FURP.ORG / PUBLIC DATA EXPLORER

MOUNTAIN COMPREHENSIVE HEALTH CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION (EIN 61-0712406)
Tax period
2012-04-01 to 2013-03-31
Filed
2013-11-14
IRS object ID
201343189349301949
Schema version
2012v2.0
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)
Timestamp2013-11-14T09:38:07-07:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN610712406EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN COMPREHENSIVE HEALTH CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOUNNameControl
Phone6066334823Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameTeresa FlemingName
TitleChief Financial OfficerTitle
Phone6066334823Phone
Date Signed2013-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLM Mike CaudillNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1226 Medical Plaza LaneAddressLine1
Address Line2PO Box 40AddressLine2
CityWhitesburgCity
StateKYState
ZIP Code41858ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22738292GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.mchcky.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionProvide primary and specialty medical/dental care to the medically underserved/uninsured population of Southeastern KentuckyActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees313TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4771308ContributionsGrantsPriorYear
Contributions Grants Current Year4469664ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16542704ProgramServiceRevenuePriorYear
Program Service Revenue CY18109442ProgramServiceRevenueCY
Investment Income Prior Year22435InvestmentIncomePriorYear
Investment Income Current Year12922InvestmentIncomeCurrentYear
Other Revenue Prior Year145112OtherRevenuePriorYear
Other Revenue Current Year146264OtherRevenueCurrentYear
Total Revenue Prior Year21481559TotalRevenuePriorYear
Total Revenue Current Year22738292TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15363502SalariesEtcPriorYear
Salaries Etc Current Year15205888SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year48816TotalFundrsngExpCurrentYear
Other Expense Prior Year7153871OtherExpensePriorYear
Other Expenses Current Year7962611OtherExpensesCurrentYear
Total Expenses Prior Year22517373TotalExpensesPriorYear
Total Expenses Current Year23168499TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1035814RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-430207RevenuesLessExpensesCY
Total Assets BOY14499637TotalAssetsBOY
Total Assets EOY14735541TotalAssetsEOY
Total Liabilities BOY5068631TotalLiabilitiesBOY
Total Liabilities EOY5734742TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9431006NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9000799NetAssetsOrFundBalancesEOY
Mission DescriptionProvide primary and specialty medical/dental care services to the medically underserved/uninsured population of Southeastern KentuckyMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense18381695Expense
Grants4318774Grants
Revenue18109442Revenue
DescriptionPatient 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 2012, MCHC provided medical and dental care to 27,917 individual patients.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense18381695TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees313NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Mountain Comprehensive Health CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6066334823TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JoAnne Shepherd
Board Member1X000
Danny Boggs
Board Member- Chairman1X000
Brenda Brandenburg
Board Member1X000
Arthur Ozz Jackson
Board Member-Vice-Chairman1X000
Tommye Banks
Board Member1X000
Cathie Day
Board Member1X000
Edgar Grubb
Board Member- Treasurer1X000
Janet Tucker
Board Member- Secretary1X000
Matilda Parks
Board Member1X000
Mary Ann Sparks
Board Member1X000
Tom Hammonds
Board Memeber1X000
Winston Meade
Board Member1X000
Deanna Richmond
Board Member1X000
Harold Kelly Jr
Board Member1X000
Lana Mullins
Board Member1X000
Phillip Hampton
Chief Operating Officer40108377011002X
Teresa Fleming
Chief Financial Officer407235607670X
L M Mike Caudill
Chief Executive Officer40181375013183X
Van Breeding MD
Physician MD40925147021021X
Mahmood Alam MD
Physician Pulmonologist40384735019444X
Brian Banks MD
Physician4031679300X
Fares Khater MD
Physician4036428709558X
Nathan W Baker MD
Physician OB40543035015132X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2896105TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation97010TotalOtherCompensation
Number Individuals GT100 K23NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Pikeville Medical Center
911 Bypass RdPikevilleKY41501Cardiology Physician Group321393
Quality Systems Inc
PO Box 809390ChicagoIL60680Billing Services378375
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants4318774GovernmentGrants
All Other Contributions150890AllOtherContributions
Noncash Contributions150890NoncashContributions
Total Contributions4469664TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Medicaid621400523306052330600$0
Medicare621400458153645815360$0
CI/UMWA621400447477044747700$0
Patient Fee621400109991110999110$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2720165TotalRevenueColumn
Related Or Exempt Function Income2720165RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue18109442TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12922TotalRevenueColumn
Related Or Exempt Function Income12922RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real118200Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real118200Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column118200TotalRevenueColumn
Related Or Exempt Function Income118200RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column28064TotalRevenueColumn
Related Or Exempt Function Income28064RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue28064TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22738292TotalRevenueColumn
Related Or Exempt Function Income18268628RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total379488Total
Program Services0ProgramServices
Management And General360514ManagementAndGeneral
Fundraising18974Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total12514229Total
Program Services10479752ProgramServices
Management And General2009165ManagementAndGeneral
Fundraising25312Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total277438Total
Program Services192025ProgramServices
Management And General85413ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1285567Total
Program Services936632ProgramServices
Management And General344405ManagementAndGeneral
Fundraising4530Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total749166Total
Program Services586475ProgramServices
Management And General162691ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total25889Total
Program Services0ProgramServices
Management And General25889ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total34291Total
Program Services0ProgramServices
Management And General34291ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total75413Total
Program Services3815ProgramServices
Management And General71598ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3550943Total
Program Services3415564ProgramServices
Management And General135379ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total198295Total
Program Services198295ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total41885Total
Program Services12801ProgramServices
Management And General29084ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total114639Total
Program Services55918ProgramServices
Management And General58721ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total66693Total
Program Services41647ProgramServices
Management And General25046ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total915304Total
Program Services804354ProgramServices
Management And General110950ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total85051Total
Program Services59629ProgramServices
Management And General25422ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Consulting and contracting services15062676074798987880
Repairs & maintenance6985425759651225770
Utilities3822172367991454180
Licenses/dues/membership/recruitment15711712469932418

