Nonprofit · EIN 20-5755130
APPALACHIAN REGIONAL MEDICALASSOCIATES INC
Tax-exempt · BOONE, NC 28607
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| June 30, 2025 | 990 | $32,477,319 | $53,145,861 | -$20,668,542 | $10,365,180 | $98,027,754 | -$87,662,574 |
| June 30, 2024 | 990 | $30,415,124 | $52,035,072 | -$21,619,948 | $22,577,779 | $89,571,811 | -$66,994,032 |
| June 30, 2023 | 990 | $22,136,540 | $37,741,305 | -$15,604,765 | $12,985,648 | $58,359,732 | -$45,374,084 |
Financial details: 990 for the year ended June 30, 2025
Revenue
- Contributions, gifts and grants
- $52,410
- Program service revenue
- $31,799,041
- Investment income
- $15,408
- Other revenue
- $610,460
Expenses
- Grants and similar amounts paid
- $0
- Other salaries and wages
- $29,618,264
- Salaries, compensation and benefits (total)
- $35,806,489
- Professional fundraising fees
- $0
- Occupancy
- $160,401
- Travel
- $7,162
- Depreciation
- $1,509,849
- Program services (functional)
- $48,891,005
- Management and general (functional)
- $4,254,856
Balance sheet and other
- Total assets, start of year
- $22,577,779
- Total assets, end of year
- $10,365,180
- Total liabilities, end of year
- $98,027,754
- Net assets, end of year
- -$87,662,574
- Land, buildings and equipment
- $5,687,895
- Net assets without donor restrictions
- -$87,662,574
- Gross receipts
- $32,477,319
- Employees
- 0
- Volunteers
- 5
- Year formed
- 2006
- 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 | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| Charles Mantooth | CEO (thru 12/31/2024) Trustee or director, Officer | 1 | $0 | $1,151,578 | $29,239 |
| Paul Dagher MD | Trustee Trustee or director | 1 | $0 | $631,274 | $22,104 |
| Rick Cassady | CFO Trustee or director, Officer | 1 | $0 | $447,931 | $40,201 |
| David Nathan Nipper | CEO/Chair Trustee or director, Officer | 1 | $0 | $448,212 | $24,156 |
| Stephanie Greer | President, Avery Market Trustee or director, Officer | 1 | $0 | $221,274 | $21,270 |
| CECILIA GRASINGER MD | Trustee (thru 12/31/2024) Trustee or director | 1 | $0 | $0 | $0 |
| Jim Deal | Chairman Trustee or director | 1 | $0 | $0 | $0 |
| Mary Louise Roberts | Trustee Trustee or director | 1 | $0 | $0 | $0 |
| Meagan Phillips | Trustee Trustee or director | 1 | $0 | $0 | $0 |
| Sam Adams | Trustee Trustee or director | 1 | $0 | $0 | $0 |
990 for the year ended June 30, 2024: 7 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| CHARLES MANTOOTH | CEO/CHAIR Trustee or director, Officer | 1 | $0 | $614,177 | $44,115 |
| DAVID NATHAN NIPPER | DIRECTOR Trustee or director | 1 | $0 | $369,846 | $36,304 |
| RICK CASSADY | CFO Officer | 1 | $0 | $356,379 | $44,785 |
| CECILIA GRASINGER MD | DIRECTOR Trustee or director | 1 | $0 | $280,300 | $35,209 |
| STEPHANIE GREER | DIRECTOR Trustee or director | 1 | $0 | $176,414 | $25,121 |
| SAM ADAMS | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| JIM DEAL | CHAIR Trustee or director, Officer | 1 | $0 | $0 | $0 |
990 for the year ended June 30, 2023: 9 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| CHARLES MANTOOTH | CEO/CHAIR Trustee or director, Officer | 1 | $0 | $718,682 | $37,627 |
| MATT THOMAS | CFO (LEFT 10 Trustee or director, Officer | 1 | $0 | $471,974 | $34,748 |
| DANIELLE MAHAFFEY MD TERM 1122 | DIRECTOR/PHY Trustee or director | 1 | $0 | $431,581 | $47,225 |
| RICK CASSADY | CFO Officer | 1 | $0 | $229,316 | $39,237 |
| STEPHANIE GREER | DIRECTOR Trustee or director | 1 | $0 | $195,741 | $32,548 |
| CECILIA GRASINGER MD | DIRECTOR Trustee or director | 1 | $0 | $197,996 | $20,285 |
| SAM ADAMS | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| TOM DALE | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| NATHAN NIPPER | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- PO BOX 2600, BOONE, NC 28607-2600
- 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 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.
Program accomplishments
- 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.Expenses $48,891,005 · revenue $32,409,501
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
- 20-5755130
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Publicly supported organization (509(a)(2))
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 2008
- Accounting year ends
- June
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E30)
- Assets (IRS master file)
- $10,365,180
- Income (IRS master file)
- $32,477,319
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | June 2025 | $32,477,319 | $53,145,861 | $10,365,180 | IRS |
| 990 | June 2024 | $30,415,124 | $52,035,072 | $22,577,779 | XML |
| 990 | June 2023 | $22,136,540 | $37,741,305 | $12,985,648 | XML |
| 990 | September 2022 | $31,162,009 | $46,886,129 | $13,449,032 | IRS |
| 990 | September 2021 | – | – | – | IRS |
| 990 | September 2020 | – | – | – | 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 20-5755130).
Questions about APPALACHIAN REGIONAL MEDICALASSOCIATES INC
- What is the EIN of APPALACHIAN REGIONAL MEDICALASSOCIATES INC?
- The employer identification number (EIN) of APPALACHIAN REGIONAL MEDICALASSOCIATES INC is 20-5755130.
- Is APPALACHIAN REGIONAL MEDICALASSOCIATES INC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2008.
- Are donations to APPALACHIAN REGIONAL MEDICALASSOCIATES INC tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does APPALACHIAN REGIONAL MEDICALASSOCIATES 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 MEDICALASSOCIATES 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 MEDICALASSOCIATES 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 MEDICALASSOCIATES INC?
- The 990 for the year ended June 30, 2025 names DAVID NATHAN NIPPER.
- Who are the officers and directors of APPALACHIAN REGIONAL MEDICALASSOCIATES INC?
- The 990 for the year ended June 30, 2025 lists 10 people; 0 received compensation from the organization.
- How much revenue does APPALACHIAN REGIONAL MEDICALASSOCIATES INC have?
- On its 990 for the year ended June 30, 2025 it reported revenue of $32,477,319, expenses of $53,145,861 and total assets of $10,365,180 at year end.
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