Civic Intelligence

Appalachian Regional Medical Associates Inc

EIN 20-5755130 • 501(c)3 • Boone, NC

Profile

To promote community health through the provision of health care services to the citizens and residents of watauga and avery counties, nc, and surrounding counties.

P O Box 2600Boone, NC 28607-2600

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

98th percentile

3.97x

Higher debt load relative to assets than 98% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

92nd percentile

2.94x

Higher debt load relative to revenue than 92% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2024

Net Margin

4th percentile

-71%

Higher net margin than 4% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

58th percentile

$658,292

Higher top officer pay than 58% of similar nonprofits.

Top officer pay equals 2.2% of source-year revenue.

NTEE E • $25M-$50M nonprofits • Source year 2024

Asset Growth

96th percentile

74%

Faster asset growth than 96% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

81st percentile

37%

Faster revenue growth than 81% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$22,577,779

Up $9,592,131 (+74%) from 2023

Liabilities

Up

$89,571,811

Up $31,212,079 (+53%) from 2023

Net Assets

Down

-$66,994,032

Down $21,619,948 (-48%) from 2023

Revenue

Up

$30,415,124

Up $8,278,584 (+37%) from 2023

Expenses

Up

$52,035,072

Up $14,293,767 (+38%) from 2023

Net Income

Down

-$21,619,948

Down $6,015,183 (-39%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0-$50M-$100MAssets 2010: $1,819,214Liabilities 2010: $1,028,770Net Assets 2010: $790,4442010Assets 2011: $2,323,858Liabilities 2011: $776,487Net Assets 2011: $1,547,3712011Assets 2012: $2,902,956Liabilities 2012: $790,843Net Assets 2012: $2,112,1132012Assets 2013: $4,459,843Liabilities 2013: $620,082Net Assets 2013: $3,839,7612013Assets 2014: $4,701,175Liabilities 2014: $847,173Net Assets 2014: $3,854,0022014Assets 2015: $3,277,769Liabilities 2015: $970,919Net Assets 2015: $2,306,8502015Assets 2016: $4,299,292Liabilities 2016: $562,040Net Assets 2016: $3,737,2522016Assets 2017: $4,418,912Liabilities 2017: $733,110Net Assets 2017: $3,685,8022017Assets 2018: $6,593,498Liabilities 2018: $1,415,836Net Assets 2018: $5,177,6622018Assets 2019: $8,942,583Liabilities 2019: $2,728,526Net Assets 2019: $6,214,0572019Assets 2020: $6,775,111Liabilities 2020: $5,151,210Net Assets 2020: $1,623,9012020Assets 2021: $6,464,399Liabilities 2021: $20,315,290Net Assets 2021: -$13,850,8912021Assets 2022: $13,449,032Liabilities 2022: $43,218,351Net Assets 2022: -$29,769,3192022Assets 2023: $12,985,648Liabilities 2023: $58,359,732Net Assets 2023: -$45,374,0842023Assets 2024: $22,577,779Liabilities 2024: $89,571,811Net Assets 2024: -$66,994,0322024

Highlighted filing

2024

Assets$22,577,779
Liabilities$89,571,811
Net Assets-$66,994,032

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20M-$40MExpenses 2010: $9,387,4312010Expenses 2011: $10,455,8992011Expenses 2012: $13,340,5932012Expenses 2013: $13,903,2262013Revenue 2014: $11,159,673Expenses 2014: $15,137,494Net Income 2014: -$3,977,8212014Revenue 2015: $11,721,542Expenses 2015: $16,960,867Net Income 2015: -$5,239,3252015Revenue 2016: $14,325,719Expenses 2016: $21,163,969Net Income 2016: -$6,838,2502016Revenue 2017: $16,301,000Expenses 2017: $23,677,159Net Income 2017: -$7,376,1592017Revenue 2018: $22,460,872Expenses 2018: $31,347,611Net Income 2018: -$8,886,7392018Revenue 2019: $25,435,020Expenses 2019: $38,559,977Net Income 2019: -$13,124,9572019Revenue 2020: $26,482,486Expenses 2020: $41,978,658Net Income 2020: -$15,496,1722020Revenue 2021: $27,609,573Expenses 2021: $43,015,449Net Income 2021: -$15,405,8762021Revenue 2022: $31,162,009Expenses 2022: $46,886,129Net Income 2022: -$15,724,1202022Revenue 2023: $22,136,540Expenses 2023: $37,741,305Net Income 2023: -$15,604,7652023Revenue 2024: $30,415,124Expenses 2024: $52,035,072Net Income 2024: -$21,619,9482024

