Civic Intelligence

Appalachian Mountain Community Health Centers

990 • Fiscal year 2022 • EIN 46-3984362

Jul 01, 2021 to Jun 30, 2022 • Filed on Dec 09, 2022

Organization ProfileN/A

View Organization Page

PO Box 2597Asheville, NC 28802

(828) 202-5200

Siviq Scores

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

Liabilities / Assets

33rd percentile

0.16x

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

2022 filings • NTEE E • $10M-$25M nonprofits • Source year 2022

Liabilities / Revenue

22nd percentile

0.11x

Higher debt load relative to revenue than 22% of similar nonprofits.

2022 filings • NTEE E • $10M-$25M nonprofits • Source year 2022

Net Margin

87th percentile

26%

Higher net margin than 87% of similar nonprofits.

2022 filings • NTEE E • $10M-$25M nonprofits • Source year 2022

Top Officer Pay

36th percentile

$252,350

Higher top officer pay than 36% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

2022 filings • NTEE E • $10M-$25M nonprofits • Source year 2022

Asset Growth

95th percentile

115%

Faster asset growth than 95% of similar nonprofits.

2022 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2021 to 2022

Revenue Growth

78th percentile

15%

Faster revenue growth than 78% of similar nonprofits.

2022 filings • NTEE E • $10M-$25M nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / Assets33rd percentile

Assets

Up

$14,237,249

Up $7,622,046 (+115%) from 2021

Net Assets

Up

$11,900,418

Up $6,307,631 (+113%) from 2021

Liabilities

Up

$2,336,831

Up $1,314,415 (+129%) from 2021

Revenue And Expenses
Liabilities / Revenue22nd percentileNet Margin87th percentile

Revenue

Up

$21,637,722

Up $2,748,666 (+15%) from 2021

Expenses

Up

$15,968,675

Up $3,654,583 (+30%) from 2021

Net Income

Down

$5,669,047

Down $905,917 (-14%) from 2021

Historical Trend

Balance Sheet Trend

Asset Growth95th 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

2022

Assets$14,237,249
Liabilities$2,336,831
Net Assets$11,900,418
Open 2022 Filing

Operations Trend

Revenue Growth78th 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

2022

Revenue$21,637,722
Expenses$15,968,675
Net Income$5,669,047
Open 2022 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
Dec 9, 2022
Return Version
2021v4.1
Gross Receipts
$21,637,722
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$3,904,542$8,696,679▲ $4,792,137
Land, Buildings, and Equipment, Net$495,184$2,691,572▲ $2,196,388
Accounts Receivable$1,689,517$2,219,463▲ $529,946
Pledges and Grants Receivable$319,992$388,617▲ $68,625
Inventories for Sale or Use$77,524$140,285▲ $62,761
Prepaid Expenses and Deferred Charges$123,443$97,008▼ $26,435
Savings and Temporary Cash Investments$5,001$3,625▼ $1,376
Total Assets$6,615,203$14,237,249▲ $7,622,046
Liabilities
Mortgage Notes Payable Secured by Investment Property-$1,400,000-
Accounts Payable and Accrued Expenses$851,748$936,831▲ $85,083
Deferred Revenue$170,668--
Total Liabilities$1,022,416$2,336,831▲ $1,314,415
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,534,364$11,152,999▲ $5,618,635
Net Assets With Donor Restrictions$58,423$747,419▲ $688,996
Total Net Assets Fund Balance$5,592,787$11,900,418▲ $6,307,631
Total Liabilities and Net Assets / Fund Balance$6,615,203$14,237,249▲ $7,622,046

