2026-05-15T09:00:31+00:00 2025-06-30 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-07-01 201067022 APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC APPA 8282624100 PO BOX 2600 BOONE NC 286072600 DAVID NATHAN NIPPER CEO 8282624100 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 1126577 false X HTTPS://WWW.UNCHEALTHAPPALACHIAN.ORG/ X 2004 NC TO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES. 15 14 1899 16 0 69013 124438 0 0 171 3727 1172092 998412 1241276 1126577 0 0 0 0 29383115 29461784 0 0 0 38720024 32241940 68103139 61703724 -66861863 -60577147 33985070 34391123 38551196 38957249 -4566126 -4566126 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. false false 27406197 0 998412 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. 27406197 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 true true false false true 217 0 true 1899 true false false false false false false false false false false true false X 15 14 false false false false false false false 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 Meagan Phillips Vice-Chair 1.0 4.0 X X 0 0 0 Tom Dale Chairman 1.0 3.0 X X 0 0 0 Brett Loftis Trustee 1.0 2.0 X 0 0 0 Carmen Lacey Trustee 1.0 2.0 X 0 0 0 Harrison Chip Williamson Trustee 1.0 3.0 X 0 0 0 Jeff Greene Trustee 1.0 2.0 X 0 0 0 Jim Deal Trustee 1.0 3.0 X 0 0 0 John Blackburn Trustee 1.0 3.0 X 0 0 0 Jonathan Allen Trustee 1.0 3.0 X 0 0 0 Lisa Cooper Trustee 1.0 2.0 X 0 0 0 Mary Louise Roberts Trustee 1.0 3.0 X 0 0 0 Matt Vincent Trustee 1.0 2.0 X 0 0 0 Paul Dagher MD Trustee/Physician 40.0 3.0 X 631274 0 22104 Sam Adams Trustee 1.0 5.0 X 0 0 0 Todd Castle County Commissioner Rep 1.0 2.0 X 0 0 0 Alysia Price Chief Human Resource Officer 40.0 0 X 224733 0 26502 Charles Mantooth CEO (thru 12/31/2024) 40.0 4.0 X 1151578 0 29239 David Nathan Nipper CEO 40.0 4.0 X 448212 0 24156 Deanna Mool Chief Legal Officer 40.0 0 X 416847 0 21850 Gregory Miller Chief Nursing Officer 40.0 0 X 253463 0 20416 Lisa Kaufmann Chief Medical Officer 40.0 0 X 496788 0 48851 Rick Cassady CFO 40.0 4.0 X 447931 0 40201 Robert Hudspeth SVP Development 40.0 1.0 X 364624 0 22808 Sally Amanda Williams Chief Ambulatory Officer 40.0 0 X 229693 0 19624 Stephanie Greer President, Avery Market 40.0 3.0 X 221274 0 21270 Anna Sobol Physician (thru 12/31/2024) 40.0 0 X 662274 0 28868 Benjamin Parker MD Physician 40.0 0 X 1591541 0 33209 Cynthia Ballenger Physician (thru 12/31/2024) 40.0 0 X 667802 0 10350 KHURRAM B Tariq Oncology Physician 40.0 0 X 632133 0 10350 Steven Anderson MD Physician 40.0 0 X 5277193 0 46566 13717360 0 426364 187 false true false QUALIVIS LLC 2930 CORNERSTONE CT WEST STE 300 SAN DIEGO CA 92121 MEDICAL STAFFING 2631822 CARDIOSOLUTION PHYS CALIFORNIA 4675 CORNELL RD STE 100 CINCINNATI OH 45241 INTERVEN. CARDIOLOGY 2165999 RECEIVABLE SOLUTIONS LLC 1331 MAIN ST STE 1500 COLUMBIA SC 29201 COLLECTION SERVICES 1937733 MOUNTAIN AREA HEALTH EDUCATION CENTER 121 HENDERSONVILLE RD ASHEVILLE NC 28803 RESIDENT PGM PTRS. 1682197 WEATHERBY LOCUMS INC DBA WEATHERBY HEALTHCARE PO BOX 972633 DALLAS TX 75397 MEDICAL STAFFING 1467896 38 124438 124438 0 0 0 0 0 3727 3727 0 0 0 0 DISCOUNTS & REBATES 561000 509593 509593 INCENTIVES 561000 280925 280925 NON-OPERATING REVENUE 561000 114786 114786 93108 93108 0 0 998412 1126577 998412 0 3727 X 0 0 2717596 0 2717596 0 9156109 42667 9113442 2549850 5355 2544495 14288037 31434 14256603 750192 1575 748617 280627 280627 144262 144262 6636357 4385366 2250991 0 427845 368246 59599 19634228 19255287 378941 920457 186116 734341 18179 18179 38471 18962 19509 200942 2853 198089 3658476 2918732 739744 OTHER EXPENSES 114503 114488 15 DUES & SUBSCRIPTIONS 76718 51154 25564 MISCELLANEOUS 52445 7816 44629 MINOR EQUIPMENT 33207 11065 22142 5223 5081 142 0 