MOUNTAIN COMPREHENSIVE HEALTH CORPORATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MOUNTAIN COMPREHENSIVE HEALTH CORPORATION (EIN 61-0712406)
- Tax period
- 2011-04-01 to 2012-03-31
- Filed
- 2012-11-15
- IRS object ID
- 201223209349301447
- Schema version
- 2011v1.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule J
- Schedule L
- Schedule O
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T09:09:28-07:00 | Timestamp |
| Tax Period End Date | 2012-03-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610712406 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNTAIN COMPREHENSIVE HEALTH CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOUN | NameControl |
| Phone | 6066334823 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 226 Medical Plaza Lane | AddressLine1 |
| Address Line2 | PO Box 40 | AddressLine2 |
| City | Whitesburg | City |
| State | KY | State |
| ZIP Code | 41858 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Teresa Fleming | Name |
| Title | Chief Financial Officer | Title |
| Phone | 6066334823 | Phone |
| Date Signed | 2012-11-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LM Mike Caudill | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 226 Medical Plaza Lane | AddressLine1 |
| Address Line2 | PO Box 40 | AddressLine2 |
| City | Whitesburg | City |
| State | KY | State |
| ZIP Code | 41858 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 21481559 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.mchcky.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | KY | StateLegalDomicile |
| Activity Or Mission Description | Provide primary and specialty medical/dental care to the medically underserved/uninsured population of Southeastern Kentucky | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 299 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4938799 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4771308 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 17245453 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 16542704 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 33332 | InvestmentIncomePriorYear |
| Investment Income Current Year | 22435 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 121969 | OtherRevenuePriorYear |
| Other Revenue Current Year | 145112 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 22339553 | TotalRevenuePriorYear |
| Total Revenue Current Year | 21481559 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 15002315 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 15363502 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 43096 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7275621 | OtherExpensePriorYear |
| Other Expenses Current Year | 7153871 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 22277936 | TotalExpensesPriorYear |
| Total Expenses Current Year | 22517373 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 61617 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1035814 | RevenuesLessExpensesCY |
| Total Assets BOY | 15366855 | TotalAssetsBOY |
| Total Assets EOY | 14499637 | TotalAssetsEOY |
| Total Liabilities BOY | 4900035 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5068631 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10466820 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9431006 | NetAssetsOrFundBalancesEOY |
| Mission Description | Provide primary and specialty medical/dental care services to the medically underserved/uninsured population of Southeastern Kentucky | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 18719527 | Expense |
| Grants | 4771308 | Grants |
| Revenue | 16542704 | Revenue |
| Description | Patient 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 2011, MCHC provided medical and dental care to 28,980 individual patients | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 18719527 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 20 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 299 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mountain Comprehensive Health Corporation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6066334823 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 40 | AddressLine1 |
| Address Line2 | 226 Medical Plaza Lane | AddressLine2 |
| City | Whitesburg | City |
| State | KY | State |
| ZIP Code | 41858 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JoAnne Shepherd | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Danny Boggs | |||||||
| Board Member- Vice Chairman | 1 | X | 0 | 0 | 0 | ||
| Brenda Brandenburg | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Arthur Ozz Jackson | |||||||
| Board Member- Secretary | 1 | X | 0 | 0 | 0 | ||
| Tommye Banks | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Robert Campbell | |||||||
| Board Member-Chairman | 1 | X | 0 | 0 | 0 | ||
| Cathie Day | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Kristi Dixon | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Edgar Grubb | |||||||
| Board Member- Treasurer | 1 | X | 0 | 0 | 0 | ||
| Janet Tucker | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Matilda Parks | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Mary Ann Sparks | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Tom Hammonds | |||||||
| Board Memeber | 1 | X | 0 | 0 | 0 | ||
| Winston Meade | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Deanna Richmond | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Phillip Hampton | |||||||
| Chief Operating Officer | 40 | 106407 | 0 | 15831 | X | ||
| Teresa Fleming | |||||||
| Chief Financial Officer | 40 | 67767 | 0 | 8119 | X | ||
| L M Mike Caudill | |||||||
| Chief Executive Officer | 40 | 179621 | 0 | 13303 | X | ||
| Van Breeding MD | |||||||
| Physician MD | 40 | 866823 | 0 | 20945 | X | ||
| Nathan W Baker MD | |||||||
| Physician OB | 40 | 721564 | 0 | 20176 | X | ||
| Mahmood Alam MD | |||||||
| Physician Pulmonologist | 40 | 362780 | 0 | 19676 | X | ||
| Fares Khater MD | |||||||
| Physician | 40 | 357667 | 0 | 9213 | X | ||