Highlighted filing

2024

Revenue$30,415,124
Expenses$52,035,072
Net Income-$21,619,948

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$22.6$89.6$67.0$30.4$52.0$21.6
2023Summary only. Only limited summary data is available for this year.$13.0$58.4$45.4$22.1$37.7$15.6
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.4$43.2$29.8$31.2$46.9$15.7
2021Summary only. Only limited summary data is available for this year.$6.46$20.3$13.9$27.6$43.0$15.4
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.78$5.15$1.62$26.5$42.0$15.5
2019Summary only. Only limited summary data is available for this year.$8.94$2.73$6.21$25.4$38.6$13.1
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.59$1.42$5.18$22.5$31.3$8.89
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.42$0.73$3.69$16.3$23.7$7.38
2016Summary only. Only limited summary data is available for this year.$4.30$0.56$3.74$14.3$21.2$6.84
2015Detailed filing. Detailed filing data is available for this year.$3.28$0.97$2.31$11.7$17.0$5.24
2014Detailed filing. Detailed filing data is available for this year.$4.70$0.85$3.85$11.2$15.1$3.98
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.46$0.62$3.84$13.9
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.90$0.79$2.11$13.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.32$0.78$1.55$10.5
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.82$1.03$0.79$9.39
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Oct 1, 2021 to Sep 30, 2022
Signed
Jul 29, 2023
Return Version
2021v4.0
Gross Receipts
$31,162,009
Mission and Program Overview

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.

Appalachian regional medical associates (arma) is a hospital-owned practice management company.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,865,440$9,183,977▲ $7,318,537
Accounts Receivable$3,389,048$2,839,377▼ $549,671
Savings and Temporary Cash Investments$441,104$621,050▲ $179,946
Inventories for Sale or Use$377,686$469,785▲ $92,099
Prepaid Expenses and Deferred Charges$159,517$194,884▲ $35,367
Other Notes and Loans Receivable, Net$192,535$133,674▼ $58,861
Cash and Non-Interest-Bearing Accounts$4,560$4,835▲ $275
Total Assets$6,464,399$13,449,032▲ $6,984,633
Other Assets Total$34,509$1,450▼ $33,059
Liabilities
Other Liabilities$17,446,496$32,592,979▲ $15,146,483
Mortgage Notes Payable Secured by Investment Property-$6,736,553-
Accounts Payable and Accrued Expenses$2,868,794$3,888,819▲ $1,020,025
Total Liabilities$20,315,290$43,218,351▲ $22,903,061
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-13,850,891$-29,769,319▼ $15,918,428
Total Net Assets Fund Balance$-13,850,891$-29,769,319▼ $15,918,428
Total Liabilities and Net Assets / Fund Balance$6,464,399$13,449,032▲ $6,984,633

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$8,244,396$4,351,153$12,595,549
Leasehold Improvements$906,170$1,814,120$2,720,290
Other Land Buildings$33,411-$33,411
Compensation and Service Providers

Employees

NameTitleOtherTotal
Danielle Mahaffey MdDirector/phy$489,879$489,879
Matt ThomasCFO (left 10$361,866$361,866
Carmen LaceyDirector (left 1$199,953$199,953

Board Members and Trustees

NameTitle
Charles MantoothCEO/chair
Cecilia Grasinger MdDirector
Sam AdamsDirector
Stephanie GreerDirector
Tom DaleDirector
Carmen LaceyDirector (left 12/21)
Danielle Mahaffey MdDirector/physician
Rick CassadyCFO
Matt ThomasCFO (left 10/22)
Kim MillerDirect. (lef
Revenue and Support

