Civic Intelligence

Appalachian Regional Behavioral Healthcare Inc.

990 • Fiscal year 2022 • EIN 85-1313265

Oct 01, 2021 to Sep 30, 2022 • Filed on Jul 29, 2023

Organization ProfileAPPRHS.ORG
432 Hospital DriveLinville, NC 28646

(828) 262-4119

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

99th percentile

2.81x

Higher debt load relative to assets than 99% of similar nonprofits.

2022 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2022

Liabilities / Revenue

93rd percentile

2.57x

Higher debt load relative to revenue than 93% of similar nonprofits.

2022 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2022

Net Margin

2nd percentile

-165%

Higher net margin than 2% of similar nonprofits.

2022 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2022

Top Officer Pay

99th percentile

$721,844

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 21.9% of source-year revenue.

2022 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2022

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2022

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2022

Balance Sheet
Liabilities / Assets99th percentile

Assets

$3,010,805

No earlier filing loaded for comparison.

Net Assets

-$5,463,615

No earlier filing loaded for comparison.

Liabilities

$8,474,420

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / Revenue93rd percentileNet Margin2nd percentile

Revenue

$3,291,606

No earlier filing loaded for comparison.

Expenses

$8,726,645

No earlier filing loaded for comparison.

Net Income

-$5,435,039

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$20M$10M$0-$10M-$20MAssets 2022: $3,010,805Liabilities 2022: $8,474,420Net Assets 2022: -$5,463,6152022Assets 2023: $2,181,476Liabilities 2023: $13,390,421Net Assets 2023: -$11,208,9452023Assets 2024: $3,991,708Liabilities 2024: $13,792,255Net Assets 2024: -$9,800,5472024

Highlighted filing

2022

Assets$3,010,805
Liabilities$8,474,420
Net Assets-$5,463,615
Open 2022 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10M$5.0M$0-$5.0M-$10MRevenue 2022: $3,291,606Expenses 2022: $8,726,645Net Income 2022: -$5,435,0392022Revenue 2023: $2,711,830Expenses 2023: $8,456,776Net Income 2023: -$5,744,9462023Revenue 2024: $8,138,891Expenses 2024: $6,730,493Net Income 2024: $1,408,3982024

Highlighted filing

2022

Revenue$3,291,606
Expenses$8,726,645
Net Income-$5,435,039
Open 2022 Filing
Jump To
Filing Snapshot
Filing Period
Oct 1, 2021 to Sep 30, 2022
Signed
Jul 29, 2023
Return Version
2021v4.0
Gross Receipts
$3,291,606
Mission and Program Overview

Mission

To provide mental health services on an inpatient and outpatient basis to the community.

To provide mental health inpatient and outpatient services without regard to a patient's ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable-$1,775,953-
Cash and Non-Interest-Bearing Accounts-$1,212,613-
Other Notes and Loans Receivable, Net$30,000--
Inventories for Sale or Use-$22,239-
Total Assets$30,000$3,010,805▲ $2,980,805
Liabilities
Other Liabilities$58,072$8,369,954▲ $8,311,882
Accounts Payable and Accrued Expenses$504$104,466▲ $103,962
Total Liabilities$58,576$8,474,420▲ $8,415,844
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-28,576$-5,463,615▼ $5,435,039
Total Net Assets Fund Balance$-28,576$-5,463,615▼ $5,435,039
Total Liabilities and Net Assets / Fund Balance$30,000$3,010,805▲ $2,980,805
Compensation and Service Providers
Top Officer Pay99th percentile

Employees

NameTitleOtherTotal
Paul Dagher MdBd Mbr/physi$605,910$605,910

Board Members and Trustees

NameTitle
Tom DaleChair
Jim DealVice Chair
Billy KennedyBoard Member
Brett LoftisBoard Member
Charles Baker MdBoard Member
Jan WinklerBoard Member
John BlackburnBoard Member
Kenneth WilcoxBoard Member
Kent TarbuttonBoard Member
Lisa CooperBoard Member
Mark RicksBoard Member
Mary Louise RobertsBoard Member
Megan PhillipsBoard Member
Sam AdamsBoard Member
Paul Dagher MdBd Mbr/physician
Pattie TennilleBd Mem (left
Kim MillerBd Mem. (lef
Charles MantoothCEO
Rick CassadyCFO
Matt ThomasCFO (left 10
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,987,598
Investment Income
$385
Other Revenue
$303,623
Change in Net Assets
$-5,435,039
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$5,440,185
Salaries, Compensation, and Employee Benefits$3,286,460
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$4,396,297--$4,396,297
Other Salaries and Wages$3,093,222--$3,093,222
Occupancy$647,586--$647,586
Office Expenses$209,486$2,417-$211,903
Payroll Taxes$193,238--$193,238
Other Expenses$15,065$5,000-$15,065
Conferences and Meetings$5,817--$5,817
Fees for Services Legal-$5,551-$5,551
Information Technology$4,711--$4,711
All Other Expenses$303--$303
Total Functional Expenses$8,713,677$12,968$0$8,726,645
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 Affiliates$8,369,954
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
No
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

“The parent company and sole member, appalachian regional healthcare system (arhs) oversees the organization's operations. Also salaries and other common expenses incurred by arhs are allocated appropriately to the filing organization. All payroll returns, including w-2s, are issued by arhs. Payments to vendors are made through arhs and all 1099s are issued by arhs.”

Form 990, Page 6, Part VI, Line 6

“The sole member is appalachian regional healthcare system, inc.”

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

“The trustees of the sole member shall also serve as the trustees of the filing organization.”

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 19

“Governing documents, conflict of interest policy and financial statements are provided upon request.”

Filing and Contact Details

Filer

Filer Name
Appalachian Regional Behavioral
EIN
85-1313265
Address
432 HOSPITAL DRIVE, LINVILLE, NC 28646
Doing Business As
Dorothea Dix Behavioral Health

Signing Officer

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

Organization Details

Principal Officer
Charles Mantooth
Formed
2018
Legal Domicile
Nc
Voting Board Members
15
Independent Board Members
12
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 IX, Line 11G

“Contract labor 1,569,191 0 0 physician fees 926,194 0 0 purchased services 68,291 0 0 outside services - other 1,832,621 0 0 total 4,396,297 0 0”

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.”

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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.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
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Document Assets

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Filings

Displayed year

2022 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$3,010,805
Liabilities
$8,474,420
Net assets
-$5,463,615
Revenue
$3,291,606
Expenses
$8,726,645
Net income
-$5,435,039
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.99$13.8$9.80$8.14$6.73$1.41
2023Summary only. Only limited summary data is available for this year.$2.18$13.4$11.2$2.71$8.46$5.74
2022Detailed filing. Detailed filing data is available for this year.$3.01$8.47$5.46$3.29$8.73$5.44