Civic Intelligence

High Country Community Health Inc

EIN 27-3033445 • 501(c)3 • Boone, NC

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Profile

This organization provides health care

PO Box 1490Boone, NC 28607

n/A

Siviq Scores

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

Liabilities / Assets

47th percentile

0.35x

Higher debt load relative to assets than 47% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2025

Liabilities / Revenue

43rd percentile

0.28x

Higher debt load relative to revenue than 43% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2025

Net Margin

66th percentile

8.1%

Higher net margin than 66% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2025

Top Officer Pay

20th percentile

$275,736

Higher top officer pay than 20% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

NTEE E • $25M-$50M nonprofits • Source year 2025

Asset Growth

93rd percentile

46%

Faster asset growth than 93% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Annualized from 2024 to 2025

Revenue Growth

83rd percentile

40%

Faster revenue growth than 83% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets47th percentile

Assets

Up

$22,380,806

Up $6,506,689 (+41%) from 2023

Liabilities

Up

$7,854,338

Up $3,468,460 (+79%) from 2023

Net Assets

Up

$14,526,468

Up $3,038,229 (+26%) from 2023

Operations
Liabilities / Revenue43rd percentileNet Margin66th percentile

Revenue

Up

$27,774,944

Up $9,107,054 (+49%) from 2023

Expenses

Up

$25,535,989

Up $8,126,579 (+47%) from 2023

Net Income

Up

$2,238,955

Up $980,475 (+78%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth93rd percentile

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

$30M$20M$10M$0Assets 2015: $2,637,013Liabilities 2015: $2,306,537Net Assets 2015: $330,4762015Assets 2016: $2,772,008Liabilities 2016: $2,213,064Net Assets 2016: $558,9442016Assets 2018: $2,858,007Liabilities 2018: $2,167,693Net Assets 2018: $690,3142018Assets 2019: $3,181,470Liabilities 2019: $2,008,913Net Assets 2019: $1,172,5572019Assets 2020: $5,532,200Liabilities 2020: $2,787,703Net Assets 2020: $2,744,4972020Assets 2021: $10,762,472Liabilities 2021: $4,206,849Net Assets 2021: $6,555,6232021Assets 2022: $13,588,680Liabilities 2022: $3,787,144Net Assets 2022: $9,801,5362022Assets 2023: $15,874,117Liabilities 2023: $4,385,878Net Assets 2023: $11,488,2392023Assets 2025: $22,380,806Liabilities 2025: $7,854,338Net Assets 2025: $14,526,4682025

Highlighted filing

2025

Assets$22,380,806
Liabilities$7,854,338
Net Assets$14,526,468
Open 2025 Filing

Operations Trend

Revenue Growth83rd percentile

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

$30M$20M$10M$0Revenue 2015: $3,279,628Expenses 2015: $3,171,215Net Income 2015: $108,4132015Revenue 2016: $4,111,420Expenses 2016: $3,882,952Net Income 2016: $228,4682016Revenue 2018: $5,481,916Expenses 2018: $5,000,483Net Income 2018: $481,4332018Revenue 2019: $7,013,300Expenses 2019: $6,531,057Net Income 2019: $482,2432019Revenue 2020: $9,065,706Expenses 2020: $7,493,766Net Income 2020: $1,571,9402020Revenue 2021: $14,198,577Expenses 2021: $10,452,449Net Income 2021: $3,746,1282021Revenue 2022: $16,447,136Expenses 2022: $13,184,196Net Income 2022: $3,262,9402022Revenue 2023: $18,667,890Expenses 2023: $17,409,410Net Income 2023: $1,258,4802023Revenue 2025: $27,774,944Expenses 2025: $25,535,989Net Income 2025: $2,238,9552025

Highlighted filing

2025

Revenue$27,774,944
Expenses$25,535,989
Net Income$2,238,955
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$22,380,806
Liabilities
$7,854,338
Net assets
$14,526,468
Revenue
$27,774,944
Expenses
$25,535,989
Net income
$2,238,955
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.4$7.85$14.5$27.8$25.5$2.24
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.9$4.39$11.5$18.7$17.4$1.26
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.6$3.79$9.80$16.4$13.2$3.26
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.8$4.21$6.56$14.2$10.5$3.75
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.53$2.79$2.74$9.07$7.49$1.57
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.18$2.01$1.17$7.01$6.53$0.48
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.86$2.17$0.69$5.48$5.00$0.48
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.77$2.21$0.56$4.11$3.88$0.23
2015Detailed filing. Detailed filing data is available for this year.$2.64$2.31$0.33$3.28$3.17$0.11
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
May 1, 2024 to Apr 30, 2025
Signed
Dec 5, 2025
Return Version
2024v5.2
Gross Receipts
$28,349,751
Mission and Program Overview

