Civic Intelligence

Appalachian Mountain Project Access Inc

990 • Fiscal year 2022 • EIN 26-2102040

Jul 01, 2021 to Jun 30, 2022 • Filed on Nov 11, 2022

926 West Oakland AvenueJohnson City, TN 37604

(423) 232-6700

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

33rd percentile

0.09x

Higher debt load relative to assets than 33% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2022

Liabilities / Revenue

5th percentile

0.00x

Higher debt load relative to revenue than 5% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2022

Net Margin

32nd percentile

0.5%

Higher net margin than 32% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2022

Top Officer Pay

11th percentile

$80,982

Higher top officer pay than 11% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2022

Asset Growth

83rd percentile

21%

Faster asset growth than 83% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2021 to 2022

Revenue Growth

96th percentile

159%

Faster revenue growth than 96% of similar nonprofits.

2022 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2021 to 2022

Assets

Up

$1,105,071

Up $192,009 (+21%) from 2021

Net Assets

Up

$1,006,084

Up $158,231 (+19%) from 2021

Liabilities

Up

$98,987

Up $33,778 (+52%) from 2021

Revenue

Up

$31,691,594

Up $19,465,065 (+159%) from 2021

Expenses

Up

$31,533,363

Up $19,474,914 (+162%) from 2021

Net Income

Down

$158,231

Down $9,849 (-5.9%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0M$1.5M$1.0M$500K$0Assets 2015: $165,869Liabilities 2015: $32,397Net Assets 2015: $133,4722015Assets 2016: $226,754Liabilities 2016: $28,121Net Assets 2016: $198,6332016Assets 2017: $417,156Liabilities 2017: $38,219Net Assets 2017: $378,9372017Assets 2018: $481,781Liabilities 2018: $25,986Net Assets 2018: $455,7952018Assets 2019: $544,562Liabilities 2019: $43,179Net Assets 2019: $501,3832019Assets 2020: $727,855Liabilities 2020: $48,082Net Assets 2020: $679,7732020Assets 2021: $913,062Liabilities 2021: $65,209Net Assets 2021: $847,8532021Assets 2022: $1,105,071Liabilities 2022: $98,987Net Assets 2022: $1,006,0842022Assets 2023: $1,157,572Liabilities 2023: $127,744Net Assets 2023: $1,029,8282023Assets 2024: $1,518,729Liabilities 2024: $311,773Net Assets 2024: $1,206,9562024Assets 2025: $1,438,718Liabilities 2025: $223,348Net Assets 2025: $1,215,3702025

Highlighted filing

2022

Assets$1,105,071
Liabilities$98,987
Net Assets$1,006,084

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$40M$30M$20M$10M$0Revenue 2015: $5,575,089Expenses 2015: $5,548,747Net Income 2015: $26,3422015Revenue 2016: $8,988,034Expenses 2016: $8,922,873Net Income 2016: $65,1612016Revenue 2017: $9,061,085Expenses 2017: $8,880,781Net Income 2017: $180,3042017Revenue 2018: $6,597,888Expenses 2018: $6,521,033Net Income 2018: $76,8552018Revenue 2019: $10,874,505Expenses 2019: $10,828,917Net Income 2019: $45,5882019Revenue 2020: $12,786,346Expenses 2020: $12,607,956Net Income 2020: $178,3902020Revenue 2021: $12,226,529Expenses 2021: $12,058,449Net Income 2021: $168,0802021Revenue 2022: $31,691,594Expenses 2022: $31,533,363Net Income 2022: $158,2312022Revenue 2023: $28,230,527Expenses 2023: $28,206,783Net Income 2023: $23,7442023Revenue 2024: $2,048,331Expenses 2024: $1,871,203Net Income 2024: $177,1282024Revenue 2025: $1,549,938Expenses 2025: $1,541,524Net Income 2025: $8,4142025

Highlighted filing

2022

Revenue$31,691,594
Expenses$31,533,363
Net Income$158,231
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
Nov 11, 2022
Return Version
2021v4.1
Gross Receipts
$31,693,151
Mission and Program Overview