| Brian Banks MD | |||||||
| Physician | 40 | 316633 | 0 | 10075 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2979262 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 117338 | TotalOtherCompensation |
| Number Individuals GT100 K | 23 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Pikeville Medical Center | |||||
| 911 Bypass Rd | Pikeville | KY | 41501 | Cardiology Physician Group | 178248 |
| Office Pro Services LLC | |||||
| PO Box 2451 | Hazard | KY | 41702 | Transcription Services | 249983 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 0 | RelatedOrganizations |
| Government Grants | 4771308 | GovernmentGrants |
| All Other Contributions | 0 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 4771308 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Medicaid | 621400 | 4561137 | 4561137 | 0 | $0 |
| Medicare | 621400 | 4059277 | 4059277 | 0 | $0 |
| CI/UMWA | 621400 | 4402477 | 4402477 | 0 | $0 |
| Patient Fee | 621400 | 927176 | 927176 | 0 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2592637 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2592637 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 16542704 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22435 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22435 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 119200 | Real |
| Personal | 0 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 119200 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 119200 | TotalRevenueColumn |
| Related Or Exempt Function Income | 119200 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25912 | TotalRevenueColumn |
| Related Or Exempt Function Income | 25912 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 25912 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21481559 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16710251 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 367965 | Total |
| Management And General | 349567 | ManagementAndGeneral |
| Fundraising | 18398 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12512421 | Total |
| Program Services | 10679673 | ProgramServices |
| Management And General | 1811406 | ManagementAndGeneral |
| Fundraising | 21342 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259834 | Total |
| Program Services | 170332 | ProgramServices |
| Management And General | 89502 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1467644 | Total |
| Program Services | 1079390 | ProgramServices |
| Management And General | 384898 | ManagementAndGeneral |
| Fundraising | 3356 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 755638 | Total |
| Program Services | 595787 | ProgramServices |
| Management And General | 159851 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20770 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 20770 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76719 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 76719 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82014 | Total |
| Program Services | 16611 | ProgramServices |
| Management And General | 65403 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3695795 | Total |
| Program Services | 3596502 | ProgramServices |
| Management And General | 99293 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198295 | Total |
| Program Services | 198295 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14086 | Total |
| Program Services | 5105 | ProgramServices |
| Management And General | 8981 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59039 | Total |
| Program Services | 27291 | ProgramServices |
| Management And General | 31748 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83217 | Total |
| Program Services | 47134 | ProgramServices |
| Management And General | 36083 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 930617 | Total |
| Program Services | 805775 | ProgramServices |
| Management And General | 124842 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57133 | Total |
| Program Services | 37938 | ProgramServices |
| Management And General | 19195 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Consulting and contracting services | 646041 | 506918 | 139123 |
| Repairs and maintenance | 649750 | 590212 | 59538 |
| Utilities | 424431 | 239895 | 184536 |
| Licenses/dues/membership/recruitment | 114703 | 96180 | 18523 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101261 | Total |
| Program Services | 26489 | ProgramServices |
| Management And General | 74772 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22517373 | Total |
| Program Services | 18719527 | ProgramServices |
| Management And General | 3754750 | ManagementAndGeneral |
| Fundraising | 43096 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 372684 | BOY |
| EOY | 293792 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1413979 | BOY |
| EOY | 1092392 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 470751 | BOY |
| EOY | 176040 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3000340 | BOY |
| EOY | 3124928 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153447 | BOY |
| EOY | 201028 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155323 | BOY |
| EOY | 162541 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 17492077 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8043161 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9800331 | BOY |
| EOY | 9448916 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15366855 | BOY |
| EOY | 14499637 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2237647 | BOY |
| EOY | 2560059 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 515408 | BOY |
| EOY | 179492 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1900702 | BOY |
| EOY | 2214792 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 246278 | BOY |
| EOY | 114288 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4900035 | BOY |
| EOY | 5068631 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9116731 | BOY |
