Civic Intelligence

Appalachian Mountain Community Health Centers

990 • Fiscal year 2020 • EIN 46-3984362

Jul 01, 2019 to Jun 30, 2020 • Filed on Jan 19, 2021

Organization ProfileN/A

View Organization Page

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

87th percentile

1.25x

Higher debt load relative to assets than 87% of similar nonprofits.

2020 filings • NTEE E • $10M-$25M nonprofits • Source year 2020

Liabilities / Revenue

56th percentile

0.40x

Higher debt load relative to revenue than 56% of similar nonprofits.

2020 filings • NTEE E • $10M-$25M nonprofits • Source year 2020

Net Margin

26th percentile

-3.5%

Higher net margin than 26% of similar nonprofits.

2020 filings • NTEE E • $10M-$25M nonprofits • Source year 2020

Top Officer Pay

35th percentile

$237,240

Higher top officer pay than 35% of similar nonprofits.

Top officer pay equals 2.0% of source-year revenue.

2020 filings • NTEE E • $10M-$25M nonprofits • Source year 2020

Asset Growth

88th percentile

58%

Faster asset growth than 88% of similar nonprofits.

2020 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2019 to 2020

Revenue Growth

43rd percentile

-0.8%

Faster revenue growth than 43% of similar nonprofits.

2020 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / Assets87th percentile

Assets

Up

$3,693,452

Up $1,360,621 (+58%) from 2019

Net Assets

Down

-$909,302

Down $276,648 (-44%) from 2019

Liabilities

Up

$4,602,754

Up $1,637,269 (+55%) from 2019

Revenue And Expenses
Liabilities / Revenue56th percentileNet Margin26th percentile

Revenue

Down

$11,652,137

Down $94,662 (-0.8%) from 2019

Expenses

Up

$12,060,083

Up $399,550 (+3.4%) from 2019

Net Income

Down

-$407,946

Down $494,212 (-573%) from 2019

Historical Trend

Balance Sheet Trend

Asset Growth88th percentile

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

2020

Assets$3,693,452
Liabilities$4,602,754
Net Assets-$909,302
Open 2020 Filing

Operations Trend

Revenue Growth43rd percentile

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

2020

Revenue$11,652,137
Expenses$12,060,083
Net Income-$407,946
Open 2020 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
Jan 19, 2021
Return Version
2019v5.1
Gross Receipts
$11,652,137
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
Cash and Non-Interest-Bearing Accounts$598,411$2,296,067▲ $1,697,656
Accounts Receivable$871,977$804,639▼ $67,338
Land, Buildings, and Equipment, Net$95,069$268,563▲ $173,494
Inventories for Sale or Use$281,542$154,037▼ $127,505
Prepaid Expenses and Deferred Charges$90,459$107,930▲ $17,471
Pledges and Grants Receivable$395,373$62,216▼ $333,157
Total Assets$2,332,831$3,693,452▲ $1,360,621
Liabilities
Unsecured Notes Loans Payable$1,836,108$2,984,848▲ $1,148,740
Accounts Payable and Accrued Expenses$918,694$812,499▼ $106,195
Deferred Revenue$210,683$750,802▲ $540,119
Other Liabilities-$54,605-
Total Liabilities$2,965,485$4,602,754▲ $1,637,269
Net Assets / Fund Balance
Net Assets With Donor Restrictions-$131,298-
Net Assets Without Donor Restrictions$-632,654$-1,040,600▼ $407,946
Total Net Assets Fund Balance$-632,654$-909,302▼ $276,648
Total Liabilities and Net Assets / Fund Balance$2,332,831$3,693,452▲ $1,360,621

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,724--
Equipment$262,839$61,396-
Compensation and Service Providers
Top Officer Pay35th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Reuben PettifordCheif Executive OfficerFT$210,863$26,377$237,240
Reuben Pettiford--$210,863$26,377$237,240
Summer BarlowMedical DirectorFT$187,003$5,693$192,696
Summer Barlow--$187,003$5,693$192,696
Jai KumarPhysicianFT$150,143$17,795$167,938
Jai Kumar--$150,143$17,795$167,938
Brian MitchellPhysicianFT$161,943$5,533$167,476
Brian Mitchell--$161,943$5,533$167,476
Michael DowlingPhysicianFT$143,689$17,618$161,307
Michael Dowling--$143,689$17,618$161,307
Patrick NwaezeigweChief Financial OfficerFT$125,286$21,891$147,177
David MostellerPharmacistFT$125,460$11,551$137,011
Christopher PortNurse PractitionerFT$104,687$23,738$128,425

