2024-11-14T16:50:24-06:00 2023-12-31 481066439 BT&CO PA 4301 SW HUNTOON ST TOPEKA KS 66604 990 2023-01-01 264049382 ATCHISON COMMUNITY HEALTH CLINIC INC ATCH 9133674879 PO BOX 27 ATCHISON KS 66002 MIKEY STAFFORD PRESIDENT 9133674879 2024-11-14 1 1 REBECCA SHAW P01275425 7852343427 2024-11-14 2023 2024-10-15 13:58:12Z MIKEY STAFFORD PO BOX 27 ATCHISON KS 66002 3862679 0 X WWW.ACHC-KS.ORG X 2009 KS THE ATCHISON COMMUNITY HEALTH CLINIC EXISTS TO PROMOTE WELLNESS BY PROVIDING QUALITY HEALTH CARE FOR ALL. 11 11 48 11 0 0 1587073 1493815 1388302 2322926 534 18280 20657 27658 2996566 3862679 0 0 0 0 1906560 2370432 0 0 0 760794 1095199 2667354 3465631 329212 397048 1997835 2420913 200795 226825 1797040 2194088 THE ATCHISON COMMUNITY HEALTH CLINIC EXISTS TO PROMOTE WELLNESS BY PROVIDING QUALITY HEALTH CARE FOR ALL. 0 0 2265362 2340584 ACHC OFFERED INTEGRATED CARE SERVICES TO RESIDENTS OF ATCHISON COUNTY AND SURROUNDING COMMUNITIES WHICH INCLUDED MEDICAL, BEHAVIORAL, AND DENTAL SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, BASED ON AN ESTABLISHED SLIDE SCALE FEE. DURING 2023, CARED FOR 2,489 PATIENTS WHO RECEIVED CARE DURING MEDICAL VISITS, DENTAL VISITS, AND/OR MENTAL HEALTH VISITS. 2265362 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 2 0 1 48 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 1 0 X THE ORGANIZATION 9133674879 PO BOX 27 ATCHISON KS 66002 AGGIE ASHER BOARD MEMBER 1.00 X 0 0 0 PENNY GARCIA BOARD MEMBER 1.00 X 0 0 0 SUSAN MYERS BOARD MEMBER 1.00 X 0 0 0 LA ROCHELLE YOUNG BOARD MEMBER 1.00 X 0 0 0 TAYLOR MERKLEIN BOARD MEMBER 1.00 X 0 0 0 STEPHANIE AFFIELD BOARD MEMBER 1.00 X 0 0 0 DARBY SCHAFER BOARD CHAIR 5.00 X X 0 0 0 DAVID SANDERS SECRETARY 3.00 X X 0 0 0 KENT WOHLGEMUTH BOARD MEMBER 3.00 X X 0 0 0 MARY STAFFORD VICE CHAIR 3.00 X X 0 0 0 SHERRY SWENDSON BOARD MEMBER 1.00 X 0 0 0 STEPHEN DURKIN EXECUTIVE DIRECTOR 40.00 X 119911 0 10054 PAUL SLOBODNIK FINANCE DIRECTOR 40.00 X 94473 0 5321 214384 0 15375 1 0 0 0 0 1472861 20954 1493815 PATIENT SERVICE REVENU 621300 1874379 1874379 PHARMACY INCOME 621300 448547 448547 2322926 18280 18280 10000 0 10000 10000 10000 MISCELLANEOUS 621300 5749 5749 MEDICAL RECORDS 621300 3970 3970 7939 7939 17658 3862679 2340584 0 28280 229760 178379 51381 1866645 1453541 413104 9602 7144 2458 99006 73661 25345 165419 123072 42347 266343 114049 152294 221269 64964 156305 212858 91146 121712 112675 41933 70742 11128 6116 5012 25020 18120 6900 15961 15961 PATIENT SUPPLIES 213148 91270 121878 MISCELLANEOUS 12259 24 12235 PATIENT EDUCATION/OUTRE 4538 1943 2595 3465631 2265362 1200269 0 1067569 248038 352926 1418560 44967 207610 294159 3305 7583 17587 471001 179270 297163 291731 60714 79045 965 26826 1997835 2420913 190075 201464 10720 0 25361 200795 226825 X 1766225 2150217 30815 43871 1797040 2194088 1997835 2420913 397048 0 X 0 1 X 0 1 1 X 1097805 1597355 2318117 1587073 1478815 8079165 15000 15000 1097805 1597355 2318117 1587073 1493815 8094165 8094165 124 207 1024 534 28280 30169 6471 19860 2732 20657 17658 67378 8191712 6678272 0.98810 0.99250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22103 22103 117870 9906 107964 331028 169364 161664 291731 SHORT TERM LEASE LIABILITIES 19612 LONG TERM LEASE LIABILITIES 5749 25361 X 3901079 38400 38400 3862679 0 3862679 3504031 38400 38400 3465631 0 3465631 PART X, LINE 2: THE CLINIC IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM INCOME TAXES UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS NOT BEEN CLASSIFIED AS A PRIVATE FOUNDATION BY THE INTERNAL REVENUE SERVICE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS MADE IN THESE STATEMENTS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE RETURN IS PROVIDED TO THE BOARD FOR REVIEW, WITH THE BOARD'S APPROVAL, THE PAID PREPARER THEN FILES THE RETURN ELECTRONICALLY. FORM 990, PART VI, SECTION B, LINE 12C THE OFFICERS, DIRECTORS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS TO THE BOARD EACH YEAR. FORM 990, PART VI, SECTION B, LINE 15B EXECUTIVE DIRECTOR AND FINANCE DIRECTOR SALARIES WERE DETERMINED USING THE 2020-2021 COMMUNITY CARE NETWORK OF KANSAS SALARY AND BENEFITS REPORT, WHICH CALCULATES AVERAGE SALARIES FOR OFFICERS AT OTHER FEDERALLY QUALIFIED HEALTH CLINICS IN THE STATE OF KANSAS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED IN THE CORPORATE OFFICE BY THE EXECUTIVE DIRECTOR AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST.