Hot Springs Health Program
Hot Springs Health Program reported $16.5 million in revenue and $16.4 million in expenses for the fiscal year ending April 30, 2025. Of every $100 it spent, $88.52 went to program services, $11.34 to management and general costs and $0.14 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 88.9% of the total. The highest compensation it reported for one person was $327,931 (MEDICAL DIRECTOR). 23 people received more than $100,000 in reportable compensation. Revenue rose 34% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending April 30, 2025 · Form 990, Part IX, line 25 · total expenses $16MFor context, the median across 2,433 covered unclassified charities: $88.27 programs, $11.68 management, $0.05 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending April 30, 2025 · Form 990, Part VIII · total revenue $17MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 88.5% | 86.7% |
| Management & general Part IX 25(C) ÷ 25(A) | 11.3% | 11.5% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.1% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.01 | $0.01 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 10.4% | 29.9% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 3.9% | 3.8% |
| Program service revenue share Part VIII 2g ÷ 12 | 88.9% | 58.9% |
| Highest reported compensation Part VII-A, columns D–F | $327,931 | $301,601 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 2.00% | 1.38% |
| People paid over $100,000 Part VII, line 2 | 23 | 6 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 4.7 | 6.8 |
| Independent voting board members Part VI 1a–1b | 10 of 10 | 100.0% |
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 expenseThe program is a federally qualified health care look-alike, which provides medical care to citizens of madison county, nc through four clinics, home health care and other services, including 35,510 patient visits and 2,203 nursing home visits; pharmacy services, filling 94,584 prescriptions; and home care and hospice services, including 6,664 visits to patients in their homes. The organization consists of 7 separate health care facilities including mashburn medical center, Hot Springs medical center, mars hill medical center, laurel medical center, madison home care, hospice of madison and…
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 |
|---|---|---|---|---|
| MEDICAL DIRECTOR Key employee, 40.00 hrs/week | $296,290 | $0 | $31,641 | $327,931 |
| DOCTOR Highest compensated employee, 40.00 hrs/week | $272,964 | $0 | $44,653 | $317,617 |
| DOCTOR Highest compensated employee, 40.00 hrs/week | $206,916 | $0 | $43,991 | $250,907 |
| DOCTOR Highest compensated employee, 40.00 hrs/week | $214,186 | $0 | $28,492 | $242,678 |
| DOCTOR Highest compensated employee, 40.00 hrs/week | $214,013 | $0 | $3,779 | $217,792 |
| PHYSICIAN ASSISTANT Highest compensated employee, 40.00 hrs/week | $191,630 | $0 | $3,552 | $195,182 |
| EXECUTIVE DIRECTOR Officer, 40.00 hrs/week | $127,226 | $0 | $2,908 | $130,134 |
| FINANCE DIRECTOR Officer, 40.00 hrs/week | $124,654 | $0 | $2,884 | $127,538 |
23 people received more than $100,000 in reportable compensation from Hot Springs Health Program (Part VII, line 2). Compensation of current officers, directors and key employees totaled $735K (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–1b10 · 10 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 4No
- 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 5155
- Volunteers Part I, line 610
Private foundation grants it received
2 private foundations reported grants to Hot Springs Health Program totaling $90,111 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 Hot Springs Health Program's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Hot Springs Health Program, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Hot Springs Health Program spent in FY2025, $88.52 went to programs. The full breakdown, from its IRS Form 990:
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All unclassified charities · Largest charities in North Carolina
Questions people ask
How much of Hot Springs Health Program's spending goes to programs?
In the fiscal year ending April 30, 2025, Hot Springs Health Program reported that 88.5% of its $16.4 million in expenses went to program services, 11.3% to management and general and 0.1% to fundraising (Form 990, Part IX).
How much does Hot Springs Health Program pay its top executive?
The largest total compensation Hot Springs Health Program reported for one person in the fiscal year ending April 30, 2025 was $327,931, for the role of MEDICAL DIRECTOR (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Hot Springs Health Program get its money?
Of $16.5 million in revenue in the fiscal year ending April 30, 2025, 10.4% came from contributions and grants (including 3.9% from government grants) and 88.9% from program service revenue (Form 990, Part VIII).
Is Hot Springs Health Program a registered charity?
The IRS lists EIN 56-0986537 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), 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 April 30, 2025, object 202600489349301015 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending April 30, 2024, object 202540629349301754 · read the filing
- FY2023: Form 990 for the fiscal year ending April 30, 2023, object 202410759349300326 · read the filing
- FY2022: Form 990 for the fiscal year ending April 30, 2022, object 202320539349300212 · read the filing
- FY2021: Form 990 for the fiscal year ending April 30, 2021, object 202230669349301233 · read the filing
- FY2020: Form 990 for the fiscal year ending April 30, 2020, object 202120149349300622 · read the filing
All filings for EIN 56-0986537: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.