Applicant Details & Scoring

ARC State Program Manager Comments

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Southern Tier Health Care System, Inc.

Total Qualifying Score: 9
County (ARC Region): Yes
State (ARC Region): Yes
Q3. IRS Status: Nonprofit – 2
Q4. Parent Entity: No – 1
Q5. 2 or More Full-Time Employees : Yes (as of 12/31/2019)
Q7. Budget Level: $250,001 to $1.5 million – 5 (Last Fiscal Year Actual Income)
Q8. Restricted Reserves: No – 1
Q9. CARES Act Funding: Yes – 0
Q13. Participation by Executive: Yes


Southern Tier Health Care System, Inc.
Olean, Cattaraugus County, New York 14760-2735

County (ARC Region) Cattaraugus
State (ARC Region) New York


Q1. Mission:

It is the mission of Southern Tier Health Care System, Inc. to improve the health and wellness of the rural communities we serve.

Q2. How organization aligns with ARC’s Plan & Goals:

Southern Tier Health Care System, Inc. works to achieve several of The Appalachian Regional Commission’s strategic plan goals. Primarily, STHCS aligns most with the second goal of “Increase the education, knowledge, skills, and health of residents to work and succeed in Appalachia”. In 2020, STHCS successfully completed our Emergency Medical Services (EMS) Simulation Lab Project which was funded by the Appalachian Regional Commission. This project worked to bring high-fidelity simulation first responders to learn and practice skills, earn certifications, and put them into practice to provide a higher level of care for the best possible patient outcomes. This type of education removes the trainee from the vulnerability of the field while still exposing them to the situations and skills necessary for success there. While in a controlled environment, learners gain hands-on and critical-thinking skills including knowledge-in-action, procedures, decision making and strong communication. The funding through ARC was critical to the rural first responders and the residents of the rural area we serve.


Q3. IRS Filing Status: 501(c)(3)   

Q4. Unit or Chapter of Larger Organization: No

Q5. Employees:

Full-Time/Part-Time Employees: 6/1 (as of 9/1/2020)

Full-Time/Part-Time Employees: 7/0 (as of 12/31/2019)

Current Year Income/Expenses: $987629/$745364

Q6. Fiscal Year: Calendar

Q7. Budget Level

Last Fiscal Year Income/Expenses (Actual): $830775 / $760131

Current Year Income/Expenses (Projected): $987629 / $745364

Balance Sheet

Q8. Restricted Reserves (Amount): No ($)

Q9. CARES Act Funding (Amount): Yes ($73077)
Received From: Small Business Administration   Date Received: 4/28/2020
For What Purpose(s): Payroll Protection Program

Q10. Negative Impacts from COVID-19:

Like many organizations, STHCS has experienced a negative financial impact due to COVID-19. Two of our largest contracts, Office of Rural Health (ORH) and the Bureau of EMS, have not received payment since March 2020. We have continued the work on both of these contracts in good faith; however, this has required us to deplete our operating reserves in the interim. The budget forecast for next year will also be affected as we have been notified that our ORH grant, which largely supports our core operations, will be cut by 20% due to decreased funding in the approved NYS budget. We are working to ensure all operations continue as regularly scheduled regardless of the status of payments and impending cut by seeking additionally funding sources and reallocating our current resources. STHCS was able to apply for and was approved to receive Paycheck Protection Program through the Small Business Administration.

In light of the current environment during the COVID-19 pandemic, STHCS has experienced a reduction in staff due to our current reduction in funding. STHCS has also had to adjust the delivery of several of our programs. With stay-at-home orders and social distancing in effect, we adapted to how we are able to serve our rural community. Using telehealth and re-appropriating the way in which we provide several of our services, we were able to adapt to the current environment.

STHCS is committed to continue operations throughout this pandemic, and this program through the ARC will assist our organization’s operations for the foreseeable future.

Q11. Top Three Concerns:
Receiving payment from current New York State contracts
Procuring future contracts for sustainable funding streams
Procuring future contracts for sustainable funding streams

How Participation in Program Will Address Concerns:

Participation in the Appalachian Regional Commission’s technical assistance program for nonprofit organizations will help STHCS address the massive impact the COVID-19 pandemic has had on the operations of our organization. STHCS hopes to join the Long-term Financial Management program that would enable us to create a plan to move forward to ensure the long-term viability of our programs and our organization as a whole. With the future of the NYS budget unknown, STHCS must prepare for the future and work to procure additional funding sources as well as adapt our programming to continue to meet our residents of the three-county area we serve. STHCS is committed to ensure long-lasting operations and continuing the improve the health and wellness of the rural communities we serve, and this program will help us to address our concerns.


Q12. Applying as a Proposed Cohort? No

Q13. Executive Director or CEO Will Participate in the Program? Yes

Q14. Top Two Choices for Cohort Instruction:

Course #1 Choice: 1-Long-term Financial Management

Course #2 Choice: 2-Short-term Financial Management

Q15. Desired Course Schedule for Cohort Instruction:

#1 Desired Course Schedule: 1-Fall 2020: 11-Week Course (Nov. 9, 2020 -Jan. 24, 2021)

#2 Desired Course Schedule: 2-Winter 2021: 10-Week Course (Jan. 25. 2021 – Apr. 4, 2021)


Name: Donna Kahm, President & CEO

Application Approved by Organization Director or CEO? Yes, Approved by Executive Director/CEO

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