Mission

To establish a network of volunteer physicians to provide health care to individuals who would otherwise not receive it.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$346,127$701,959▲ $355,832
Cash and Non-Interest-Bearing Accounts$520,194$364,590▼ $155,604
Land, Buildings, and Equipment, Net$38,331$27,423▼ $10,908
Prepaid Expenses and Deferred Charges$4,283$4,890▲ $607
Total Assets$913,062$1,105,071▲ $192,009
Other Assets Total$4,127$6,209▲ $2,082
Liabilities
Accounts Payable and Accrued Expenses$57,136$90,100▲ $32,964
Escrow Account Liability$4,127$6,209▲ $2,082
Mortgage Notes Payable Secured by Investment Property$3,946$2,678▼ $1,268
Total Liabilities$65,209$98,987▲ $33,778
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$847,853$1,006,084▲ $158,231
Total Net Assets Fund Balance$847,853$1,006,084▲ $158,231
Total Liabilities and Net Assets / Fund Balance$913,062$1,105,071▲ $192,009

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$27,423$70,083-
Other Assets Org$6,209--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Ashley B BlairExecutive DirectorFT$80,982$80,982

Board Members and Trustees

NameTitle
Michael ManningChairman & Treasurer
Dr James HoltDirector
Holly BookshDirector
Jamie MageeDirector
Keith Cook MDDirector
Kristina GulsonDirector
Paula MastersDirector
Kimberly HollySecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$31,590,545
Program Service Revenue
$101,244
Investment Income
$-539
Other Revenue
$344
All Other Contributions
$30,275,780
Change in Net Assets
$158,231

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Audited Revenue Reconciliation

Revenue per Audited Statements
$31,691,594
Total Revenue per Audited Statements
$31,691,594
Total Revenue per Form 990
$31,691,594
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$30,116,802
Salaries, Compensation, and Employee Benefits$1,416,561
Total Fundraising Expense$61,775
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
All Other Expenses$29,900,109$913$171$29,901,193
Other Salaries and Wages$943,789$255,839$26,782$1,226,410
Payroll Taxes$74,053$24,489$3,990$102,532
Current Officers, Directors, Trustees, and Key Employees$0$61,333$26,286$87,619
Office Expenses$57,229$15,512$1,621$74,362
Occupancy$45,965$12,458$1,303$59,726
Depreciation Depletion$10,830$2,934$307$14,071
Other Expenses$11,758$309$309$12,376
Fees for Services Accounting$0$11,876$0$11,876
Travel$6,121$1,148$383$7,652
Insurance$5,034$1,365$143$6,542
Advertising$2,041$874$0$2,915
Interest$257$71$7$335
Total Functional Expenses$31,077,880$393,708$61,775$31,533,363

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$31,533,363
Total Expenses per Audited Statements$31,533,363
Total Expenses per Form 990$31,533,363
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Appalachian Mountain Project Access Inc
EIN
26-2102040
Phone
4232326700
Address
926 West Oakland Avenue, Johnson City, TN 37604

Signing Officer

Name
Ashley B Blair
Title
Executive Director
Phone
4232326700
Signed
2022-11-11
Discuss with paid preparer
Yes

Organization Details

Formed
2008
Legal Domicile
Tn
Voting Board Members
8
Independent Board Members
8
Employees
48
Volunteers
785

Preparer

Firm
Gray Station CPAs PC
Address
140 Old Gray Station Road Suite 100, Gray, TN 37615
Preparer
James P Cline CPA
Phone
4234770100
Supplemental Narrative

Additional Explanations

Pt VI, Line 11B

Directors reviewed 990 in corporate office

Pt VI, Line 15A

The Executive Director's salary and related payroll taxes are paid by Ballad Health and are recorded as an in-kind contribution

Pt VI, Line 15B

Board members approve raises to all personnel

Pt VI, Line 19

Anyone requesting information may review the documents in the corporate office

Form 990, Part IX, Line 24E

Dues & Subscriptions 3429. 3087. 171. 171.

Form 990, Part IX, Line 24E

Patient Care Services 33687. 33687. 0. 0.

Form 990, Part IX, Line 24E

Other Expense 742. 0. 742. 0.

Form 990, Part IX, Line 24E

Medical Services - In-kind 29863335. 29863335. 0. 0.