Revenue Composition

Contributions and Grants
$1,371,719
Program Service Revenue
$29,041,056
Investment Income
$12,463
Other Revenue
$736,771
All Other Contributions
$1,371,719
Change in Net Assets
$-15,724,120
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$31,019,095
Other Expenses$15,867,034
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$23,448,524$2,609,509-$26,058,033
Other Employee Benefits$2,628,335$292,037-$2,920,372
Fees for Services Other$2,490,413--$2,490,413
Office Expenses$1,857,303$607,419-$2,464,722
Depreciation Depletion$1,633,030--$1,633,030
Payroll Taxes$1,156,065$128,452-$1,284,517
Pension Plan Contributions$680,556$75,617-$756,173
Insurance$364,174$40,015-$404,189
Occupancy$230,292$57,573-$287,865
Interest$263,838--$263,838
Conferences and Meetings$127,726$31,931-$159,657
Advertising$137,919--$137,919
Information Technology$54,705$13,676-$68,381
Fees for Services Legal-$65,312-$65,312
All Other Expenses$46,707$4,061-$50,768
Other Expenses$33,745$129,561-$33,745
Travel$16,981--$16,981
Total Functional Expenses$42,830,966$4,055,163$0$46,886,129
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Parties$32,592,979
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

The parent company, appalachian regional healthcare system (arhs) oversees arma operations. Salaries and other common expenses incurred by arhs are allocated appropriately to arma. Payments to vendors are paid through arhs and all 1099's are issued through arhs.

Form 990, Page 6, Part VI, Line 6

The sole member is appalachian regional healthcare system.

Form 990, Page 6, Part VI, Line 7A

The sole member arhs has the power to elect directors.

Form 990, Page 6, Part VI, Line 7B

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, Page 6, Part VI, Line 11B

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, Page 6, Part VI, Line 12C

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, Page 6, Part VI, Line 15A

Integrated healthcare strategies (ihs) conducted an independent compensation and benefit analysis for the ceo and entire senior executive team in january 2018. 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 his and sullivan cotter.)

Form 990, Page 6, Part VI, Line 19

The entity makes its form 990 available for public inspection upon request.

Filing and Contact Details

Filer

Filer Name
Appalachian Regional Medical
EIN
20-5755130
Phone
8282624100
Address
P O BOX 2600, BOONE, NC 28607-2600

Signing Officer

Name
Rick Cassady
Title
CFO
Phone
8282624100
Signed
2023-07-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Charles Mantooth
Formed
2006
Legal Domicile
Nc
Voting Board Members
7
Independent Board Members
2
Employees
0

Preparer

Firm
Draffin & Tucker Llp
Address
PO BOX 71309, ALBANY, GA 31708-1309
Preparer
William Edward Phillips
Phone
2298837878
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

In june 2017, the gasb issued statement no. 87, leases (gasb 87). Gasb 87 establishes standards of accounting and financial reporting by lessees and lessors and establishes a single model for lease accounting based on the foundational principle that leases are financings of the right to use an underlying asset. Gasb 87 will require a lessee to recognize a lease liability and an intangible right-to-use lease asset at the commencement of the lease term, with certain exceptions, and will require a lessor to recognize a lease receivable and a deferred inflow of resources at the commencement of the lease term, with certain exceptions. The system adopted gasb 87 on october 1, 2021 and retroactively implemented the statement effective october 1, 2020. This adoption of this statement resulted in an change to opening equity of (194,308).

Financial Statement Notes

Schedule D, Page 3, Part X

Arhs and the companies for which it services as sole member 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 september 30, 2022.

Raw XML AppendixShowing 400 of 622 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/DepreciationDepletionGrp/ProgramServicesAmt01633030
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IRS990/Form990PartVIISectionAGrp/PersonNm4CARMEN LACEY
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ARHS AND THE COMPANIES FOR WHICH IT SERVICES AS SOLE MEMBER 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 SEPTEMBER 30, 2022.
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