Civic Intelligence

Appalachian Mountain Community Health Centers

990 • Fiscal year 2019 • EIN 46-3984362

Jul 01, 2018 to Jun 30, 2019 • Filed on Dec 18, 2019

PO Box 2597Asheville, NC 28801

(828) 202-5200

Siviq Scores

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

Liabilities / Assets

85th percentile

1.27x

Higher debt load relative to assets than 85% of similar nonprofits.

2019 filings • NTEE E • $10M-$25M nonprofits • Source year 2019

Liabilities / Revenue

50th percentile

0.25x

Higher debt load relative to revenue than 50% of similar nonprofits.

2019 filings • NTEE E • $10M-$25M nonprofits • Source year 2019

Net Margin

44th percentile

0.7%

Higher net margin than 44% of similar nonprofits.

2019 filings • NTEE E • $10M-$25M nonprofits • Source year 2019

Top Officer Pay

19th percentile

$186,275

Higher top officer pay than 19% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

2019 filings • NTEE E • $10M-$25M nonprofits • Source year 2019

Asset Growth

8th percentile

-15%

Faster asset growth than 8% of similar nonprofits.

2019 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2018 to 2019

Revenue Growth

89th percentile

30%

Faster revenue growth than 89% of similar nonprofits.

2019 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2018 to 2019

Assets

Down

$2,332,831

Down $410,512 (-15%) from 2018

Net Assets

Up

-$632,654

Up $86,266 (+12%) from 2018

Liabilities

Down

$2,965,485

Down $496,778 (-14%) from 2018

Revenue

Up

$11,746,799

Up $2,704,377 (+30%) from 2018

Expenses

Up

$11,660,533

Up $2,677,783 (+30%) from 2018

Net Income

Up

$86,266

Up $26,594 (+45%) from 2018

Historical Trend

Balance Sheet Trend

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

$40M$20M$0-$20MAssets 2016: $218,423Liabilities 2016: $154,628Net Assets 2016: $63,7952016Assets 2017: $1,878,120Liabilities 2017: $2,874,058Net Assets 2017: -$995,9382017Assets 2018: $2,743,343Liabilities 2018: $3,462,263Net Assets 2018: -$718,9202018Assets 2019: $2,332,831Liabilities 2019: $2,965,485Net Assets 2019: -$632,6542019Assets 2020: $3,693,452Liabilities 2020: $4,602,754Net Assets 2020: -$909,3022020Assets 2021: $6,615,203Liabilities 2021: $1,022,416Net Assets 2021: $5,592,7872021Assets 2022: $14,237,249Liabilities 2022: $2,336,831Net Assets 2022: $11,900,4182022Assets 2023: $24,633,050Liabilities 2023: $5,235,671Net Assets 2023: $19,397,3792023Assets 2024: $32,587,133Liabilities 2024: $10,123,290Net Assets 2024: $22,463,8432024Assets 2025: $39,721,250Liabilities 2025: $10,120,640Net Assets 2025: $29,600,6102025

Highlighted filing

2019

Assets$2,332,831
Liabilities$2,965,485
Net Assets-$632,654

Operations Trend

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

$60M$40M$20M$0-$20MRevenue 2016: $885,428Expenses 2016: $821,633Net Income 2016: $63,7952016Revenue 2017: $7,000,173Expenses 2017: $8,107,899Net Income 2017: -$1,107,7262017Revenue 2018: $9,042,422Expenses 2018: $8,982,750Net Income 2018: $59,6722018Revenue 2019: $11,746,799Expenses 2019: $11,660,533Net Income 2019: $86,2662019Revenue 2020: $11,652,137Expenses 2020: $12,060,083Net Income 2020: -$407,9462020Revenue 2021: $18,889,056Expenses 2021: $12,314,092Net Income 2021: $6,574,9642021Revenue 2022: $21,637,722Expenses 2022: $15,968,675Net Income 2022: $5,669,0472022Revenue 2023: $28,543,825Expenses 2023: $21,319,984Net Income 2023: $7,223,8412023Revenue 2024: $30,578,357Expenses 2024: $27,063,733Net Income 2024: $3,514,6242024Revenue 2025: $42,910,775Expenses 2025: $36,092,265Net Income 2025: $6,818,5102025

Highlighted filing

2019

Revenue$11,746,799
Expenses$11,660,533
Net Income$86,266
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Dec 18, 2019
Return Version
2018v3.1
Gross Receipts
$11,746,799
Mission and Program Overview

Mission

To provide culturally competent, high quality healthcare to the medically vulnerable population in western north carolina.

