FURP.ORG / PUBLIC DATA EXPLORER

MOUNTAIN COMPREHENSIVE HEALTH CORPORATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION (EIN 61-0712406)
Tax period
2014-04-01 to 2015-03-31
Filed
2015-11-09
IRS object ID
201543139349300539
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-09T08:47:48-07:00ReturnTs
Tax Period End2015-03-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN610712406EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN COMPREHENSIVE HEALTH CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
Phone6066334823PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 Medical Plaza Lane PO Box 40AddressLine1Txt
CityWhitesburgCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41858ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTeresa FlemingPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone6066334823PhoneNum
Signature2015-10-20SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLM Mike CaudillPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 Medical Plaza LaneAddressLine1Txt
Address Line2Po Box 40AddressLine2Txt
CityWhitesburgCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41858ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,558,729GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mchcky.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionProvide primary and specialty medical/dental care to the medically underserved/uninsured population of Southeastern KentuckyActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee341TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,214,857PYContributionsGrantsAmt
CY Contributions Grants$4,632,588CYContributionsGrantsAmt
PY Program Service Revenue$18,536,792PYProgramServiceRevenueAmt
CY Program Service Revenue$20,639,708CYProgramServiceRevenueAmt
PY Investment Income$10,610PYInvestmentIncomeAmt
CY Investment Income$6,610CYInvestmentIncomeAmt
PY Other Revenue$156,623PYOtherRevenueAmt
CY Other Revenue$279,823CYOtherRevenueAmt
PY Total Revenue$23,918,882PYTotalRevenueAmt
CY Total Revenue$25,558,729CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,018,232PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,768,019CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$52,993CYTotalFundraisingExpenseAmt
PY Other Expenses$8,123,679PYOtherExpensesAmt
CY Other Expenses$7,343,196CYOtherExpensesAmt
PY Total Expenses$23,141,911PYTotalExpensesAmt
CY Total Expenses$24,111,215CYTotalExpensesAmt
PY Revenues Less Expenses$776,971PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,447,514CYRevenuesLessExpensesAmt
Total Assets BOY$13,542,535TotalAssetsBOYAmt
Total Assets EOY$14,708,330TotalAssetsEOYAmt
Total Liabilities BOY$3,764,765TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,483,046TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,777,770NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,225,284NetAssetsOrFundBalancesEOYAmt
MissionProvide primary and specialty medical/dental care services to the medically underserved/uninsured population of Southeastern KentuckyMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$20,043,023ExpenseAmt
Grant$4,632,588GrantAmt
Revenue$20,100,743RevenueAmt
DescPatient Care/General Other: Mountain Comprehensive Health Corporation's mission states: MCHC will use its resources to meet the healthcare needs of its service area population. In calendar year 2014, MCHC provided medical and dental care to 27,911 individual patients.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$20,043,023TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee341EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mountain Comprehensive Health CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6066334823PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 40AddressLine1Txt
Address Line2226 Medical Plaza LaneAddressLine2Txt
CityWhitesburgCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41858ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JoAnne Shepherd
Board Member10Yes (X)$0$0$0
Brenda Brandenburg
Board Member10Yes (X)$0$0$0
Arthur Ozz Jackson
Board Member-Chairman10Yes (X)$0$0$0
Tommye Banks
Board Member10Yes (X)$0$0$0
Cathie Day
Board Member10Yes (X)$0$0$0
Edgar Grubb
Board Member- Secretary10Yes (X)$0$0$0
Janet Tucker
Board Member- Vice-Chairman10Yes (X)$0$0$0
Matilda Parks
Board Member10Yes (X)$0$0$0
Mary Ann Sparks
Board Member10Yes (X)$0$0$0
Tom Hammonds
Board Memeber10Yes (X)$0$0$0
Winston Meade
Board Member10Yes (X)$0$0$0
Deanna Richmond
Board Member10Yes (X)$0$0$0
Harold Kelly Jr
Board Member10Yes (X)$0$0$0
Lana Mullins
Board Member10Yes (X)$0$0$0
Robert Campbell
Board Member- Treasurer10Yes (X)$0$0$0
Phillip Hampton
Chief Operating Officer400$117,109$0$12,257Yes (X)
Teresa Fleming
Chief Financial Officer400$84,024$0$11,337Yes (X)
L M Mike Caudill
Chief Executive Officer400$193,311$0$12,564Yes (X)
Van Breeding MD
Physician MD400$1,189,903$0$23,284Yes (X)
Mahmood Alam MD
Physician Pulmonologist400$440,366$0$21,933Yes (X)
John McMurry MD
Physician400$297,361$0$20,354Yes (X)
Fares Khater MD
Physician400$375,703$0$6,442Yes (X)
April Hall Slone DO
