2016-11-14T15:55:00-06:00 2016-06-30 550538163 SUTTLE & STALNAKER PLLC 1411 VIRGINIA ST E STE 100 CHARLESTON WV 25301 990 2015-07-01 550483699 APPALACHIAN COMMUNITY HEALTH CENTER APPA 3046363232 725 YOKUM STREET ELKINS WV 26241 RICHARD KILEY EXECUTIVE DIRECTOR 3046363232 2016-11-14 1 HORACE W EMERY CPA P00050159 3043434126 2015 2017-02-10 21:41:12Z RICHARD KILEY 725 YOKUM STREET ELKINS WV 26241 3125923 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. 11 11 111 11 0 0 1060081 988436 2351818 2126151 4029 3580 11294 7756 3427222 3125923 0 0 0 0 2440748 2320991 0 0 0 832311 927729 3273059 3248720 154163 -122797 3012641 2505436 1467244 1355834 1545397 1149602 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 843487 1291737 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 317819 37349 SERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS NEEDS ARE MET 336829 267606 CLINICAL & REHABILITATION - PROGRAMS DIRECTED TOWARD CLINICAL REHABILITATION SERVICES FOR ELIGIBLE INDIVIDUALS 1116885 529459 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 1116885 529459 2615020 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 5 0 1 111 1 0 0 0 0 0 0 0 0 0 0 X 11 11 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 BRENDA DASHER BOARD MEMBER 1.00 X 0 0 0 JAMES FARRELL PRESIDENT 2.00 X X 0 0 0 THREASIA WITT EXECUTIVE COMMITTEE 2.00 X 0 0 0 SUE CORE SECRETARY/TREASURER 2.00 X X 0 0 0 RICHARD NIDA JR EXECUTIVE COMMITTEE 2.00 X 0 0 0 DEBORAH COOK BOARD MEMBER 1.00 X 0 0 0 JC RAFFETY BOARD MEMBER 1.00 X 0 0 0 JAMES SAYRES VICE PRESIDENT 2.00 X X 0 0 0 ERNEST FLORES BOARD MEMBER 1.00 X 0 0 0 CINDY DEMOTTO BOARD MEMBER 1.00 X 0 0 0 JACQUELINE BURNS BOARD MEMBER 1.00 X 0 0 0 RICHARD KILEY EXECUTIVE DIRECTOR 40.00 X 79586 0 5064 JOY MESSENGER ASSOCIATE DIRECTOR 40.00 X 80334 0 5580 159920 0 10644 0 0 0 0 0 988436 988436 CLIENT FEES 900099 2047992 2047992 CONTRACT SERVICES 900099 78159 78159 2126151 3580 3580 OTHER 900099 7756 7756 7756 3125923 2126151 0 11336 176144 133869 42275 1691969 1385883 306086 83971 63818 20153 201112 152845 48267 167795 127575 40220 4599 4599 44487 44487 214361 235307 -20946 53876 38396 15480 223350 175683 47667 69303 61833 7470 36567 35203 1364 125383 96344 29039 PROVIDER TAX 87251 66284 20967 MEDICAL SUPPLIES & FOOD 32963 25780 7183 POSTAGE & FREIGHT 10089 10041 48 AGENCY DUES 7868 7868 17632 6159 11473 3248720 2615020 633700 0 1258893 883094 915000 915000 253201 152420 294403 296977 2369 1861 75972 74971 2929975 2748862 212803 181113 3012641 2505436 324323 280944 1142921 1074890 1467244 1355834 X 1545397 1149602 1545397 1149602 3012641 2505436 X -122797 -272998 X X 0 1 X 1 0 X 1644001 1537335 1485355 1060081 988436 6715208 2501435 2538387 2439567 2351818 2126151 11957358 4145436 4075722 3924922 3411899 3114587 18672566 0 0 0 18672566 9120 5248 4276 4029 3580 26253 9120 5248 4276 4029 3580 26253 -1304 9933 10527 11294 7756 38206 4153252 4090903 3939725 3427222 3125923 18737025 0.99660 0.99270 0.00140 0.00190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 114276 114276 1074640 1045439 29201 1286045 1277267 8778 455014 426156 28858 181113 LIABILITY FOR PENSION BENEFITS 1074890 1074890 3125923 0 3125923 0 3125923 3248720 0 3248720 0 3248720 FORM 990, PART VI, SECTION B, LINE 11 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 -272,998. FORM 990, PART XI, LONE 2C: NO CHANGE IN PROCESS FROM PRIOR YEAR.