Financial Statement Notes

Pt III, Line 4

Artwork was donated in lieu of cash; to be sold in the future for cash for unrestricted use on program services

Pt IV, Line 1B

Management of custodial account for the Remote Area Medical (RAM) Clinic

Pt IV, Line 2B

Management of custodial account for the Remote area Medical (RAM) Clinic

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0943789
IRS990/OtherSalariesAndWagesGrp/TotalAmt01226410
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt03990
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt024489
IRS990/PayrollTaxesGrp/ProgramServicesAmt074053
IRS990/PayrollTaxesGrp/TotalAmt0102532
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt0346127
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt0701959
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt04283
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt04890
IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt0Ashley B Blair
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0812990
IRS990/ProgramServiceRevenueGrp/Desc0Navigator Program Grant
IRS990/ProgramServiceRevenueGrp/ExclusionAmt00
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0101244
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt012225630
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt0899
IRS990/PYOtherExpensesAmt011210259
IRS990/PYRevenuesLessExpensesAmt0168080
IRS990/PYSalariesCompEmpBnftPaidAmt0848190
IRS990/PYTotalExpensesAmt012058449
IRS990/PYTotalRevenueAmt012226529
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0158231
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0true
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt031590545
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt012225630
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt012785058
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt010866031
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt06387855
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt073855119
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt01018
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt0899
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt01288
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt01169
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt01054
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt05428
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0100031
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt07305
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0208979
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt0316315
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt01018
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt0899
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt01288
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt01169
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt01054
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt05428
IRS990ScheduleA/InvestmentIncomeCYPct00.00010
IRS990ScheduleA/InvestmentIncomePYPct00.00010
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00
IRS990ScheduleA/PublicSupportCY509Pct00.99990
IRS990ScheduleA/PublicSupportPY509Pct00.99990
IRS990ScheduleA/PublicSupportTotal509Amt074171434
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt031690576
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt012225630
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt012785058
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt010873336
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt06596834
IRS990ScheduleA/Total509Grp/TotalAmt074171434
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt074176862
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/AdditionsDuringYearAmt015813
IRS990ScheduleD/AgentTrusteeEtcInd0true
IRS990ScheduleD/BeginningBalanceAmt04127
IRS990ScheduleD/CollectionUsedOtherPurposesGrp/CollectionUsedOtherPurposesInd0X
IRS990ScheduleD/CollectionUsedOtherPurposesGrp/OtherPurposesDesc0Donated items
IRS990ScheduleD/CollectionUsedPubExhibitionInd0X
IRS990ScheduleD/DistributionsDuringYearAmt013731
IRS990ScheduleD/EndingBalanceAmt06209
IRS990ScheduleD/EquipmentGrp/BookValueAmt027423
IRS990ScheduleD/EquipmentGrp/DepreciationAmt070083
IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt097506
IRS990ScheduleD/ExpensesSubtotalAmt031533363
IRS990ScheduleD/InclEscrowCustodialAcctLiabInd0true
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt06209
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0Custodial Cash - RAM Clinic
IRS990ScheduleD/RevenueSubtotalAmt031691594
IRS990ScheduleD/SolicitedAssetsSaleInd0false
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Artwork was donated in lieu of cash; to be sold in the future for cash for unrestricted use on program services
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Management of custodial account for the Remote Area Medical (RAM) Clinic
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2Management of custodial account for the Remote area Medical (RAM) Clinic
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt III, Line 4
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt IV, Line 1b
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt IV, Line 2b
IRS990ScheduleD/TotalBookValueLandBuildingsAmt027423
IRS990ScheduleD/TotalBookValueOtherAssetsAmt06209
IRS990ScheduleD/TotalExpensesPerForm990Amt031533363
IRS990ScheduleD/TotalRevenuePerForm990Amt031691594
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt031691594
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt031533363
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt00
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0Medical Services
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/NonCashAssistanceAmt029863335
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/NonCashAssistanceDesc0Medical Services
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt07710
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/ValuationMethodUsedDesc0FMV
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd0false
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd0false
IRS990ScheduleM/ThirdPartiesUsedInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Directors reviewed 990 in corporate office
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The Executive Director's salary and related payroll taxes are paid by Ballad Health and are recorded as an in-kind contribution
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Board members approve raises to all personnel
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Anyone requesting information may review the documents in the corporate office
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Dues & Subscriptions 3429. 3087. 171. 171.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Patient Care Services 33687. 33687. 0. 0.

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