Appalachian Regional Healthcare Foundation
Appalachian Regional Healthcare Foundation consistently grows assets with low expenses relative to revenue.
EIN: 204625618 · Boone, NC · NTEE: T30 · Updated: 2026-03-28
Is Appalachian Regional Healthcare Foundation Legit?
Some Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
Appalachian Regional Healthcare Foundation directs 85% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About Appalachian Regional Healthcare Foundation
Appalachian Regional Healthcare Foundation (EIN: 204625618) is a nonprofit organization based in Boone, NC, classified under NTEE code T30. The organization reported total revenue of $7.0M and total assets of $33.5M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Appalachian Regional Healthcare Foundation's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Appalachian Regional Healthcare Foundation is a mid-size nonprofit that has been operating for 20 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 0.3%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $4.3M |
| Total Expenses | $634K |
| Surplus / Deficit | +$3.6M |
| Total Assets | $27.1M |
| Total Liabilities | $1.8M |
| Net Assets | $25.3M |
| Operating Margin | 85.1% |
| Debt-to-Asset Ratio | 6.8% |
| Months of Reserves | 512.7 months |
Financial Health Grade: A
In 2023, Appalachian Regional Healthcare Foundation reported a surplus of $3.6M with revenue exceeding expenses, holds 512.7 months of operating reserves (strong position), has a debt-to-asset ratio of 6.8% (very low leverage).
Financial Trends
Over 13 years of filings (2011–2023), Appalachian Regional Healthcare Foundation's revenue has grown at a compound annual growth rate (CAGR) of 0.3%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | -3.4% | -11.8% | +21.6% |
| 2022 | -29.1% | -10.5% | +10.0% |
| 2021 | +345.2% | +48.6% | +58.2% |
| 2020 | -73.9% | -80.5% | +10.2% |
| 2019 | +22.2% | +53.3% | +32.8% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1000 |
| IRS Ruling Date | 2006 |
Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.
AI Transparency Report
Mission Effectiveness Score
NonprofitSpending's AI analysis rates Appalachian Regional Healthcare Foundation with a Mission Score of 90 out of 100 (Excellent). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 10%
- programs: 85%
- fundraising: 5%
According to IRS 990 filings, Appalachian Regional Healthcare Foundation allocates its expenses as follows: admin: 10%, programs: 85%, fundraising: 5%. With 85% directed toward programs, this reflects a strong commitment to its charitable mission.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a surplus of $3.6M, with revenue exceeding expenses.
- Debt-to-asset ratio: 6.8%.
Executive Compensation Analysis
Executive compensation is reported as 0% across all available filings, which is unusual for an organization of this size with assets exceeding $27 million. This suggests that executive salaries may be covered by an affiliated entity or that leadership roles are entirely volunteer-based, requiring further clarification for complete financial transparency.
Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.
Red Flags
The following concerns were identified during AI analysis of Appalachian Regional Healthcare Foundation's IRS 990 filings:
- 0% officer compensation reported across all filings, which may obscure true leadership costs if paid by an affiliate.
Strengths
The following positive indicators were identified for Appalachian Regional Healthcare Foundation:
- Consistent and significant asset growth, indicating strong financial stewardship (e.g., $5.9M in 2014 to $27M in 2023).
- Very low expense-to-revenue ratio in recent years (e.g., 14.8% in 2023), suggesting high operational efficiency.
- Positive net income in most periods, allowing for reinvestment and mission expansion.
- Consistent IRS 990 filing history, demonstrating compliance and transparency.
- Healthy financial reserves with assets significantly exceeding liabilities (e.g., $27M assets vs. $1.8M liabilities in 2023).
Frequently Asked Questions about Appalachian Regional Healthcare Foundation
Is Appalachian Regional Healthcare Foundation a legitimate charity?
Based on AI analysis of IRS 990 filings, Appalachian Regional Healthcare Foundation (EIN: 204625618) some concerns. Mission Score: 90/100. 1 red flag identified, 5 strengths noted.
How does Appalachian Regional Healthcare Foundation spend its money?
Appalachian Regional Healthcare Foundation directs 85% of its spending to programs and services. The remaining budget covers administration and fundraising costs.
Are donations to Appalachian Regional Healthcare Foundation tax-deductible?
Appalachian Regional Healthcare Foundation is registered as a tax-exempt nonprofit (EIN: 204625618). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
How does Appalachian Regional Healthcare Foundation achieve 0% officer compensation?
