Civic Intelligence

Highland Medical Center Inc

EIN 54-1652356 • 501(c)3 • Monterey, VA

Profile

Hmc provides sustainable, affordable access to excellent health care, supports optimal health, and meets the wholistic needs of the individuals in our communities through collaboration and professionalism.

PO Box 490Monterey, VA 24465

www.ourhmc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

52nd percentile

0.14x

Higher debt load relative to assets than 52% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Liabilities / Revenue

56th percentile

0.20x

Higher debt load relative to revenue than 56% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Net Margin

15th percentile

-16%

Higher net margin than 15% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Top Officer Pay

75th percentile

$206,782

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 4.2% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Asset Growth

9th percentile

-14%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Revenue Growth

34th percentile

-0.6%

Faster revenue growth than 34% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets52nd percentile

Assets

Down

$7,490,188

Down $1,267,743 (-14%) from 2024

Liabilities

Down

$1,016,484

Down $537,127 (-35%) from 2024

Net Assets

Down

$6,473,704

Down $730,616 (-10%) from 2024

Operations
Liabilities / Revenue56th percentileNet Margin15th percentile

Revenue

Down

$4,966,131

Down $30,389 (-0.6%) from 2024

Expenses

Up

$5,758,662

Up $873,663 (+18%) from 2024

Net Income

Down

-$792,531

Down $904,052 (-811%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth9th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$10M$5.0M$0Assets 2011: $1,271,508Liabilities 2011: $703,307Net Assets 2011: $568,2012011Assets 2012: $1,156,662Liabilities 2012: $512,579Net Assets 2012: $644,0832012Assets 2013: $1,210,226Liabilities 2013: $516,553Net Assets 2013: $693,6732013Assets 2014: $3,402,424Liabilities 2014: $790,774Net Assets 2014: $2,611,6502014Assets 2015: $5,535,825Liabilities 2015: $579,312Net Assets 2015: $4,956,5132015Assets 2016: $5,814,874Liabilities 2016: $614,759Net Assets 2016: $5,200,1152016Assets 2017: $6,020,546Liabilities 2017: $689,944Net Assets 2017: $5,330,6022017Assets 2018: $6,107,434Liabilities 2018: $794,499Net Assets 2018: $5,312,9352018Assets 2019: $6,061,670Liabilities 2019: $955,074Net Assets 2019: $5,106,5962019Assets 2020: $6,717,845Liabilities 2020: $1,644,079Net Assets 2020: $5,073,7662020Assets 2021: $7,201,009Liabilities 2021: $2,243,807Net Assets 2021: $4,957,2022021Assets 2022: $7,695,747Liabilities 2022: $2,358,642Net Assets 2022: $5,337,1052022Assets 2023: $9,379,883Liabilities 2023: $2,393,779Net Assets 2023: $6,986,1042023Assets 2024: $8,757,931Liabilities 2024: $1,553,611Net Assets 2024: $7,204,3202024Assets 2025: $7,490,188Liabilities 2025: $1,016,484Net Assets 2025: $6,473,7042025

Highlighted filing

2025

Assets$7,490,188
Liabilities$1,016,484
Net Assets$6,473,704
Open 2025 Filing

Operations Trend

Revenue Growth34th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2011: $1,503,7872011Expenses 2012: $1,454,6602012Revenue 2013: $1,600,371Expenses 2013: $1,550,781Net Income 2013: $49,5902013Revenue 2014: $3,254,647Expenses 2014: $1,357,218Net Income 2014: $1,897,4292014Revenue 2015: $4,056,535Expenses 2015: $1,711,672Net Income 2015: $2,344,8632015Revenue 2016: $2,477,874Expenses 2016: $2,234,272Net Income 2016: $243,6022016Revenue 2017: $3,297,590Expenses 2017: $3,167,103Net Income 2017: $130,4872017Revenue 2018: $3,445,160Expenses 2018: $3,440,106Net Income 2018: $5,0542018Revenue 2019: $3,585,844Expenses 2019: $3,792,183Net Income 2019: -$206,3392019Revenue 2020: $3,924,320Expenses 2020: $3,957,150Net Income 2020: -$32,8302020Revenue 2021: $4,561,312Expenses 2021: $4,383,819Net Income 2021: $177,4932021Revenue 2022: $4,554,367Expenses 2022: $4,188,478Net Income 2022: $365,8892022Revenue 2023: $5,785,810Expenses 2023: $4,177,761Net Income 2023: $1,608,0492023Revenue 2024: $4,996,520Expenses 2024: $4,884,999Net Income 2024: $111,5212024Revenue 2025: $4,966,131Expenses 2025: $5,758,662Net Income 2025: -$792,5312025

