Mental Health & Crisis Intervention (F11) 990 on File

APPALACHIAN REGIONAL HEALTHCARE SYSTEM INC

EIN: 20-1067022 · BOONE, NC 28607-5008 · United States · FY 2024 Data

2 out of 5 31 / 100 Based on 2+ years of filings

Financial strength (30%) 19/100

Reliability (20%) 55/100

Effectiveness (25%) 58/100

Impact (25%) No data yet

Financial data: FY 2024 · Scored 9/13/2026

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CharityAI™ Score

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Financial Overview — FY 2024

$1.2M

Total Revenue

$68.1M

Total Expenses

$-4,566,126

Net Assets

2015

Employees

Revenue Sources

Expense Breakdown

Program Expense Ratio 47.4%

Fundraising Efficiency N/A

Operating Reserve -0.80x

Liability-to-Asset 113.4%

Revenue Diversification 94.4%

Executive Compensation $2.9M

Compared with Peers

FY 2024

Compared with 428 similar organizations (United States, Mental Health & Crisis Intervention, $10M–$100M in expenses), FY 2024.

This organization Middle half of peers (P25–P75) Peer median

Ratio	This org	Peer median	Position (P10 → P90)
Program expense ratio Program expenses / total expenses · higher is better	47.4%	85.3%	P10P90	Bottom quarter
Admin expense ratio Management and general / total expenses · lower is better	52.6%	13.8%	P10P90	Bottom quarter
Fundraising expense ratio Fundraising expenses / total expenses · lower is better	0.0%	0.0%	P10P90	Top quarter
Operating reserve Months of expenses covered by net assets · higher is better	-0.8 mo	6.3 mo	P10P90	Bottom quarter
Liabilities to assets Total liabilities / total assets · lower is better	113.4%	30.7%	P10P90	Bottom quarter
Revenue concentration Share of revenue from the largest source · lower is better	94.4%	86.4%	P10P90	Below median
Revenue growth Year over year revenue growth	-96.5%	6.5%	P10P90
Expense growth Year over year expense growth	92.6%	8.1%	P10P90
Surplus margin Surplus as a share of revenue	-5386.5%	2.3%	P10P90

Financial History

Year	Revenue	Expenses	Net Assets	Program %	Staff
2024	$1.2M	$68.1M	$-4,566,126	47.4%	2015
2023	$35.4M	$35.4M	$-4,564,806	28.7%	1965
2022	$50.7M	$50.3M	$-4,566,035	61.0%	1841
2021	$47.0M	$47.0M	N/A	—	1718

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Organization Details

EIN: 20-1067022
State: NC
City: BOONE
ZIP: 28607-5008
Classification: F11
Category: Mental Health & Crisis Intervention
Rating: 2★
Coverage: A
Last Updated: Aug 2026
Form 990: On File

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CharityAI™ rates charities from 0 to 100 using public filings (IRS Form 990 and the equivalent registries outside the US) together with the information the charity itself provides on DonationX. Ratings are recalculated every quarter, without human bias, and shown as stars.

Four pillars

Financial strength30%

Program expense ratio, fundraising efficiency, operating reserves, liabilities and revenue diversification, compared with similar organizations.

Reliability20%

Standing with the registry, filing history, verification and how complete the profile is.

Effectiveness25%

How much goes to programs and how consistently the organization delivers them.

Impact25%

The outcomes the charity reports on DonationX: people served, cost per service and results.

Stars

★★★★★ 80–100 ★★★★☆ 60–79 ★★★☆☆ 40–59 ★★☆☆☆ 20–39 ★☆☆☆☆ 1–19

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