APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC (EIN 201067022) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2004

Legal Domicile

Principal Officer

DAVID NATHAN NIPPER

Phone

8282624100

Tax Period

2023-07-01 to 2024-06-30

APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC, founded in 2004, is a community nonprofit in the Mental Health sector that reported $1.2M in total revenue in fiscal year 2023. Revenue fell 96% from the prior year — a significant decline worth monitoring. Expenses of $68.1M exceeded revenue, resulting in a 5387% operating deficit.

Mission

TO PROVIDE, COORDINATE, AND SUPPORT THE DELIVERY OF HEALTHCARE AND HEALTHCARE-RELATED SERVICES.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $69,013

Program Service Revenue $0

Investment Income $171

Other Revenue $1,172,092

TOTAL REVENUE $1,241,276

Expense Breakdown

Grants Paid $0

Salaries & Benefits $29,383,115

Fundraising Expenses $0

Program Expenses $32,298,767

Other Expenses $38,720,024

TOTAL EXPENSES $68,103,139

Year-over-Year Comparison

	2023	2022	Change
Revenue	$1,241,276	$35,368,640	-1.0%
Expenses	$68,103,139	$35,367,411	+0.9%
Net Income	$-66,861,863	$1,229	-54404.5%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

2015

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$2,670,504

Total Directors

$597,243

Key Employees

$251,601

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
STEVEN ANDERSON MD	PHYSICIAN	40.0	Highest	$1,619,766	$70,290	$1,690,056
BENJAMIN PARKER MD	PHYSICIAN	40.0	Highest	$1,461,993	$41,082	$1,503,075
KHURRAM TARIQ	PHYSICIAN	40.0	Highest	$702,236	$66,067	$768,303
DOUGLAS TRATE	PHYSICIAN	40.0	Highest	$646,953	$62,163	$709,116
GREGORY DIAMONTI	PHYSICIAN	40.0	Highest	$624,668	$44,963	$669,631
CHARLES MANTOOTH	CHIEF EXECUTIVE OFFICER	40.0	Officer	$614,177	$44,115	$658,292
PAUL DAGHER MD	TRUSTEE/PHYSICIAN	1.0	Director	$525,209	$39,479	$564,688
LISA KAUFMANN	CHIEF MEDICAL OFFICER	40.0	Officer	$413,348	$22,613	$435,961
DAVID NATHAN NIPPER	CHIEF OPERATING OFFICER	40.0	Officer	$369,846	$36,304	$406,150
RICK CASSADY	CHIEF FINANCIAL OFFICER	40.0	Officer	$356,379	$44,785	$401,164
DEANNA MOOL	CHIEF LEGAL OFFICER	40.0	Officer	$307,453	$20,436	$327,889
ROB HUDSPETH	SVP DEVELOPMENT	40.0	Key Emp	$244,423	$7,178	$251,601
GREG MILLER	CHIEF NURSING OFFICER	40.0	Officer	$211,724	$27,789	$239,513
STEPHANIE GREER	PRES AVERY MARKET	40.0	Officer	$176,414	$25,121	$201,535
CHARLES BAKER MD	TRUSTEE	1.0	Director	$0	$0	$32,555
JIM DEAL	CHAIR	1.0	Officer Director	$0	$0	$0
TOM DALE	VICE CHAIR	1.0	Officer Director	$0	$0	$0
SAM ADAMS	TRUSTEE	1.0	Director	$0	$0	$0
JONATHAN ALLEN	TRUSTEE	1.0	Director	$0	$0	$0
JOHN BLACKBURN	TRUSTEE	1.0	Director	$0	$0	$0
LISA COOPER	TRUSTEE	1.0	Director	$0	$0	$0
RAY RUSSELL	COUNTY COMMISSIONER REP.	1.0	Director	$0	$0	$0
BRETT LOFTIS	TRUSTEE	1.0	Director	$0	$0	$0
MEAGAN PHILLIPS	TRUSTEE	1.0	Director	$0	$0	$0
MARK RICKS	TRUSTEE	1.0	Director	$0	$0	$0
MARY LOUISE ROBERTS	TRUSTEE	1.0	Director	$0	$0	$0
CATHY WILLIAMSON	TRUSTEE	1.0	Director	$0	$0	$0
JAN WINKLER	TRUSTEE	1.0	Director	$0	$0	$0
KENT TARBUTTON	TRUSTEE (THRU 09/2023)	1.0	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	No data	No data	No data	No data
2024	$1,241,276	$68,103,139	$33,985,070	$-66,861,863
2023	$35,368,640	$35,367,411	$28,301,550	$1,229
2022	$50,710,259	$50,320,103	$32,855,284	$390,156
2021	$47,007,711	$47,007,709	$23,857,588	$2
2020	$29,997,837	$29,997,837	$24,084,829	No data
2019	$20,595,985	$28,949,349	$24,713,711	$-8,353,364
2018	$27,058,730	$27,665,147	$45,976,464	$-606,417

APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC