Civic Intelligence

Appalachian Mountain Community Health Centers

990 • Fiscal year 2025 • EIN 46-3984362

Jul 01, 2024 to Jun 30, 2025 • Filed on Nov 21, 2025

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

59th percentile

0.25x

Higher debt load relative to assets than 59% of similar nonprofits.

2025 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2025

Liabilities / Revenue

49th percentile

0.24x

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

2025 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2025

Net Margin

70th percentile

16%

Higher net margin than 70% of similar nonprofits.

2025 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2025

Top Officer Pay

71st percentile

$319,012

Higher top officer pay than 71% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

2025 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2025

Asset Growth

88th percentile

22%

Faster asset growth than 88% of similar nonprofits.

2025 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Revenue Growth

87th percentile

40%

Faster revenue growth than 87% of similar nonprofits.

2025 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets59th percentile

Assets

Up

$39,721,250

Up $7,134,117 (+22%) from 2024

Net Assets

Up

$29,600,610

Up $7,136,767 (+32%) from 2024

Liabilities

Down

$10,120,640

Down $2,650 (-0.0%) from 2024

Revenue And Expenses
Liabilities / Revenue49th percentileNet Margin70th percentile

Revenue

Up

$42,910,775

Up $12,332,418 (+40%) from 2024

Expenses

Up

$36,092,265

Up $9,028,532 (+33%) from 2024

Net Income

Up

$6,818,510

Up $3,303,886 (+94%) 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 2025: $39,721,250Liabilities 2025: $10,120,640Net Assets 2025: $29,600,6102025

Highlighted filing

2025

Assets$39,721,250
Liabilities$10,120,640
Net Assets$29,600,610
Open 2025 Filing

Operations Trend

Revenue Growth87th 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

2025

Revenue$42,910,775
Expenses$36,092,265
Net Income$6,818,510
Open 2025 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Nov 21, 2025
Return Version
2024v5.2
Gross Receipts
$42,965,881
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$11,897,261$14,628,397▲ $2,731,136
Savings and Temporary Cash Investments$13,181,897$7,064,032▼ $6,117,865
Investments in Publicly Traded Securities-$5,994,019-
Cash and Non-Interest-Bearing Accounts$1,002,996$4,987,357▲ $3,984,361
Accounts Receivable$2,373,253$2,806,732▲ $433,479
Pledges and Grants Receivable$567,797$578,851▲ $11,054
Inventories for Sale or Use$220,445$381,340▲ $160,895
Investments Program Related$192,548$255,459▲ $62,911
Prepaid Expenses and Deferred Charges$182,147$158,968▼ $23,179
Total Assets$32,587,133$39,721,250▲ $7,134,117
Other Assets Total$2,968,789$2,866,095▼ $102,694
Liabilities
Mortgage Notes Payable Secured by Investment Property$5,130,214$4,841,618▼ $288,596
Other Liabilities$2,993,757$2,952,831▼ $40,926
Accounts Payable and Accrued Expenses$1,999,319$2,326,191▲ $326,872
Total Liabilities$10,123,290$10,120,640▼ $2,650
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$22,167,124$29,106,381▲ $6,939,257
Net Assets With Donor Restrictions$296,719$494,229▲ $197,510
Total Net Assets Fund Balance$22,463,843$29,600,610▲ $7,136,767
Total Liabilities and Net Assets / Fund Balance$32,587,133$39,721,250▲ $7,134,117

