Civic Intelligence

Hot Springs Health Program

EIN 56-0986537 • 501(c)3 • Marshall, NC

View Organization Page

Profile

Meeting the health care needs of the people of madison county and the surrounding areas through an organization oriented to and directed by the community.

PO Box 69-590 Medical Park DrMarshall, NC 28753-0069

www.hotspringshealth-nc.org

Siviq Scores

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

Liabilities / Assets

68th percentile

0.38x

Higher debt load relative to assets than 68% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Liabilities / Revenue

51st percentile

0.24x

Higher debt load relative to revenue than 51% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Net Margin

38th percentile

0.6%

Higher net margin than 38% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Top Officer Pay

85th percentile

$327,931

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 2.0% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Asset Growth

26th percentile

-1.6%

Faster asset growth than 26% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2025

Revenue Growth

47th percentile

5.9%

Faster revenue growth than 47% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2025

Balance Sheet
Liabilities / Assets68th percentile

Assets

Down

$10,438,010

Down $351,419 (-3.3%) from 2023

Liabilities

Down

$3,952,287

Down $138,867 (-3.4%) from 2023

Net Assets

Down

$6,485,723

Down $212,552 (-3.2%) from 2023

Operations
Liabilities / Revenue51st percentileNet Margin38th percentile

Revenue

Up

$16,510,884

Up $1,781,353 (+12%) from 2023

Expenses

Up

$16,410,565

Up $3,042,388 (+23%) from 2023

Net Income

Down

$100,319

Down $1,261,035 (-93%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth26th percentile

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

$15M$10M$5.0M$0Assets 2011: $6,593,331Liabilities 2011: $1,405,077Net Assets 2011: $5,188,2542011Assets 2012: $7,320,453Liabilities 2012: $1,108,794Net Assets 2012: $6,211,6592012Assets 2013: $7,969,951Liabilities 2013: $1,269,125Net Assets 2013: $6,700,8262013Assets 2014: $9,565,801Liabilities 2014: $3,124,436Net Assets 2014: $6,441,3652014Assets 2015: $9,894,913Liabilities 2015: $4,121,039Net Assets 2015: $5,773,8742015Assets 2016: $9,665,154Liabilities 2016: $3,915,598Net Assets 2016: $5,749,5562016Assets 2017: $10,483,163Liabilities 2017: $3,835,558Net Assets 2017: $6,647,6052017Assets 2018: $10,436,580Liabilities 2018: $3,952,815Net Assets 2018: $6,483,7652018Assets 2019: $9,642,651Liabilities 2019: $3,841,025Net Assets 2019: $5,801,6262019Assets 2020: $9,637,966Liabilities 2020: $5,353,979Net Assets 2020: $4,283,9872020Assets 2021: $8,935,005Liabilities 2021: $4,050,851Net Assets 2021: $4,884,1542021Assets 2022: $9,194,764Liabilities 2022: $3,857,843Net Assets 2022: $5,336,9212022Assets 2023: $10,789,429Liabilities 2023: $4,091,154Net Assets 2023: $6,698,2752023Assets 2025: $10,438,010Liabilities 2025: $3,952,287Net Assets 2025: $6,485,7232025

Highlighted filing

2025

Assets$10,438,010
Liabilities$3,952,287
Net Assets$6,485,723
Open 2025 Filing

Operations Trend

Revenue Growth47th percentile

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

$20M$15M$10M$5.0M$0-$5.0MExpenses 2011: $9,280,5432011Revenue 2012: $10,507,742Expenses 2012: $9,484,337Net Income 2012: $1,023,4052012Expenses 2013: $9,939,9882013Revenue 2014: $10,136,901Expenses 2014: $10,396,362Net Income 2014: -$259,4612014Revenue 2015: $10,187,240Expenses 2015: $10,854,729Net Income 2015: -$667,4892015Revenue 2016: $11,996,640Expenses 2016: $12,020,958Net Income 2016: -$24,3182016Revenue 2017: $12,965,573Expenses 2017: $12,067,524Net Income 2017: $898,0492017Revenue 2018: $12,829,990Expenses 2018: $12,993,830Net Income 2018: -$163,8402018Revenue 2019: $11,898,562Expenses 2019: $12,537,917Net Income 2019: -$639,3552019Revenue 2020: $12,293,510Expenses 2020: $13,811,149Net Income 2020: -$1,517,6392020Revenue 2021: $13,641,921Expenses 2021: $13,041,754Net Income 2021: $600,1672021Revenue 2022: $14,567,955Expenses 2022: $14,115,188Net Income 2022: $452,7672022Revenue 2023: $14,729,531Expenses 2023: $13,368,177Net Income 2023: $1,361,3542023Revenue 2025: $16,510,884Expenses 2025: $16,410,565Net Income 2025: $100,3192025

