Civic Intelligence

Five Town Health Alliance Inc

EIN 26-3010066 • 501(c)3 • Bristol, VT

Profile

To strengthen our communties by improving the health of all our neighbors by providing health care with skill, compassion & respect; lowering the barriers to affordable care & delivering braod-based services including prevenative, dental, mental & primary health care.

61 Pine StreetBristol, VT 05443

www.mountainhealthcenter.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

75th percentile

0.42x

Higher debt load relative to assets than 75% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

69th percentile

0.36x

Higher debt load relative to revenue than 69% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

25th percentile

-5.3%

Higher net margin than 25% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

70th percentile

$184,667

Higher top officer pay than 70% of similar nonprofits.

Top officer pay equals 3.2% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Asset Growth

20th percentile

-4.8%

Faster asset growth than 20% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

35th percentile

-0.2%

Faster revenue growth than 35% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets75th percentile

Assets

Down

$5,040,396

Down $375,879 (-6.9%) from 2022

Liabilities

Down

$2,111,539

Down $174,267 (-7.6%) from 2022

Net Assets

Down

$2,928,857

Down $201,612 (-6.4%) from 2022

Operations
Liabilities / Revenue69th percentileNet Margin25th percentile

Revenue

Up

$5,855,500

Up $404,199 (+7.4%) from 2022

Expenses

Up

$6,168,254

Up $663,917 (+12%) from 2022

Net Income

Down

-$312,754

Down $259,718 (-490%) from 2022

Trend Graphs

Balance Sheet Trend

Asset Growth20th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0Assets 2013: $131,397Liabilities 2013: $100,619Net Assets 2013: $30,7782013Assets 2014: $313,161Liabilities 2014: $156,101Net Assets 2014: $157,0602014Assets 2015: $437,301Liabilities 2015: $104,467Net Assets 2015: $332,8342015Assets 2017: $1,131,717Liabilities 2017: $287,616Net Assets 2017: $844,1012017Assets 2018: $1,558,965Liabilities 2018: $304,192Net Assets 2018: $1,254,7732018Assets 2019: $2,276,847Liabilities 2019: $230,265Net Assets 2019: $2,046,5822019Assets 2020: $3,128,915Liabilities 2020: $769,716Net Assets 2020: $2,359,1992020Assets 2021: $3,900,023Liabilities 2021: $532,384Net Assets 2021: $3,367,6392021Assets 2022: $5,416,275Liabilities 2022: $2,285,806Net Assets 2022: $3,130,4692022Assets 2024: $5,040,396Liabilities 2024: $2,111,539Net Assets 2024: $2,928,8572024

Highlighted filing

2024

Assets$5,040,396
Liabilities$2,111,539
Net Assets$2,928,857
Open 2024 Filing

Operations Trend

Revenue Growth35th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$8.0M$6.0M$4.0M$2.0M$0-$2.0MExpenses 2013: $813,8732013Revenue 2014: $1,749,563Expenses 2014: $1,581,006Net Income 2014: $168,5572014Revenue 2015: $2,205,381Expenses 2015: $2,029,607Net Income 2015: $175,7742015Revenue 2017: $3,046,656Expenses 2017: $2,904,316Net Income 2017: $142,3402017Revenue 2018: $3,581,278Expenses 2018: $3,170,606Net Income 2018: $410,6722018Revenue 2019: $4,197,360Expenses 2019: $3,454,110Net Income 2019: $743,2502019Revenue 2020: $4,834,538Expenses 2020: $4,557,258Net Income 2020: $277,2802020Revenue 2021: $6,142,229Expenses 2021: $5,210,039Net Income 2021: $932,1902021Revenue 2022: $5,451,301Expenses 2022: $5,504,337Net Income 2022: -$53,0362022Revenue 2024: $5,855,500Expenses 2024: $6,168,254Net Income 2024: -$312,7542024

