Civic Intelligence

Central North Al Health Service Inc

EIN 63-0829524 • 501(c)3 • Huntsville, AL

Profile

Provide primary health care to mostly low-income and underserved persons.

PO Box 18488Huntsville, AL 35804
Siviq Scores

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

Liabilities / Assets

89th percentile

0.86x

Higher debt load relative to assets than 89% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

76th percentile

0.74x

Higher debt load relative to revenue than 76% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

19th percentile

-8.4%

Higher net margin than 19% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

15th percentile

$0

Higher top officer pay than 15% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

40th percentile

1.6%

Faster asset growth than 40% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

10th percentile

-25%

Faster revenue growth than 10% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Up

$8,785,371

Up $141,191 (+1.6%) from 2023

Liabilities

Up

$7,540,690

Up $997,801 (+15%) from 2023

Net Assets

Down

$1,244,681

Down $856,610 (-41%) from 2023

Revenue

Down

$10,160,228

Down $3,440,378 (-25%) from 2023

Expenses

Down

$11,016,838

Down $2,578,794 (-19%) from 2023

Net Income

Down

-$856,610

Down $861,584 (-17322%) from 2023

Trend Graphs

Balance Sheet Trend

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

$10M$5.0M$0-$5.0MAssets 2011: $8,144,445Liabilities 2011: $1,950,914Net Assets 2011: $6,193,5312011Assets 2012: $9,689,758Liabilities 2012: $3,561,600Net Assets 2012: $6,128,1582012Assets 2013: $9,237,943Liabilities 2013: $4,001,018Net Assets 2013: $5,236,9252013Assets 2014: $8,983,708Liabilities 2014: $4,372,351Net Assets 2014: $4,611,3572014Assets 2015: $9,149,816Liabilities 2015: $4,704,573Net Assets 2015: $4,445,2432015Assets 2016: $8,116,375Liabilities 2016: $4,779,157Net Assets 2016: $3,337,2182016Assets 2017: $8,734,504Liabilities 2017: $5,558,993Net Assets 2017: $3,175,5112017Assets 2018: $8,759,594Liabilities 2018: $5,765,599Net Assets 2018: $2,993,9952018Assets 2020: $7,391,877Liabilities 2020: $7,412,703Net Assets 2020: -$20,8262020Assets 2021: $8,311,283Liabilities 2021: $7,975,098Net Assets 2021: $336,1852021Assets 2022: $8,174,784Liabilities 2022: $6,078,468Net Assets 2022: $2,096,3162022Assets 2023: $8,644,180Liabilities 2023: $6,542,889Net Assets 2023: $2,101,2912023Assets 2024: $8,785,371Liabilities 2024: $7,540,690Net Assets 2024: $1,244,6812024

Highlighted filing

2024

Assets$8,785,371
Liabilities$7,540,690
Net Assets$1,244,681

Operations Trend

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

$15M$10M$5.0M$0-$5.0MExpenses 2011: $9,533,9282011Expenses 2012: $10,087,1832012Revenue 2013: $10,319,479Expenses 2013: $11,210,712Net Income 2013: -$891,2332013Revenue 2014: $10,686,072Expenses 2014: $11,311,640Net Income 2014: -$625,5682014Revenue 2015: $9,336,299Expenses 2015: $9,502,413Net Income 2015: -$166,1142015Revenue 2016: $8,434,069Expenses 2016: $9,209,530Net Income 2016: -$775,4612016Revenue 2017: $8,329,910Expenses 2017: $8,491,617Net Income 2017: -$161,7072017Revenue 2018: $8,364,269Expenses 2018: $8,545,785Net Income 2018: -$181,5162018Revenue 2020: $6,959,343Expenses 2020: $9,508,464Net Income 2020: -$2,549,1212020Revenue 2021: $9,856,607Expenses 2021: $9,499,596Net Income 2021: $357,0112021Revenue 2022: $12,006,611Expenses 2022: $10,246,481Net Income 2022: $1,760,1302022Revenue 2023: $13,600,606Expenses 2023: $13,595,632Net Income 2023: $4,9742023Revenue 2024: $10,160,228Expenses 2024: $11,016,838Net Income 2024: -$856,6102024

Highlighted filing

2024

Revenue$10,160,228
Expenses$11,016,838
Net Income-$856,610

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.79$7.54$1.24$10.2$11.0$0.86
2023Detailed filing. Detailed filing data is available for this year.$8.64$6.54$2.10$13.6$13.6$0.00
2022Detailed filing. Detailed filing data is available for this year.$8.17$6.08$2.10$12.0$10.2$1.76
2021Detailed filing. Detailed filing data is available for this year.$8.31$7.98$0.34$9.86$9.50$0.36
2020Detailed filing. Detailed filing data is available for this year.$7.39$7.41$0.02$6.96$9.51$2.55
2018Detailed filing. Detailed filing data is available for this year.$8.76$5.77$2.99$8.36$8.55$0.18
2017Detailed filing. Detailed filing data is available for this year.$8.73$5.56$3.18$8.33$8.49$0.16
2016Detailed filing. Detailed filing data is available for this year.$8.12$4.78$3.34$8.43$9.21$0.78
2015Detailed filing. Detailed filing data is available for this year.$9.15$4.70$4.45$9.34$9.50$0.17
2014Detailed filing. Detailed filing data is available for this year.$8.98$4.37$4.61$10.7$11.3$0.63
2013Detailed filing. Detailed filing data is available for this year.$9.24$4.00$5.24$10.3$11.2$0.89
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.69$3.56$6.13$10.1
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.14$1.95$6.19$9.53
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Sep 1, 2025
Return Version
2024v5.2
Gross Receipts
$10,160,228
Mission and Program Overview