Board Members and Trustees

NameTitle
Bill ManceBoard Member
Bruce WallerBoard Member
Christiana TugmanBoard Member
David NashBoard Member
Glenda OdomBoard Member
Harry HearneBoard Member
Jesse MichelBoard Member
Melba MillsapsBoard Member
Michael WoodsBoard Member
Neil GarrowayBoard Member
Shannon CorneliusBoard Member
Tom PlautBoard Member

Highest Paid Contractors

ContractorServicesLocationCompensation
Anc Healthcare INCContract Medical Services509 BILTMORE AVENUE, Asheville, NC 28801$747,460
Hca Healthcare INCContract Physician ServicesONE PARK PLAZA, Nashville, TN 37203$549,009
Appnet New Media StudioContract It Consulting Services7883 NC-105 SUITE A, Boone, NC 28607$258,734
Priority Management Group INCContract Billing Services700 SCHOOL STREET, Pawtucket, RI 02869$190,376
Eclinicalworks LLCContract Billing Services2 TECHNOLOGY DRIVE, Westborough, MA 01581$183,677
Revenue and Support

Revenue Composition

Contributions and Grants
$1,984,371
Program Service Revenue
$9,667,766
Investment Income
$0
Other Revenue
$0
All Other Contributions
$58,167
Change in Net Assets
$-407,946

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,652,137
Revenue Not Reported on Form 990
$429,391
Total Revenue per Audited Statements
$12,081,528
Total Revenue per Form 990
$11,652,137
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$6,849,209
Other Expenses$5,210,874
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,063,196$936,715$0$4,999,911
Fees for Services Other$2,438,913$504,106$0$2,943,019
Office Expenses$1,490,907$161,677$0$1,652,584
Other Employee Benefits$756,811$81,594$0$838,405
Current Officers, Directors, Trustees, and Key Employees$187,003$336,149$0$523,152
Payroll Taxes$294,488$96,481$0$390,969
Occupancy$207,514$114,014$0$321,528
Travel$74,324$54,191$0$128,515
Pension Plan Contributions$72,529$24,243$0$96,772
Fees for Services Accounting$0$55,673$0$55,673
Fees for Services Legal$0$45,857$0$45,857
Depreciation Depletion$735$41,877$0$42,612
Insurance$0$20,555$0$20,555
Interest$531$0$0$531
Total Functional Expenses$9,586,951$2,473,132$0$12,060,083

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$12,489,474
Expenses per Audited Statements$12,060,083
Total Expenses per Form 990$12,060,083
Expenses Not Reported on Form 990$429,391
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
Capital Lease Payable$54,605
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
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
2021-01-19
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Reuben Pettiford
Formed
2013
Legal Domicile
Nc
Voting Board Members
12
Independent Board Members
12
Employees
125
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.”

Pt XI

“Line 9 represents the 2019 change in net assets with”

Pt XI

“DONOR RESTRICTIONS.”

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IRS990/Form990PartVIISectionAGrp/TitleTxt10BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt11BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt12CHEIF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt13CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt16PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt17PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt18PHARMACIST
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IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Pt II Ln 10
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Document Assets

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Filings

Displayed year

2020 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$3,693,452
Liabilities
$4,602,754
Net assets
-$909,302
Revenue
$11,652,137
Expenses
$12,060,083
Net income
-$407,946
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$39.7$10.1$29.6$42.9$36.1$6.82
2024Summary only. Only limited summary data is available for this year.$32.6$10.1$22.5$30.6$27.1$3.51
2023Summary only. Only limited summary data is available for this year.$24.6$5.24$19.4$28.5$21.3$7.22
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.2$2.34$11.9$21.6$16.0$5.67
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.62$1.02$5.59$18.9$12.3$6.57
2020Detailed filing. Detailed filing data is available for this year.$3.69$4.60$0.91$11.7$12.1$0.41
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.33$2.97$0.63$11.7$11.7$0.09
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.74$3.46$0.72$9.04$8.98$0.06
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.88$2.87$1.00$7.00$8.11$1.11
2016Detailed filing. Detailed filing data is available for this year.$0.22$0.15$0.06$0.89$0.82$0.06