2025-09-24T07:18:44-04:00 2024-06-30 3617-EM-NC BDO USA 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2023-07-01 201067022 APPALACHIAN REGIONAL HEALTHCARE SYSTEM 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 1241276 false X https://www.unchealthappalachian.org/ X 2004 NC TO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES. 15 13 2015 13 0 0 161975 69013 37498796 0 -2571893 171 279762 1172092 35368640 1241276 0 0 0 0 10716607 29383115 0 0 0 24650804 38720024 35367411 68103139 1229 -66861863 28301550 33985070 32866356 38551196 -4564806 -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 32298767 1172092 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. 32298767 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 257 0 true 2015 true false false false false false false false false false false false false X 15 13 false false false false false false false true true false false false true true true true true true false false X RICK CASSADY 8282624119 336 DEERFIELD RD BOONE NC 28607 X STEVEN ANDERSON MD PHYSICIAN 40.0 0.0 X 1619766 0 70290 BENJAMIN PARKER MD PHYSICIAN 40.0 0.0 X 1461993 0 41082 KHURRAM TARIQ PHYSICIAN 40.0 0.0 X 702236 0 66067 DOUGLAS TRATE PHYSICIAN 40.0 0.0 X 646953 0 62163 GREGORY DIAMONTI PHYSICIAN 40.0 0.0 X 624668 0 44963 CHARLES MANTOOTH CHIEF EXECUTIVE OFFICER 40.0 5.0 X 614177 0 44115 PAUL DAGHER MD TRUSTEE/PHYSICIAN 1.0 41.0 X 525209 0 39479 LISA KAUFMANN CHIEF MEDICAL OFFICER 40.0 0.0 X 413348 0 22613 DAVID NATHAN NIPPER CHIEF OPERATING OFFICER 40.0 3.0 X 369846 0 36304 RICK CASSADY CHIEF FINANCIAL OFFICER 40.0 5.0 X 356379 0 44785 DEANNA MOOL CHIEF LEGAL OFFICER 40.0 0.0 X 307453 0 20436 ROB HUDSPETH SVP DEVELOPMENT 40.0 5.0 X 244423 0 7178 GREG MILLER CHIEF NURSING OFFICER 40.0 0.0 X 211724 0 27789 STEPHANIE GREER PRES AVERY MARKET 40.0 1.0 X 176414 0 25121 CHARLES BAKER MD TRUSTEE 1.0 4.0 X 0 32555 0 JIM DEAL CHAIR 1.0 4.0 X X 0 0 0 TOM DALE VICE CHAIR 1.0 4.0 X X 0 0 0 SAM ADAMS TRUSTEE 1.0 4.0 X 0 0 0 JONATHAN ALLEN TRUSTEE 1.0 4.0 X 0 0 0 JOHN BLACKBURN TRUSTEE 1.0 4.0 X 0 0 0 LISA COOPER TRUSTEE 1.0 4.0 X 0 0 0 RAY RUSSELL COUNTY COMMISSIONER REP. 1.0 4.0 X 0 0 0 BRETT LOFTIS TRUSTEE 1.0 3.0 X 0 0 0 MEAGAN PHILLIPS TRUSTEE 1.0 4.0 X 0 0 0 MARK RICKS TRUSTEE 1.0 4.0 X 0 0 0 MARY LOUISE ROBERTS TRUSTEE 1.0 4.0 X 0 0 0 CATHY WILLIAMSON TRUSTEE 1.0 4.0 X 0 0 0 JAN WINKLER TRUSTEE 1.0 4.0 X 0 0 0 KENT TARBUTTON TRUSTEE (THRU 09/2023) 1.0 4.0 X 0 0 0 8274589 32555 552385 168 false true false CARDIOSOLUTION PHYS CALIFORNIA 4675 CORNELL RD STE 100 CINCINNATI OH 45241 INTERVEN. CARDIOLOGY 1682071 MOUNTAIN AREA HEALTH EDUCATION CENT 121 HENDERSONVILLE RD ASHEVILLE NC 28803 RESIDENT PGM PTRS. 1262002 CHG MEDICAL STAFFING INC PO BOX 972670 DALLAS TX 753972670 Medical staffing 1250283 OBHG NORTH CAROLINA PC 777 LOWNDES HILL ROAD BUILDING 1 GREENVILLE SC 29607 OB HOSPITALIST SVCS 1124217 WAKE FOREST UNIVERSITY HEALTH SCIEN MEDICAL CENTER BLVD WINSTON SALEM NC 27157 ED COVERAGE 1026143 31 69013 69013 0 171 171 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 INCENTIVES 561000 590324 590324 OTHER MISCELLANEOUS 561000 419098 419098 DISCOUNTS & REBATES 561000 162670 162670 1172092 1241276 1172092 171 X 0 0 0 0 2865408 2865408 0 9677513 45120 9632393 2525153 5304 2519849 13472035 28983 13443052 843006 1770 841236 0 249513 249513 172833 172833 0 0 0 11152413 7369587 3782826 0 421456 362729 58727 0 21752104 21332916 419188 0 1032459 208763 823696 8703 8703 0 44228 21800 22428 173406 2463 170943 0 3044369 2428800 615569 3363 3363 LICENSES & TAXES 228199 222008 6191 DUES & SUBSCRIPTIONS 121229 80832 40397 MINOR EQUIPMENT 96070 32013 64057 MISCELLANEOUS 75195 11207 63988 144484 144472 12 68103139 32298767 35804372 0 20217 26781 1566112 3097776 0 0 0 0 0 0 0 0 0 0 0 0 483743 18584565 38436475 27596128 23727041 10840347 669718 279419 0 0 0 0 0 0 1834719 1156182 28301550 33985070 9281119 28287751 0 0 0 0 0 0 0 0 0 0 6580772 5913559 0 0 17004465 4349886 32866356 38551196 X -4564806 -4566126 0 0 -4564806 -4566126 28301550 33985070 X -66861863 66860543 X false true X true false X X 5 WATAUGA MEDICAL CENTER INC 