High Country Community Health
High Country Community Health reported $27.8 million in revenue and $25.5 million in expenses for the fiscal year ending April 30, 2025. Of every $100 it spent, $80.75 went to program services, $19.25 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 74.8% of the total. Government grants made up 14.6%. The highest compensation it reported for one person was $275,736 (PHYSICIAN). 26 people received more than $100,000 in reportable compensation. Revenue rose 206% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending April 30, 2025 · Form 990, Part IX, line 25 · total expenses $26MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending April 30, 2025 · Form 990, Part VIII · total revenue $28M- Contributions & grants (non-government)$10.90 $3.0M
- Government grants$14.56 $4.1M
- Program service revenue$74.54 $21M
Investment income was negative: −$99,370. The bar shows the positive sources only.
The 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 80.8% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 19.2% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 25.5% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 14.6% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 74.8% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $275,736 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.08% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 26 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 6.8 | 6.6 |
| Independent voting board members Part VI 1a–1b | 10 of 10 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseThe organization provides health care regardless of 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 70,400 visits were provided during the year
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $252,612 | $0 | $23,124 | $275,736 |
| MEDICAL DIRECTOR Officer, 40.00 hrs/week | $250,666 | $0 | $19,880 | $270,546 |
| CHIEF EXECUTIVE OFFICER Officer, 40.00 hrs/week | $242,554 | $0 | $14,960 | $257,514 |
| DENTAL DIRECTOR Officer, 40.00 hrs/week | $195,610 | $0 | $4,059 | $199,669 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $168,391 | $0 | $7,011 | $175,402 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $156,542 | $0 | $12,383 | $168,925 |
| DENTIST Highest compensated employee, 40.00 hrs/week | $160,297 | $0 | $8,591 | $168,888 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $150,670 | $0 | $12,966 | $163,636 |
26 people received more than $100,000 in reportable compensation from High Country Community Health (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.4M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b10 · 10 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5296
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| ECLINICALWORKS LLC Contract ehr services | $521,850 |
| CARVER TECHNOLOGIES LLC Contract it services | $271,635 |
| BARTON ASSOCIATES Contract healthcare staffing services | $243,920 |
| HENDRICK INC Contract construction services | $127,964 |
Individuals listed as contractors are left out. 4 contractors were paid more than $100,000 in all.
Private foundation grants it received
2 private foundations reported grants to High Country Community Health totaling $200K on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from High Country Community Health's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for High Country Community Health, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 High Country Community Health spent in FY2025, $80.75 went to programs. The full breakdown, from its IRS Form 990:
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All health care charities · Largest charities in North Carolina
Questions people ask
How much of High Country Community Health's spending goes to programs?
In the fiscal year ending April 30, 2025, High Country Community Health reported that 80.8% of its $25.5 million in expenses went to program services, 19.2% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does High Country Community Health pay its top executive?
The largest total compensation High Country Community Health reported for one person in the fiscal year ending April 30, 2025 was $275,736, for the role of PHYSICIAN (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does High Country Community Health get its money?
Of $27.8 million in revenue in the fiscal year ending April 30, 2025, 25.5% came from contributions and grants (including 14.6% from government grants) and 74.8% from program service revenue (Form 990, Part VIII).
Is High Country Community Health a registered charity?
The IRS lists EIN 27-3033445 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending April 30, 2025, object 202513429349300421 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending April 30, 2024, object 202422679349301227 · read the filing
- FY2023: Form 990 for the fiscal year ending April 30, 2023, object 202302379349301515 · read the filing
- FY2022: Form 990 for the fiscal year ending April 30, 2022, object 202232279349304428 · read the filing
- FY2021: Form 990 for the fiscal year ending April 30, 2021, object 202102439349300720 · read the filing
- FY2020: Form 990 for the fiscal year ending April 30, 2020, object 202012319349300136 · read the filing
All filings for EIN 27-3033445: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.