Civic Intelligence

Appalachian Mountain Community Health Centers

990 • Fiscal year 2023 • EIN 46-3984362

Jul 01, 2022 to Jun 30, 2023 • Filed on Dec 04, 2023

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

36th percentile

0.21x

Higher debt load relative to assets than 36% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Source year 2023

Liabilities / Revenue

31st percentile

0.18x

Higher debt load relative to revenue than 31% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Source year 2023

Net Margin

88th percentile

25%

Higher net margin than 88% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Source year 2023

Top Officer Pay

19th percentile

$276,365

Higher top officer pay than 19% of similar nonprofits.

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

2023 filings • NTEE E • $25M-$50M nonprofits • Source year 2023

Asset Growth

94th percentile

73%

Faster asset growth than 94% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2022 to 2023

Revenue Growth

84th percentile

32%

Faster revenue growth than 84% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets36th percentile

Assets

Flat

$24,633,050

Flat from 2023

Net Assets

Flat

$19,397,379

Flat from 2023

Liabilities

Flat

$5,235,671

Flat from 2023

Revenue And Expenses
Liabilities / Revenue31st percentileNet Margin88th percentile

Revenue

Flat

$28,543,825

Flat from 2023

Expenses

Flat

$21,319,984

Flat from 2023

Net Income

Flat

$7,223,841

Flat from 2023

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 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

2023

Assets$24,633,050
Liabilities$5,235,671
Net Assets$19,397,379
Open 2023 Filing

Operations Trend

Revenue Growth84th 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 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

2023

Revenue$28,543,825
Expenses$21,319,984
Net Income$7,223,841
Open 2023 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2022 to Jun 30, 2023
Signed
Dec 4, 2023
Return Version
2022v5.0
Gross Receipts
$28,543,825
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
Land, Buildings, and Equipment, Net$2,691,572$7,067,967▲ $4,376,395
Savings and Temporary Cash Investments$3,625$6,703,292▲ $6,699,667
Cash and Non-Interest-Bearing Accounts$8,696,679$6,402,516▼ $2,294,163
Accounts Receivable$2,219,463$2,613,041▲ $393,578
Pledges and Grants Receivable$388,617$291,600▼ $97,017
Inventories for Sale or Use$140,285$210,571▲ $70,286
Prepaid Expenses and Deferred Charges$97,008$141,419▲ $44,411
Investments Program Related-$122,057-
Total Assets$14,237,249$24,633,050▲ $10,395,801
Other Assets Total-$1,080,587-
Liabilities
Mortgage Notes Payable Secured by Investment Property$1,400,000$2,793,221▲ $1,393,221
Accounts Payable and Accrued Expenses$936,831$1,343,468▲ $406,637
Other Liabilities-$1,098,982-
Total Liabilities$2,336,831$5,235,671▲ $2,898,840
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$11,152,999$18,842,364▲ $7,689,365
Net Assets With Donor Restrictions$747,419$555,015▼ $192,404
Total Net Assets Fund Balance$11,900,418$19,397,379▲ $7,496,961
Total Liabilities and Net Assets / Fund Balance$14,237,249$24,633,050▲ $10,395,801

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,047,974$89,949-
Other Land Buildings$4,992,038--
Land$375,156--
Equipment$652,799$321,845-
Compensation and Service Providers
Top Officer Pay19th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Timothy PlautMedical DirectorFT$256,166$20,199$276,365
Timothy Plaut--$256,166$20,199$276,365
Ruslan GarciaPhysicianFT$230,388$17,157$247,545
Ruslan Garcia--$230,388$17,157$247,545
Shantelle SimpsonChief Executive OfficerFT$206,234$18,143$224,377
Shantelle Simpson--$206,234$18,143$224,377
Mark GrenkoskiPhysicianFT$196,496$25,510$222,006
Mark Grenkoski--$196,496$25,510$222,006
Michael DowlingPhysicianFT$152,624$17,558$170,182
Michael Dowling--$152,624$17,558$170,182
Amanda AlexanderPhysicianFT$158,554$10,372$168,926
Amanda Alexander--$158,554$10,372$168,926
Kimberly BlaiseFormer Chief Financial OfficerFT$150,355$14,193$164,548
Kimberly Blaise--$150,355$14,193$164,548
David TaylorDirector of PharmacyFT$146,169$10,237$156,406
David Taylor--$146,169$10,237$156,406
Matthew KigerPharmacistFT$136,377$19,622$155,999
Matthew Kiger--$136,377$19,622$155,999