560510824 3 true 49720302 0 CHARLES A CANNON JR MEMORIAL HOSPITAL INC 560529974 3 true 6228594 0 APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC 205755130 10 false 9029951 0 APPALACHIAN REGIONAL HEALTHCARE FOUNDATION INC 204625618 7 false 0 0 APPALACHIAN REGIONAL BEHAVIORAL HEALTH INC 851313265 3 false 1881696 0 5 66860543 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 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 29197663 27596128 1601535 112997 112997 10840347 0 DUE TO RELATED PARTIES 4055083 OTHER LIABILITIES 294803 4349886 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. X true true X X X X X false true false false false false false false false STEVEN ANDERSON MD PHYSICIAN 1618207 0 0 0 1559 0 41550 0 28740 0 1690056 0 0 0 BENJAMIN PARKER MD PHYSICIAN 1461168 0 0 0 825 0 19050 0 22032 0 1503075 0 0 0 KHURRAM TARIQ PHYSICIAN 701735 0 0 0 501 0 36074 0 29993 0 768303 0 0 0 DOUGLAS TRATE PHYSICIAN 643255 0 0 0 3698 0 31200 0 30963 0 709116 0 0 0 GREGORY DIAMONTI PHYSICIAN 624373 0 0 0 295 0 14600 0 30363 0 669631 0 0 0 CHARLES MANTOOTH CHIEF EXECUTIVE OFFICER 598227 0 0 0 15950 0 25233 0 18882 0 658292 0 0 0 PAUL DAGHER MD TRUSTEE/PHYSICIAN 523686 0 0 0 1523 0 13498 0 25981 0 564688 0 0 0 LISA KAUFMANN CHIEF MEDICAL OFFICER 404478 0 3505 0 5365 0 11342 0 11271 0 435961 0 0 0 DAVID NATHAN NIPPER CHIEF OPERATING OFFICER 369055 0 0 0 791 0 11250 0 25054 0 406150 0 0 0 RICK CASSADY CHIEF FINANCIAL OFFICER 341061 0 5000 0 10318 0 9900 0 34885 0 401164 0 0 0 DEANNA MOOL CHIEF LEGAL OFFICER 306190 0 0 0 1263 0 20436 0 0 0 327889 0 0 0 ROB HUDSPETH SVP DEVELOPMENT 226698 0 0 0 17725 0 7178 0 0 0 251601 0 0 0 GREG MILLER CHIEF NURSING OFFICER 211156 0 0 0 568 0 16542 0 11247 0 239513 0 0 0 STEPHANIE GREER PRES AVERY MARKET 176192 0 0 0 222 0 5386 0 19735 0 201535 0 0 0 SCHEDULE J, PART I, LINE 1A - REIMBURSEMENT OF BENEFITS: 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 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAY: SEVERANCE NONQUALIFIED EQUITY-BASED STEVEN ANDERSON, MD $0 $22,500 $0 KHURRAM TARIQ $0 $22,500 $0 CHARLES MANTOOTH $0 $11,250 $0 DAVID NATHAN NIPPER $0 $11,250 $0 DOUGLAS TRATE $0 $22,500 $0 DEANNA MOOL $0 $11,250 $0 GREG MILLER $0 $10,339 $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 - 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 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS: CORPORATE ALLOCATIONS - $66,860,543 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:4726669 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:3920501 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:2396488 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:81895 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:8294 FORM 990 PART IX LINE 11G DESCRIPTION:FREIGHT IN TOTAL FEES:7440 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE SERVICES TOTAL FEES:4138 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:3821 FORM 990 PART IX LINE 11G DESCRIPTION:CLAIM DEFENSE COSTS TOTAL FEES:3075 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL WASTE DISPOSAL TOTAL FEES:92 WATAUGA MEDICAL CENTER INC 336 DEERFIELD RD BOONE NC 28607 560510824 HOSPITAL NC 501(c)(3) 3 ARHS true APPALACHIAN REGIONAL HEALTHCARE FDN 336 DEERFIELD RD BOONE NC 28607 204625618 FOUNDATION NC 501(c)(3) 7 ARHS true CHARLES A CANNON JR MEMORIAL HOSP 434 HOSPITAL DR LINVILLE NC 28646 560529974 HOSPITAL NC 501(c)(3) 3 ARHS true ARHS PROPERTIES INC 336 DEERFIELD RD BOONE NC 28607 203470765 PROP ACQ NC 501(c)(3) 12B ARHS true APPALACHIAN REGIONAL MED ASSOC P O BOX 2600 BOONE NC 28607 205755130 PHYS PRAC NC 501(c)(3) 10 ARHS true APPALACHIAN REGIONAL BEHAVIORAL HLT 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 false false false false true true false false false false true false true true true true false true true false APPALACHIAN REGIONAL HEALTHCARE FDN S 98493 GENERAL LEDGER APPALACHIAN REGIONAL MEDICAL ASSOC D 8859665 GENERAL LEDGER CHARLES A CANNON JR MEMORIAL HOSP S 1414893 GENERAL LEDGER APPALACHIAN REGIONAL BEHAVIORAL HLT D 5894692 GENERAL LEDGER WATAUGA MEDICAL CTR E 20308022 GENERAL LEDGER