Cabin Creek Health Systems
Legal name: Cabin Creek Health Center Inc
Nonprofit profile at a glance
- EIN
- 550709223
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Dawes, WV, US
- Phone
- 304.595.5006
- Rating
- 80
- Verdict
- STRONG
- Rating confidence
- Moderate
Reported finances
- Revenue
- $32,570,711
- Expenses
- $30,893,084
- Assets
- $22,961,240
- Liabilities
- $7,222,982
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
16 people listed
Executive titles in this filing
- SHANNA CASTO (PRESIDENT)
- NANCY TYLER (VICE PRESIDENT)
- AMBER CRIST (CEO/EXECUTIVE DIRECTOR)
Highest reported compensation
- JESSICA MCCOLLEY DO (CHIEF MEDICAL DIRECTOR): $289,381 total reported compensation
- AMANDA BORROR DO (PHYSICIAN): $279,641 total reported compensation
- BRANDON MERRITT MD (PHYSICIAN): $278,314 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To promote the health and well-being of all people in our communities, especially the most vulnerable, through health care that is guided by science, compassion and respect, and to contribute to the education of skilled and caring health professionals.
What it reported doing in 2024
During the last year cchc clinic teams provided care to 20,324 patients, who represented 82,695 clinic visits. Our clinical teams include physicians, mid-level providers, medical assistants, behavioral health consultants, and health coaches. These teams offer our patients a comprehensive set of primary care services including adult and geriatric care, pediatrics, family planning and women's health and prenatal services, 340-b pharmacy, behavioral health and dental services.
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.
The verdict
STRONG - 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 expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 70
- Transparency & Controls: 81
- Accountability: 100
- Sustainability: 44
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 76.6%; rating input score 77
- Program expense ratio: 80.7%; rating input score 81
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 93.3%; rating input score 93; 14th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Pass
- 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: 5.2%; rating input score 54; 54th percentile among comparable filings
- Total-asset coverage ratio: 0.74; rating input score 26; 26th percentile among comparable filings
- Liabilities to assets ratio: 0.31; rating input score 45; 45th percentile among comparable filings
- Officer compensation ratio: 5.6%; rating input score 46; 46th percentile among comparable filings
Growth
- Program expense growth: 8.3% per year; rating input score 100; 63rd percentile among comparable filings
- Revenue growth: 8.4% per year; rating input score 100; 67th percentile among comparable filings
- Asset growth: 13.2% per year; rating input score 100; 76th percentile among comparable filings
Details
- What they do: 10 programs and campaigns described on the official site · 7 operating locations identified
- Where the money goes: 76.6% of revenue deployed · 80.7% of spending went to programs
- Governance: 9 of 9 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $24.9M in reported program spending
- Leadership: top reported pay $289K · 16 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 3 contractors listed · $361K reported
- Consistency: 33 of 33 current checks pass
- Schedules: 5 filed schedules · includes major donors and executive pay
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 7 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.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Total-asset coverage ratio scored 26/100.
- Review — Sustainability: Operating margin scored 54/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 45/100.
- Moderate — Sustainability: Officer compensation ratio scored 46/100.