Board Members and Trustees

NameTitle
Chad PatrickBoard Member
Christiana Glenn TugmanBoard Member
David EzraBoard Member
David NashBoard Member
Harry HearneBoard Member
Michael WoodsBoard Member
Neil GarrowayBoard Member
Serena MitchellBoard Member
Shannon CorneliusBoard Member
Sioux FreeBoard Member
Teresa GibbyBoard Member
William NanceBoard Member

Highest Paid Contractors

ContractorServicesLocationCompensation
AppnetContract It Consulting Services25 CONTINUUM DR, Arden, NC 28732$376,055
Eclinicalworks LLCContract Billing ServicesPO BOX 847950, Boston, MA 02284$359,841
Coronis Health Rcm LLCContract Management Services700 SCHOOL ST, Pawtucket, RI 02860$292,499
Carolina Cornerstone Construction INCContract Construction Services10 CREEK VIEW DR, Ashville, NC 28816$228,077
Kare Mobile INCOral Health Services12468 LA GRANGE RD UNIT 135, Louisville, KY 40245$142,000
Revenue and Support

Revenue Composition

Contributions and Grants
$4,491,858
Program Service Revenue
$24,043,350
Investment Income
$8,617
Other Revenue
$0
All Other Contributions
$745,710
Change in Net Assets
$7,223,841

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 Supplies761$110,345Fair Market Value (FMV)
Total Noncash Contributions761$110,345-

Audited Revenue Reconciliation

Revenue per Audited Statements
$28,543,825
Revenue Not Reported on Form 990
$67,436
Total Revenue per Audited Statements
$28,611,261
Total Revenue per Form 990
$28,543,825
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$11,010,928
Salaries, Compensation, and Employee Benefits$10,309,056
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$6,005,889$1,542,530$0$7,548,419
Fees for Services Other$1,280,061$337,838$0$1,617,899
Other Employee Benefits$1,060,779$272,446$0$1,333,225
Office Expenses$744,695$247,156$0$991,851
Current Officers, Directors, Trustees, and Key Employees$556,265$142,869$0$699,134
Occupancy$578,103$99,367$0$677,470
Payroll Taxes$496,338$135,194$0$631,532
Information Technology$386,438$113,549$0$499,987
Other Expenses$473,769$20,597$0$494,366
Depreciation Depletion$171,145$42,786$0$213,931
Travel$51,739$110,265$0$162,004
Pension Plan Contributions$84,372$12,374$0$96,746
Insurance$1,181$57,097$0$58,278
Fees for Services Accounting$114$48,250$0$48,364
Advertising$25,158$10,380$0$35,538
Fees for Services Legal$7,628$8,893$0$16,521
Total Functional Expenses$18,107,981$3,212,003$0$21,319,984

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$21,319,984
Total Expenses per Audited Statements$21,319,984
Total Expenses per Form 990$21,319,984
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$1,098,982
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
2023-12-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Shantelle Simpson
Formed
2013
Legal Domicile
Nc
Voting Board Members
12
Independent Board Members
12
Employees
166
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 and the cumulative”

Pt XI

“Effect adjustment to net assets without donor”

Pt XI

“Restrictions as a result of the organization's”

Pt XI

“Implementation of fasb asc 842.”

Raw XML AppendixShowing 400 of 755 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.

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IRS990/Form990PartVIISectionAGrp/TitleTxt13FORMER CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR OF PHARMACY
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IRS990/ProgramServiceRevenueGrp/Desc0PATIENT REVENUE

Document Assets

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Filings

Displayed year

2023 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$24,633,050
Liabilities
$5,235,671
Net assets
$19,397,379
Revenue
$28,543,825
Expenses
$21,319,984
Net income
$7,223,841
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
2023Detailed filing. Detailed filing data is available for this year.$24.6$5.24$19.4$28.5$21.3$7.22
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
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