Civic Intelligence

Appalachian Mountain Community Health Centers

990 • Fiscal year 2021 • EIN 46-3984362

Jul 01, 2020 to Jun 30, 2021 • Filed on Dec 21, 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

33rd percentile

0.15x

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

2021 filings • NTEE E • $10M-$25M nonprofits • Source year 2021

Liabilities / Revenue

13th percentile

0.05x

Higher debt load relative to revenue than 13% of similar nonprofits.

2021 filings • NTEE E • $10M-$25M nonprofits • Source year 2021

Net Margin

86th percentile

35%

Higher net margin than 86% of similar nonprofits.

2021 filings • NTEE E • $10M-$25M nonprofits • Source year 2021

Top Officer Pay

38th percentile

$249,435

Higher top officer pay than 38% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

2021 filings • NTEE E • $10M-$25M nonprofits • Source year 2021

Asset Growth

94th percentile

79%

Faster asset growth than 94% of similar nonprofits.

2021 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2020 to 2021

Revenue Growth

90th percentile

62%

Faster revenue growth than 90% of similar nonprofits.

2021 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets33rd percentile

Assets

Up

$6,615,203

Up $2,921,751 (+79%) from 2020

Net Assets

Up

$5,592,787

Up $6,502,089 (+715%) from 2020

Liabilities

Down

$1,022,416

Down $3,580,338 (-78%) from 2020

Revenue And Expenses
Liabilities / Revenue13th percentileNet Margin86th percentile

Revenue

Up

$18,889,056

Up $7,236,919 (+62%) from 2020

Expenses

Up

$12,314,092

Up $254,009 (+2.1%) from 2020

Net Income

Up

$6,574,964

Up $6,982,910 (+1712%) from 2020

Historical Trend

Balance Sheet Trend

Asset Growth94th 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

2021

Assets$6,615,203
Liabilities$1,022,416
Net Assets$5,592,787
Open 2021 Filing

Operations Trend

Revenue Growth90th 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

2021

Revenue$18,889,056
Expenses$12,314,092
Net Income$6,574,964
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
Dec 21, 2021
Return Version
2020v4.1
Gross Receipts
$18,889,056
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$2,296,067$3,904,542▲ $1,608,475
Accounts Receivable$804,639$1,689,517▲ $884,878
Land, Buildings, and Equipment, Net$268,563$495,184▲ $226,621
Pledges and Grants Receivable$62,216$319,992▲ $257,776
Prepaid Expenses and Deferred Charges$107,930$123,443▲ $15,513
Inventories for Sale or Use$154,037$77,524▼ $76,513
Savings and Temporary Cash Investments-$5,001-
Total Assets$3,693,452$6,615,203▲ $2,921,751
Liabilities
Unsecured Notes Loans Payable$2,984,848--
Accounts Payable and Accrued Expenses$812,499$851,748▲ $39,249
Deferred Revenue$750,802$170,668▼ $580,134
Other Liabilities$54,605$0▼ $54,605
Total Liabilities$4,602,754$1,022,416▼ $3,580,338
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-1,040,600$5,534,364▲ $6,574,964
Net Assets With Donor Restrictions$131,298$58,423▼ $72,875
Total Net Assets Fund Balance$-909,302$5,592,787▲ $6,502,089
Total Liabilities and Net Assets / Fund Balance$3,693,452$6,615,203▲ $2,921,751

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$53,668--
Land$204,156--
Equipment$237,360$119,885-
Compensation and Service Providers
Top Officer Pay38th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Reuben PettifordFormer Cheif Executive OfficerFT$225,073$24,362$249,435
Reuben Pettiford--$225,073$24,362$249,435
James HartyePhysicianFT$209,452$15,322$224,774
James Hartye--$209,452$15,322$224,774
Jai KumarPhysicianFT$161,713$14,903$176,616
Jai Kumar--$161,713$14,903$176,616
Michael DowlingPhysicianFT$137,043$18,174$155,217
Michael Dowling--$137,043$18,174$155,217
David TaylorDirector of PharmacyFT$136,625$10,172$146,797
David MostellerPharmacistFT$128,807$7,648$136,455
Christopher PortNurse PractitionerFT$99,450$23,134$122,584
Summer BarlowFormer Medical DirectorFT$57,459$1,149$58,608
Patrick NwaezeigweFormer Chief Financial OfficerFT$38,593$6,987$45,580
Timothy PlantMedical DirectorFT$13,377-$13,377
Carrie HarrisFormer Chief Financial OfficerFT$10,108-$10,108