Highlighted filing

2025

Revenue$4,966,131
Expenses$5,758,662
Net Income-$792,531
Open 2025 Filing

Filings

Most recent year

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

Open filing
Assets
$7,490,188
Liabilities
$1,016,484
Net assets
$6,473,704
Revenue
$4,966,131
Expenses
$5,758,662
Net income
-$792,531
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$7.49$1.02$6.47$4.97$5.76$0.79
2024Detailed filing. Detailed filing data is available for this year.$8.76$1.55$7.20$5.00$4.88$0.11
2023Detailed filing. Detailed filing data is available for this year.$9.38$2.39$6.99$5.79$4.18$1.61
2022Detailed filing. Detailed filing data is available for this year.$7.70$2.36$5.34$4.55$4.19$0.37
2021Detailed filing. Detailed filing data is available for this year.$7.20$2.24$4.96$4.56$4.38$0.18
2020Detailed filing. Detailed filing data is available for this year.$6.72$1.64$5.07$3.92$3.96$0.03
2019Detailed filing. Detailed filing data is available for this year.$6.06$0.96$5.11$3.59$3.79$0.21
2018Detailed filing. Detailed filing data is available for this year.$6.11$0.79$5.31$3.45$3.44$0.01
2017Detailed filing. Detailed filing data is available for this year.$6.02$0.69$5.33$3.30$3.17$0.13
2016Detailed filing. Detailed filing data is available for this year.$5.81$0.61$5.20$2.48$2.23$0.24
2015Detailed filing. Detailed filing data is available for this year.$5.54$0.58$4.96$4.06$1.71$2.34
2014Detailed filing. Detailed filing data is available for this year.$3.40$0.79$2.61$3.25$1.36$1.90
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.21$0.52$0.69$1.60$1.55$0.05
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.16$0.51$0.64$1.45
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.27$0.70$0.57$1.50
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Dec 3, 2025
Return Version
2024v5.0
Gross Receipts
$4,966,131
Mission and Program Overview

Mission

Hmc provides sustainable, affordable access to excellent health care, supports optimal health, and meets the wholistic needs of the individuals in our communities through collaboration and professionalism.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$4,155,005$3,850,864▼ $304,141
Investments in Publicly Traded Securities$1,664,737$1,487,001▼ $177,736
Pledges and Grants Receivable$1,329,823$753,993▼ $575,830
Accounts Receivable$513,700$463,461▼ $50,239
Inventories for Sale or Use$373,333$349,749▼ $23,584
Savings and Temporary Cash Investments$493,512$294,808▼ $198,704
Cash and Non-Interest-Bearing Accounts$47,034$101,406▲ $54,372
Investments Other Securities$10,000$10,000→ $0
Prepaid Expenses and Deferred Charges$4,689$4,167▼ $522
Total Assets$8,757,931$7,490,188▼ $1,267,743
Other Assets Total$166,098$174,739▲ $8,641
Liabilities
Deferred Revenue$1,273,909$696,929▼ $576,980
Accounts Payable and Accrued Expenses$279,120$315,404▲ $36,284
Other Liabilities$582$4,151▲ $3,569
Total Liabilities$1,553,611$1,016,484▼ $537,127
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$7,161,640$6,430,574▼ $731,066
Net Assets With Donor Restrictions$42,680$43,130▲ $450
Total Net Assets Fund Balance$7,204,320$6,473,704▼ $730,616
Total Liabilities and Net Assets / Fund Balance$8,757,931$7,490,188▼ $1,267,743

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$3,603,617$2,121,938$5,725,555
Equipment$134,674$739,193$873,867
Other Land Buildings$53,010$115,943$168,953
Leasehold Improvements$4,563$67,871$72,434
Land$55,000-$55,000

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$45,645$450▲ $2,290-$48,385
2023$48,703$350▲ $1,592-$45,645
2022-$45,056▲ $3,647-$48,703
Compensation and Service Providers
Top Officer Pay75th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Letitia AmiraultCEOFT$183,194$23,588$206,782
Kayla WolcottPharmacy DirectorPT$124,533$6,233$130,766
James Redington MdDoctorPT$125,109$3,753$128,862
Janice EllisCFOFT$105,188$12,161$117,349
Casey HullCOOFT$72,485$11,058$83,543