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total110065Total
Program Services49846ProgramServices
Management And General60219ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23168499Total
Program Services18381695ProgramServices
Management And General4737988ManagementAndGeneral
Fundraising48816Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY293792BOY
EOY120589EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1092392BOY
EOY1104932EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY176040BOY
EOY822000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3124928BOY
EOY3145399EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY201028BOY
EOY444000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY162541BOY
EOY202964EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17826532LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8930875LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9448916BOY
EOY8895657EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14499637BOY
EOY14735541EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2560059BOY
EOY2982585EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY179492BOY
EOY847742EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2214792BOY
EOY1797278EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY114288BOY
EOY107137EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5068631BOY
EOY5734742EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8408849BOY
EOY7968486EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1022157BOY
EOY1032313EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9431006BOY
EOY9000799EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14499637BOY
EOY14735541EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-430207ReconcilationRevenueExpenses
Reconciliation Unrealized Invest0ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis273000InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value273000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis8338128InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation4242268Depreciation
Book Value4095860BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1801343InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation916486Depreciation
Book Value884857BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis7169256InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation3647570Depreciation
Book Value3521686BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis244805InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation124551Depreciation
Book Value120254BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8895657TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Interest Payable$34,407
Unemployment tax payable$23,448
Payroll taxes payable$25,590
Retirement payable$23,692
FieldValueIRS element (for citing)
Total Of Amounts107137TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt22738292TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal22738292RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99022738292TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23168499TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal23168499ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99023168499TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
L M Mike Caudill
Chief Executive Officer179000057207588000-5785018137501796210
Van Breeding MD
Physician MD3771640465405095307000-12728092514808668230
Nathan W Baker MD
Physician OB26590401311670152370000-6405054303607215640
Mahmood Alam MD
Physician Pulmonologist32500007246400000-12728038473603627800
Brian Banks MD
Physician30000002557200000-8780031679203166330
Fares Khater MD
Physician245000011988400000-597036428703576670

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchJ_P01_S00_L05Identifier
Return ReferenceSchedule J, Part I, Line 5ReturnReference
ExplanationSome of the providers have compensation packages based on a combination of incentive based on either hopsital or nursing home charges or collections.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Baker Properties LLC
Owner was a highly compensated employee16800rental of apartment and parking space0
N Wade Baker MD
Brother to CEO543035salary and other compensation0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990150890NoncashContribsRptdF990
Method Of Determining RevenuesFMV of itemsMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierSchM_P01_S00_L33Identifier
Return ReferenceSchedule M, Part I, Line 33ReturnReference
ExplanationSchedule M, Part I, Line 20- Drugs and supplies were donated to us by Direct Relief International to help low income, underinsured, uninsured, or indigent patients when able.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L02Form 990, Part VI, Section A, Line 2The CEO and one of our highest compensated employees Dr. Nathan Wade Baker, MD OG/GYN are brothers
F990_P06_S0A_L06Form 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.
F990_P06_S0A_L07aForm 990, Part VI, Section A, Line 7aThe Board of Directors has a membership committee who nominates any new members to be elected by the full Board of Directors.
F990_P06_S0A_L07bForm 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.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe 990 is prepared by the Chief Financial Officer and Comptroller. It is then presented to the Chief Executve Officer and the Chief Operating Officer for review. After approval by officers, the 990 is presented to the Board of Director's Finance Committee for review. The Finance Committee will then make a recommendation in the board meeting for the approval of the 990 to be submitted. Board members will vote on approval of the 990.
F990_P06_S0B_L12cForm 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.
F990_P06_S0B_L15Form 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.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19The 990, supporting financial statements, governing documents, and conflict of interest policies are available upon request.