Board Members and Trustees

NameTitle
Michael WoodsBoard President
Jesse MichelVice Chair
David NashBoard Member
Glenda OdomBoard Member
Harry HearneBoard Member
Melba MillsapsBoard Member
Neil GarrowayBoard Member
Shannon CorneliusBoard Member
William ManceBoard Member
Robby RussellTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Eclinicalworks LLCContract Billing ServicesPO BOX 847950, Boston, MA 02284$265,250
Pmgcoronis HealthContract Management Services700 SCHOOL ST, Pawtucket, RI 02860$232,443
AppnetContract It Consulting Services25 CONTINUUM DR, Arden, NC 28732$206,525
Rmss ConsultantsContract Consultant Services701 GERVAIS ST SUITE 150-271, Columbia, SC 29201$195,190
Revenue and Support

Revenue Composition

Contributions and Grants
$6,899,318
Program Service Revenue
$11,989,738
Investment Income
$0
Other Revenue
$0
All Other Contributions
$2,266,581
Change in Net Assets
$6,574,964

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
Drugs and Medical Supplies5,717$85,755Fair Market Value (FMV)
Other Non Cash Contri Table374$9,339Fair Market Value (FMV)
Total Noncash Contributions6,091$95,094-

Audited Revenue Reconciliation

Revenue per Audited Statements
$18,889,056
Revenue Not Reported on Form 990
$64,320
Total Revenue per Audited Statements
$18,953,376
Total Revenue per Form 990
$18,889,056
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$6,555,338
Other Expenses$5,758,754
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,864,482$985,581$0$4,850,063
Other Expenses$1,978,412$0$0$1,978,412
Other Employee Benefits$794,215$90,915$0$885,130
Fees for Services Other$406,050$437,833$0$843,883
Occupancy$499,409$186,981$0$686,390
Information Technology$580,505$59,222$0$639,727
Office Expenses$285,691$197,650$0$483,341
Payroll Taxes$342,968$60,262$0$403,230
Current Officers, Directors, Trustees, and Key Employees$289,855$54,755$0$344,610
Travel$71,920$88,924$0$160,844
Pension Plan Contributions$55,611$16,694$0$72,305
Depreciation Depletion$716$57,773$0$58,489
Insurance$20,220$27,369$0$47,589
Fees for Services Legal$490$35,398$0$35,888
Fees for Services Accounting$2$34,843$0$34,845
Advertising$10,523$21,441$0$31,964
Interest$347$23,459$0$23,806
Total Functional Expenses$9,934,992$2,379,100$0$12,314,092

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$12,378,412
Expenses per Audited Statements$12,314,092
Total Expenses per Form 990$12,314,092
Expenses Not Reported on Form 990$64,320
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$0
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
Shantelle Simpson
Title
Chief Executive Officer
Phone
8282025200
Signed
2021-12-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Shantelle Simpson
Formed
2013
Legal Domicile
Nc
Voting Board Members
10
Independent Board Members
10
Employees
132
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 change in net assets with”

Pt XI

“Donor restrictions for the year.”

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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/Form990PartVIISectionAGrp/TitleTxt4VICE CHAIR
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IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt10FORMER CHEIF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt11FORMER CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt12FORMER MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13FORMER CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR OF PHARMACY
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$6,615,203
Liabilities
$1,022,416
Net assets
$5,592,787
Revenue
$18,889,056
Expenses
$12,314,092
Net income
$6,574,964
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
2021Detailed filing. Detailed filing data is available for this year.$6.62$1.02$5.59$18.9$12.3$6.57
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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