Appalachian Regional Healthcare
Appalachian Regional Healthcare reported $1.08 billion in revenue and $928.7 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $80.81 went to program services, $19.19 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 92.0% of the total. The highest compensation it reported for one person was $1,622,589 (PRESIDENT/CEO). 428 people received more than $100,000 in reportable compensation. Revenue rose 36% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $929MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $1.08BThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 80.8% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 19.2% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.1% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.1% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 92.0% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $1,622,589 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.17% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 428 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 11.9 | 6.6 |
| Independent voting board members Part VI 1a–1b | 12 of 12 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseJust as it has for the past seven decades, Appalachian Regional Healthcare (arh) remained committed to its mission to provide the people of central appalachia with the highest quality of care in 2025. With 14 hospitals as well clinics, home health agencies, home medical equipment stores, pharmacies and rehabilitation services spread across both kentucky and west virginia, arh and its more than 6,000 team members and 1,300 medical providers is essential to the lives of those who reside in central appalachia. Arh's commitment to excellence was recognized throughout the 2025 fiscal year with a…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PRESIDENT/CEO Officer, 25.00 hrs/week | $1,503,777 | $0 | $118,812 | $1,622,589 |
| CARDIOLOGIST Highest compensated employee, 40.00 hrs/week | $1,251,900 | $0 | $53,827 | $1,305,727 |
| NEPHROLOGIST Highest compensated employee, 40.00 hrs/week | $984,500 | $0 | $59,015 | $1,043,515 |
| ORTHOPEDIC SURGEON Highest compensated employee, 40.00 hrs/week | $963,310 | $0 | $43,477 | $1,006,787 |
| ONCOLOGIST Highest compensated employee, 40.00 hrs/week | $848,952 | $0 | $54,705 | $903,657 |
| INTERVENTIONAL CARDIOLOGIST Highest compensated employee, 40.00 hrs/week | $862,566 | $0 | $13,573 | $876,139 |
| COO (TERM 11/13/24) Officer, 30.00 hrs/week | $634,158 | $0 | $103,316 | $737,474 |
| CHIEF FINANCIAL OFFICER Officer, 25.00 hrs/week | $664,251 | $0 | $60,915 | $725,166 |
428 people received more than $100,000 in reportable compensation from Appalachian Regional Healthcare (Part VII, line 2). Compensation of current officers, directors and key employees totaled $5.0M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b12 · 12 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 55,638
- Volunteers Part I, line 6112
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| TRIANGLE ANESTHESIA GROUP Contract anesthesia | $20,606,194 |
| HALLMARK HEALTH CARE SOLUTIONS Contract nursing | $17,317,840 |
| SODEXO OPERATIONS Support services | $10,259,950 |
| LABORATORY CORP OF AMERICA Contract lab services | $10,012,721 |
| AHEAD INC Software support services | $6,183,297 |
Individuals listed as contractors are left out. 240 contractors were paid more than $100,000 in all.
Private foundation grants it received
2 private foundations reported grants to Appalachian Regional Healthcare totaling $20,000 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Appalachian Regional Healthcare's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Appalachian Regional Healthcare, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Appalachian Regional Healthcare spent in FY2025, $80.81 went to programs. The full breakdown, from its IRS Form 990:
Embed on your site
Similar-sized charities in this cause
- Beth Israel Medical CenterNew York, NY · revenue $1.08B · programs 97.4% · 2024
- St Joseph's Health System Subordinate Group ReturnPaterson, NJ · revenue $1.08B · programs 91.2% · 2024
- Saint Joseph Health SystemPhoenix, AZ · revenue $1.07B · programs 73.7% · FY2025
- Santa Barbara Cottage HospitalSanta Barbara, CA · revenue $1.08B · programs 84.5% · 2024
- Enloe Medical CenterChico, CA · revenue $1.07B · programs 79.1% · FY2025
Questions people ask
How much of Appalachian Regional Healthcare's spending goes to programs?
In the fiscal year ending June 30, 2025, Appalachian Regional Healthcare reported that 80.8% of its $928.7 million in expenses went to program services, 19.2% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Appalachian Regional Healthcare pay its top executive?
The largest total compensation Appalachian Regional Healthcare reported for one person in the fiscal year ending June 30, 2025 was $1,622,589, for the role of PRESIDENT/CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Appalachian Regional Healthcare get its money?
Of $1.08 billion in revenue in the fiscal year ending June 30, 2025, 0.1% came from contributions and grants (including 0.1% from government grants) and 92.0% from program service revenue (Form 990, Part VIII).
Is Appalachian Regional Healthcare a registered charity?
The IRS lists EIN 52-0795508 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202611279349303381 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202511349349307256 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202441369349307559 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321359349304822 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202240959349300419 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202101329349303070 · read the filing
All filings for EIN 52-0795508: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.