(c)(3) Type II NA false false false false false false false false false false false false true true false false true false false false