| EOY | 8408849 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1350089 | BOY |
| EOY | 1022157 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10466820 | BOY |
| EOY | 9431006 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15366855 | BOY |
| EOY | 14499637 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -1035814 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 273000 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Book Value | 273000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 8333237 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 3892518 | Depreciation |
| Book Value | 4440719 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1801343 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 841421 | Depreciation |
| Book Value | 959922 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 6918804 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 3231826 | Depreciation |
| Book Value | 3686978 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 165693 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 77396 | Depreciation |
| Book Value | 88297 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9448916 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Interest Payable | $35,527 |
| Unemployment tax payable | $23,634 |
| Payroll taxes payable | $21,146 |
| Retirement payable | $33,981 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 114288 | TotalOfAmounts |
| Total Revenue | 21481559 | TotalRevenue |
| Total Expenses | 22517373 | TotalExpenses |
| Excess Or Deficit For Year | -1035814 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 0 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 0 | DonatedServicesAndFacilities |
| Investment Expenses | 0 | InvestmentExpenses |
| Prior Period Adjustments | 0 | PriorPeriodAdjustments |
| Other | $0 | OtherAmount |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -1035814 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 21481559 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 0 | OtherRevenues |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 21481559 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 0 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 21481559 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 22517373 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 0 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 22517373 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 22517373 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchD_P10_S00_L00 | Identifier |
| Return Reference | Schedule D, Part X | ReturnReference |
| Explanation | Other current liabilities- Interest Due Federal Government- $32,355, Accrued Interest Payable- $3,172, Accrued Payroll Withholding- $21,146, Accrued 403(b) deductions and other withholdings- $33,981, Unemployment taxes payable- $23,634. Total $114,288 | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Phillip Hampton | |||||||||||||
| 103400 | 0 | 555 | 0 | 4773 | 0 | 0 | 0 | -2321 | 0 | 106407 | 0 | 102901 | 0 |
| Teresa Fleming | |||||||||||||
| 66150 | 0 | 555 | 0 | 3600 | 0 | 0 | 0 | -2538 | 0 | 67767 | 0 | 66506 | 0 |
| L M Mike Caudill | |||||||||||||
| 176935 | 0 | 507 | 0 | 8848 | 0 | 0 | 0 | -6669 | 0 | 179621 | 0 | 177289 | 0 |
| Van Breeding MD | |||||||||||||
| 373558 | 0 | 425074 | 0 | 81289 | 0 | 0 | 0 | -13098 | 0 | 866823 | 0 | 848839 | 0 |
| Nathan W Baker MD | |||||||||||||
| 333808 | 0 | 229917 | 0 | 166388 | 0 | 0 | 0 | -8549 | 0 | 721564 | 0 | 653439 | 0 |
| Mahmood Alam MD | |||||||||||||
| 300823 | 0 | 75054 | 0 | 0 | 0 | 0 | 0 | -13097 | 0 | 362780 | 0 | 328736 | 0 |
| Fares Khater MD | |||||||||||||
| 231592 | 0 | 126658 | 0 | 22 | 0 | 0 | 0 | -605 | 0 | 357667 | 0 | 320354 | 0 |
| Brian Banks MD | |||||||||||||
| 300000 | 0 | 25507 | 0 | 0 | 0 | 0 | 0 | -8874 | 0 | 316633 | 0 | 266171 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchJ_P01_S00_L05 | Identifier |
| Return Reference | Schedule J, Part I, Line 5 | ReturnReference |
| Explanation | Some of the providers have compensation packages based on a combination of incentive based on either hospital or nursing home charges or collections. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Baker Properties LLC | |||
| Owner is a highly compensated employee | 16800 | rental of apartment and parking space | 0 |
| N Wade Baker MD | |||
| Brother to CEO | 721564 | salary and other compensation | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0A_L02 | Form 990, Part VI, Section A, Line 2 | The CEO and one of our highest compensated employees, Dr. Nathan Wade Baker, MD OB/GYN are brothers |
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | Mountain 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. |
| F990_P06_S0A_L07a | Form 990, Part VI, Section A, Line 7a | The Board of Directors has a membership committee who nominates any new members to be elected by the full Board of Directors. |
| F990_P06_S0A_L07b | Form 990, Part VI, Section A, Line 7b | The 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_L11b | Form 990, Part VI, Section B, Line 11b | The 990 is prepared by the Chief Financial Officer and Comptroller. It is then presented to the Chief Executive Officer and the Chief Operating Officer for review. After approval by officers, the 990 is presented to 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_L12c | Form 990, Part VI, Section B, Line 12c | We are monitored throughout the year by our funding sources, and additionally we have internal monitoring performed by our Corporate Compliance Officer. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | The 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_L19 | Form 990, Part VI, Section C, Line 19 | The 990, supporting financial statements, governing documents, and conflict of interest policies are available upon request. |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | The audited financial statements were not complete at the time of original due date | Explanation |
Comments