The provided data consistently shows 0% officer compensation. This could mean that executive salaries are paid by an affiliated entity, or that the foundation's leadership is entirely volunteer. Further investigation into their operational structure and related party transactions would be necessary to understand this fully.
What is the specific breakdown of program, administrative, and fundraising expenses?
The provided summary data only gives total expenses. To understand the specific breakdown, one would need to review the full IRS 990 forms, particularly Part IX, Statement of Functional Expenses, for each period.
What is the primary use of the significant asset growth?
The foundation's assets have grown substantially from $5.9 million in 2014 to $27 million in 2023. This growth likely represents accumulated reserves, endowments, or investments intended to support the foundation's long-term mission and provide a stable funding source for future healthcare initiatives in the Appalachian region.
Filing History
IRS 990 filing history for Appalachian Regional Healthcare Foundation showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), Appalachian Regional Healthcare Foundation's revenue has grown by 3.8%, moving from $4.1M to $4.3M. Total assets increased by 271.5% over the same period, from $7.3M to $27.1M. Total functional expenses fell by 52.3%, from $1.3M to $634K. In its most recent filing year (2023), Appalachian Regional Healthcare Foundation reported a surplus of $3.6M, with revenue exceeding expenses. The organization holds $1.8M in liabilities against $27.1M in assets (debt-to-asset ratio: 6.8%), resulting in net assets of $25.3M.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $4.3M | $634K | $27.1M | $1.8M | — | — |
| 2022 | $4.4M | $719K | $22.3M | $2.1M | — | — |
| 2021 | $6.2M | $803K | $20.2M | $1.4M | — | View 990 |
| 2020 | $1.4M | $541K | $12.8M | $777K | — | — |
| 2019 | $5.4M | $2.8M | $11.6M | $454K | — | View 990 |
| 2018 | $4.4M | $1.8M | $8.7M | $174K | — | View 990 |
| 2017 | $2.1M | $2.0M | $6.1M | $115K | — | View 990 |
| 2016 | $2.8M | $3.6M | $6.1M | $109K | — | View 990 |
| 2015 | $4.6M | $3.8M | $6.8M | $30K | — | View 990 |
| 2014 | $3.0M | $3.0M | $5.9M | $25K | — | View 990 |
| 2013 | $2.8M | $3.7M | $6.0M | $48K | — | View 990 |
| 2012 | $1.8M | $1.9M | $6.9M | $27K | — | View 990 |
| 2011 | $4.1M | $1.3M | $7.3M | $285K | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $4.3M, expenses of $634K, and assets of $27.1M (revenue -3.4% year-over-year).
- 2022: Revenue of $4.4M, expenses of $719K, and assets of $22.3M (revenue -29.1% year-over-year).
- 2021: Revenue of $6.2M, expenses of $803K, and assets of $20.2M (revenue +345.2% year-over-year).
- 2020: Revenue of $1.4M, expenses of $541K, and assets of $12.8M (revenue -73.9% year-over-year).
- 2019: Revenue of $5.4M, expenses of $2.8M, and assets of $11.6M (revenue +22.2% year-over-year).
- 2018: Revenue of $4.4M, expenses of $1.8M, and assets of $8.7M (revenue +111.1% year-over-year).
- 2017: Revenue of $2.1M, expenses of $2.0M, and assets of $6.1M (revenue -25.9% year-over-year).
- 2016: Revenue of $2.8M, expenses of $3.6M, and assets of $6.1M (revenue -39.6% year-over-year).
- 2015: Revenue of $4.6M, expenses of $3.8M, and assets of $6.8M (revenue +56.3% year-over-year).
- 2014: Revenue of $3.0M, expenses of $3.0M, and assets of $5.9M (revenue +7.6% year-over-year).
- 2013: Revenue of $2.8M, expenses of $3.7M, and assets of $6.0M (revenue +54.6% year-over-year).
- 2012: Revenue of $1.8M, expenses of $1.9M, and assets of $6.9M (revenue -56.6% year-over-year).
- 2011: Revenue of $4.1M, expenses of $1.3M, and assets of $7.3M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for Appalachian Regional Healthcare Foundation:
Data Sources and Methodology
This transparency report for Appalachian Regional Healthcare Foundation is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.
IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.
Disclaimer
AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.