Physician400$457,852$0$11,802Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,155,629TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$119,973TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Quality Systems IncBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 809390AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60680ZIPCd
FieldValueIRS element (for citing)
ServicesBilling ServicesServicesDesc
Compensation$421,588CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$4,632,588GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$300,271NoncashContributionsAmt
Total Contributions$4,632,588TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Medicaid621400$8,691,347$8,691,347$0$0
Medicare621400$3,904,214$3,904,214$0$0
CI/UMWA621400$2,810,426$2,810,426$0$0
Patient Fees621400$999,158$999,158$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,234,563TotalRevenueColumnAmt
Related Or Exempt Func Income$4,234,563RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$20,639,708TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,610TotalRevenueColumnAmt
Related Or Exempt Func Income$6,610RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$279,823RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$279,823RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$279,823TotalRevenueColumnAmt
Related Or Exempt Func Income$279,823RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,558,729TotalRevenueColumnAmt
Related Or Exempt Func Income$20,926,141RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$407,223TotalAmt
Management And General$386,862ManagementAndGeneralAmt
Fundraising$20,361FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$13,710,941TotalAmt
Program Services$11,692,598ProgramServicesAmt
Management And General$1,991,150ManagementAndGeneralAmt
Fundraising$27,193FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$243,633TotalAmt
Program Services$193,770ProgramServicesAmt
Management And General$49,863ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,516,161TotalAmt
Program Services$1,291,171ProgramServicesAmt
Management And General$219,551ManagementAndGeneralAmt
Fundraising$5,439FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$890,061TotalAmt
Program Services$758,072ProgramServicesAmt
Management And General$131,989ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,488TotalAmt
Management And General$21,488ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$75,564TotalAmt
Management And General$75,564ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$141,928TotalAmt
Program Services$12,900ProgramServicesAmt
Management And General$129,028ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,009,316TotalAmt
Program Services$3,838,457ProgramServicesAmt
Management And General$170,859ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$197,029TotalAmt
Program Services$187,429ProgramServicesAmt
Management And General$9,600ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$71,284TotalAmt
Program Services$33,650ProgramServicesAmt
Management And General$37,634ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$107,862TotalAmt
Program Services$46,635ProgramServicesAmt
Management And General$61,227ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$21,840TotalAmt
Program Services$6,633ProgramServicesAmt
Management And General$15,207ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$845,034TotalAmt
Program Services$728,593ProgramServicesAmt
Management And General$116,441ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$89,595TotalAmt
Program Services$64,051ProgramServicesAmt
Management And General$25,544ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Consulting and contractual services$388,119$194,313$193,806$0
Repairs & maintenance$445,842$348,221$97,621$0
Utilities$449,536$245,501$204,035
Licenses/dues/membership/recruitment$279,981$251,419$28,562$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$198,778TotalAmt
Program Services$149,610ProgramServicesAmt
Management And General$49,168ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,111,215TotalAmt
Program Services$20,043,023ProgramServicesAmt
Management And General$4,015,199ManagementAndGeneralAmt
Fundraising$52,993FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$508,361BOYAmt
EOY$1,154,976EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,114,514BOYAmt
EOY$1,627,016EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$361,059BOYAmt
EOY$433,297EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,827,510BOYAmt
EOY$2,633,036EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$285,741BOYAmt
EOY$330,851EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$201,623BOYAmt
EOY$275,447EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,037,843LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,784,136LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,243,727BOYAmt
EOY$8,253,707EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,542,535BOYAmt
EOY$14,708,330EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,985,285BOYAmt
EOY$2,374,414EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$368,428BOYAmt
EOY$404,055EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,244,280BOYAmt
