Appalachian Regional Medicalassociates Inc
Appalachian Regional Medicalassociates Inc faces persistent operating deficits and rapidly increasing liabilities.
EIN: 205755130 · Boone, NC · NTEE: E30 · Updated: 2026-03-28
Is Appalachian Regional Medicalassociates Inc Legit?
Significant Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
Appalachian Regional Medicalassociates Inc directs 80% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About Appalachian Regional Medicalassociates Inc
Appalachian Regional Medicalassociates Inc (EIN: 205755130) is a nonprofit organization based in Boone, NC, classified under NTEE code E30. The organization reported total revenue of $30.4M and total assets of $22.6M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Appalachian Regional Medicalassociates Inc's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Appalachian Regional Medicalassociates Inc is a large nonprofit that has been operating for 18 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 9.7%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $22.1M |
| Total Expenses | $37.7M |
| Surplus / Deficit | $-15,604,765 |
| Total Assets | $13.0M |
| Total Liabilities | $58.4M |
| Net Assets | $-45,374,084 |
| Operating Margin | -70.5% |
| Debt-to-Asset Ratio | 449.4% |
| Months of Reserves | 4.1 months |
Financial Health Grade: C
In 2023, Appalachian Regional Medicalassociates Inc reported a deficit of $15.6M with expenses exceeding revenue, holds 4.1 months of operating reserves (adequate), has a debt-to-asset ratio of 449.4% (high leverage).
Financial Trends
Over 13 years of filings (2011–2023), Appalachian Regional Medicalassociates Inc's revenue has grown at a compound annual growth rate (CAGR) of 9.7%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | -29.0% | -19.5% | -3.4% |
| 2022 | +12.9% | +9.0% | +108.0% |
| 2021 | +4.3% | +2.5% | -4.6% |
| 2020 | +4.1% | +8.9% | -24.2% |
| 2019 | +13.2% | +23.0% | +35.6% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1000 |
| IRS Ruling Date | 2008 |
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 Medicalassociates Inc with a Mission Score of 45 out of 100 (Fair). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 15%
- programs: 80%
- fundraising: 5%
According to IRS 990 filings, Appalachian Regional Medicalassociates Inc allocates its expenses as follows: admin: 15%, programs: 80%, fundraising: 5%. With 80% 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 deficit of $15.6M, with expenses exceeding revenue.
- Debt-to-asset ratio: 449.4%.
Executive Compensation Analysis
The organization consistently reports 0% officer compensation across all available filings, indicating that its officers are either unpaid or compensated through other means not categorized as officer compensation on the 990, which is unusual for an organization of its size with over $30 million in latest revenue.
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 Medicalassociates Inc's IRS 990 filings:
- Consistent and significant operating deficits (e.g., $15.6M deficit in 2023)
- Dramatic increase in liabilities (from $5.1M in 2020 to $58.3M in 2023)
- Assets significantly lower than liabilities ($12.9M assets vs. $58.3M liabilities in 2023)
- Unusual 0% officer compensation reported for an organization of this size and revenue
Strengths
The following positive indicators were identified for Appalachian Regional Medicalassociates Inc:
- Consistent growth in revenue over the past decade (from $11.1M in 2014 to $30.4M latest reported)
- Potential for high program spending given the nature of medical services, though specific program spending ratios are not provided in the summary data.
Frequently Asked Questions about Appalachian Regional Medicalassociates Inc
Is Appalachian Regional Medicalassociates Inc a legitimate charity?
Based on AI analysis of IRS 990 filings, Appalachian Regional Medicalassociates Inc (EIN: 205755130) significant concerns. Mission Score: 45/100. 4 red flags identified, 2 strengths noted.
How does Appalachian Regional Medicalassociates Inc spend its money?
Appalachian Regional Medicalassociates Inc directs 80% of its spending to programs and services. The remaining budget covers administration and fundraising costs.
Are donations to Appalachian Regional Medicalassociates Inc tax-deductible?
Appalachian Regional Medicalassociates Inc is registered as a tax-exempt nonprofit (EIN: 205755130). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
How does Appalachian Regional Medicalassociates Inc cover its consistent operating deficits?
The consistent and significant operating deficits, such as the $15.6 million deficit in 2023 ($37,741,305 expenses vs. $22,136,540 revenue), suggest the organization relies on external funding, grants, or other non-operating income not detailed in the provided revenue figures, or is drawing down on reserves, which is not sustainable long-term given the increasing liabilities.
