Appalachian Center for Excellence in Health Care Inc

Nonprofit profile at a glance

EIN
833107705
IRS 990 coverage
2020–2025
Forms available
Form 990 2025
Location
Coeburn, VA, USA
Phone
2764555556
Rating
69
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Treatment Facilities, Primarily Outpatient

Reported finances

Revenue
$584,254
Expenses
$727,019
Assets
$84,381
Liabilities
$465,535

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

3 people listed

Executive titles in this filing

  • TERESA TYSON (President & CEO)
  • PAULA HILL-COLLINS (Vice President)

People named in this filing

  • TERESA TYSON (President & CEO)
  • PAULA HILL-COLLINS (Vice President)
  • VALERIE STEWART (Secretary)

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

This vision statement serves as a powerful, mission-driven compass for addressing the deep-seated health disparities in Central Appalachia. It emphasizes proactive, comprehensive care that goes beyond treating symptoms to truly transforming lives.Core Pillars of the Mission.Relentless Pursuit: Constant innovation, advocacy, and a refusal to accept the status quo of rural healthcare shortages.Transformational Impact: Shifting the healthcare model from reactive disease management to proactive, lifelong wellness and systemic improvement.Holistic Approach: Integrating physical, mental, behavioral, dental, and social health needs into a single, seamless care model.Focus on the Underserved: Prioritizing isolated, low-income, uninsured, and underinsured populations who face geographic and financial barriers.Geographic Commitment: Dedicating resources specifically to the unique cultural, economic, and topographic landscape of Central Appalachia.

What it reported doing in 2025

Relentlessly pursue a transformational, holistic, healthcare experience for the medically underserved within the central appalachian region.

Operating model

Revenue model
Earned-program. 95% of the money available for current operations came from fees and other program 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

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 85
  • Transparency & Controls: 90
  • Accountability: 37
  • Sustainability: 13
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 89.4%; rating input score 89
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 33.3%; rating input score 33; 13th percentile among comparable filings
  • Governance controls: 3 of 7 controls in place; rating input score 43
    • Conflict-of-interest policy: Fail
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -24.4%; rating input score 5; 5th percentile among comparable filings
  • Total-asset coverage ratio: 0.12; rating input score 6; 6th percentile among comparable filings
  • Liabilities to assets ratio: 5.52; rating input score 0; 0th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 78; 78th percentile among comparable filings

Growth

  • Program expense growth: -3.1% per year; rating input score 0; 9th percentile among comparable filings
  • Revenue growth: -0.9% per year; rating input score 0; 9th percentile among comparable filings
  • Asset growth: -10.2% per year; rating input score 0; 3rd percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 89.4% of spending went to programs
  • Governance: 1 of 3 board members independent · 3 of 7 filing controls reported
  • Programs: 1 filed program accomplishment · $650K in reported program spending
  • Leadership: top reported pay $0 · 3 people listed
  • Consistency: 21 of 21 current checks pass
  • Schedules: 4 filed schedules
  • Filing history: 5 filing years from 2020 to 2025
  • Contacts: How to reach this organization
  • Related organizations: 1 filed related-organization link
  • 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.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Accountability: Independent voting board scored 33/100.
  • Moderate — Accountability: Governance controls: 4 of 7 not reported.
  • High — Sustainability: Operating margin scored 5/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 6/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Liabilities to assets ratio scored 0/100.