61703724 27406197 34297527 0 26781 4591 3097776 2624116 0 0 0 0 0 0 0 0 0 0 0 0 18584565 19732855 38787337 28454466 10840347 10332871 279419 488027 0 0 0 0 1156182 1208663 33985070 34391123 28287751 27087062 0 0 0 0 0 0 0 0 0 0 5913559 5214611 0 0 4349886 6655576 38551196 38957249 X -4566126 -4566126 0 0 -4566126 -4566126 33985070 34391123 X -60577147 60577147 X false true true false X X 5 WATAUGA MEDICAL CENTER INC 560510824 3 true 44235803 0 CHARLES A CANNON JR MEMORIAL HOSPITAL INC 560529974 3 true 5736292 0 APPALACHIAN REGIONAL HEALTHCARE FOUNDATION INC 204625618 7 false 0 0 APPALACHIAN REGIONAL BEHAVIORAL HEALTH INC 851313265 3 false 1386300 0 APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC 205755130 9 false 9218751 0 5 60577146 0 false false false false false false false false false false false false false false false true Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name APPALACHIAN REGIONAL HEALTHCARE SYSTEM IS THE CORPORATE ENTITY THAT CONSISTS OF WATAUGA MEDICAL CENTER, INC., CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC., APPALACHIAN REGIONAL HEALTHCARE FOUNDATION, INC., AND APPALACHIAN REGIONAL BEHAVIORAL HEALTH, INC. WHILE NOT SPECIFICALLY MENTIONED IN THE BYLAWS, APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC., APPALACHIAN REGIONAL HEALTHCARE FOUNDATION, INC. AND APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE, INC. ARE MANAGED BY APPALACHIAN REGIONAL HEALTHCARE SYSTEM, INC. APPALACHIAN REGIONAL HEALTHCARE SYSTEM, INC. PAYS ALL PAYROLL AND VENDOR PAYMENTS AND SHARES OVERLAPPING BOARD MEMBERS AND DAY-TO-DAY MANAGEMENT WITH APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC., APPALACHIAN REGIONAL HEALTHCARE FOUNDATION, INC. AND APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE, INC. THESE ENTITIES ARE DESIGNATED FOR THE PURPOSE OF VARIOUS PROVIDER CLINICS THAT BRING BUSINESS TO OUR HOSPITALS, FOUNDATION THAT RAISES MONEY TO SUPPORT THE MISSION OF APPALACHIAN REGIONAL HEALTHCARE SYSTEM, AND OUR BEHAVIORAL HEALTH HOSPITAL (APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE, INC.). APPALACHIAN REGIONAL HEALTHCARE SYSTEM WAS ESTABLISHED IN 2004 TO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES TO OUR AREA AND EACH OF THESE ENTITIES IS UTILIZED FOR THAT REASON. 9125815 9125815 0 0 0 0 0 0 29279817 28454466 825351 381705 0 381705 10332871 Federal Income Taxes DUE TO RELATED PARTIES 6156590 OTHER LIABILITIES 498986 6655576 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. X true true X X X X X false true false false false false false false false Paul Dagher MD Trustee/Physician 629467 0 0 0 1807 0 10350 0 11754 0 653378 0 0 0 Charles Mantooth CEO (thru 12/31/2024) 596911 0 93487 0 461180 0 21850 0 7389 0 1180817 0 0 0 David Nathan Nipper CEO 374233 0 47316 0 26663 0 10350 0 13806 0 472368 0 0 0 Rick Cassady CFO 319790 0 67141 0 61000 0 0 0 40201 0 488132 0 0 0 Stephanie Greer President, Avery Market 180869 0 23388 0 17017 0 11570 0 9700 0 242544 0 0 0 Robert Hudspeth SVP Development 253732 0 30123 0 80769 0 15767 0 7041 0 387432 0 0 0 Lisa Kaufmann Chief Medical Officer 416337 0 51491 0 28960 0 41785 0 7066 0 545639 0 0 0 Deanna Mool Chief Legal Officer 328200 0 39904 0 48743 0 21850 0 0 0 438697 0 0 0 Gregory Miller Chief Nursing Officer 215763 0 26944 0 10756 0 13298 0 7118 0 273879 0 0 0 Sally Amanda Williams Chief Ambulatory Officer 204326 0 25200 0 167 0 12306 0 7318 0 249317 0 0 0 Alysia Price Chief Human Resource Officer 198101 0 26460 0 172 0 12496 0 14006 0 251235 0 0 0 Steven Anderson MD Physician 2083786 0 0 0 3193407 0 33350 0 13216 0 5323759 0 0 0 Benjamin Parker MD Physician 1590677 0 0 0 864 0 10350 0 22859 0 1624750 0 0 0 Anna Sobol Physician (thru 12/31/2024) 661504 0 0 0 770 0 10350 0 18518 0 691142 0 