Highlighted filing

2024

Revenue$5,855,500
Expenses$6,168,254
Net Income-$312,754
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$5,040,396
Liabilities
$2,111,539
Net assets
$2,928,857
Revenue
$5,855,500
Expenses
$6,168,254
Net income
-$312,754
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.04$2.11$2.93$5.86$6.17$0.31
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.42$2.29$3.13$5.45$5.50$0.05
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.90$0.53$3.37$6.14$5.21$0.93
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.13$0.77$2.36$4.83$4.56$0.28
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.28$0.23$2.05$4.20$3.45$0.74
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.56$0.30$1.25$3.58$3.17$0.41
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.13$0.29$0.84$3.05$2.90$0.14
2015Detailed filing. Detailed filing data is available for this year.$0.44$0.10$0.33$2.21$2.03$0.18
2014Detailed filing. Detailed filing data is available for this year.$0.31$0.16$0.16$1.75$1.58$0.17
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.13$0.10$0.03$0.81
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$5,855,500
Mission and Program Overview

Mission

To strengthen our communties by improving the health of all our neighbors by providing health care with skill, compassion & respect; lowering the barriers to affordable care & delivering braod-based services including prevenative, dental, mental & primary health care.

To strengthen our communties by improving the health of all our neighbors by providing health care with skill, compassion & respect; lowering the barriers to affordable care & delivering broad-based services including prevenative, dental, mental & primary health care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,295,814$3,220,163▼ $75,651
Investments in Publicly Traded Securities$975,196$1,188,775▲ $213,579
Accounts Receivable$523,414$337,601▼ $185,813
Cash and Non-Interest-Bearing Accounts$346,131$115,240▼ $230,891
Prepaid Expenses and Deferred Charges$87,832$89,334▲ $1,502
Inventories for Sale or Use$37,712$58,682▲ $20,970
Pledges and Grants Receivable-$12,010-
Total Assets$5,292,378$5,040,396▼ $251,982
Other Assets Total$26,279$18,591▼ $7,688
Liabilities
Mortgage Notes Payable Secured by Investment Property$1,925,722$1,856,359▼ $69,363
Accounts Payable and Accrued Expenses$280,759$236,311▼ $44,448
Other Liabilities$25,907$18,869▼ $7,038
Total Liabilities$2,232,388$2,111,539▼ $120,849
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,059,990$2,928,857▼ $131,133
Total Net Assets Fund Balance$3,059,990$2,928,857▼ $131,133
Total Liabilities and Net Assets / Fund Balance$5,292,378$5,040,396▼ $251,982

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,773,194$181,517$2,954,711
Equipment$329,216$457,714$786,930
Land$117,753-$117,753
Compensation and Service Providers
Top Officer Pay70th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
David TurnerPhysicianFT$167,758$16,909$184,667
Martha HalnonFormer CEOFT$159,225$15,921$175,146
Jennifer Wisdom-behounekMedical DireFT$164,436$6,779$171,215
Jennifer Wisdom-behounekMedical Director-$164,436$6,779$171,215
Kate LamancusoPhysicianFT$145,055$6,191$151,246
Brian BatesMedical DireFT$123,745$15,474$139,219
Greg MacdonaldCFOFT$116,282$14,784$131,066
Bridget PrestonNurse ManageFT$105,524$9,855$115,379

Board Members and Trustees

NameTitle
Norma NorlandChair
Adam RiceDirector
Bob DonnisDirector
Bob TurcotDirector
Deb Wesley Through 424Director
Helena Van VorstDirector
Mimi DammDirector
Moira Cook Through 524Director
Peter Heinz Through 424Director
Rachel LeeDirector
Richard JackDirector
Trevor WilsonDirector
Heidi MelbostadCEO
Mark MulqueenSecretary
Ron DendasTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$1,950,646
Program Service Revenue
$3,872,180
Investment Income
$32,674
Other Revenue
$0
All Other Contributions
$8,582
Change in Net Assets
$-312,754

