Appalachian Regional Healthcare System Inc
Appalachian Regional Healthcare System consistently operates at near break-even, with fluctuating revenues and liabilities often exceeding assets.
EIN: 201067022 · Boone, NC · NTEE: F11 · Updated: 2026-03-28
Is Appalachian Regional Healthcare System Inc 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 System Inc directs 90% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About Appalachian Regional Healthcare System Inc
Appalachian Regional Healthcare System Inc (EIN: 201067022) is a nonprofit organization based in Boone, NC, classified under NTEE code F11. The organization reported total revenue of $1.2M and total assets of $34.0M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Appalachian Regional Healthcare System Inc's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Appalachian Regional Healthcare System Inc 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 2.4%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $35.4M |
| Total Expenses | $35.4M |
| Surplus / Deficit | +$1K |
| Total Assets | $28.3M |
| Total Liabilities | $32.9M |
| Net Assets | $-4,564,806 |
| Operating Margin | 0.0% |
| Debt-to-Asset Ratio | 116.1% |
| Months of Reserves | 9.6 months |
Financial Health Grade: B
In 2023, Appalachian Regional Healthcare System Inc reported a surplus of $1K with revenue exceeding expenses, holds 9.6 months of operating reserves (strong position), has a debt-to-asset ratio of 116.1% (high leverage).
Financial Trends
Over 13 years of filings (2011–2023), Appalachian Regional Healthcare System Inc's revenue has grown at a compound annual growth rate (CAGR) of 2.4%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | -30.3% | -29.7% | -13.9% |
| 2022 | +7.9% | +7.0% | +37.7% |
| 2021 | +56.7% | +56.7% | -0.9% |
| 2020 | +45.6% | +3.6% | -2.5% |
| 2019 | -23.9% | +4.6% | -46.2% |
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 System Inc with a Mission Score of 65 out of 100 (Good). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 8%
- programs: 90%
- fundraising: 2%
According to IRS 990 filings, Appalachian Regional Healthcare System Inc allocates its expenses as follows: admin: 8%, programs: 90%, fundraising: 2%. With 90% 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 $1K, with revenue exceeding expenses.
- Debt-to-asset ratio: 116.1%.
Executive Compensation Analysis
The IRS 990 filings consistently report 0% for Officer Compensation across all periods, which is unusual for an organization of this size with revenues in the tens of millions. This suggests either a fully volunteer executive leadership or that executive compensation is categorized under other expense lines, requiring deeper scrutiny for full 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 System Inc's IRS 990 filings:
- Consistent liabilities exceeding assets in multiple periods (e.g., 202306: $28M assets vs. $32M liabilities), indicating potential solvency concerns.
- 0% reported officer compensation across all filings, which is highly unusual for an organization of this revenue scale and suggests a lack of transparency regarding executive remuneration.
- Significant fluctuations in annual revenue (e.g., $50.7M in 202209 to $35.3M in 202306) without clear explanation, potentially indicating unstable funding or operational changes.
- Lack of detailed expense breakdown (program, admin, fundraising) in the provided data, hindering a full assessment of spending efficiency.
Strengths
The following positive indicators were identified for Appalachian Regional Healthcare System Inc:
- Consistent near break-even operations, indicating tight fiscal management where expenses generally align with revenue.
- Substantial asset base, despite liabilities often exceeding them, with assets reaching $33,985,070 in the latest available data and a high of $45,976,464 in 201809.
- Long filing history (13 filings), suggesting established operations and compliance with IRS reporting requirements.
Frequently Asked Questions about Appalachian Regional Healthcare System Inc
Is Appalachian Regional Healthcare System Inc a legitimate charity?
Based on AI analysis of IRS 990 filings, Appalachian Regional Healthcare System Inc (EIN: 201067022) some concerns. Mission Score: 65/100. 4 red flags identified, 3 strengths noted.
How does Appalachian Regional Healthcare System Inc spend its money?
Appalachian Regional Healthcare System Inc directs 90% of its spending to programs and services. The remaining budget covers administration and fundraising costs.
Are donations to Appalachian Regional Healthcare System Inc tax-deductible?
Appalachian Regional Healthcare System Inc is registered as a tax-exempt nonprofit (EIN: 201067022). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
Why do liabilities consistently exceed assets in many filing periods?
In several periods, such as 202306 ($28,301,550 assets vs. $32,866,356 liabilities) and 202209 ($32,855,284 assets vs. $37,421,319 liabilities), the organization's liabilities are greater than its assets. This could indicate significant debt, long-term obligations, or specific accounting practices that warrant further investigation into the organization's balance sheet health.
Where is executive compensation reported, given the 0% in filings?
The consistent reporting of 0% for Officer Compensation across all 13 filings is highly unusual for an organization with annual revenues in the tens of millions. This suggests that executive compensation might be included within other expense categories, or the organization operates with an entirely volunteer executive leadership, which would be exceptional for its scale.
What caused the significant revenue drop from 202209 to 202306?
Revenue decreased from $50,710,259 in the 202209 period to $35,368,640 in the 202306 period, a substantial decline. Understanding the reasons behind this nearly 30% drop in revenue within a year would be crucial for assessing the organization's financial stability and operational changes.
What is the detailed breakdown of program, administrative, and fundraising expenses?
The provided data does not offer a detailed breakdown of how expenses are allocated between programs, administration, and fundraising. This information is critical for evaluating the organization's spending efficiency and how much of its resources directly support its mission.
Filing History
IRS 990 filing history for Appalachian Regional Healthcare System Inc showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), Appalachian Regional Healthcare System Inc's revenue has grown by 33.7%, moving from $26.5M to $35.4M. Total assets increased by 173.1% over the same period, from $10.4M to $28.3M. Total functional expenses rose by 33.7%, from $26.5M to $35.4M. In its most recent filing year (2023), Appalachian Regional Healthcare System Inc reported a surplus of $1K, with revenue exceeding expenses. The organization holds $32.9M in liabilities against $28.3M in assets (debt-to-asset ratio: 116.1%), resulting in net assets of $-4,564,806.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $35.4M | $35.4M | $28.3M | $32.9M | — | — |
| 2022 | $50.7M | $50.3M | $32.9M | $37.4M | — | View 990 |
| 2021 | $47.0M | $47.0M | $23.9M | $28.8M | — | View 990 |
| 2020 | $30.0M | $30.0M | $24.1M | $29.4M | — | — |
| 2019 | $20.6M | $28.9M | $24.7M | $30.0M | — | View 990 |
| 2018 | $27.1M | $27.7M | $46.0M | $42.9M | — | View 990 |
| 2017 | $39.1M | $38.3M | $43.3M | $40.2M | — | View 990 |
| 2016 | $37.5M | $35.0M | $42.8M | $40.2M | — | View 990 |
| 2015 | $39.6M | $37.4M | $32.4M | $30.4M | — | View 990 |
| 2014 | $37.4M | $36.5M | $19.3M | $21.1M | — | View 990 |
| 2013 | $32.8M | $32.8M | $14.1M | $19.4M | — | View 990 |
| 2012 | $29.2M | $29.2M | $9.1M | $14.4M | — | View 990 |
| 2011 | $26.5M | $26.5M | $10.4M | $15.7M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $35.4M, expenses of $35.4M, and assets of $28.3M (revenue -30.3% year-over-year).
- 2022: Revenue of $50.7M, expenses of $50.3M, and assets of $32.9M (revenue +7.9% year-over-year).
- 2021: Revenue of $47.0M, expenses of $47.0M, and assets of $23.9M (revenue +56.7% year-over-year).
- 2020: Revenue of $30.0M, expenses of $30.0M, and assets of $24.1M (revenue +45.6% year-over-year).
- 2019: Revenue of $20.6M, expenses of $28.9M, and assets of $24.7M (revenue -23.9% year-over-year).
- 2018: Revenue of $27.1M, expenses of $27.7M, and assets of $46.0M (revenue -30.7% year-over-year).
- 2017: Revenue of $39.1M, expenses of $38.3M, and assets of $43.3M (revenue +4.2% year-over-year).
- 2016: Revenue of $37.5M, expenses of $35.0M, and assets of $42.8M (revenue -5.2% year-over-year).
- 2015: Revenue of $39.6M, expenses of $37.4M, and assets of $32.4M (revenue +5.9% year-over-year).
- 2014: Revenue of $37.4M, expenses of $36.5M, and assets of $19.3M (revenue +13.9% year-over-year).
- 2013: Revenue of $32.8M, expenses of $32.8M, and assets of $14.1M (revenue +12.3% year-over-year).
- 2012: Revenue of $29.2M, expenses of $29.2M, and assets of $9.1M (revenue +10.3% year-over-year).
- 2011: Revenue of $26.5M, expenses of $26.5M, and assets of $10.4M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for Appalachian Regional Healthcare System Inc:
Data Sources and Methodology
This transparency report for Appalachian Regional Healthcare System Inc 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.