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$1,921,462--
Land$204,156--
Equipment$493,283$194,257-
Leasehold Improvements$72,671$3,825-
Compensation and Service Providers
Top Officer Pay36th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Timothy PlantMedical DirectorFT$244,030$8,320$252,350
Timothy Plant--$244,030$8,320$252,350
Ruslan GarciaPhysicianFT$219,057$14,637$233,694
Ruslan Garcia--$219,057$14,637$233,694
James HartyePhysicianFT$182,212$20,103$202,315
James Hartye--$182,212$20,103$202,315
Stanley HamakerPhysicianFT$176,761$5,257$182,018
Stanley Hamaker--$176,761$5,257$182,018
Jai KumarPhysicianFT$149,509$14,637$164,146
Jai Kumar--$149,509$14,637$164,146
Michael DowlingPhysicianFT$139,881$19,197$159,078
Michael Dowling--$139,881$19,197$159,078
Reuben PettifordFormer Cheif Executive OfficerFT$149,616$7,898$157,514
Reuben Pettiford--$149,616$7,898$157,514
Shantelle SimpsonChief Executive OfficerFT$73,802$3,543$77,345
Carrie HarrisFormer Chief Financial OfficerFT$48,556$8,775$57,331

Board Members and Trustees

NameTitle
Christiana Glenn TugmanBoard Member
David NashBoard Member
Glenda OdomBoard Member
Harry HearneBoard Member
Jesse MichelBoard Member
Melba MillsapsBoard Member
Michael WoodsBoard Member
Neil GarrowayBoard Member
Robby RussellBoard Member
Shannon CorneliusBoard Member
William ManceBoard Member

Highest Paid Contractors

ContractorServicesLocationCompensation
Eclinicalworks LLCContract Billing ServicesPO BOX 847950, Boston, MA 02284$287,687
Coronis Health Rcm LLCContract Management Services700 SCHOOL ST, Pawtucket, RI 02860$242,281
AppnetContract It Consulting Services25 CONTINUUM DR, Arden, NC 28732$224,235
Rmss ConsultantsContract Consultant Services701 GERVAIS ST SUITE 150-271, Columbia, SC 29201$176,000
LocumtenenscomContract Employee Agency ServicesPO BOX 405547, Atlanta, GA 30384$110,053
Revenue and Support

Revenue Composition

Contributions and Grants
$3,393,905
Program Service Revenue
$18,243,817
Investment Income
$0
Other Revenue
$0
All Other Contributions
$646,573
Change in Net Assets
$5,669,047

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 Supplies4,577$68,655Fair Market Value (FMV)
Total Noncash Contributions4,577$68,655-

Audited Revenue Reconciliation

Revenue per Audited Statements
$21,637,722
Total Revenue per Audited Statements
$21,637,722
Total Revenue per Form 990
$21,637,722
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$8,110,597
Other Expenses$7,858,078
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,149,635$1,002,721$0$6,152,356
Other Employee Benefits$861,278$164,042$0$1,025,320
Fees for Services Other$403,666$494,695$0$898,361
Occupancy$578,837$90,955$0$669,792
Office Expenses$315,420$308,972$0$624,392
Payroll Taxes$439,338$78,912$0$518,250
Other Expenses$439,317$1,423$0$440,740
Information Technology$316,338$112,008$0$428,346
Current Officers, Directors, Trustees, and Key Employees$295,114$34,308$0$329,422
Travel$19,329$130,216$0$149,545
Pension Plan Contributions$75,530$9,719$0$85,249
Depreciation Depletion$62,558$15,639$0$78,197
Insurance$22,371$40,771$0$63,142
Fees for Services Accounting$16$54,148$0$54,164
Fees for Services Legal$208$17,872$0$18,080
Advertising$7,072$4,510$0$11,582
Interest$23$408$0$431
Total Functional Expenses$13,407,356$2,561,319$0$15,968,675

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$15,968,675
Total Expenses per Audited Statements$15,968,675
Total Expenses per Form 990$15,968,675
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 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 28802

Signing Officer

Name
Shantelle Simpson
Title
Chief Executive Officer
Phone
8282025200
Signed
2022-12-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Shantelle Simpson
Formed
2013
Legal Domicile
Nc
Voting Board Members
11
Independent Board Members
11
Employees
127
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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Document Assets

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Filings

Displayed year

2022 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$14,237,249
Liabilities
$2,336,831
Net assets
$11,900,418
Revenue
$21,637,722
Expenses
$15,968,675
Net income
$5,669,047
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
2022Detailed filing. Detailed filing data is available for this year.$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
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