0 0 Cynthia Ballenger Physician (thru 12/31/2024) 665148 0 0 0 2654 0 10350 0 0 0 678152 0 0 0 KHURRAM B Tariq Oncology Physician 631759 0 0 0 374 0 10350 0 0 0 642483 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees ANY PERSONAL USE OF THE CORPORATE GOLF MEMBERSHIP IS REIMBURSED TO THE ORGANIZATION AND ADDED TO THE INDIVIDUAL'S W-2 COMPENSATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan SEVERANCE NONQUALIFIED EQUITY-BASED STEVEN ANDERSON, MD $0 $22,500 $0 CHARLES MANTOOTH $0 $11,500 $0 DAVID NATHAN NIPPER $0 $2,675 $0 DEANNA MOOL $0 $11,500 $0 GREG MILLER $0 $6,065 $0 LISA KAUFMANN $0 $11,500 $0 ROB HUDSPETH $0 $7,076 $0 STEPHANIE GREER $0 $5,300 $0 SALLY WILLIAMS $0 $5,539 $0 ALYSIA PRICE $0 $5,542 $0 Schedule J, Part III OTHER ADDITIONAL INFORMATION BONUS PAYMENTS BONUSES MAY BE GRANTED AT THE DISCRETION OF THE BOARD AND ARE BASED ON FACTORS SUCH AS PERFORMANCE AND MEETING GOALS AND OBJECTIVES. 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. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER MISCELLANEOUS - Total Revenue: 93108, Related or Exempt Function Revenue: 93108, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees COLLECTION FEES - Total Expense: 3742927, Program Service Expense: 2473383, Management and General Expenses: 1269544, Fundraising Expenses: 0; OUTSIDE SERVICES - Total Expense: 2602134, Program Service Expense: 1719490, Management and General Expenses: 882644, Fundraising Expenses: 0; CONSULTING FEES - Total Expense: 88981, Program Service Expense: 58799, Management and General Expenses: 30182, Fundraising Expenses: 0; CONTRACT LABOR - Total Expense: 123977, Program Service Expense: 81924, Management and General Expenses: 42053, Fundraising Expenses: 0; PROFESSIONAL SERVICES - Total Expense: 46394, Program Service Expense: 30659, Management and General Expenses: 15735, Fundraising Expenses: 0; FREIGHT IN - Total Expense: 5218, Program Service Expense: 3449, Management and General Expenses: 1769, Fundraising Expenses: 0; MAINTENANCE SERVICES - Total Expense: 21525, Program Service Expense: 14222, Management and General Expenses: 7303, Fundraising Expenses: 0; PHYSICIAN FEES - Total Expense: 4011, Program Service Expense: 2651, Management and General Expenses: 1360, Fundraising Expenses: 0; MEDICAL WASTE DISPOSAL - Total Expense: 1190, Program Service Expense: 789, Management and General Expenses: 401, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CORPORATE ALLOCATIONS - 60577147; Total - 60577147; WATAUGA MEDICAL CENTER INC 336 DEERFIELD RD BOONE NC 28607 560510824 HOSPITAL NC 501(c)(3) 3 ARHS true APPALACHIAN REGIONAL HEALTHCARE FOUNDATION INC 336 DEERFIELD ROAD BOONE NC 28607 204625618 FOUNDATION NC 501(c)(3) 7 ARHS true CHARLES A CANNON JR MEMORIAL HOSPITAL INC 434 HOSPITAL DRIVE LINVILLE NC 28646 560529974 HOSPITAL NC 501(c)(3) 3 ARHS true ARHS PROPERTIES INC 336 DEERFIELD ROAD BOONE NC 28607 203470765 Property Acquisition/Property Holdings NC 501(c)(3) Type II ARHS true APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC P O BOX 2600 BOONE NC 28607 205755130 PHYS PRAC NC 501(c)(3) 10 ARHS true APPALACHIAN REGIONAL BEHAVIORAL HEALTH INC 432 HOSPITAL DRIVE LINVILLE NC 28646 851313265 HOSPITAL NC 501(c)(3) 3 ARHS true SLOOP MEDICAL OFFICE PLAZA CONDO AS 434 HOSPITAL DR LINVILLE NC 28646 593761777 RENTAL NC ARHS C Corporation false false false false true true false false false false true false true true true true false true true true Appalachian Regional Healthcare Foundation S 114628 General Ledger Appalachian Regional Medical Associates D 20075254 General Ledger Charles A Cannon Jr Memorial Hospital S 10684415 general ledger Appalachian Regional Behavioral Health D 10807355 general ledger Watauga Medical Center E 49869460 general ledger