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$10,116,803$379,024-
Other Land Buildings$1,907,763--
Land$375,156--
Equipment$2,228,675$847,326-
Other Assets Org$2,866,095--
Compensation and Service Providers
Top Officer Pay71st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Shantelle SimpsonChief Executive OfficerFT$291,763$27,249$319,012
Shantelle Simpson--$291,763$27,249$319,012
Alex GreenChief Dental OfficerFT$195,334$17,383$212,717
Alex Green--$195,334$17,383$212,717
Ellores Brailey--$181,618$17,125$198,743
Ellores BraileyPhysicianFT$181,618$17,124$198,742
Thomas GermanPhysicianFT$167,371$26,291$193,662
Thomas German--$167,371$26,290$193,661
Ruslan GarciaFormer Medical DirectorFT$167,371$17,487$184,858
Ruslan Garcia--$167,371$17,486$184,857
Michael DowlingPhysicianFT$155,598$24,045$179,643
Michael Dowling--$155,598$24,045$179,643
David TaylorDirector of PharmacyFT$157,238$16,315$173,553
David Taylor--$157,238$16,315$173,553
Leon LesterDentistFT$156,443$16,397$172,840
Leon Lester--$156,443$16,397$172,840
Carrie HallPhysician AssistantFT$123,737$32,772$156,509
Carrie Hall--$123,737$32,771$156,508
Mickel AnglinMedical DirectorFT$138,678$6,192$144,870
Sarah KowalecChief Operational OfficerFT$124,299$14,611$138,910
Lisa MaddenChief Financial OfficerFT$87,882$13,451$101,333

Board Members and Trustees

NameTitle
Christiana Glenn TugmanBoard Chair
Neil GarrowayBoard Quality Chair
Sioux FreeBoard Vice-chair
Catherine FaristBoard Member
David NashBoard Member
Harry HearneBoard Member
Serena MitchellBoard Member
Shaunda JacksonBoard Member
Teresa GibbyBoard Member
Tim BlencoBoard Member
Nebula LungrenBoard Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Coronis Health Rcm LLCContract Billing Services700 SCHOOL ST, Pawtucket, RI 02860$565,624
Eclinicalworks LLCContract Emr ServicesTWO TECHNOLOGY DR, Westborough, MA 01581$497,748
AppnetContract It Consulting Services25-A CONTINUUM DR, Fletcher, NC 28732$484,685
WaystarContract Claim Clearinghouse Services1311 SOLUTIONS CENTER, Chicago, IL 60677$207,090
Signal SecurityContract Security ServicesPO BOX 8246, Omaha, NE 68108$186,571
Revenue and Support

Revenue Composition

Contributions and Grants
$6,133,410
Program Service Revenue
$36,320,332
Investment Income
$457,033
Other Revenue
$0
All Other Contributions
$3,408,752
Change in Net Assets
$6,818,510

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 Supplies6,350$95,246Fair Market Value (FMV)
Total Noncash Contributions6,350$95,246-

Audited Revenue Reconciliation

Revenue per Audited Statements
$42,910,775
Revenue Not Reported on Form 990
$120,747
Total Revenue per Audited Statements
$43,031,522
Total Revenue per Form 990
$42,910,775
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$18,911,157
Salaries, Compensation, and Employee Benefits$17,181,108
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,405,025$2,415,867$0$12,820,892
Other Employee Benefits$1,791,255$415,898$0$2,207,153
Fees for Services Other$1,348,033$376,457$0$1,724,490
Office Expenses$781,439$649,972$0$1,431,411
Occupancy$1,076,457$161,996$0$1,238,453
Payroll Taxes$855,117$181,541$0$1,036,658
Current Officers, Directors, Trustees, and Key Employees$733,426$170,289$0$903,715
Other Expenses$683,451$1,188$0$684,639
Information Technology$482,386$190,934$0$673,320
Depreciation Depletion$451,872$112,968$0$564,840
Travel$148,509$160,534$0$309,043
Pension Plan Contributions$157,409$55,281$0$212,690
Insurance$24,655$117,780$0$142,435
Fees for Services Accounting$105$63,818$0$63,923
Advertising$25,602$27,559$0$53,161
Fees for Services Legal$0$16,661$0$16,661
Total Functional Expenses$30,970,835$5,121,430$0$36,092,265

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$36,092,265
Total Expenses per Audited Statements$36,092,265
Total Expenses per Form 990$36,092,265
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$2,952,831
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
2025-11-21
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
257
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

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$39,721,250
Liabilities
$10,120,640
Net assets
$29,600,610
Revenue
$42,910,775
Expenses
$36,092,265
Net income
$6,818,510
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$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
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
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2025 filings • 501(c)3 • $25M-$50M nonprofits