Civic Intelligence

Appalachian Regional Behavioral Healthcare Inc.

990 • Fiscal year 2024 • EIN 85-1313265

Jul 01, 2023 to Jun 30, 2024 • Filed on Sep 23, 2025

Organization Profilewww.unchealthappalachian.org
432 Hospital DriveLinville, NC 28646

(828) 737-7071

Siviq Scores

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

Liabilities / Assets

100th percentile

3.46x

Higher debt load relative to assets than 100% of similar nonprofits.

2024 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

90th percentile

1.69x

Higher debt load relative to revenue than 90% of similar nonprofits.

2024 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

71st percentile

17%

Higher net margin than 71% of similar nonprofits.

2024 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

96th percentile

$658,292

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 8.1% of source-year revenue.

2024 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2024

Asset Growth

95th percentile

83%

Faster asset growth than 95% of similar nonprofits.

2024 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

96th percentile

200%

Faster revenue growth than 96% of similar nonprofits.

2024 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets100th percentile

Assets

Up

$3,991,708

Up $1,810,232 (+83%) from 2023

Net Assets

Up

-$9,800,547

Up $1,408,398 (+13%) from 2023

Liabilities

Up

$13,792,255

Up $401,834 (+3.0%) from 2023

Revenue And Expenses
Liabilities / Revenue90th percentileNet Margin71st percentile

Revenue

Up

$8,138,891

Up $5,427,061 (+200%) from 2023

Expenses

Down

$6,730,493

Down $1,726,283 (-20%) from 2023

Net Income

Up

$1,408,398

Up $7,153,344 (+125%) from 2023

Historical Trend

Balance Sheet Trend

Asset Growth95th percentile

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

2024

Assets$3,991,708
Liabilities$13,792,255
Net Assets-$9,800,547
Open 2024 Filing

Operations Trend

Revenue Growth96th percentile

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

2024

Revenue$8,138,891
Expenses$6,730,493
Net Income$1,408,398
Open 2024 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Sep 23, 2025
Return Version
2023v6.0
Gross Receipts
$8,138,891
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
Savings and Temporary Cash Investments$0$2,742,845▲ $2,742,845
Accounts Receivable$1,952,115$1,197,936▼ $754,179
Cash and Non-Interest-Bearing Accounts$122,555$0▼ $122,555
Inventories for Sale or Use$21,250$39,303▲ $18,053
Other Notes and Loans Receivable, Net$85,556$11,624▼ $73,932
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$2,181,476$3,991,708▲ $1,810,232
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$13,344,739$13,741,831▲ $397,092
Accounts Payable and Accrued Expenses$45,682$50,424▲ $4,742
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$13,390,421$13,792,255▲ $401,834
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-11,208,945$-9,800,547▲ $1,408,398
Total Net Assets Fund Balance$-11,208,945$-9,800,547▲ $1,408,398
Total Liabilities and Net Assets / Fund Balance$2,181,476$3,991,708▲ $1,810,232
Compensation and Service Providers
Top Officer Pay96th percentile

Employees

NameTitleBaseTotal
Charles Baker MdBoard Member$32,555$32,555

Board Members and Trustees

NameTitle
Jim DealChair
Stephanie GreerPresident, Avery Hc Market
Tom DaleVice Chair
Brett LoftisBoard Member
Cathy WilliamsonBoard Member
Jan WinklerBoard Member
John BlackburnBoard Member
Jonathan AllenBoard Member
Lisa CooperBoard Member
Mark RicksBoard Member
Mary Louise RobertsBoard Member
Meagan PhillipsBoard Member
Sam AdamsBoard Member
Kent TarbuttonBoard Member (thru 09/2023)
Paul Dagher MdBoard Member/physician
Charles MantoothCEO
Rick CassadyCFO
David Nathan NipperCOO
Ray RussellCounty Commissioner Rep.
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$8,135,390
Investment Income
$3,349
Other Revenue
$152
Change in Net Assets
$1,408,398
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$4,962,812
Other Expenses$1,767,681
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,044,459--$4,044,459
Other Employee Benefits$663,411--$663,411
Fees for Services Other$619,091$0$0$619,091
Payroll Taxes$254,942--$254,942
Office Expenses$71,405$340-$71,745
Other Expenses$6,833$890,622-$6,833
All Other Expenses$2,483$12-$2,495
Occupancy$2,240--$2,240
Conferences and Meetings$200--$200
Travel$147--$147
Total Functional Expenses$5,839,519$890,974$0$6,730,493
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$13,681,875
Other Liabilities$59,956
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
No
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
No

Governance Explanations

Form 990, Part VI, Line 6 - Classes of Members or Stockholders

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

Form 990, Part VI, Line 7A - Election of Members and Their Rights

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

Form 990, Part VI, Line 7B - Decisions Subject to Approval of Members

“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, 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 19 - Governing Documents Disclosure Explanation

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

Filing and Contact Details

Filer

Filer Name
Appalachian Regional Behavioral Health Inc
EIN
85-1313265
In Care Of
% RICK CASSADY
Phone
8287377071
Address
432 HOSPITAL DRIVE, LINVILLE, NC 28646
Doing Business As
Dorothea Dix Behavioral Health

Signing Officer

Name
Rick Cassady
Title
CFO
Phone
8287377071
Signed
2025-09-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David Nathan Nipper
Formed
2018
Legal Domicile
Nc
Voting Board Members
15
Independent Board Members
13
Employees
0
Volunteers
13

Preparer

Firm
Bdo USA
Address
421 Fayetteville Street Suite 300, Raleigh, NC 27601
Preparer
Sandra L Feinsmith
Phone
9192781936
Supplemental Narrative

Financial Statement Notes

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.”

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IRS990/Form990PartVIISectionAGrp/TitleTxt6CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt7VICE CHAIR
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IRS990/Form990PartVIISectionAGrp/TitleTxt10BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/TitleTxt12BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/TitleTxt15BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt16COUNTY COMMISSIONER REP.
IRS990/Form990PartVIISectionAGrp/TitleTxt17BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt18BOARD MEMBER (THRU 09/2023)
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IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0true
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO PROVIDE MENTAL HEALTH SERVICES ON AN INPATIENT AND OUTPATIENT BASIS TO THE COMMUNITY.
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Document Assets

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Filings

Displayed year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$3,991,708
Liabilities
$13,792,255
Net assets
-$9,800,547
Revenue
$8,138,891
Expenses
$6,730,493
Net income
$1,408,398
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
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.01$8.47$5.46$3.29$8.73$5.44