Mission

This organization provides health care to individuals regardless of their ability to pay. This is a direct fulfillment of their tax exempt purpose.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$8,959,554$13,311,713▲ $4,352,159
Savings and Temporary Cash Investments$959,761$2,878,747▲ $1,918,986
Accounts Receivable$2,033,079$1,435,819▼ $597,260
Investments Other Securities$1,249,772$1,252,265▲ $2,493
Prepaid Expenses and Deferred Charges$178,644$768,441▲ $589,797
Pledges and Grants Receivable$232,788$433,584▲ $200,796
Other Notes and Loans Receivable, Net-$369,554-
Cash and Non-Interest-Bearing Accounts$155,517$277,424▲ $121,907
Investments Program Related$141,738$276,063▲ $134,325
Inventories for Sale or Use$33,180$194,288▲ $161,108
Total Assets$15,378,456$22,380,806▲ $7,002,350
Other Assets Total$1,434,423$1,182,908▼ $251,515
Liabilities
Mortgage Notes Payable Secured by Investment Property$2,283,496$5,070,753▲ $2,787,257
Accounts Payable and Accrued Expenses$1,188,642$1,573,611▲ $384,969
Other Liabilities$1,445,321$1,209,974▼ $235,347
Total Liabilities$4,917,459$7,854,338▲ $2,936,879
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$10,379,801$13,103,688▲ $2,723,887
Net Assets With Donor Restrictions$81,196$1,422,780▲ $1,341,584
Total Net Assets Fund Balance$10,460,997$14,526,468▲ $4,065,471
Total Liabilities and Net Assets / Fund Balance$15,378,456$22,380,806▲ $7,002,350

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$7,835,170$674,699-
Other Land Buildings$652,632--
Land$3,659,282--
Equipment$1,164,629$1,029,451-
Other Assets Org$1,182,908--
Other Securities$1,252,265--
Compensation and Service Providers
Top Officer Pay20th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Giovanni LlibrePhysicianFT$252,612$23,124$275,736
Giovanni Llibre--$252,612$23,124$275,736
Cordelia StearnsMedical DirectorFT$250,666$19,880$270,546
Cordelia Stearns--$250,666$19,880$270,546
Alice SalthouseChief Executive OfficerFT$242,554$14,960$257,514
Alice Salthouse--$242,554$14,960$257,514
Halcyon InnissDental DirectorFT$195,610$4,059$199,669
Halcyon Inniss--$195,610$4,059$199,669
William JohansonPhysicianFT$168,391$7,011$175,402
William Johanson--$168,391$7,011$175,402
Marina GarlandPhysicianFT$156,542$12,383$168,925
Marina Garland--$156,542$12,383$168,925
Luz LopezDentistFT$160,297$8,591$168,888
Luz Lopez--$160,297$8,591$168,888
Dana BrownPhysicianFT$150,670$12,966$163,636
Dana Brown--$150,670$12,966$163,636
Stephanie HazlePharmacy DirectorFT$151,990$6,977$158,967
Stephanie Hazle--$151,990$6,977$158,967
Philip VoidaChief Financial OfficerFT$142,599$14,257$156,856
Philip Voida--$142,599$14,257$156,856
Leigh Ann ByrdChief Operational OfficerFT$133,612$10,620$144,232
Alysia Hoover - ThompsonDirector of Behavioral HealthFT$113,447$17,211$130,658
Tom PankowPresident/director of HitFT$116,751$10,555$127,306

Board Members and Trustees

NameTitle
Chip WatkinsChair
Tina HoustonVice Chair
Andi GelsthorpeBoard Member
Blaire WarrenBoard Member
Catherine RobinsBoard Member
Emily HawesBoard Member
Holden HartzogBoard Member
Karen JamesBoard Member
Cynthia DillonSecretary
Christian LannieTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Eclinicalworks LLCContract Ehr ServicesPO BOX 847950, Boston, MA 02284$521,850
Carver Technologies LLCContract It Services52-A COLUMBIA STREET, Islip, NY 11751$271,635
Barton AssociatesContract Healthcare Staffing Services1500 WALNUT STREET 1620, Philadelphia, PA 19102$243,920
Hendrick INCContract Construction Services834 TYVOLA RD 107, Charlotte, NC 28217$127,964
Revenue and Support

