FURP.ORG / PUBLIC DATA EXPLORER

MOUNTAIN COMPREHENSIVE HEALTH CORPORATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION (EIN 61-0712406)
Tax period
2013-04-01 to 2014-03-31
Filed
2014-11-13
IRS object ID
201413189349303796
Schema version
2013v3.0
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)
Return2014-11-13T14:35:29-07:00ReturnTs
Tax Period End2014-03-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN610712406EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN COMPREHENSIVE HEALTH CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
Phone6066334823PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 Medical Plaza LaneAddressLine1
Address Line2PO Box 40AddressLine2
CityWhitesburgCity
StateKYState
ZIP Code41858ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTeresa FlemingPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone6066334823PhoneNum
Signature2014-11-13SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLM Mike CaudillPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 Medical Plaza LaneAddressLine1
Address Line2PO Box 40AddressLine2
CityWhitesburgCity
StateKYState
ZIP Code41858ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$23,918,882GrossReceiptsAmt
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 Employee299TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,469,664PYContributionsGrantsAmt
CY Contributions Grants$5,214,857CYContributionsGrantsAmt
PY Program Service Revenue$18,109,442PYProgramServiceRevenueAmt
CY Program Service Revenue$18,536,792CYProgramServiceRevenueAmt
PY Investment Income$12,922PYInvestmentIncomeAmt
CY Investment Income$10,610CYInvestmentIncomeAmt
PY Other Revenue$146,264PYOtherRevenueAmt
CY Other Revenue$156,623CYOtherRevenueAmt
PY Total Revenue$22,738,292PYTotalRevenueAmt
CY Total Revenue$23,918,882CYTotalRevenueAmt
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$15,205,888PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,018,232CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$46,173CYTotalFundraisingExpenseAmt
PY Other Expenses$7,962,611PYOtherExpensesAmt
CY Other Expenses$8,123,679CYOtherExpensesAmt
PY Total Expenses$23,168,499PYTotalExpensesAmt
CY Total Expenses$23,141,911CYTotalExpensesAmt
PY Revenues Less Expenses-$430,207PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$776,971CYRevenuesLessExpensesAmt
Total Assets BOY$14,735,541TotalAssetsBOYAmt
Total Assets EOY$13,542,535TotalAssetsEOYAmt
Total Liabilities BOY$5,734,742TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,764,765TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,000,799NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,777,770NetAssetsOrFundBalancesEOYAmt
MissionProvide primary and specialty medical/dental care services to the medically underserved/uninsured population of Southeastern KentuckyMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$18,745,882ExpenseAmt
Grant$4,854,982GrantAmt
Revenue$18,543,894RevenueAmt
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 2013, MCHC provided medical and dental care to 26,739 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$18,745,882TotalProgramServiceExpensesAmt
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 Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee299EmployeeCnt
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 CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Phone6066334823PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 40AddressLine1
Address Line2226 Medical Plaza LaneAddressLine2
CityWhitesburgCity
StateKYState
ZIP Code41858ZIPCode