The 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
Accounts Receivable$702,792$871,977▲ $169,185
Cash and Non-Interest-Bearing Accounts$839,704$598,411▼ $241,293
Pledges and Grants Receivable$1,087,629$395,373▼ $692,256
Inventories for Sale or Use-$281,542-
Land, Buildings, and Equipment, Net$53,096$95,069▲ $41,973
Prepaid Expenses and Deferred Charges$52,668$90,459▲ $37,791
Total Assets$2,743,343$2,332,831▼ $410,512
Other Assets Total$7,454--
Liabilities
Unsecured Notes Loans Payable$2,654,768$1,836,108▼ $818,660
Accounts Payable and Accrued Expenses$807,495$918,694▲ $111,199
Deferred Revenue-$210,683-
Total Liabilities$3,462,263$2,965,485▼ $496,778
Net Assets / Fund Balance
Temporarily Rstr Net Assets$715,201--
Unrestricted Net Assets$-1,434,121$-632,654▲ $801,467
Total Net Assets Fund Balance$-718,920$-632,654▲ $86,266
Total Liabilities and Net Assets / Fund Balance$2,743,343$2,332,831▼ $410,512

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$95,069$18,783-
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Reuben PettifordChief Executive OfficerFT$167,261$19,014$186,275
Reuben Pettiford--$167,261$19,014$186,275
Brian MitchellPhysicianFT$162,003$8,409$170,412
Brian Mitchell--$162,003$8,409$170,412
Michael DowlingPhysicianFT$135,449$8,118$143,567
Susan PetersonPhysicianFT$127,976$8,894$136,870
Anja WoodyPhysician AssistantFT$90,724$12,064$102,788
Mariana MasseyChief Operational OfficerFT$54,492$12,659$67,151
Summer BarlowMedical DirectorFT$52,309$5,489$57,798
Patrick NwaezeigweChief Financial OfficerFT$33,204$7,790$40,994

Board Members and Trustees

NameTitle
Rev Michael WoodsChair
Christiana Glenn TugmanVice Chair
Bill ManceBoard Member
Doug FastBoard Member
Glenda OdomBoard Member
Harry HearneBoard Member
Melba MillsapsBoard Member
Neil GarrowayBoard Member
Ron KingBoard Member
Shannon CorneliusBoard Member
Sharon WestBoard Member
Jesse MichelSecretary
Tom PlautTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$2,562,834
Program Service Revenue
$9,183,965
Investment Income
$0
Other Revenue
$0
All Other Contributions
$830,640
Change in Net Assets
$86,266

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,746,799
Total Revenue per Audited Statements
$11,746,799
Total Revenue per Form 990
$11,746,799
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$6,207,328
Salaries, Compensation, and Employee Benefits$5,453,205
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,297,391$681,946$0$3,979,337
Fees for Services Other$3,170,892$361,265$0$3,532,157
Office Expenses$1,326,517$288,363$0$1,614,880
Other Employee Benefits$629,142$143,569$0$772,711
Occupancy$561,467$92,722$0$654,189
Payroll Taxes$255,513$72,818$0$328,331
Current Officers, Directors, Trustees, and Key Employees$52,309$254,957$0$307,266
Travel$40,227$97,749$0$137,976
Insurance$74,454$17,733$0$92,187
Pension Plan Contributions$61,997$3,563$0$65,560
Interest$364$59,245$0$59,609
Fees for Services Accounting$0$54,802$0$54,802
Fees for Services Legal$0$49,870$0$49,870
Depreciation Depletion$54$11,604$0$11,658
Total Functional Expenses$9,470,327$2,190,206$0$11,660,533

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$11,660,533
Total Expenses per Audited Statements$11,660,533
Total Expenses per Form 990$11,660,533
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
Yes
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 Community Health Centers
EIN
46-3984362
Phone
8282025200
Address
PO BOX 2597, ASHEVILLE, NC 28801

Signing Officer

Name
Reuben Pettiford
Title
Chief Executive Officer
Phone
8282025200
Signed
2019-12-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Reuben Pettiford
Formed
2013
Legal Domicile
Nc
Voting Board Members
13
Independent Board Members
13
Employees
96
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 19

The organization makes its governing documents,conflict of interest policy, and financial statements available upon written request.

Pt VI, Line 12C

Annually the conflict of interest statement is signed by board members and reviewed by the entire board. Board members shall excuse themselves from issues that enhance the probability of their own personal and private gain.

Pt VI, Line 11B

The ceo, finance officer, and board members review the form 990.

Pt VI, Line 15A

State and national salary comparisons are used to establish salary limits.

Pt VI, Line 15B

For top management officials. Performace evaluations are performed annually and salary increases are board approved.

Pt XII, Line 2C

The ceo and finance officer oversee financial statement preperation and audit engagement.

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