Civic Intelligence

Appalachian Mountain Community Health Centers

990 • Fiscal year 2024 • EIN 46-3984362

Jul 01, 2023 to Jun 30, 2024 • Filed on Nov 20, 2024

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

42nd percentile

0.31x

Higher debt load relative to assets than 42% of similar nonprofits.

2024 filings • NTEE E • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

49th percentile

0.33x

Higher debt load relative to revenue than 49% of similar nonprofits.

2024 filings • NTEE E • $25M-$50M nonprofits • Source year 2024

Net Margin

73rd percentile

11%

Higher net margin than 73% of similar nonprofits.

2024 filings • NTEE E • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

22nd percentile

$303,792

Higher top officer pay than 22% of similar nonprofits.

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

2024 filings • NTEE E • $25M-$50M nonprofits • Source year 2024

Asset Growth

88th percentile

32%

Faster asset growth than 88% of similar nonprofits.

2024 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

49th percentile

7.1%

Faster revenue growth than 49% of similar nonprofits.

2024 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets42nd percentile

Assets

Flat

$32,587,133

Flat from 2024

Net Assets

Flat

$22,463,843

Flat from 2024

Liabilities

Flat

$10,123,290

Flat from 2024

Revenue And Expenses
Liabilities / Revenue49th percentileNet Margin73rd percentile

Revenue

Flat

$30,578,357

Flat from 2024

Expenses

Flat

$27,063,733

Flat from 2024

Net Income

Flat

$3,514,624

Flat from 2024

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 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

2024

Assets$32,587,133
Liabilities$10,123,290
Net Assets$22,463,843
Open 2024 Filing

Operations Trend

Revenue Growth49th 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 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

2024

Revenue$30,578,357
Expenses$27,063,733
Net Income$3,514,624
Open 2024 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Nov 20, 2024
Return Version
2023v5.1
Gross Receipts
$30,578,357
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
Savings and Temporary Cash Investments$6,703,292$13,181,897▲ $6,478,605
Land, Buildings, and Equipment, Net$7,067,967$11,897,261▲ $4,829,294
Accounts Receivable$2,613,041$2,373,253▼ $239,788
Cash and Non-Interest-Bearing Accounts$6,402,516$1,002,996▼ $5,399,520
Pledges and Grants Receivable$291,600$567,797▲ $276,197
Inventories for Sale or Use$210,571$220,445▲ $9,874
Investments Program Related$122,057$192,548▲ $70,491
Prepaid Expenses and Deferred Charges$141,419$182,147▲ $40,728
Total Assets$24,633,050$32,587,133▲ $7,954,083
Other Assets Total$1,080,587$2,968,789▲ $1,888,202
Liabilities
Mortgage Notes Payable Secured by Investment Property$2,793,221$5,130,214▲ $2,336,993
Other Liabilities$1,098,982$2,993,757▲ $1,894,775
Accounts Payable and Accrued Expenses$1,343,468$1,999,319▲ $655,851
Total Liabilities$5,235,671$10,123,290▲ $4,887,619
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$18,842,364$22,167,124▲ $3,324,760
Net Assets With Donor Restrictions$555,015$296,719▼ $258,296
Total Net Assets Fund Balance$19,397,379$22,463,843▲ $3,066,464
Total Liabilities and Net Assets / Fund Balance$24,633,050$32,587,133▲ $7,954,083

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,424,724$168,958-
Other Land Buildings$6,289,833--
Land$375,156--
Equipment$807,548$525,426-
Other Assets Org$2,968,789--
Compensation and Service Providers
Top Officer Pay22nd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Shantelle SimpsonChief Executive OfficerFT$251,315$52,477$303,792
Shantelle Simpson--$251,315$52,477$303,792
Ruslan GarciaPhysicianFT$229,342$26,447$255,789
Ruslan Garcia--$229,342$26,447$255,789
Thomas GermanPhysicianFT$180,848$24,992$205,840
Thomas German--$180,848$24,992$205,840
Timothy PlautMedical DirectorFT$167,743$17,614$185,357
Timothy Plaut--$167,743$17,614$185,357
Alex GreenChief Dental OfficerFT$166,840$16,528$183,368
Alex Green--$166,840$16,528$183,368
Michael DowlingPhysicianFT$143,328$23,677$167,005
Michael Dowling--$143,328$23,677$167,005
David TaylorDirector of PharmacyFT$149,309$16,077$165,386
David Taylor--$149,309$16,077$165,386
Matthew KigerPharmacistFT$141,864$5,214$147,078
Kailey HootsPharmacistFT$125,490$14,595$140,085
Sarah KowalecChief Operational OfficerFT$114,568$14,319$128,887
Leah SingletonFormer Chief Financial OfficerFT$61,959-$61,959

