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Hot Springs Health Program Inc

EIN 56-0986537 · Marshall, NC

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthFair62 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

SERVING THE PRIMARY HEALTH CARE NEEDS OF THE PEOPLE OF MADISON COUNTY AND SURROUNDING AREAS THROUGH AN ORGANIZATION ORIENTED TO AND DIRECTED BY THE COMMUNITY.

Income
$16.5 million
Spending
$16.4 million
Spent on programs
89%
Reserves
1.2 months of spending
Largest source of income
fees for its services, 89%
Employees
155
Volunteers
10
Highest pay
$327,931, medical director

Source: Form 990 for the year ending April 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Fair: 62 out of 100.

  • Reserves

    10 of 35

    Spendable reserves would cover 1.2 months of spending.

  • Debt

    10 of 20

    It owes 38% of what it owns.

  • Living within its means

    12 of 15

    Income exceeded spending by 1% of income.

  • Income trend

    15 of 15

    Income rose 13% on the year before.

  • Spending floor

    15 of 15

    89% of spending went to programs and raising each dollar of donations cost 1 cents.

Source: Form 990 for the year ending April 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100.

  • Independent board

    25 of 25

    10 of 10 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending April 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (1)
  1. $14.5 million spent. THE PROGRAM IS A FEDERALLY QUALIFIED HEALTH CARE LOOK-ALIKE, WHICH PROVIDES MEDICAL CARE TO CITIZENS OF MADISON COUNTY, NC THROUGH FOUR CLINICS, HOME HEALTH CARE AND OTHER SERVICES, INCLUDING 35,510 PATIENT VISITS AND 2,203 NURSING HOME VISITS; PHARMACY SERVICES, FILLING 94,584 PRESCRIPTIONS; AND HOME CARE AND HOSPICE SERVICES, INCLUDING 6,664 VISITS TO PATIENTS IN THEIR HOMES. THE ORGANIZATION CONSISTS OF 7 SEPARATE HEALTH CARE FACILITIES INCLUDING MASHBURN MEDICAL CENTER, HOT SPRINGS MEDICAL CENTER, MARS HILL MEDICAL CENTER, LAUREL MEDICAL CENTER, MADISON HOME CARE, HOSPICE OF MADISON AND HOT SPRINGS HEALTH PROGRAM OUTPATIENT SERVICES.

Source: Form 990 for the year ending April 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending April 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since December 1971.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.