Nonprofit · EIN 20-1067022
APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC
Tax-exempt · BOONE, NC 28607
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| June 30, 2025 | 990 | $1,126,577 | $61,703,724 | -$60,577,147 | $34,391,123 | $38,957,249 | -$4,566,126 |
| June 30, 2024 | 990 | $1,241,276 | $68,103,139 | -$66,861,863 | $33,985,070 | $38,551,196 | -$4,566,126 |
| June 30, 2023 | 990 | $35,368,640 | $35,367,411 | $1,229 | $28,301,550 | $32,866,356 | -$4,564,806 |
Financial details: 990 for the year ended June 30, 2025
Revenue
- Contributions, gifts and grants
- $124,438
- Program service revenue
- $0
- Investment income
- $3,727
- Other revenue
- $998,412
Expenses
- Grants and similar amounts paid
- $0
- Compensation of officers, directors and key employees
- $2,717,596
- Other salaries and wages
- $9,156,109
- Salaries, compensation and benefits (total)
- $29,461,784
- Professional fundraising fees
- $0
- Legal fees
- $280,627
- Accounting fees
- $144,262
- Occupancy
- $920,457
- Travel
- $18,179
- Depreciation
- $3,658,476
- Program services (functional)
- $27,406,197
- Management and general (functional)
- $34,297,527
Balance sheet and other
- Total assets, start of year
- $33,985,070
- Total assets, end of year
- $34,391,123
- Total liabilities, end of year
- $38,957,249
- Net assets, end of year
- -$4,566,126
- Land, buildings and equipment
- $10,332,871
- Publicly traded securities
- $488,027
- Net assets without donor restrictions
- -$4,566,126
- Gross receipts
- $1,126,577
- Employees
- 1,899
- Volunteers
- 16
- Year formed
- 2004
- State of legal domicile
- NC
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended June 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| Steven Anderson MD | Physician Highest-paid employee | 40 | $5,277,193 | $46,566 |
| Benjamin Parker MD | Physician Highest-paid employee | 40 | $1,591,541 | $33,209 |
| Charles Mantooth | CEO (thru 12/31/2024) Officer | 40 | $1,151,578 | $29,239 |
| Anna Sobol | Physician (thru 12/31/2024) Highest-paid employee | 40 | $662,274 | $28,868 |
| Cynthia Ballenger | Physician (thru 12/31/2024) Highest-paid employee | 40 | $667,802 | $10,350 |
| Paul Dagher MD | Trustee/Physician Trustee or director | 40 | $631,274 | $22,104 |
| KHURRAM B Tariq | Oncology Physician Highest-paid employee | 40 | $632,133 | $10,350 |
| Lisa Kaufmann | Chief Medical Officer Officer | 40 | $496,788 | $48,851 |
| Rick Cassady | CFO Officer | 40 | $447,931 | $40,201 |
| David Nathan Nipper | CEO Officer | 40 | $448,212 | $24,156 |
| Deanna Mool | Chief Legal Officer Officer | 40 | $416,847 | $21,850 |
| Robert Hudspeth | SVP Development Officer | 40 | $364,624 | $22,808 |
| Gregory Miller | Chief Nursing Officer Officer | 40 | $253,463 | $20,416 |
| Alysia Price | Chief Human Resource Officer Officer | 40 | $224,733 | $26,502 |
| Sally Amanda Williams | Chief Ambulatory Officer Officer | 40 | $229,693 | $19,624 |
15 more people on this return
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| Stephanie Greer | President, Avery Market Officer | 40 | $221,274 | $21,270 |
| Meagan Phillips | Vice-Chair Trustee or director, Officer | 1 | $0 | $0 |
| Tom Dale | Chairman Trustee or director, Officer | 1 | $0 | $0 |
| Brett Loftis | Trustee Trustee or director | 1 | $0 | $0 |
| Carmen Lacey | Trustee Trustee or director | 1 | $0 | $0 |
| Harrison Chip Williamson | Trustee Trustee or director | 1 | $0 | $0 |
| Jeff Greene | Trustee Trustee or director | 1 | $0 | $0 |
| Jim Deal | Trustee Trustee or director | 1 | $0 | $0 |
| John Blackburn | Trustee Trustee or director | 1 | $0 | $0 |
| Jonathan Allen | Trustee Trustee or director | 1 | $0 | $0 |
| Lisa Cooper | Trustee Trustee or director | 1 | $0 | $0 |
| Mary Louise Roberts | Trustee Trustee or director | 1 | $0 | $0 |
| Matt Vincent | Trustee Trustee or director | 1 | $0 | $0 |
| Sam Adams | Trustee Trustee or director | 1 | $0 | $0 |
| Todd Castle | County Commissioner Rep Trustee or director | 1 | $0 | $0 |
990 for the year ended June 30, 2024: 29 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| STEVEN ANDERSON MD | PHYSICIAN Highest-paid employee | 40 | $1,619,766 | $0 | $70,290 |
| BENJAMIN PARKER MD | PHYSICIAN Highest-paid employee | 40 | $1,461,993 | $0 | $41,082 |
