UNC Health Appalachian
Legal name: Appalachian Regional Healthcare System Inc
Nonprofit profile at a glance
- EIN
- 201067022
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Boone, NC, US
- Phone
- 828-262-4100
- Rating
- 78
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Single Organization Support
Reported finances
- Revenue
- $1,126,577
- Expenses
- $61,703,724
- Assets
- $34,391,123
- Liabilities
- $38,957,249
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
30 people listed
Executive titles in this filing
- Charles Mantooth (CEO (thru 12/31/2024))
- David Nathan Nipper (CEO)
- Stephanie Greer (President, Avery Market)
Highest reported compensation
- Steven Anderson MD (Physician): $5,323,759 total reported compensation
- Benjamin Parker MD (Physician): $1,624,750 total reported compensation
- Charles Mantooth (CEO (thru 12/31/2024)): $1,180,817 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Providing medical treatment is only part of our mission. We’re committed to bringing you the complete spectrum of healthcare – preventing illness, educating the healthcare professionals of tomorrow, researching new ways to fight disease and working in our community to build a healthier High Country.
What it reported doing in 2024
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.
Operating model
- Revenue model
- Other-operating. 89% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - The filed numbers largely add up and a large share of available resources goes toward mission work. A relatively small share of total spending goes to programs and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 70
- Transparency & Controls: 94
- Accountability: 91
- Sustainability: 10
- Growth: 60
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 44.4%; rating input score 44
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 93.3%; rating input score 93; 25th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -5,377.1%; rating input score 0; 0th percentile among comparable filings
- Total-asset coverage ratio: 0.56; rating input score 26; 26th percentile among comparable filings
- Liabilities to assets ratio: 1.13; rating input score 5; 5th percentile among comparable filings
- Officer compensation ratio: 22.9%; rating input score 12; 12th percentile among comparable filings
Growth
- Program expense growth: 5.5% per year; rating input score 100; 45th percentile among comparable filings
- Revenue growth: -2.3% per year; rating input score 0; 8th percentile among comparable filings
- Asset growth: 5.7% per year; rating input score 100; 42nd percentile among comparable filings
Details
- What they do: 5 programs and campaigns described on the official site · 2 operating locations identified
- Where the money goes: 100% of revenue deployed · 44.4% of spending went to programs
- Governance: 14 of 15 board members independent · 8 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $27.4M in reported program spending
- Leadership: top reported pay $5.3M · 30 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $9.9M reported
- Consistency: 31 of 31 current checks pass
- Schedules: 5 filed schedules · includes executive pay and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 20 filed money-flow records
- Related organizations: 7 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- Moderate — Financial Efficiency: Program expense ratio scored 44/100.
- High — Sustainability: Operating margin scored 0/100.
- High — Growth: Revenue growth scored 0/100.
- High — Sustainability: Total-asset coverage ratio scored 26/100.
- Review — Accountability: Governance controls: Other executive compensation review process not reported.
- High — Sustainability: Liabilities to assets ratio scored 5/100.
- High — Sustainability: Officer compensation ratio scored 12/100.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.