2017-11-15T07:56:06-06:00 2017-06-30 550538163 SUTTLE & STALNAKER PLLC 1411 VIRGINIA ST E STE 100 CHARLESTON WV 25301 990 2016-07-01 550483699 APPALACHIAN COMMUNITY HEALTH CENTER APPA 3046363232 725 YOKUM STREET ELKINS WV 26241 RICHARD KILEY EXECUTIVE DIRECTOR 3046363232 2017-11-07 1 CHRIS LAMBERT CPA P00369907 3043434126 216.12.123.226 2017-11-07 16:00:45 ES P 51C78798112714FAC3F672363D106410CF874C98 1777163F49107B40EEE1BCB4B15A8ED72CD8B2BB 2016 2017-02-10 21:41:12Z RICHARD KILEY 725 YOKUM STREET ELKINS WV 26241 2689010 0 X WWW.ACHCINC.ORG X 1965 WV THE MISSION OF APPALACHIAN COMMUNITY HEALTH CENTER IS TO IDENTIFY, RESPOND AND SERVE THE BEHAVIORAL HEALTH NEEDS AND PROMOTE PHYSICAL, SOCIAL, EMOTIONAL AND INTELLECTUAL WELL-BEING OF CONSUMERS AND THE COMMUNITY. 12 12 102 12 0 0 988436 933847 2126151 1742350 3580 5200 7756 7613 3125923 2689010 0 0 0 0 2320991 2258319 0 0 0 927729 661614 3248720 2919933 -122797 -230923 2505436 2024250 1355834 1069283 1149602 954967 X PURPOSE OF THE ORGANIZATION IS TO PROVIDE COMPREHENSIVE COMMUNITY BEHAVIORAL HEALTH SERVICES TO THE LOCAL COMMUNITY INCLUDING MENTAL HEALTH, SUBSTANCE ABUSE AND MENTAL RETARDATION/DEVELOPMENTAL DISABILITY SERVICES. 0 0 775260 1091507 WAIVER SERVICES - STATE FUNDED MEDICAID PROGRAM DESIGNED TO DELIVER SERVICES TO INDIVIDUALS IN THEIR HOME AND COMMUNITY AS AN ALTERNATIVE TO RECEIVING SERVICES IN AN INTERMEDIATE CARE FACILITY 308405 55332 SERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS NEEDS ARE MET 239438 173487 CLINICAL & REHABILITATION - PROGRAMS DIRECTED TOWARD CLINICAL REHABILITATION SERVICES FOR ELIGIBLE INDIVIDUALS 969971 422024 MEDICAL SERVICES - PROGRAM DEDICATED TO ENHANCING THE EMOTIONAL AND BEHAVIORAL HEALTH THROUGH PROFESSIONAL TREATMENT SERVICESYOUTH PROGRAMS - PROGRAMS FOCUSED ON THE MENTAL AND PHYSICAL WELL-BEING OF YOUTHCRISIS - COMPREHENSIVE ARRAY OF PROGRAMS DESIGNED TO STABILIZE THE CONDITIONS OF ACUTE OR SEVERE PSYCHIATRIC SYMPTOMSSERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS NEEDS ARE METOTHER PROGRAMS 969971 422024 2293074 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 45 0 1 102 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 0 0 X RICHARD KILEY 3046363232 725 YOKUM STREET ELKINS WV 26241 JAMES R SAYRES PRESIDENT 2.00 X X 0 0 0 THREASIA WITT VICE PRESIDENT 2.00 X X 0 0 0 DEANNA HOVEY SECRETARY/TREASURER 2.00 X X 0 0 0 JACQUELINE BURNS BOARD MEMBER 1.00 X 0 0 0 DEBORAH COOK BOARD MEMBER 1.00 X 0 0 0 SUE CORE BOARD MEMBER 1.00 X 0 0 0 BRENDA DASHER BOARD MEMBER 1.00 X 0 0 0 CINDY DEMOTTO BOARD MEMBER 1.00 X 0 0 0 ERNEST FLORES EXECUTIVE COMMITTEE 2.00 X 0 0 0 VIRGINIA MERSON EXECUTIVE COMMITTEE 2.00 X 0 0 0 RICHARD NIDA JR BOARD MEMBER 1.00 X 0 0 0 JC RAFFETY BOARD MEMBER 1.00 X 0 0 0 RICHARD KILEY EXECUTIVE DIRECTOR 40.00 X 76832 0 5292 JOY MESSENGER ASSOCIATE DIRECTOR 40.00 X 77580 0 5580 154412 0 10872 0 0 0 0 0 933847 933847 CLIENT FEES 900099 1688875 1688875 CONTRACT SERVICES 900099 53475 53475 1742350 5200 5200 OTHER 900099 7613 7613 7613 2689010 1742350 0 12813 177834 142558 35276 1611100 1291613 319487 76044 61657 14387 235180 190687 44493 158161 128239 29922 1422 1422 43764 43764 93861 71059 22802 43468 28074 15394 177449 142668 34781 54464 52755 1709 7050 7050 59976 58612 1364 125242 96810 28432 MEDICAL SUPPLIES & FOOD 24783 17091 7692 AGENCY DUES 7807 7807 POSTAGE & FREIGHT 6061 5991 70 16267 5260 11007 2919933 2293074 626859 0 883094 546505 915000 817402 152420 75109 296977 223465 1861 4694 74971 75189 3090724 2808838 181113 281886 2505436 2024250 280944 288295 1074890 780988 1355834 1069283 X 1149602 954967 1149602 954967 2505436 2024250 X -230923 36288 X X 0 1 X 1 0 X 1537335 1485355 1060081 988436 933847 6005054 2538387 2439567 2351818 2126151 1742350 11198273 4075722 3924922 3411899 3114587 2676197 17203327 0 0 0 17203327 5248 4276 4029 3580 5200 22333 5248 4276 4029 3580 5200 22333 9933 10527 11294 7756 7613 47123 4090903 3939725 3427222 3125923 2689010 17272783 0.99600 0.99660 0.00130 0.00140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 114276 114276 1074640 1051081 23559 1419819 1312648 107171 481989 445109 36880 281886 LIABILITY FOR PENSION BENEFITS 674646 CAPITAL LEASE PAYABLE 106342 780988 X 2689010 0 2689010 0 2689010 2919933 0 2919933 0 2919933 PART X, LINE 2: FOR THE YEAR ENDED JUNE 30, 2017, THE CENTER HAS NO MATERIAL UNCERTAIN TAX POSITIONS TO BE ACCOUNTED FOR IN THE FINANCIAL STATEMENTS. THE CENTER RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE. AS OF JUNE 30, 2017, TAX YEARS ENDING ON OR AFTER JUNE 30, 2014 REMAIN SUBJECT TO EXAMINATION. FORM 990, PART VI, SECTION B, LINE 11B REVIEWED BY FINANCE COMMITTEE PRIOR TO FILING, IF PRACTICAL, OTHERWISE REVIEWED AFTER FILING. FORM 990, PART VI, SECTION B, LINE 12C REVIEWED AS NECESSARY FORM 990, PART VI, SECTION B, LINE 15A COMPARABLE STUDIES MADE BY EXECUTIVE COMMITTEE OF BOARD PERIODICALLY FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART XI, LINE 9: PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 36,288. FORM 990, PART XI, LONE 2C: NO CHANGE IN PROCESS FROM PRIOR YEAR.