2025-09-24T07:19:29-04:00 2024-06-30 3617-EM-NC BDO USA 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2023-07-01 205755130 Appalachian Regional Medical Associates Inc % RICK CASSADY APPA 8282624100 PO Box 2600 Boone NC 286072600 Rick Cassady CFO 8282624100 2025-09-23 true true SANDRA L FEINSMITH P01064157 9192781936 2025-09-22 2023 2025-03-06 01:10:19Z DAVID NATHAN NIPPER PO Box 2600 Boone NC 286072600 30415124 false X https://www.unchealthappalachian.org/ X 2006 NC APPALACHIAN REGIONAL MEDICAL ASSOCIATES (ARMA) IS A HOSPITAL-OWNED PRACTICE MANAGEMENT COMPANY. 6 2 0 2 0 0 0 33010 21713648 30056796 4588 8602 418304 316716 22136540 30415124 0 0 0 0 24422565 35000597 0 0 0 13318740 17034475 37741305 52035072 -15604765 -21619948 12985648 22577779 58359732 89571811 -45374084 -66994032 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 47872737 0 30373512 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. 47872737 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 true false false false true 0 0 0 false false false false false false false false false false false false X 6 2 false false false false true true true true true false false false true true true true true true false false X RICK CASSADY 8282624119 336 DEERFIELD RD Boone NC 28607 CHARLES MANTOOTH CEO/CHAIR 1.0 44.0 X X 0 614177 44115 DAVID NATHAN NIPPER DIRECTOR 1.0 42.0 X 0 369846 36304 RICK CASSADY CFO 1.0 44.0 X 0 356379 44785 CECILIA GRASINGER MD DIRECTOR 1.0 40.0 X 0 280300 35209 STEPHANIE GREER DIRECTOR 1.0 40.0 X 0 176414 25121 SAM ADAMS DIRECTOR 1.0 4.0 X 0 0 0 JIM DEAL CHAIR 1.0 4.0 X X 0 0 0 0 1797116 185534 0 false true false 0 33010 33010 NET PATIENT SERVICE REVENUE 621110 30056796 30056796 30056796 8602 0 8602 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DISCOUNTS AND REBATES 621110 88501 88501 OTHER REVENUE 621110 228215 228215 316716 30415124 30373512 0 8602 0 0 0 0 0 0 28830284 25947255 2883029 855271 769744 85527 3748611 3373750 374861 1566431 1409788 156643 0 0 0 0 0 0 0 1172 1172 5830465 5247421 583044 0 0 173852 156467 17385 8028 8028 0 148691 133822 14869 202887 202887 0 1545581 1545581 469769 422792 46977 MEDICAL SUPPLIES 8441468 8441468 RECRUITING 108064 108064 PHYSICIAN RECRUITMENT 69907 69907 LICENSES & TAXES 34591 34591 52035072 47872737 4162335 0 4835 4895 708819 11670662 0 0 2336512 2463283 0 0 0 0 228014 464677 497716 428220 199839 124934 12112202 4692544 9008463 7419658 0 0 0 0 0 0 0 0 1450 1450 12985648 22577779 3869249 2786921 0 0 0 0 0 0 0 0 0 0 6187635 6286300 0 0 48302848 80498590 58359732 89571811 X -45374084 -66994032 0 0 -45374084 -66994032 12985648 22577779 -21619948 X false true X true false X 515330 45559 1371719 0 33010 1965618 25976133 27589807 29777827 22131952 30373512 135849231 0 0 0 26491463 27635366 31149546 22131952 30406522 137814849 0 0 0 137814849 253 0 12463 25108 8602 46426 0 253 0 12463 25108 8602 46426 0 0 26491716 27635366 31162009 22157060 30415124 137861275 0.99966 0.99970 0.00034 0.00000 X 214037 10734 203303 2650451 2065379 585072 8907086 2616431 6290655 340628 0 340628 7419658 0 DUE TO RELATED PARTIES 80498590 80498590 X SCHEDULE D, PART X, LINE 2: 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, 2024. false true false false false false false false false CHARLES MANTOOTH CEO/CHAIR 0 598227 0 0 0 15950 0 25233 0 18882 0 658292 0 0 RICK CASSADY CFO 0 341061 0 5000 0 10318 0 9900 0 34885 0 401164 0 0 STEPHANIE GREER DIRECTOR 0 176192 0 0 0 222 0 5386 0 19735 0 201535 0 0 CECILIA GRASINGER MD DIRECTOR 0 278412 0 0 0 1888 0 8799 0 26410 0 315509 0 0 DAVID NATHAN NIPPER DIRECTOR 0 369055 0 0 0 791 0 11250 0 25054 0 406150 0 0 PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION: 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. PART I, LINE 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: SEVERANCE NONQUALIFIED EQUITY-BASED CHARLES MANTOOTH $0 $11,250 $0 DAVID NATHAN NIPPER $0 $11,250 $0 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 - ELECTION OF MEMBERS AND THEIR RIGHTS: THE SOLE MEMBER ARHS HAS THE POWER TO ELECT DIRECTORS. FORM 990, PART VI, LINE 7B - DECISIONS SUBJECT TO APPROVAL OF MEMBERS: 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 - ORGANIZATION'S PROCESS TO REVIEW FORM 990: 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, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS 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 - COMPENSATION PROCESS FOR TOP 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 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION: THE ENTITY MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. APPALACHIAN REGIONAL HEALTHCARE SYS PO BOX 2600 BOONE NC 28607 201067022 PARENT NC 501(C)(3) 12B NA false CHARLES A CANNON JR MEMORIAL HOSP 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 FDN 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 PROP ACQ NC 501(C)(3) 12B ARHS false APPALACHIAN REGIONAL BEHAVIORAL HLT 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