Highlighted filing

2025

Revenue$16,510,884
Expenses$16,410,565
Net Income$100,319
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$10,438,010
Liabilities
$3,952,287
Net assets
$6,485,723
Revenue
$16,510,884
Expenses
$16,410,565
Net income
$100,319
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.4$3.95$6.49$16.5$16.4$0.10
2023Summary only. Only limited summary data is available for this year.$10.8$4.09$6.70$14.7$13.4$1.36
2022Summary only. Only limited summary data is available for this year.$9.19$3.86$5.34$14.6$14.1$0.45
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.94$4.05$4.88$13.6$13.0$0.60
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.64$5.35$4.28$12.3$13.8$1.52
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.64$3.84$5.80$11.9$12.5$0.64
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.4$3.95$6.48$12.8$13.0$0.16
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.5$3.84$6.65$13.0$12.1$0.90
2016Summary only. Only limited summary data is available for this year.$9.67$3.92$5.75$12.0$12.0$0.02
2015Detailed filing. Detailed filing data is available for this year.$9.89$4.12$5.77$10.2$10.9$0.67
2014Detailed filing. Detailed filing data is available for this year.$9.57$3.12$6.44$10.1$10.4$0.26
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.97$1.27$6.70$9.94
2012Summary only. Only limited summary data is available for this year.$7.32$1.11$6.21$10.5$9.48$1.02
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.59$1.41$5.19$9.28
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
May 1, 2024 to Apr 30, 2025
Signed
Feb 17, 2026
Return Version
2024v5.5
Gross Receipts
$16,510,884
Mission and Program Overview

Mission

Meeting the health care needs of the people of madison county and the surrounding areas through an organization oriented to and directed by the community.

Serving the primary health care needs of the people of madison county and surrounding areas through an organization oriented to and directed by the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,180,687$4,783,232▼ $397,455
Cash and Non-Interest-Bearing Accounts$2,203,282$3,361,454▲ $1,158,172
Accounts Receivable$1,394,185$1,593,744▲ $199,559
Savings and Temporary Cash Investments$1,100,000--
Investments Program Related$235,027$298,861▲ $63,834
Inventories for Sale or Use$236,124$295,345▲ $59,221
Prepaid Expenses and Deferred Charges$25,072$105,374▲ $80,302
Other Notes and Loans Receivable, Net$2,041--
Total Assets$10,376,418$10,438,010▲ $61,592
Liabilities
Mortgage Notes Payable Secured by Investment Property$2,383,221$2,326,190▼ $57,031
Accounts Payable and Accrued Expenses$866,081$942,481▲ $76,400
Other Liabilities$741,712$683,616▼ $58,096
Total Liabilities$3,991,014$3,952,287▼ $38,727
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$6,385,404$6,485,723▲ $100,319
Total Net Assets Fund Balance$6,385,404$6,485,723▲ $100,319
Total Liabilities and Net Assets / Fund Balance$10,376,418$10,438,010▲ $61,592

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$3,947,258$2,823,150$6,770,408
Equipment$355,099$2,294,437$2,649,536
Land$480,503-$480,503
Leasehold Improvements$372$119,875$120,247
Compensation and Service Providers
Top Officer Pay85th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Frielden JonesMedical DirectorFT$296,290$31,641$327,931
Andrew SheltonDoctorFT$272,964$44,653$317,617
Curry JonesDoctorFT$206,916$43,991$250,907
Billy PenceDoctorFT$214,186$28,492$242,678
Claire ZeorlinDoctorFT$214,013$3,779$217,792
Kenya JohnsonPhysician AssistantFT$191,630$3,552$195,182
Teresa StromExecutive DirectorFT$127,226$2,908$130,134
Len JonesFinance DirectorFT$124,654$2,884$127,538
Pam GreggAssociate DirectorFT$100,421$16,802$117,223

Board Members and Trustees

NameTitle
Larry BurdaChair (past)
Grainger CaudleCo-chair
Karen CutshallCo-chair
Andrea YontzBoard Member
Arthur BrowningBoard Member
Don MathisBoard Member
Gerald CodyBoard Member
Judy MajorBoard Member
Robert ZimmermanBoard Member
Ross YoungBoard Member
Joe RockensteinExecutive Director
Sidney MashburnTreasurer and Secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$1,710,719
Program Service Revenue
$14,680,607
Investment Income
$51,643
Other Revenue
$67,915
All Other Contributions
$1,068,684
Change in Net Assets
$100,319