Audited Revenue Reconciliation

Revenue per Audited Statements
$5,573,587
Revenue Not Reported on Financial Statements
$281,913
Revenue Not Reported on Form 990
$181,621
Other Revenue Adjustments
$281,913
Total Revenue per Audited Statements
$5,755,208
Total Revenue per Form 990
$5,855,500
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$4,233,674
Other Expenses$1,934,580
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,994,522$72,877-$3,067,399
Current Officers, Directors, Trustees, and Key Employees-$477,897-$477,897
Other Employee Benefits$347,610$45,564-$393,174
Payroll Taxes$247,640$47,564-$295,204
Occupancy$200,691$39,798-$240,489
Information Technology$112,336$49,602-$161,938
Depreciation Depletion$133,261$20,052-$153,313
Interest$78,304$13,819-$92,123
All Other Expenses$51,383$13,778-$65,161
Advertising$51,533$8,793-$60,326
Office Expenses$47,063$7,441-$54,504
Fees for Services Accounting$3,000$50,747-$53,747
Insurance$35,601$16,559-$52,160
Fees for Services Legal$39,574--$39,574
Other Expenses$17,385$3,728-$17,385
Fees for Services Other$7,134--$7,134
Conferences and Meetings$150$826-$976
Travel$253$156-$409
Total Functional Expenses$5,293,538$874,716$0$6,168,254

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$6,168,254
Expenses per Audited Statements$5,886,341
Total Expenses per Audited Statements$5,886,341
Expenses Not Reported on Financial Statements$281,913
Other Expense Adjustments$281,913
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liability$18,869
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“The 990 will first be reviewed by the cfo in detail and compares it to the audited financial statements. The 990 is then reviewed by the treasurer before filing. It will be made available to board members to review prior to filing.”

Form 990, Page 6, Part VI, Line 12C

“Conflicts of interest forms are signed and dated by the board and executive director and updated on a yearly basis and reviewed by the board. The board has to sign off on the forms for them to be approved.”

Form 990, Page 6, Part VI, Line 15A

“The center's board of directors reviews compensation for the chief executive officer annually. Data is collected from several sources and then discussed and considered for changes as recommended by the board of directors.”

Form 990, Page 6, Part VI, Line 15B

“The center's board of directors reviews compensation annually. Data is collected from several sources and then discussed and considered for changes as recommended by the board of directors and/or the chief executive officer depending on the employee. This process includes basing compensation level on performance and salary surveys for other federally qualified health center employees in the region.”

Form 990, Page 6, Part VI, Line 19

“AVAILABLE UPON REQUEST.”

Filing and Contact Details

Filer

Filer Name
Five Town Health Alliance Inc
EIN
26-3010066
Phone
8024535028
Address
61 PINE STREET, BRISTOL, VT 05443
Doing Business As
Mountain Community Health

Signing Officer

Name
Heidi Melbostad
Title
CEO
Phone
8024536874
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Heidi Melbostad
Formed
2008
Legal Domicile
Vt
Voting Board Members
11
Independent Board Members
11
Employees
73

Preparer

Firm
Davis & Hodgdon Associates Cpas Plc
Address
33 BLAIR PARK RD STE 201, WILLISTON, VT 05495
Preparer
Bret Hodgdon
Phone
8028781963
Supplemental Narrative

Additional Explanations

Form 990, Page 1, Item C

“MOUNTAIN HEALTH CENTER”

FORM 990 - ORGANIZATION'S MISSION

“To strengthen our communties by improving the health of all our neighbors by providing health care with skill, compassion & respect; lowering the barriers to affordable care & delivering broad-based services including prevenative, dental, mental & primary health care.”

Form 990, Part XI, Line 9

“Cost of pharmacy supplies -148,272 contract mgmt and dispensing fees -133,641 cost of pharmacy supplies 148,272 contract mgmt and dispensing fees 133,641”

Financial Statement Notes

Schedule D, Page 3, Part X

“The organization annually files an irs form 990, return of organization exempt from income tax, tax return in the u.s. Federal jurisdiction. The organization is no longer subject to u.s. Federal income tax examination by tax authorities for the years prior to september 30, 2021. In the normal course of business, the organization is subject to examination by various taxing authorities. Although the outcome of tax audits is always uncertain, the management of the organization believes that there are no significant unrecognized tax liabilities at september 30, 2024.”

Schedule D, Page 4, Part XI, Line 4B

“Cost of pharmacy supplies 148,272 contract mgmt and dispensing fees 133,641”

Schedule D, Page 4, Part XII, Line 4B

“Cost of pharmacy supplies 148,272 contract mgmt and dispensing fees 133,641”

Raw XML AppendixShowing 400 of 606 raw XML fields

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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