Appalachian Mountain Health

Nonprofit profile at a glance

EIN
463984362
IRS 990 coverage
2015–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-N 2014
Location
Asheville, NC, USA
Phone
8282025200
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$42,910,775
Expenses
$36,092,265
Assets
$39,721,250
Liabilities
$10,120,640

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

23 people listed

Executive titles in this filing

  • SHANTELLE SIMPSON (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • SHANTELLE SIMPSON (CHIEF EXECUTIVE OFFICER): $319,012 total reported compensation
  • ALEX GREEN (CHIEF DENTAL OFFICER): $212,717 total reported compensation
  • ELLORES BRAILEY (PHYSICIAN): $198,742 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

MISSION We deliver timely, comprehensive, and quality health services with dignity and respect to WNC residents, regardless of a person’s ability to pay. We deliver timely, comprehensive, and quality health services with dignity and respect to WNC residents, regardless of a person’s ability to pay. VISION. Our team includes **Licensed Behavioral Health Providers** working with your primary care provider to assess the mind-body-behavior connection. This approach allows us to deliver **solution-focused therapeutic care** , including **counseling** , **therapy** , and **psychiatric** support, tailored to your unique needs and health goals. By integrating behavioral health with primary care, we ensure that all AMH patients have accessible **counseling** and **therapy services** , with potential copays for those with private insurance or Medicare. What to Expect When you meet with a...

What it reported doing in 2024

The organization provides health care regardless of the individuals ability to pay. These medical services are provided in areas that have a shortage of health care providers. This is a direct fulfillment of their tax exempt purpose. Over 58,200 visits were provided during the year.

Operating model

Revenue model
Earned-program. 85% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Total assets are small relative to annual expenses; liquid coverage is unknown and reported officer compensation is a large share of total spending, which may reflect staffing concentration.

Rating breakdown

  • Financial Efficiency: 68
  • Transparency & Controls: 74
  • Accountability: 100
  • Sustainability: 59
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 71.2%; rating input score 71
  • Program expense ratio: 85.8%; rating input score 86
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 15.9%; rating input score 77; 77th percentile among comparable filings
  • Total-asset coverage ratio: 1.1; rating input score 39; 39th percentile among comparable filings
  • Liabilities to assets ratio: 0.25; rating input score 51; 51st percentile among comparable filings
  • Officer compensation ratio: 6%; rating input score 42; 42nd percentile among comparable filings

Growth

  • Program expense growth: 22.2% per year; rating input score 100; 91st percentile among comparable filings
  • Revenue growth: 23.3% per year; rating input score 100; 94th percentile among comparable filings
  • Asset growth: 35.1% per year; rating input score 100; 97th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site
  • Where the money goes: 71.2% of revenue deployed · 85.8% of spending went to programs
  • Governance: 11 of 11 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $31M in reported program spending
  • Leadership: top reported pay $319K · 23 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $1.9M reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 9 filing years from 2015 to 2024
  • Contacts: How to reach this organization
  • Money network: 12 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • Moderate — Sustainability: Total-asset coverage ratio scored 39/100.
  • Moderate — Sustainability: Officer compensation ratio scored 42/100.
  • Review — Sustainability: Liabilities to assets ratio scored 51/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.