Audited Revenue Reconciliation

Revenue per Audited Statements
$16,393,478
Revenue Not Reported on Financial Statements
$117,406
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$117,406
Total Revenue per Audited Statements
$16,393,478
Total Revenue per Form 990
$16,510,884
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$10,756,408
Other Expenses$5,648,805
Total Fundraising Expense$22,074
Grants and Similar Amounts Paid$5,352
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,434,639$521,697-$7,956,336
Other Employee Benefits$1,162,102$98,452-$1,260,554
Current Officers, Directors, Trustees, and Key Employees$335,582$399,827-$735,409
Payroll Taxes$545,899$66,388-$612,287
Information Technology$470,357$108,063-$578,420
Depreciation Depletion$388,982$32,864-$421,846
Fees for Services Other$248,344--$248,344
Pension Plan Contributions$177,557$14,265-$191,822
Insurance$87,646$86,971-$174,617
All Other Expenses$84,295$63,502$22,074$169,871
Travel$101,675$34,066-$135,741
Fees for Services Accounting-$131,921-$131,921
Occupancy$62,769$51,176-$113,945
Interest$78,833$4,159-$82,992
Other Expenses$33,267$43,985-$77,252
Advertising$48,245$10,122-$58,367
Office Expenses$3,604$3,518-$7,122
Grants to Domestic Individuals$5,352--$5,352
Fees for Services Legal-$500-$500
Total Functional Expenses$14,527,302$1,861,189$22,074$16,410,565

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$16,410,565
Expenses per Audited Statements$16,356,995
Total Expenses per Audited Statements$16,356,995
Expenses Not Reported on Financial Statements$53,570
Other Expense Adjustments$53,570
Expenses Not Reported on Form 990$0
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
Compensated Absences$576,550
Long Term Lease Liability$79,873
Short Term Lease Liability$27,193
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, Part VI, Section B, Line 11B

“Form 990 is reviewed and signed by the executive director, reviewed by the board chairperson, and approved by the board.”

Form 990, Part VI, Section B, Line 12C

“A board member who is a cpa reviews financial transactions and internally prepared financial statements to ensure compliance with policies set forth by the board.”

Form 990, Part VI, Section B, Line 15

“Board of directors establishes compensation for executive director using state and national data for directors of similar organizations. All other management position salaries are determined by the executive director.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Hot Springs Health Program
EIN
56-0986537
Phone
8286499566
Address
PO BOX 69-590 MEDICAL PARK DR, MARSHALL, NC 28753-0069

Signing Officer

Name
Joe Rockenstein
Title
Executive Director
Phone
8286493786
Signed
2026-02-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Joe Rockenstein
Formed
1971
Legal Domicile
Nc
Voting Board Members
10
Independent Board Members
10
Employees
155
Volunteers
10

Preparer

Firm
Dmjps Pllc
Address
79 WOODFIN PLACE SUITE 300, ASHEVILLE, NC 28801
Preparer
Dorinda Y Bennett CPA
Phone
8282542374
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

“No change from prior year.”

Financial Statement Notes

PART X, LINE 2:

“The program is an organization exempt from income taxes as defined in internal revenue code section 501(c)(3) and is classified by the internal revenue service as other than a private foundation. It is the program's policy to evaluate all tax positions to identify any that may be considered uncertain. All identified material tax positions are assessed and measured by a "more-likely-than-not" threshold to determine if the tax position is uncertain, and what, if any, effect the uncertain tax position may have on the financial statements. No material uncertain tax positions were identified for the 2024 or 2023 tax years. Currently, the statute of limitations remains open subsequent to and including tax year 2021; however, no examinations are in process or anticipated. Any changes in the amount of a tax position will be recognized in the period the change occurs.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Bad debt 53,570. Investment in llc and aco - book/tax difference 63,834. Rounding 2.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“BAD DEBT 53,570.”

Raw XML AppendixShowing 400 of 682 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/ActivityOrMissionDesc0SERVING THE PRIMARY HEALTH CARE NEEDS OF THE PEOPLE OF MADISON COUNTY AND SURROUNDING AREAS THROUGH AN ORGANIZATION ORIENTED TO AND DIRECTED BY THE COMMUNITY.
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IRS990/Desc0THE PROGRAM IS A FEDERALLY QUALIFIED HEALTH CARE LOOK-ALIKE, WHICH PROVIDES MEDICAL CARE TO CITIZENS OF MADISON COUNTY, NC THROUGH FOUR CLINICS, HOME HEALTH CARE AND OTHER SERVICES, INCLUDING 35,510 PATIENT VISITS AND 2,203 NURSING HOME VISITS; PHARMACY SERVICES, FILLING 94,584 PRESCRIPTIONS; AND HOME CARE AND HOSPICE SERVICES, INCLUDING 6,664 VISITS TO PATIENTS IN THEIR HOMES. THE ORGANIZATION CONSISTS OF 7 SEPARATE HEALTH CARE FACILITIES INCLUDING MASHBURN MEDICAL CENTER, HOT SPRINGS MEDICAL CENTER, MARS HILL MEDICAL CENTER, LAUREL MEDICAL CENTER, MADISON HOME CARE, HOSPICE OF MADISON AND HOT SPRINGS HEALTH PROGRAM OUTPATIENT SERVICES.
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