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 EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JoAnne Shepherd
Board Member10Yes (X)$0$0$0
Danny Boggs
Board Member- Chairman10Yes (X)$0$0$0
Brenda Brandenburg
Board Member10Yes (X)$0$0$0
Arthur Ozz Jackson
Board Member-Vice-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- Treasurer10Yes (X)$0$0$0
Janet Tucker
Board Member- Secretary10Yes (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
Phillip Hampton
Chief Operating Officer400$108,772$0$10,916Yes (X)
Teresa Fleming
Chief Financial Officer400$74,894$0$8,466Yes (X)
L M Mike Caudill
Chief Executive Officer400$185,289$0$12,850Yes (X)
Van Breeding MD
Physician MD400$1,201,063$0$21,038Yes (X)
Mahmood Alam MD
Physician Pulmonologist400$390,429$0$18,961Yes (X)
Estate of Brian Banks MD
Physician400$299,492$0$7,372Yes (X)
Fares Khater MD
Physician400$372,181$0$9,663Yes (X)
April Hall Slone
Physician400$285,946$0$6,441Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,918,066TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$95,707TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K22IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Pikeville Medical Center
911 Bypass RdPikevilleKY41501Cardiology Physician Group$341,826
Quality Systems Inc
PO Box 809390ChicagoIL60680Billing Services$841,984
Lewis Brothers Inc
4847 Left Fork Maces Creek RdViperKY41774General Contractor$289,465
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$4,854,982GovernmentGrantsAmt
All Other Contributions$359,875AllOtherContributionsAmt
Noncash Contributions$359,875NoncashContributionsAmt
Total Contributions$5,214,857TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Medicaid621400$6,137,629$6,137,629$0$0
Medicare621400$4,670,052$4,670,052$0$0
CI/UMWA621400$3,344,803$3,344,803$0$0
Patient Fees621400$1,393,409$1,393,409$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,990,899TotalRevenueColumnAmt
Related Or Exempt Func Income$2,990,899RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$18,536,792TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,610TotalRevenueColumnAmt
Related Or Exempt Func Income$10,610RelatedOrExemptFuncIncomeAmt
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$156,623RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$156,623RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$156,623TotalRevenueColumnAmt
Related Or Exempt Func Income$156,623RelatedOrExemptFuncIncomeAmt
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$23,918,882TotalRevenueColumnAmt
Related Or Exempt Func Income$18,704,025RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$380,914TotalAmt
Management And General$361,868ManagementAndGeneralAmt
Fundraising$19,046FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$12,338,378TotalAmt
Program Services$10,455,246ProgramServicesAmt
Management And General$1,860,143ManagementAndGeneralAmt
Fundraising$22,989FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$300,809TotalAmt
Program Services$233,426ProgramServicesAmt
Management And General$67,383ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,213,019TotalAmt
Program Services$1,006,885ProgramServicesAmt
Management And General$201,996ManagementAndGeneralAmt
Fundraising$4,138FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$785,112TotalAmt
Program Services$662,892ProgramServicesAmt
Management And General$122,220ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,100TotalAmt
Management And General$7,100ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$52,386TotalAmt
Management And General$52,386ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$97,042TotalAmt
Program Services$11,060ProgramServicesAmt
Management And General$85,982ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,759,678TotalAmt
Program Services$3,665,862ProgramServicesAmt
Management And General$93,816ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$198,855TotalAmt
Program Services$198,855ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$54,713TotalAmt
Program Services$24,038ProgramServicesAmt
Management And General$30,675ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$128,426TotalAmt
Program Services$52,572ProgramServicesAmt
Management And General$75,854ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$47,220TotalAmt
Program Services$24,986ProgramServicesAmt
Management And General$22,234ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$919,498TotalAmt
Program Services$803,160ProgramServicesAmt
Management And General$116,338ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$70,114TotalAmt
Program Services$45,483ProgramServicesAmt
Management And General$24,631ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Consulting and contractual services$1,328,094$463,810$864,284$0
Repairs & maintenance$583,569$500,004$83,565$0
Utilities$402,904$250,580$152,324$0
Licenses/dues/membership/recruitment$256,827$227,963$28,864$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$217,253TotalAmt
Program Services$119,060ProgramServicesAmt
Management And General$98,193ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,141,911TotalAmt
Program Services$18,745,882ProgramServicesAmt
Management And General$4,349,856ManagementAndGeneralAmt
Fundraising$46,173FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$120,589BOYAmt
EOY$508,361EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,104,932BOYAmt
EOY$1,114,514EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$822,000BOYAmt
EOY$361,059EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,145,399BOYAmt
EOY$2,827,510EOYAmt

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$444,000BOYAmt
EOY$285,741EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$202,964BOYAmt
EOY$201,623EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,284,368LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,040,641LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,895,657BOYAmt
EOY$8,243,727EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,735,541BOYAmt
EOY$13,542,535EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,982,585BOYAmt
EOY$1,985,285EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$847,742BOYAmt
EOY$368,428EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,797,278BOYAmt
EOY$1,244,280EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$107,137BOYAmt
EOY$166,772EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,734,742BOYAmt
EOY$3,764,765EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,968,486BOYAmt
EOY$8,737,712EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,032,313BOYAmt
EOY$1,040,058EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,000,799BOYAmt
EOY$9,777,770EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,735,541BOYAmt
EOY$13,542,535EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$776,971ReconcilationRevenueExpnssAmt
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$4,519,290DepreciationAmt
Book Value$3,822,648BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,815,043InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$983,309DepreciationAmt
Book Value$831,734BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$6,285,895InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$3,405,418DepreciationAmt
Book Value$2,880,477BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$568,492InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$132,624DepreciationAmt
Book Value$435,868BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,243,727TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Interest Payable$33,098
Unemployment tax payable$22,597
Payroll taxes payable$65,942
Retirement payable$45,135
FieldValueIRS element (for citing)
Total Liability$166,772TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$23,918,882TotalRevEtcAuditedFinclStmtAmt
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$23,918,882RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$23,918,882TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$23,141,911TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$23,141,911ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$23,141,911TotalExpensesPerForm990Amt

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
L M Mike Caudill
Chief Executive Officer$179,000$0$557$0$12,632$0$0$0-$6,900$0$185,289$0$181,375$0
Van Breeding MD
Physician MD$398,077$0$741,062$0$75,298$0$0$0-$13,372$0$1,201,065$0$925,148$0
Mahmood Alam MD
Physician Pulmonologist$325,000$0$78,690$0$24$0$0$0-$13,286$0$390,428$0$384,736$0
Estate of Brian Banks MD
Physician$242,307$0$25,562$0$39,299$0$0$0-$7,676$0$299,492$0$316,792$0
Fares Khater MD
Physician$245,000$0$127,802$0$22$0$0$0-$643$0$372,181$0$364,287$0
April Hall Slone
Physician$209,282$0$62,529$0$15,000$0$0$0-$865$0$285,946$0$0$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$16,800TransactionAmt
Transactionrental of apartment and parking spaceTransactionDesc
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$359,875NoncashContributionsRptF990Amt
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 us by Direct Relief International to help low income, underinsured, uninsured, or indigent patients when able.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 an are members of the community.
Form 990, Part VI, Section A, Line 7aThe Board of Directors has a membership committee who nominates any new members ro 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 Director of Financial Affairs and the Chief Financial Officer. It is then presented to the Chief Executive Officer 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 contact 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.