Mission

Provide primary health care to mostly low-income and underserved persons.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$7,134,699$6,723,727▼ $410,972
Accounts Receivable$580,302$1,287,081▲ $706,779
Cash and Non-Interest-Bearing Accounts$228,716$187,757▼ $40,959
Inventories for Sale or Use$199,148$185,238▼ $13,910
Prepaid Expenses and Deferred Charges$78,728$78,120▼ $608
Other Notes and Loans Receivable, Net$4,480$6,000▲ $1,520
Total Assets$8,644,180$8,785,371▲ $141,191
Other Assets Total$418,107$317,448▼ $100,659
Liabilities
Unsecured Notes Loans Payable$2,957,467$4,522,019▲ $1,564,552
Accounts Payable and Accrued Expenses$1,734,412$2,945,840▲ $1,211,428
Mortgage Notes Payable Secured by Investment Property$1,851,010$72,831▼ $1,778,179
Total Liabilities$6,542,889$7,540,690▲ $997,801
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,101,291$1,244,681▼ $856,610
Total Net Assets Fund Balance$2,101,291$1,244,681▼ $856,610
Total Liabilities and Net Assets / Fund Balance$8,644,180$8,785,371▲ $141,191

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,400,595$4,618,946$7,019,541
Equipment$1,292,965$3,979,666$5,272,631
Land$2,148,122-$2,148,122
Other Land Buildings$882,045-$882,045
Leasehold Improvements-$55,604$55,604
Compensation and Service Providers

Board Members and Trustees

NameTitle
Carleton PyfromPresidentchief Executive Officer
Arthur ReevesBoard Member
Earl M GoodingBoard Member
Harold GraysonBoard Member
Helen WalkerBoard Member
Jennifer DiaberBoard Member
Jeremy WellsBoard Member
LaQUINTA MIMSBoard Member
Laura V HallBoard Member
Orlia MendozaBoard Member
Samuel SotoBoard Member
Sheri KirchBoard Member

Highest Paid Contractors

ContractorServicesLocationCompensation
Bayer Urgent Care LLCMedical2416 Audubon Lane, Huntsville, AL 35804$218,490
Medical Malls of America LLCRent6688 Nolenville Rd Ste 108-104, Brentwood, TN 37027$166,074
Revenue and Support

Revenue Composition

Contributions and Grants
$4,337,684
Program Service Revenue
$5,804,372
Investment Income
$0
Other Revenue
$18,172
Change in Net Assets
$-856,610

Audited Revenue Reconciliation

Revenue per Audited Statements
$10,160,228
Total Revenue per Audited Statements
$10,160,228
Total Revenue per Form 990
$10,160,228
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,306,927
Other Expenses$3,709,911
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,752,753$1,323,730-$6,076,483
Depreciation Depletion$451,248$147,614-$598,862
Other Employee Benefits$495,248$55,028-$550,276
Payroll Taxes$353,475$99,698-$453,173
Fees for Services Other$400,633--$400,633
Occupancy$230,000$124,184-$354,184
Interest-$234,866-$234,866
Current Officers, Directors, Trustees, and Key Employees-$226,995-$226,995
Insurance$69,233$69,231-$138,464
All Other Expenses$68,284$68,281-$136,565
Fees for Services Accounting-$65,530-$65,530
Travel$28,085$7,117-$35,202
Other Expenses$34,868$97,471-$34,868
Fees for Services Management-$9,500-$9,500
Fees for Services Legal-$3,500-$3,500
Total Functional Expenses$8,460,196$2,556,642$0$11,016,838

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$11,016,838
Total Expenses per Audited Statements$11,016,838
Total Expenses per Form 990$11,016,838
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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 governing body review Part VI line 11

Form 990 is provided to the governing body at the organizations headquarters upon request.

Officer director etc mailing address Part VI line 9

The organization has undergone its required single audit.

Conflict of interest policy compliance Part VI line 12C

The president/cfo monitors compliance with the organizations conflict of interest policies.

CEO executive director top management comp Part VI line 15A

Statistical data for determing compensation for the Orgainzations CEO, CFO and other key employees is gathered from various state agencies, local and other organizations. Compensation for the person is determined based on this data.

Other officer or key employee compensation Part VI line 15B

Statiscal data for determing compensation is gathered from state agencies, local and other sources. Compensation for the person iis determined based on this data.

Governing documents etc available to public Part VI line 19

Documents are made avaliable at the organizations corporate headquarters upon request.

Filing and Contact Details

Filer

Filer Name
Central North Al Health Service Inc
EIN
63-0829524
In Care Of
% Carleton Pyfrom
Phone
2565348659
Address
PO BOX 18488, HUNTSVILLE, AL 35804

Signing Officer

Name
Carleton Pyfrom
Title
Presidentceo
Phone
2565348659
Signed
2025-09-01
Discuss with paid preparer
No

Organization Details

Principal Officer
Carleton Pyfrom
Formed
1982
Legal Domicile
Al
Voting Board Members
12
Independent Board Members
12
Employees
114

Preparer

Firm
Samuel O Lyons Jr
Address
1043 43rd Street, Birmingham, AL 35208
Preparer
Samuel O Lyons Jr
Phone
2057775801
Supplemental Narrative

Additional Explanations

List of other expenses Part IX line 24E

Professional Contractual.

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IRS990/Form990PartVIISectionAGrp/TitleTxt6PRESIDENTCHIEF EXECUTIVE OFFICER
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORM 990 IS PROVIDED TO THE GOVERNING BODY AT THE ORGANIZATIONS HEADQUARTERS UPON REQUEST.

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