Civic Intelligence

Mountain Area Health Education Center

EIN 56-1071426 • 501(c)3 • Asheville, NC

View Organization Page

Profile

The nc ahec program provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train, and retain the workforce needed to create a healthy north carolina.

121 Hendersonville RoadAsheville, NC 28803

www.mahec.net

Siviq Scores

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

Liabilities / Assets

59th percentile

0.32x

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

NTEE B • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

27th percentile

0.28x

Higher debt load relative to revenue than 27% of similar nonprofits.

NTEE B • $100M-$250M nonprofits • Source year 2024

Net Margin

36th percentile

0.3%

Higher net margin than 36% of similar nonprofits.

NTEE B • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

69th percentile

$542,357

Higher top officer pay than 69% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

NTEE B • $100M-$250M nonprofits • Source year 2024

Asset Growth

19th percentile

-1.9%

Faster asset growth than 19% of similar nonprofits.

NTEE B • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

64th percentile

12%

Faster revenue growth than 64% of similar nonprofits.

NTEE B • $100M-$250M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets59th percentile

Assets

Down

$113,870,479

Down $2,146,973 (-1.9%) from 2023

Liabilities

Down

$36,029,813

Down $3,179,550 (-8.1%) from 2023

Net Assets

Up

$77,840,666

Up $1,032,577 (+1.3%) from 2023

Operations
Liabilities / Revenue27th percentileNet Margin36th percentile

Revenue

Up

$129,170,473

Up $13,578,736 (+12%) from 2023

Expenses

Up

$128,827,932

Up $14,711,579 (+13%) from 2023

Net Income

Down

$342,541

Down $1,132,843 (-77%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth19th percentile

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

$150M$100M$50M$0Assets 2010: $19,238,385Liabilities 2010: $9,694,311Net Assets 2010: $9,544,0742010Assets 2011: $26,100,312Liabilities 2011: $16,235,507Net Assets 2011: $9,864,8052011Assets 2012: $28,593,276Liabilities 2012: $12,105,114Net Assets 2012: $16,488,1622012Assets 2013: $34,716,329Liabilities 2013: $18,621,072Net Assets 2013: $16,095,2572013Assets 2014: $37,155,656Liabilities 2014: $17,711,056Net Assets 2014: $19,444,6002014Assets 2015: $38,162,671Liabilities 2015: $18,578,157Net Assets 2015: $19,584,5142015Assets 2016: $44,469,297Liabilities 2016: $20,365,887Net Assets 2016: $24,103,4102016Assets 2017: $51,156,626Liabilities 2017: $19,925,263Net Assets 2017: $31,231,3632017Assets 2018: $64,973,975Liabilities 2018: $24,081,459Net Assets 2018: $40,892,5162018Assets 2019: $79,517,983Liabilities 2019: $30,918,795Net Assets 2019: $48,599,1882019Assets 2020: $84,046,710Liabilities 2020: $28,282,037Net Assets 2020: $55,764,6732020Assets 2021: $95,009,943Liabilities 2021: $27,732,865Net Assets 2021: $67,277,0782021Assets 2022: $103,807,800Liabilities 2022: $28,634,555Net Assets 2022: $75,173,2452022Assets 2023: $116,017,452Liabilities 2023: $39,209,363Net Assets 2023: $76,808,0892023Assets 2024: $113,870,479Liabilities 2024: $36,029,813Net Assets 2024: $77,840,6662024

Highlighted filing

2024

Assets$113,870,479
Liabilities$36,029,813
Net Assets$77,840,666
Open 2024 Filing

Operations Trend

Revenue Growth64th percentile

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

$150M$100M$50M$0Expenses 2010: $30,809,0572010Expenses 2011: $31,312,6682011Revenue 2012: $38,830,868Expenses 2012: $32,070,266Net Income 2012: $6,760,6022012Expenses 2013: $35,211,4472013Revenue 2014: $42,936,904Expenses 2014: $39,739,134Net Income 2014: $3,197,7702014Revenue 2015: $44,547,337Expenses 2015: $44,460,853Net Income 2015: $86,4842015Revenue 2016: $55,388,967Expenses 2016: $50,850,716Net Income 2016: $4,538,2512016Revenue 2017: $59,020,994Expenses 2017: $53,619,842Net Income 2017: $5,401,1522017Revenue 2018: $67,012,692Expenses 2018: $58,597,258Net Income 2018: $8,415,4342018Revenue 2019: $73,987,809Expenses 2019: $64,599,396Net Income 2019: $9,388,4132019Revenue 2020: $76,523,129Expenses 2020: $68,689,968Net Income 2020: $7,833,1612020Revenue 2021: $90,541,448Expenses 2021: $79,893,678Net Income 2021: $10,647,7702021Revenue 2022: $109,371,982Expenses 2022: $98,432,789Net Income 2022: $10,939,1932022Revenue 2023: $115,591,737Expenses 2023: $114,116,353Net Income 2023: $1,475,3842023Revenue 2024: $129,170,473Expenses 2024: $128,827,932Net Income 2024: $342,5412024