Revenue Composition

Contributions and Grants
$7,095,452
Program Service Revenue
$20,778,862
Investment Income
$-99,370
Other Revenue
$0
All Other Contributions
$3,037,415
Change in Net Assets
$2,238,955

Noncash Contribution Practices

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

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Real Estate Commercial1$1,160,000Fair Market Value (FMV)
Drugs and Medical Supplies4,729$70,938Fair Market Value (FMV)
Other Non Cash Contri Table10$7,636Fair Market Value (FMV)
Total Noncash Contributions4,740$1,238,574-

Audited Revenue Reconciliation

Revenue per Audited Statements
$27,774,944
Revenue Not Reported on Form 990
$207,630
Total Revenue per Audited Statements
$27,982,574
Total Revenue per Form 990
$27,774,944
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$15,698,151
Other Expenses$9,837,838
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,270,329$2,476,835$0$11,747,164
Other Expenses$4,247,639$131,990$0$4,379,629
Current Officers, Directors, Trustees, and Key Employees$1,136,521$302,113$0$1,438,634
Other Employee Benefits$1,134,509$203,705$0$1,338,214
Occupancy$768,998$236,787$0$1,005,785
Payroll Taxes$718,132$205,303$0$923,435
Information Technology$490,032$292,195$0$782,227
Office Expenses$320,462$277,774$0$598,236
Fees for Services Other$251,920$251,199$0$503,119
Depreciation Depletion$373,351$41,483$0$414,834
Pension Plan Contributions$130,226$120,478$0$250,704
Travel$152,720$85,301$0$238,021
Advertising$12,884$212,107$0$224,991
Insurance$133,919$14,880$0$148,799
Fees for Services Accounting$0$57,839$0$57,839
Fees for Services Legal$971$5,000$0$5,971
Total Functional Expenses$20,621,000$4,914,989$0$25,535,989

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$25,609,294
Expenses per Audited Statements$25,535,989
Total Expenses per Form 990$25,535,989
Expenses Not Reported on Form 990$73,305
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 Liabilities$1,209,974
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
Filing and Contact Details

Filer

Filer Name
High Country Community Health Inc
EIN
27-3033445
Phone
8282623886
Address
PO BOX 1490, BOONE, NC 28607

Signing Officer

Name
Alice Salthouse
Title
Chief Executive Officer
Phone
8282623886
Signed
2025-12-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Alice Salthouse
Formed
2011
Legal Domicile
Nc
Voting Board Members
10
Independent Board Members
10
Employees
296
Volunteers
0

Preparer

Firm
Terry Horne CPA Inc
Address
732 West Main Street, Lebanon, TN 37087
Preparer
Terry Horne CPA
Phone
6154447293
Supplemental Narrative

Additional Explanations

Pt VI, Line 15A

“State and national salary comparisons are used to establish salary limits”

Pt VI, Line 15B

“For top management officials. Performance evaluations are performed annually”

Pt VI, Line 15B

“And salary increases are board approved.”

Pt VI, Line 11B

“The form 990 is prepared by the centers independent auditor with review and”

Pt VI, Line 11B

“Information provided by the ceo and cfo. A copy of the form 990 will be given”

Pt VI, Line 11B

“And reviewed with the board after completion and submission by the auditor.”

Pt VI, Line 19

“The organization makes its governing documents and form 990 available upon”

Pt VI, Line 19

“WRITTEN REQUEST.”

Pt VI, Line 12C

“Leadership staff members retain awareness of board members interim”

Pt VI, Line 12C

“Activities and report to ceo any findings that may interfere with organizations”

Pt VI, Line 12C

“Policy. The ceo addresses such issues by discussing same with applicable”

Pt VI, Line 12C

“Board member and presents action, if necessary, to the entire board. The”

Pt VI, Line 12C

“Board meeting minutes reflect these actions. If such issues were to arise,”

Pt VI, Line 12C

“Such staff member would then report their findings”

Pt VI, Line 12C

“To the boards executive committee.”

Pt XI

“Line 9 represents the change in net assets with donor”

Pt XI

“Restrictions for the year.”

Raw XML AppendixShowing 400 of 815 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.

Path#Value
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IRS990/ContractorCompensationGrp/ServicesDesc0CONTRACT EHR SERVICES
IRS990/ContractorCompensationGrp/ServicesDesc1CONTRACT HEALTHCARE STAFFING SERVICES
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