2021-12-21T11:33:06-08:00 2021-06-30 Terry Horne CPA Inc 732 West Main Street Lebanon TN 37087 990 2020-07-01 463984362 APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS APPA 8282025200 PO BOX 2597 ASHEVILLE NC 28801 SHANTELLE SIMPSON CHIEF EXECUTIVE OFFICER 8282025200 2021-12-21 true SHANTELLE SIMPSON XXX-XX-XXXX Terry Horne CPA P00120946 6154447293 2021-12-21 3 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z SHANTELLE SIMPSON 7 MCDOWELL ST STE 200 ASHEVILLE NC 28801 18889056 false X N/A X 2013 NC THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 10 10 132 0 0 0 1984371 6899318 9667766 11989738 0 0 11652137 18889056 0 0 6849209 6555338 0 0 5210874 5758754 12060083 12314092 -407946 6574964 3693452 6615203 4602754 1022416 -909302 5592787 THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. false false 9934992 0 11989738 THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUAL'S 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 42,600 VISITS WERE PROVIDED DURING THE YEAR. 9934992 true true false false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 18 0 132 true false false false false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false X LISA MADDEN 8282025200 7 MCDOWELL ST STE 200 ASHEVILLE NC 28801 SHANNON CORNELIUS BOARD MEMBER 1.00 X 0 0 0 NEIL GARROWAY BOARD MEMBER 1.00 X 0 0 0 HARRY HEARNE BOARD MEMBER 1.00 X 0 0 0 WILLIAM MANCE BOARD MEMBER 1.00 X 0 0 0 JESSE MICHEL VICE CHAIR 1.00 X 0 0 0 MELBA MILLSAPS BOARD MEMBER 1.00 X 0 0 0 DAVID NASH BOARD MEMBER 1.00 X 0 0 0 GLENDA ODOM BOARD MEMBER 1.00 X 0 0 0 ROBBY RUSSELL TREASURER 1.00 X 0 0 0 MICHAEL WOODS BOARD PRESIDENT 1.00 X 0 0 0 REUBEN PETTIFORD FORMER CHEIF EXECUTIVE OFFICER 40.00 X 225073 0 24362 PATRICK NWAEZEIGWE FORMER CHIEF FINANCIAL OFFICER 40.00 X 38593 0 6987 SUMMER BARLOW FORMER MEDICAL DIRECTOR 40.00 X 57459 0 1149 CARRIE HARRIS FORMER CHIEF FINANCIAL OFFICER 40.00 X 10108 0 0 TIMOTHY PLANT MEDICAL DIRECTOR 40.00 X 13377 0 0 DAVID TAYLOR DIRECTOR OF PHARMACY 40.00 X 136625 0 10172 MICHAEL DOWLING PHYSICIAN 40.00 X 137043 0 18174 JAI KUMAR PHYSICIAN 40.00 X 161713 0 14903 JAMES HARTYE PHYSICIAN 40.00 X 209452 0 15322 DAVID MOSTELLER PHARMACIST 40.00 X 128807 0 7648 CHRISTOPHER PORT NURSE PRACTITIONER 40.00 X 99450 0 23134 1217700 0 121851 6 false true false PMGCORONIS HEALTH 700 SCHOOL ST PAWTUCKET RI 02860 CONTRACT MANAGEMENT SERVICES 232443 APPNET 25 CONTINUUM DR ARDEN NC 28732 CONTRACT IT CONSULTING SERVICES 206525 ECLINICALWORKS LLC PO BOX 847950 BOSTON MA 02284 CONTRACT BILLING SERVICES 265250 RMSS CONSULTANTS 701 GERVAIS ST SUITE 150-271 COLUMBIA SC 29201 CONTRACT CONSULTANT SERVICES 195190 4 4632737 2266581 95094 6899318 PATIENT REVENUE 621111 11989738 0 0 11989738 18889056 11989738 0 0 344610 289855 54755 0 4850063 3864482 985581 0 72305 55611 16694 0 885130 794215 90915 0 403230 342968 60262 0 35888 490 35398 0 34845 2 34843 0 843883 406050 437833 0 31964 10523 21441 0 483341 285691 197650 0 639727 580505 59222 0 686390 499409 186981 0 160844 71920 88924 0 23806 347 23459 0 58489 716 57773 0 47589 20220 27369 0 CONTRACT 340B ADMIN AND DISPENSING FEES 733576 733576 0 0 DRUGS AND MEDICAL SUPPLIES 1978412 1978412 0 0 12314092 9934992 2379100 0 2296067 3904542 5001 62216 319992 804639 1689517 154037 77524 107930 123443 615069 119885 268563 495184 3693452 6615203 812499 851748 750802 170668 2984848 54605 0 4602754 1022416 X -1040600 5534364 131298 58423 -909302 5592787 3693452 6615203 X 6574964 -72875 X X false true X true true true X 0 2808227 3511971 2562834 1984371 6899318 17766721 0 0 2808227 3511971 2562834 1984371 6899318 17766721 0 17766721 0 0 312928 312928 18079649 40349222 0.98270 X 0 0 0 Pt II Ln 10 Other Income Part II, Line 10 Description: OTHER INCOME 2017: 312928. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 204156 204156 357245 119885 237360 53668 53668 495184 CAPITAL LEASE PAYABLE 0 0 18953376 64320 64320 18889056 18889056 12378412 64320 64320 12314092 12314092 X X false false false false false false false false false REUBEN PETTIFORD 225073 0 0 0 0 0 2000 0 22362 0 249435 0 0 0 MICHAEL DOWLING 137043 0 0 0 0 0 2833 0 15341 0 155217 0 0 0 JAI KUMAR 161713 0 0 0 0 0 1431 0 13472 0 176616 0 0 0 JAMES HARTYE 209452 0 0 0 0 0 1850 0 13472 0 224774 0 0 0 X 5717 85755 FMV X OFFICE EQUIPMENT 374 9339 FMV false true false Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST. Pt VI, Line 12c ANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN. Pt VI, Line 11b THE CEO, FINANCE OFFICER, AND BOARD MEMBERS REVIEW THE FORM 990. Pt VI, Line 15a STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS. Pt VI, Line 15b FOR TOP MANAGEMENT OFFICIALS. PERFORMACE EVALUATIONS ARE PERFORMED ANNUALLY AND SALARY INCREASES ARE BOARD APPROVED. Pt XII, Line 2c THE CEO AND FINANCE OFFICER OVERSEE FINANCIAL STATEMENT PREPERATION AND AUDIT ENGAGEMENT. Pt XI LINE 9 REPRESENTS THE CHANGE IN NET ASSETS WITH Pt XI DONOR RESTRICTIONS FOR THE YEAR.