Highlighted filing

2024

Revenue$129,170,473
Expenses$128,827,932
Net Income$342,541
Open 2024 Filing

Filings

Most recent year

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

Open filing
Assets
$113,870,479
Liabilities
$36,029,813
Net assets
$77,840,666
Revenue
$129,170,473
Expenses
$128,827,932
Net income
$342,541
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$114$36.0$77.8$129$129$0.34
2023Detailed filing. Detailed filing data is available for this year.$116$39.2$76.8$116$114$1.48
2022Detailed filing. Detailed filing data is available for this year.$104$28.6$75.2$109$98.4$10.9
2021Detailed filing. Detailed filing data is available for this year.$95.0$27.7$67.3$90.5$79.9$10.6
2020Detailed filing. Detailed filing data is available for this year.$84.0$28.3$55.8$76.5$68.7$7.83
2019Detailed filing. Detailed filing data is available for this year.$79.5$30.9$48.6$74.0$64.6$9.39
2018Detailed filing. Detailed filing data is available for this year.$65.0$24.1$40.9$67.0$58.6$8.42
2017Detailed filing. Detailed filing data is available for this year.$51.2$19.9$31.2$59.0$53.6$5.40
2016Detailed filing. Detailed filing data is available for this year.$44.5$20.4$24.1$55.4$50.9$4.54
2015Detailed filing. Detailed filing data is available for this year.$38.2$18.6$19.6$44.5$44.5$0.09
2014Detailed filing. Detailed filing data is available for this year.$37.2$17.7$19.4$42.9$39.7$3.20
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.7$18.6$16.1$35.2
2012Summary only. Only limited summary data is available for this year.$28.6$12.1$16.5$38.8$32.1$6.76
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$26.1$16.2$9.86$31.3
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.2$9.69$9.54$30.8
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Mar 13, 2025
Return Version
2023v6.0
Gross Receipts
$132,900,025
Mission and Program Overview

Mission

The mission of mountain area health education center (mahec) is to provide education, information, technology, research, training, and services to improve health outcomes in western north carolina through partnerships and neutrality. We continue to improve the quality of healthcare through recruitment, retention, distribution, appropriate utilization, and development of a diverse healthcare workforce.

Graduate medical education and academic health center

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$53,711,822$51,068,663▼ $2,643,159
Investments in Publicly Traded Securities$21,691,485$18,647,158▼ $3,044,327
Savings and Temporary Cash Investments$7,678,249$10,914,575▲ $3,236,326
Accounts Receivable$9,847,461$10,449,681▲ $602,220
Pledges and Grants Receivable$7,658,868$7,560,322▼ $98,546
Prepaid Expenses and Deferred Charges$2,294,079$1,689,395▼ $604,684
Inventories for Sale or Use$541,432$1,195,069▲ $653,637
Cash and Non-Interest-Bearing Accounts$6,450$7,050▲ $600
Total Assets$116,017,452$113,870,479▼ $2,146,973
Other Assets Total$12,587,606$12,338,566▼ $249,040
Liabilities
Mortgage Notes Payable Secured by Investment Property$29,213,439$23,222,819▼ $5,990,620
Accounts Payable and Accrued Expenses$7,058,467$8,441,243▲ $1,382,776
Deferred Revenue$1,185,329$2,479,909▲ $1,294,580
Other Liabilities$1,752,128$1,885,842▲ $133,714
Total Liabilities$39,209,363$36,029,813▼ $3,179,550
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$58,074,086$60,569,820▲ $2,495,734
Net Assets With Donor Restrictions$18,734,003$17,270,846▼ $1,463,157
Total Net Assets Fund Balance$76,808,089$77,840,666▲ $1,032,577
Total Liabilities and Net Assets / Fund Balance$116,017,452$113,870,479▼ $2,146,973

