2015-11-16T10:02:06-06:00 2015-06-30 550538163 SUTTLE & STALNAKER PLLC 1411 VIRGINIA ST E STE 100 CHARLESTON WV 25301 990 2014-07-01 550483699 APPALACHIAN COMMUNITY HEALTH CENTER APPA 3046363232 725 YOKUM STREET ELKINS WV 26241 RICHARD KILEY EXECUTIVE DIRECTOR 3046363232 2015-11-16 1 HORACE W EMERY CPA P00050159 3043434126 2014 2016-04-25 22:37:26Z RICHARD KILEY 725 YOKUM STREET ELKINS WV 26241 3427222 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. 13 13 116 0 0 0 1485355 1060081 2439567 2351818 4276 4029 10527 11294 3939725 3427222 0 0 0 0 2681215 2440748 0 0 0 974024 832311 3655239 3273059 284486 154163 2923737 3012641 1765546 1467244 1158191 1545397 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 995297 1432657 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 376326 51711 SERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS NEEDS ARE MET 340636 302800 CLINICAL & REHABILITATION - PROGRAMS DIRECTED TOWARD CLINICAL REHABILITATION SERVICES FOR ELIGIBLE INDIVIDUALS 946116 564650 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 946116 564650 2658375 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 2 0 1 116 1 0 0 0 0 0 0 0 0 0 0 X 13 13 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 DEANNA HOVEY EXECUTIVE COMMITTEE 2.00 X 0 0 0 JAMES FARRY BOARD MEMBER 1.00 X 0 0 0 RICHARD NIDA JR EXECUTIVE COMMITTEE 2.00 X 0 0 0 THREASIA WITT BOARD MEMBER 1.00 X 0 0 0 DENISE CAMPBELL BOARD MEMBER 1.00 X 0 0 0 PAUL GABEL 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 SUE CORE BOARD MEMBER 1.00 X 0 0 0 JAMES SAYERS PRESIDENT 2.00 X 0 0 0 VIRGINIA MERSON SECRETARY/TREASURER 2.00 X 0 0 0 RICHARD KILEY EXECUTIVE DIRECTOR 40.00 X 77996 0 5308 JOY MESSENGER ASSOCIATE DIRECTOR 40.00 X 80132 0 12667 JAMES FARRELL VICE PRESIDENT 2.00 X 0 0 0 158128 0 17975 0 0 0 0 0 1060081 1060081 CLIENT FEES 900099 2270722 2270722 CONTRACT SERVICES 900099 81096 81096 2351818 4029 4029 OTHER 900099 11294 11294 11294 3427222 2351818 0 15323 176103 135599 40504 1687999 1388785 299214 206302 158853 47449 204475 157446 47029 165869 135358 30511 5220 5220 42450 42450 121175 142493 -21318 54976 38978 15998 213512 166304 47208 72268 67797 4471 34396 32724 1672 123639 94189 29450 PROVIDER TAX 93042 75640 17402 MEDICAL SUPPLIES & FOOD 29716 21910 7806 POSTAGE & FREIGHT 8800 8713 87 AGENCY DUES 7802 7802 25315 33586 -8271 3273059 2658375 614684 0 1033429 1258893 915000 915000 320348 253201 342910 294403 1436 2369 74792 75972 2956784 2743981 235822 212803 2923737 3012641 328571 324323 1436975 1142921 1765546 1467244 X 1158191 1545397 1158191 1545397 2923737 3012641 X 154163 233043 X X 0 1 X 1 0 X 1723984 1644001 1537335 1485355 1060081 7450756 1918374 2501435 2538387 2439567 2351818 11749581 3642358 4145436 4075722 3924922 3411899 19200337 0 0 0 19200337 13681 9120 5248 4276 4029 36354 13681 9120 5248 4276 4029 36354 74093 -1304 9933 10527 11294 104543 3730132 4153252 4090903 3939725 3427222 19341234 0.99270 0.99220 0.00190 0.00280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 114276 114276 1074640 1039797 34843 1300522 1282260 18262 467346 421924 45422 212803 LIABILITY FOR PENSION BENEFITS 1142921 1142921 3427222 0 3427222 0 3427222 3273059 0 3273059 0 3273059 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 233,043. FORM 990, PART XI, LINE 2C EXPLANATION: NO CHANGE IN PROCESS FROM PRIOR YEAR.