Apella Health Management
Legal name: Apella Health Management Inc
Nonprofit profile at a glance
- EIN
- 814193950
- IRS 990 coverage
- 2017–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Spartanburg, SC, USA
- Phone
- 8645605010
- Rating
- 84
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Single Organization Support
Reported finances
- Revenue
- $524,676,090
- Expenses
- $511,554,532
- Assets
- $101,396,949
- Liabilities
- $47,706,679
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
18 people listed
Executive titles in this filing
- ELMER HOLSTIEN (PRESIDENT/CEO)
- CODY BUTTS (PRESIDENT - RURAL DIVISION HOSPITALS)
- PARKES COGGINS (VICE PRESIDENT HEART/VASCULAR AND ONCOLOGY SERVICES)
Highest reported compensation
- ELMER HOLSTIEN (PRESIDENT/CEO): $2,734,045 total reported compensation
- MICHAEL ORSECK MD (BOARD MEMBER): $1,416,785 total reported compensation
- BRUCE DAVIS (EVP/CFO): $1,110,749 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Apella Health Management is a health system management company leading the transformation of healthcare delivery in the communities it serves, committed to collaborating and sharing resources to provide effective, efficient and less expensive health care for patients. Apella Health Management, a 501(c)3 not-for-profit management company, was founded to create joint ventures to aid in the recapitalization of not-for-profit hospitals and health systems. Our ultimate goal is to help these organizations achieve their goals for growth, quality, and financial viability while fully supporting the collective wisdom of local leaders in making decisions regarding the health and welfare of their own communities. In the typical joint ventures we oversee, Apella Health Management and its equity partner(s) will create a limited liability company to own and operate the joint venture hospital(s)....
What it reported doing in 2024
The organization was formed to promote health for the benefit of the community and lessen the burdens of government both within the meaning of section 501(c) (3) of the code by providing certain essential charitable and health care services, including management services to the spartanburg retional health services district, a state instrumentality of South Carolina (the "district"). Such services are essential in furtherance of serving the health care needs of the communities in and surrounding spartanburg. The district's health care facilities, include five (5) acute-care hospitals; a long term acute care hospital; two long-term care facilities; a hospice home and in-home hospice services; a physician group consisting of over 481 physicians located throughout the district's service area; and other related entities. Proving these services, the organization's activities allow the district to better achieve its charitable and governmental purposes.
Operating model
- Revenue model
- Other-operating. 100% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Total assets are small relative to annual expenses; liquid coverage is unknown and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 85
- Transparency & Controls: 88
- Accountability: 82
- Sustainability: 35
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 94.7%; rating input score 95
- Program expense ratio: 97.1%; rating input score 97
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 70%; rating input score 70; 21st percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 2.5%; rating input score 45; 45th percentile among comparable filings
- Total-asset coverage ratio: 0.2; rating input score 6; 6th percentile among comparable filings
- Liabilities to assets ratio: 0.47; rating input score 38; 38th percentile among comparable filings
- Officer compensation ratio: 1.5%; rating input score 65; 65th percentile among comparable filings
Growth
- Program expense growth: 19.8% per year; rating input score 100; 92nd percentile among comparable filings
- Revenue growth: 19.6% per year; rating input score 100; 93rd percentile among comparable filings
- Asset growth: 21.5% per year; rating input score 100; 94th percentile among comparable filings
Details
- What they do: Mission, programs, and operating context captured from the official website.
- Where the money goes: 94.7% of revenue deployed · 97.1% of spending went to programs
- Governance: 7 of 10 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $496.8M in reported program spending
- Leadership: top reported pay $2.7M · 18 people listed · 4 of 6 pay-setting controls reported
- Consistency: 26 of 26 current checks pass
- Schedules: 6 filed schedules · includes executive pay
- Filing history: 8 filing years from 2017 to 2024
- Contacts: How to reach this organization
- Money network: 8 filed money-flow records
- Related organizations: 2 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Total-asset coverage ratio scored 6/100.
- Moderate — Sustainability: Operating margin scored 45/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 38/100.