| KHURRAM TARIQ | PHYSICIAN Highest-paid employee | 40 | $702,236 | $0 | $66,067 |
| DOUGLAS TRATE | PHYSICIAN Highest-paid employee | 40 | $646,953 | $0 | $62,163 |
| GREGORY DIAMONTI | PHYSICIAN Highest-paid employee | 40 | $624,668 | $0 | $44,963 |
| CHARLES MANTOOTH | CHIEF EXECUTIVE OFFICER Officer | 40 | $614,177 | $0 | $44,115 |
| PAUL DAGHER MD | TRUSTEE/PHYSICIAN Trustee or director | 1 | $525,209 | $0 | $39,479 |
| LISA KAUFMANN | CHIEF MEDICAL OFFICER Officer | 40 | $413,348 | $0 | $22,613 |
| DAVID NATHAN NIPPER | CHIEF OPERATING OFFICER Officer | 40 | $369,846 | $0 | $36,304 |
| RICK CASSADY | CHIEF FINANCIAL OFFICER Officer | 40 | $356,379 | $0 | $44,785 |
| DEANNA MOOL | CHIEF LEGAL OFFICER Officer | 40 | $307,453 | $0 | $20,436 |
| ROB HUDSPETH | SVP DEVELOPMENT Key employee | 40 | $244,423 | $0 | $7,178 |
| GREG MILLER | CHIEF NURSING OFFICER Officer | 40 | $211,724 | $0 | $27,789 |
| STEPHANIE GREER | PRES AVERY MARKET Officer | 40 | $176,414 | $0 | $25,121 |
| CHARLES BAKER MD | TRUSTEE Trustee or director | 1 | $0 | $32,555 | $0 |
| JIM DEAL | CHAIR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| TOM DALE | VICE CHAIR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| SAM ADAMS | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| JONATHAN ALLEN | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| JOHN BLACKBURN | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| LISA COOPER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| RAY RUSSELL | COUNTY COMMISSIONER REP. Trustee or director | 1 | $0 | $0 | $0 |
| BRETT LOFTIS | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| MEAGAN PHILLIPS | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| MARK RICKS | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| MARY LOUISE ROBERTS | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| CATHY WILLIAMSON | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| JAN WINKLER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| KENT TARBUTTON | TRUSTEE (THRU 09/2023) Trustee or director | 1 | $0 | $0 | $0 |
990 for the year ended June 30, 2023: 34 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| STEVEN ANDERSON MD | PHYSICIAN Highest-paid employee | 40 | $1,523,031 | $47,614 |
| BENJAMIN PARKER MD | PHYSICIAN Highest-paid employee | 40 | $1,379,492 | $30,374 |
| KHURRAM TARIQ | PHYSICIAN Highest-paid employee | 40 | $787,645 | $58,115 |
| JAMES CALIFF MD | PHYSICIAN Highest-paid employee | 40 | $787,384 | $48,798 |
| CHARLES MILLER | PHYSICIAN Highest-paid employee | 40 | $778,730 | $47,136 |
| CHARLES MANTOOTH | CEO Officer | 40 | $718,682 | $37,627 |
| PAUL DAGHER MD | TRUSTEE/PHYS Trustee or director | 41 | $499,154 | $34,653 |
| MATT THOMAS | CFO (LEFT 10 Officer | 40 | $471,974 | $34,748 |
| DANIELLE MAHAFFEY LEFT 1122 | CHIEF PHYS E Officer | 40 | $431,581 | $47,225 |
| LISA KAUFMMAN | INTERIM CMO Officer | 40 | $349,540 | $8,700 |
| DEANNA MOOL | CHIEF LEGAL Key employee | 40 | $311,559 | $12,328 |
| ROB HUDSPETH | SVP DEVELOPM Key employee | 40 | $261,197 | $27,964 |
| GREG MILLER | CNO Officer | 40 | $255,361 | $26,140 |
| RICK CASSADY | CFO Officer | 40 | $229,316 | $39,237 |
| STEPHANIE GREER | PRES AVERY H Officer | 40 | $195,741 | $32,548 |
| AMY CRABBE LEFT 622 | COO Officer | 40 | $205,279 | $17,857 |
| LESLIE BIANCA LEFT 623 | WMC PRESIDEN Officer | 40 | $203,439 | $14,413 |
| CARMEN LACEY LEFT 122 | CMH PRESIDEN Officer | 1 | $12,949 | $1,154 |
| KENNETH WILCOXTERM 0123 | TRUSTEE Trustee or director | 1 | $0 | $0 |
| BILLY KENNEDYTERM 1022 | TRUSTEE Trustee or director | 1 | $0 | $0 |
| SAM ADAMS | TRUSTEE Trustee or director | 1 | $0 | $0 |
| JONATHAN ALLEN | TRUSTEE Trustee or director | 1 | $0 | $0 |
| JOHN BLACKBURN | TRUSTEE Trustee or director | 1 | $0 | $0 |
| LISA COOPER | TRUSTEE Trustee or director | 1 | $0 | $0 |
| TOM DALE | VICE CHAIR Trustee or director, Officer | 1 | $0 | $0 |
| JIM DEAL | CHAIR Trustee or director, Officer | 1 | $0 | $0 |
| BRETT LOFTIS | TRUSTEE Trustee or director | 1 | $0 | $0 |
| CHARLES BAKER MD | TRUSTEE Trustee or director | 1 | $0 | $0 |
| MEAGAN PHILLIPS | TRUSTEE Trustee or director | 1 | $0 | $0 |
