The Arh Foundation for Healthier Communities Inc

What it reported doing in 2024

Established in 2006, the arh foundation for healthier communities was created to address persistent health disparities in eastern Kentucky and southern West Virginia through its mission to further healthcare, education, and community involvement. Serving a largely rural region, the arh foundation was established in response to the growing healthcare needs of communities that consistently fall below the national average in key health indicators.during fy25, the arh foundation raised, stewarded, and distributed charitable contributions to support communities, employees, and mission-aligned partners across the region. Philanthropic resources were allocated in accordance with donor's intent to address urgent needs and support community health priorities.as a charitable, tax-exempt 501(c)(3) organization, the arh foundation provides donors with a meaningful opportunity to directly invest in the health and wellbeing of their communities. Through the generosity of donors and the operational support of appalachian regional healthcare, charitable contributions are used to support programs and services benefiting individuals and communities across the arh service area.the arh foundation managed a portfolio of designated funds, including the unrestricted fund, the arh employee emergency assistance fund, the flood relief fund, and the duanne thompson memorial community service fund. Through the arh employee emergency assistance fund, the arh foundation provided short-term financial assistance to employees experiencing documented temporary financial hardships. The flood relief fund supported charitable relief efforts in communities impacted by devastating flooding.the arh foundation awarded community grants to nonprofit organizations and governmental agencies providing direct services related to health, education, food security, and human services throughout the arh service region. These grants supported local organizations working to improve community wellbeing.throughout fy25, the arh foundation remained committed to transparency, accountability, and responsible stewardship of charitable resources. Guided by its mission and supported by donor generosity, the arh foundation continued to advance healthier, more resilient communities across appalachia.

Financial Efficiency

• Mission deployment rate: 61.8%; rating input score 62
• Program expense ratio: 99.4%; rating input score 99
• Fundraising efficiency: $340.56 raised per $1 spent on fundraising; rating input score 95; 95th percentile among comparable filings

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 19th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 82.9%; rating input score 83; 35th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 55.6%; rating input score 56; 12th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 48.5%; rating input score 92; 92nd percentile among comparable filings
• Total-asset coverage ratio: 5.67; rating input score 86; 86th percentile among comparable filings
• Liabilities to assets ratio: 0.16; rating input score 35; 35th percentile among comparable filings
• Officer compensation ratio: 19.9%; rating input score 15; 15th percentile among comparable filings

Growth

• Program expense growth: 20.6% per year; rating input score 100; 83rd percentile among comparable filings
• Revenue growth: 11.3% per year; rating input score 100; 70th percentile among comparable filings
• Asset growth: 10.6% per year; rating input score 100; 61st percentile among comparable filings