Board Members and Trustees

NameTitle
Catherine FairstBoard Member
Christiana Glenn TugmanBoard Member
David EzraBoard Member
David NashBoard Member
Harry HearneBoard Member
Michael WoodsBoard Member
Nebula LungrenBoard Member
Neil GarrowayBoard Member
Serena MitchellBoard Member
Shaunda JacksonBoard Member
Sioux FreeBoard Member
Teresa GibbyBoard Member
William NanceBoard Member

Highest Paid Contractors

ContractorServicesLocationCompensation
Barringer ConstructionContract Construction Services2 GERBER ROAD BUILDING C, Ashville, NC 28803$538,290
AppnetContract It Consulting Services25 CONTINUUM DR, Arden, NC 28732$494,941
Coronis Health Rcm LLCContract Management Services700 SCHOOL ST, Pawtucket, RI 02860$476,946
Eclinicalworks LLCContract Billing ServicesPO BOX 847950, Boston, MA 02284$454,693
Carolina Cornerstone Construction INCContract Construction Services10 CREEK VIEW DR, Ashville, NC 28816$353,130
Revenue and Support

Revenue Composition

Contributions and Grants
$3,367,068
Program Service Revenue
$26,662,643
Investment Income
$548,646
Other Revenue
$0
All Other Contributions
$841,977
Change in Net Assets
$3,514,624

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 Supplies7,294$109,405Fair Market Value (FMV)
Total Noncash Contributions7,294$109,405-

Audited Revenue Reconciliation

Revenue per Audited Statements
$30,578,357
Revenue Not Reported on Form 990
$70,491
Total Revenue per Audited Statements
$30,648,848
Total Revenue per Form 990
$30,578,357
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$13,801,922
Salaries, Compensation, and Employee Benefits$13,261,811
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,664,452$1,743,097$0$9,407,549
Other Employee Benefits$1,501,886$341,568$0$1,843,454
Office Expenses$970,487$473,029$0$1,443,516
Fees for Services Other$1,095,515$298,617$0$1,394,132
Current Officers, Directors, Trustees, and Key Employees$875,864$199,195$0$1,075,059
Occupancy$814,291$120,200$0$934,491
Payroll Taxes$651,938$142,058$0$793,996
Other Expenses$595,075$0$0$595,075
Information Technology$409,589$127,378$0$536,967
Depreciation Depletion$226,072$56,518$0$282,590
Travel$93,203$118,333$0$211,536
Pension Plan Contributions$112,733$29,020$0$141,753
Insurance$21,747$94,618$0$116,365
Advertising$5,994$53,902$0$59,896
Fees for Services Accounting$1,230$38,409$0$39,639
Fees for Services Legal$150$17,301$0$17,451
Total Functional Expenses$23,207,163$3,856,570$0$27,063,733

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$27,063,733
Total Expenses per Audited Statements$27,063,733
Total Expenses per Form 990$27,063,733
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$2,993,757
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
2024-11-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Shantelle Simpson
Formed
2013
Legal Domicile
Nc
Voting Board Members
13
Independent Board Members
13
Employees
226
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

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$32,587,133
Liabilities
$10,123,290
Net assets
$22,463,843
Revenue
$30,578,357
Expenses
$27,063,733
Net income
$3,514,624
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
2024Detailed filing. Detailed filing data is available for this year.$32.6$10.1$22.5$30.6$27.1$3.51
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
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