| MARK RICKS | TRUSTEE Trustee or director | 1 | $0 | $0 |
| MARY LOUISE ROBERTS | TRUSTEE Trustee or director | 1 | $0 | $0 |
| RAY RUSSELL | TRUSTEE/COUN Trustee or director | 1 | $0 | $0 |
| KENT TARBUTTON | TRUSTEE Trustee or director | 1 | $0 | $0 |
| JAN WINKLER | TRUSTEE Trustee or director | 1 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 366 DEERFIELD RD, BOONE, NC 28607-0000
- In care of
- % RICK CASSADY
- Principal officer (990 for 2024)
- DAVID NATHAN NIPPER, PO BOX 2600, BOONE, NC 286072600
- Signed the 990
- DAVID NATHAN NIPPER, CEO
- Phone
- (828) 262-4100
- Return prepared by
- BDO USA
Mission
TO SUPPORT THE PROVISION OF HIGH QUALITY, COMPASSIONATE HEALTHCARE FOR THE MOUNTAIN REGION OF NORTHWEST CAROLINA, NORTHEAST TENNESSEE WITH A SPIRIT OF TEAMWORK BASED ON A SET OF OPERATING VALUES.
Program accomplishments
- APPALACHIAN REGIONAL HEALTHCARE SYSTEM (ARHS), THE HEALTHCARE LEADER IN THE HIGH COUNTRY, IS COMPRISED OF THREE HOSPITALS, A PHYSICIAN PRACTICE MANAGEMENT GROUP, AND A HEALTHCARE FOUNDATION.Expenses $27,406,197 · revenue $998,412
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | June 30, 2026 | November 16, 2026 | Not due yet |
| 2024 | June 30, 2025 | November 17, 2025 | 990 on file |
| 2023 | June 30, 2024 | November 15, 2024 | 990 on file |
IRS record
- EIN
- 20-1067022
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Supporting organization (509(a)(3))
- Donations deductible (Pub 78)
- Supporting organization of unknown type
- Exempt since
- 2006
- Accounting year ends
- June
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Mental health and crisis intervention (F11)
- Assets (IRS master file)
- $34,391,123
- Income (IRS master file)
- $1,126,577
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | June 2025 | $1,126,577 | $61,703,724 | $34,391,123 | IRS |
| 990 | June 2024 | $1,241,276 | $68,103,139 | $33,985,070 | XML |
| 990 | June 2023 | $35,368,640 | $35,367,411 | $28,301,550 | XML |
| 990 | September 2022 | $50,710,259 | $50,320,103 | $32,855,284 | IRS |
| 990 | September 2021 | – | – | – | IRS |
| 990 | September 2020 | – | – | – | IRS |
| 990 | September 2019 | – | – | – | IRS |
| 990 | September 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 20-1067022).
Questions about APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC
- What is the EIN of APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC?
- The employer identification number (EIN) of APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC is 20-1067022.
- Is APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2006.
- Are donations to APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC tax-deductible?
- Yes. It is listed in IRS Publication 78 (Supporting organization of unknown type).
- Which annual return does APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC due?
- The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended June 2025.
- Who is the principal officer of APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC?
- The 990 for the year ended June 30, 2025 names DAVID NATHAN NIPPER.
- Who are the officers and directors of APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC?
- The 990 for the year ended June 30, 2025 lists 30 people; 16 received compensation from the organization, the highest $5,277,193 (Steven Anderson MD, Physician).
- How much revenue does APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC have?
- On its 990 for the year ended June 30, 2025 it reported revenue of $1,126,577, expenses of $61,703,724 and total assets of $34,391,123 at year end.
Other nonprofits in BOONE
- HEBRON COLONY MINISTRIES INC EIN 56-0597086 · last filed 990 for 2025
- ARHS PROPERTIES INC EIN 20-3470765 · last filed 990-EZ for 2025
- NAMI HIGH COUNTRY EIN 56-2112208 · last filed 990-N for 2025
- CLUB 12INC EIN 46-1454425 · last filed 990-N for 2024
- SAMARITANS PURSE EIN 58-1437002 · last filed 990 for 2025
- APPALACHIAN STATE UNIVERSITY FOUNDATION INC EIN 23-7099379 · last filed 990 for 2025
- APPALACHIAN REGIONAL MEDICALASSOCIATES INC EIN 20-5755130 · last filed 990 for 2025
- HIGH COUNTRY COMMUNITY HEALTH EIN 27-3033445 · last filed 990 for 2025
All nonprofits in BOONE · North Carolina · Mental health and crisis intervention