UNC Health Appalachian

Legal name: Appalachian Regional Medical Associates Inc

Nonprofit profile at a glance

EIN
205755130
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Boone, NC, USA
Phone
828-262-4100
Rating
72
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Treatment Facilities, Primarily Outpatient

Official website

Reported finances

Revenue
$32,477,319
Expenses
$53,145,861
Assets
$10,365,180
Liabilities
$98,027,754

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

10 people listed

Executive titles in this filing

  • Charles Mantooth (CEO (thru 12/31/2024))
  • David Nathan Nipper (CEO/Chair)
  • Stephanie Greer (President, Avery Market)

Highest reported compensation

  • Charles Mantooth (CEO (thru 12/31/2024)): $1,180,817 total reported compensation
  • Paul Dagher MD (Trustee): $653,378 total reported compensation
  • Rick Cassady (CFO): $488,132 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 medical associates (arma) assists in providing access to healthcare services for the residents of watauga and avery counties in nc and surrounding counties. Arma provides primary care, along with a wide array of specialties to serve the needs of area residents. Specialties include cardiology, orthopaedics, ob/gyn, general surgery, urology, rheumatology, pulmonology, and family medicine. Arma also provides administrative services, electronic medical records systems, physician recruitment, and physician office management services.

Operating model

Revenue model
Other-operating. 100% 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 - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 86
  • Transparency & Controls: 64
  • Accountability: 66
  • Sustainability: 12
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 92%; rating input score 92
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 50%; rating input score 50; 8th 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: -63.6%; rating input score 1; 1st percentile among comparable filings
  • Total-asset coverage ratio: 0.2; rating input score 4; 4th percentile among comparable filings
  • Liabilities to assets ratio: 9.46; rating input score 0; 0th percentile among comparable filings
  • Officer compensation ratio: 0.3%; rating input score 91; 91st percentile among comparable filings

Growth

  • Program expense growth: 9.7% per year; rating input score 100; 69th percentile among comparable filings
  • Revenue growth: 9.6% per year; rating input score 100; 72nd percentile among comparable filings
  • Asset growth: 12.7% per year; rating input score 100; 75th percentile among comparable filings

Details

  • What they do: 3 operating locations identified
  • Where the money goes: 100% of revenue deployed · 92% of spending went to programs
  • Governance: 4 of 8 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $48.9M in reported program spending
  • Leadership: top reported pay $1.2M · 10 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 29 of 29 current checks pass
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: Resolved incoming and outgoing counterparties from filed money flows.
  • Related organizations: 6 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.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Independent voting board scored 50/100.
  • High — Sustainability: Operating margin scored 1/100.
  • High — Sustainability: Total-asset coverage ratio scored 4/100.
  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • High — Sustainability: Liabilities to assets ratio scored 0/100.