APPALACHIAN REGIONAL HEALTHCARE (EIN 520795508) - 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

1963

Legal Domicile

Principal Officer

HOLLIE P HARRIS

Phone

8592262440

Tax Period

2024-07-01 to 2025-06-30

APPALACHIAN REGIONAL HEALTHCARE, founded in 1963, is a large national nonprofit in the Health Care sector that reported $1.1B in total revenue in fiscal year 2024. Revenue grew 14% year-over-year, indicating healthy expansion. Expenses of $928.7M left a modest 14% surplus.

Mission

TO PROVIDE CENTRAL APPALACHIA AN ABUNDANCE OF HEALTHCARE AND COMMUNITY-ORIENTED SERVICES THROUGH ITS HOSPITAL, CLINICS AND HOME HEALTH OPERATIONS AS WELL AS COMMUNITY OUTREACH 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 (2024)

Revenue Breakdown

Contributions & Grants $1,471,544

Program Service Revenue $991,822,031

Investment Income $25,050,610

Other Revenue $59,661,216

TOTAL REVENUE $1,078,005,401

Expense Breakdown

Grants Paid $1,113,867

Salaries & Benefits $450,843,992

Fundraising Expenses $0

Program Expenses $750,450,922

Other Expenses $476,744,449

TOTAL EXPENSES $928,702,308

Year-over-Year Comparison

	2024	2023	Change
Revenue	$1,078,005,401	$943,917,178	+0.1%
Expenses	$928,702,308	$873,841,470	+0.1%
Net Income	$149,303,093	$70,075,708	+1.1%

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

5638

Volunteers

112

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

$4,893,063

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
GREG COUCH	CHAIR	3.00	Officer Director	$0	$0	$0
JEFFREY B HOLLON	VICE CHAIR	3.00	Officer Director	$0	$0	$0
JOANN ANDERSON	SECRETARY/TREASURER	3.00	Officer Director	$0	$0	$0
MARTHA ELLIS	TRUSTEE	3.00	Director	$0	$0	$0
KEN ALLMAN	TRUSTEE	3.00	Director	$0	$0	$0
DUSTIN SCOTT CAMPBELL MD	TRUSTEE	3.00	Director	$0	$0	$0
SAM DUNN	TRUSTEE	3.00	Director	$0	$0	$0
RANDY EVANS DVM	TRUSTEE	3.00	Director	$0	$0	$0
JULIE AKEMON	TRUSTEE (TERM 11/8/24)	5.00	Director	$0	$0	$0
L BART FRANCIS	TRUSTEE (TERM 11/8/24)	3.00	Director	$0	$0	$0
ANDREA MASSEY	TRUSTEE	3.00	Director	$0	$0	$0
KAREN NEWMAN-PROFITT	TRUSTEE	3.00	Director	$0	$0	$0
MIKE RUST	TRUSTEE	3.00	Director	$0	$0	$0
ONZIE SIZEMORE	TRUSTEE	3.00	Director	$0	$0	$0
EDITH KELLEY	TRUSTEE (TERM 11/8/24)	3.00	Director	$0	$0	$0
HOLLIE P HARRIS	PRESIDENT/CEO	25.00	Officer	$1,503,777	$118,812	$1,622,589
PAUL BETZ	COO (TERM 11/13/24)	30.00	Officer	$634,158	$103,316	$737,474
MARIA BRAMAN	CHIEF MEDICAL OFFICER	30.00	Officer	$631,739	$70,503	$702,242
CHRISTI LEE	CHIEF LEGAL COUNSEL	25.00	Officer	$483,617	$69,752	$553,369
SONYA BERGMAN	CHIEF PEOPLE OFFICER	30.00	Officer	$470,494	$81,729	$552,223
BYRON GABBARD	CHIEF FINANCIAL OFFICER	25.00	Officer	$664,251	$60,915	$725,166
JAYARAMAKRISHNA DEPA	NEPHROLOGIST	40.00	Highest	$984,500	$59,015	$1,043,515
SAMUEL BAILEY	ONCOLOGIST	40.00	Highest	$848,952	$54,705	$903,657
ADNAN M BHOPALWALA	CARDIOLOGIST	40.00	Highest	$1,251,900	$53,827	$1,305,727
TIMOTHY MICEK	ORTHOPEDIC SURGEON	40.00	Highest	$963,310	$43,477	$1,006,787
CHAYAKRIT KRITTANAWONG	INTERVENTIONAL CARDIOLOGIST	40.00	Highest	$862,566	$13,573	$876,139

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	$1,078,005,401	$928,702,308	$1,690,508,848	$149,303,093
2024	$943,917,178	$873,841,470	$1,448,830,338	$70,075,708
2023	$882,926,110	$901,932,107	$1,250,085,290	$-19,005,997
2022	$882,538,702	$853,421,237	$1,184,482,778	$29,117,465
2021	$817,287,479	$705,733,049	$1,267,201,787	$111,554,430
2020	$793,628,927	$757,653,584	$1,013,172,338	$35,975,343
2019	$778,163,558	$751,727,308	$874,022,382	$26,436,250
2018	$715,141,189	$682,382,659	$747,640,583	$32,758,530

APPALACHIAN REGIONAL HEALTHCARE