What caused the dramatic increase in liabilities from $5.1 million in 2020 to $58.3 million in 2023?
The substantial increase in liabilities, from $5,151,210 in 2020 to $58,359,732 in 2023, is a critical financial concern. This could be due to significant capital expenditures, new debt acquisition, or changes in accounting for certain obligations, and warrants further investigation into the nature of these liabilities.
Is the organization's financial model sustainable given its consistent deficits?
The consistent trend of expenses significantly exceeding revenue over the past decade, coupled with rapidly increasing liabilities, raises serious questions about the long-term sustainability of Appalachian Regional Medicalassociates Inc's financial model without significant changes to revenue generation or cost control.
Filing History
IRS 990 filing history for Appalachian Regional Medicalassociates Inc showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), Appalachian Regional Medicalassociates Inc's revenue has grown by 204%, moving from $7.3M to $22.1M. Total assets increased by 458.8% over the same period, from $2.3M to $13.0M. Total functional expenses rose by 261%, from $10.5M to $37.7M. In its most recent filing year (2023), Appalachian Regional Medicalassociates Inc reported a deficit of $15.6M, with expenses exceeding revenue. The organization holds $58.4M in liabilities against $13.0M in assets (debt-to-asset ratio: 449.4%), resulting in net assets of $-45,374,084.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $22.1M | $37.7M | $13.0M | $58.4M | — | View 990 |
| 2022 | $31.2M | $46.9M | $13.4M | $43.2M | — | — |
| 2021 | $27.6M | $43.0M | $6.5M | $20.3M | — | View 990 |
| 2020 | $26.5M | $42.0M | $6.8M | $5.2M | — | — |
| 2019 | $25.4M | $38.6M | $8.9M | $2.7M | — | View 990 |
| 2018 | $22.5M | $31.3M | $6.6M | $1.4M | — | View 990 |
| 2017 | $16.3M | $23.7M | $4.4M | $733K | — | View 990 |
| 2016 | $14.3M | $21.2M | $4.3M | $562K | — | View 990 |
| 2015 | $11.7M | $17.0M | $3.3M | $971K | — | View 990 |
| 2014 | $11.2M | $15.1M | $4.7M | $847K | — | View 990 |
| 2013 | $10.0M | $13.9M | $4.5M | $620K | — | View 990 |
| 2012 | $10.0M | $13.3M | $2.9M | $791K | — | View 990 |
| 2011 | $7.3M | $10.5M | $2.3M | $776K | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $22.1M, expenses of $37.7M, and assets of $13.0M (revenue -29.0% year-over-year).
- 2022: Revenue of $31.2M, expenses of $46.9M, and assets of $13.4M (revenue +12.9% year-over-year).
- 2021: Revenue of $27.6M, expenses of $43.0M, and assets of $6.5M (revenue +4.3% year-over-year).
- 2020: Revenue of $26.5M, expenses of $42.0M, and assets of $6.8M (revenue +4.1% year-over-year).
- 2019: Revenue of $25.4M, expenses of $38.6M, and assets of $8.9M (revenue +13.2% year-over-year).
- 2018: Revenue of $22.5M, expenses of $31.3M, and assets of $6.6M (revenue +37.8% year-over-year).
- 2017: Revenue of $16.3M, expenses of $23.7M, and assets of $4.4M (revenue +13.8% year-over-year).
- 2016: Revenue of $14.3M, expenses of $21.2M, and assets of $4.3M (revenue +22.2% year-over-year).
- 2015: Revenue of $11.7M, expenses of $17.0M, and assets of $3.3M (revenue +5.0% year-over-year).
- 2014: Revenue of $11.2M, expenses of $15.1M, and assets of $4.7M (revenue +11.5% year-over-year).
- 2013: Revenue of $10.0M, expenses of $13.9M, and assets of $4.5M (revenue +0.5% year-over-year).
- 2012: Revenue of $10.0M, expenses of $13.3M, and assets of $2.9M (revenue +36.7% year-over-year).
- 2011: Revenue of $7.3M, expenses of $10.5M, and assets of $2.3M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for Appalachian Regional Medicalassociates Inc:
Data Sources and Methodology
This transparency report for Appalachian Regional Medicalassociates 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.