Board Members and Trustees

NameTitle
Monika MarshallPresident
Ann HigginsDirector
Elisabeth ChandlerDirector
Elizabeth PylesDirector
Emily MalcolmDirector
Herbert LightnerDirector
Robert Beers IiiDirector
David RichardsonSecretary
Morgan BasagicTreasurer
Ronald WimerVice Preside

Highest Paid Contractors

ContractorServicesLocationCompensation
Iris Telehealth Medical Group PaLocum Tenens-bhPO BOX 122600, Dallas, TX 75312-2600$173,387
Comphealth-chg Medical Staffing INCLocumtenens-medPO BOX 972670, Dallas, TX 75397-2670$172,970
Revenue and Support

Revenue Composition

Contributions and Grants
$1,730,308
Program Service Revenue
$3,128,930
Investment Income
$100,348
Other Revenue
$6,545
All Other Contributions
$180,018
Change in Net Assets
$-792,531

Audited Revenue Reconciliation

Revenue per Audited Statements
$4,957,020
Revenue Not Reported on Financial Statements
$9,111
Revenue Not Reported on Form 990
$61,915
Total Revenue per Audited Statements
$5,018,935
Total Revenue per Form 990
$4,966,131
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,955,537
Salaries, Compensation, and Employee Benefits$2,803,125
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,617,027$331,103-$1,948,130
Fees for Services Other$435,112$377,564-$812,676
Current Officers, Directors, Trustees, and Key Employees-$407,674-$407,674
Depreciation Depletion$37,170$295,207-$332,377
Other Employee Benefits$120,945$88,597-$209,542
Payroll Taxes$125,259$56,790-$182,049
Occupancy$4,549$65,714-$70,263
Pension Plan Contributions$39,000$16,730-$55,730
Insurance$13,022$35,215-$48,237
Office Expenses$1,835$31,200-$33,035
Advertising$749$14,828-$15,577
Fees for Services Legal-$11,490-$11,490
Fees for Service Investment Mgmnt Fees-$9,111-$9,111
Other Expenses$7,249$6,330-$6,330
Conferences and Meetings$785$3,342-$4,127
All Other Expenses$3,328$282-$3,610
Interest-$279-$279
Total Functional Expenses$3,987,176$1,771,486$0$5,758,662

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$5,758,662
Expenses per Audited Statements$5,749,551
Total Expenses per Audited Statements$5,749,551
Expenses Not Reported on Financial Statements$9,111
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
Lease Liabilities$3,108
Current Mat. of Lease Liability$1,043
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

Governance Explanations

Form 990, Page 6, Part VI, Line 7A

“Board development committee prepares a slate of prospective new members to fill vacancies and presents to entire board, who then vote on nominees”

Form 990, Page 6, Part VI, Line 11B

“Members are provided with a copy of the 990 for their review before the form is filed.”

Form 990, Page 6, Part VI, Line 12C

“Policy is written and documented in article x of the organization's by- laws. Directors are not allowed to vote on any matter that may have an indirect financial or personal gain to the director. Violations in policy would result in removal from the board.”

Form 990, Page 6, Part VI, Line 15A

“Annual performance review of the ceo is done by the personnel committee of the board. Compensation adjustments are made as a result of this review.”

Form 990, Page 6, Part VI, Line 15B

“Annual perforamnce review of all key employees is done by the ceo. Compensation adjustments are made as a result of this review.”

Form 990, Page 6, Part VI, Line 19

“UPON REQUEST.”

Filing and Contact Details

Filer

Filer Name
Highland Medical Center Inc
EIN
54-1652356
Phone
5404686400
Address
PO BOX 490, MONTEREY, VA 24465

Signing Officer

Name
Janice Ellis
Title
CFO
Phone
5404686400
Signed
2025-12-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Monika Marshall
Formed
1996
Legal Domicile
Va
Voting Board Members
10
Independent Board Members
10
Employees
48
Volunteers
10

Preparer

Firm
Robinson Farmer Cox Associates
Address
10 HEDGEROW DR, STAUNTON, VA 24401
Preparer
Saidee Begoon
Phone
5402487300
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Contractual services/consulti 435,112 377,564 0”

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

“Earnings from this fund are to be used to assist highland medical center, inc. With its programs and special needs as determined by the board of directors or their designee. Principal amounts contributed to the fund are to remain intact.”

Raw XML AppendixShowing 400 of 587 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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