EOY$583,930EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$166,772BOYAmt
EOY$120,647EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,764,765BOYAmt
EOY$3,483,046EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,737,712BOYAmt
EOY$9,674,329EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,040,058BOYAmt
EOY$1,550,955EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,777,770BOYAmt
EOY$11,225,284EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,542,535BOYAmt
EOY$14,708,330EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,447,514ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$273,000InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$273,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$8,341,938InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$4,594,392DepreciationAmt
Book Value$3,747,546BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,299,172InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$1,266,289DepreciationAmt
Book Value$1,032,883BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$6,878,928InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$3,788,627DepreciationAmt
Book Value$3,090,301BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$244,805InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$134,828DepreciationAmt
Book Value$109,977BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,253,707TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Interest Payable$32,714
Unemployment tax payable$24,842
Payroll taxes payable$63,091
FieldValueIRS element (for citing)
Total Liability$120,647TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$25,558,729TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$25,558,729RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$25,558,729TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$24,111,215TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$24,111,215ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$24,111,215TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mahmood Alam MD
Physician Pulmonologist$325,000$0$119,984$0$9,024$0$0$0-$13,642$0$440,366$0$390,428$0
Van Breeding MD
Physician MD$400,000$0$713,204$0$86,620$0$0$0-$9,921$0$1,189,903$0$1,201,065$0
L M Mike Caudill
Chief Executive Officer$179,000$0$542$0$19,514$0$0$0-$5,745$0$193,311$0$185,289$0
Fares Khater MD
Physician$245,000$0$116,677$0$14,135$0$0$0-$109$0$375,703$0$372,181$0
John McMurry MD
Physician$300,000$0$9,132$0$391$0$0$0-$12,162$0$297,361$0$0$0
April Hall Slone DO
Physician$225,000$0$233,655$0$0$0$0$0-$803$0$457,852$0$285,946$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 5FormAndLineReferenceDesc
ExplanationSome of our providers have compensation packages which include incentives based on clinic collections, hospital and nursing home collections or charges.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonBaker Properties LLCPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBrother to CEORelationshipDescriptionTxt
Transaction$12,600TransactionAmt
Transactionrental apartment and parking spacesTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$300,271NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I, Line 20FormAndLineReferenceDesc
ExplanationDrugs and supplies were donated to by Direct Relief International to help low income, underinsured, uninsured, or indigent patients.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 2The CEO and the owner of Baker Properties LLC, Dr. Nathan Wade Baker, MD OB/GYN are brothers.
Form 990, Part VI, Section A, Line 6Mountain Comprehensive Health Corporation is a non profit corporation. We are a 330e grantee with 501(c)(3) status. Our governing board is comprised of board members who are consumers of our clinic and are members of the community.
Form 990, Part VI, Section A, Line 7aThe Board of Directors has a membership committee who nominates any new member to be elected by the full Board of Directors
Form 990, Part VI, Section A, Line 7bThe Board of Directors approves all grants, budgets, and policies for the Corporation. The Board is also responsible for hiring the Chief Executive Officer.
Form 990, Part VI, Section B, Line 11bThe 990 is prepared by the Chief Financial Officer. It is then presented to the Chief Executive Officer, Director of Financial Affairs, and Chief Operating Officer for review. After approval by officers, the 990 is available for the Board of Directors to review. Once reviewed, the Board members will approve the 990 to be submitted.
Form 990, Part VI, Section B, Line 12cWe are monitored throughout the year by our funding sources and additionally we have internal monitoring performed by our Corporate Compliance Officer.
Form 990, Part VI, Section B, Line 15The Chief Executive Officer handles all provider contracts and also establishes wages based on experience and local comparable wages. The CEO's contract is reviewed and approved by the Board of Directors. All providers are on different contract terms and are reviewed annually.
Form 990, Part VI, Section C, Line 19The 990, supporting financial statements, governing documents, and conflict of interest policies are available upon request.