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$28,807,954$6,310,887$35,118,841
Equipment$3,380,394$18,522,905$21,903,299
Leasehold Improvements$10,525,454$6,489,796$17,015,250
Land$7,241,418-$7,241,418
Other Land Buildings$1,113,443-$1,113,443
Other Assets Org$4,512,699--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$565,865-▲ $5,246-$571,111
2022$578,968-▼ $13,103-$565,865
2021$618,257-▼ $39,289-$578,968
2020$517,281$35,623▲ $65,353-$618,257
2019$513,806$16,711▼ $13,236-$517,281
Compensation and Service Providers
Top Officer Pay69th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
William R Hathaway MdCEOFT$528,967$13,390$542,357
Carol CoulsonDivision Director, Maternal Fetal MedicineFT$478,078$16,519$494,597
Carol CoulsonDivision Director, Maternal Fetal Me-$478,078$16,519$494,597
Lisa FogliaMaternal Fetal Medicine Physician FacultyFT$432,806-$432,806
Lisa FogliaMaternal Fetal Medicine Physician Fa-$432,806-$432,806
Robyn LatessaFormer Chief Academic OfficerFT$381,485$6,902$388,387
Elizabeth BuysFormer Chair, Department of Obstetrics and GynecolFT$350,099$17,992$368,091
Elizabeth BuysFormer Chair, Department of Obstetri-$350,099$17,992$368,091
Stephen BuieFormer Chair, PsychiatryFT$311,874-$311,874
Bryan HodgeChief Academic OfficerFT$258,849$22,961$281,810
Benjamin LevinChief Financial OfficerFT$195,030$21,661$216,691

Board Members and Trustees

NameTitle
Casey CooperChair
Alan D Stiles MdMember
Avril PinderMember
Bruce Deighton PhdMember
Carla HenryMember
Carol Burton PhdMember
Carol Steen Mba Phr Shrm-cpMember
Darin Waters PhdMember
Fran Paschall Mba Dnp Rn CendMember
Hugh GreeneMember
Jackson Teague DdsMember
James M Kirby IiMember
Jenny LopezMember
John CrumplerMember
Marianne Martinez MpaMember
Melina ArrowwoodMember
Robby RussellMember
Robert a Blouin PharmdMember
Stephanie Alexander MbaMember
W Louis Bissette JrMember

Highest Paid Contractors

ContractorServicesLocationCompensation
Ryse Construction LLCConstruction Services5 S TUPELO DR, Horse Shoe, NC 28742$9,791,418
Mission HospitalsProfessional Services509 BILTMORE AVENUE, Asheville, NC 28801$450,251
Pulliam Westridge LLCRental Services1970 HENDERSONVILLE ROAD, Asheville, NC 28803$399,148
The Van Winkle Law FirmLegal ServicesPO BOX 7376, Asheville, NC 28802$345,085
Mission Health Community MultispecialtyProfessional ServicesPO BOX 550, Nashville, TN 37202$261,566
Revenue and Support

Revenue Composition

Contributions and Grants
$2,006,143
Program Service Revenue
$125,620,885
Investment Income
$1,543,445
Other Revenue
$0
All Other Contributions
$2,006,143
Change in Net Assets
$342,541

Audited Revenue Reconciliation

Revenue per Audited Statements
$125,620,885
Revenue Not Reported on Financial Statements
$3,549,588
Revenue Not Reported on Form 990
$3,474,546
Other Revenue Adjustments
$3,549,588
Total Revenue per Audited Statements
$129,095,431
Total Revenue per Form 990
$129,170,473
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$92,688,721
Other Expenses$36,139,211
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$72,201,129$3,420,729-$75,621,858
Fees for Services Other$12,053,564$1,184,123-$13,237,687
Other Employee Benefits$8,829,544$460,609-$9,290,153
Office Expenses$7,910,106$16,597-$7,926,703
Payroll Taxes$5,328,140$277,952-$5,606,092
Depreciation Depletion$4,367,402$189,692-$4,557,094
Occupancy$2,802,242$188,030-$2,990,272
Information Technology$2,227,782$149,484-$2,377,266
Travel$1,630,217$32,161-$1,662,378
Pension Plan Contributions$1,374,897$71,724-$1,446,621
Advertising$1,108,198$56,362-$1,164,560
Insurance$770,158$16,509-$786,667
Current Officers, Directors, Trustees, and Key Employees$593,464$130,533-$723,997
Fees for Services Legal$614,799--$614,799
Interest$528,965$31,794-$560,759
Fees for Services Lobbying$164,009--$164,009
Fees for Services Accounting$97,017--$97,017
Total Functional Expenses$122,601,633$6,226,299$0$128,827,932

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$128,827,932
Total Expenses per Audited Statements$128,827,932
Total Expenses per Form 990$128,827,932
Expenses Not Reported on Financial Statements$0
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Coompensation Plan$1,885,842
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

“A draft of the form 990 will be reviewed by the officers and the board prior to being filed.”

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

“Conflict of interest forms are completed annually.”

Form 990, Part VI, Section B, Line 15

“The board reviews the performance of the ceo annually and approves compensation for the ceo. Ceo compensation is determined through review of internal pay grades and comparisons to market survey data . Other officers' compensation is determined by the ceo and director of talent management. The cfo and director of talent management determine key employee salaries through review of internal pay grades and market comparisons. Compensation is approved by these parties collectively. The board and finance committee approve an operating budget annually which includes salary expense for the organization. The process described here was last completed in 2023.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents, policies and financial statements available upon request.”

Filing and Contact Details

Filer

Filer Name
Mountain Area Health Education Center
EIN
56-1071426
Phone
8282574400
Address
121 HENDERSONVILLE ROAD, ASHEVILLE, NC 28803

Signing Officer

Name
William R Hathaway Md
Title
CEO
Phone
8282574400
Signed
2025-03-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
William R Hathaway Md
Formed
1974
Legal Domicile
Nc
Voting Board Members
18
Independent Board Members
18
Employees
1,337
Volunteers
22

Preparer

Firm
Cliftonlarsonallen Llp
Address
227 WEST TRADE STREET SUITE 800, CHARLOTTE, NC 28202
Preparer
Katherine a Warlick
Phone
7049985200
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Other services: program service expenses 10,550,028. Management and general expenses 1,184,123. Fundraising expenses 0. Total expenses 11,734,151. Services -- surgery: program service expenses 528,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 528,000. Services -- psychiatry: program service expenses 112,698. Management and general expenses 0. Fundraising expenses 0. Total expenses 112,698. Services - hendersonville: program service expenses 416,602. Management and general expenses 0. Fundraising expenses 0. Total expenses 416,602. Preceptor services: program service expenses 446,236. Management and general expenses 0. Fundraising expenses 0. Total expenses 446,236.”

FORM 990, PART XI, LINE 9:

“Change in value in perpertually restricted 5,246.”

Form 990, Part XII, Line 2C

“Oversight and selection process is unchanged from prior year.”

Financial Statement Notes

PART V, LINE 4:

“Suzanne landis geriatric medicine fund is established to provide innovation in health care for the elderly, improved health care access for vulnerable and frail elderly, research efforts that contribute to the knowledge and practice of clinical geriatrics, and enhanced services to the community that improve the quality of life for older people. The william chester brannan md, mhs fund supports the salary, teaching and other activities of the mahec ob/gyn professor to develop clinical and teaching skills evidenced by dr. Brannan.”

PART X, LINE 2:

“The center is a tax-exempt organization as defined in section 501(c)(3) of the internal revenue code. The center's income tax returns are subject to review and examination by federal and state authorities. The organization is not aware of any activities that would jeopardize its tax-exempt status or any activities that are subject to tax on unrelated business income, excise, or other taxes. The center follows the income tax standard for uncertain tax positions. This standard clarifies the accounting for uncertainty in income taxes recognized in an organization's financial statements. This standard prescribes recognition and measurement of tax positions taken or expected to be taken on a tax return that are not certain to be realized. This standard had no impact on the center's financial statements for the years ended june 30, 2024 and 2023.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Net assets released from restrictions used for operations 3,474,546.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Purpose restricted contributions 2,006,143. Net investment income 1,543,880. Other nonoperating income (loss) -435.”

Raw XML AppendixShowing 400 of 858 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/Desc0GRADUATED 21 FROM THREE-YEAR PROGRAMS BASED IN ONE URBAN AND TWO RURAL FAMILY HEALTH CENTERS. . HOSPICE/PALLIATIVE CARE GRADUATED 0. SPORTS MEDICINE FELLOWS GRADUATED 4. ADDICTION MEDICINE FELLOWS GRADUATED 4. TRANSITIONAL YEAR RESIDENCY GRADUATED 13. SERVICES PROVIDED IN THE HEALTH CENTERS RESULTED IN 105,648 PATIENT ENCOUNTERS. FAMILY MEDICINE PROVIDED $406,776 IN CHARITY CARE.
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IRS990/Form990PartVIISectionAGrp/TitleTxt23DIVISION DIRECTOR, MATERNAL FETAL MEDICINE
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IRS990/MissionDesc0THE NC AHEC PROGRAM PROVIDES AND SUPPORTS EDUCATIONAL ACTIVITIES AND SERVICES WITH A FOCUS ON PRIMARY CARE IN RURAL COMMUNITIES AND THOSE WITH LESS ACCESS TO RESOURCES TO RECRUIT, TRAIN, AND RETAIN THE WORKFORCE NEEDED TO CREATE A HEALTHY NORTH CAROLINA.
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